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NC H558

Bill

Status

Introduced

3/27/2025

Primary Sponsor

Timothy Reeder

Click for details

Origin

House of Representatives

2025-2026 Session

AI Summary

  • Future Medicaid Prepaid Health Plan (PHP) standard benefit contracts must provide statewide coverage only, eliminating regional contracts that were permitted for initial contracts
  • Limits the Division of Health Benefits to no more than four PHP contracts for standard benefit plans awarded after the initial contracts
  • Requires RFP evaluation criteria to give higher weight to Provider-Led Entities (PLEs) when scoring bids for future contracts
  • Requires RFP evaluation criteria to give higher weight to bidders demonstrating higher provider satisfaction measures from existing PHP contracts or similar Medicaid plan data from other insurance markets
  • Effective upon becoming law

Legislative Description

Criteria for PHP Contract Procurement

Health Services

Last Action

Serial Referral To Finance Stricken

4/15/2025

Committee Referrals

Health3/31/2025

Full Bill Text

No bill text available