North Carolina 2025-2026 Regular Session

North Carolina House Bill H453

Introduced
3/18/25  

Caption

Increase Medicaid PCS and PDN Rates

Impact

If enacted, the bill is set to significantly affect state health laws by providing increased funding for essential services under Medicaid. The proposed changes are expected to improve care standards and service availability for vulnerable populations in North Carolina. This direct response to the growing demand for personal and nursing care aims to help sustain both families and individuals reliant on Medicaid services. The anticipated influx of resources and improved rates is also positioned to support the workforce in these sectors, as better compensation may attract and retain qualified caregivers.

Summary

House Bill 453 aims to increase Medicaid reimbursement rates for personal care services (PCS) and private duty nursing (PDN) services in North Carolina. With an appropriation of approximately $119.2 million from the General Fund, the bill proposes raising the Medicaid rate for PCS to $7.50 per 15-minute increment. Similarly, it seeks to increase the PDN rate to $16.25 per 15 minutes, with an additional allocation of about $19.8 million. The funding is intended to enhance the quality and accessibility of care for Medicaid beneficiaries, particularly those requiring significant personal assistance and nursing services.

Sentiment

The sentiment surrounding HB 453 has been generally positive among representatives and advocates for healthcare reform. Supporters view the bill as a necessary step to improve service provision and support for individuals with significant health needs. The bipartisan sponsorship indicates a collaborative effort to enhance the well-being of constituents. However, as with many budget-related measures, there are concerns about the long-term financial implications, including sustainability and potential budget cuts to other areas.

Contention

Despite the support, the bill may face scrutiny from those cautious about the impact on the broader budget and allocation of resources. Contention could arise regarding how increased funding for Medicaid services might affect other state programs. There is also an ongoing debate about adequate funding levels relative to the needs of the population served, as advocates for health equity argue for comprehensive support that mirrors the rising costs of care.

Companion Bills

NC S366

Same As Increase Medicaid PCS and PDN Rates

Similar Bills

No similar bills found.