GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 1
SENATE BILL 403
Short Title: Medicaid Work Requirements. (Public)
Sponsors: Senator Hise (Primary Sponsor).
Referred to: Rules and Operations of the Senate
March 25, 2025
*S403 -v-1*
A BILL TO BE ENTITLED 1
AN ACT TO PROVIDE FO R THE EXPEDIENT IMPL EMENTATION OF MEDICA ID 2
WORK REQUIREMENTS. 3
The General Assembly of North Carolina enacts: 4
SECTION 1. Section 2.4 of S.L. 2023-7 reads as rewritten: 5
"SECTION 2.4. If there is any indication that work requirements as a condition of 6
participation in the Medicaid program may be authorized by the Centers for Medicare and 7
Medicaid Services (CMS), then the Department of Health and Human Services, Division of 8
Health Benefits (DHB), shall enter into negotiations with CMS to develop a plan for those work 9
requirements and to obtain approval of that plan. Within 30 days of entering into negotiations 10
with CMS pursuant to this section, DHB shall notify, in writing, the Joint Legislative Oversight 11
Committee on Medicaid (JLOC) and the Fiscal Research Division (FRD) of these negotiations. 12
Within 30 days of approval by CMS of a plan for work requirements as a condition of 13
participation in the Medicaid program, DHB shall submit a report to JLOC and FRD containing 14
the full details of the approved work requirements, including the approved date of 15
implementation of the requirements and any funding necessary to implement or maintain the 16
requirements. Notwithstanding any provision of G.S. 108A-54.3A to the contrary, the 17
Department of Health and Human Services shall implement any work requirements as a condition 18
of participation in the Medicaid program approved by the Centers for Medicare and Medicaid 19
Services in accordance with this section." 20
SECTION 2. This act is effective when it becomes law. 21