By Grace Vitaglione and Rose Hoban
North Carolina state lawmakers will probably leave Raleigh without passing a budget before the new fiscal year starts on July 1. Likely sticking points are the two chambers’ different approaches to taxes and funding for a new children’s hospital to be built in the Triangle, among other issues.
The Senate and House of Representatives each passed their own proposed spending plan earlier this spring. The two chambers have agreed on top-level spending numbers — about $32.6 billion in the coming fiscal year and almost $33.3 billion in the next.
Both plans would eliminate some vacant positions in the Department of Health and Human Services, increase rates for child care subsidies that help low- income families with children to work, and cut funding to Health Opportunities, a Medicaid pilot program that has drawn national attention and praise.
The House’s plan would spend far less than the Senate’s — which proposed a hefty increase in funding — on the new children’s hospital. The House’s plan also spends more on raises for public school teachers.
One large wrinkle in the budget process is uncertainty about funding from the federal government as the U.S. Congress works out its own spending plan. Federal grants usually pay for a large part of the state budget. Usually, states can depend on things remaining relatively constant from year to year, which allows them to complete their budgets in the summer, ahead of the federal fiscal year ending on Sept. 30.
But this year, all bets are off. N.C. House of Representatives Speaker Destin Hall (R-Granite Falls) said leaders are still watching what’s happening at the federal level. They’re in contact with the North Carolina congressional delegates, but a federal budget plan that makes deep cuts to Medicaid, for example, has been passed by the U.S. House of Representatives only to be caught up in politics in the U.S. Senate.
Hall said that currently, the plan is to deal with changes in the federal budget as they come.
In the meantime, the legislature could pass some “mini budgets” over the next couple months to move things along, but a provision added into the 2018 budget bill allows for an automatic “continuing resolution,” which lets spending continue at the prior year’s levels while there’s no official state spending plan.
NC Health News went through each line of the Health and Human Services sections of the North Carolina Senate and House of Representatives’ proposed budgets and compared the two in this spreadsheet so you can see the differences.
Note: This spreadsheet will be best viewed on a tablet or desktop.
| Senate version | House of Representatives version |
|---|---|
| Division of Aging and Adult Services | Division of Aging and Adult Services |
| 300K Grant to ALS Assoc NC | |
| 250K grant to NC Senior Games | |
| Transfers adult protective services from Division of Aging to DSS | |
| Reduces state funding SHIIP by $953K, eliminates 11 out of 26 FTEs | |
| Central Management and Support | Central Management and Support |
| Requires any non-state entities that receive grants from DHHS to submit a report due Nov. 1 of each FY. | Requires any non-state entities that receive grants from DHHS to submit a report due Nov. 1 of each FY. |
| Orders the state Office of Rural Health to administer the Community Health Grant program with some limitations: no grant can be more than $150K, the ORH needs to consider poverty, number of people served, etc. for each grant and sets out limitations for grantees. Also allows the ORH to use up to $200K per FY for administration. Orders ORH to create an annual report, due Sept 1 about grants and grantees. | Orders the state Office of Rural Health to administer the Community Health Grant program with some limitations: no grant can be more than $150K, the ORH needs to consider poverty, number of people served, etc. for each grant and sets out limitations for grantees. Also allows the ORH to use up to $200K per FY for administration. Orders ORH to create an annual report, due Sept 1 about grants and grantees. |
| Revises the Health Information Exchange Act, adding in: an annual compliance report, facilitating easier data transfer, and other definition changes. Lays out what state funded health care entities need to contribute to the HIE, including Medicaid, the State Health Plan, any health facilities run by state departments, their grantees, prepaid health plans and defines what consitutes “state health care funds.” Lays out updated timelines for what entities need to contribute data to the HIE and when, eliminates many exemptions and defines what is “connected status.” Exempts pharmacies and dentists from having to submit claims twice daily. Adds school-based health providers from having a mandatory connection to the HIE and sets out time-limited exemptions for adding data to the HIE. Stipulates that any data pertaining to services given to any beneficiaries of state-funded health care is owned by the state. Adds the Medicaid head to the HIE advisory board. Sets out penalties for non-compliance and fees for data assessment. In All, 14 pages of policy changes and additions to the Statewide Health Information Exchange Act | Changes Rural Health Care Stabilization program to sustainability program, expands eligible provioders from hospitals to just health care facilities, provides loans to facilities that are no longer sustainable, develop and follow statewide rural health care sustainability plan, instead of UNC Health Care administering the program it’s now open for contract, program admin gets up to 3% for admin costs, regs around loan evals and awards, annual reports, can contract with nonprofit to administer program, reqs around contract terms |
| Adds “clarifications” to the NC Loan Repayment Program, setting out maximum loan repayment amounts for different providers, including behavioral health providers, nurses and primary care physicians. | Adds “clarifications” to the NC Loan Repayment Program, setting out maximum loan repayment amounts for different providers, including behavioral health providers, nurses and primary care physicians. |
| Temporarily reduces funding to the NC Loan Repayment Program because it got ARPA money | Temporarily reduces funding to the NC Loan Repayment Program because it got ARPA money |
| Gives DHHS the ability to allocate any unexpended ARPA funds as it deems necessary and is in line with the law. | Gives DHHS the ability to allocate any unexpended ARPA funds to Div of child and family wellbeing |
| Appropriates $240M first year and $250M second year, and eliminates 46 FTEs | Directs DHHS to achieve 10M in net general fund savings recurring each year of biennium through eliminating vacancies from all but Div of Aging, Div of public health and div of state operated health care facilities |
| $18M each year to fund Transitions to Community Living Initiative, adds another position | $12M each year to Transitions to Community Living to meet reqs of Olmstead, implement a cap on number of housing slots available through North Carolina Supportive Housing Program, max number must be equal to number of individuals receiving or approved to receive a slot on the date this act becomes law |
| Adjusts CCDF funding for admin expenses | Adjusts CCDF funding for admin expenses |
| Increases federal Social Services Block Grant funding for positions administering the services in Controller’s office | Increases federal Social Services Block Grant funding for positions administering the services in Controller’s office |
| Adjusts funding based on the Department of Information Technology rates changes effective July 1, 2025. | $300K grant to NC Assoc of Free and Charitable Clinics |
| Funding for PATH NC, child welfare info system | $2.7M first year and $6.9M second year for PATH NC |
| Adjusts federal CCDF funding for technical services expenses in the Division of Information Resource Management | Adjusts federal CCDF funding for technical services expenses in the Division of Information Resource Management |
| Decreases federal Low Income Home Energy Assistance Program funding for NC FAST | $200K recurring to NC Statewide Telepscyhiatry Program, for ppl at EDs and community-based clinics with an acute behavioral health crisis. |
| Decreases federal Community Services Block grant funding for a system that will track data of agencies recieving this funding | Decreases federal Community Services Block grant funding for a system that will track data of agencies recieving this funding |
| $15M grant to Cape Fear Valley Health to establish the Methodist University Cape Fear Valley School of Medicine | |
| Decreases federal SSBG funding for the departmentwide Legislative Increases and Fringe Benefits Reserve. | Decreases federal SSBG funding for department-wide Legislative Increases and Fringe Benefits Reserve; total funding for this: $293K in FY 2025-26 and $587K in FY 2026-27 |
| Transferring reserve money to continue EHR at state-operated health care facilities | Transferring reserve money to continue EHR at state-operated health care facilities |
| Transfers the remaining fund balance from the Division of State Operated Healthcare Facilities Facility Automation Fund to implement EHR at state-operated facilities | Transfers the remaining fund balance from the Division of State Operated Healthcare Facilities Facility Automation Fund to implement EHR at state-operated facilities |
| Transers funds for office of health equity to Division of Public Health which will take over those functions | |
| DHHS report to JLOC annually about how they use lapsed salary funds | |
| Division of Child and Family Well-being | Division of Child and Family Well-being |
| Reduces $100K in funding to the Whole Child Health Section, which underspent its budget in FY 2023-24 | $5M one time to Reinvestment Partners, a nonprofit, for its Produce Prescription Program |
| Budgets additional receipts from the federal Maternal and Child Health Block Grant for local programs of children’s health services | $3.5M each year funding for case management services for youth and families with high behavioral health needs who are involved with county departments of social services and juvenile justice programs. |
| $125K to National Society to Prevent Blindness NC affiliate | |
| Transfers a position funded by federal MCHBG receipts from the Division of Child and Family Well-Being to Division of Public Health to support state office of Child Fatality Prevention | Transfers an existing position funded by federal MCHBG receipts from the DCFW to DPH to support state office of child fatality prevention |
| $200K one-time to Positive Parenting Program | |
| Eliminates $2M funding for Nurse-Family Partnership that goes to local health depts and reduces NFP budget by $500K, still $1M total each year | |
| Division of Child Development and Early Education | Division of Child Development and Early Education |
| Establishes income eligibility for the NC Pre-K program: up to 20% of children may have family incomes in excess of 75% of NC median income if the children have other risk factors (e.g., DD or chronic health issues). Also children of active duty military or of military member who was injured or killed while serving on active duty are eligible. | Establishes income eligibility for the NC Pre-K program: up to 20% of children may have family incomes in excess of 75% of NC median income if the children have other risk factors (e.g., DD or chronic health issues). Also children of active duty military or of military member who was injured or killed while serving on active duty are eligible. |
| Sets maximum staff-to-child ratio of one to 10 in a classroom, max classroom size of 20 children with at least one teacher, one assistant per classroom. Allows the Child Care Commission to adopt rules and DCDEE to revise rules to meet these guidelines. Requires DCDEE to issue multiyear contracts for NC Pre-K classrooms, outlines building, programmatic standards. Requires annual report on March 15. | Sets maximum staff-to-child ratio of one to 10 in a classroom, max classroom size of 20 children with at least one teacher, one assistant per classroom. Allows the Child Care Commission to adopt rules and DCDEE to revise rules to meet these guidelines. Requires DCDEE to issue multiyear contracts for NC Pre-K classrooms, outlines building, programmatic standards. Requires annual report on March 15. |
| Sets out a requirement for a report on unused NC Pre-K slots by March 1, 2026 so that slots can be geographically redistrubuted. | Sets out a requirement for a report on unused NC Pre-K slots by March 1, 2026 so that slots can be geographically redistrubuted. |
| Sets rates for the child care subsidies. Stipulates payments for services, religious sponsored child cares receive the one-star market rate, licensed child care centers and homes with 2+ stars will receive the market rate, no transportatoin services can be charged, payments for child care services for those attending post-secondary education will be limted to 20 months of enrollment. Creates provisions for payment rates in counties that did not have at least 50 children in each group for center-based and home-based care. | Sets rates for the child care subsidies. Stipulates payments for services, religious sponsored child cares receive the one-star market rate, licensed child care centers and homes with 2+ stars will receive the market rate, no transportatoin services can be charged, payments for child care services for those attending post-secondary education will be limted to 20 months of enrollment. Creates provisions for payment rates in counties that did not have at least 50 children in each group for center-based and home-based care. Reduces family copay for subsidized services from 10% to 7% ($25M funds in FY26-27) |
| Child care subsidy voucher allocation formula, mandatory 30% to NC Partnership for Children, 4% set aside for vulnerable kids, include market rate increase in formula | |
| Smart Start policies; admin costs under 10% of statewide allocation, NC Partnership for Children (state-level Smart Start) shall set salary schedules for local partnerships, local partnerships and state must meet 19% funding match by June 30 each year, shall use competitive bidding process for contracters, sets out expenditure restrictions | Smart Start policies; admin costs under 10% of statewide allocation, NC Partnership for Children (state-level Smart Start) shall set salary schedules for local partnerships, local partnerships and state must meet 19% funding match by June 30 each year, shall use competitive bidding process for contracters, sets out expenditure restrictions |
| Portion of Smart Start funds go to Dolly Parton’s Imagination Library, which mails books to kids | Portion of Smart Start funds go to Dolly Parton’s Imagination Library, which mails books to kids |
| $2M to fund statewide administration of Dolly Parton’s Imagination Library in FY 25-26, $2.5M in FY 26-27 | |
| Exempt certain Dept of Defense child care homes from licensure | |
| Adjusts funding from the federal CCDF block grant for quality initiative | Directs DHHS to study separating subsidy from star ratings, lead teacher in charge of two groups (formerly one), allow facilities licensed for school to not have to get approval for child care for same kids, increase group size, allows NCECE be equivalen to five years work experience, |
| Increase child care subsidy rates to 2023 market rate study recs; $70M to increase child care subsidy reimbursement rates from CCDF funds, Reduces net General Fund appropriations for the Child Care Subsidy program and offsets it with TANF funds | Increase child care subsidy rates to 2023 market rate study recs; $70M to increase child care subsidy reimbursement rates from CCDF funds, Reduces net General Fund appropriations for the Child Care Subsidy program and offsets it with TANF funds |
| $7.5M to NC Partnership for Children to expand mental and behavioral health services in child care, submit progress report by Mar 15, 2026, creates Special Fund for Smart Start where they can hold up to $5M | |
| $1.4M to NC Partnership for Children for state match of child care workforce pilot program, describes program with community colleges, in Johnston and Wayne counties | |
| $121K one-time funding to Reach Out and Read nonprofit, works with pediatricians to provide books to children | |
| Division of Health Benefits | Division of Health Benefits |
| Continue publishing annual Medicaid report | Continue publishing annual Medicaid report |
| DHHS can use volume purchase plans to lower costs | DHHS can use volume purchase plans to lower costs |
| DHHS will transfer $2M over biennium to OAH for Medicaid mediation | DHHS will transfer $2M over biennium to OAH for Medicaid mediation |
| DHHS shall not be required to maintain, after June 30, 2027, any modifications to the Medicaid program required by this Subpart. | |
| Remove gross premiums tax offset component from hospital health advancement assessments | |
| Imposes a one-time add-on to hospital assessments to recoup funding from NC Health Works (Medicaid expansion) start-up assessment that expired before it could be implemented, $12.5M recouped will go to state Medicaid costs | |
| Continues Medicaid coverage for pregnant women 12 months postpartum, removes sunset date | Continues Medicaid coverage for pregnant women 12 months postpartum, removes sunset date |
| $83.6M each year to fund Medicaid managed care contracts | |
| Budgets receipts to fund the design, development, and implementation of the Medicaid Enterprise System. | |
| Receives a transfer from the Health Advancement Receipts Special Fund of excess funds deposited in FY 2024-25 due to a miscalculation of the gross premiums tax appropriation, will use the extra funds towards State share of costs for Medicaid capitation payments | |
| Recovers an uncollected $10M from annual funding in FY 25-26 that was once generated through the State’s acute care hospital disproportionate share hospital plan. The Health Advancement Assessment structure now generates these funds each fiscal quarter, but funding from the first quarter of FY 2023-24 was never collected | Recovers an uncollected $10M from annual funding in FY 26-27 that was once generated through the State’s acute care hospital disproportionate share hospital plan. The Health Advancement Assessment structure now generates these funds each fiscal quarter, but funding from the first quarter of FY 2023-24 was never collected |
| DHHS study ways to improve Medicaid eligiblity determinations by centralizing it by April 1 2026 | |
| $107.7M deposited as nontax revenue in first year and $109M in second, in return UNC Hospitals will deposit ~$62M and state-owned and operated hospitals pay back uncompensated care cost | $107.7M deposited as nontax revenue in first year and $109M in second, in return UNC Hospitals will deposit ~$62M and state-owned and operated hospitals pay back uncompensated care cost |
| LME-MCOs make intergovernmental transfers to DHHS in set amts each year | LME-MCOs make intergovernmental transfers to DHHS in set amts each year |
| DHHS will issue request for proposals to administer Child and Families Specialty Plan to begin Dec 1 2025 | DHHS will issue request for proposals to administer Child and Families Specialty Plan to begin Dec 1 2025 |
| If Medicaid work requirements are authorized, DHHS will negotiate with CMS to implement ones for NC | If Medicaid work requirements are authorized, DHHS will negotiate with CMS to implement ones for NC |
| Extends timeline to 2028 for when DHHS must stop using Marketplace to make Medicaid eligibility determinations | Extends timeline to 2028 for when DHHS must stop using Marketplace to make Medicaid eligibility determinations |
| Prepaid health plans reimburse covered outpatient drugs at 100% of Medicaid fee for service rates — that’s extended from 2026 to 2031 | Prepaid health plans reimburse covered outpatient drugs at 100% of Medicaid fee for service rates — that’s extended from 2026 to 2031 |
| $500M first year and $810M second year for Medicaid rebase | $500M first year and $810M second year for Medicaid rebase |
| Sec of Dept. of Revenue will transfer state insurance tax net collections for the Health Advancement Receipts Special Fund (before it was just gross tax premiums offset) | |
| NC Health Works (Medicaid expansion) Rebase: 90% covered by feds, other 10% by Health Advancement Receipts Special Fund | NC Health Works (Medicaid expansion) Rebase: 90% covered by feds, other 10% by Health Advancement Receipts Special Fund |
| Setting out how to calculate the total nonfederal receipts for health advancement (ensure Medicaid receipts for NC Health Works (Medicaid expansion) implementation costs), for calculating the public hospital health advancement assessments and the private hospital health advancement assessments, sets requirements on amt of receipts DHHS can use | Setting out how to calculate the total nonfederal receipts for health advancement (ensure Medicaid receipts for NC Health Works (Medicaid expansion) implementation costs), for calculating the public hospital health advancement assessments and the private hospital health advancement assessments, sets requirements on amt of receipts DHHS can use |
| Budgets around $150K in receipts of gross premiums tax revenue generated as a result of NC Health Works (Medicaid expansion), used to support Medicaid population | Budgets around $150K in receipts of gross premiums tax revenue generated as a result of NC Health Works (Medicaid expansion), used to support Medicaid population |
| Setting out how to calculate Medicaid total modernized nonfederal receipts for the public hospital modernized assessments and the private hospital modernized assessments, sets requirements on amt of receipts DHHS can use | Setting out how to calculate Medicaid total modernized nonfederal receipts for the public hospital modernized assessments and the private hospital modernized assessments, sets requirements on amt of receipts DHHS can use |
| Increases the state’s annual retention on Medicaid assessments to $154M in FY 26-27 and increases each year based on market basket percentage, sets requirements on amt of receipts DHHS can use, also Increases the State’s Annual Medicaid Payment by $30M, which is paid by the hospitals | |
| Allows freestanding psychiatric hospitals to get increased reimbursements through healthcare access and stabilization program, sets requirements on which facilities count, creates freestanding psych hospital modernized assessment, defines modernized freestanding psychiatric hospital HASP component, makes other changes to HASP policies to accomodate addition of psych hospitals, creates freestanding psych hospital health advancement assessment | Allows freestanding psychiatric hospitals to get increased reimbursements through healthcare access and stabilization program, sets requirements on which facilities count, creates freestanding psych hospital modernized assessment, defines modernized freestanding psychiatric hospital HASP component, makes other changes to HASP policies to accomodate addition of psych hospitals, creates freestanding psych hospital health advancement assessment |
| Extends primary care task force to end of 2026, adds new requirement for the task force to collect and compile data around spend on primary care services with a security plan around that data, must submit report by April 1 2026 | Extends primary care task force to end of 2026, adds new requirement for the task force to collect and compile data around spend on primary care services with a security plan around that data, must submit report by April 1 2026 |
| Adds definition of provider-led entity to chapter, sets requirements around standard benefit plan contracts and process for PLEs. Allows for as many as four PLEs to win contracts for statewide provision of services. Also allow for two PLEs to contract in a region, and allows a PLE to automatically become a providers if fewer than two submit proposals. Sets a limit of two PLEs in any region. | Adds definition of provider-led entity to chapter, sets requirements around standard benefit plan contracts. Adds definition of provider-led entity to chapter, sets requirements around standard benefit plan contracts and process for PLEs. Adjusts bid process for PLEs, also adds requirements on prior auth used by prepaid health plans into contract terms, also criteria on provider networks. Allows for increase up to four PLEs to operate statewide. |
| Requires Medicaid managed care entities to get accreditation from National Committee for Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, etc | Requires Medicaid managed care entities to get accreditation from National Committee for Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, etc |
| Adds some requirements on PHP contracts to work on cost containment and savings | |
| DHHS will report to JLOC on inappropriate use of acute care hospitals for behavioral health and how DHHS is addressing it | |
| Ensure Medicaid program complies with updated sepsis definition | |
| Eliminates Medicaid coverage for GLP-1 drugs, not applicable to those taking it for diabetes | |
| Increase Medicaid provider reimbursement rates 3% for durable medical equipment, orthotics, and prosthetics, Speech-language therapy, Optical and optometry services, Podiatry services, Portable X-rays, Clinical pharmacist practitioners, Nurse midwifes, Chiropractic services, HIV case management services and independent Diagnostic Testing Facilities services | |
| Extend Medicaid managed care rates for durable medical equipment rates until 2031 | |
| DHHS ask CMS to allow Medicaid coverage of personal care services for those in adult care homes | |
| Reduces $468K from vacancy cuts and reallocates it to targeted salary increases | |
| Recovers an uncollected $10M from funding that was once generated through the State’s acute care hospital disproportionate share hospital plan | |
| Removes the base budget appropriation of the increased gross premiums tax revenue resulting from NC Health Works (Medicaid expansion) population, as well as the transfer of those funds to the Health Advancement Receipts Special Fund. Instead, the gross premiums tax revenue will be allocated directly to the special fund | Removes the base budget appropriation of the increased gross premiums tax revenue resulting from NC Health Works (Medicaid expansion) population, as well as the transfer of those funds to the Health Advancement Receipts Special Fund. Instead, the gross premiums tax revenue will be allocated directly to the special fund |
| DHHS will report to JLOC on inappropriate use of acute care hospital settings for behavioral health services by Oct 1 2025 | |
| Removes the receipt of transferred funds from the Division of Health Benefits general fund. Instead, revenue from the gross premiums tax will be allocated directly to the Health Advancement Receipts Special Fund | Removes the receipt of transferred funds from the Division of Health Benefits general fund. Instead, revenue from the gross premiums tax will be allocated directly to the Health Advancement Receipts Special Fund |
| Transfers overbudgeted gross premiums tax revenue from FY 2024-25 back to the DHB General Fund | Transfers overbudgeted gross premiums tax revenue from FY 2024-25 back to the DHB General Fund |
| Adjusts hospital assessment receipts to reflect recent projections of funds needed to support the NC Health Works (Medicaid expansion) population. Following the adjustments, hospital receipts deposited in the Fund are expected to total $579.1M in FY 2025-26 and $609.4M in FY 2026-27 | Adjusts hospital assessment receipts to reflect recent projections of funds needed to support the NC Health Works (Medicaid expansion) population. $56M in 25-26 and 25M 26-27 |
| Adjusts the transfers to the DHB General Fund for NC Health Works (Medicaid expansion) service costs to reflect more recent projections. After factoring in the adjustments, the transfers would be $457.2M in FY 2025-26 and $477.8M in FY 2026-27 | Adjusts the transfers to the DHB General Fund for NC Health Works (Medicaid expansion) service costs to reflect more recent projections. After factoring in the adjustments, the transfers would be $457.2M in FY 2025-26 and $477.8M in FY 2026-27 |
| Budgets the excess savings from FY 2024-25 as availability ($80M). The additional 5 percentage point federal match has generated more savings than was budgeted. | Budgets the excess savings from FY 2024-25 as availability ($80M). The additional 5 percentage point federal match has generated more savings than was budgeted. |
| Transfers $238M to the University of North Carolina Board of Governors for UNC Health to construct, on behalf of the State of North Carolina, a new Children’s Hospital in the Triangle area. | |
| Transfers $105M to UNC BOG for the construction of 3 rural care centers as part of the NC Care initiative. | |
| Recognizes $225M in savings from the additional 5 percentage point federal Medicaid match the State earned when began providing services to the NC Health Works (Medicaid expansion) population in 2023, transfers savings to ARPA temporary savings fund. | Recognizes $225M in savings from the additional 5 percentage point federal Medicaid match the State earned when began providing services to the NC Health Works (Medicaid expansion) population in 2023, transfers savings to ARPA temporary savings fund. |
| Deposits $225M in savings from the federal incentive for providing services to Medicaid expansion pop | |
| De-obligates 2023 appropriations of $115M from the ARPA Temporary Savings Fund that were designated for NC Care | |
| Division of Health Service Regulation | Division of Health Service Regulation |
| Exempts eligible ambulatory surgical facilities from charity care requirements for facilities licensed before Nov. 2025 | Exempts eligible ambulatory surgical facilities from charity care requirements for facilities licensed before Nov. 2025 |
| Increases bed capacity for adult day care health facilities providing overnight respite services from 6 to 12, sets min staffing reqs | |
| Changes NCGA appts, timing for the State Health Coordinating Council | |
| Allow live-in direct support professionals in group homes, report to JLOC | |
| Repeal CON laws, defines health care facility, hospice, ambulatory surgical facility and hospitals,would bring back $1.4M first year and $2.9 the second | |
| Increases federal Social Services Block Grant funding for positions administering SSBG services within the Division of Health Services Regulation | Increases federal Social Services Block Grant funding for positions administering SSBG services within the Division of Health Services Regulation |
| Increases federal SSBG funding for DHSR’s Adult Care Licensure Program due to increased block grant availability | Increases federal SSBG funding for DHSR’s Adult Care Licensure Program due to increased block grant availability |
| Reduces $500K in funding for the Statewide Health Planning Section, which underspent its budget in FY 2023-24 | |
| Division of Mental Health/Developmental Disabilities/Substance Use Services | Division of Mental Health/Developmental Disabilities/Substance Use Services |
| Cuts single stream funding allocation to LME-MCOs by 30M annually, requires LME-MCOs to offer at least the same level of service utilization as last year across catchment area | Dept will distribute 1/12 of each LME/MCO’s base budget allocation at the beginning of the FY and distribute 1/11 of the amount each month after. Insures even cash flow to LME/MCOs |
| Repeals Mental Health and Substance Use Task Force reserve fund | Repeals Mental Health and Substance Use Task Force reserve fund |
| DHHS will continue to purchase inpatient psych beds or bed days, can use up to 40% of these funds for certain services, make sure higher acuity levels are distributed across state, these funds are held in statewide reserve, if DHHS finds LME-MCO improperly managed these purchases can contract with another, DHHS report on all of this to JLOC | DHHS will continue to purchase inpatient psych beds or bed days, can use up to 40% of these funds for certain services, make sure higher acuity levels are distributed across state, these funds are held in statewide reserve, if DHHS finds LME-MCO improperly managed these purchases can contract with another, DHHS report on all of this to JLOC |
| $1M to purchase opioid antagonist in the form of 8-milligram nasal spray | $1M to purchase opioid antagonist in the form of 8-milligram nasal spray |
| Replace outdated data systems for Driving While Impaired Services, the Drug Education School, and the Drug Control Unit | Replace outdated data systems for Driving While Impaired Services, the Drug Education School, and the Drug Control Unit |
| $1.8M from Opioid Abatement Fund to Opioid Abatement Reserve, $14M recurring for DHHS to increase single stream funding appropriations | $1.8M from Opioid Abatement Fund to Opioid Abatement Reserve, $31M from Opioid Abatement Reserve to the Opioid Abatement Fund 25-26 and $6M in 26-27, $14M recurring for DHHS to increase single stream funding appropriations, $4M in grants to LME MCOs |
| $10M total for EHR in state-operated facilities | $10M total for EHR in state-operated facilities |
| Authorizes use of overrealized Mixed Beverage Tax receipts to replace outdated IT systems used by the Driving While Impaired Services, Drug Education School, and Drug Control Unit programs | Authorizes use of overrealized Mixed Beverage Tax receipts to replace outdated IT systems used by the Driving While Impaired Services, Drug Education School, and Drug Control Unit programs |
| Uses money from the Rural Health Care Sustainability Fund to direct grant to Iredell Health Foundation for Davis Regional Psychiatric | |
| Uses money from the Rural Health Care Sustainability Fund to direct grant to Blue Ridge Healthcare System for behavioral health beds | |
| $350K to ABC of NC Child Development Center, provides services for people with autism spectrum disorder | |
| $350K to Aces of Autism, provides services for people with autism spectrum disorder | |
| $350K to Autism Society of NC | |
| $183K to St. Gerard House, provides services for people with autism spectrum disorder | |
| Increases federal Social Services Block Grant funding for positions administering SSBG services within Division | Increases federal Social Services Block Grant funding for positions administering SSBG services within Division |
| Reduces General Fund appropriations for Single Stream Funding by $30M and offset with $27M in funds from Opioid Abatement Reserve and the Mental Health and Substance Use Task Force Reserve Fund | Reduces $20M each year in General Fund appropriations for Single Stream Funding, also decreases $41M that’s offset with Mental Health and Substance Use Task Force Reserve Fund |
| Eliminates funding for Coastal Horizons Center ($6M a year) | |
| $200K to First Step Farm of Western NC for substance use disorder treatment and recovery services | |
| $3.4M for Child Case Management, which provides case management services for youth and families with high behavioral health needs who are involved with county departments of social services and juvenile justice programs. Was previously funded by Mental Health and Substance Use Task Force Reserve Fund | |
| Adjusts funding for First Psychotic Symptom Treatment taking funds from the federal Community Mental Health Services Block Grant to pay for services | Adjusts funding for First Psychotic Symptom Treatment taking funds from the federal Community Mental Health Services Block Grant to pay for services |
| $460k each year for non-federal share of Projects for Assistance in Transition from Homelessness grant, serves adults with serious mental illness who are homeless, was previously provided through the MHSUTF Reserve Fund | $460k each year for non-federal share of Projects for Assistance in Transition from Homelessness grant, serves adults with serious mental illness who are homeless, was previously provided through the MHSUTF Reserve Fund |
| Reduces funding by $15M each year for inpatient psychiatric treatment at local community hospitals (three-way bed contracts), because implementation of NC Health Works (Medicaid expansion) means most of these claims are now covered by Medicaid | Reduces funding by $15M each yera for inpatient psychiatric treatment at local community hospitals (three-way bed contracts), because implementation of NC Health Works (Medicaid expansion) means most of these claims are now covered by Medicaid |
| Adjusts funding for Crisis Services through the federal MHBG. | Adjusts funding for Crisis Services through the federal MHBG. |
| Discontinues recurring transfer of $10M to the MHSUTF Reserve Fund, $3.9M will remain with Division to continue providing Child Case Management services and the non-federal share of the PATH Homelessness grant, initiatives which had been previously funded from the MHSUTF Reserve Fund | Discontinues recurring transfer of $10M to the MHSUTF Reserve Fund, $3.9M will remain with Division to continue providing Child Case Management services and the non-federal share of the PATH Homelessness grant, initiatives which had been previously funded from the MHSUTF Reserve Fund |
| Adjusts funding for adult and child mental health services through the federal MHBG | Adjusts funding for adult and child mental health services through the federal MHBG |
| Adjusts funding for substance abuse prevention services, using money from the federal Substance Use Prevention, Treatment, and Recovery Services Block Grant | Adjusts funding for substance abuse prevention services, using money from the federal Substance Use Prevention, Treatment, and Recovery Services Block Grant |
| Adjusts funding for substance use treatment for children and adults through the federal SUBG. | Adjusts funding for substance use treatment for children and adults through the federal SUBG. |
| Transfers $1.8M in unspent opioid settlement funds to the Opioid Abatement Reserve. Didn’t use funds because were for a planned prescription digital therapeutics pilot program that did not take place due to a lack of eligible vendor | |
| Discontinues recurring transfer of $1M to the MHSUTF Reserve Fund, $3.9M will remain with Division to continue providing Child Case Management services and the non-federal share of the PATH Homelessness grant, initiatives which had been previously funded from the MHSUTF Reserve Fund | |
| Budgets $32.35M in opioid Abatement Reserve funding. Appropriations detailed in following 45 lines | |
| $4M to LME/MCOs (each receiving $1M) from opioid abatement fund to respond to opioid epidemic. | |
| $2M grant to NC Assoc of County Commissioners for opioid epidemic | |
| $750K grant to Christian Recovery Centers from opioid funds | |
| $1.5M one-time funding to Montgomery Co regional detox center | |
| $750K first year and $500K second to NC Assoc of Free and Charitable Clinics | |
| $1M total to Genesis Ministries of Rockingham Co from opioid funds | |
| $500K opioid funds each year to Gateway of Hope Addiction Recovery Center | |
| $500K one-time funding of opioid funds to Will’s Place | |
| $1M one-time funding to Trillium Health Resources for opioid epidemic | |
| $1M one-time funding to Easterseals UCP North Carolina & Virginia, Inc. for PORT Health locations in Wilmington and Greenville to respond to opioid epidemic | |
| $500K one-time funding to the Healing Place in New Hanover, to respond to opioid epidemic | |
| $500K one-time funding to SUDA Institute to respond to opioid epidemic | |
| $800K to MAHEC for Project CARA to respond to opioid epidemic | |
| $800K to Tides Inc in New Hanover to respond to opioid epidemic | |
| $800K to Cone Health Philanthropic Foundation, a nonprofit, for the R.E.A.C.H. Maternity Clinic in Guilford County to respond to opioid epidemic | |
| $800K to UNC Health Foundation for UNC Horizons to respond to opioid epidemic | |
| $800K to East Carolina University Medical & Health Sciences Foundation for the IMPACT initiative to respond to opioid epidemic | |
| $800K one-time funding to Alliance Health, an LME/MCO, for The Hope Center for Youth and Family Crisis to respond to opioid epidemic | |
| $700K one-time funding to Bethel Colony of Mercy, Inc., a nonprofit in Caldwell County to respond to opioid epidemic | |
| $600K one-time funding to Emerald School of Excellence Inc, a nonprofit in Mecklenburg County to respond to opioid epidemic | |
| $600K one-time funding to NC Recovery Foundation for Medication Assisted Treatment and other outpatient substance use disorder treatment services at Aurora Health treatment centers to respond to opioid epidemic | |
| $500K one-time funding to Multiply Church Global, a nonprofit in Cabarrus County, for the Cabarrus Dream Center to respond to opioid epidemic | |
| $500K one-time funding to Hope Mission of Coastal Carolina, Inc., a nonprofit in Carteret County, to respond to opioid epidemic | |
| $500K one-time funding to Hope Olive Branch Ministry, a nonprofit in Catawba County, to respond to opioid epidemic | |
| $500K one-time funding to Hope Path of Hope Inc., a nonprofit in Davidson County to respond to opioid epidemic | |
| $500K one-time funding to Greentree Peer Support Program, a nonprofit in Forsyth County, to respond to opioid epidemic | |
| $500K one-time funding to Freedom House, a nonprofit in Guilford County to respond to opioid epidemic | |
| $500K one-time funding to the United Way of Lincoln County, a nonprofit in Lincoln County, to provide funds to Hope Center Ministries and Celebrate Recovery Programs | |
| $250K one-time funding to Adult and Teen Challenge of Sandhills, North Carolina, a nonprofit in Moore County to respond to opioid epidemic | |
| $500K one-time funding to Opportunities Industrialization Center, Incorporated, a nonprofit in Nash County, to expand its opioid treatment program | |
| $500K one-time funding to Southeastern Life Center, Inc, a nonprofit in Robeson County, to respond to opioid epidemic | |
| $500K one-time funding to Remmsco, Inc., a nonprofit in Rockingham County to respond to opioid epidemic | |
| $500K one-time funding to Insight Human Services, Inc., a nonprofit, for its Stokes County location to respond to opioid epidemic | |
| $500K one-time funding to Hope Valley, Inc., a nonprofit in Surry County to respond to opioid epidemic | |
| $500K one-time funding to Wilkes Recovery Revolution, Inc., a nonprofit in Wilkes County to respond to opioid epidemic | |
| $500K one-time funding to Wilkes Youth Life Development, Inc., a nonprofit in Wilkes County to respond to opioid epidemic | |
| $500K one-time funding to Hope is Alive Ministries, Inc., a nonprofit, for treatment centers in North Carolina | |
| $400K one-time funding to Living Free Ministries, Inc., a nonprofit in Alamance County, to respond to opioid epidemic | |
| $400K one-time funding to The Samaritan Colony, Incorporated, a nonprofit in Richmond County to respond to opioid epidemic | |
| $400K one-time funding to Addiction Professionals of North Carolina to respond to opioid epidemic | |
| $325K one-time funding to Ground 40 Ministries, a nonprofit in Union County to respond to opioid epidemic | |
| $325K one-time funding to Burke Council on Alcoholism & Chemical Dependency to respond to opioid epidemic | |
| $100K one-time funding to Safer Communities Ministry, Inc., a nonprofit in Stanly County, for The Legacy Dream Center to respond to opioid epidemic | |
| $1M one-time funding to NC Assoc of Pharmacists to respond to opioid epidemic | |
| $100K one-time funding to Solus Christus Inc., a nonprofit in Yadkin County to respond to opioid epidemic | |
| Division of Public Health | Division of Public Health |
| Sets up competitive grant process for local health departments to invest in evidence-based programs around improving NC’s birth outcomes, improving health status of kids 0-5, and lowering infant mortality rate; sets up reporting process on the grants | Sets up competitive grant process for local health departments to invest in evidence-based programs around improving NC’s birth outcomes, improving health status of kids 0-5, and lowering infant mortality rate; sets up reporting process on the grants |
| If DHHS decides they can no longer operate health insurance premium assistance program within the NC AIDS Drug Assistance program, the department will submit report to JLOC on determination and what to do. | If DHHS decides they can no longer operate health insurance premium assistance program within the NC AIDS Drug Assistance program, the department will submit report to JLOC on determination and what to do |
| Provides $700K to increase fees paid to county medical examiners from $200 to $400 | Provides $700K to increase fees paid to county medical examiners from $200 to $400 |
| $680K in Funds 2 additional Forensic Pathologists, brings the total number of Forensic Pathologists under the State’s Office of the Chief Medical Examiner to 14.0 FTE, | $680K in Funds 2 additional Forensic Pathologists, brings the total number of Forensic Pathologists under the State’s Office of the Chief Medical Examiner to 14.0 FTE, |
| DHHS will submit a plan on establishing and updating maternal and infant levels of care to JLOC by April 1 2026 | DHHS will submit a plan on establishing and updating maternal and infant levels of care to JLOC by April 1 2026 |
| Sets up guidelines for appropriations to Carolina Pregnancy Care Fellowship, with rules and reporting guidelines. No appropriation level given. | Sets up Carolina Pregnancy Care Fellowship rules and report, reduces total appropriation by $750K to a total of $6M per FY |
| $500K to Human Coalition for the Statewide Continuum of Care Program | |
| $2M additional dollars distributed among local health departments under General-Aid-to-Counties Agreement Addendum. | |
| Transfers Rare Disease Advisory Council to DHHS and reorganizes the council: two physicians, one RN, one researcher, one hospital admin, two adults diagnosed with a rare disease and two caregivers, one representative of a rare disease org, one pharmacist, one representative of biopharm/biotech industry, two health insurer reps, one genetic counselor, one member appointed by senate president pro tempore, one by House speaker, one by governor, sets out reqs and duties | |
| $150K one-time funding to Sound Rivers, Inc., a nonprofit that monitors and protects the Neuse and Tar-Pamlico River watersheds | |
| $3.1M to continue functions previously provided by Office of Health Equity | |
| Budgets anticipated fee revenue from increasing the Driving Under the Influence Civil License Revocation Fee by $100, was last updated in 2007, 25% of the fee revenue supports the statewide chemical alcohol testing program under the Division of Public Health | Budgets anticipated fee revenue from increasing the Driving While Impaired Civil License Revocation Fee by $100, was last updated in 2007, 25% of the fee revenue supports the statewide chemical alcohol testing program under the Division of Public Health |
| Reduces $6.8M net General Fund appropriation for maternal and infant health, the decrease is offset with receipts, transferred from DOJ from the Johnson & Johnson talcum powder settlement, does not change the total funding available for maternal and infant health | Reduces $6.8M net General Fund appropriation for maternal and infant health, the decrease is offset with receipts, transferred from DOJ from the Johnson & Johnson talcum powder settlement, does not change the total funding available for maternal and infant health |
| Budgets additional receipts from the federal Maternal and Child Health Block Grant or legislative increases for a receipt-supported position | Budgets additional receipts from the federal Maternal and Child Health Block Grant or legislative increases for a receipt-supported position |
| Budgets additional receipts from the federal MCHBG to support women’s and maternal health services. Includes $56K from the Division of Child and Family Well-Being for a position to support the State Office of Child Fatality Prevention, and $180K for a temporary Maternal Mortality Review Committee Abstractor | Budgets additional receipts from the federal MCHBG to support women’s and maternal health services. Includes $56K from the Division of Child and Family Well-Being for a position to support the State Office of Child Fatality Prevention, and $180K for a temporary Maternal Mortality Review Committee Abstractor |
| Budgets additional receipts from the federal MCHBG for local programs providing women’s and children’s health services. | Budgets additional receipts from the federal MCHBG for local programs providing women’s and children’s health services. |
| Makes a technical adjustment to federal MCHB funding for local health departments to support women’s and children’s health services at the county level, makes funds available to increase funding for the administration of MCHB in the Division of Public Health, also nonrecurring adjustment uses carryforward funds to ensure funding for LHDs to support women’s and children’s health services remains unchanged at $5.5M yearly | Makes a technical adjustment to federal MCHB funding for local health departments to support women’s and children’s health services at the county level, makes funds available to increase funding for the administration of MCHB in the Division of Public Health, also nonrecurring adjustment uses carryforward funds to ensure funding for LHDs to support women’s and children’s health services remains unchanged at $5.5M yearly |
| Budgets receipts from the federal MCHBG for legislative increases for receipt-supported positions. | Budgets receipts from the federal MCHBG for legislative increases for receipt-supported positions. |
| Budgets additional receipts from the North Carolina settlement with Juul Labs, Inc., to the Youth Electronic Nicotine Dependence Abatement Fund. | Budgets additional receipts from the North Carolina settlement with Juul Labs, Inc., to the Youth Electronic Nicotine Dependence Abatement Fund. |
| Budgets additional receipts from the federal Preventive Health and Health Services Block Grant for performance improvement and accountability activities | Budgets additional receipts from the federal Preventive Health and Health Services Block Grant for performance improvement and accountability activities |
| Adjusts base budget to convert a position that was established using federal funds from the State Fiscal Recovery Fund from recurring to time-limited and to budget the federal receipts for the position. | |
| Division of Services for the Blind/Deaf/Hard of Hearing | Division of Services for the Blind/Deaf/Hard of Hearing |
| Reduces funding to the Medical Eye Care Program under the Division of Services to the Blind, which underspent its budget in FY 2023-24 by $110K | |
| Increases federal Social Services Block Grant funding for Independent Living Program due to increased block grant availability | Increases federal Social Services Block Grant funding for Independent Living Program due to increased block grant availability |
| Division of Social Services | Division of Social Services |
| Approves the North Carolina Temporary Assistance for Needy Families State Plan FY 2025-2028, designates Electing Counties, other requirements etc | Approves the North Carolina Temporary Assistance for Needy Families State Plan FY 2025-2028, designates Electing Counties, other requirements etc |
| Intensive Family Preservation Services Program: intensive services to children and families in cases of abuse, neglect, etc when kid is at risk of being removed from home or in cases of abuse when kid may not be removed. Program implemented statewide on regional basis, any orgs that recive funding for this must follow certain data requirements | Intensive Family Preservation Services Program: intensive services to children and families in cases of abuse, neglect, etc when kid is at risk of being removed from home or in cases of abuse when kid may not be removed. Program implemented statewide on regional basis, any orgs that recive funding for this must follow certain data requirements |
| The maximum reimbursement for child caring institutions can’t exceed rate established for the specific institution established by Office of Controller | The maximum reimbursement for child caring institutions can’t exceed rate established for the specific institution established by Office of Controller |
| DHHS can use foster care budget for guardianship assistance program, can’t incur expenses beyond budget | DHHS can use foster care budget for guardianship assistance program, can’t incur expenses beyond budget |
| Funds child welfare postsecondary program for educating kids aging out of foster care system | Funds child welfare postsecondary program for educating kids aging out of foster care system NC REACH. $339K of DHHS funding directed to go towards this initiative. |
| Directs up to 15% of annual federal incentive payments NC Child support services towards improving centralized services, other 85% goes to county programs, reporting requirements | Directs up to 15% of annual federal incentive payments NC Child support services towards improving centralized services, other 85% goes to county programs, reporting requirements |
| Foster Care Transitional Living Initiative Fund for transitional living services for foster care kids, funds support a demonstration project with Youth Villages for youth 17-21 aging out of care, public private partnership laid out. Obligates the nonprofit partner to fundraise 25% of the costs of the program. | Foster Care Transitional Living Initiative Fund for transitional living services for foster care kids, funds support a demonstration project with Youth Villages for youth 17-21 aging out of care, public private partnership laid out. Obligates the nonprofit partner to fundraise 25% of the costs of the program. |
| Funds vendor costs for data to make report on certain TANF and SNAP expenditures. Directs DHHS to track dollar and transaction amounts, whether any of the funds are expended out of state and the number and types of retailers. | Funds vendor costs for data to make report on certain TANF and SNAP expenditures. Directs DHHS to track dollar and transaction amounts, whether any of the funds are expended out of state and the number and types of retailers. |
| Directs at least 75% of funding for Children’s Advocacy Centers of NC to go to child advocacy centers that are in good standing | Directs at least 75% of funding for Children’s Advocacy Centers of NC to go to child advocacy centers that are in good standing |
| Requires status report to JLOC on status of the foster care trauma-informed assessment every six months until the assessment is rolled out statewide. | Requires status report to JLOC on status of the foster care trauma-informed assessment every six months until the assessment is rolled out statewide. |
| Reduces funding ($1.6M) one time in FY 2025-26 only for the operations and maintenance of the new County Reimbursement System, funding was provided in 24-25 to prepare for implementing a new system but new system hasn’t been implemented yet | Reduces funding ($1.6M) one time in FY 2025-26 only for the operations and maintenance of the new County Reimbursement System, funding was provided in 24-25 to prepare for implementing a new system but new system hasn’t been implemented yet |
| Reduces funding ($750K) one time in FY 2025-26 only for the operations and maintenance of the new Child Support Services Technology System because it hasn’t been modernized yet | |
| Increases federal Low Income Home Energy Assistance Program block grant funding for the Low Income Energy Assistance Program, which provides low income households with a one-time vendor payment to pay their heating bills. | Reduces federal LIHEAP block grant funding for LIEAP due to a $11.5M recurring decrease in federal funding availability. LIEAP provides low-income households with a one-time vendor payment to pay their heating bil |
| Reduces federal LIHEAP block grant funding for the Heating and Air Repair and Replacement Program | |
| Increases federal LIHEAP block grant funding for the administration of LIHEAP-eligible services at county departments of social service | Reduces federal LIHEAP block grant funding for the administration of LIHEAP-eligible services at county departments of social services due to a decrease in federal funding availability |
| Increases federal LIHEAP block grant funding for local residential energy efficiency service providers for admin costs of HARRP funds, receipts transferred to DEQ | Reduces federal LIHEAP block grant funding for local residential energy efficiency service providers for admin costs of HARRP funds, receipts transferred to DEQ |
| Increases federal LIHEAP block grant funding for the cost of administering HARRP, receipts transferred to DEQ | Reduces federal LIHEAP block grant funding for the cost of administering HARRP, receipts transferred to DEQ |
| Total funding for LIHEAP = $128M | Total funding for LIHEAP = $99.6M |
| Decreases federal Temporary Assistance for Needy Families block grant funding for Work First Family Cash Assistance bc of decreasing trend in program caseload. | Decreases federal Temporary Assistance for Needy Families block grant funding for Work First Family Cash Assistance bc of decreasing trend in program caseload. |
| Budgets additional TANF funds to pay for the costs to contract with a consulting firm to assist DHHS with efforts in identifying areas to improve Work First’s effectiveness at assisting families in securing gainful employment and achieving self-sufficiency. | |
| Appropriates $200K from Substance Use, Prevention, Treatment and Recovery Services BG to Healing Transitions | Appropriates $200K from Substance Use, Prevention, Treatment and Recovery Services BG to Healing Transitions |
| Appropriates $3.2M from Substance Use, Prevention, Treatment and Recovery Services BG to TROSA | Appropriates $3.2M from Substance Use, Prevention, Treatment and Recovery Services BG to TROSA |
| Appropriates $100K from Substance Use, Prevention, Treatment and Recovery Services BG to First Step Farm of Western NC | Appropriates $100K from Substance Use, Prevention, Treatment and Recovery Services BG to First Step Farm of Western NC |
| Appropriates $2M from Substance Use, Prevention, Treatment and Recovery Services BG to Addiction Recovery Care Assoc | Appropriates $2M from Substance Use, Prevention, Treatment and Recovery Services BG to Addiction Recovery Care Assoc |
| Appropriates $1.5M from Substance Use, Prevention, Treatment and Recovery Services BG to Collegiate Wellness/ Addiction Recovery | Appropriates $1.5M from Substance Use, Prevention, Treatment and Recovery Services BG to Collegiate Wellness/ Addiction Recovery |
| Appropriates $350K from the Maternal Child Health BC to March of Dimes | |
| Appropriates $100K from the Maternal Child Health BC to Sickle Cell Centers | Appropriates $200K from the Maternal Child Health BC to Sickle Cell Centers |
| Appropriates $650,000 from the Maternal Child Health BC to teen pregnancy prevention initiatives | Appropriates $650,000 from the Maternal Child Health BC to teen pregnancy prevention initiatives |
| Appropriates $440K from the Maternal Child Health BC to Perinatal and Neonatal outreach coordinator contracts | Appropriates $440K from the Maternal Child Health BC to Perinatal and Neonatal outreach coordinator contracts |
| Appropriates $50K from the Maternal Child Health BC to Mountain Area Pregnancy Services | Appropriates $50K from the Maternal Child Health BC to Mountain Area Pregnancy Services |
| Cuts $8.6M in first year and $2.2M in second for the State and County Special Assistance program due to a projected surplus in the program’s budget. This reduction will not affect the assistance amounts participants receive or the number of people assisted through the program. | Cuts $8.6M in first year and $2.2M in second for the State and County Special Assistance program due to a projected surplus in the program’s budget. This reduction will not affect the assistance amounts participants receive or the number of people assisted through the program. |
| Technical correction to State and County Special Assistance budget to align budgeted amounts from county receipts and net appropriation for assistance payments. Will not affect what participants receive or number of people in program, nor does it change the funding requirements for counties | Technical correction to State and County Special Assistance budget to align budgeted amounts from county receipts and net appropriation for assistance payments. Will not affect what participants receive or number of people in program, nor does it change the funding requirements for counties |
| $2.5M one-time funding to Second Harvest Food Bank of Metrolina | |
| $2.5M one-time funding to Second Harvest Food Bank of Northwest North Carolina | |
| $1M one-time funding to Crossnore Communities for Children, a nonprofit with locations in Avery, Forsyth, and Henderson counties. | |
| $5M one-time funding to Boys and Girls Club of Wake Co | |
| HHS Miscellaneous | HHS Miscellaneous |
| Modifies certified nurse midwife practice plans, adding requirements for written emergent plans that include name of the physicians and practices that cover obstetrics 24 h/ day at any receiving hospital | |
| Senate Bill 316 provisions rolled in here: Hospitals must disclose prices for most frequently reported current procedural terminology, diagnostic related group and healthcare common procedure coding system to statewide data processor; penalty for noncompliance. Requires health service facilities to disclose to patients that some services might get sent in a separate bill, certain providers may be out of network, and certain consumer protections are available. Requires emergency services providers to provide a disclosure about out of network and consumer protections available. Also requires health care providers to disclose if out of network and consumer protections available. Requires hospitals to provide itemized list of charges before referring bill to collections. Requires hospitals to provide good faith estimate upon request. Limits facility fees. Gives State Auditor authority to review health service facility prices. Removes employees’ personal info from health insurance appeals and grievance reviews. Sets quicker timelines for prior auth when care falls under definition of urgent, requires insurers to notify providers if deny coverage, appeals must be reviewed by licensed physician who is in same or similar specialty as provider, etc.; keep list of procedures requiring prior auth on website, can’t use AI for sole basis of denial | |
| NINJA’s law: Requirements on dentists submitting reports of adverse events if patient dies within 24 hours of administering sedation or general anesthesia, NC Policy Collaboratory at UNC will study | |
| Allows for out of state management companies to operate dental practices. Would open the door for hedge funds and private equity firms to acquire, open and operate dental practices not run by licensed dentists in North Carolina, something currently forbidden in state law. | |
| Division of Employment and Independence for People with Disabilities | Division of Employment and Independence for People with Disabilities |
| Budgets additional receipts from the federal Community Services Block Grant for community action agencies | Budgets additional receipts from the federal Community Services Block Grant for community action agencies |
| Reduces federal CSBG funding for the Office of Economic Opportunity based on funding availability | Reduces federal CSBG funding for the Office of Economic Opportunity based on funding availability |
| Reduces federal CSBG funding for the Office of the Secretary for the DIRM (AR4CA Replacement System)based on funding availability. | |
| Increases federal TANF block grant funding for County DSS’s for Child Protective Services workers, who help prevent further harm to children from abuse, exploitation, or neglect by parent/caretaker. Total amount for CPS = $13.2M | Increases federal TANF block grant funding for County DSS’s for Child Protective Services workers, who help prevent further harm to children from abuse, exploitation, or neglect by parent/caretaker. Total amount for CPS = $13.2M |
| Increases federal LIHEAP block grant funding for admin costs of LIHEAP-eligible services at the Division | |
| Increases federal LIHEAP block grant funding for the Weatherization Assistance Program which is administered by NC DEQ, program helps low-income North Carolinians save energy, reduce their utility bills, and stay safe in their homes by weatherizing homes and other energy efficiency projects. | Reduces federal LIHEAP block grant funding for the Weatherization Assistance Program which is administered by NC DEQ, program helps low-income North Carolinians save energy, reduce their utility bills, and stay safe in their homes by weatherizing homes and other energy efficiency projects. |
| Increases federal LIHEAP block grant funding for local residential energy efficiency service providers for admin costs of WAP funds. | Reduces federal LIHEAP block grant funding for local residential energy efficiency service providers for admin costs of WAP funds. |
| Increases federal LIHEAP block grant funding for the cost of administering WAP, transferrs the receipts to DEQ | Reduces federal LIHEAP block grant funding for the cost of administering WAP, transferrs the receipts to DEQ |
| Increases federal LIHEAP block grant funding for the Crisis Intervention Program, which helps low-income households experiencing a heating or cooling-related crisis that leads to a life-threatening or health- related emergency. | Increases federal LIHEAP block grant funding for the Crisis Intervention Program, which helps low-income households experiencing a heating or cooling-related crisis that leads to a life-threatening or health- related emergency. |
| Decreases federal Social Services Block Grant funding to County Departments of Social Services for Adult Protective Services due to decreased availability | Decreases federal Social Services Block Grant funding to County Departments of Social Services for Adult Protective Services due to decreased availability |
| Reduces $4M in net appropriation for Kinship Care assistance payments, which are provided to families who are not licensed foster care parents but are caring for relatives in the foster care system. Decrease is offset with receipts from TANF Block Grant | |
| Increases federal SSBG funding for the administration of SSBG services in DSS to reflect transfer of Adult Protective Services from the Division of Aging to DSS and due to increased block grant availability. | Increases federal SSBG funding for the administration of SSBG services in DSS to reflect transfer of Adult Protective Services from the Division of Aging to DSS and due to increased block grant availability. |
KEEP UP WITH THE LATEST
Republish our articles for free, online or in print, under a Creative Commons license.
Great work on going through both the House and Senate budgets and noting sections that are health care related. A real eye opener in some cases. Example, allowing investor groups to own dental practices in N.C. without a licensed dentist on board? Sounds like some lobbyist scored a win for their client, which will probably end up as a loss for North Carolina citizens.