North Carolina 2017-2018 Session Status: Enacted Bipartisan · 2 R · 1 D cosponsors

HB 403 — Medicaid and Behavioral Health Modifications.

Last action — Signed by Gov. 6/22/2018

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 16, 2017. Enacted.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    3 primary, 4 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (2 R · 1 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

645 added · 654 removed

Plain-language change summary

The updated version of House Bill 403 has clarified the definitions of key terms related to mental health and substance abuse services in North Carolina. It has specifically refined the definitions of "area board," "area director," "board of county commissioners," and "catchment area." These changes are important because they help ensure that the language used in the legislation is clear and consistent, promoting better understanding and implementation of mental health programs across the state.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2017 H 2 HOUSE BILL 403 Committee Substitute Favorable 3/29/17 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2017 H 1 HOUSE BILL 403 Short Title:
Representatives Dollar, Lambeth, Dobson, and White (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
March 20, 2017 A BILL TO BE ENTITLED AN ACT MODIFYING CERTAIN REQUIREMENTS PERTAINING TO LOCAL MANAGEMENT ENTITIES/MANAGED CARE ORGANIZATIONS.
Health Care Reform, if favorable, Appropriations March 20, 2017 A BILL TO BE ENTITLED AN ACT MODIFYING CERTAIN REQUIREMENTS PERTAINING TO LOCAL MANAGEMENT ENTITIES/MANAGED CARE ORGANIZATIONS.
SECTION 2.(a) G.S.
SECTION 2.
122C-112.1(a)(39) reads as rewritten:
G.S.
112.1(a)(39) reads as rewritten:
Each of these standard contracts must include quality outcome measures for mental health, developmental disabilities, and substance use disorders." SECTION 2.(b) This section applies to contracts entered into on or after the effective date of this act.
Each of these standard contracts must include quality outcome measures for mental health, developmental disabilities, and substance use disorders." SECTION 3.
SECTION 3.
*H403-v-2* General Assembly Of North Carolina Session 2017 "§ 122C-3.
"§ 122C-3.
The following definitions apply in this Chapter:
*H403-v-1* General Assembly Of North Carolina Session 2017 The following definitions apply in this Chapter:
(2a) "Area director" means the administrative head of the area authority program authority, local management entity, or local management entity/managed care organization appointed pursuant to G.S.
(2a) "Area director" means the administrative head of the area authority programauthority, local management entity, or local management entity/managed care organization appointed pursuant to G.S.
All provisions of Chapter 122C of the General Statutes that apply to the area director also apply to the administrative head of the area authority, LME, or LME/MCO, regardless of whether (i) the administrative head uses the title "CEO" or any other name or title assigned to him or her by the area authority, LME, or LME/MCO and (ii) a contract, memorandum of understanding, or other agreement in effect between the Department and the area authority, LME, or LME/MCO refers to the administrative head as the "CEO" or any other name or title.
… (2b) "Board of county commissioners" includes the participating boards of county commissioners for multicounty area authorities and multicounty programs.authorities.
(2b) "Board of county commissioners" includes the participating boards of county commissioners for multicounty area authorities and multicounty programs.authorities.
… (14) "Facility" means any person at one location whose primary purpose is to provide services for the care, treatment, habilitation, or rehabilitation of the mentally ill, the developmentally disabled, or substance abusers, and includes:
(14) "Facility" means any person at one location whose primary purpose is to provide services for the care, treatment, habilitation, or rehabilitation of the mentally ill, the developmentally disabled, or substance abusers, and includes:
Page 2 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 c.
c.
g.
Page 2 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 g.
House Bill 403-Second Edition Page 3 General Assembly Of North Carolina Session 2017 (4) Authorization of the utilization of State psychiatric hospitals and other State facilities.
(4) Authorization of the utilization of State psychiatric hospitals and other State facilities.
Care coordination is sometimes referred to as "care management." Care coordination shall be provided by clinically trained professionals with the authority and skills necessary to determine appropriate diagnosis and treatment, approve treatment and service plans, when necessary to link clients to higher levels of care quickly and efficiently, to facilitate the resolution of disagreements between providers and clinicians, and to consult with providers, clinicians, case managers, and utilization reviewers.
Care coordination is sometimes referred to as "care management." Care coordination shall be provided by clinically trained professionals with the authority and skills necessary to determine appropriate diagnosis and treatment, approve treatment and service plans, House Bill 403-First Edition Page 3 General Assembly Of North Carolina Session 2017 when necessary to link clients to higher levels of care quickly and efficiently, to facilitate the resolution of disagreements between providers and clinicians, and to consult with providers, clinicians, case managers, and utilization reviewers.
In need of other services and supports funded from State appropriations to or allocations from the Division of Mental Health, Page 4 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 Developmental Disabilities, and Substance Abuse Services, including CAP-MRDD.
In need of other services and supports funded from State appropriations to or allocations from the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, including CAP-MRDD.
122C-115(a) and (c) for the management and delivery of services for individuals with mental illness, intellectual or other developmental disabilities, and substance use disorders under a 1915(b)/(c) Medicaid Waiver.
122C-115(a) and (c) for the management and delivery of services for Page 4 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 individuals with mental illness, intellectual or other developmental disabilities, and substance use disorders under a 1915(b)/(c) Medicaid Waiver.
122C-115.4 and monitor and manage all public resources that may be available for mental health, intellectual and developmental disabilities, and substance use disorder services, including federal block grants, federal funding for Medicaid and NC Health Choice, and all other public funding sources as described in Section 1(a) of S.L.
122C-115.4 and monitor and manage all public resources that may be available for mental health, intellectual and developmental disabilities, and substance use disorder services, including federal block grants, federal funding for Medicaid and Health Choice, and all other public funding sources as described in Section 1(a) of S.L.
122C-112.1(a)(39).
112.1(a)(39).
122C-112.1(a)(39) for the operation of the 1915(b)/(c) Medicaid Waiver.
112.1(a)(39) for the operation of the 1915(b)/(c) Medicaid Waiver.
A local management entity that is under contract with the Department to operate the combined Medicaid Waiver program authorized under section 1915(b) and section 1915(c) of the Social Security Act shall be known as a "local management entity/managed care organization" or "LME/MCO." (b) A consolidated human services agency is a department of the county." SECTION 6.(a) G.S.
A local management entity that is under contract with the Department to operate the combined Medicaid Waiver program authorized under Section 1915(b) and Section 1915(c) of the Social Security Act shall be known as a "local management entity/managed care organization" or "LME/MCO." (b) A consolidated human services agency is a department of the county." SECTION 6.
122C-117 reads as rewritten:
G.S.
"§ 122C-117.
122C-117(a) reads as rewritten:
Powers and duties of the area authority.
"(a) The area authority shall do all of the following:
(a) The area authority shall do all of the following:
… (18) Maintain disability-specific infrastructure and competency to address the clinical, treatment, rehabilitative, habilitative, and support needs of all disabilities covered by the 1915(b)/(c) Medicaid Waiver.
All provisions of Chapter 122C of the General Statutes that apply to the area director also apply to the administrative head of the area authority, LME, or LME/MCO, regardless if (i) the administrative head uses the title "CEO" or any other name or title assigned to him or her by the area authority, LME, or LME/MCO and (ii) a contract, memorandum of understanding, or other agreement in effect between the Department and the area authority, LME, or LME/MCO refers to the administrative head as the "CEO" or any other name or title.
(19) Maintain administrative and clinical functions, including requirements for customer service, quality management, due process, provider network development, information systems, financial reporting, and staffing.
…." SECTION 7.(a) G.S.
(20) Maintain full accountability for all aspects of Medicaid Waiver operations and for meeting all contract requirements specified by the Department.
… (a2) An area authority may, but shall not be required to, subcontract to other entities, upon the prior written approval of the Secretary, only the following managed care functions:
(1) Information systems.
(2) Customer service (including call center) operations.
House Bill 403-Second Edition Page 5 General Assembly Of North Carolina Session 2017 (3) Claims processing.
(4) Provider, enrollment, credentialing, and monitoring.
(5) Professional services.
(6) Treatment Plan development.
(7) Referral to services.
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An area authority shall not subcontract to other entities any other managed care functions or nonservice activities.
…." SECTION 6.(b) G.S.
122C-117(a2), as enacted by subsection (a) of this section, applies to area authority subcontracts to other entities entered into on or after the date this act becomes law.
SECTION 7.(a) G.S.
The process for appointing members shall ensure participation from each of the constituent counties of a multicounty area authority.
If the board or boards fail to comply with the requirements of subsection (b) of this section, the Secretary shall appoint the unrepresented category.
(a2) The boards of county commissioners within a multicounty area with a catchment population of at least 1,250,000 shall have the option to appoint members of the area board in a manner or with a composition through a process other than as required by subsection (a1) of this section by if at least three-quarters of the constituent counties each county adopting adopt a resolution to that effect and receiving obtain written approval from the Secretary.
(a2) The process for appointing members shall ensure participation from each of the constituent counties of a multicounty area authority.
When seeking written approval from the Secretary to use an alternative board appointment process, the area authority shall submit to the Secretary its proposed board appointment process and copies of county resolutions requesting approval of the proposed board appointment process.
If the board or boards fail to comply with the requirements of subsection (b) of this section, the Secretary shall appoint the unrepresented category.
The boards of county commissioners within a multicounty area with a catchment population of at least 1,250,000 shall have the option to appoint members of the area board in a manner or with a composition through a process other than as required by subsection (a1) of this section by if at least three-quarters of the constituent counties each county adopting adopt a resolution to that effect and receiving obtain written approval from the Secretary.
When seeking written approval from the Secretary to use an alternative board appointment process, House Bill 403-First Edition Page 5 General Assembly Of North Carolina Session 2017 the area authority shall submit to the Secretary its proposed board appointment process and copies of county resolutions requesting approval of the proposed board appointment process.
No area board shall be exempt from, and the Secretary shall not waive, any provision of this section except as provided in subsection (a1) of this section with respect to the board appointment process.
No area board shall be exempt from, and the Secretary shall not waive, any provision of this section except as provided in subdivision (a1) of this section with respect to the board appointment process.
Page 6 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 (b) Within the maximum membership provided in subsection (a) of this section, the membership of the area board shall reside within the catchment area and be composed as follows:
(b) Within the maximum membership provided in subsection (a) of this section, the membership of the area board shall reside within the catchment area and be composed as follows:
(10) An attorney with health care expertise.
Page 6 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 (10) An attorney with health care expertise.
House Bill 403-Second Edition Page 7 General Assembly Of North Carolina Session 2017 ...
...
SECTION 8.(a) Part 4 of Article 4 of Chapter 122C of the General Statutes is amended by adding a new section to read:
SECTION 8.
Part 4 of Article 4 of Chapter 122C of the General Statutes is amended by adding a new section to read:
LME/MCOs shall use funds only for purposes related to their functions and responsibilities under this Chapter, including operation of the combined Medicaid Waiver program authorized under section 1915(b) and 1915(c) of the Social Security Act, or to carry out functions and responsibilities required by State law, federal law, or contract with the Department of Health and Human Services.
LME/MCOs shall use funds only for purposes related to their functions and responsibilities under this Chapter, including operation of the combined Medicaid Waiver program authorized under section 1915(b) and 1915(c) of the Social Security Act, or to carry out functions and responsibilities required by State law, federal law, or contract with the Department of Health House Bill 403-First Edition Page 7 General Assembly Of North Carolina Session 2017 and Human Services.
122C-124.2(c)." SECTION 8.(b) G.S.
122C-124.2(c)." SECTION 9.
G.S.
(4) Oversee the transfer of the operations and contracts from the noncompliant LME/MCO to the compliant LME/MCO in accordance with the provisions in subsection (e) of this section." SECTION 9.(a) G.S.
(4) Oversee the transfer of the operations and contracts from the noncompliant LME/MCO to the compliant LME/MCO in accordance with the provisions in subsection (e) of this section." SECTION 10.(a) G.S.
Page 8 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 (a) The area director is an a full-time employee of the area board, shall serve full time at the pleasure of the area board, and shall be appointed by the area board in accordance with G.S.
(a) The area director is an a full-time employee of the area board, shall serve full-time at the pleasure of the area board, and shall be appointed by the area board in accordance with G.S.
(1) The area board must submit to the Director of the Office of State Human Resources and the Secretary a request to exceed the maximum of the applicable salary range.
(1) The board must submit to the Director of the Office of State Human Resources and the Secretary a request to exceed the maximum of the applicable salary range.
(2) The area board must obtain prior written approval for the proposed salary from both the Director of the Office of State Human Resources and the Secretary.
(2) The board must obtain prior written approval for the proposed salary from both the Director of the Office of State Human Resources and the Secretary.
If the Secretary determines that an area director's salary is higher than the maximum of the applicable salary range and exceeds by more than thirty percent (30%) the average salary of the area directors of the remaining LME/MCOs, that area director's salary shall be reduced to achieve compliance with this subdivision within 60 days after such determination by the Secretary.
If the Secretary determines that an area director's salary is higher than the maximum of the applicable salary range and exceeds by more than thirty percent (30%) the average salary of the area directors of the remaining LME/MCOs, that area Page 8 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 director's salary shall be reduced to achieve compliance with this subdivision within 60 days after such determination by the Secretary.
(a2) The area board shall not authorize any salary adjustment for an area director that is results in a salary above the normal allowable salary range without obtaining prior approval from the Director of the Office of State Human Resources.range, or pay any salary above the normal allowable salary range, unless all of the following requirements are met:
(a2) The area board shall not authorize any salary adjustment for an area director that is results in a salary above the normal allowable salary range without obtaining prior approval from the Director of the Office of State Human Resources.unless all of the following requirements are met:
(1) The area board must submit to the Director of the Office of State Human Resources and the Secretary a request to exceed the maximum of the applicable salary range.
(1) The board must submit to the Director of the Office of State Human Resources and the Secretary a request to exceed the maximum of the applicable salary range.
House Bill 403-Second Edition Page 9 General Assembly Of North Carolina Session 2017 (2) The area board must obtain prior written approval for the proposed salary adjustment from both the Director of the Office of State Human Resources and the Secretary.
(2) The board must obtain prior written approval for the proposed salary adjustment from both the Director of the Office of State Human Resources and the Secretary.
(a3) If the Secretary determines that the compensation of an area director, including salary, benefits, and bonuses, exceeds the limitations specified in this section, the area board shall prospectively reduce that area director's compensation, including salary, benefits, and bonuses, to achieve compliance with this section and notify the Secretary within 60 days after such determination by the Secretary.
(a3) If the Secretary determines that the compensation of an area director, including salary, benefits, and bonuses, exceeds the limitations specified in this section, the area board shall prospectively reduce that area director's compensation, including salary, benefits, and bonuses, to achieve compliance with this section within 60 days after such determination by the Secretary.
If an area board does not bring an area director's compensation, including salary, benefits, and bonuses, into compliance with this section within the 60-day period, the Secretary shall notify, in writing, the area board and the applicable participating boards of county commissioners of the area authority specifically how the Secretary determined that the area director's compensation, including salary, benefits, and bonuses, does not comply with this section, and that the area board must bring the area director's compensation, including salary, benefits, and bonuses, into compliance with this section or a caretaker board of directors will be appointed as provided in G.S.
If an area board does not bring an area director's compensation, including salary, benefits, and bonuses, into compliance with this section within the 60-day period, the Secretary shall notify, in writing, the area board and the applicable participating boards of county commissioners of the area authority specifically how the area director's compensation, including salary, benefits, and bonuses, does not comply with this section and that the area board must bring the area director's compensation, including salary, benefits, and bonuses, into compliance with this section or a caretaker board of directors will be appointed as provided in House Bill 403-First Edition Page 9 General Assembly Of North Carolina Session 2017 subsection (c) of G.S.
122C-124.1(c).
122C-124.1.
If, at the end of the 60-day notice period, the area board has not brought the area director's compensation, including salary, benefits, and bonuses, into compliance with this section, the Secretary shall appoint a caretaker board of directors as provided in G.S.
If, at the end of the 60-day notice period, the area board has not brought the area director's compensation, including salary, benefits, and bonuses, into compliance with this section, the Secretary shall appoint a caretaker board of directors as provided in subsection (c) of G.S.
122C-124.1(c).
122C-124.1.
The Secretary may terminate the area director's employment when it appoints a caretaker board.
The Secretary may terminate the area director when it appoints a caretaker board.
The area director shall be reimbursed only for allowable Page 10 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 employment-related expenses at the same rate and in the same manner as other employees of the area program.
The area director shall be reimbursed only for allowable employment-related expenses at the same rate and in the same manner as other employees of the area program.
(a5) The total compensation provided or recommended to be provided by each area board to its area director, including salary, benefits, and bonuses, shall be reviewed for written approval by the Director of the Office of State Human Resources and the Secretary on at least an annual basis to determine compliance with the requirements of this section.
(a5) The total compensation provided or recommended to be provided by each area board to its area director, including salary, benefits, and bonuses, shall be subject to review and written approval by the Director of the Office of State Human Resources and the Secretary on at least an annual basis.
(6) Ensure compliance by the area authority with the powers and duties of the area authority established under G.S.
(6) Ensure compliance by the area authority with the following operational requirements of the area authority:
122C-117.
a.
Maintain disability specific infrastructure and competency to address the clinical, treatment, rehabilitative, habilitative, and support needs of all disabilities covered by the 1915(b)/(c) Medicaid Waiver.
b.
Maintain administrative and clinical functions, including requirements for customer service, quality management, due process, Page 10 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 provider network development, information systems, financial reporting, and staffing.
c.
Maintain full accountability for all aspects of Medicaid Waiver operations and for meeting all contract requirements specified by the Department.
The Department shall not require LMEs to subcontract any managed care functions or nonservice activities to other entities.
However, LMEs that choose to subcontract managed care functions to other entities will be limited to the following:
1.
Information systems.
2.
Customer service (including call center) operations.
3.
Claims processing.
4.
Provider, enrollment, credentialing, and monitoring.
5.
Professional services.
6.
Treatment Plan development.
7.
Referral to services.
(f) The area board may not terminate the employment of an area director without 30 days' prior written notice to the Secretary, unless the termination (i) results from the merger or consolidation of LME/MCOs or (ii) is directed by the Secretary." SECTION 9.(b) The limitations on compensation, including salary, benefits, and bonuses specified in G.S.
(f) The area board may not terminate the area director without 30 days' prior written notice to the Secretary, unless the termination (i) results from the merger or consolidation of LME/MCOs or (ii) is directed by the Secretary." SECTION 10.(b) The limitations on compensation, including salary, benefits, and bonuses specified in G.S.
If an House Bill 403-Second Edition Page 11 General Assembly Of North Carolina Session 2017 area board does not comply with the directive of this subsection to reduce an area director's compensation, including salary, benefits, and bonuses, to achieve compliance with G.S.
If an area board does not comply with the directive of this subsection to reduce an area director's compensation, including salary, benefits, and bonuses, to achieve compliance with G.S.
122C-121, as amended by subsection (a) of this section, within the 60-day period prescribed by this subsection, the Secretary shall appoint a caretaker board of directors, as prescribed in G.S.
122C-121, as amended by subsection (a) of this section, within the 60-day period prescribed by this subsection, the Secretary shall appoint a caretaker board of directors, as prescribed in subsection (a3) of G.S.
122C-121(a3), as amended by subsection (a) of this section.
122C-121, as amended by subsection (a) of this section.
SECTION 9.(c) Each LME/MCO shall, within 30 day after the effective date of this act, submit to the Secretary and the Director of the Office of State Human Resources a copy of all current employment agreements, employment contracts, and any amendments to those agreements and contracts that the LME/MCO has entered into with its area director, as well as any other documents relating to the area director's compensation, including salary, benefits, and bonuses.
SECTION 10.(c) Each LME/MCO shall, within 30 day after the effective date of this act, submit to the Secretary and the Director of the Office of State Human Resources a copy of all current employment agreements, employment contracts, and any amendments to those agreements and contracts that the LME/MCO has entered into with its area director, as well as any other documents relating to the area director's compensation, including salary, benefits, and bonuses.
SECTION 10.
SECTION 11.
122C-141(d)(1) reads as rewritten:
House Bill 403-First Edition Page 11 General Assembly Of North Carolina Session 2017 "(1) The public provider must meet all the provider qualifications as defined by rules adopted by the Commission.
A county that satisfies its duties under G.S.
122C-115(a) through a consolidated human services agency may not be considered a qualified provider for purposes of this subdivision." SECTION 12.
G.S.
Any salary that is higher than the maximum of the applicable salary range shall Commission so long as all of the following requirements are met:
Any salary that is higher than the maximum of the applicable salary range shallCommission so long as all of the following requirements are met:
For the purpose of this subdivision, the Secretary shall determine what Page 12 House Bill 403-Second Edition General Assembly Of North Carolina Session 2017 constitutes comparable operations within a comparable region of North Carolina.
For the purpose of this subdivision, the Secretary shall determine what constitutes comparable operations within a comparable region of North Carolina.
126-11 that all or a portion of the board's personnel system has been determined to be substantially equivalent to, and therefore exempt from, the provisions of Chapter 126 of the General Statutes." SECTION 11.
126-11 Page 12 House Bill 403-First Edition General Assembly Of North Carolina Session 2017 that all or a portion of the board's personnel system has been determined to be substantially equivalent to, and therefore exempt from, the provisions of Chapter 126 of the General Statutes." SECTION 13.
The board of the newly merged or consolidated area mental health authority, with the approval of the boards of commissioners of three-quarters of the counties which comprise the newly merged or consolidated area mental health authority, may petition the State Human Resources Commission to determine whether any portion of its total personnel system meets the requirements of subsection (a1) of this section.
The board of the newly merged or consolidated area mental health authority, with the approval of each of the boards of commissioners of the county or counties which comprise the newly merged or consolidated area mental health authority, may petition the State Human Resources Commission to determine whether any portion of its total personnel system meets the requirements of subsection (a1) of this section.
Upon such determination, area mental health authority employees shall be exempt from House Bill 403-Second Edition Page 13 General Assembly Of North Carolina Session 2017 the provisions of this Chapter relating to the approved portions of the area mental health authority personnel system except as provided in G.S.
Upon such determination, area mental health authority employees shall be exempt from the provisions of this Chapter relating to the approved portions of the area mental health authority personnel system except as provided in G.S.
recruitment and selection of employees;
recruitment and selection of House Bill 403-First Edition Page 13 General Assembly Of North Carolina Session 2017 employees;
and records and reports." SECTION 12.
and records and reports." SECTION 14.
For each month of the fiscal year after July, the DMH/DD/SAS shall distribute, on the first Tuesday of the month, one-eleventh of the amount of each LME/MCO's single-stream allocation that remains after subtracting the amount of the distribution that was made to the LME/MCO in July of the fiscal year." SECTION 13.
The Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, shall distribute one-twelfth of each LME/MCO's single stream allocation on or before the last working day of each month beginning with the first month of the fiscal year and continuing monthly thereafter." SECTION 15.
122C-141(d)(1) reads as rewritten:
"(1) The public provider must meet all the provider qualifications as defined by rules adopted by the Commission.
A county that satisfies its duties under G.S.
122C-115(a) through a consolidated human services agency may not be considered a qualified provider for purposes of this subdivision." SECTION 14.
G.S.
SECTION 15.
SECTION 16.
SECTION 16.
SECTION 17.
Section 12 of this act becomes effective July 1, 2017.
Section 14 of this act becomes effective July 1, 2017.
Page 14 House Bill 403-Second Edition
Page 14 House Bill 403-First Edition
View plain text versions (7)

Action History

  1. Signed by Gov. 6/22/2018

  2. Ch. SL 2018-48

  3. Withdrawn From Com

  4. Placed on Today's Calendar

  5. Conf Report Adopted

  6. Ordered Enrolled

  7. Ratified

  8. Pres. To Gov. 6/15/2018

  9. Conf Com Reported

  10. Added to Calendar

  11. Conf Report Adopted

  12. Conf Com Reported

  13. Re-ref Com On Rules and Operations of the Senate

  14. Failed Concur In S Com Sub

  15. Conf Com Appointed

  16. Conf Com Appointed

  17. Reptd Fav Com Substitute

  18. Com Substitute Adopted

  19. Placed on Today's Calendar

  20. Passed 2nd Reading

  21. Passed 3rd Reading

  22. Special Message Sent To House

  23. Special Message Received For Concurrence in S Com Sub

  24. Cal Pursuant 36(b)

  25. Placed On Cal For 06/29/2017

  26. Withdrawn From Cal

  27. Re-ref Com On Rules and Operations of the Senate

  28. Withdrawn From Cal

  29. Placed On Cal For 06/27/2017

  30. Reptd Fav

  31. Placed On Cal For 06/26/2017

  32. Reptd Fav Com Substitute

  33. Com Substitute Adopted

  34. Re-ref Com On Rules and Operations of the Senate

  35. Withdrawn From Com

  36. Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  37. Regular Message Received From House

  38. Passed 1st Reading

  39. Ref To Com On Rules and Operations of the Senate

  40. Passed 2nd Reading

  41. Passed 3rd Reading

  42. Regular Message Sent To Senate

  43. Withdrawn From Com

  44. Cal Pursuant Rule 36(b)

  45. Placed On Cal For 04/06/2017

  46. Reptd Fav Com Substitute

  47. Re-ref Com On Appropriations

  48. Passed 1st Reading

  49. Ref to the Com on Health Care Reform, if favorable, Appropriations

  50. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 4 co-sponsors · 172 not signed on

Sponsors (3)

Co-sponsors (4)

Not signed on (172)

172 members have not signed on to this bill.

Show all 172 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 35 Yea · 0 Nay · 15 Other
Party YeaNayPresentNot Voting
Unaffiliated 220011
Republican 7003
Democratic 6001
Total 350015
% of votes cast 70%0%0%30%
How each member voted (50)
Member Party Vote
McKissick — Yea
Randleman — Yea
Wells — Not Voting
Woodard — Yea
Barefoot — Yea
Barrett — Yea
Curtis — Not Voting
Edwards — Yea
Fitch — Yea
Foushee — Not Voting
D.Davis — Yea
J.Jackson — Yea
VanDuyn — Yea
Brown — Yea
B.Jackson — Yea
Newton — Yea
Tucker — Yea
Smith — Not Voting
J.Davis — Not Voting
Ballard — Not Voting
Barringer — Not Voting
Bishop — Yea
Dunn — Yea
Gunn — Yea
Harrington — Yea
Horner — Yea
Krawiec — Yea
Meredith — Not Voting
Pate — Not Voting
Rabin — Yea
Tarte — Not Voting
Tillman — Not Voting
Wade — Yea
Amanda P. Cook Democratic Yea
Dan Blue Democratic Not Voting
Gladys A. Robinson Democratic Yea
Jay J. Chaudhuri Democratic Yea
Joyce Waddell Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Tracy Clark Democratic Yea
Bill Rabon Republican Yea
Carl Ford Republican Not Voting
Danny Earl Britt, Jr. Republican Not Voting
Michael V. Lee Republican Not Voting
Norman W. Sanderson Republican Yea
Phil Berger Republican Yea
Ralph Hise Republican Yea
Tom McInnis Republican Yea
W. Ted Alexander Republican Yea
Warren Daniel Republican Yea

Official roll call →

C RPT Adoption

Passed 105 Yea · 0 Nay · 15 Other
Party YeaNayPresentNot Voting
Unaffiliated 69007
Democratic 13002
Republican 23005
U 0001
Total 1050015
% of votes cast 88%0%0%13%
How each member voted (120)
Member Party Vote
Lewis — Yea
McNeill — Yea
Michaux — Yea
Rogers — Yea
Steinburg — Yea
Szoka — Yea
Zachary — Yea
Autry — Yea
Boles — Yea
Boswell — Yea
Burr — Yea
Conrad — Yea
Dobson — Yea
Dulin — Yea
Faircloth — Yea
Farmer-Butterfield — Yea
Fisher — Yea
Floyd — Yea
Fraley — Yea
Garrison — Yea
Gill — Yea
Hunter — Not Voting
Jordan — Yea
G.Adcock — Yea
L.Bell — Yea
DuaneHall — Yea
C.Graham — Yea
G.Graham — Yea
Jackson — Yea
G.Martin — Yea
B.Richardson — Yea
W.Richardson — Yea
B.Turner — Yea
J.Bell — Yea
BertJones — Yea
Brawley — Yea
BrendenJones — Yea
DestinHall — Yea
K.Hall — Yea
Beasley — Yea
Black — Yea
Bumgardner — Yea
Cleveland — Yea
Collins — Yea
Dollar — Yea
Earle — Yea
Elmore — Yea
Goodman — Yea
Grange — Yea
Hardister — Yea
Henson — Yea
Holley — Yea
Horn — Yea
Hurley — Yea
Insko — Yea
Lucas — Yea
Terry — Yea
Wray — Yea
Malone — Yea
S.Martin — Yea
T.Moore(Speaker) — Yea
R.Turner — Yea
R.Moore — Not Voting
Johnson — Not Voting
Stone — Not Voting
Bradford — Not Voting
Hanes — Not Voting
McElraft — Not Voting
McGrady — Yea
Muller — Yea
Murphy — Yea
Presnell — Yea
Saine — Yea
Speciale — Yea
Williams — Yea
Yarborough — Yea
Amos L. Quick, III Democratic Yea
Becky Carney Democratic Not Voting
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Graig Meyer Democratic Yea
Joe John Democratic Yea
Marcia Morey Democratic Yea
Mary Belk Democratic Not Voting
Pricey Harrison Democratic Yea
Robert T. Reives, II Democratic Yea
Shelly Willingham Democratic Yea
Carl Ford Republican Yea
Dean Arp Republican Yea
Dennis Riddell Republican Yea
Donna McDowell White Republican Yea
Donny Lambeth Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Hugh Blackwell Republican Not Voting
Jay Adams Republican Not Voting
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John M. Blust Republican Yea
John Sauls Republican Yea
Julia C. Howard Republican Yea
Kelly E. Hastings Republican Yea
Kevin Corbin Republican Yea
Larry C. Strickland Republican Yea
Larry W. Potts Republican Yea
Mark Brody Republican Yea
Mike Clampitt Republican Yea
Mitchell S. Setzer Republican Yea
Phil Shepard Republican Not Voting
Sam Watford Republican Yea
Sarah Stevens Republican Not Voting
Stephen M. Ross Republican Yea
Ted Davis, Jr. Republican Yea
W. Ted Alexander Republican Not Voting
William D. Brisson Republican Yea
Carla D. Cunningham U Not Voting

Official roll call →

Subjects

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Frequently asked questions

Who sponsors HB 403?
HB 403 is sponsored by Shelly Willingham (Democratic), Donny Lambeth (Republican), Insko, Dollar, Dobson, Malone, and Donna McDowell White (Republican).
What is the current status of HB 403?
This bill has been enacted into law. Introduced March 16, 2017. Enacted.
Where can I track HB 403?
Track HB 403 free on One Click Politics — get push/email alerts when it moves.

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