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NC S613

Bill

Official Source

Status

Introduced

3/25/2025

Primary Sponsor

Benton Sawrey

Click for details

Origin

Senate

2025-2026 Session

AI Summary

  • Reduces maximum Provider-Led Entity (PLE) contracts for future Medicaid standard benefit plan award cycles from up to 12 regional contracts to up to 4 contracts (regional or statewide)
  • Requires future statewide contracts to be with "commercial plans" rather than the broader "PHPs" (Prepaid Health Plans) designation used in initial contracts
  • Allows PLEs to bid for statewide coverage in addition to regional coverage in future contract cycles
  • Guarantees all qualifying PLEs receive contracts if fewer than four submit timely responses meeting minimum RFP requirements; caps PLE awards at four if more apply
  • Effective immediately upon becoming law

Legislative Description

Number of Medicaid Standard Plan Contracts

Health Services

Last Action

Ref To Com On Rules and Operations of the Senate

3/26/2025

Committee Referrals

Rules and Operations of the Senate3/26/2025

Full Bill Text

No bill text available