2021 NCGA Senate and House budgets compared

By Rose Hoban and Elizabeth Thompson

It’s back!

For years, NC Health News has combed through the budgets presented by each chamber of the North Carolina General Assembly to compare and contrast what lawmakers’ priorities are for Health and Human Services. We’ve also taken a look at the health care priorities in Justice and Public Safety budget too, and next week, we’ll add in the Department of Environmental Quality.

What’s notable this year is that there’s a lot of money flowing to states around courtesy of the federal government. The American Rescue Plan Act and, before that, the Consolidated Appropriations Act passed by Congress in December 2020 have left North Carolina with money to spare.

This year, the chambers targeted spending at around $25.7 billion with the House coming in a wee bit ($8 million) higher than the Senate. Much of the House’s additional spending comes in the form of “pork” or earmarks, those special appropriations that make people back home happy. The House larded its spending plan with more than $16 million in small grants, ranging from $10,000 to a local food pantry in Davidson County to millions given to Atrium Health to launch a new community health center in Cleveland County.

Once again, neither chamber proposed expanding the state’s Medicaid program to sweep in more than a half million people, largely low-income workers, who are currently uninsured. But Medicaid is providing something of a windfall, in early 2020, Congress bumped up the federal matching rate for Medicaid to states to help them get through the pandemic. That increased reimbursement will net North Carolina hundreds of millions, some of which the House placed almost $275 million into a fund to pay for more home and community-based services. Another long-time priority that’s finally getting attention this year is $150 million in federal funds going to much-needed improvements in North Carolina’s schools, to address problems with lead in the water and asbestos on the floors, walls and ceilings.

As always, we try to catch everything, but it was particularly challenging in these documents, some of the longest budget bills ever, with the House’s spending plan clocking in at 671 pages. When we started doing this back in 2012, budgets were about 300 pages in the long session and 150 pages in even-numbered years. Let us know if we missed anything or if we got anything wrong.

We also apologize for the small print.

Senate	House
Division of Aging and Adult Services	Division of Aging and Adult Services
Sets monthly maximum state-county special assistance for adult care home residents on Medicaid at $1,182, rate is $1515 for residents with dementia. Total appropriation ($51.9M) is less than base budget ($57.4M), due to reduced caseload that’s been ongoing for a number of years. Net appropriation is -$7.5M.	Sets monthly maximum state-county special assistance for adult care home residents on Medicaid at $1,182, rate is $1515 for residents with dementia. Total appropriation ($51.9M) is less than base budget ($57.4M), due to reduced caseload that’s been ongoing for a number of years. Net appropriation is -$7.5M.
State County Personal Needs Allowance– state county special assistance for aging services will be increased from $46/ month to $70/ month. Appropriates $2.03M to cover the increased cost.	State County Personal Needs Allowance– state county special assistance for aging services will be increased from $46/ month to $70/ month. Appropriates $2.03M to cover the increased cost.
Removes the cap on the number of state-county special assistance in-home payments. This allows adults who would qualify for adult care home placement to remain at home and have care reimbursed at the same rate as would be paid for that person to be placed in an adult care home.	Removes the cap on the number of state-county special assistance in-home payments. This allows adults who would qualify for adult care home placement to remain at home and have care reimbursed at the same rate as would be paid for that person to be placed in an adult care home.
Appropriates $347K for state/ county special assistance administration	Appropriates $347K for state/ county special assistance administration
No mention.	Provides funding to create parity between Special Assistance Adult Care Home program and SA in-home program, would conform North Carolina’s program to federal rules. Appropriates $30M in recurring funding in FY 22-23, state share in FY 21-22 is $5.2M and in 22-23 is $10.4M from the HBCS fund.
No mention.	Provides funding for additional HCBS enhancements mostly paid by federal dollars, TBD by DHB. Requires state share of $3.9M in FY 21-22 and $6.5 in FY 22-23.
No mention.	Earmark: Grants $50,000 in one time funding in FY 21-22 to Brunswick Senior Resources for programs and services for people older than 50.
No mention.	Earmark: Grants $20,000 in one time funding in FY 21-22 to Lincoln County Senior Center.
No mention.	Gives authorization for local entities (such as local Divisions of Social Services) to set reimbursement for adult day care, adult health and the transportation to get people to those programs. Allows for rate setting for reimbursement that reflects local market needs and removes the statewide cap on rates.
Appropriates $2.27M in Alzheimer’s and Dementia Support, $59K for At risk case management	No mention.
No mention.	Earmark: Grants $150,000 to Memory and movement Charlotte to support people with Alzheimers, Parkinsons and other memory/ movement disorders
Rehousing Families at Risk of Homelessness- $15 M allocated to rapid rehousing services (one time) for ’21-’22 fiscal year to families at risk of homelessness. Will cover costs of security deposits & rental insurance, utility deposits/assistance, case management services, temporary hotel stays, and housing navigation services. This money comes from federal dollars that are in the State Fiscal Recovery Fund.	Rehousing Families at Risk of Homelessness- $15 M allocated to rapid rehousing services (one time) for ’21-’22 fiscal year to families at risk of homelessness. Will cover costs of security deposits & rental insurance, utility deposits/assistance, case management services, temporary hotel stays, and housing navigation services. This money comes from federal dollars that are in the State Fiscal Recovery Fund.
Increases funding for Key Rental Assistance program by $2M, for total of $8.1M in net appropriations.	Increases funding for Key Rental Assistance program by $2M, for total of $8.1M in net appropriations.
Makes one time investment in Adult Protective Services of $2.78M from American Rescue Plan funds.	Makes one time investment in Adult Protective Services of $2.78M from American Rescue Plan funds.
Appropriates $913K for Long Term Care ombudsman program, unchanged from last year	Appropriates $913K for Long Term Care ombudsman program, unchanged from last year
No mention.	Appropriates $3.58M from the state fiscal recovery fund to provide nutrition services for older adults. Would provide 2 meals/ week or $20 of groceries / week to older adults after a hospital discharge. Funds also used to expand the NC Senior Farmers’ Market Nutrition Program.
No mention.	Adds $3.6M to the Home and Community Care Block Grant to provide in-home and community based services for older adults and unpaid caregivers. Estimated reduction in HCCBG services waitlist: 1500 people.
Division of Central Management and Support	Division of Central Management and Support
Authorizes total expenditure of $244M to move the Department of Health and Human Services from it’s current location on the Dorothea Dix Campus to a location near Blue Ridge Rd. in Raleigh. Current lease with the City of Raleigh expires in 2025. Appropriates $50M in FY 21-22 and $60.5M in FY 22-23.	Authorizes total expenditure of $244M to move the Department of Health and Human Services from it’s current location on the Dorothea Dix Campus to a location near Blue Ridge Rd. in Raleigh. Current lease with the City of Raleigh expires in 2025. Appropriates $50M in FY 21-22 and $60.5M in FY 22-23. Also provides funds for DHHS/ Utility Infrastructure Support of $5M in FY 21-22.
Requires reports on the use of grant funding by the organizations given annual state grants. Deadlines set for July, 2022 and July 2023.	Requires reports on the use of grant funding by the organizations given annual state grants. Deadlines set for July, 2022 and July 2023.
Appropriates $8.5M in one time funding for the NC Association of Free and Charitable Clinics	Earmark: $15M in one-time funding during FY 21-22 to the NC Association of Free and Charitable Clinics to support clinics’ response to pandemic emergency.
Appropriates $1.5M in one time additional funding for the NC-STeP statewide telepsychiatry program. Total appropriation in FY 21-22 is $5.4M. Requires report.	Appropriates $1.5M in one time additional funding for the NC-STeP statewide telepsychiatry program. Total appropriation in FY 21-22 is $5.4M. Requires report.
No mention.	Inserts language mandating expanded coverage for telehealth services by licensed health care professionals across the state. States rules ordering health plans to reimburse for services, consultations, sets up rules for deductibles and parity with in person services when it comes to prior authorization.
No mention.	Appropriates $1M in one time money in FY 21-22 for a virtual school-based care pilot program to be run by Atrium Health to target health disparities in historically underserved areas disproportionately impacted by COVID emergency.
Lots of adjustments for information technology: Appropriates $10.2M in funding for privacy and security initiatives for DSOHF/ DMHDDSAS information technology.	Adjusts information technology budget down by $1.6M reflecting reduced subscription rates and change in service delivery rates.
Funds for NC FAST (Medicaid/ social services enrollment system) – $19.9M in recurring funds for operation of NC FAST in FY 21-22, total requirement is $61M, paid for largely by federal matching funds. Also appropriates $36.6M in FY 21-22 and $34.8M in FY 22-23 in one-time funds to be used for child welfare case management software development (also includes federal funds) and to make updates within NCFAST such as changes to Medicaid transformation, infrastructure changes, etc. *** Notes that departmental receipts of federal money will be $78.8M in 21-22 and $77.9M in 22-23.	Funds for NC FAST (Medicaid/ social services enrollment system) – $19.9M in recurring funds for operation of NC FAST in FY 21-22, total requirement is $61M, paid for largely by federal matching funds. Also appropriates $39.6M in recurring funds for operation of NC FAST in FY 21-22 and $34.8M in nonrecurring funds for FY 22-23, total requirement is $79.8M, paid for largely by federal matching funds. Also appropriates $26.3M in FY 21-22 and $27.3M in FY 22-23 in one-time funds to be used for child welfare case management software development (also includes federal funds) and to make updates within NC FAST such as changes to Medicaid transformation, infrastructure changes, document management, etc. Also $7.8M over the biennium for infrastructure modernization. *** Notes that departmental receipts of federal money will be $79.8M in 21-22 and $78.5M in 22-23.
Reductions to base budget for IT services because of increased projected receipts. -$8.9M. Reduces the amount of funding used from the Low Income Home Energy Assistance Program BG to develop/ operate/ implement NC FAST by -$2.6M. Uses $443K in TANF BG funding for NC FAST implementation.	Reductions to base budget for IT services because of increased projected receipts. -$8.9M. Reduces the amount of funding used from the Low Income Home Energy Assistance Program BG to develop/ operate/ implement NC FAST by -$957,253. Uses $81,629 in TANF BG funding and $334,600 recurring from Child Care and Development BG for NC FAST implementation.
Uses LIHEAP and TANF BG money to fund creation of replacement for Accountable Results for Community Action. Total $377,944. Increased federal LIHEAP money ($150K) will support the program.	Provides LIHEAP BG money for Accountable Results for Community Action replacement system. Adds $50,000 recurring funds from one budget line and $327,944 from another budget line. Increased federal LIHEAP money ($150K) will support the program.
Community Health Grant Program/ Office of Rural Health – no grant will be more than $150,000 during the fiscal year. Those who recieve the grant should not use the grant for someone else, replace existing funds, or use it to pay off debt. Allows the Office of Rural Health to use $200,000 recurring funds each fiscal year 2021-2023 for administrative purposes.	Community Health Grant Program/ Office of Rural Health – no grant will be more than $150,000 during the fiscal year. Those who recieve the grant should not use the grant for someone else, replace existing funds, or use it to pay off debt. Allows the Office of Rural Health to use $200,000 recurring funds each fiscal year 2021-2023 for administrative purposes.
Orders the Office of Rural Health to report on the establishment of a Primary Care Advisory Committee and that committee’s status/ work. Also orders the ORH to create a standardized method for grant recipients to report measurable quality health outcomes.	No mention.
Eliminates the Office of Program Evaluation Reporting and Accountability (OPERA) which was created in the 2015 budget to be an independent evaluator of programs within DHHS. Savings of $461K.	Eliminates the Office of Program Evaluation Reporting and Accountability (OPERA) which was created in the 2015 budget to be an independent evaluator of programs within DHHS. Savings of $461K.
Veteran Healthcare Program- $400,000 one time for 2021-2022 fiscal year, to support pilot program to give health services to veterans. Designates that the NC MVA, Community Care of NC and Maxim Healthcare Services will develop this pilot program in Cumberland County to increase access to care via community health workers and to train un- and underemployed veterans as CHWs. Sets sunset for June 30, 2023 and evaluation to be delivered in Feb, 2024.	No mention.
Earmarks $250,000 to Cumberland HealthNet, a network of community orgs with focus of improving outcomes for uninsured by linking them to medical homes and cmty services	Earmarks $250,000 to Cumberland HealthNet, a network of community orgs with focus of improving outcomes for uninsured by linking them to medical homes and cmty services
Appropropriates $200K to the Dental Society Foundation- stipulates funds should strictly be allocated to provide direct services to patients and to purchase necessary dental supplies for the Dental Society’s “Missions of Mercy” free clinics.	Appropropriates $200K to the Dental Society Foundation- stipulates funds should strictly be allocated to provide direct services to patients and to purchase necessary dental supplies for the Dental Society’s “Missions of Mercy” free clinics.
Earmarks $575K to not for profit org Local Start Dental, stipulates that the org should only use funds to provide direct services to patients and purchase dental supplies.	Earmarks $575K to not for profit org Local Start Dental, stipulates that the org should only use funds to provide direct services to patients and purchase dental supplies.
Earmarks $500,000 in one-time money for the Stedman-Wade Health Services, a community health center in Cumberland County.	Earmarks $500,000 in one-time money for the Stedman-Wade Health Services, a community health center in Cumberland County.
Competitive Grant/Non-profit- $10.6 mil recurring funds in each FY for non-profits that execute social service contracts for the state. Those funds will come from: $10.6M from the state General Fund, $4.7M from the Social Services Block Grant funds, $1.6M from the Substance Abuse Prevention and Treatment BG funds.	Competitive Grant/Non-profit- $11.4 mil recurring funds in each FY for non-profits that execute social service contracts for the state. Those funds will come from: $10.6M from the state General Fund, $4.7M from the Social Services Block Grant funds, $1.6M from the Substance Abuse Prevention and Treatment BG funds.
Lays out competitive grants process to provide services, with money going to: Sets aside the process for awarding grants, delivery of funds and reporting.	Lays out competitive grants process to provide services, with money going to: Sets aside the process for awarding grants, delivery of funds and reporting.
Appropriates $1.5M in one time funding in both FY 21-22 and 22-23 for loan repayment to health care professionals who work in rural areas.	Appropriates $4M in one time funding in FY 21-22 for loan repayment to health care professionals who work in rural areas.
Funds for NC FAST (Medicaid/ social services enrollment system) – $19.9M in recurring funds for operation of NC FAST in FY 21-22, total requirement is $61M, paid for largely by federal matching funds. Also appropriates $36.6M in FY 21-22 and $34.8M in FY 22-23 in one-time funds to be used for child welfare case management software development (also includes federal funds) and to make updates within NCFAST such as changes to Medicaid transformation, infrastructure changes, etc. *** Notes that departmental receipts of federal money will be $78.8M in 21-22 and $77.9M in 22-23.	Appropriates additional $600K to NC MedAssist, revised amount is $1M in each FY
Earmarks $350,000 in each FY to Big Brothers, Big Sisters program.	Earmarks $350,000 in each FY to Big Brothers, Big Sisters program.
Earmarks $1.6M/ annum from the Substance Abuse Prevention and Treatment BG to TROSA, based in Durham (Sens. Mike Woodard, Natalie Murdock)	Earmarks $1.6M/ annum from the Substance Abuse Prevention and Treatment BG to TROSA, based in Durham (Sens. Mike Woodard, Natalie Murdock)
Appropriates $2.75M in each FY to the Boys & Girls Clubs across NC for teen pregnancy reduction, gang diversion and school dropout diversion programs.	Appropriates $2.75M in each FY to the Boys & Girls Clubs across NC for teen pregnancy reduction, gang diversion and school dropout diversion programs.
Appropriates $500,000 to Cross Trail Outfitters, a Christian outdoor activity organization for physical activity programs for youth. (Sen. Bob Steinburg)	Appropriates $500,000 to Cross Trail Outfitters, a Christian outdoor activity organization for physical activity programs for youth. (Sen. Bob Steinburg)
No mention.	Appropriates $500,000 in each FY for the NC Senior Games.
No mention.	Appropriates $200,000 in each FY to Special Olympics NC
No mention.	Earmark: $100,000 to Meg’s Smile Foundation a Wake County nonprofit that provides gifts/ fun days to children affected by serious illnesses treated in NC Hospitals.
No mention.	Establishes additional rules for what constitutes practice as a dispensing optician and qualifications, licensure, board certification, etc. for those professionals.
No mention.	Establishes workers compensation benefit for first responders exposed to trauma and diagnosed with post-traumatic stress disorder. Issue was raised in HB 535 in May, 2021.
No mention.	Inserts legislative language limiting the use of shackles on female inmates who are giving birth while incarcerated. Language comes from “Dignity for Women Who are Incarcerated Act.”
No mention.	Earmark: $7.5M in one time funding to Camino Community Development Corporation in Charlotte/ Mecklenburg County to serve low income families via primary care, behavioral health, wellness services. The funding is earmarked for mobile service units.
No mention.	Earmark: $5M in one time funding to the Digital Health Institute for Transformation, a nonprofit education and research institute in Orange Country. Money comes from the State Fiscal Recovery Fund. No indication of the purpose.
No mention.	Earmark: $500,000 in one time funding to the NC Institute of Medicine for research and data analytics, communications and other related expenses.
No mention.	Earmark: $500,000 to the city of Winston-Salem to create a hospital-based violence intervention program in response to COVID pandemic. The program identifies and links patients at risk of repeat injury with hospital- and community-based resources.
No mention.	Earmark: $500,000 to Duke University Hospital to create a hospital-based violence intervention program in response to COVID pandemic. The program identifies and links patients at risk of repeat injury with hospital- and community-based resources.
No mention.	Earmark: $250,000 to Trellis Supportive Care, a nonprofit in Davie, Forsyth, Stokes and Rowan counties that provides hospice and palliative care.
No mention.	Appropriates $10M in one time funds in FY 21-22 to award competitive grants to hospitals to fund expanded telepsychiatry capabilities to respond to COVID. No single grant award may exceed $1.5M, one grant per entity, distributed across the state. To be chosen and announced in Feb 2022.
No mention.	Earmark: $5 M to Atrium Health to support development of a Federally Qualified Health Center or FQHC lookalike in Cleveland County.
No mention.	Earmark: Cabarrus Health Alliance (the local health department) to receive $150,000 in one time funds in FY 21-22
No mention.	Earmark: $350,000 grant to Surry Medical Ministries Clinic in Mt Airy to support continued operations and facilitate healthcare services to the uninsured and indigent.
No mention.	Earmark: $250,000 in one time funding to Davidson Medical Ministries to support operations and facilitate healthcare services to the uninsured and indigent.
No mention.	Earmark: $90,000 in one time funds in FY 21-22 to Blue Ridge Hope, a Rutherford County nonprofit that provides behavioral health and wellness initiatives, social justice related initiatives.
Division of Child Development and Early Education	Division of Child Development and Early Education
Child Care and Development Fund BG receives $502.8M in funds via American Rescue Plan	Child Care and Development Fund BG receives $502.8M in funds via American Rescue Plan.
No mention.	Moves $334.600 in Child Care and Development Fund BG to Central Management and support to fund technology support and administration.
Raise base reimbursement- raise reimbursement rates by an additional 2% for the 2021-2022 fiscal year. the funds allocated must be used to increase the salaries of teachers working in child care centers so their salaries can catch up to teachers in traditional schools.	Raise base reimbursement- raise reimbursement rates by an additional 2% for the 2021-2022 fiscal year. the funds allocated must be used to increase the salaries of teachers working in child care centers so their salaries can catch up to teachers in traditional schools. Additional 2% raise in FY 22-23.
Total state appropriation for NC PreK = $183.8M, comprised of $147.3 in receipts and $34.9M in state funds. with the addition of a 2% rate increase to child care centers, costing $1.7M, recurring.	Total state appropriation for NC PreK = $182.1 M, comprised of $147.3 in receipts and $34.9 M in state funds. with the addition of a 2% rate increase to child care centers, costing $1.7M, recurring (see line above)
Sets rates for NC Child Care Subsidy program, in line with prior years. Maximum family income for children under 5: 200% federal poverty level, for children 6-12: 133 % federal poverty level. Fees based on 10 percent of family income, sets rates for copays. Total requirements for Child Care Subsidy = $402M, with $359M coming from federal funds/ copays and a net appropriation of $43.8M	Sets rates for NC Child Care Subsidy program, in line with prior years. Maximum family income for children under 5: 200% federal poverty level, for children 6-12: 133 % federal poverty level. Fees based on 10 percent of family income, sets rates for copays. Total requirements for Child Care Subsidy = $397.6 M, with $353 M coming from federal funds/ copays and a net appropriation of $43.8M
No mention.	Adjusts federal Child Care Development Fund BG funding for children care upwards by $1.5M recurring in FY 21-22 and by $1.4 M in Fy 22-23. Than reduces CCDF BG funding to meet the “federal required amounts to be set aside for quality activities.” Reduction of $3.4 M in FY 21-22 and by $3.07 M in FY 22-23.
Sets fee rates for different star levels/ types of child care providers: religious-sponsored, licensed child care centers, no payments for transportation.	Sets fee rates for different star levels/ types of child care providers: religious-sponsored, licensed child care centers, no payments for transportation.
No mention.	Reduces Temporary Assistance for Needy Families (TANF) block grant funding for the subsidy program by $3.4M
Sets out guidelines for determining market rate for child care centers at each license level for each county, etc.	Sets out guidelines for determining market rate for child care centers at each license level for each county, etc.
Sets standards for NC Pre-K programs for 4- and 5-star rated facilities. Holds harmless NC Pre-K programs that lost staff that would reduce their star rating through June 2023. Asks for report on availability of Pre-K teacher training.	Sets standards for NC Pre-K programs for 4- and 5-star rated facilities. Holds harmless NC Pre-K programs that lost staff that would reduce their star rating through June 2023. Asks for report on availability of Pre-K teacher training.
Sets child care allocation formula, a combination of NC Partnership for Children, State and federal funds and set based on population, poverty level, levels of homelessness, etc. Also describes how DHHS may reallocate unused child care subsidy voucher funds.	Sets child care allocation formula, a combination of NC Partnership for Children, State and federal funds and set based on population, poverty level, levels of homelessness, etc. Also describes how DHHS may reallocate unused child care subsidy voucher funds.
Smart Start Initiative- NC Partnership for Children state funding should be used for programs that increase children’s literacy, increase parents ability to raise healthy children, to improve children’s health, and improving quality of child care facilities. Sets out goals and guidelines, sets limits on administrative costs (8%) salary maximums and matching funds required to be raised. Also sets out parameters for competitive bidding practices for contracting for goods and services by NC Partnership for Children affiliates.	Smart Start Initiative- NC Partnership for Children state funding should be used for programs that increase children’s literacy, increase parents ability to raise healthy children, to improve children’s health, and improving quality of child care facilities. Sets out goals and guidelines, sets limits on administrative costs (8%) salary maximums and matching funds required to be raised. Also sets out parameters for competitive bidding practices for contracting for goods and services by NC Partnership for Children affiliates.
Total Smart Start appropriation: $162M, with addition of $15M in one time funding for child care, family support and health related activities.	Total Smart Start appropriation: $154.4 M with $7.3 in receipts for a total appropriation of $147 M. In addition, adds $15M to Smart Start (Recurring) from Lottery Fund receipts.
Smart Start Literacy- portion of funds will be used to increase access to Dolly Parton’s Imagination Library literacy program that mails books monthly to subscribers of program. NC partnership for children may use 1% of funds for program management and another 1% of funds for program evaluation.	Smart Start Literacy- portion of funds will be used to increase access to Dolly Parton’s Imagination Library literacy program that mails books monthly to subscribers of program. NC partnership for children may use 1% of funds for program management and another 1% of funds for program evaluation.
Provides $500,000 in one-time funding to Reach out and Read, a non-profit that provides pediatricians with books to give to children.	No mention.
Exempts Smart Start funds from requirements to fund, expand or expand program attendance.	Exempts Smart Start funds from requirements to fund, expand or expand program attendance.
Grants for Childcare Facilities- $20M in one time funds will be used to provide start-up and capital grants for child care facilities and NC Pre-K response COVID-19, especially facilities located in high-poverty areas, and “child care deserts.”	Grants for Childcare Facilities- $10M in one time funds will be used to provide start-up and capital grants for child care facilities and NC Pre-K response COVID-19, especially facilities located in high-poverty areas, and “child care deserts.”
No mention.	Earmark: Grants $1.8M in one time funding to Ready for School, Ready for Life, a Guilford nonprofit that provides children and their families with resources for development. Raises the net appropriation for Reserves and Transfers (line 1910) by the same amount.
Medicaid/ Division of Health Benefits	Medicaid/ Division of Health Benefits
Continues to require DHHS to produce a Medicaid Annual Report by Dec 31 each year.	Continues to require DHHS to produce a Medicaid Annual Report by Dec 31 each year.
Medicaid rebase: Adds $33.4M in ongoing and one-time funds in FY 21-22 and adds $562.6M in ongoing funds in FY 22-23.	Medicaid rebase: Adds $33.4M in ongoing and one-time funds in FY 21-22 and adds $562.6M in ongoing funds in FY 22-23.
No mention.	Medicaid base adjustment: Adds $43.5M in ongoing and one-time funds in FY 21-22 and adds $562.6M in ongoing funds in FY 22-23.
No mention.	Accounts for the reduction in the state budget spending due to increases in the federal Medicaid matching rate. Projects savings of $274.8M from April 2021 – March 2022. Moves that to a special HCBS fund to be used for Home and Community Based Services. Total used from the fund in FY 21-22 $57.6M
Adds $500M into the Medicaid contingency reserve.	No mention.
No mention.	Extends bump up in provider reimbursement to Nov 30, 2021, Requires total of 94.7M in non recurring funds, total state share = $25M in FY 21-22.
Adds $461.8M to the Medicaid Transformation Reserve and moves money from that reserve to the bucket of money that will help with Medicaid transformation. This funding will be used, in part, to pay the leftover claims from the prior Medicaid fee-for-service program which (for the most part) sunsets on June 30, 2021.	Appropriates $159M in FY 21-22 and $65.3M in FY 22-23 to pay for the claims run out on Medicaid fee-for-service claims. Also budgets $310M in federal receipts from the Medicaid Transformation Reserve to cover the costs for claims run out.
Frees DHHS from maintaining modifications to Medicaid or Health Choice made in this section of the budget document after July 2023.	Frees DHHS from maintaining modifications to Medicaid or Health Choice made in this section of the budget document after July 2023.
No mention.	Appropriates $2.7M in one time funds in FY 21-22 and $2.5M in one time funds from the Medicaid Transformation Reserve to be used for IT support of Medicaid applications.
Transfers more funds to pay for the run out of Medicaid and Health Choice fee for service claims. state requirement: $159M	No mention.
Allows for state funds to be used to support IT infrastructure for the state’s move to managed care on July 1, 2021.	No mention.
DHHS and Division of Health Benefits will continue publishing the Medicaid Annual Report, something that used to be published by the Division of Medical Assistance	No mention.
Medicaid ID Cards- DHHS will issue medicaid ID cards on annual basis w/ updates as needed.	Medicaid ID Cards- DHHS will issue medicaid ID cards on annual basis w/ updates as needed.
Volume Purchase Plans- DHHS and DHB may contract for services, medical equipment, supplies, and appliances through contracting processes to improve cost containment. Allows for some flexibility in contracting.	Volume Purchase Plans- DHHS and DHB may contract for services, medical equipment, supplies, and appliances through contracting processes to improve cost containment. Allows for some flexibility in contracting.
Admin Hearings Funding- DHHS and DHB will transfer a total of $1 M for the 21-222 fiscal year and $1 M for the 22-23 fiscal year to the Office of Administrative Hearings to cover the costs of mediation and appeals services for Medicaid beneficiaries.	Admin Hearings Funding- DHHS and DHB will transfer a total of $1 M for the 21-222 fiscal year and $1 M for the 22-23 fiscal year to the Office of Administrative Hearings to cover the costs of mediation and appeals services for Medicaid beneficiaries.
LME Intergovernmental transfers- managed care organizations will make transfers with a combined amnt of $18M for both FY 21-22 ; FY 22-23 to DHHS and DHB. Alliance Behavioral Healthcare $2,858,418; $2,856,834 Cardinal Innovations Healthcare $4,751,262; $4,645,652 Eastpointe $1,664,172; $1,663,249 Partners Health Management $2,637,754; $2,749,261 Sandhills Center $1,879,510; $1,878,469 Trillium Health Resources $2,656,332; $2,654,860 Vaya Health $1,580,769; $1,579,892 Total Single Stream funding: $276.8M	LME Intergovernmental transfers- managed care organizations will make transfers with a combined amnt of $18M for both FY 21-22 ; FY 22-23 to DHHS and DHB. Alliance Behavioral Healthcare $2,858,418; $2,856,834 Cardinal Innovations Healthcare $4,751,262; $4,645,652 Eastpointe $1,664,172; $1,663,249 Partners Health Management $2,637,754; $2,749,261 Sandhills Center $1,879,510; $1,878,469 Trillium Health Resources $2,656,332; $2,654,860 Vaya Health $1,580,769; $1,579,892 Total Single Stream funding: $276.8M
Stipulates that if any other counties leave the catchment area for Cardinal Innovations, DHB can move money allocated to that county to the new mental health LME.	Stipulates that if any other counties leave the catchment area for Cardinal Innovations, DHB can move money allocated to that county to the new mental health LME.
Disproportionate Share Hospital Receipts- $43M in each fiscal year should not be deposited into the Hospital Uncompensated Care Fund but should be available for the Medicaid program.	Disproportionate Share Hospital Receipts- $43M in each fiscal year should not be deposited into the Hospital Uncompensated Care Fund but should be available for the Medicaid program.
No mention.	Extends the sunset on the Medicaid fee-for-service rates that were temporarily increased in response to the COVID-19 crisis. Original sunset date was June, 2021, now extended to Nov. 30, 2021.
$1.6M in FY 21-22 and $2.53M for the FY 22-23 to be used to pay costs related to Medicaid and NC Health Choice provider enrollment.	No mention.
Copayments for Medicaid Services- October 1 2021 copayments for Medicaid should be increased to $4 per visit. Reduces budget requirements by $500,000	Copayments for Medicaid Services- July 1 2022 copayments for Medicaid should be increased to $4 per visit.
Appropriates $314K in recurring money to fund operations and maintenance of Electronic Visit Verification System, its to provide verification of home visits from providers for Medicaid recipients.	Appropriates $314K in recurring money to fund operations and maintenance of Electronic Visit Verification System, its to provide verification of home visits from providers for Medicaid recipients.
Over the biennium, expand community alternatives (CAP/CA) program for disabled adults, appropriating $650,000 in recurring funds for FY’21-’22 and $1M in recurring funds for ’22-’23. 114 slots shall be made available October 1, 2021.	Over the biennium, expand community alternatives (CAP/CA) program for disabled adults, appropriating $500,000 in recurring state funds from the HCBS fund for FY’21-’22 and $1M in recurring funds for ’22-’23. 114 slots shall be made available October 1, 2021.
NC Innovations waiver- $7.1 mil in recurring funds for 21-22 and $25 mil in recurring funds for 22-23 fiscal year to increase the number of NC innovations waiver slots. 320 slots be made available by October 1, 2021. 400 by July 1 2022.	NC Innovations waiver- $7.8 M in recurring funds for 21-22 and $25.9 mil in recurring funds for 22-23 fiscal year to increase the number of NC innovations waiver slots. 800 slots by January 1 2022, 200 more by October, 2022.
No mention.	Appropriates $4.3M in FY 21-22 and $6.5M in FY 22-23 from the HCBS fund to pay for additional slots in the Innovations waiver program, CAP/ DA program or TBI program, as determined by DHB.
Instructs DHHS to create a tiered waiver system in which individuals on the registry with lower acuity needs are still served at an appropriate level but in a tier with a lower spending cap than the one allowed by the current waiver.	Instructs DHHS to create a tiered waiver system in which individuals on the registry with lower acuity needs are still served at an appropriate level but in a tier with a lower spending cap than the one allowed by the current waiver.
Appropriates $680K in recurring funds to support Medicaid beneficiaries withi mental health disabilities to transition to community living in accordance with 2012 settlement (Transitions to Community Living Initiative) with the US Dept of Justice.	Appropriates $680K in recurring funds to support Medicaid beneficiaries with mental health disabilities to transition to community living in accordance with 2012 settlement (Transitions to Community Living Initiative) with the US Dept of Justice. Total budget for program is $3.5M recurring in each FY.
No mention.	An additional $15M in recurring funds in both FYs to ensure compliance with the 2012 DOJ Olmstead settlement. Expands the number of people to be transitioned into community housing slots and moved into employment, provides for additional Assertive Community Treatment (ACT) services.
No mention.	Provides $2.2M in funding for first psychotic treatment for people with early severe mental illness. Total amounts allocated = $4.2M in FY 21-22 and $2.6M in 22-23.
No mention.	Reduces Medicaid program integrity funding by $19.2M recurring in both FYs. Much of that function will be borne by Medicaid MCOs
Medicaid coverage for pregnant women- State share will be $12.5 mil postpartum coverage for last quarter of FY21-22 fiscal year and $50.8M for FY 22-23. The policy goes into effect in Q4 of FY 21-22, for five years starting April 2022.	No mention.
Allows for Mental Health Block Grant funding to be set aside for treatment of people with early psychosis. Set aside for FY21-22 is $2.2M, for total budget of $4.2M	No mention.
Orders DHHS to file 1115 waiver to allow parent of foster child to qualify for Medicaid if they are making effort to comply with a court-ordered plan of reunification, as determined by DHHS. Cost will be $8.13M in FY 21-22 and $18M in 22-23	Orders DHHS to file 1115 waiver to allow parent of foster child to qualify for Medicaid if they are making effort to comply with a court-ordered plan of reunification, as determined by DHHS. Cost will be $8.13M in FY 21-22 and $18M in 22-23
Orders an increase of the hourly wage of state direct care workers to $15/ hour effective July 1 2022. Orders that 80% of the total recurring funds for 2022-2023 should be allocated to direct care workers. Also states the intent to increase rates to direct care in-home workers and community based Medicaid or Health Choice providers. Requires state share of funding: $17.5 M FY 21-22 and $21.8 M in FY 22-23. Orders that the Div of Health Benefits use federal receipts from the increase in federal matching funds for Medicaid and American Rescue Plan (HBCS) funds to provide the rate increase.	Orders an increase of the hourly wage of state direct care workers to $15/ hour effective July 1 2022. Orders that 80% of the total recurring funds for 2022-2023 should be allocated to direct care workers. Also states the intent to increase rates to direct care in-home workers and community based Medicaid or Health Choice providers. Requires state share of funding: $33.9 M FY 21-22 and $68.1 in FY 22-23. Orders that the Div of Health Benefits use federal receipts from the increase in federal matching funds for Medicaid and American Rescue Plan (HBCS) funds to provide the rate increase.
No mention.	Orders increase for private duty nurses caring for Medicaid patients to have a rate increase to $43/ hr, mostly paid by federal dollars. State share of funding is $2.1M in FY 21-22 and $5.6M in 22-23.
Funds from the Medicaid transformation fund to be transferred to the DHHS DHB to pay claims related to services for recipients who are being transitioned to managed care. Total tab for claims run out should be no more than $800M in one time funds mostly paid by federal dollars. Appropriates $133M in one-time and $119M in nonrecurring state funds for 2022-2023 fiscal year from Medicaid transformation for needs directly related to Medicaid or as needs arise during the biennium.	Funds from the Medicaid transformation fund to be transferred to the DHHS DHB to pay claims related to services for recipients who are being transitioned to managed care. Total tab for claims run out is $606M in one time funds mostly paid by federal dollars and $193M in one time funds in FY 22-23 for needs directly related to Medicaid or as needs arise during the biennium.
Provides flexibility for LMB-MCOs who need to be re-accredited to choose which accrediting agency to use. Sets out requirements for each accrediting agency and what they should look for. Also allows for county DSSs to waive requirements for Medicaid recipients to be accredited during the state of emergency, with the stipulation that once the public health emergency ends, those people who are no longer eligible will be dropped from the rolls.	Provides flexibility for LMB-MCOs who need to be re-accredited to choose which accrediting agency to use. Sets out requirements for each accrediting agency and what they should look for. Also allows for county DSSs to waive requirements for Medicaid recipients to be accredited during the state of emergency, with the stipulation that once the public health emergency ends, those people who are no longer eligible will be dropped from the rolls.
Conduct evaluation of current staff and administrative functions of the Department of Health Benefits for Medicaid and NC Health Choice programs and how staffing needs and admin functions will change. Report due March 1, 2022. Final report on implementation of managed care contracts due March 1, 2024.	Conduct evaluation of current staff and administrative functions of the Department of Health Benefits for Medicaid and NC Health Choice programs and how staffing needs and admin functions will change. Report due March 1, 2022. Final report on implementation of managed care contracts due March 1, 2024.
As of January 1 2022 Medicaid coverage policies will provide Medicaid and NC Health Choice coverage for orthotic devices,prosthetic devices, and other medical equipment prescribed by podiatrists.	As of January 1 2022 Medicaid coverage policies will provide Medicaid and NC Health Choice coverage for orthotic devices,prosthetic devices, and other medical equipment prescribed by podiatrists.
Resume annual Medicaid Eligibility determinations (which were suspended during COVID pandemic) for anyone who’s eligibility determination was due after Sept 1, 2020. Resume annual eligibility determinations for all people who qualified for Medicaid after Sept 1, 2020 and if those people are no longer qualified to receive Medicaid, give notice that enrollment will end 30 days after the end of the state of emergency.	Resume annual Medicaid Eligibility determinations (which were suspended during COVID pandemic) for anyone who’s eligibility determination was due after Sept 1, 2020. Resume annual eligibility determinations for all people who qualified for Medicaid after Sept 1, 2020 and if those people are no longer qualified to receive Medicaid, give notice that enrollment will end 30 days after the end of the state of emergency.
Allow for charter schools to be Medicaid providers and be reimbursed with state funds for qualified services provided by school staff. No additional state appropriation required.	Allow for charter schools to be Medicaid providers and be reimbursed with state funds for qualified services provided by school staff. No additional state appropriation required.
Division of Health Service Regulation	Division of Health Service Regulation
Modifies of certificate of need laws to increase the threshold for requiring CON approval of diagnostic radiology equipment to $1.5M from $500,000, and increases the threshold for major medical equipment from $750,000 to $2M. Also increases the threshold for CON approval for capital expenditures from $2M to $4M.	Modifies certificate of need laws, exempting the review for reopening a “Legacy Medical Care Facility.” The owners of such a facility should be reopening in the same county and service are as the prior facility, and requires that the new facility be operational within 36 months of the notice. But if the new facility is in a tier one or two area, the owners may request a 36 month extension to reopening.
Requires capital improvements of health care facilities costing more than $50M to be designed within 4 years after the the CON approval and allows for the certificiate of need to expire on Oct 1, 2025. For projects costing less than $50M, they are to be designed within 2 years and if not contracted for design, the CON is to expire on Oct 1, 2023.	no mention
The CON provisions above exempt some facility that has had a CON issued for construction prior to October, 2021 and that has a specific deadline for design services. And if that facility is unable to execute a contract, its CON will be extended.	no mention
Makes it easier for an owner of an adult care home who has had violations and had their license downgraded to be reinstated within 6 months as long as they comply with a correction plan. Takes power of permanent barring from ownership away from the HHS secretary and allows for an administrative hearing instead.	no mention
No mention.	Orders a pilot program for accrediting adult care homes to be administered by the Sheps Center for Health Policy Research at UNC Chapel Hill. Sets up evaluation plan. Appropriates $1.5M to administer the pilot and allows for using 10% of the funds for administration, and transfers $1.85M to UNC to cover the costs of the evaluation program for net appropriation of $3.35M
No mention.	Corrects DHSR budget and provides this funding for vehicle rental, “internal services” at a cost of $491K per FY.
No mention.	Orders new requirements for infection control in adult care homes, such as use and disposal of PPE, blood and bodliy fluids precautions, respiratory hygiene and etiquette, disinfection and hand hygiene, isolating infected residents, etc.
No mention.	Inserts language from the No Patient Left Alone law which would limit the way that hospitals (also skilled nursing facilities, etc) to restrict visitation during declared disasters, such as a pandemic. Provides for penalties of at least $500/ day for facilities.
Adds $852K to adult care home licensure and certification division of DHSR.	No mention.
Adds 2 positions and $184K to Jails and Detention Center Inspection budget.	No mention.
Orders the state to make medical care quality improvement reports available for release to any person or organization contracted by the DHHS at no charge. Limits the use of that data/ information.	No mention.
Mental Health, Developmental Disabilities, Substance Abuse Services	Mental Health, Developmental Disabilities, Substance Abuse Services
Establishes an Opioid Abatement Fund with $15.7M which comes from the lawsuit between the Attorney General and McKinsey. Money shoudl be used to pay for the AG’s office expenses in prosecuting the case. Also orders that money in the fund will be used to go towards job application support, workforce development boards to create recovery friendly workplaces, and transportation services to help individuals recovering to be able to travel to treatment and their place of employment. Also orders funds to be used support those incarcerated for opioid use, to expand treatment of those who are not insured (including medication-assisted treatment) and develop housing supports which can include “tents, sleeping bags and other supplies for outdoor living.”	Establishes an Opioid Abatement Fund with money from the lawsuit between the Attorney General and McKinsey. Money in the fund will be used to go towards job application support, workforce development boards to create recovery friendly workplaces, and transportation services to help individuals recovering to be able to travel to treatment and their place of employment. Also orders funds to be used support those incarcerated for opioid use, to expand treatment of those who are not insured (including medication-assisted treatment) and develop housing supports which can include “tents, sleeping bags and other supplies for outdoor living.” Sets aside $1M in a grant to the NC Association for the Treatment of Opioid Dependence.
No mention.	Establishes requirement for mental health LME-MCOs to pay for behavioral health services rendered to people who have been waiting for a psychiatric bed for more than 30 hours in a hospital. Establishes that LME-MCOs shall provide Medicaid coverage for treatment, assessment, medication management, crisis stabilization and support, nursing, etc. and establishment of a safe discharge plan. Subject to CMS approval.
Orders the Dept of Information Technology to create platform for electronic health records to be used at state operated psychiatric hospitals, which resemble the platform used by the UNC system (EPIC), and training psychiatric hospital staff on how to use the electronic platform. Appropriates $30M in one time funds in FY 21-22 and $20M in one time funds in 22-23	No mention.
Allows for DHHS to distribute 1/12 of single stream funds to LME/ MCOs at the beginning of the FY to mitigate cash flow issues. Orders LME/MCOs to fund services at at least 90% of the level of services delivered in FY 14-15. If Medicaid/ Health Choice has a budget surplus in June 2021, allows for $30M in surplus funds (divided proportionately) to be released to LME/ MCOs for additional single-stream funding. Overall, though in the single stream budget, there’s still an annual reduction of $5.4M.	Allows for DHHS to distribute 1/12 of single stream funds to LME/ MCOs at the beginning of the FY to mitigate cash flow issues. Orders LME/MCOs to fund services at at least 80% of the level of services delivered in FY 14-15. If Medicaid/ Health Choice has a budget surplus in June 2021, allows for $30M in surplus funds (divided proportionately) to be released to LME/ MCOs for additional single-stream funding. Overall, though in the single stream budget, there’s still an annual reduction of $5.4M.
No mention.	Earmarks $500,000 in one time money to Partners Health Management to use for Surry County residents who have substance use disorder or addiction.
Orders the continuation of funds to be used for inpatient psychiatric (three-way) beds distributed across the state. 10% of the funds to MHDDSAS can be used for facility-based crisis services and non-hospital detoxification services. Allows for tiered reimbursement, with higher rate paid for people with higher acuity levels (similar to state psychiatric hospitals). These beds to be used for patients regardless of whether or not they’re medically indigent.	Orders the continuation of funds to be used for inpatient psychiatric (three-way) beds distributed across the state. 10% of the funds to MHDDSAS can be used for facility-based crisis services and non-hospital detoxification services. Allows for tiered reimbursement, with higher rate paid for people with higher acuity levels (similar to state psychiatric hospitals). These beds to be used for patients regardless of whether or not they’re medically indigent.
	Appropriates $1.6M due to new 5% set aside for crisis services.
Orders that the three-way bed funds should be held in reserve and that claims from LME/MCOs to be made to DHHS for psychiatric admissions be made within 15 days and then hospitals to be paid within 30 days. Orders an annual report.	Orders that the three-way bed funds should be held in reserve and that claims from LME/MCOs to be made to DHHS for psychiatric admissions be made within 15 days and then hospitals to be paid within 30 days. Orders an annual report.
Appropriates $100,000 in recurring funds should be used to purchase naloxone in the 21-23 biennium; $75,000 of the funds to go to the North Carolina Harm Reduction Coalition, and $25,000 to law enforcement agencies.	Appropriates $100,000 in recurring funds should be used to purchase naloxone in the 21-23 biennium; $75,000 of the funds to go to the North Carolina Harm Reduction Coalition, and $25,000 to law enforcement agencies.
Appropriates $300,000 in recurring funds for the 2021-2023 biennium given to the Alcohol Law Enforcement Division of DHHS to enforce the State’s youth tobacco access law.	Appropriates $300,000 in recurring funds for the 2021-2023 biennium given to the Alcohol Law Enforcement Division of DHHS to enforce the State’s youth tobacco access law.
Resume funding for adult and pediatric traumatic brain injury pilot program, $600,000 in one time funds for FY 21-22 to continue the program started during the 2019-2021 biennium.	Appropriates additional $1.6M in recurring funding for a total of $3.97M in recurring funds to support traumatic brain injury services – $550,218 for contracts with the Brain injury Association of NC, Carolinas Rehabilitation and other providers; $3.41M in recurring funds to provide services and supports established by DMHDDSAS for residential services, day programs, transportation, etc.
Earmark: $100,000 in one-time funds each in FY 21-22, and 22-23 for the Mt. Olive Family Medicine Center, Inc. to support its Concussion Clinic to provide concussion education, baseline testing, and post-concussion assessment and care to schools and adolescent athletes in eastern North Carolina. (Sen. Jim Perry)	No mention.
Orders the use of $4.2 million in one-time funds from the sale of the Dorothea Dix Hospital property for FY21-22 fiscal year to pay renovation or building costs. $2.5 million in one-time funds to be used to pay for the construction of new licensed inpatient behavioral health beds at Good Hope Hospital in Harnett County, and $1.7M in one-time funds would be used to build a new behavioral health unit in Betsy Johnson Hospital.	Orders the use of $4.2 million in one-time funds from the sale of the Dorothea Dix Hospital property for FY21-22 fiscal year to pay renovation or building costs. $1.4 million in one-time funds to be used to pay for the construction of new licensed inpatient behavioral health beds at Good Hope Hospital in Harnett County, $1.4 M in one-time funds would be used to build a new behavioral health unit in Betsy Johnson Hospital and $1.4 M in one time funds to create beds by Johnston Health Enterprises in Johnston County.
Any unused Dorothea Dix Hospital Property Fund by June, 2022 reverts back to the fund.	Any unused Dorothea Dix Hospital Property Fund by June, 2022 reverts back to the fund.
No mention.	Increases funding for Broughton Hospital utilities, operations and maintenance by $5M recurring in each FY.
Appropriates $500,000 in one-time funds for FY21-22 for Behavioral Health Urgent Care Pilot Program, and $1.5 million in one-time funds for FY22-23 fiscal year to Dix Crisis Intervention Center (Dix Crisis Center) in Onslow County co-run by Dix Crisis Center and Trillium Health Resources to be used for a behavioral health urgent care pilot program for 23 hour admissions. This program not for standard plan Medicaid beneficiaries. The standard plan shall not cover most intensive behavioral health services (listed on p. 136 of SB 105). Orders the Dix Center to contract with commercial insurance carriers to have its services covered for behavioral health care. Orders an report.	No mention.
Appropriates $1.8 million in one-time funds for FYs 21-23 to provide temporary, short-term financial assistance in the form of a monthly payment to group homes. The amount of the monthly payments would not be more than ($464.30) per month for each resident who meets all criteria specified for personal care services, including continuous residence in a group home since 2012.	Appropriates $1.8 million in one-time funds in FYs 21-22 only to provide temporary, short-term financial assistance in the form of a monthly payment to group homes. The amount of the monthly payments would not be more than ($464.30) per month for each resident who meets all criteria specified for personal care services, including continuous residence in a group home since 2012.
No mention.	Creates $15M in incentives for LME-MCOs to develop and implement new “in-lieu-of” or other Medicaid services for people living in community-based group homes. Creates new rate models and methodologies to replace the current “inadequate and insufficient” rates to stabilize group homes. Also, the provision would increase PMPM payments to facilitate to a “more appropriate and sustainable” service models for group homes by July 2022. Continues the existing structure to offset the loss of “bridge” funds for FYs 21-23. Lays out stipulations for the more appropriate service model.
No mention.	Adjusts federal Mental Health Block Grant money for children’s mental health services. Total MHBG funding for this purpose is $5.5M in FY 21-22 and $4.4M in FY 22-23 Supplemental MHBG funds from the American Rescue Plan Act: $41.5M
No mention.	Adjusts federal Substance Abuse Block Grant money for mental health services, moving funds into prevention services, treatment for children and adults. Supplemental SABG funds from the American Rescue Plan Act: $36.4M
No mention.	Earmark: $500,000 in one time money for Brynn Marr, a psychiatric hospital in Onslow County. Money comes from the state’s Fiscal Recovery Fund.
No mention.	Earmark: $5M recurring in each FY to Hope Alive, Inc a Robeson County substance use disorder treatment and recovery facility.
No mention.	Earmark: Grants $500,000 to Wilkes Recovery Revolution for FY 21-22, nonprofit substance use treatment organization.
No mention.	Earmark: Grants $500,000 to Gigi’s Playhouse in Charlotte for FY 21-22, nonprofit that focuses on services to those with Down syndrome.
No mention.	Earmark: Grants $100,000 to Fellowship Hall in Greensboro for FY 21-22, substance use recovery center.
No mention.	Earmark: Grants $150,000 to Safer Communities Ministry in FY 21-22, nonprofit in Union County that provides rehabilitation services to inmates, ex-offenders, substance users, their families.
No mention.	Earmark: Grants $50,000 in one time funds to Reality Ministries in Durham in FY 21-22, a nonprofit that works with people with developmental disabilities.
Earmark: $100,000 in one time funds during each FY for Aces for Autism, a Greenville nonprofit.	No mention.
Earmark: $250m,000 in one time funding to Hope Restorations, a Kinston-based nonprofit aimed at aiding recovery from substance use	No mention.
Earmark: $250,000 in one time funding to The Anchor Holds NC, a Nash County-based nonprofit to help people with substance use disorder	No mention.
Earmark: $5000,000 in one time funding to the Dix Crisis Innovation Center in Onslow for a behavioral health urgent care pilot program.	No mention.
Provides $15M in funds from multi-state opioid lawsuit settlement, goes into Opioid Abatement Fund	Provides $15M in funds from multi-state opioid lawsuit settlement, goes into Opioid Abatement Fund. $1 M granted to NC Assoc for the Treatment of Opioid Dependence
No mention.	Appropriates $2.5M in one time funding to replace the Incident Response Improvement System, a web app where service providers are required to report incidents that may affect the health and safety of people receiving behavioral health service.
No mention.	Appropriates $25M in one time funds for FY 21-22 to Forsyth and Mecklenburg for each county’s crisis behavioral health crisis services. The services shall continue to aid in assisting people who are experiencing crises to not end up in hospitals and go to “more appropriate settings.” Funds come from the state’s Fiscal Recovery Fund.
Appropriates $12.6 million in one-time funds for FY21-22 to give one-time payment to each LME/MCO to provide temporary additional funding assistance for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IDD).	Appropriates $12.6 million in one-time funds for FY21-22 to give one-time payment to each LME/MCO to provide temporary additional funding assistance for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IDD).
Division of Public Health	Division of Public Health
Sets up a local health department/ competitive grant process to improve maternal and child health. For each year of biennium, DHHS will continue their process to give grants to LHDs to achieve goals of improving North Carolina’s birth outcomes, Improving the overall health status of children from birth to age 5, and lower the State’s infant mortality rate. Grants announced at start of the each fiscal year.	Sets up a local health department/ competitive grant process to improve maternal and child health. For each year of biennium, DHHS will continue their process to give grants to LHDs to achieve goals of improving North Carolina’s birth outcomes, Improving the overall health status of children from birth to age 5, and lower the State’s infant mortality rate. Grants announced at start of the each fiscal year.
Includes provision that would prohibit any health care entity that performs abortions to not receive any contracts for health education, teen pregnancy prevention services or any Medicaid reimbursement. This provision first appeared in the 15-16 state budget, targets Planned Parenthood and hospitals that perform abortion procedures after 20 weeks gestation.	Includes provision that would prohibit any health care entity that performs abortions to not receive any contracts for health education, teen pregnancy prevention services or any Medicaid reimbursement. This provision first appeared in the 15-16 state budget, targets Planned Parenthood and hospitals that perform abortion procedures after 20 weeks gestation.
Right now, the North Carolina AIDS Drug Assistance Program (ADAP) operates on a basis that costs the state nothing or even saves money. But if DHHS determines that this is no longer the case within a six-month time frame, the department is ordered to notify the NCGA with a report and plan of action to rectify the situation.	Right now, the North Carolina AIDS Drug Assistance Program (ADAP) operates on a basis that costs the state nothing or even saves money. But if DHHS determines that this is no longer the case within a six-month time frame, the department is ordered to notify the NCGA with a report and plan of action to rectify the situation.
Stipulates that only 15% of funds of $400,000 appropriated to Carolina Pregnancy Care Fellowship in FYs 21-22 and 22-23 for administrative purposes. Also stipulates the same terms for the Mountain Area Pregnancy Services funding.	Allocate only 5% of funds of $400,000 appropriated to Carolina Pregnancy Care Fellowship in FYs 21-22 and 22-23 for administrative purposes. Orders an annual report to Legislative oversight committee on HHS by the beginning of July.
No mention.	Stipulates that the Carolina Pregnancy Care Fellowship can use $500,000 of it’s appropriation in each FY to buy durable medical equipment and pay for training on how to use the equipment. Net appropriation to the organization in each FY is $1M
No mention.	Stipulates that only 15% of funds of $400,000 appropriated to Mountain Area Pregnancy Services in FYs 21-22 and 22-23 for administrative purposes.
Appropriates $1.2 M in one-time funds for the 2021-2022, and 2022-2023 fiscal year to the Human Coalition, to encourage healthy childbirth, support childbirth as an alternative to abortion, promote family formation, assist in establishing successful parenting techniques, and increase economic self-sufficiency of families. 10% of the funds may be used for administrative purposes. Finances continuation of a statewide pilot program started in 2017 for encouraging the above and provide case management, social sevices, and referrals to parents of newborns and toddlers.	Appropriates $3.2M in one-time funds in each of the FYs to the Human Coalition to expand their continuum of care pilot program started in 2017 for encouraging the above and provide case management, social services, and referrals to parents of newborns and toddlers and expanding it into a statewide initiative. The program is to encourage healthy childbirth, support childbirth as an alternative to abortion, promote family formation, assist in establishing successful parenting techniques and increase economic self-sufficiency. 10% of the funds may be used for administration.
No mention.	Earmark: Grants $250,000 in one time funds in FY 21-22 to the HELP Pregnancy Center in Monroe.
No mention.	Earmark: Grants $20,000 in one time funds in FY 21-22 to the Crisis Pregnancy Center of Gaston County
No mention.	Earmark: Grants $50,000 in one time funds in FY 21-22 to the Pregnancy Resources Center of Cleveland County
No mention.	Earmark: Grants $200,000 in one time funds in FY 21-22 to the Cabarrus Women’s Center for services and to purchase ultrasound equipment.
No mention.	Earmark: Grants $40,000 in one time funding in FY 21-22 to Pregnancy Resource Center of Stanly County
No mention.	Orders DHHS to provide a report to the legislative oversight committee 18 months after each new addition to NC’s Recommended Uniform Screening Panel for newborns. Also, when a RUSP-identified condition is delayed by more than 3 years, orders a DHHS report to the oversight committee every 6 months until the screening is implemented.
Appropriates $1.5M in one time funding to the Nurse Family Partnership home visitation program for infants/ at-risk parents. Total appropriation = $5.2M Replaces $400K in General Fund appropriations for the program with money from the Maternal Child Health BG.	Appropriates $1M in one time funding to the Nurse Family Partnership home visitation program for infants/ at-risk parents in each FY. Total appropriation = $4.5M in FY 21-22 and $3.5M in FY 22-23 Replaces $400K in General Fund appropriations for the program with money from the Maternal Child Health BG.
Appropriates $102M funding from the federal Immunization and Vaccines for Children program / American Rescue Plan vaccination moneys to support statewide efforts. Includes $7.7M to fund “vaccine confidence.”	Appropriates $102M funding from the federal Immunization and Vaccines for Children program / American Rescue Plan vaccination moneys to support statewide efforts. Includes $7.7M to fund “vaccine confidence.”
No mention.	Appropriates federal receipts to create, expand, train and sustain state and local public health workforce to support COVID-19 prevention, preparedness, response and recovery. Total receipts: $62.3M
No mention.	Appropriates federal receipts to support Disease intervention Specialists, training and retention to address COVID-19 and other infectious diseases. Total receipts: $27.4M
Inserts statutory language around well contractor certification, moving the certification program from DEQ to DHHS.	Inserts statutory language around well contractor certification, moving the certification program from DEQ to DHHS.
Appropriates $150 M in one-time funds from the State Fiscal Recovery Fund for FY 21-22 for lead and asbestos remediation and abatement programs to benefit public school units and child care facilities. Also appropriates $32M in one-time funds should be used to fund a program for the testing and remediation of lead levels in drinking water at public school units and child care facilities and $117M in one-time funds should be used for lead paint abatement and asbestos abatement in public school and child care facilities.	Appropriates $150 M in one-time funds from the State Fiscal Recovery Fund for FY 21-22 for lead and asbestos remediation and abatement programs to benefit public school units and child care facilities. Also appropriates $32M in one-time funds should be used to fund a program for the testing and remediation of lead levels in drinking water at public school units and child care facilities and $117M in one-time funds should be used for lead paint abatement and asbestos abatement in public school and child care facilities.
No mention.	Appropriates $150,000 in one-time funds during FY 21-22 to study and abate possible causes of ocular melanoma in Huntersville area. Orders a report to DEQ and DHHS by Dec 1, 2021.
Appropriates $503K in recurring funds to support 7 medico legal death investigators. Replaces federal grant money.	Appropriates $503K in recurring funds to support 7 medico legal death investigators. Replaces federal grant money.
No mention.	Appropriates $2M in one time funds to scan and digitize NC vital records so they can be in a searchable format.
No mention.	Creates a special fund (Youth Electric Nicotine Dependence Abatement Fund) funded by money from the Juul case settled by Attorney General Josh Stein earlier this year. Money to be used to fund tobacco cessation campaigns, use evidence-based media and education campaigns to prevention youth from starting to use nicotine products and pays for staff, projects and systems to educate about evidence-based policy and systems change. Delineates how to spend the $13 M in the fund. $8M appropriated in FY 22-23. Orders an annual report.
No mention.	Provides $643,163 for the state Metabolic Formula Program, which provides newborns with various metabolic syndromes born to uninsured families special formula. Includes 1 FTE worth of funding to coordinate the program. Funds come from an adjustment to the Base Budget which saved this amount.
No mention.	Appropriates $36M in one-time funds to go to local health departments in FY 21-22 to expand communicable disease surveillance, detection, control and prevention activities to address the COVID-19 pandemic. Up to $18M shall be spent in 21-22 with $9M to go to local health departments based on the number of counties served and the other $9M to LHDs based on population served. Orders report on the funded activities.
No mention.	Also provides $600,000 in recurring and $600,000 in one time funds in each FY to the Communicable Disease Branch of the Division of Public Health for lab testing and contact tracing for Hepatitis C, HIV and other communicable diseases.
No mention.	Appropriates funds from a federal Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) grant to support public health laboratory preparedness. Total receipts: $142,473 in one time funds.
No mention.	Earmarks from Maternal and Child Health Block Grant: Safe Sleep Campaign $45,000 Sickle Cell Centers $100,000 Prevent Blindness $575,000 March of Dimes $350,000 Teen Pregnancy Prevention Initiatives $650,000 Nurse-Family Partnership $950,000 Perinatal & Neonatal Outreach Coordinator Contracts $440,000 Mountain Area Pregnancy Services $50,000
Division of Social Services	Division of Social Services
Appropriates $26 million in one time funds for adult care homes licensed to accept State-County Special Assistance. Appropriates $13.4M of the funds during FY 21-22 and remaining funds for FY 22-23 to provide temporary financial assistance through a monthly payment to these facilities to offset the increased costs of serving residents who are recipients of State-County Special Assistance during COVID. Monthly supplemental payment for each resident to facilities $70/month.	Appropriates $48 million in one time funds for adult care homes licensed to accept State-County Special Assistance. Appropriates $24M of the funds during FY 21-22 and remaining funds for FY 22-23 to provide temporary financial assistance through a monthly payment to these facilities to offset the increased costs of serving residents who are recipients of State-County Special Assistance during COVID. Monthly supplemental payment for each resident to facilities $125/month beginning July 2021.
North Carolina law provides for the Temporary Assistance for Needy Families (TANF) program development by local county governments. The law refers to counties as standard or electing. Standard counties operate the state’s Work First (welfare to work) program based on the policies written in the Work First Manual, while electing counties have additional flexibility in program design. Notes the Electing Counties in the TANF Plan are Beaufort, Caldwell, Catawba, Lenoir, Lincoln, Macon, and Wilson county.	North Carolina law provides for the Temporary Assistance for Needy Families (TANF) program development by local county governments. The law refers to counties as standard or electing. Standard counties operate the state’s Work First (welfare to work) program based on the policies written in the Work First Manual, while electing counties have additional flexibility in program design. Notes the Electing Counties in the TANF Plan are Beaufort, Caldwell, Catawba, Lenoir, Lincoln, Macon, and Wilson county.
Allocates $2M in TANF block grant funding each FY to improve service delivery and long term outcomes of the Work First Family Assistance program	No mention.
No mention.	Appropriates $16.8M in one time funds to be distributed in two payments to families with one or more children who are enrolled in TANF program. Each family will receive $500 per child in fall 2021 and $500/ child based on fund availability in Summer 2022, distributed via EBT to be used for clothing, school supplies, personal protective equipment or to cover other costs incurred due to COVID pandemic. DSS may use up to $75K in funding for administration.
Mandates Intensive Family Services Program provision of services to children and families in cases of abuse, neglect, and dependency where the child is at risk of removal and in the case of abuse when the child and family are not at risk of removal. Implementing the program on a regional basis statewide. Details benefits, number of children served, and requirements for follow-up and cost-benefit data.	Mandates Intensive Family Services Program provision of services to children and families in cases of abuse, neglect, and dependency where the child is at risk of removal and in the case of abuse when the child and family are not at risk of removal. Implementing the program on a regional basis statewide. Details benefits, number of children served, and requirements for follow-up and cost-benefit data.
Allocates TANF BG funds to go to child welfare workers in county DSSs, $2.1M in recurring funds in FY 21-22	No mention.
Mandates standardized rates and maximum reimbursement for child caring institutions.	Mandates standardized rates and maximum reimbursement for child caring institutions.
Allows DHHS, DSS to continue to give financial support to who are in a permanent family placement eligible for legal guardianship, and not likely to receive permanent placement. mandates inclusion of guardianship services for youth who have exited foster care until they’re 21 or complete school.	Allows DHHS, DSS to continue to give financial support to who are in a permanent family placement eligible for legal guardianship, and not likely to receive permanent placement. mandates inclusion of guardianship services for youth who have exited foster care until they’re 21 or complete school.
Appropriates $339,493 for NC REACH, child welfare post-secondary support program in each FY 21-22 and 22-23 to administer program. $50,000 to go to the NC State Education Assistance Authority for administration.	Appropriates $339,493 for NC REACH, child welfare post-secondary support program in each FY 21-22 and 22-23 to administer program. $50,000 to go to the NC State Education Assistance Authority for administration.
Mandates that DHHS’ Division of Social Services retain 15% of funds of the annual federal incentive payments it receives from the federal government to enhance child support services. Says no less than eighty-five percent (85%) of the annual federal incentive payments it receives from the federal government should go to county child support services	Mandates that DHHS’ Division of Social Services retain 15% of funds of the annual federal incentive payments it receives from the federal government to enhance child support services. Says no less than eighty-five percent (85%) of the annual federal incentive payments it receives from the federal government should go to county child support services
Orders that the Foster Care Transitional Living Initiative Fund continues to fund and support transitional living services for kids aging out of foster care. Also orders that the fund continue to support a demonstration project at Youth Villages. Delineates strategies for former foster children, including transitional living services, public -private partnership with Youth Villages, measure and evaluating impact and advancing evidence-based processes. Allows for 15% of state funds for administrative costs.	Orders that the Foster Care Transitional Living Initiative Fund continues to fund and support transitional living services for kids aging out of foster care. Also orders that the fund continue to support a demonstration project at Youth Villages. Delineates strategies for former foster children, including transitional living services, public -private partnership with Youth Villages, measure and evaluating impact and advancing evidence-based processes. Allows for 15% of state funds for administrative costs.
Provides $500,000 in each FY to Youth Villages, Foster Care Transitional Living Initiative Fund to help foster kids transition out of care and into adulthood.	Provides $600,000 in FY 21-22 to Youth Villages, Foster Care Transitional Living Initiative Fund to help foster kids transition out of care and into adulthood.
Creates a Permanency Innovation Initiative Fund to be run by Children’s Home Society of North Carolina. No more than fifteen percent (15%) of the State funds would be used for administrative costs. Receives $ 2 M in each FY.	Creates a Permanency Innovation Initiative Fund to be run by Children’s Home Society of North Carolina. No more than fifteen percent (15%) of the State funds would be used for administrative costs. Receives $ 2 M in each FY.
Appropriates $500,000 in each FY to go to Baptist Children’s Homes of NC in Davidson County, provides services for foster care, adoption and other programs.	No mention.
Provides $6M in funding in each FY to cover shortfall for group home facilities created by the Families First Prevention Services Act	Provides $6M in funding in each FY to cover shortfall for group home facilities created by the Family First Prevention Services Act, and $5.58M in one time funds in FY 22-23
Orders generation of a report on certain SNAP and TANF expenditures, allocates funds FYs 21-22 and 22-23 two-year fiscal period for a report on vendor costs such as the amount of benefits expended received that are spent out of state.	Orders generation of a report on certain SNAP and TANF expenditures, allocates funds FYs 21-22 and 22-23 two-year fiscal period for a report on vendor costs such as the amount of benefits expended received that are spent out of state.
Orders rate increase to foster parents and people needing adoption assistance, effective October 1. Rates up to $514 /month for children up to 5, to $654/ month for children 6-12 and up to $698/ month for children older than 13. Adoption assistance has similar rates for the same age ranges. Appropriates total of $2.6M in FY 21-22 and $3.5M in 22-23 for adoption rate increase and $2.4M in FY 21-22 and $3.25M in FY 22-23 for foster care rate increase.	Orders rate increase to foster parents and people needing adoption assistance, effective October 1. Rates up to $514 /month for children up to 5, to $654/ month for children 6-12 and up to $698/ month for children older than 13. Appropriates total of $3.5M in FY 21-22 and $3.2M in 22-23 for foster care rate increase.
No mention.	Provides TANF BG funding to improve social service delivery and long term outcomes of the Work First Family Assistance. Appropriates $2M in recurring funds in each FY.
No mention.	Earmark: $320,000 of one time funding in FY 21-22 for SaySo (Strong Able Youth Speaking Out) that serves young people who are in or who have aged out of the foster care system.
Orders deployment of the long-delayed child welfare component of NC FAST, sets deadline of July 1, 2022. Orders issue of a request for proposal for one addition to the software to be done by Oct 1, 2021.	Orders deployment of the long-delayed child welfare component of NC FAST, sets deadline of October 1, 2022. Orders issue of a request for proposal for one addition to the software to be done within 30 days of federal approval of DHHS’ procurement plan and contract to be completed within 90 days.
No mention.	Earmark: $40,000 in FY 21-22 for Cabarrus Cooperative Christian Ministry, that provides support for people experiencing crisis in food, housing or finances. For Cabarrus County residents only.
No mention.	Appropriates $5 M in recurring funds in FYs 21-22 and 22-23 and $5M in one time funds in FY 21-22 for Children’s Advocacy Centers of NC. 75% of funding should go to those centers in good standing with their statewide organization to assist with covering costs generated by COVID pandemic.
Moves $21.7M in money from the TANF BG to support the “Special Children’s Adoption Fund”	No mention.
Orders creation of a two year program that would provide easier access to health services for children in foster care. Davie, Fosyth, Rockingham, and Stokes county will participate in the pilot project. $300K appropriated in FY 21-22. This was proposed by health directors from these counties in meeting of the HHS appropriations committee on March 12, 2019.	No mention.
Moves ahead with the plan to provide regional supervision and support of child welfare services. Orders creation of seven regions, hiring staff consultants and setting up offices, oversight would begin support within those regions state staff by March 1, 2022.	Moves ahead with the plan to provide regional supervision and support of child welfare services. Orders creation of seven regions, hiring staff consultants and setting up offices, oversight would begin support within those regions state staff by March 1, 2022.
Appropriates $300,00 in non-recurring fundings during each FY21-22 and FY22-23 to provide support of Eckerd Kids program, and foster care program for children under the age of 10 who are not in custody of the county DSS and whose families are temporarily not able to care for them. These funds should be used to allow the sibling of a child in the Eckerd program who is older than 10 years of age but under 18 years of age to participate in the program. No more than 15% of funds will be use towards administrative costs.	No mention.
Earmark: $100,000 in one time funds during each FY for Dragonfly House Children’s Advocacy Center in Davie County	No mention.
Earmarks $250,000 to A Touch of the Father’s Love, a food pantry in Nash County in FY 21-22 (Sen. Lisa Barnes)	No mention.
Moves $17.1M in American Rescue Plan money to supplement Low Income Household Water Assistance Program.	No mention.
Inserts statutory language around limitations on billing by health insurance network providers to is intended to reduce surprise billing for out of network care.	No mention.
Inserts statutory language allowing employers to offer EPO benefit plans, which use narrow networks of providers to render health care services, and would not require the insurer to pay for out of network care (except for emergency services and when an in-network provider is not reasonably available).	No mention.
No mention.	Increases federal TANF BG funding for child welfare workers in county departments of social services. Adds $1.45M in recurring funds in FY 21-22 and $1.3M recurring in FY 22-23.
No mention.
No mention.	Increases TANF BG funding for Work First Family Assistance to provide assistance to family caregivers who are ineligible to receive foster care payments. Appropriates: $1.45M in FY 21-22 and $1.3M in FY 22-23.
No mention.	Federal monies (American Rescue Plan Act) boost the amount for the Low Income Home Energy Assistance Block Grant which comes out to a total of $86.9M in one time funds for FY 21-22. Moves around money to account for additional $9.3M in federal receipts for a total LIHEAP BG amount of $49.6M in FY 21-22 and $49.3M in FY 22-23.
No mention.	Budgets supplemental funding from the American Rescue Plan Act to assist needy families with children impacted by COVID to provide extra benefits to families enrolled in Work First Cash Assistance.
No mention.	Adds $198,706 in LIHEAP BG funding for the home weatherization program and adds $150,748 for county administration of LIHEAP. Also moves $128,956 in LIHEAP BG funding for the Heating Air Repair and Replacement Program, adding some additional dollars for administration.
No mention.	Increases Community Services Block grant funding for Community Action Agencies, adds $377,459 in recurring funds per FY.
No mention.	Earmark: $250,000 in one time funds in FY 21-22 to Convoy of Hope to provide disaster response services
No mention.	Earmark: $250,000 in one time funds in FY 21-22 to Samaritan’s Purse to provide disaster response services
No mention.	Earmark: Grants $50,000 in one time funds in FY 21-22 to Macedonia Family Resource Center a High Point nonprofit that designs and implements emergency services and tools for people in need.
No mention.	Earmark: Grants $50,000 in one time funds in FY 21-22 to Open Door Ministries of High Point provides emergency services and assistance.
No mention.	Earmark: Grants $40,000 in one time funds in FY 21-22 to Cabarrus Cooperative Christian Ministry. Nonprofit offers food relief, housing, financial assistance, etc.
No mention.	Earmark: Grants $25,000 in one time funds in FY 21-22 to Burke United Christian Ministries, to help families with food and crisis assistance and other services needed because of COVID-19 pandemic.
No mention.	Earmark: Grants $300,000 in one time funds in FY 21-22 to Welfare Reform Liaison Project in Guilford County, for assistance and other services needed because of COVID-19 pandemic by low-income families.
No mention.	Earmark: Grants $100,000 in one time funds in FY 21-22 to Blue Ridge Opportunity Commission, a nonprofit and CAA in Wilkes county that provides assistance and other services to low-income families in Alleghany, Ashe and Wilkes counties.
No mention.	Earmark: Grants $500,000 in one time funds in FY 21-22 to Boys Club of Wake County for workforce development grants across the state.
No mention.	Earmark: Grants $200,000 in one time funds in FY 21-22 to Crossnore School a nonprofit based in Avery, Forsyth and Henderson counties.
No mention.	Earmark: Grants $200,000 in one time funds in FY 21-22 to Cabarrus Victims’ Assistance, for women and children who are victims of domestic violence.
No mention.	Earmark: Grants $200,000 in one time funds in FY 21-22 to Present Age Ministries in Cabarrus County that provides prevention and awareness to combat sexual abuse, exploitation and trafficking of teens.
No mention.	Earmark: Grants $50,000 in one time funds in FY 21-22 to Greater High Point Food Alliance.
No mention.	Earmark: Grants $10,000 in one time funds in FY 21-22 to the Pastor’s Pantry (Targeting Senior Hunger) a Davidson County nonprofit.
No mention.	Earmark: Grants $10,000 in one time funds in FY 21-22 to the West Davidson Food Pantry a Davidson County nonprofit.
Division of Vocational Rehabilitation Services	Division of Vocational Rehabilitation Services
Appropriates $400,000 to purchase equipment to maintain statewide inventory of assistive technology to be used in assessments, training and for short term loans.	Appropriates $800,000 to purchase equipment to maintain statewide inventory of assistive technology to be used in assessments, training and for short term loans.
No mention.	Appropriates $94,000 in recurring funding (mostly paid by federal receipts for total state fund appropriation of $20,023) to pay for a coordinator in the Division to assist SSDI and SSI beneficiaries to “pursue greater economic independence and financial security.”
No mention.	Earmark: Appropriates $300,000 in one time funds in FY 21-22 to the National Multiple Sclerosis Society for home modifications for people with MS.
Department of Public Safety	Department of Public Safety
$16,092,486 net appropriation to Juvenile Justice Youth Detention Center Services in FY 2021-2022 general fund appropriations	$16,092,486 net appropriation to Juvenile Justice Youth Detention Center Services in FY 2021-2022 general fund appropriations
$19,784,856 net appropriation to Juvenile Justice Youth Development Center Services FY 2021-2022 general fund appropriations	$19,784,856 net appropriation to Juvenile Justice Youth Development Center Services FY 2021-2022 general fund appropriations
$16,636,047 net appropriations to Juvenile Justice Youth Treatment Services FY 2021-2022 general fund appropriations	$16,636,047 net appropriations to Juvenile Justice Youth Treatment Services FY 2021-2022 general fund appropriations
$6,707,081 net appropriations to Juvenile Justice Youth Education Services FY 2021-2022 general fund appropriations	$6,707,081 net appropriations to Juvenile Justice Youth Education Services FY 2021-2022 general fund appropriations
$17,146,794 in net appropriations to prison inmate clothing and bedding FY 2021-2022 general fund appropriations FY 2021-2022 general fund appropriations	$17,146,794 in net appropriations to prison inmate clothing and bedding FY 2021-2022 general fund appropriations FY 2021-2022 general fund appropriations
$186,976,081 in net appropriations to prison general health FY 2021-2022 general fund appropriations	$186,976,081 in net appropriations to prison general health FY 2021-2022 general fund appropriations
$40,717,151 in net appropriations to prison mental health FY 2021-2022 general fund appropriations	$40,717,151 in net appropriations to prison mental health FY 2021-2022 general fund appropriations
$13,440,784 in net appropriations to prison dental health FY 2021-2022 general fund appropriations	$13,440,784 in net appropriations to prison dental health FY 2021-2022 general fund appropriations
$41,401,926 in net appropriations to prsion pharmacy services FY 2021-2022 general fund appropriations	$42,226,184 in net appropriations to prison pharmacy services FY 2021-2022 general fund appropriations
None found.	Establish statewide Domestic Violence Victim notification program. As alcohol consumption is a major contributor to the occurrence of domestic violence and increases the risk for other violent offenses, creates a special revenue funds to create a statewide domestic violence notification system
none found.	Central Engineering Prison Facilities Report — requires report which will include recommendations to the repair and maintenance of each prison facility, construction of any new prison facility, closure of any prison facility, prioritization and implementation of projects, $2,750,000 in non-recurring funds
none found.	Human Trafficking Education Directed Grant and Report — earmarks fund to the Ursus Institute, the funds shall be used to develop training materials and administer training sessions educating individuals on how to recognize the signs and situations that are indicative of human trafficking in Mecklenburg, Union, Gastion, Licoln and Cabarrus Counties
Center for Community Transitions/Contract and Report — Purchase of prison beds for minimum security female inmates during the 2021-2023 fiscal biennium contract with the Center for Community Transitions	Center for Community Transitions/Contract and Report — Purchase of prison beds for minimum security female inmates during the 2021-2023 fiscal biennium contract with the Center for Community Transitions
Reimburse Counties for housing and extraordinary medical expenses — DPS may use funds not exceeding $40 per day per prisoner awaiting transfer	Reimburse Counties for housing and extraordinary medical expenses — DPS may use funds not exceeding $40 per day per prisoner awaiting transfer
Division of Prisons Alcohol and Chemical Dependency Treatment Program shall be offered in correctional facilities or a portion of correctional facility	None found.
none found.	Develop and implement Comprehensive Juvenile Delinquency and Substance Abuse Prevention Plan
Nurse staffing at state prisons report — The DPS shall report total number of permanent nursing positions, the number of filled position, number of vacant positions and where. Allows DPS to convert funds for contractual nursing services to permanent positions	Nurse staffing at state prisons report — The DPS shall report total number of permanent nursing positions, the number of filled position, number of vacant positions and where. Allows DPS to convert funds for contractual nursing services to permanent positions
Provides $250,000 each year to support operations and staffing at the North Carolina Human Trafficking Commission	Provides $250,000 each year to support operations and staffing at the North Carolina Human Trafficking Commission
Provide $500,000 non-recurring funding to the State Crime Lab for Sexual Assault Evidence Collection Kits testing materials and related costs. These funds will support testing newly submitted SAECKs	Provide $500,000 non-recurring funding to the State Crime Lab for Sexual Assault Evidence Collection Kits testing materials and related costs. These funds will support testing newly submitted SAECKs
Provide $6,000,000 non-recurring funding to outsource SAECKS to private laboratories	Provide $6,000,000 non-recurring funding to outsource SAECKS to private laboratories
Medical costs for inmates — the Department of Adult Correction shall reimburse providers and facilities providing approved medical services to inmates outside the correctional facility the lesser amount of either a rate of 70% of the provider’s then-current prevailing charge or two times the then-current Medicaid rate for any given service.	None found.
Medicaid services for inmates — Enable social workers in the DPS to qualify for and receive federal reimbursement for performing administrative activities related to Medicaid eligibility for inmates	None found.
Medication losses related to inmate transfer — established disciplinary action for staff who are responsible for inmate medication losses during transfer	None found.
Contract for limited use of local purchase of inmate pharmacy needs — establishes a statewide reimbursement for local purchases of limited quantities of medicine based on the North Carolina State Health Plan for Teachers and State Employees reimbursement rate for prescription drugs.	None found.
Department of Adult Correction/UNC Health Care System partnership — DPS should partner with UNC Health Care System to begin receiving all 340B Program savings realized from medications prescribed to inmates, but not administered at a 340B Program-registered UNC Health Care System site for non-HIV and non-HCV medications	None found.
Medical costs for juvenile offenders — DPS shall reimburse providers and facilities providing approved medical services to juvenile offenders outside the juvenile facility the lesser amount of either a rate of 70% of the provider’s then-current prevailing charge or two time the then-current Medicaid rate for any given service.	None found.
Exemption from licensure and certificate of need — Inpatient chemical dependency or substance abuse facilities that provide services exclusively to inmates shall be exempt from the licensure by the DHHS	None found.
Biennial Report on Recidivism — ongoing evaluation of community corrections programs and in-prison treatment programs and make a biennial report to the General Assembly including measures of program effectiveness based on recidivism rates, other outcome measures and costs of the programs	None found.
Transitional Living Support for Youth Reentering the Community — provides $2,500,000 in non-recurring funding for the Juvenile Justice section to expand wraparound services for youth who are transitioning from Youth Development Centers into their communities. Funds will expand capacity and necessary services to address the increase in youth detention following the passage S.L. 2017-57 (Raise the Age) legislation during the COVID-10 pandemic.	Transitional Living Support for Youth Reentering the Community — provides $2,500,000 in non-recurring funding for the Juvenile Justice section to expand wraparound services for youth who are transitioning from Youth Development Centers into their communities. Funds will expand capacity and necessary services to address the increase in youth detention following the passage S.L. 2017-57 (Raise the Age) legislation during the COVID-10 pandemic.
Internet Crimes Against Children Task Force Incentive Grants — Provides $1,500,000 in nonrecurring funds to the North Carolina Sheriff’s Association to establish a competitive grant program for local law enforcement to assist with costs related to working with the State Bureau of Investigation (SBI) in investigating crimes against children.	Internet Crimes Against Children Task Force Incentive Grants — Provides $1,500,000 in nonrecurring funds to the North Carolina Sheriff’s Association to establish a competitive grant program for local law enforcement to assist with costs related to working with the State Bureau of Investigation (SBI) in investigating crimes against children.
Offender Population Unified System (OPUS) Migration — Provides $1,800,000 in non-recurring funding to improve system security and accessibility of inmate information by transferring data currently stored on mainframe servers to cloud storage.	Offender Population Unified System (OPUS) Migration — Provides $1,800,000 in non-recurring funding to improve system security and accessibility of inmate information by transferring data currently stored on mainframe servers to cloud storage.
Grant-in-Aid to Local Reentry Councils — Provides $400,000 in non-recurring grant funding for local reentry councils to meet increased demand.	None found.
VIPER Equipment Updates — provides $19,325,000 in non-recurring funding for the maintenance of the VIPER system due to the COVID-19 pandemic	VIPER Equipment Updates — provides $19,325,000 in non-recurring funding to update equipment necessary to purchase of maintenance or both of the VIPER system due to the COVID-19 pandemic
Craven County Sheriff Office VIPER Radio — Earmark for $250,000 in non-recurring grant funds to the Craven County Sheriff’s Office for the purchase of VIPER radios.	None found.
Addiction Treatment in Jails — Provides $2,000,000 in non-recurring grants to sheriffs’ offices to assist in expanding, maintaining, or establishing Medication-assisted treatment (MAT) of non-opioid, long-acting, injectable medication regimes as treatment for alcohol and/or opioid dependence as part reentry programming in county jails.	Addiction Treatment in Jails — Provides $2,000,000 in non-recurring grants to sheriffs’ offices to assist in expanding, maintaining, or establishing Medication-assisted treatment (MAT) of non-opioid, long-acting, injectable medication regimes as treatment for alcohol and/or opioid dependence as part reentry programming in county jails.
Internet Crimes Against Children Task Force Incentive Grants — Provides $1,500,000 in non-recurring funding to the North Carolina Sheriff’s Association to establish a competitive grant program for local law enforcement to assist with costs related to working with the State Bureau of Investigation (SBI) in investigating crimes against children.	Internet Crimes Against Children Task Force Incentive Grants — Provides $1,500,000 in non-recurring funding to the North Carolina Sheriff’s Association to establish a competitive grant program for local law enforcement to assist with costs related to working with the State Bureau of Investigation (SBI) in investigating crimes against children.
Campbell University Prison Education Program — Provides $500,000 in non-recurring funding to Campbell University to support and expand the prison education program.	Campbell University Prison Education Program — Provides $500,000 in non-recurring funding to Campbell University to support and expand the prison education program.
Emerge Skills4 Life & CARE — Earmark providing $482,050 grant to Emerge Ministries, a nonprofit organization that works with inmates, ex-offenders, addicts, and their famiilies to reduce recidivism	None found.
SHP Automated Electronic Debrillators (AEDs) — Provides $1,540,00 in non-recurring funding to SHP to enable Troopers to carry AEDs in their vehicles to assist motorists and other individuals they may encounter in the line of duty.	None found.
SBI Human Trafficking Enforcement — Provides $516,776 recurring funding for 4 sworn law enforcement positions to increase the SBI’s efforts combating human trafficking in North Carolina	SBI Human Trafficking Enforcement — Provides $516,776 recurring funding for 4 sworn law enforcement positions to increase the SBI’s efforts combating human trafficking in North Carolina
Inmate Medical Deficits — Provides $65,000,000 in net appropriations to help the department to address a budget shortfall related to inmate medical costs and other related budget deficiencies	None found.
Long-Term Care Facility at Central Prison — Provides $4,780,904 in net appropriations for medical and custody positions to operate a long-term care facility at Central Prison to chronically ill inmates. This facility will increase availability of medical beds at Central Prison Medical Health Center and decrease external medical costs. The provided funding will ensure that the facility is fully operational by FY 2022-23	Long-Term Care Facility at Central Prison — Provides $4,780,904 in net appropriations for medical and custody positions to operate a long-term care facility at Central Prison to chronically ill inmates.
Prison Health Record Update — Provides $800,000 in nonrecurring funding for prisons to update the electronic health records and connect to the Health Information Exchange, thus ensuring security and Health Insurance Portability and Accountability Act (HIPAA) compliance of inmate mental health records.	Prison Health Record Update — provides $300,000 in non-recurring funds to update electronic health records to facilitate security and Health Insurance Portability and Accountability ACT (HIPAA) compliance of inmate health records.
Prison Pharmacy Services– Provides $2,500,000 recurring additional funding for prescription drug supplies. There has been a 51% increase in the costs of prescription drugs over the past 5 years. The revised net appropriations for prison pharmacy services is $41,401,926 in each year of the biennium.	Prison Pharmacy Services– Provides $3,384,258 recurring additional funding for prescription drug supplies. There has been a 51% increase in the costs of prescription drugs over the past 5 years. The revised net appropriations for prison pharmacy services is $42,286,184 in each year of the biennium.
Reentry Medication Assisted Treatment (MAT) Pilot — Budgets receipts from the Substance Abuse Prevention and Treatment Block Grant to provide two years of funding ($4,600,000) to expand the Reentry MAT pilot program to nine minimum security prisons that are designated reentry facilities and do not currently participate in this program.	Reentry Medication Assisted Treatment (MAT) Pilot — Budgets receipts from the Substance Abuse Prevention and Treatment Block Grant to provide two years of funding ($4,600,000) to expand the Reentry MAT pilot program to nine minimum security prisons that are designated reentry facilities and do not currently participate in this program.
MAT Community Supervision Pilot — Budgets receipts from the Substance Abuse Prevention and Treatment Block Grant to expand the MAT Community Treatment Supervision pilot program to 5 tier one or tier two counties with the highest need, serving people recently released from prison and on probation, $6,000,000 in non-recurring funds	MAT Community Supervision Pilot — Budgets receipts from the Substance Abuse Prevention and Treatment Block Grant to expand the MAT Community Treatment Supervision pilot program to 5 tier one or tier two counties with the highest need, serving people recently released from prison and on probation, $6,000,000 in non-recurring funds
Tarheel ChalleNGe Positions — Provides $541,758 in net appropriations for the National Guard Tarheel ChalleNGe Academies to support 37 new positions. This program provides educational and skill-building programming for at-risk 16-18 year olds who have dropped out of high school. These positions are needed to bring the State into compliance with federal staffing regulations. The State share of these positions is 25%.	Tarheel ChalleNGe Positions — Provides $541,758 in net appropriations for the National Guard Tarheel ChalleNGe Academies to support 37 new positions. This program provides educational and skill-building programming for at-risk 16-18 year olds who have dropped out of high school. These positions are needed to bring the State into compliance with federal staffing regulations. The State share of these positions is 25%.
Treatment for Effective Community Supervision — Provides $1,000,000 in non-recurring funds for community supervision programs including short term housing, recidivism reduction services, and social programming for offenders reentering the community due to the settlement in NC NAACP v. Cooper to reduce the prison population as a result of the COVID-19 pandemic.	Treatment for Effective Community Supervision — Provides $1,000,000 in non-recurring funds for community supervision programs including short term housing, recidivism reduction services, and social programming for offenders reentering the community due to the settlement in NC NAACP v. Cooper to reduce the prison population as a result of the COVID-19 pandemic.
None found.	Opioid Pilot Project — $500,000 in non-recurring funds in conjunction with City of Wilmington to continue the implementation of a pilot project to establish a Quick Response Team to address the needs of opiate and heroin overdose victims
None found.	Alamance Sheriff’s Office Stepping Up Initiative — earmarks $500,000 in non-recurring funds to support the Stepping Up Initiative in developing a diversion center where nonviolent suspects with mental illness can receive necessary medical services
None found.	Robeson County Reentry Program — Earmarks $250,000 in non-recurring funds to Robeson County staff to maintain its reentry program

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The 2021 NCGA Senate and House budgets compared

By Rose Hoban and Elizabeth Thompson

Senate

House

Division of Aging and Adult Services

Division of Aging and Adult Services

Division of Central Management and Support

Division of Central Management and Support

Division of Child Development and Early Education

Division of Child Development and Early Education

Medicaid/ Division of Health Benefits

Medicaid/ Division of Health Benefits

Division of Health Service Regulation

Division of Health Service Regulation

Mental Health, Developmental Disabilities, Substance Abuse Services

Mental Health, Developmental Disabilities, Substance Abuse Services

Division of Public Health

Division of Public Health

Division of Social Services

Division of Social Services

Division of Vocational Rehabilitation Services

Division of Vocational Rehabilitation Services

Department of Public Safety

Department of Public Safety

Rose Hoban

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