S.403

Additional Medicaid Funds and Requirements

Chamber Passed·5/1/25

North Carolina S403 mandates the Department of Health and Human Services to negotiate with CMS for Medicaid work requirements.

North Carolina S403 requires the Department of Health and Human Services, Division of Health Benefits to negotiate with the Centers for Medicare and Medicaid Services if work requirements for Medicaid participation are authorized. The Division must notify the Joint Legislative Oversight Committee on Medicaid and the Fiscal Research Division within 30 days of starting negotiations. Once a plan is approved by CMS, the Division must report the details, including implementation date and necessary funding. The act becomes effective immediately upon becoming law.

Included in complete analysis

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

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Where it stands

Last
Passed the Senate · 111–0 · May 1, 2025
Current
Rules and Operations of the Senate Committee
Next
House floor vote

Sponsors

0
6
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Democratic CaucusRepublican Caucus

Roll Call Votes

111 Yea

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0 Nay

1 Not Voting

D

8 Absent

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Calendar

Apr 29, 2025

9:00 AM

Rules and Operations of the Senate Hearing

Apr 29, 2025

9:00 AM

Rules and Operations of the Senate Hearing

History

Sep 25, 2025

Senate

Regular Message Received For Concurrence in H Com Sub

Sep 25, 2025

Senate

Ref To Com On Rules and Operations of the Senate

Sep 24, 2025

House

Regular Message Sent To Senate