Increase Medicaid Personal Care Services and Private Duty Nursing Rates.

HB 453 increases Medicaid reimbursement rates for two specific services in North Carolina. It raises the rate for personal care services (e.g., help with daily tasks) to $7.50 per 15-minute increment for beneficiaries in programs like State Plan Personal Care Services and Community Alternatives programs. It also increases private duty nursing rates to $16.25 per 15 minutes for both children under 21 and adults, using state funds to match federal support. The changes, effective July 1, 2025, will directly affect Medicaid beneficiaries receiving these services through approved programs.