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S896 • 2025
Increase Medicaid PCS and PDN Rates.
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
Increase Medicaid PCS and PDN Rates.
Re-ref Com On Appropriations/Base Budget
Withdrawn From Com
Ref To Com On Rules and Operations of the Senate
Passed 1st Reading
Filed
Increase Medicaid PCS and PDN Rates.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 896 Short Title: Increase Medicaid PCS and PDN Rates. (Public) Sponsors: Senator Burgin (Primary Sponsor). Referred to: Rules and Operations of the Senate April 30, 2026 *S896-v-1* A BILL TO BE ENTITLED 1 AN ACT TO INCREASE MEDICAID REIMBURSEMENT RATES FOR PERSONAL CARE 2 SERVICES AND PRIVATE DUTY NURSING SERVICES. 3 The General Assembly of North Carolina enacts: 4 SECTION 1. There is appropriated from the General Fund to the Department of 5 Health and Human Services, Division of Health Benefits (DHB), the sum of one hundred twenty 6 million eight hundred thousand dollars ($120,800,000) in recurring funds beginning in the 7 2026-2027 fiscal year to be used to increase to seven dollars and fifty cents ($7.50) per 15-minute 8 increment the Medicaid rate paid for personal care services pursuant to Medicaid Clinical 9 Coverage Policies 3L, 3K-1, and 3K-2 provided to Medicaid beneficiaries through the State Plan 10 Personal Care Services Program (PCS), Community Alternatives Program for Children (CAP/C), 11 Community Alternatives Program for Disabled Adults (CAP/DA), and Community Alternatives 12 Program Choice (CAP/CO). These funds shall provide a St ate match for two hundred sixteen 13 million two hundred thousand dollars ($216,200,000) in recurring federal funds for the 14 2026-2027 fiscal year, and those funds are appropriated to DHB for the same purpose. 15 SECTION 2. There is appropriated from the General Fund to the Department of 16 Health and Human Services, Division of Health Benefits (DHB), the sum of twenty million one 17 hundred thousand dollars ($20,100,000) in recurring funds beginning in the 2026 -2027 fiscal 18 year to be used to increase to sixteen dollar s and twenty -five cents ($16.25) per 15 -minute 19 increment the Medicaid rate paid for private duty nursing services pursuant to Medicaid Clinical 20 Coverage Policies 3G -1: Private Duty Nursing for Beneficiaries Age 21 and Older and 3G -2: 21 Private Duty Nursing for Beneficiaries Under 21 Years of Age. These funds shall provide a State 22 match for thirty -five million nine hundred thousand dollars ($35,900,000) in recurring federal 23 funds for the 2026 -2027 fiscal year, and those funds are appropriated to DHB for the sa me 24 purpose. 25 SECTION 3. This act becomes effective July 1, 2026. 26