SB 177 expands North Carolina's Medicaid Healthcare Access and Stabilization Program (HASP) to include qualifying freestanding psychiatric hospitals, allowing them to receive increased reimbursements for services. The bill creates a new assessment (a fee) on these hospitals, calculated as a percentage of their hospital costs, to fund the program. To implement this, the state must seek federal approval from CMS to include psychiatric hospitals in HASP. This change directly affects all Medicare-certified, state-licensed freestanding psychiatric hospitals in North Carolina, requiring them to pay the new assessment while gaining eligibility for enhanced Medicaid payments.
This bill creates a voluntary program allowing businesses in North Carolina to contribute to portable benefit accounts for their independent contractors. The plan enables hiring parties to fund benefits such as health insurance, retirement, and disability through a third-party administrator, which helps contractors maintain coverage when moving between jobs. To encourage participation, the legislation allows businesses to deduct contributions as business expenses and permits contractors to exclude those amounts from their taxable income. Additionally, the bill includes a $100,000 appropriation to fund public education about the program, which will take effect on July 1, 2026.
HB 491 prepares North Carolina's Medicaid program to implement work requirements if authorized by the federal Centers for Medicare and Medicaid Services (CMS). It requires the state's Division of Health Benefits to negotiate with CMS, notify oversight committees within 30 days of starting talks, and submit detailed reports after CMS approves any work requirements plan. The bill does not enact work requirements itself but establishes procedures for future implementation, including timelines for reporting funding needs. This would directly affect current Medicaid recipients if CMS approves work requirements, though the bill is procedural and conditional on federal approval. The legislation is currently in committee review and has not yet become law.
HB 139, titled "Baby Boxes/Newborn Safety Device," allows for the safe surrender of infants up to 30 days old using a specialized newborn safety device. This bill permits parents to place an infant in these devices, which must have a dual alarm system connected to the facility and be tested monthly. These devices can only be installed at continuously staffed emergency departments, emergency facilities, or social services offices, where qualified healthcare providers, first responders, or social services workers will take temporary custody of the infant. The act is set to become effective on October 1, 2025.
HB 123 makes it a crime for health care providers to willfully destroy, alter, or falsify medical records to conceal medical errors causing patient harm, illegally obtain money, or hide facts related to potential legal claims. It creates specific criminal penalties: a serious felony for hiding errors that caused injury or death, a lesser felony for financial gain, and a misdemeanor for other concealment. The law applies to all health care providers and becomes effective December 1, 2025. It explicitly states this does not affect existing civil remedies available to patients.
