Medicaid

The North Carolina legislative office building
Wikipedia

State lawmakers passed a temporary spending measure this week to keep North Carolina’s government running for 45 days.

The move allowed lawmakers to avoid the midnight deadline tonight that marks the end of the fiscal year. Legislators to continue to debate differences over tax structure, education spending and Medicaid. 

Host Frank Stasio talks with WUNC capitol reporter Jorge Valencia about the latest. 

A picture of a dctor holding a stethoscope.
Alex Proimos / Flickr

North Carolina lawmakers have chosen to not expand Medicaid eligibility under the Affordable Care Act.

Republican state leaders, including Senate Leader Phil Berger and House Speaker Tim Moore, have said that, even if the federal government initially subsidizes new people enrolling in Medicaid, the program would eventually cost the state more than it saves.

Medicaid illustration: A Caduceus symbol and a dollar sign
Neff Conner / Flickr

The North Carolina House of Representatives approved a plan Tuesday to allow non-profit groups of hospitals and doctors to manage care for most of the state’s 1.8 million Medicaid health recipients, formally setting the stage for a clash with the Senate over how to revamp the program.
 

The House plan, which lawmakers have discussed since at least 2011 when Republicans took over a majority in both chambers, would allow state health officials to pay the non-profits a predetermined amount of money for the medical care of each patient and would be phased in by as early as 2020.

Photo: The North Carolina seal in front of the state legislative building
Jorge Valencia

Lawmakers take up the state's budget with a month-end deadline looming. Senate leaders passed their plan this morning. It increases pay for new teachers but cuts back on teaching assistants. 

The $21 billion plan also puts Medicaid under the control of an outside agency. But the Senate plan differs greatly from the House proposal and the Governor's plan. Lawmakers need to reconcile the differences before June 30 or pass a continuing resolution to keep the government funded.

NC General Assembly; State Legislature.
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The North Carolina Senate gave preliminary approval on Wednesday afternoon to a two-year budget that would cut funding for thousands of public school teaching assistant positions, and would make significant policy changes to the state's tax code and Medicaid program.

The proposed $21.5 billion budget, which represents an almost 2 percent increase from the current year and was approved by Republicans along a party-line vote of 30-19, is scheduled for a final vote on Thursday.

N.C. General Assembly, State Legislature
Dave DeWitt

State Senate leaders held a news conference Monday to discuss details of their $21.47 billion budget proposal. The proposal is smaller than the state House’s budget plan released almost a month ago, and  would create a separate state agency to administer North Carolina’s Medicaid program.

WUNC Capitol Reporter Jorge Valencia said the Senate has only given a general idea of its budget proposal, and includes increasing the starting salary pay for teachers to $35,000 a year, a $2,000 increase.

Medicaid illustration: A Caduceus symbol and a dollar sign
Neff Conner / Flickr

A North Carolina House committee has approved a plan to remake the state’s costly Medicaid program by allowing hospitals and physicians to manage the money spent to care for each patient.

The plan, which would shift much of the financial risk of growing Medicaid costs to provider-led entities, was approved after more than two hours of heated debate in the House of Representatives health committee. The bill is expected to be scheduled for a hearing in the appropriations committee on Thursday morning.

Image of tools in doctor's office
Morgan via Flickr/Creative Commons

The Affordable Care Act is still attracting big enrollment numbers in North Carolina.

Nearly 500,000 people in the state have coverage, but premiums could rise by as much as 40 percent next year for some health plans.

   

And the Obama administration says more than 300,000 people still are not covered because the state did not expand Medicaid. 

Medicaid reform is at the forefront of the state's legislative agenda this session, but legislators are still debating how to design the reform. 

The Senate wants to privatize administration and let commercial insurance companies control the market while the House and Governor McCrory want state health care providers to be in charge. A new report from Wake Forest University argues for a hybrid strategy.

Illustration: Cadeceus
Flickr user takomabibelot

North Carolina lawmakers got the first granular look at the state’s Medicaid program in 20 years, showing the program’s improving financial condition but continuing major debts to medical providers.

The audit found the Medicaid fund balance was $350 million in the red for the fiscal year ended June 30, 2014—almost $59 million better than a year earlier.
 

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