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North Carolina 2014 Short Session, Week 8: Medicaid Budget Miracle

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Social workers found victory during the eighth week of the legislative short session with the acceptance of the proposed medicaid budget. On Monday night, the last day of the fiscal year, the Senate rejected the House mini budget, Senate Bill 3 without even voting, and they returned the bill to the House for further consideration. In kind, the House then returned the bill back to the Senate on Tuesday stating they did not follow the rules by rejecting Senate Bill 3 without a vote. This unusual game of ping pong with the budget sent the bill to a committee meeting with the appointed budget conferees and no further discussion happened on the floor of the House or Senate.

MiraclesOn Wednesday, the appointed 41-member budget conferees held an unusual open-to-the-public meeting. During the meeting, differences in the House and Senate budgets were discussed and the group broke into a private negotiating meeting. Upon return to the public meeting, the Senate announced that they would accept the House Medicaid budget with a few compromises that had been made before the meeting starting.

The acceptance of the Medicaid budget means the aged, blind, and disabled citizens on Medicaid will not lose services. We are excited the Senate acted on behalf of our advocacy efforts to save services for these populations. While the Senate agreed to the Medicaid spending, the conferees are still working out differences in teacher pay raises, the education lottery, and film incentives.

Bills with Relevance:

  • House Bill 1181 North Carolina Medicaid Modernization: This bill was introduced a few weeks ago with controversy in Section 10 regarding a pilot for I/DD patients living in certain group settings to have integrated physical and behavioral health care under Cardinal Behavioral Health. Under the new edition, this section becomes a study with multiple stakeholders involved. The bill was discussed in committee and passed the House with a vote of 113 to 0. The bill now goes to the Senate where support is underwhelming as Senators do not believe this plan, supported by the House and the Governor, will do much to make Medicaid a cost predicting system.
  • House Joint Resolution 1262 Suicide Prevention Resolution: On Wednesday, House members read the suicide prevention resolution on the floor. The resolution directs the Legislative Research Commission to study ways to prevent suicide among minors and veterans including training for key health care providers that work to assess, treat and manage patients with suicidal ideation. After overwhelming, bipartisan support from legislators who shared personal stories on the floor, the bill passed with no opposition and was sent to the Senate. Following the reading of the resolution, NASW-NC, NAMI-NC, The Mental Health Association, and others were recognized in the gallery by legislators for our support and continued work on suicide prevention in our state. Representative Cunningham (D-Mecklenburg), a primary sponsor of the legislation, gave a heartfelt, personal speech on the bill and credited social workers and educators for help during her family’s situation. We are grateful to the many legislators who stood up to speak on what can be such a tough topic for many.

What to look forward to this week:

Legislators have announced they are finished with committee work. They will use this week to focus on the budget and work out their differences. There are a few more bills expected to be heard on the floor this week but it should mostly be a quiet week with budget work being done behind closed doors.

Kay is the Director of Advocacy, Policy and Legislation and registered lobbyist for the National Association of Social Workers, NC Chapter. She spends her time at the North Carolina General Assembly and in over 30 statewide coalitions advancing and advocating for the social work profession. Kay's legislative updates are provided by the National Association of Social Workers, North Carolina Chapter (NASW-NC). NASW membership supports advocacy efforts on behalf of social workers and their clients at the state and national level. Become a member of your professional association today by joining online at www.socialworkers.org.

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