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NC S727

Bill

Status

Introduced

3/25/2025

Primary Sponsor

Jim Burgin

Click for details

Origin

Senate

2025-2026 Session

AI Summary

  • Reduces the maximum number of 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)

  • Maintains four statewide contracts with commercial plans for future award cycles, replacing the current requirement for contracts with Prepaid Health Plans (PHPs)

  • Allows PLEs in future cycles to bid for statewide coverage in addition to regional coverage, whereas initial contracts limited PLEs to regional coverage only

  • Requires all qualifying PLEs to receive contracts if fewer than four submit timely responses meeting minimum RFP requirements; if four or more PLEs qualify, exactly four contracts must be awarded

  • Takes effect 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