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H390 • 2025

Medicaid Prepaid Health Plan Practices.

Medicaid Prepaid Health Plan Practices.

Energy Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Cunningham, White, Blackwell, Reeder, Almond, Belk, G. Brown, T. Brown, Carney, Clark, Harrison, Huneycutt, F. Jackson, N. Jackson, Logan, Longest, Penny, Price, Rubin, Schietzelt, Scott, Ward
Last action
2026-05-12
Official status
Re-ref Com On Rules, Calendar, and Operations of the House
Effective date
2026-01-01

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Medicaid Prepaid Health Plan Practices.

H390-SMBP-11(e1)-v-2 (2025-04-08): Alleviate the Dangers of Surgical Smoke.

What This Bill Does

  • H390-SMBP-11(e1)-v-2 (2025-04-08): Alleviate the Dangers of Surgical Smoke.
  • H390-SMBP-14(e1)-v-2 (2025-04-09): Alleviate the Dangers of Surgical Smoke.
  • H390-SMTR-47(CSTR-10)-v-6 (2026-04-30): Medicaid Prepaid Health Plan Practices.
  • H390-SMTR-48(e2)-v-3 (2026-05-05): Medicaid Prepaid Health Plan Practices.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 390: Alleviate the Dangers of Surgical Smoke.

  • 2025-2026 General Assembly HOUSE BILL 390: Alleviate the Dangers of Surgical Smoke.
  • Committee: House Health.
  • If favorable, re -refer to Rules, Calendar, and Operations of the House Date: April 8, 2025 Introduced by: Reps.
  • Cunningham, White, Blackwell, Reeder Prepared by: Jessica Boney Staff Attorney Analysis of: First Edition Kara McCraw Director *H390-SMBP-11(e1)-v-2* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 390: Alleviate the Dangers of Surgical Smoke.

  • 2025-2026 General Assembly HOUSE BILL 390: Alleviate the Dangers of Surgical Smoke.
  • Committee: House Rules, Calendar, and Operations of the House Date: April 9, 2025 Introduced by: Reps.
  • Cunningham, White, Blackwell, Reeder Prepared by: Jessica Boney Staff Attorney Analysis of: First Edition Kara McCraw Director *H390-SMBP-14(e1)-v-2* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
  • OVERVIEW: House Bill 390 would establish standards in hospitals and ambulatory surgical facilities for the evacuation/filtering of surgical smoke produced by energy-generating devices.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 390: Medicaid Prepaid Health Plan Practices.

  • 2025-2026 General Assembly HOUSE BILL 390: Medicaid Prepaid Health Plan Practices.
  • Committee: Senate Health Care.
  • If favorable, re -refer to Rules and Operations of the Senate Date: April 29, 2026 Introduced by: Reps.
  • Cunningham, White, Blackwell, Reeder Prepared by: Jennifer Hillman Staff Attorney Analysis of: PCS to First Edition H390-CSTR-10 Kara McCraw Director *H390-SMTR-47(CSTR-10)-v-6* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
Filed

Plain English: 2025-2026 General Assembly HOUSE BILL 390: Medicaid Prepaid Health Plan Practices.

  • 2025-2026 General Assembly HOUSE BILL 390: Medicaid Prepaid Health Plan Practices.
  • Committee: Senate Rules and Operations of the Senate Date: May 5, 2026 Introduced by: Reps.
  • Cunningham, White, Blackwell, Reeder Prepared by: Jennifer Hillman Staff Attorney Analysis of: Second Edition Kara McCraw Director *H390-SMTR-48(e2)-v-3* Legislative Analysis Division 919-733-2578 This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
  • OVERVIEW: House Bill 390 would direct the Department of Health and Human Services (DHHS) not to prohibit Medicaid prepaid health plans from aligning claims operations with national standards and from directing inpatient hospital and inpatient hospital laboratory services to outpatient s ettings where appropriate.

Bill History

  1. 2026-05-12 House

    Re-ref Com On Rules, Calendar, and Operations of the House

  2. 2026-05-12 House

    Withdrawn From Cal

  3. 2026-05-11 House

    Placed On Cal For 05/13/2026

  4. 2026-05-11 House

    Cal Pursuant 36(b)

  5. 2026-05-07 House

    Regular Message Received For Concurrence in S Com Sub

  6. 2026-05-07 Senate

    Regular Message Sent To House

  7. 2026-05-06 Senate

    Engrossed

  8. 2026-05-06 Senate

    Passed 3rd Reading

  9. 2026-05-06 Senate

    Passed 2nd Reading

  10. 2026-05-06 Senate

    Amend Adopted A1

  11. 2026-05-05 Senate

    Reptd Fav

  12. 2026-04-30 Senate

    Re-ref Com On Rules and Operations of the Senate

  13. 2026-04-30 Senate

    Com Substitute Adopted

  14. 2026-04-30 Senate

    Reptd Fav Com Substitute

  15. 2025-05-19 Senate

    Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  16. 2025-05-19 Senate

    Withdrawn From Com

  17. 2025-04-28 Senate

    Ref To Com On Rules and Operations of the Senate

  18. 2025-04-28 Senate

    Passed 1st Reading

  19. 2025-04-28 Senate

    Regular Message Received From House

  20. 2025-04-17 House

    Regular Message Sent To Senate

  21. 2025-04-16 House

    Passed 3rd Reading

  22. 2025-04-16 House

    Passed 2nd Reading

  23. 2025-04-15 House

    Placed On Cal For 04/16/2025

  24. 2025-04-10 House

    Cal Pursuant Rule 36(b)

  25. 2025-04-10 House

    Reptd Fav

  26. 2025-04-08 House

    Re-ref Com On Rules, Calendar, and Operations of the House

  27. 2025-04-08 House

    Reptd Fav

  28. 2025-03-13 House

    Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House

  29. 2025-03-13 House

    Passed 1st Reading

  30. 2025-03-12 House

    Filed

Official Summary Text

H390-SMBP-11(e1)-v-2
(2025-04-08): Alleviate the Dangers of Surgical Smoke.
H390-SMBP-14(e1)-v-2
(2025-04-09): Alleviate the Dangers of Surgical Smoke.
H390-SMTR-47(CSTR-10)-v-6
(2026-04-30): Medicaid Prepaid Health Plan Practices.
H390-SMTR-48(e2)-v-3
(2026-05-05): Medicaid Prepaid Health Plan Practices.

Current Bill Text

Read the full stored bill text 
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 3
HOUSE BILL 390
Senate Health Care Committee Substitute Adopted 4/30/26
Third Edition Engrossed 5/6/26

Short Title: Medicaid Prepaid Health Plan Practices. (Public)
Sponsors:
Referred to:
March 13, 2025
*H390-v-3*
A BILL TO BE ENTITLED 1
AN ACT TO ALLOW CERTAIN MEDICAID PREPAID HEALTH PLAN PRACTICES. 2
The General Assembly of North Carolina enacts: 3
SECTION 1. G.S. 108D-65(b), as amended by Section 3C.15 of S.L. 2026-1, reads 4
as rewritten: 5
"(b) Except as required by federal law or regulation, the Department shall not prohibit 6
PHPs from requiring doing any of the following: 7
(1) Requiring itemized bills for inpatient hospital outlier claims that are greater 8
than two hundred fifty thousand dollars ($250,000) or more than two standard 9
deviations from the median mean claim amount of the applicable billing code. 10
(2) Aligning claims operations with national standards for coding, edits, and 11
claims adjudication, except that the Department may set parameters to ensure 12
consistent claims coding among PHPs. 13
(3) Directing inpatient hospital and inpatient hospital laboratory services to 14
outpatient settings where appropriate, except that the Department may 15
establish standards for when direction to outpatient settings is appropriate. The 16
Department is authorized to adopt rules establishing these standards." 17
SECTION 2. This act is effective when it becomes law and applies to contracts 18
entered into or amended on or after that date. 19