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S699 • 2025

Adult Care Home Medicaid PCS Coverage.

Adult Care Home Medicaid PCS Coverage.

Passed Legislature

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

Sponsor
Craven, Jackson, Sawrey
Last action
2025-03-26
Official status
Ref To Com On Rules and Operations of the Senate
Effective date
Not listed

Plain English Breakdown

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

Adult Care Home Medicaid PCS Coverage.

Adult Care Home Medicaid PCS Coverage.

What This Bill Does

  • Adult Care Home Medicaid PCS Coverage.

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.

Bill History

  1. 2025-03-26 Senate

    Ref To Com On Rules and Operations of the Senate

  2. 2025-03-26 Senate

    Passed 1st Reading

  3. 2025-03-25 Senate

    Filed

Official Summary Text

Adult Care Home Medicaid PCS Coverage.

Current Bill Text

Read the full stored bill text 
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 1
SENATE BILL 699

Short Title: Adult Care Home Medicaid PCS Coverage. (Public)
Sponsors: Senators Craven, Jackson, and Sawrey (Primary Sponsors).
Referred to: Rules and Operations of the Senate
March 26, 2025
*S699-v-1*
A BILL TO BE ENTITLED 1
AN ACT TO REQUIRE A REQUEST FOR FEDERAL APPROVAL TO EXTEND 2
MEDICAID ELIGIBILITY FOR PERSONAL CARE S ERVICES TO CERTAIN 3
INDIVIDUALS RESIDING IN ADULT CARE HOMES. 4
The General Assembly of North Carolina enacts: 5
SECTION 1. In conjunction with the requirements of Section 9E.26 of S.L. 6
2023-134 for the Department of Health and Human Services, Division of Health Benefits (DHB), 7
to explore options available to increase access to Medicaid services for dual eligibles that provide 8
alternatives to nursing home placements, DHB shall consult with stakeholders and shall submit 9
to the Centers for Medicare and Medicaid Services (CMS) a request that meets all of the 10
following goals: 11
(1) Provides Medicaid coverage of personal care service s to individuals who 12
reside in licensed adult care homes and special care units and whose income 13
exceeds the limit for participation in the State -County Special Assistance 14
Program authorized under G.S. 108A-40, but does not exceed either (i) 180% 15
of the federal poverty level, for individuals who, but for their income, would 16
qualify for State -County Special Assistance at the basic rate under 17
G.S. 108A-42.1 or (ii) 200% of the federal poverty level, for individuals who, 18
but for their income, would qualify for would qualify for State-County Special 19
Assistance at the enhanced rate under G.S. 108A-42.1. 20
(2) Ensures that the cost of any new Medicaid coverage being requested is offset 21
by savings or cost avoidance. 22
(3) Ensures compliance with applicable legal requirements. 23
SECTION 2. DHB shall take any actions necessary to implement this act and shall 24
submit the appropriate request to CMS within 90 days after this act becomes law. DHB shall only 25
implement the Medicaid coverage described in the request if (i) the request is approved by CMS, 26
and (ii) the request meets all of the goals in Section 1 of this act. 27
SECTION 3. This act is effective when it becomes law. 28