The North Carolina Department of Health and Human Services has notified us that the Innovations waiver is up for renewal. In NC our Innovations (1915c) waiver is generally approved for five years. The NC 1915(c) Home and Community-Based Services Innovations Waiver’s current 5-year cycle period will expire on June 30, 2024. NC Medicaid’s goal is…
Legislative & Policy Update – NC Passes a State Budget
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…
Policy: Celebrating Progress and Looking Ahead
This article also appears in the Winter 2023 issue of Spectrum. When you have been advocating for a long time, it can feel like no progress is being made. When we see growing waiting lists and know that services for people with disabilities remain unstaffed, it is easy to lose hope. There is good…
The Samantha R vs. the State of North Carolina Court Decision
In February of 2020 the State was found to be in violation of the Persons with Disabilities Protection Act and that people with disabilities in North Carolina were being unnecessarily institutionalized, or were at risk for being institutionalized, due to a lack of community-based options. The decision reinforced what people with disabilities, their families and…