Create 13,000 Jobs Serving People With I/DD.

SB 246 increases North Carolina's Medicaid Innovations Waiver slots by 5,000 for the 2025-2026 fiscal year and another 5,000 for 2026-2027, directly serving approximately 19,000 people with intellectual or developmental disabilities (I/DD) currently on a waiting list. The bill allocates $134 million (2025-2026) and $357.34 million (2026-2027) in state funds to cover a state match for federal funds, enabling these slots to be distributed based on waitlist length. It requires that direct care workers receive at least $20 per hour and ensures unused slots are redistributed to providers meeting wage and service capacity standards. This policy aims to reduce the waiting list, support caregivers in returning to work, and stimulate local economies through new jobs and community-based services.