North Carolina 2019-2020 Session Status: In Committee Bipartisan · 6 D · 2 R · 1 I cosponsors

HB 488 — Address Direct Sup. Personnel Staffing Crisis.

Last action — Passed 1st Reading

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

This bill died with 2019-2020 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

115 added · 112 removed

Plain-language change summary

The recent changes to House Bill 488 include an addition that focuses on ensuring direct support personnel receive wage increases that align with current state employee salaries. The bill mandates that managed care organizations (LME/MCOs) use any additional funding specifically for these wage increases, and it requires service providers to verify that the funds are being used appropriately. This change is significant because it aims to improve compensation for essential workers in the developmental services field, potentially leading to better staff retention and quality of care for individuals needing support.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2019 H 1 HOUSE BILL 488 Short Title:
488 Mar 27, 2019 SESSION 2019 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40235-MRa-89 Short Title:
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO ADDRESS THE STAFFING CRISIS IMPACTING INTERMEDIATE CARE FACILITY GROUP HOMES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES AND NORTH CAROLINA INNOVATIONS WAIVER SERVICES.
Health, if favorable, Appropriations, Health and Human Services, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House March 28, 2019 A BILL TO BE ENTITLED AN ACT TO ADDRESS THE STAFFING CRISIS IMPACTING INTERMEDIATE CARE FACILITY GROUP HOMES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES AND NORTH CAROLINA INNOVATIONS WAIVER SERVICES.
The adjustment made under this section shall be consistent with the North Carolina Medicaid State Plan requirements to provide for actuarially sound rates sufficient to operate and provide safe and effective services.
The adjustment made under this section shall be consistent with the North Carolina Medicaid State Plan *H488-v-1* General Assembly Of North Carolina Session 2019 requirements to provide for actuarially sound rates sufficient to operate and provide safe and effective services.
*DRH40235-MRa-89* General Assembly Of North Carolina Session 2019 In making the adjustment required by this section, DHB shall validate the actual amounts necessary to adjust the relevant portion of the LME/MCO PMPM capitation payment to wages paid to direct support personnel salaries with current wages paid to State employees in State-owned developmental centers.
In making the adjustment required by this section, DHB shall validate the actual amounts necessary to adjust the relevant portion of the LME/MCO PMPM capitation payment to wages paid to direct support personnel salaries with current wages paid to State employees in State-owned developmental centers.
DHB shall provide a copy of the analysis and wage and hour study to the Joint Legislative Oversight Committee on Medicaid and NC Health Choiceandthe Fiscal Research Division no laterthan January15,2020.
DHB shall provide a copy of the analysis and wage and hour study to the Joint Legislative Oversight Committee on Medicaid and NC Health Choiceandthe Fiscal Research Division nolaterthanJanuary15,2020.
The actuarial analysis conducted and the plan developed under this section shall include all of the following components:
Page 2 House Bill 488-First Edition General Assembly Of North Carolina Session 2019 The actuarial analysis conducted and the plan developed under this section shall include all of the following components:
Page 2 DRH40235-MRa-89 General Assembly Of North Carolina Session 2019 (1) The average cost per Innovations waiver slot.
(1) The average cost per Innovations waiver slot.
DHBmayaccept actuariallysoundprojections ofcompetitivewageandhourdata and other cost data from non-State entities in order to calculate forward-looking wage analysis formulas and finalize the exact rates needed to meet this urgent need, as required by this act.
DHBmayaccept actuariallysound projections ofcompetitivewageand hourdataand other cost data from non-State entities in order to calculate forward-looking wage analysis formulas and finalize the exact rates needed to meet this urgent need, as required by this act.
SECTION 4.
House Bill 488-First Edition Page 3 General Assembly Of North Carolina Session 2019 SECTION 4.
DRH40235-MRa-89 Page 3
Page 4 House Bill 488-First Edition
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Action History

  1. Passed 1st Reading

  2. Ref to the Com on Health, if favorable, Appropriations, Health and Human Services, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 10 co-sponsors · 166 not signed on

Sponsors (3)

Co-sponsors (10)

Not signed on (166)

166 members have not signed on to this bill.

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"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.

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Frequently asked questions

Who sponsors HB 488?
HB 488 is sponsored by Dobson, Presnell, Cynthia Ball (Democratic), Adcock, Mary Belk (Democratic), Hugh Blackwell (Republican), Carla D. Cunningham (U), Insko, Shelly Willingham (Democratic), Carolyn G. Logan (Democratic), Zack Hawkins (Democratic), Cecil Brockman (Democratic), and John R. Bell, IV (Republican).
What is the current status of HB 488?
This bill died with 2019-2020 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 488?
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Last checked for changes 3 months ago · updated continuously

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