House Bill 76 - Summary

• Expands Medicaid coverage to newly eligible adults through NC Health Works program, subject to CMS approval and availability of state funding through hospital assessments and intergovernmental transfers.

• Establishes Healthcare Access and Stabilization Program (HASP) providing increased reimbursements to acute care hospitals funded through hospital assessments, with minimum $3.2 billion annual payments to non-newly eligible individuals.

• Creates comprehensive workforce development plan to connect Medicaid beneficiaries and social service participants with job training, career services, and employment opportunities to reduce reliance on government assistance.

• Reforms Certificate of Need requirements by raising capital expenditure thresholds from $2 million to $3-4 million for diagnostic equipment and replacement equipment, with additional exemptions for qualified urban ambulatory surgical facilities.

• Authorizes temporary use of federal health insurance marketplace to process Medicaid eligibility determinations and provides Medicaid recipients with information about private insurance marketplace options to facilitate transitions from Medicaid coverage.