SB 448 North Carolina Senate · 2025-2026 Session

Remove Employment Barriers/Ppl w Disabilities.

SB 448 removes two key barriers to Medicaid eligibility for North Carolina workers with disabilities under the "Health Coverage for Workers with Disabilities" program. It eliminates the federal limits on unearned income (like Social Security benefits) and countable assets (savings) that previously disqualified people from maintaining Medicaid coverage while working. The bill requires the state to seek federal CMS approval within 90 days to remove these limits, with implementation effective after CMS approval (targeting a July 2025 effective date). This change directly affects individuals with disabilities who currently face penalties for saving money or receiving certain benefits while enrolled in Medicaid, allowing them to retain healthcare coverage without losing eligibility due to income or asset thresholds. The state will provide $165,000 annually in funding for implementation starting July 2025.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 24, 2025 Last action Mar 25, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 3 edits
MINOR
The bill underwent formatting and administrative updates during its transition from filing to the first edition. Key changes include correcting the date reference from 'Center' to 'Centers for Medicare and Medicaid Services' and updating the bill's internal reference number from a draft code to the official session number. These are primarily technical corrections rather than substantive policy changes.
TECHNICAL

Corrected the agency name from 'Center' to 'Centers for Medicare and Medicaid Services' in the effective date provision.

Added the bill's official session number (S448-v-1) and updated the internal reference code from a draft identifier to the formal bill designation.

Removed draft versioning information and preliminary filing details that were present in the initial filed version.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 25, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Mar 24, 2025
Introduced
Filed
upper
1 primary · 10 co-sponsors

Sponsors