The NC Senate and House passed the budget conference committee report for H259, the Appropriations Act for 2023-2025 on September 22nd, ending several months of negotiations that delayed the state budget nearly three months into the fiscal year. The budget includes significant amounts of funding for behavioral health and developmental disabilities services and funding for…
Policy Update: State Budget Delays, Tailored Plan Delays, 1915(i) Services Authorized
Budget Process Halted; State Budget Delayed until at least August House and Senate Budget Conferees have been named to work out differences between the two versions of the state budget (H259, the Appropriations Act for 2023-2025); however, negotiations have been delayed. Legislative leaders have cited differences over both tax cuts/revenue changes and non-budget legislation, including…
Policy Update: NC Senate Passes Budget; Conference Committee Begins Work
On May 18, the NC Senate passed their version of H259, the Appropriations Act for 2023-2025. The Senate version of the budget spends a little more, primarily on a new economic incentive fund designed to turn NC-based research into marketable products. The differences between the NC House version and the NC Senate version will be…
Public Policy Update: Medicaid Expansion Bill Signed, House Budget Released, Make Your Voice Heard to Senate
Expansion Bill Passes, Signed by Governor: House Bill 76 Access to Healthcare Options was passed by the NC General Assembly March 23 and signed into law March 27. The bill would extend Medicaid benefits to people in the health care coverage gap, whose income is under 133% of the federal poverty levels and do not…
Public Policy Update: Governor’s Budget Released, Medicaid Expansion Bill Advances, Medicaid Services Updates
On March 15, the Governor released his budget proposal. It is quite extensive, and in this entry, we have listed some highlights of items that have an impact on many people on the autism spectrum and their families and which address our public policy priorities. Health and Human Services $126 million for 2,000 more Innovations waiver…
Public Policy Update: Tailored Plans, NC Budget, and Medicaid Expansion
Tailored Plans Delayed until October 1, 2023 NC Department of Health and Human Services (NC DHHS) announced that the new Tailored Plans under Medicaid will be delayed again, this time until October 1, 2023. Citing concerns that people would have difficulties using primary care physicians and specialty health care services (“network adequacy”) and that other…
Public Policy Update – North Carolina General Assembly Update
State Budget Adjustments Act Introduced: The NCGA is in the process this week of passing a brief budget adjustments act, HB 103. A reminder that the state passed a two-year budget for fiscal years July 2021-June 2023 last November which included additional waiver slots, increases to wages for direct support professionals, and an increase in…
Public Policy Updates – May 2022
Services in NC Medicaid Plan NC plans to offer additional services to people with intellectual and developmental disabilities, as well as others, under (i) services plan through the Medicaid program. When Tailored Plans begin operation December 1, 2022 as part of the state’s Medicaid Transformation some of the services that LME-MCOs offered under b(3) such…
Public Policy Update: Rate Increase to Support Wages for Direct Support Workers A First Step in Right Direction
The state budget that passed in December 2021 included funding towards increasing Medicaid home and community-based provider rates so that wages paid to direct support professionals/direct support workers can be increased. While the budget special provision language states that 15.00 per hour is the goal, there is not enough money appropriated in the budget to…