North Carolina 2021-2022 Session Status: In Committee 7 R cosponsors

HB 573 — NC Medicaid and Supplemental Nutrition and Assistance Program (SNAP) Integrity Reform.

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 2021-2022 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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

23 added · 22 removed

Plain-language change summary

In the updated version of House Bill 573, additional language has been included to clarify the responsibilities of hospitals and counties in terms of eligibility redeterminations for social services. This means hospitals will need to meet certain standards and report any changes in circumstances that could affect a person's eligibility. This change is important because it aims to ensure that individuals receive timely support while also holding hospitals accountable for their role in the process.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 H 1 HOUSE BILL 573 Short Title:
573 Apr 14, 2021 SESSION 2021 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40297-MR-90 Short Title:
Representative Stevens.
Representatives Stevens, Carter, Warren, and Goodwin (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO ADDRESS MEDICAID ELIGIBILITY DETERMINATIONS AND MONITORING WHEN THERE ARE FEDERAL RESTRICTIONS OR LIMITATIONS PREVENTING THE STATE FROM DISENROLLING CERTAIN INDIVIDUALS FROM THE MEDICAID PROGRAM, TO ESTABLISH STANDARDS FOR QUALIFIED HOSPITALS ABLE TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR THE MEDICAID PROGRAM, TO REQUIRE APPLICANTS FOR FOOD AND NUTRITION SERVICES BENEFITS TO COOPERATE WITH THE CHILD SUPPORT ENFORCEMENT PROGRAM AS A CONDITION OF ELIGIBILITY FOR BENEFITS ANDREPORT ANYCHANGE INCIRCUMSTANCES TOALLOWRE-VERIFICATION OF ELIGIBILITY AND TO LIMIT THE MEANS BY WHICH A PERSON MAY BE GRANTED CATEGORICAL ELIGIBILITY FOR PURPOSES OF RECEIVING FOOD AND NUTRITION SERVICES BENEFITS UNDER THE SUPPLEMENTAL NUTRITION AND ASSISTANCE PROGRAM (SNAP).
Health, if favorable, Rules, Calendar, and Operations of the House April 19, 2021 A BILL TO BE ENTITLED AN ACT TO ADDRESS MEDICAID ELIGIBILITY DETERMINATIONS AND MONITORING WHEN THERE ARE FEDERAL RESTRICTIONS OR LIMITATIONS PREVENTING THE STATE FROM DISENROLLING CERTAIN INDIVIDUALS FROM THE MEDICAID PROGRAM, TO ESTABLISH STANDARDS FOR QUALIFIED HOSPITALS ABLE TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR THE MEDICAID PROGRAM, TO REQUIRE APPLICANTS FOR FOOD AND NUTRITION SERVICES BENEFITS TO COOPERATE WITH THE CHILD SUPPORT ENFORCEMENT PROGRAM AS A CONDITION OF ELIGIBILITY FOR BENEFITS ANDREPORT ANYCHANGE INCIRCUMSTANCES TOALLOW RE-VERIFICATION OF ELIGIBILITY AND TO LIMIT THE MEANS BY WHICH A PERSON MAY BE GRANTED CATEGORICAL ELIGIBILITY FOR PURPOSES OF RECEIVING FOOD AND NUTRITION SERVICES BENEFITS UNDER THE SUPPLEMENTAL NUTRITION AND ASSISTANCE PROGRAM (SNAP).
*DRH40297-MR-90* General Assembly Of North Carolina Session 2021 (1) Continue to conduct redeterminations of eligibility for medical assistance in the same manner in which the redeterminations were conducted prior to the restrictions or limitations.
*H573-v-1* General Assembly Of North Carolina Session 2021 (1) Continue to conduct redeterminations of eligibility for medical assistance in the same manner in which the redeterminations were conducted prior to the restrictions or limitations.
(1) Ensure that counties complete and act upon eligibility redeterminations for all cases that have not had a redetermination within the last 12 months.
(1) Ensure that counties complete and act upon eligibilityredeterminations for all cases that have not had a redetermination within the last 12 months.
(a) Unless required under federal law, the Department and any county department of social services may not be designated as a qualified entity for the purpose of making presumptive eligibility determinations for Medicaid coverage.
(a) Unless required under federal law, the Department and any county department of social services maynot be designated as a qualified entity for the purpose of making presumptive eligibility determinations for Medicaid coverage.
Page 2 DRH40297-MR-90 General Assembly Of North Carolina Session 2021 (d) The Department shall establish standards to ensure accurate presumptive eligibility determinations are made by each qualified hospital.
Page 2 House Bill 573-First Edition General Assembly Of North Carolina Session 2021 (d) The Department shall establish standards to ensure accurate presumptive eligibility determinations are made by each qualified hospital.
(1) Receipt by theDepartment oftheMedicaid presumptiveeligibility cardwithin five business days from the determination date.
(1) Receipt bytheDepartment oftheMedicaid presumptiveeligibilitycardwithin five business days from the determination date.
(e) If a qualified hospital fails to meet any of the standards established by the Department under this section, then the Department shall notify the hospital in writing within five days from thedateon which theDepartment determinedthestandardwas not met.
(e) If a qualified hospital fails to meet anyof the standards established bythe Department under this section, then the Department shall notify the hospital in writing within five days from thedateon which theDepartment determinedthestandardwas not met.
If it is the second occurrence of a failure to meet the standards, then the Department shall provide (i) the date, time, and location of the mandatory presumptive eligibility training that will be provided by the Department to all applicable hospital staff and (ii) a statement that if there is a third finding of failure to meet any established standard, then the hospital will be disqualified from making presumptive eligibility determinations under 42 C.F.R.
If it is the second occurrence of a failure to meet the standards, then the Department shall provide (i) the date, time, and location of the mandatorypresumptive eligibility training that will be provided bythe Department to all applicable hospital staff and (ii) a statement that if there is a third finding of failure to meet anyestablished standard, then the hospital will be disqualified from making presumptive eligibility determinations under 42 C.F.R.
(f) If a qualified hospital fails to meet any of the standards established by the Department under this section more than twice, then that hospital shall be disqualified under 42 C.F.R.
(f) If a qualified hospital fails to meet anyof the standards established bythe Department under this section more than twice, then that hospital shall be disqualified under 42 C.F.R.
The Department shall require applicants for electronic food and nutrition benefits to cooperate with the Child Support Enforcement Program in accordance with Article 9 of Chapter DRH40297-MR-90 Page 3 General Assembly Of North Carolina Session 2021 110 of the General Statutes as a condition of eligibility for food and nutrition benefits pursuant to 7 C.F.R.
The Department shall require applicants for electronic food and nutrition benefits to cooperate with the Child Support Enforcement Program in accordance with Article 9 of Chapter House Bill 573-First Edition Page 3 General Assembly Of North Carolina Session 2021 110 of the General Statutes as a condition of eligibility for food and nutrition benefits pursuant to 7 C.F.R.
Any person who is eligible to receive electronic food and nutrition benefits under this Part shall reportto theDepartment any changein circumstances, including, but not limitedto, changes in income or residency, within 10 days from the date of the change to allow the Department to re-verify the person's eligibility.
Any person who is eligible to receive electronic food and nutrition benefits under this Part shall reportto theDepartment anychangein circumstances, including, but not limitedto,changes in income or residency, within 10 days from the date of the change to allow the Department to re-verify the person's eligibility.
Notwithstanding any provision of law to the contrary, the Department shall not grant a person categorical eligibility under 7 U.S.C.
Notwithstanding anyprovision of law to the contrary, the Department shall not grant a person categorical eligibilityunder 7 U.S.C.
Page 4 DRH40297-MR-90
Page 4 House Bill 573-First Edition
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Action History

  1. Passed 1st Reading

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

  3. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 6 co-sponsors · 170 not signed on

Sponsors (3)

Co-sponsors (6)

Not signed on (170)

170 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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Subjects

healthcare
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Frequently asked questions

Who sponsors HB 573?
HB 573 is sponsored by Carter, Harry Warren (Republican), Edward C. Goodwin (Republican), Hanig, Keith Kidwell (Republican), Jeffrey C. McNeely (Republican), Ben T. Moss, Jr. (Republican), Mike Clampitt (Republican), and Sarah Stevens (Republican).
What is the current status of HB 573?
This bill died with 2021-2022 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 573?
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