North Carolina legislation · 2025-2026 Session
North Carolina H485: Adult Care Home Medicaid PCS Coverage.
Status: In committee, May 27, 2025
What the bill says
An act to require a request for federal approval to extend medicaid eligibility for personal care services to certain individuals residing in adult care homes.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO REQUIRE A REQUEST FOR FEDERAL APPROVAL TO EXTEND MEDICAID ELIGIBILITY FOR PERSONAL CARE SERVICES TO CERTAIN INDIVIDUALS RESIDING IN ADULT CARE HOMES. The General Assembly of North Carolina enacts: SECTION 1. In conjunction with the requirements of Section 9E.26 of S.L. 2023-134 for the Department of Health and Human Services, Division of Health Benefits (DHB), to explore options available to increase access to Medicaid services for dual eligibles that provide alternatives to nursing home placements, DHB shall consult with stakeholders and shall submit to the Centers for Medicare and Medicaid Services (CMS) a request that meets all of the following goals: (1) Provides Medicaid coverage of personal care services to individuals who reside in licensed adult care homes and special care units and whose income exceeds the limit for participation in the State-County Special Assistance Program authorized under G.S. 108A-40, but does not exceed either (i) one hundred eighty percent (180%) of the federal poverty level, for individuals who, but for their income, would qualify for State-County Special Assistance at the basic rate under G.S. 108A-42.1 or (ii) two hundred percent (200%) of the federal poverty level, for individuals who, but for their income, would qualify for State-County Special Assistance at the enhanced rate under G.S. 108A-42.1. (2) Ensures that the cost …
Sponsors
- Sauls, John (R, 51) · primary sponsor
- Potts, Larry W. (R, 81) · primary sponsor
- Belk, Mary (D, 88)
- Brockman, Cecil (D, 60)
- Brown, Gloristine (D, 8)
- Butler, Deb (D, 18)
- Carney, Becky (D, 102)
- Cervania, Maria (D, 41)
- Colvin, Mike (D, 42)
- Cotham (R)
- Crawford, Sarah (D, 66)
- Cunningham, Carla D. (I, 106)
Latest actions
- : Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate
- : Withdrawn From Com
- : Ref To Com On Rules and Operations of the Senate
- : Passed 1st Reading
- : Regular Message Received From House
- : Regular Message Sent To Senate
- : Passed 3rd Reading
- : Passed 2nd Reading
- : Placed On Cal For 04/16/2025
- : Cal Pursuant Rule 36(b)
Votes
- Adult Care Home Medicaid Personal Care Services Coverage. Second Reading (April 16, 2025): 110 yea, 1 nay, passed
Subjects: DHHS, CONTINUING CARE FACILITIES, HEALTH SERVICES, POVERTY, PUBLIC, INSURANCE, HEALTH, SOCIAL SERVICES, MEDICAID
Common questions
- What is H485?
- H485 is a bill in the North Carolina Legislature (2025-2026 Session): Adult Care Home Medicaid PCS Coverage.
- What does H485 do?
- In its own words: An act to require a request for federal approval to extend medicaid eligibility for personal care services to certain individuals residing in adult care homes.
- What is the status of H485?
- In committee as of May 27, 2025. Latest action: Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate (May 27, 2025).
- Who sponsored H485?
- Sauls, John (R, 51), with 11 co-sponsors.
- Where is the official record for H485?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H485
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.