SB 613 North Carolina Senate · 2025-2026 Session

Number of Medicaid Standard Plan Contracts.

SB 613 adjusts how North Carolina awards Medicaid coverage contracts to private health plans and provider-led groups. It sets a maximum of four statewide contracts for private health plans (PHPs) and limits subsequent contracts to four regional or statewide contracts for provider-led entities (PLEs), down from a previous cap of 12. This directly affects Medicaid recipients by determining which organizations provide their coverage, and impacts PHPs and PLEs competing for state contracts. The bill specifies that PLEs must bid for contiguous regions and clarifies how contracts are awarded if fewer than four qualified bids are received.

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2025

Committee Review

Floor Vote

Governor

Introduced Mar 25, 2025 Last action Mar 26, 2025

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What changed between versions

Filed → Edition 1 · 3 edits

MINOR

This version of SB 613 includes administrative formatting updates and metadata changes rather than substantive policy modifications. The bill's core provisions regarding Medicaid Standard Plan Contracts remain unchanged, with only the document's presentation and tracking information being updated.

TECHNICAL

Removed the original filing date stamp (Mar 25, 2025) and internal tracking number (DRS45177-NL-44) from the header section

Added the current session date (March 26, 2025) and updated the bill reference to show Senate Bill 613 with edition identifier S613-v-1

Changed the footer tracking information from the internal document code to the public-facing bill number format

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Full legislative history

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Committee

Mar 26, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

Mar 25, 2025

Introduced

Filed

upper

0 primary · 1 co-sponsor