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North Carolina House New Medicaid Extended Pitch Surface

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The Associated Press

Associated Press

Gary D. Robertson

Raleigh, North Carolina (AP) — Republicans in North Carolina expand Medicaid to hundreds of thousands of additional low-income earners I proposed a plan on Thursday that would allow me to approve the work. Income adults claimed by their leaders will bring more certainty to ensuring that local hospitals and substance abusers get help. The

bill is a response to a wide range of medical access bills endorsed by Republican Senator Phil Berger, promoted by Chair Tim Moore, who said he received overwhelming bipartisan support earlier this month. It has been.

Many Republicans hate the Senate bill because there are too many controversial topics unrelated to expansion, but Moore offers an alternative. He said he hopes the negotiations will continue.

"I don't know if other chambers agree with it," Moore told the House Health Commission, "this is a way to proceed with plans that we find really useful. Help those who need the most help at the end of the day, and at the end of the day, without financially damaging the

expansion for the two years approved last fall. The proposed second year adjustment of the state budget is intertwined with ongoing individual negotiations between the House of Representatives and the Senate. Mr Berger said the expansion of Medicaid should be budgeted, but Moore does not intend to do so.

Congressman wants to end the legislative work session around July 1, when the new fiscal year begins, but there is no need to postpone it. Moore and Burger met on Thursday to resolve the differences that the lieutenant couldn't resolve. They said they hope to vote for budget legislation next week as well.

North Carolina is one of the 12 states that have not expanded Medicaid through what the 2010 Federal Health Insurance System Reform Act provides to those who make up to 138% of poverty guidelines. Republican legislative leaders have been skeptical of the expansion for years, saying they can't trust Congress to continue to bear 90% of its costs. But that part of the federal government hasn't changed, and the federal government has provided North Carolina with additional financial sweeteners that give North Carolina an additional $ 1.5 billion over two years to treat traditional Medicade recipients.

Unlike the Senate proposal, the House plan does not immediately accept expansion. Rather, it is instructing the State Department of Health and Human Services to develop a "Medicade Modernization Plan" that includes expansion.

A 12-member committee will review the plan in mid-December and make recommendations to the entire parliament. Parliament "must take action" to implement all or part of the plan in legislative form. .. Moore said he expects a vote to take place before the new edition of the General Assembly wins seats in early 2023. Seen to help them understand what the expansion is expected to achieve. Otherwise, "They really don't know what they're voting for. They're buying a car without a test drive."

The idea is DHHS, the agency of the Roy Cooper administration of the Democratic Party, is to negotiate with the Medicare and Medicaid Service Centers on the Medicaid program in North Carolina. At least 8 specified benchmarks. This includes predictions that existing state Medicaid programs will save money, proposals to increase preventive health and medical services in rural areas, and 15 to address the state's "opioids, substance abuse, and mental health crises." Includes $ 1 billion out of $ 100 million.

Berger is skeptical of the House's proposal, pointing out that the legislative committee has already studied expansion and other health access issues earlier this year.

"So the house went from" no "to" study again, "he said in writing. "It's a past time of action."

Duplin County Republican and skeptical of Medicaid's expansion Jimmy Dixon said Thursday that the proposal was "a needlestick and I'm this. I will support the approach. " The committee did not vote on Thursday.

Cooper has been a strong advocate of the Medicaid expansion since taking office in 2017, and has even rejected the 2019 budget because the expansion was not addressed. It led to a deadlock in spending with Moore and Burger that was not completely resolved. Cooper is asked to sign Moore's bill or an expansion plan approved by a member of parliament who arrives at his desk.