HB 656/SB 548 Medicaid Changes for Transformation

HB 656 / SB 548 – Medicaid Changes for Transformation

Primary House Sponsor: Rep. Donny Lambeth (R-Forsyth), Rep. Josh Dobson (R-Avery), Rep. Greg Murphy (R-Pitt), Rep. Wayne Sasser (R-Stanley)

Primary Senate Sponsors: Sen. Joyce Krawiec (R-Forsyth), Sen. Dan Bishop (R-Mecklenburg)

Bill Summary

This bill adjusts all the changes to meet federal requirements. The bill has provisions that adjust to the reform plans.

Section 1

This established a process for beneficiaries to file grievances and appeals by PHPs regarding benefit coverage.

Section 10

This exempts contract disputes between PHPs and DHHS from Chapter 150b contested case hearings at the Office of Administrative Hearings.

Section 11

This allows a PHP to be named as the sole respondent in a contested case.

Bill Movement


This bill was filed on April 9, 2019.

This bill was referred to the following committees:

  • Health – passed April 30, 2019
  • Rules –  passed May 2, 2019
    • This bill was amended in this committee to remove section 8 regarding extrapilation audits.

This bill passed on the House floor on May 2, 2019.


This bill was filed on April 2, 2019.

The House version of this bill was referred to the following Senate:

  • Health
    • This proposed committee substitute was heard for discussion on June 12, 2019.
  • Rules – passed June 18, 2019

This bill will now move to the Senate floor.


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