Budget Process Halted; State Budget Delayed until at least August House and Senate Budget Conferees have been named to work out differences between the two versions of the state budget (H259, the Appropriations Act for 2023-2025); however, negotiations have been delayed. Legislative leaders have cited differences over both tax cuts/revenue changes and non-budget legislation, including…
Public Policy Update: Medicaid Expansion Bill Signed, House Budget Released, Make Your Voice Heard to Senate
Expansion Bill Passes, Signed by Governor: House Bill 76 Access to Healthcare Options was passed by the NC General Assembly March 23 and signed into law March 27. The bill would extend Medicaid benefits to people in the health care coverage gap, whose income is under 133% of the federal poverty levels and do not…
Public Policy Update: Governor’s Budget Released, Medicaid Expansion Bill Advances, Medicaid Services Updates
On March 15, the Governor released his budget proposal. It is quite extensive, and in this entry, we have listed some highlights of items that have an impact on many people on the autism spectrum and their families and which address our public policy priorities. Health and Human Services $126 million for 2,000 more Innovations waiver…
1915(i) Services Update: State Plan Amendment Released
Medicaid will be offering new services called 1915(i) services to people with intellectual and/or developmental disabilities (I/DD), including autism, as well as those with mental health issues and substance use disorders. 1915(i) services will eventually replace B3 services when Tailored Plans launch in April, 2023. Unlike B3, 1915(i) services are an entitlement. This means that…
Public Policy Updates – May 2022
Services in NC Medicaid Plan NC plans to offer additional services to people with intellectual and developmental disabilities, as well as others, under (i) services plan through the Medicaid program. When Tailored Plans begin operation December 1, 2022 as part of the state’s Medicaid Transformation some of the services that LME-MCOs offered under b(3) such…
Public Policy Update: Competitive Integrated Employment in North Carolina Enters New Era with Plan for Closure of “Sheltered Workshops” Â
The state of North Carolina (NC DHHS) announced they have entered into a settlement agreement with Disability Rights North Carolina and the Center for Public Representation to ensure that over 1,000 individuals with disabilities currently working in segregated employment settings have the opportunity to seek out community-based integrated competitive employment. Segregated employment settings, often called…
Community Inclusion and the “Olmstead” Plan
North Carolina recently went through an 18-month planning process to develop a new document outlining the steps that the state should take to ensure that people with disabilities are able to live, work, learn, and enjoy their lives alongside everyone else in their communities. Plans like this set meaningful goals to address the barriers people…
Setting the Record Straight: Medicaid Waivers, Medicaid Expansion, Medicaid Transformation
Note: The following is a primer on several issues happening at the same time in our Medicaid system. For background information on Medicaid as a whole, and how Medicaid works in North Carolina, please refer to the “Medicaid Basics” information at the end of this post, content re-published from our public policy papers available on…
Public Policy Update
Legislative Mini Session Wrap Up The North Carolina General Assembly (NCGA) returned to Raleigh on Wednesday, September 2 to allocate more than $900 million in federal Coronavirus money in a quick two-day process. Governor Cooper is widely expected to sign the bill; however, his office did note that they are still reviewing the legislation. Legislative…