GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 2013

H                                                                                                                                                    1

HOUSE BILL 1083*

Short Title:        Expand Medicaid to Include All Below 133% FPL.		(Public)
Sponsors:	Representatives Insko, Earle, Luebke, and Cunningham (Primary Sponsors). For a complete list of Sponsors, refer to the North Carolina General Assembly Web Site.
Referred to:	Health and Human Services, if favorable, Appropriations.

May 19, 2014

A BILL TO BE ENTITLED

AN ACT to expand eligibility for the medicaid program to include all people under age SIXTY-FIVE who have incomes equal to or below ONE HUNDRED THIRTY-THREE PERCENT of the federal poverty level, to APPROPRIATE funds for the administrative costs associated with the expansion, to account for the savings to other state programs from the expansion, and to appropriate the additional funds generated from expansion to the Medicaid REbase.

The General Assembly of North Carolina enacts:

SECTION 1.  Section 3 of S.L. 2013‑5 is repealed.

SECTION 2.  Section 12H.10(b) of S.L. 2013‑360 is amended by adding a new subdivision to read as follows:

"SECTION 12H.10.(b) For the following Medicaid eligibility classifications for which the federal poverty guidelines are used as income limits for eligibility determinations, the income limits will be updated each April 1 immediately following publication of federal poverty guidelines. The Department of Health and Human Services, Division of Medical Assistance, shall provide Medicaid coverage to the following:

…

(8) Effective January 1, 2015, all people under age 65 who have incomes equal to or less than one hundred thirty‑three percent (133%) of the federal poverty guidelines. The medical assistance provided to persons in this Affordable Care Act expansion group shall consist of the coverage described in 42 U.S.C. § 1396a(k)(1)."

SECTION 3.  The sum of seventeen million eighty‑one thousand nine hundred sixteen dollars ($17,081,916) is appropriated to the Department of Health and Human Services, Division of Medical Assistance, for fiscal year 2014‑2015, recurring, for the administrative costs associated with the Medicaid expansion provided in Section 2 of this act. This appropriation consists of the following:

(1)        Five million eight hundred thirty thousand eight hundred seventeen dollars ($5,830,817) from the General Fund for the State share of administrative costs.

(2)        Eleven million two hundred fifty‑one thousand ninety‑eight dollars ($11,251,098) from federal Medicaid receipts for the federal share of administrative costs.

SECTION 4.  Because the Medicaid expansion provided in this act will generate savings to other State programs that currently serve the population to be included in the Medicaid expansion, the following reductions are made for fiscal year 2014‑2015, recurring, to the General Fund appropriations made in S.L. 2013‑360, notwithstanding S.L. 2013‑360:

(1)        The appropriation for the Department of Health and Human Services, Division of Mental Health, is reduced by eight million one hundred eighty‑five thousand nine hundred ninety‑seven dollars ($8,185,997).

(2)        The appropriation for the AIDS Drug Assistance Program (ADAP) in the Department of Health and Human Services, Division of Public Health, is reduced by fourteen million three hundred eight thousand six hundred twenty‑three dollars ($14,308,623).

(3)        The appropriation for the Inmate Health Care program within the Department of Public Safety, Division of Corrections, is reduced by eight million five hundred thousand dollars ($8,500,000).

SECTION 5.  The sum of twenty‑five million one hundred sixty‑three thousand eight hundred two dollars ($25,163,802) is appropriated for fiscal year 2014‑2015, recurring, to the Medicaid program as part of the Medicaid Rebase. This sum is in addition to the sum provided for the Medicaid Rebase in S.L. 2013‑360 and represents the total additional General Fund availability generated through reductions to non‑Medicaid State programs whose recipients will be covered under the Medicaid expansion minus the State share of the administrative costs of Medicaid expansion.

SECTION 6.  This act becomes effective July 1, 2014.