Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated Fri 12:06 PM MT
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7 stories

Legal·NC·18d ago

Federal Court Ends 14-Year North Carolina Mental Health Settlement Oversight

U.S. District Judge James C. Dever III terminated court oversight of North Carolina's Transitions to Community Living program Monday, ending a 2012 settlement with the U.S. Justice Department. The settlement required North Carolina to transition people with serious mental illness from institutional settings to community housing with wraparound services. While the state exceeded some targets — housing 3,998 people against a 3,000 goal — an independent reviewer found the state failed to meet 2025 benchmarks for supported housing slots from adult care homes, providing only 1,022 of a required 2,000 slots. Both parties agreed to end oversight early despite gaps, citing substantial compliance overall.

Federal Policy·23d ago

GOP Convention Highlights Tax Law Cutting Medicaid, Safety Net Programs

Republican Congressional candidates at the 2026 GOP midterm convention promoted the One Big Beautiful Bill Act, a tax cut and spending package that included deep cuts to Medicaid and food assistance programs. The law, passed by Congress last year with all Democrats voting against it, provided tax deductions on tips and overtime while cutting safety net programs. North Carolina Republican candidate Laurie Buckhout and other GOP candidates used the convention to defend the law's tax cuts for corporations and wealthy individuals against Democratic criticism of its Medicaid reductions.

State Policy·NC·34d ago

North Carolina Governor Signs Budget Corrections Including $319 Million Medicaid Appropriation

North Carolina Governor Josh Stein signed House Bill 268 on April 30, 2026, approving technical corrections to the 2026 state budget including $319 million in Medicaid funding. The legislation also includes a provision requiring cabinet members to vacate their positions if the Senate does not confirm their nomination by the end of the legislative session. The governor signed three additional bills including Senate Bill 445, the Regulatory Reform Act of 2026, and House Bill 562, which makes further technical budget corrections. The measures took effect upon signing.

State Policy·NC·34d ago

North Carolina Legislature Studies Privatizing State Psychiatric Hospitals Under New Law

North Carolina enacted legislation (H1104) directing a feasibility study on privatizing or transferring operation of the state's three public psychiatric hospitals. The state's psychiatric hospital system has faced severe capacity constraints since early 2000s reforms cut bed capacity by half, with current bed availability further reduced by staffing shortages and increased court-ordered admissions for competency restoration. The provision authorizes examination of transferring operations to private companies or universities. If implemented, privatization would affect the state's safety-net behavioral health infrastructure, which currently serves indigent and complex Medicaid patients and provides critical workforce training for North Carolina's behavioral health system.

State Policy·NC·40d ago

North Carolina Advocates Push to Protect Medicaid Home-Based Services Funding

Advocacy groups are urging North Carolina policymakers to maintain funding for Medicaid home and community-based services (HCBS) that allow individuals with disabilities to receive care at home rather than in institutional settings. The effort addresses concerns about potential budget cuts or policy changes that could affect thousands of North Carolina Medicaid beneficiaries who rely on these services. The timing and specific policy changes at issue are not detailed in the available content. This matters because HCBS programs are a critical component of North Carolina's Medicaid program, supporting both beneficiary choice and cost-effective alternatives to institutional care.

State Policy·NC·41d ago

North Carolina Democrats Target Medicaid Cuts as Midterm Campaign Issue

North Carolina Democratic candidates are spotlighting healthcare costs and Medicaid program reductions as a central campaign theme ahead of the 2026 midterm elections. The political focus follows concerns from families like the Staggs, whose premature twin daughters rely on Medicaid coverage, about potential cuts to the program. Democrats are framing Medicaid funding levels and eligibility rules as key voter issues in the state. The timing positions Medicaid policy as a legislative and budget priority depending on election outcomes.

State Policy·NC·108d ago

North Carolina Proposes Stricter ABA Therapy Rules Amid $505M Medicaid Spending

North Carolina lawmakers are pursuing tighter regulatory requirements for applied behavioral analysis (ABA) therapy providers following combined state and federal Medicaid spending of over $505 million in 2025. The proposed rules aim to reduce fraud and abuse in the rapidly growing autism treatment sector. The legislation would impose additional credentialing, supervision, and documentation standards on ABA providers participating in Medicaid. This follows nationwide scrutiny of ABA billing practices and improper payments in state Medicaid programs.

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