North Carolina legislation · 2025-2026 Session
North Carolina H1141: Protecting Medicaid & Autism Services.
Status: In committee, May 4, 2026
What the bill says
An act to allow medicaid prepaid health plans to operate a closed provider network for research-based behavioral health treatment providers, to provide funding for the medicaid rebase, and to eliminate the statutory triggers for discontinuation of coverage for the medicaid expansion population.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO ALLOW MEDICAID PREPAID HEALTH PLANS TO OPERATE A CLOSED PROVIDER NETWORK FOR RESEARCH-BASED BEHAVIORAL HEALTH TREATMENT PROVIDERS, TO PROVIDE FUNDING FOR THE MEDICAID REBASE, AND TO ELIMINATE THE STATUTORY TRIGGERS FOR DISCONTINUATION OF COVERAGE FOR THE MEDICAID EXPANSION POPULATION. Whereas, the State must periodically rebase Medicaid appropriations to reflect changes in enrollment, service utilization, capitation costs, federal match rates, and program design; and Whereas, maintaining adequate Medicaid funding is necessary to preserve access to care for children, families, older adults, and people with disabilities across North Carolina; and Whereas, research-based behavioral health treatment should be delivered through provider arrangements that promote quality, accountability, and reliable patient access; and Whereas, continuity of coverage is essential to the health and financial stability of North Carolinians enrolled in Medicaid expansion; and Whereas, eliminating statutory coverage-discontinuation triggers and providing sufficient program funding will strengthen the stability and effectiveness of North Carolina's Medicaid program; Now, therefore, The General Assembly of North Carolina enacts: MEDICAID REBASE FUNDING SECTION 1.(a) There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits, the sum of three hundred nineteen million dollars ($319,000,000) in recurring funds and associated receipts, beginning with the 2025-2026 fiscal year, and an additional sum of seven hundred twenty-eight million …
Sponsors
- Crawford, Sarah (D, 66) · primary sponsor
- Prather, Lindsey (D, 115) · primary sponsor
- Hawkins, Zack (D, 31) · primary sponsor
- Pierce, Garland E. (D, 48) · primary sponsor
- Ager, Eric (D, 114)
- Alston, Vernetta (D, 29)
- Baker, Amber M. (D, 72)
- Ball, Cynthia (D, 49)
- Belk, Mary (D, 88)
- Brown, Gloristine (D, 8)
- Brown, Kanika (D, 71)
- Brown, Terry M. (D, 92)
Latest actions
- : Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
- : Passed 1st Reading
- : Filed
Subjects: BUDGETING, MENTAL HEALTH, DHHS, HEALTH SERVICES, POVERTY, PUBLIC, INSURANCE, HEALTH, SOCIAL SERVICES
Common questions
- What is H1141?
- H1141 is a bill in the North Carolina Legislature (2025-2026 Session): Protecting Medicaid & Autism Services.
- What does H1141 do?
- In its own words: An act to allow medicaid prepaid health plans to operate a closed provider network for research-based behavioral health treatment providers, to provide funding for the medicaid rebase, and to eliminate the statutory triggers for discontinuation of coverage for the medicaid expansion population.
- What is the status of H1141?
- In committee as of May 4, 2026. Latest action: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (May 4, 2026).
- Who sponsored H1141?
- Crawford, Sarah (D, 66), with 11 co-sponsors.
- Where is the official record for H1141?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H1141
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.