North Carolina SB 403: Prohibit Weapons at Voting Place.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 2
SENATE BILL 403
House Committee Substitute Favorable 9/23/25

Short Title: Additional Medicaid Funds and Requirements. (Public)
Sponsors:
Referred to:
March 25, 2025
*S403-v-2*
A BILL TO BE ENTITLED 1
AN ACT TO ADJUST MEDICAID FUNDING TO ACCOUNT FOR PROJECTED HEALTH 2
CARE CHANGES, TO MAKE REDUCTIONS TO VACANT POSITIONS ACROSS 3
STATE AGENCIES, AND TO REDUCE FUNDING APPROPRIATED TO FUTURE 4
BUILDING RESERVES AND THE STATE CAPITAL AND INFRASTRUCTURE FUND. 5
The General Assembly of North Carolina enacts: 6
7
PART I. GENERAL 8
9
ADDITIONAL AGENCY VACANT POSITION CUTS 10
SECTION 1.1.(a) Reduction. – By October 1, 2025, the Governor and the Office of 11
State Budget and Management shall identify and eliminate vacant positions in State agencies 12
necessary to achieve a total reduction of not less than nineteen million seven hundred forty-two 13
thousand two hundred forty-three dollars ($19,742,243) in recurring funds, beginning with the 14
2025-2026 fiscal year. For purposes of this section, "State agency" means the principal 15
departments listed in G.S. 143B-6, with the exception of the State Bureau of Investigation and 16
the State Highway Patrol. 17
SECTION 1.1.(b) Report. – The Office of State Budget and Management shall 18
submit a report to the Fiscal Research Division with a list of each position eliminated, identified 19
by position number, title, and the amount of salary and fringe benefits associated with the 20
position, no later than December 1, 2025. 21
22
PART II. HEALTH AND HUMAN SERVICES 23
24
DHHS MANDATORY VACANT POSITION ELIMINATIONS 25
SECTION 2.1. The Department of Health and Human Services shall eliminate 26
vacant positions to achieve net General Fund savings in the amount of thirty-two million six 27
hundred thirteen thousand four hundred ninety-three dollars ($32,613,493) in recurring funds 28
beginning with the 2025-2026 fiscal year. 29
30
MEDICAID REBASE AND MANAGED CARE ADMINISTRATION 31
SECTION 2.2. Section 2B.10 of S.L. 2025-89 reads as rewritten: 32
"SECTION 2B.10. 2B.10.(a) There is appropriated from the General Fund to the 33
Department of Health and Human Services, Division of Health Benefits, the sum of six hundred 34
million dollars ($600,000,000) six hundred ninety million dollars ($690,000,000) in recurring 35
funds and associated receipts for each year of the 2025-2027 fiscal biennium. receipts, beginning 36

General Assembly Of North Carolina Session 2025
Page 2 Senate Bill 403-Second Edition
with the 2025-2026 fiscal year. These funds shall be used to adjust Medicaid funding to account 1
for projected changes in enrollment, enrollment mix, service and capitation costs, and federal 2
match rates, as well as the implementation of the Children and Families Specialty Plan in 3
December 2025 or for contracts needed to operate the State's Medicaid managed care 4
program.2025. 5
"SECTION 2B.10.(b) There is appropriated from the General Fund to the Department of 6
Health and Human Services, Division of Health Benefits, the sum of thirty-eight million five 7
hundred sixty-two thousand six hundred forty-five dollars ($38,562,645) in recurring funds and 8
associated receipts, beginning with the 2025-2026 fiscal year, and the sum of forty-five million 9
four hundred thirty-seven thousand three hundred fifty-five dollars ($45,437,355) in 10
nonrecurring funds and associated receipts for the 2025-2026 fiscal year and eleven million four 11
hundred thirty-seven thousand three hundred fifty-five dollars ($11,437,355) in nonrecurring 12
funds and associated receipts for the 2026-2027 fiscal year. These funds shall be used for 13
contracts needed to operate the State's Medicaid managed care program." 14
15
DISCONTINUE MEDICAID COVERAGE OF OBESITY MANAGEMENT 16
MEDICATIONS 17
SECTION 2.3.(a) Effective October 1, 2025, the Department of Health and Human 18
Services, Division of Health Benefits, shall discontinue the Medicaid coverage of obesity 19
management medications that became effective August 1, 2024. Consistent with the policy in 20
effect prior to August 1, 2024, this section shall have no effect on the coverage of GLP-1 21
medications for beneficiaries managing diabetes. 22
SECTION 2.3.(b) Funds that are appropriated pursuant to S.L. 2025-89 to the 23
Department of Health and Human Services, Division of Health Benefits, for the Medicaid 24
program shall be reduced by thirty-four million dollars ($34,000,000) in recurring funds and 25
associated receipts beginning with the 2025-2026 fiscal year. 26
27
LME/MCO INTERGOVERNMENTAL TRANSFERS 28
SECTION 2.4.(a) The local management entities/managed care organizations 29
(LME/MCOs) shall make intergovernmental transfers to the Department of Health and Human 30
Services, Division of Health Benefits (DHB), in an aggregate amount of eighteen million 31
twenty-eight thousand two hundred seventeen dollars ($18,028,217) in the 2025-2026 fiscal year 32
and in an aggregate amount of eighteen mill