Medicaid

State Senate chamber
Dave DeWitt

Senate and House leaders are expected to begin meeting in conference committees this week to make adjustments to the two-year budget plan. 

They have until June 30th to resolve differences and send their spending plan to Governor Pat McCrory.

Medicaid funding and teacher pay raises are expected to be the key sticking points in negotiations. But many Republicans, like Representative Craig Horn (R-Union), say they’re optimistic about the process.

The state’s Medicaid Reform Advisory Committee is comprised by Sen. Louis Pate, Dr. Richard Gilbert, Dennis Barry, Peggy Terhune and Rep. Nelson Dollar
Jorge Valencia

A committee in the state House of Representatives is recommending a plan to reform Medicaid insurance for people who are poor or disabled.

The proposal says a majority of Medicaid patients would be treated by providers who receive a fixed amount of money per patient.

The governor’s office shows support for the bill. Health and Human Services Secretary Aldona Wos praised it in a committee hearing Thursday.

"We are very pleased with the House bill that it closely aligns with Gov. McCrory's medicaid reform plan," Wos said.

Protesters gathered outside the Senate chamber to demonstrate against policies they say are regressive.

Nineteen Moral Monday protesters were arrested yesterday after demonstrating in the legislative building against budget proposals and policies passed by Republican-led General Assembly.

Dozens of protesters stomped, danced, and chanted at the very tops of their lungs, days after a superior court judge struck down new rules that prohibit loud activities and noises that would cause disturbances. The Wake County judge on Friday argued that the rules were unconstitutional, overly broad and vague.

North Carolina Senate
Government & Heritage Library, State Library of NC / www.flickr.com/photos/statelibrarync/8634329145/

Senate leaders have released their proposed budget for the next fiscal year. They’re looking to spend about 21 billion dollars. Their plan would make substantial changes to the Medicaid program - and would scale back several state agencies, including the Department of Justice. Senate leaders also proposed hefty pay raises for public school teachers. 

For months now, Senate leaders have made it very clear that they want to give teachers pay raises. But they’ve been pretty coy about the details until this week.

North Carolina Legislative building
NC General Assembly

  Moral Monday protests resume as the General Assembly's short session continues. Protestors visit individual lawmakers today to lobby for Medicaid expansion, unemployment insurance and education reform. Last week, the North Carolina Senate approved a fracking bill and tentatively approved a regulatory overhaul. Both pieces of legislation may face challenges in the House. 

Image of NC General Assembly where lawmakers are considering two controversial bills.
Credit NC General Assembly

Officials with the state Department of Health and Human Services say they still expect a Medicaid shortfall of between $120- and $140-million this year. They spoke before state lawmakers today in a committee meeting at the General Assembly.

They first predicted a shortfall of this size about three weeks ago, and it's less than budget overruns of previous years. Republican Representative Nelson Dollar of Cary says that's good news.

Katie Short (far left in purple), mother Mary next to her.
Jessica Jones

Every month, state lawmakers on the General Assembly’s Health and Human Services Oversight Committee hold meetings to talk about health policy in North Carolina. Legislators sit at the front of the room to discuss their agenda, as staff members, reporters, and lobbyists listen. But in the back of the room, a mother and daughter, Mary and Katie Short, who attend every single meeting keep their eye on things too.

N.C. General Assembly, State Legislature
Dave DeWitt

State officials say they expect a funding shortfall for the state’s Medicaid program this fiscal year.

Pam Kilpatrick is with the Office of State Budget and Management. She told state lawmakers what her office’s estimate was at a Health and Human Services oversight meeting this morning:

“The 120 to 140 million dollars would be the sum total of all the moving parts. That will be attributed as the department walks through the specifics,  and their methodologies, and they’re using more than one methodology to come up with this shortfall range.”

NC General Assembly

Members of the General Assembly’s Health and Human Services committee are scheduled to meet today in Raleigh. One of the biggest tasks the committee faces is reforming Medicaid- the program that provides health care for people in poverty.

Earlier this year, state officials seemed to be advocating for a move to managed care. But a new proposal recently put forth by state health officials would build on the state’s current system of treating Medicaid patients.

Doctors at Duke Hospital.
Duke Medecine

The NC Department of Health and Human Services unveiled its plan on Monday to reform the state's Medicaid system. While it had already signaled a shift from Managed Care Organizations (MCOs) to Accountable Care Organizations (ACOs) months ago, the new plan partially outlines how the state would like to achieve that shift.

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