NO N.C. EXCHANGE/NO MEDICAID EXPANSION.

View NCGA Bill Details2013-2014 Session
Senate Bill 4 (Public) Filed Wednesday, January 30, 2013
A BILL TO BE ENTITLED AN ACT (1) TO CLARIFY THE STATE'S INTENT NOT TO OPERATE A STATE-RUN OR "PARTNERSHIP" HEALTH BENEFIT EXCHANGE, (2) TO PROVIDE THAT FUTURE MEDICAID ELIGIBILITY DETERMINATIONS WILL BE MADE BY THE STATE RATHER THAN THE FEDERALLY FACILITATED EXCHANGE, AND (3) TO REJECT THE AFFORDABLE CARE ACT'S OPTIONAL MEDICAID EXPANSION.
Intro. by Apodaca, Brown, Rucho.

Status: Ch. SL 2013-5 (Senate Action) (Mar 6 2013)

SOG comments (2):

Identical bill

The first edition of this bill is identical to the first edition of H 16, filed 1/30/13.

Bill History:

S 4/S.L. 2013-5

Bill Summaries:

  • Summary date: Mar 7 2013 - More information

    A BILL TO BE ENTITLED AN ACT (1) TO CLARIFY THE STATE'S INTENT NOT TO OPERATE A STATE-RUN OR "PARTNERSHIP" HEALTH BENEFIT EXCHANGE, (2) TO PROVIDE THAT FUTURE MEDICAID ELIGIBILITY DETERMINATIONS WILL BE MADE BY THE STATE RATHER THAN THE FEDERALLY FACILITATED EXCHANGE, AND (3) TO REJECT THE AFFORDABLE CARE ACT'S OPTIONAL MEDICAID EXPANSION. Enacted March 6, 2013. Effective March 6, 2013.


  • Summary date: Feb 25 2013 - More information

    Conference report recommends the following changes to the 3rd edition to reconcile matters in controversy.

    Appropriates to the Department of Insurance, for fiscal year 2012-13,up to $11 million of funds from a 2013 Exchange-related grant award. Provides that the funds are to be used to reimburse the state for expenses allowed under the grant for either of the following: (1) technology and personnel expenses incurred before the effective date of this act or (2) personnel expenses, if any, that are associated with ceasing the expenditures funded by the Exchange-related grants and occurred after the effective date of this act.

    Directs the Department of Health and Human Services (DHHS)to seek available federal Medicaid funding at the 90/10 match rate for North Carolina Families Accessing Services through Technology (NC FAST) to provide Medicaid eligibility determinations for the federal health benefit exchange if (1) funds for the state matchare available from existing (was, prior)appropriations for NC FAST and (2) the total amount of the state match does not exceed $5 million. Appropriates the Medicaid funding for NC FAST obtained in fiscal year 2012-13 to DHHS for fiscal year 2012-13 to develop NC FAST's ability to provide Medicaid eligibility determinations for the federally facilitated Health Benefit Exchange (was, providedthat such Medicaid funding in 2012-13 is not subject to specified consultation requirements in the 2011 Appropriations Act for grant awards).


  • Summary date: Feb 12 2013 - More information

    House committee substitute makes the following changes to 2nd edition. Directs the Department of Health and Human Services to seek available federal Medicaid funding at the 90/10 match rate for NC FAST to provide Medicaid eligibility determinations for the federal health benefit exchange if (1) funds for the state match exist from prior appropriations for NC FAST and (2) the total amount of the state match does not exceed $5 million. States that such Medicaid funding in 2012-13 is not subject to specified consultation requirements in the 2011 Appropriations Act for grant awards. Makes a conforming change.


  • Summary date: Jan 31 2013 - More information

    Senate committee substitute makes the following change to the 1st edition. Provides that North Carolina will not expand Medicaid eligibility under the Patient Protection and Affordable Care Act (previously reserved authority for the General Assembly to determine).


  • Summary date: Jan 30 2013 - More information

    As title indicates. Repeals language in the 2011 Appropriations Act stating intention to establish a state health exchange in compliance with the Patient Protection and Affordable Care Act (ACA). Repeals GS 58-2-40(10), which granted authority to the Commissioner of Insurance to administer the ACA. States that the General Assembly will define the state's amount of interaction with the federally-facilitated Health Benefit Exchange (Exchange). Provides that the State will no longer draw down Exchange-related grant funds, and requires the Department of Insurance and the Department of Health and Human Services (DHHS) to stop all expenditures funded by specified Exchange-related grants. Requires DHHS to confirm that the NC Families Accessing Services through Technology system will provide Medicaid eligibility determinations for the federal Exchange. States that the General Assembly reserves the authority to decide whether or not to expand Medicaid eligibility under the ACA.


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