EBSINS Blog BC BS of NC Group Health Insurance


June 9, 2016

BC BS of NC Group Health Insurance

see article about Group Health Insurance Charlotte, NC

HB 1030 - 2016 Appropriations
The Senate released and passed their proposed committee substitute for the budget. The main focus in the press was on increases in the standard deduction for taxes and raises for state employees. The following items in the Senate budget address insurance and health care:

  • Regulatory Fee - The Insurance Regulatory Fee remains at 6.5%.
  • AIDS Drug Assistance Program (ADAP) - Identical to the provision in the House proposal, this section authorizes ADAP to use funds from the Ryan White HIV/AIDS Program to support eligible beneficiaries' private health insurance coverage, including premiums, copayments, and deductibles.
  • Improvements to the Controlled Substance Reporting System (CSRS) - Includes various steps to improve the CSRS, including certain mandatory uses by prescribers, with penalties for failing to do so.
  • Certificate of Public Advantage (COPA) Repeal - Moves up the repeal to September 30, 2016. The previous date was January 1, 2018.
  • Medication Assisted Opioid Abuse Pilot Program - Establishes and funds a three-year pilot program for Federally Qualified Health Centers, to study the effectiveness of combining behavioral therapy with medication treatment for opioid addicts. This provision was also in the House proposal.

The House version and Senate budget versions will be discussed in the upcoming conference committee.

SB 838 - Medicaid Transformation Modifications
This legislation surrounds the changes happening to North Carolina's Medicaid system, that were passed during the long session in 2015. This bill directs the Department of Health and Human Services (DHHS) to submit a report to the Joint Legislative Oversight Committee for Medicaid and NC Health Choice, as well as the Fiscal Research Division, on the status of NC's Medicaid transformation. As a reminder, the Medicaid system will move from fee for service to a "capitated" system, where each provider will be reimbursed a set fee, per enrollee.

The Senate and House passed differing versions of the bill, and the Senate did not agree to the House's version of the legislation. The House's version differs in the following ways:

  • Amends the powers of the DHHS Secretary, in administering and operating Medicaid and NC Health Choice Programs.
  • Adds a new section authorizing DHHS to seek approval from the Centers for Medicare and Medicaid Services (CMS) through the 1115 waiver to allow parents to maintain Medicaid eligibility while their child is being served by the foster care program on a temporary basis.
  • Amends what capitated contracts will not cover.

Future Issues

  • SB 734 - Statewide Standing Order/Opioid Antagonist
    This bill continues to move through both chambers, with another committee expected to approve it next week. Then it will be sent to the full House for a vote (see below).
  • HB 1048 - Reduce Barriers to Improve NC Health and Safety
    This bill remains in the House Insurance Committee.

Upcoming Committee Hearings

  • SB 734 - Statewide Standing Order/Opioid Antagonist
    Judiciary I - June 8, 12:30 pmBBB_Logo_Horizontal.jpg

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