| 13 | 13 | | A BILL TO BE ENTITLED 1 |
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| 14 | 14 | | AN ACT TO EXTEND AND CLARIFY THE PRIMARY CARE PAYMENT REFORM TASK 2 |
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| 15 | 15 | | FORCE. 3 |
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| 16 | 16 | | The General Assembly of North Carolina enacts: 4 |
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| 17 | 17 | | SECTION 1. Section 9E.28 of S.L. 2023-134 reads as rewritten: 5 |
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| 18 | 18 | | "SECTION 9E.28.(a) There is established the North Carolina Primary Care Payment 6 |
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| 19 | 19 | | Reform Task Force (Task Force) within the Department of Health and Human Services, Division 7 |
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| 20 | 20 | | of Health Benefits, for budgetary purposes only. 8 |
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| 21 | 21 | | … 9 |
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| 22 | 22 | | "SECTION 9E.28.(b) The Task Force established under subsection (a) of this section shall 10 |
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| 23 | 23 | | have the following duties: 11 |
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| 24 | 24 | | (1) Establish a definition of primary care to be utilized by the Task Force. This 12 |
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| 25 | 25 | | term should be applicable to services and care provided under the NC 13 |
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| 26 | 26 | | Medicaid program, the State Health Plan, and commercial insurance. 14 |
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| 27 | 27 | | (2) Conduct an actuarial evaluation of the current healthcare spend on primary 15 |
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| 28 | 28 | | care services, both as it relates to the NC Medicaid program and the 16 |
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| 29 | 29 | | commercial market, including Medicare Advantage plans. 17 |
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| 30 | 30 | | (3) Determine the adequacy of the primary care delivery system in North 18 |
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| 31 | 31 | | Carolina, including the impact this system has on the supply of the primary 19 |
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| 32 | 32 | | care providers in this State. 20 |
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| 33 | 33 | | (4) Study the primary care payment landscape in other states, specifically 21 |
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| 34 | 34 | | considering states that have implemented a minimum primary care spend. 22 |
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| 35 | 35 | | (5) Identify data collection and measurement systems to inform creation of a 23 |
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| 36 | 36 | | primary care investment target for the NC Medicaid program, the State Health 24 |
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| 37 | 37 | | Plan, and commercial insurance. This includes a method by which to measure 25 |
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| 38 | 38 | | improvements made toward that target. 26 |
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| 39 | 39 | | (5a) Collect and compile data and other information related to healthcare spend on 27 |
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| 40 | 40 | | primary care services in a manner that is compliant with the Health Insurance 28 |
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| 41 | 41 | | Portability and Accountability Act of 1996 (HIPAA). Within 30 days of a 29 |
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| 42 | 42 | | request for data or information from the Task Force, all entities shall comply 30 |
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| 43 | 43 | | with the Task Force's request. 31 |
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| 44 | 44 | | (6) Evaluate the need for a permanent Primary Care Payment Reform Task Force, 32 |
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| 45 | 45 | | or other similar entity, including which State agency or body is best suited to 33 |
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| 46 | | - | oversee the work of that group. 34 General Assembly Of North Carolina Session 2025 |
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| 47 | | - | Page 2 House Bill 629-First Edition |
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| 48 | | - | (7) Perform any other studies, evaluations, or determinations the Task Force 1 |
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| 49 | | - | considers necessary. 2 |
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| 50 | | - | "SECTION 9E.28.(b1) The Department of Health and Human Services shall develop, and 3 |
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| 51 | | - | the Task Force and the Department of Health and Human Services shall implement, a detailed 4 |
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| 52 | | - | data security and safeguarding plan for the data requested pursuant to subsection (b) of this 5 |
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| 53 | | - | section that includes all of the following: 6 |
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| 54 | | - | (1) Guidelines for authorizing access to the data, including guidelines for 7 |
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| 55 | | - | authentication of authorized access. 8 |
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| 56 | | - | (2) Privacy compliance standards. 9 |
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| 57 | | - | (3) Privacy and security audits. 10 |
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| 58 | | - | (4) Breach planning, notification, and procedures. 11 |
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| 59 | | - | (5) Data retention and disposition policies. 12 |
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| 60 | | - | (6) Data security policies, including electronic, physical, and administrative 13 |
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| 61 | | - | safeguards such as data encryption and training of employees. 14 |
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| 62 | | - | "SECTION 9E.28.(b2) The data collected by the Task Force under subsection (b) of this 15 |
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| 63 | | - | section, regardless of where it is housed, shall not be considered a public record within the 16 |
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| 64 | | - | meaning of Chapter 132 of the General Statutes. 17 |
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| 65 | | - | "SECTION 9E.28.(c) No later than April 1, 2024, and April 1, 2026, the Task Force shall 18 |
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| 66 | | - | submit a report with its findings and recommendations to the Joint Legislative Oversight 19 |
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| 67 | | - | Committee on Health and Human Services and the Joint Legislative Oversight Committee on 20 |
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| 68 | | - | Medicaid. These findings and recommendations shall include specific, concrete, and actionable 21 |
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| 69 | | - | steps to be undertaken by the State and upon which the General Assembly could act. 22 |
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| 70 | | - | "SECTION 9E.28.(d) This section shall expire on May 1, 2024.December 31, 2026." 23 |
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| 71 | | - | SECTION 2. This act is effective retroactive to July 1, 2023. 24 |
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| 46 | + | oversee the work of that group. 34 |
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| 47 | + | (7) Perform any other studies, evaluations, or determinations the Task Force 35 |
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| 48 | + | considers necessary. 36 |
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| 49 | + | H.B. 629 |
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| 50 | + | Mar 31, 2025 |
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| 51 | + | HOUSE PRINCIPAL CLERK General Assembly Of North Carolina Session 2025 |
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| 52 | + | Page 2 DRH30277-NL-81 |
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| 53 | + | "SECTION 9E.28.(b1) The Department of Health and Human Services shall develop, and 1 |
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| 54 | + | the Task Force and the Department of Health and Human Services shall implement, a detailed 2 |
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| 55 | + | data security and safeguarding plan for the data requested pursuant to subsection (b) of this 3 |
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| 56 | + | section that includes all of the following: 4 |
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| 57 | + | (1) Guidelines for authorizing access to the data, including guidelines for 5 |
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| 58 | + | authentication of authorized access. 6 |
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| 59 | + | (2) Privacy compliance standards. 7 |
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| 60 | + | (3) Privacy and security audits. 8 |
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| 61 | + | (4) Breach planning, notification, and procedures. 9 |
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| 62 | + | (5) Data retention and disposition policies. 10 |
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| 63 | + | (6) Data security policies, including electronic, physical, and administrative 11 |
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| 64 | + | safeguards such as data encryption and training of employees. 12 |
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| 65 | + | "SECTION 9E.28.(b2) The data collected by the Task Force under subsection (b) of this 13 |
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| 66 | + | section, regardless of where it is housed, shall not be considered a public record within the 14 |
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| 67 | + | meaning of Chapter 132 of the General Statutes. 15 |
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| 68 | + | "SECTION 9E.28.(c) No later than April 1, 2024, and April 1, 2026, the Task Force shall 16 |
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| 69 | + | submit a report with its findings and recommendations to the Joint Legislative Oversight 17 |
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| 70 | + | Committee on Health and Human Services and the Joint Legislative Oversight Committee on 18 |
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| 71 | + | Medicaid. These findings and recommendations shall include specific, concrete, and actionable 19 |
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| 72 | + | steps to be undertaken by the State and upon which the General Assembly could act. 20 |
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| 73 | + | "SECTION 9E.28.(d) This section shall expire on May 1, 2024.December 31, 2026." 21 |
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| 74 | + | SECTION 2. This act is effective retroactive to July 1, 2023. 22 |
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