Monitor Implementation of TBI Waiver and CON Change

nc-stampHB 512 – Monitor Implementation of TBI Waiver

Primary Sponsor: Rep. John Torbett (R – Gaston)

Bill Summary

This bill would require the NC Department of Health and Human Services (DHHS), beginning on October 1, 2017, to report quarterly to the General Assembly about the status and implementation of the 1915 © waiver for individuals with traumatic brain injury (TBI).

The bill also would  require that DHHS adopt rules or medical coverage policies relating to service programs for individuals with traumatic brain injury. These standards would include setting standards to ensure that individuals with brain injuries who require residential treatment receive appropriate, effective and high quality care.  DHHS would also be required to develop a best practice model system which would focus on the continuum of care as a part of the TBI waiver. Finally, the bill states that DHHS would strive to maintain adequate reimbursement rates for residential and community-based programs that serve patients with traumatic brain injury.

Bill Movement

A proposed committee substitute was heard in the House Health Committee on April 26, 2016. This bill was heard in the House on April 26, 2017. The bill passed with a vote of 114-1, and will now move to the Senate.

This bill was referred to the Senate Rules Committee on May 27, 2018. This bill was referred to the Senate Health Care Committee on June 11, 2018.

A Proposed Committee Substitute (PCS) was heard in the Senate Health Care Committee on June 12, 2018. Sen. Joyce Kraweic (R-Forsyth) introduced the PCS. It would change CON requirements by stating that if a Legacy Medical Facility becomes operational in a new location within the same county and service area as the facility that ceased operations, the person responsible for informing the Department shall do so before the facility is operational. The language states that the Department would extend the time by which a facility must be operational in order to be exempt CON review by 1 additional 6 month period.

The PCS passed Health Care Committee on June 12, 2018. This PCS passed in the Senate State and Local Government Committee on June 14, 2018. This bill passed the Senate on June 14, 2018 with a vote of 44-0. This bill passed third reading and will be returned to the House for concurrence.

The House concurred on this bill on June 14, 2018.


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