H491

Medicaid Rebase Funding

Introduced·3/24/25

North Carolina H491 mandates the Department of Health and Human Services to implement Medicaid work requirements if approved by CMS.

North Carolina H491 requires the Department of Health and Human Services, Division of Health Benefits to implement work requirements for Medicaid participation if approved by the Centers for Medicare and Medicaid Services. The bill mandates the department to enter negotiations with CMS, notify the Joint Legislative Oversight Committee on Medicaid and the Fiscal Research Division within 30 days, and submit a report upon CMS approval. This act takes effect immediately upon becoming law.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
In committee
Next
Committee decision

Sponsors

0
22
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Democratic CaucusRepublican Caucus

Roll Call Votes

Second Reading

111 Yea

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0 Nay

1 Not Voting

R

8 Absent

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Calendar

Apr 1, 2025

11:00 AM

Health Hearing

Apr 1, 2025

11:00 AM

Health Hearing

History

Oct 23, 2025

House

Regular Message Sent To Senate

Oct 23, 2025

Senate

Not received; ineligible pursuant to Res. 2025-11

Oct 23, 2025

House

Message Refused by Senate