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Bill Summary · HB 113

Summary — HB 113: Create Joint Legislative Committee on Medicaid Sustainability

Status: Reported Favorably (Reptd Fav)
Subject: Appointments; Committees; Funding; General Assembly; Medicaid; Membership; Studies; Reports

Main purpose

HB 113 establishes a temporary, 12‑member Joint Legislative Committee on Medicaid Sustainability to study and recommend options the State could use to respond to potential decreases in federal Medicaid funding so that current State funding levels can be maintained.

Key provisions

  • Creates the Joint Legislative Committee on Medicaid Sustainability (the Committee).
  • Membership (Section 2): 12 legislators
    • 6 senators appointed by the President Pro Tempore of the Senate
    • 6 representatives appointed by the Speaker of the House
    • The President Pro Tempore and the Speaker each appoint one cochair from the Committee
    • Vacancies are filled by the original appointing authority
  • Scope and study topics (Section 3): the Committee will consider options to modify North Carolina’s Medicaid program to respond to reduced federal support, including:
    • Reduction or elimination of optional services
    • Reduction or elimination of optional eligibility groups
    • Additional or increased provider assessments
    • Reduction of reimbursement rates
    • Strategies to achieve managed‑care efficiencies
    • Other cost‑saving opportunities
  • Operations (Section 4):
    • Meets on call of cochairs; quorum = majority; actions require majority vote
    • Committee has statutory investigative powers under G.S. 120‑19 and G.S. 120‑19.1 – 120‑19.4, including requesting agency records and issuing subpoenas
  • Support and expenses (Sections 5–6):
    • Legislative Services Officer to assign professional and clerical staff
    • House and Senate legislative assistant offices to provide clerical support
    • Members receive per diem, subsistence, and travel as authorized by G.S. 120‑3.1, 138‑5, 138‑6
    • Committee expenses treated as joint General Assembly expenses
  • Deliverable and sunset (Section 7):
    • Final report (with any proposed legislation) due to the General Assembly by April 30, 2026
    • Committee terminates on April 30, 2026, or upon filing its final report (whichever is earlier)
  • Effective date: the act is effective when it becomes law.

Who is affected

  • Legislators: appointed members and supporting staff
  • State agencies (e.g., Department of Health and Human Services): may be asked to provide data, documents, and witnesses
  • Medicaid program stakeholders: beneficiaries, providers, managed‑care organizations, and local providers could be affected indirectly if the Committee recommends statutory changes
  • State budget: recommendations could affect Medicaid expenditures and General Fund obligations

Procedural/timeline notes

  • The Committee is a time‑limited study body with subpoena power and an April 30, 2026 reporting deadline. Any statutory changes identified by the Committee would require separate legislative action to take effect.

Compiled from official sources — confirm details with the bill’s official record.

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