NC H562

Increases Medicaid funding from $600 million to $690 million in recurring General Fund appropriations, plus $49.2 million recurring and $34.4 million nonrecurring for managed care contracts, beginning fiscal year 2025-2026

Requires four LME/MCOs (local management entities/managed care organizations) to make intergovernmental transfers totaling $18,028,217 annually to the Division of Health Benefits

Reduces single-stream funding for mental health, developmental disabilities, and substance use services by $30 million recurring, offset partially by $14 million annually from the Opioid Abatement Reserve

Mandates DHHS eliminate vacant positions to achieve $33,986,530 in recurring General Fund savings by January 1, 2026, with the largest reduction ($23.6 million) from mental health and state healthcare facilities divisions

Appropriates $208.5 million in nonrecurring funds from the State Capital and Infrastructure Fund for UNC capital projects, while reducing Future Building Reserves by $42.2 million recurring