North Carolina legislation · 2025-2026 Session
North Carolina H390: Medicaid Prepaid Health Plan Practices.
Status: Introduced, May 12, 2026
What the bill says
An act to allow certain medicaid prepaid health plan practices.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO ALLOW CERTAIN MEDICAID PREPAID HEALTH PLAN PRACTICES. The General Assembly of North Carolina enacts: SECTION 1. G.S. 108D-65(b), as amended by Section 3C.15 of S.L. 2026-1, reads as rewritten: "(b) Except as required by federal law or regulation, the Department shall not prohibit PHPs from requiring doing any of the following: (1) Requiring itemized bills for inpatient hospital outlier claims that are greater than two hundred fifty thousand dollars ($250,000) or more than two standard deviations from the median mean claim amount of the applicable billing code. (2) Aligning claims operations with national standards for coding, edits, and claims adjudication, except that the Department may set parameters to ensure consistent claims coding among PHPs. (3) Directing inpatient hospital and inpatient hospital laboratory services to outpatient settings where appropriate, except that the Department may establish standards for when direction to outpatient settings is appropriate. The Department is authorized to adopt rules establishing these standards." SECTION 2. This act is effective when it becomes law and applies to contracts entered into or amended on or after that date. *H390-v-3*
Sponsors
- Cunningham, Carla D. (I, 106) · primary sponsor
- White, Donna McDowell (R, 26) · primary sponsor
- Blackwell, Hugh (R, 86) · primary sponsor
- Reeder, Timothy (R, 9) · primary sponsor
- Almond, Jonathan L. (R, 73)
- Belk, Mary (D, 88)
- Brown, Gloristine (D, 8)
- Brown, Terry M. (D, 92)
- Carney, Becky (D, 102)
- Clark, Tracy (D, 57)
- Harrison, Pricey (D, 61)
- Huneycutt, Cody (R, 67)
Latest actions
- : Re-ref Com On Rules, Calendar, and Operations of the House
- : Withdrawn From Cal
- : Placed On Cal For 05/13/2026
- : Cal Pursuant 36(b)
- : Regular Message Received For Concurrence in S Com Sub
- : Regular Message Sent To House
- : Engrossed
- : Passed 3rd Reading
- : Passed 2nd Reading
- : Amend Adopted A1
Votes
- Medicaid Prepaid Health Plan Practices. Second Reading (May 6, 2026): 43 yea, 0 nay, passed
- Medicaid Prepaid Health Plan Practices. Amendment 1 (May 6, 2026): 43 yea, 0 nay, passed
- Alleviate the Dangers of Surgical Smoke. Second Reading (April 16, 2025): 113 yea, 0 nay, passed
Subjects: HOSPITALS, ALARM SYSTEMS, DHHS, HEALTH SERVICES, POVERTY, SAFETY EQUIPMENT, PUBLIC, CLINICS
Common questions
- What is H390?
- H390 is a bill in the North Carolina Legislature (2025-2026 Session): Medicaid Prepaid Health Plan Practices.
- What does H390 do?
- In its own words: An act to allow certain medicaid prepaid health plan practices.
- What is the status of H390?
- Introduced as of May 12, 2026. Latest action: Re-ref Com On Rules, Calendar, and Operations of the House (May 12, 2026).
- Who sponsored H390?
- Cunningham, Carla D. (I, 106), with 11 co-sponsors.
- Where is the official record for H390?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H390
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.