NC H576

Extends DHHS authorization to use the federal marketplace for Medicaid eligibility determinations from June 30, 2025 to June 30, 2028, reducing enrollment burden on county social services departments

Clarifies that Medicaid recipients released from incarceration are exempt from managed care enrollment until the first day of the month following the twelfth month after release

Increases penalties for operating unlicensed adult care homes or assisted living facilities from a Class 3 misdemeanor to a Class H felony with $1,000 per day fines, effective December 1, 2025

Authorizes magistrates to accept after-hours petitions for adult protective services emergency orders and hear ex parte motions when district court judges are unavailable, effective November 1, 2025

Extends the tax refund donation option for the Breast and Cervical Cancer Control Program from January 1, 2026 to January 1, 2030, and authorizes DHHS to contract for community-based and detention center capacity restoration pilot programs for mental health services