North Carolina legislation · 2025-2026 Session
North Carolina H491: Medicaid Rebase Funding.
Status: Introduced, October 23, 2025
What the bill says
An act to provide for the expedient implementation of medicaid work requirements.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO PROVIDE FOR THE EXPEDIENT IMPLEMENTATION OF MEDICAID WORK REQUIREMENTS. The General Assembly of North Carolina enacts: SECTION 1. Section 2.4 of S.L. 2023-7 reads as rewritten: "SECTION 2.4. If there is any indication that work requirements as a condition of participation in the Medicaid program may be authorized by the Centers for Medicare and Medicaid Services (CMS), then the Department of Health and Human Services, Division of Health Benefits (DHB), shall enter into negotiations with CMS to develop a plan for those work requirements and to obtain approval of that plan. Within 30 days of entering into negotiations with CMS pursuant to this section, DHB shall notify, in writing, the Joint Legislative Oversight Committee on Medicaid (JLOC) and the Fiscal Research Division (FRD) of these negotiations. Within 30 days of approval by CMS of a plan for work requirements as a condition of participation in the Medicaid program, DHB shall submit a report to JLOC and FRD containing the full details of the approved work requirements, including the approved date of implementation of the requirements and any funding necessary to implement or maintain the requirements. Notwithstanding any provision of G.S. 108A-54.3A to the contrary, the Department of Health and Human Services shall implement any work requirements as a condition of participation in …
Sponsors
- Lambeth, Donny (R, 75) · primary sponsor
- Rhyne, Heather H. (R, 97) · primary sponsor
- White, Donna McDowell (R, 26) · primary sponsor
- Dixon, Jimmy (R, 4) · primary sponsor
- Arp, Dean (R, 69)
- Jennifer Balkcom (R, HD-117)
- Biggs, Brian (R, 70)
- Blackwell, Hugh (R, 86)
- Blust, John M. (R, 62)
- Cairns, Celeste C. (R, 13)
- Campbell, Grant L. (R, 83)
- Huneycutt, Cody (R, 67)
Latest actions
- : Held by House Clerk
- : Message Refused by Senate
- : Not received; ineligible pursuant to Res. 2025-11
- : Regular Message Sent To Senate
- : Passed 3rd Reading
- : Passed 2nd Reading
- : Placed On Cal For 10/22/2025
- : Cal Pursuant Rule 36(b)
- : Reptd Fav Com Substitute
- : Re-ref Com On Rules, Calendar, and Operations of the House
Votes
- Medicaid Rebase Funding. Second Reading (October 22, 2025): 111 yea, 0 nay, passed
Subjects: BUDGETING, EMPLOYMENT, MENTAL HEALTH, DHHS, LOCAL GOVERNMENT, HEALTH SERVICES, POVERTY, PUBLIC
Common questions
- What is H491?
- H491 is a bill in the North Carolina Legislature (2025-2026 Session): Medicaid Rebase Funding.
- What does H491 do?
- In its own words: An act to provide for the expedient implementation of medicaid work requirements.
- What is the status of H491?
- Introduced as of October 23, 2025. Latest action: Held by House Clerk (October 23, 2025).
- Who sponsored H491?
- Lambeth, Donny (R, 75), with 11 co-sponsors.
- Where is the official record for H491?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H491
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.