| 12 | 13 | | A BILL TO BE ENTITLED 1 |
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| 13 | 14 | | AN ACT TO INCREASE MEDICAID REIMBURSEMENT RATES FOR PERSONAL CARE 2 |
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| 14 | 15 | | SERVICES AND PRIVATE DUTY NURSING SERVICES . 3 |
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| 15 | 16 | | The General Assembly of North Carolina enacts: 4 |
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| 16 | 17 | | SECTION 1. There is appropriated from the General Fund to the Department of 5 |
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| 17 | 18 | | Health and Human Services, Division of Health Benefits, the sum of one hundred nineteen 6 |
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| 18 | 19 | | million two hundred thousand dollars ($119,200,000) in recurring funds for each year of the 7 |
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| 19 | 20 | | 2025-2027 fiscal biennium to be used to increase to seven dollars and fifty cents ($7.50) per 8 |
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| 20 | 21 | | 15-minute increment the Medicaid rate paid for personal care services pursuant to Medicaid 9 |
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| 21 | 22 | | Clinical Coverage Policies 3L, 3K-1, and 3K-2 provided to Medicaid beneficiaries through the 10 |
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| 22 | 23 | | State Plan Personal Care Services Program (PCS), Community Alternatives Program for 11 |
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| 23 | 24 | | Children (CAP/C), Community Alternatives Program for Disabled Adults (CAP/DA), and 12 |
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| 24 | 25 | | Community Alternatives Program Choice (CAP/CO). These funds shall provide a State match 13 |
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| 25 | 26 | | for two hundred seventeen million eight hundred thousand dollars ($217,800,000) in recurring 14 |
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| 26 | 27 | | federal funds for each year of the 2025-2027 fiscal biennium, and those funds are appropriated 15 |
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| 27 | 28 | | to the Division of Health Benefits for the same purpose. 16 |
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| 28 | 29 | | SECTION 2. There is appropriated from the General Fund to the Department of 17 |
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| 29 | 30 | | Health and Human Services, Division of Health Benefits, the sum of nineteen million eight 18 |
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| 30 | 31 | | hundred thousand dollars ($19,800,000) in recurring funds for each year of the 2025-2027 fiscal 19 |
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| 31 | 32 | | biennium to be used to increase to sixteen dollars and twenty-five cents ($16.25) per 15 minutes 20 |
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| 32 | 33 | | the Medicaid rate paid for private duty nursing services pursuant to Medicaid Clinical Coverage 21 |
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| 33 | 34 | | Policies 3G-1: Private Duty Nursing for Beneficiaries Age 21 and Older and 3G-2: Private Duty 22 |
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| 34 | 35 | | Nursing for Beneficiaries Under 21 Years of Age. These funds shall provide a State match for 23 |
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| 35 | 36 | | thirty-six million two hundred thousand dollars ($36,200,000) in recurring federal funds for each 24 |
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| 36 | 37 | | year of the 2025-2027 fiscal biennium, and those funds are appropriated to the Division of Health 25 |
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| 37 | 38 | | Benefits for the same purpose. 26 |
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| 38 | 39 | | SECTION 3. This act becomes effective July 1, 2025. 27 |
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