North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S83 Compare Versions

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11 GENERAL ASSEMBLY OF NORTH CAROLINA
22 SESSION 2025
3-S 1
4-SENATE BILL 83
3+S D
4+SENATE BILL DRS15039-NL-6A
5+
56
67
78 Short Title: Extend Primary Care Task Force. (Public)
89 Sponsors: Senator Hise (Primary Sponsor).
9-Referred to: Rules and Operations of the Senate
10-February 12, 2025
11-*S83-v-1*
10+Referred to:
11+
12+*DRS15039 -NL-6A*
1213 A BILL TO BE ENTITLED 1
1314 AN ACT TO EXTEND AND CLARIFY THE PRIMARY CARE PAYMENT REFORM TASK 2
1415 FORCE. 3
1516 The General Assembly of North Carolina enacts: 4
1617 SECTION 1. Section 9E.28 of S.L. 2023-134 reads as rewritten: 5
1718 "SECTION 9E.28.(a) There is established the North Carolina Primary Care Payment 6
1819 Reform Task Force (Task Force) within the Department of Health and Human Services, Division 7
1920 of Health Benefits, for budgetary purposes only. 8
2021 … 9
2122 "SECTION 9E.28.(b) The Task Force established under subsection (a) of this section shall 10
2223 have the following duties: 11
2324 (1) Establish a definition of primary care to be utilized by the Task Force. This 12
2425 term should be applicable to services and care provided under the NC 13
2526 Medicaid program, the State Health Plan, and commercial insurance. 14
2627 (2) Conduct an actuarial evaluation of the current healthcare spend on primary 15
2728 care services, both as it relates to the NC Medicaid program and the 16
2829 commercial market, including Medicare Advantage plans. 17
2930 (3) Determine the adequacy of the primary care delivery system in North 18
3031 Carolina, including the impact this system has on the supply of the primary 19
3132 care providers in this State. 20
3233 (4) Study the primary care payment landscape in other states, specifically 21
3334 considering states that have implemented a minimum primary care spend. 22
3435 (5) Identify data collection and measurement systems to inform creation of a 23
3536 primary care investment target for the NC Medicaid program, the State Health 24
3637 Plan, and commercial insurance. This includes a method by which to measure 25
3738 improvements made toward that target. 26
3839 (5a) Collect and compile data and other information related to healthcare spend on 27
3940 primary care services in a manner that is compliant with the Health Insurance 28
4041 Portability and Accountability Act of 1996 (HIPAA). Within 30 days of a 29
4142 request for data or information from the Task Force, all entities shall comply 30
4243 with the Task Force's request. 31
4344 (6) Evaluate the need for a permanent Primary Care Payment Reform Task Force, 32
4445 or other similar entity, including which State agency or body is best suited to 33
4546 oversee the work of that group. 34
4647 (7) Perform any other studies, evaluations, or determinations the Task Force 35
47-considers necessary. 36 General Assembly Of North Carolina Session 2025
48-Page 2 Senate Bill 83-First Edition
48+considers necessary. 36
49+FILED SENATE
50+Feb 11, 2025
51+S.B. 83
52+PRINCIPAL CLERK General Assembly Of North Carolina Session 2025
53+Page 2 DRS15039-NL-6A
4954 "SECTION 9E.28.(b1) The Department of Health and Human Services shall develop, and 1
5055 the Task Force and the Department of Health and Human Services shall implement, a detailed 2
5156 data security and safeguarding plan for the data requested pursuant to subsection (b) of this 3
5257 section that includes all of the following: 4
5358 (1) Guidelines for authorizing access to the data, including guidelines for 5
5459 authentication of authorized access. 6
5560 (2) Privacy compliance standards. 7
5661 (3) Privacy and security audits. 8
5762 (4) Breach planning, notification, and procedures. 9
5863 (5) Data retention and disposition policies. 10
5964 (6) Data security policies, including electronic, physical, and administrative 11
6065 safeguards such as data encryption and training of employees. 12
6166 "SECTION 9E.28.(b2) The data collected by the Task Force under subsection (b) of this 13
6267 section, regardless of where it is housed, shall not be considered a public record within the 14
6368 meaning of Chapter 132 of the General Statutes. 15
6469 "SECTION 9E.28.(c) No later than April 1, 2024, and April 1, 2026, the Task Force shall 16
6570 submit a report with its findings and recommendations to the Joint Legislative Oversight 17
6671 Committee on Health and Human Services and the Joint Legislative Oversight Committee on 18
6772 Medicaid. These findings and recommendations shall include specific, concrete, and actionable 19
6873 steps to be undertaken by the State and upon which the General Assembly could act. 20
6974 "SECTION 9E.28.(d) This section shall expire on May 1, 2024.December 31, 2026." 21
7075 SECTION 2. This act is effective retroactive to July 1, 2023. 22