House Budget Summary

A summary of the portions of the House budget released last week follows below. Additional information about the full budget will be provided at a later date. 

 

Department of Health and Human Services

Aging and Adult Services

 

  • Provides $15M in nonrecurring funds for FY 2021-2022 for rapid rehousing services for individuals and families at risk of homelessness due to the COVID-19 pandemic.
  • Provides $3.585M in nonrecurring funds for FY 2021-2022 to provide nutrition services for older adults in response to the COVID-19 pandemic.
  • Provides $35,348,787 in nonrecurring funds for FY 2021-2022 and $37,508, 787 in nonrecurring funds for FY 2022-2023 to provide additional funding for the Home and Community Care Block Grant, which provides in-home and community-based services for older adults and their unpaid primary caregivers.
  • Provides $2,426,269 in nonrecurring funds for FY 2021-2202 and $2,426,269 in nonrecurring funds for FY 2022-2023 to Memory & Movement Charlotte to provide support to individuals with Alzheimer’s, Parkinson’s, and other forms of memory and movement disorders.
  • Provides $8,195,013 in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to increase the funding for the Key Rental Assistance Program to provide rental subsidies for eligible low-income, disabled individuals.
  • Provides $50K in nonrecurring funds for FY 2021-2022 to Brunswick Senior Resources, Inc., to provide programs and services for adults over age 50.
  • Provides $20K in nonrecurring funds for FY 2021-2022 to the Lincoln County Senior Center.

 

Central Management and Support

 

  • Provides $7.5M in nonrecurring funds for FY 2021-2022 for Camino Community Development Corporation, Inc. for mobile units to support service delivery.
  • Provides $5M in nonrecurring funds for FY 2021-2022 for the Digital Health Institute for Transformation.
  • Provides $500K in nonrecurring funds for FY 2021-2022 to the NC Institute of Medicine for research and data analytics capacity, communications, and other related expenses. 
  • Provides $500K in nonrecurring funds for FY 2021-2022 to the city of Winston Salem to create a Hospital-Based Violence Intervention Program.
  • Provides $375,232 in nonrecurring funds for FY 2021-2022 to the Duke University Hospital-Based Violence Intervention Program.
  • Provides $250K in nonrecurring funds for FY 2021-2022 to Trellis Supportive Care to provide hospice and palliative care.
  • Provides $15M in nonrecurring funds for FY 2021-2022 to the North Carolina Association of Free & Charitable Clinics.
  • Provides $10M in nonrecurring funds for FY 2021-2022 to the Office of Rural Health to establish a competitive grant program to support virtual behavioral health services. 
  • Provides $1.5M to the NC Statewide Telepsychiatry Program to respond to the public health emergency by providing virtual psychiatric assessments and consultations to patients using telemedicine technologies.
  • Provides $1M to support Atrium Health School-Based Virtual Health services.
  • Provides $19,994,447 in recurring funds for FY 2021-2022 and $19,994,447 in recurring funds for FY 2022-2023 to support ongoing operations of NC FAST.
  • Provides $200K in nonrecurring funds for FY 2021-2022 to the NC Dental Society Foundation to support dental services and supplies for the Missions of Mercy dental clinics.
  • Provides $5M in nonrecurring funds for FY 2021-2022 to Atrium Health to support the development of a FQHC in Cleveland County.
  • Provides $500K in nonrecurring funds for FY 2021-2022 to Stedman-Wade Health Services, a community health center in Cumberland County.
  • Provides $150K in nonrecurring funds for FY 2021-2022 to Cumberland HealthNET, a network of community organizations with a focus of improving health outcomes for the uninsured.
  • Provides $350K in nonrecurring funds for FY 2021-2022 to Surry Medical Ministries Clinic to support continued operations and facilitate health care services.
  • Provides $575K in nonrecurring funds for FY 2021-2022 to Local Start Dental, Inc., to be used for clinical services and to purchase supplies and dental equipment.
  • Provides $250K to Davidson Medical Ministries to support continued operations and facilitate health care services.
  • Provides $4M in nonrecurring funds for FY 2021-2022 to support the Rural Health Loan Assistance Repayment Program.
  • Provides $600K in nonrecurring funds for FY 2021-2022 and $600K in nonrecurring funds for FY 2022-2023 to NC MedAssist to support additional prescription assistance services for indigent and uninsured persons.
  • Provides $100K in nonrecurring funds for FY 2021-2022 to Meg’s Smile Foundation, a nonprofit that provides gifts and/or fun days to children affected by serious illnesses who are treated in North Carolina hospitals.
  • Provides $90K in nonrecurring funds for FY 2021-2022 to Blue Ridge Hope, a nonprofit that provides services related to health and wellness.
  • Provides $5.4M in nonrecurring funds for FY 2021-2022 and $5M in nonrecurring funds for FY 2022-2023 for ITD support of Medicaid applications.
  • Provides $34,776,428 in nonrecurring funds for FY 2021-2022 and $36,476,430 in nonrecurring funds for FY 2022-2023 to support the transfer from the Medicaid Transformation Reserve and federal receipts to enhance the child welfare case management component of NC FAST.
  • Provides $31,763,547 in nonrecurring funds for FY 2021-2022 and $17,600,266 in nonrecurring funds for FY 2022-2023 to support the transfer from the Medicaid Transformation Reserve and federal receipts for NC FAST updates and changes for Medicaid Transformation. 
  • Provides $11,123,473 in nonrecurring funds for FY 2021-2022 and $20,949,474 in nonrecurring funds for FY 2022-2023 to support NC FAST infrastructure modernization.

 

Child Development and Early Education

 

  • Provides $15M in recurring funds for FY 2022-2022 and FY 2022-2023 to Smart Start.
  • Provides $1,808,000 in nonrecurring funds for FY 2021-2022 to Ready for School, Ready for Life, a nonprofit that provides children and their families with resources for healthy development.

 

Health Benefits

 

  • Provides $25M in nonrecurring funds for FY 2021-2022 to extend the 5% COVID-19 provider rate increases.
  • Provides $10,352,000 in nonrecurring funds for FY 2021-2022 and $25,880,000 in nonrecurring funds for FY 2022-2023 to allow for an additional 1,000 individuals with intellectual and developmental disabilities to access services through the State’s Medicaid innovations waiver.
  • Provides $750K in nonrecurring funds for FY 2021-2022 and $1M in nonrecurring funds for FY 2022-2023 to allow for additional slots in the Community Alternatives Program for Disabled Adults Medicaid waiver.
  • Provides $6.47M in nonrecurring funds for FY 2021-2022 and $6.486M in nonrecurring funds for FY 2022-2023 to add more slots for innovations waiver, community alternatives program, or the traumatic brain injury waiver, as determined by DHB.
  • Provides $50,951,000 in nonrecurring funds for FY 2021-2022 and $68,108,000 in nonrecurring funds for FY 2022-2023 to increase Medicaid reimbursement rates for the purpose of increasing direct care worker wages among HCBS providers.
  • Provides $7,764,000 in nonrecurring funds for FY 2021-2022 and $10,378,000 in nonrecurring funds for FY 2022-2023 to extend home health services to Medicaid recipients who have 3 or more chronic conditions and are transitioning from institutions to the community.
  • Provides $17.5M in recurring funds for FY 2021-2022 and $21.8M in recurring funds for FY 2022-2023 to allow for a wage increase for direct care workers employed by intermediate care facilities for individuals with intellectual disabilities.
  • Provides $680,610 in recurring funds for FY 2021-2022 and FY 2022-2023 to increase the funding for the Transitions to Community Living Initiative.
  • Provides $314,080 in recurring funds for FY 2021-2022 and FY 2022-2023 to support operations and maintenance of the Electronic Visit Verification system.
  • Provides $33,378,242 for FY 2021-2022 and $562,551,566 for FY 2022-2023 for the Medicaid and NC Health Choice rebase.
  • Transfers $142.9M in FY 2021-2022 and $128.8M in FY 2022-2023 from the Medicaid Transformation Fund to support the transition to Medicaid managed care and the Healthy Opportunities pilot program. 
  • Provides $8.13M nonrecurring funds for FY 2021-2022 and $18M in nonrecurring funds for FY 2022-2023 to provide funds to allow the parents of children temporarily placed into the child welfare system to retain Medicaid eligibility if the parent is making reasonable efforts to comply with the court-ordered reunification plan.
  • Budgets receipts from the Medicaid Transformation Reserve to be transferred to DHB as needed to support fee-for-service claims run out and qualified Medicaid transformation expenses.
  • Transfers $142,877,631 in nonrecurring funds for FY 2021-2022 and $128,802,860 in nonrecurring funds for FY 2022-2023 to DHB to support the State share of Medicaid transformation costs approved as qualifying needs.
  • Transfers $12,570,000 in nonrecurring funds for FY 2021-2022 and $33,366,000 in nonrecurring funds for FY 2022-2023 to DHB to expand the number of slots accessing services through the innovations waiver, community alternatives programs, and the traumatic brain injury waiver.
  • Transfers $33,941,000 in nonrecurring funds for FY 2021-2022 and $68,108,000 in nonrecurring funds for FY 2022-2023 to DHB to support wage increases for the Medicaid HCBS direct care workforce through increased provider reimbursements.
  • Transfers $7,240,800 in nonrecurring funds for FY 2021-2022 and $15,982,000 in nonrecurring funds for FY 2022-2023 to DHB for home health enhancements and an increase in the reimbursement rate for private duty nursing services.

 

Health Service Regulation

 

  • Provides $3.35M in nonrecurring funds for FY 2021-2022 to support an adult care home accreditation pilot program to be administered by the Cecil G. Sheps Center for Health Service Research.

 

Mental Health/Developmental Disabilities/Substance Abuse Services

 

  • Provides $12.6M in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund to LME/MCOs for temporary funding assistance for Intermediate Care Facilities for Individuals with Intellectual Disabilities services on a per diem basis. 
  • Provides $2.5M in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund to replace the Incident Response Improvement System.
  • Provides $500K in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund for Brynn Marr Hospital, Inc.
  • Provides $25M in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund for Forsyth and Mecklenburg Counties for crisis behavioral health joint partnerships with local hospital systems, local behavioral health crisis centers, local emergency services providers, and LME/MCOs.
  • Provides $1.6M in recurring funds for FY 2021-2022 and FY 2022-2023 to provide additional funding for Traumatic Brain Injury services.
  • Provides $15,077,155 in recurring funds for FY 2021-2022 and FY 2022-2023 to complete the phased-in implementation of the Transitions to Community Living Initiative.
  • Provides $1.439M in recurring funds for FY 2021-2022 and FY 2022-2023 to increase funding for operations at the new Broughton Hospital.
  • Provides $15M in recurring funds for FY 2021-2022 and FY 2022-2023 to incentivize the development of Medicaid services to support the needs or recipients living in community-based settings, to establish new rate models and methodologies, to increase the payments to LME/MCOs, to facilitate transition to a more appropriate and sustainable service funding model, and to continue the existing funding and rate structure to offset loss of bridge funding.
  • Provides $500K in nonrecurring funds for FY 2021-2022 for Partners Health Management to address the needs of individuals in Surry County struggling with addiction.
  • Provides $5M in recurring funds for FY 2021-2022 and FY 2022-2023 to Hope Alive, Inc., for the annual operating budget of a substance use disorder treatment and recovery facility in Robeson County.
  • Provides $500K in nonrecurring funds for FY 2021-2022 for Wilkes Recovery Revolution, Inc. to address the needs of individuals struggling with addiction. 
  • Provides $500K in nonrecurring funds for FY 2021-2022 for GiGi’s Playhouse, a nonprofit that provides services to individuals with Down syndrome and their families.
  • Provides $100K in nonrecurring funds for FY 2021-2022 to Fellowship Hall, Inc., a nonprofit drug and alcohol recovery center.
  • Provides $50K in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to Reality Ministries, Inc., a nonprofit that serves individuals with developmental disabilities.
  • Provides $1,420,482 in nonrecurring funds for FY 2021-2022 from the Dorothea Dix Hospital Property Fund to Johnston Health Enterprises, Inc. a nonprofit health care organization, for the construction of mental health treatment beds.
  • Provides $1,420,481 in nonrecurring funds for FY 2021-2022 from the Dorothea Dix Hospital Property Fund to Good Hope Hospital in Harnett County for the construction of mental health treatment beds.
  • Provides $1,420,481 in nonrecurring funds for FY 2021-2022 from the Dorothea Dix Hospital Property Fund to Harnett Health System, Inc., a nonprofit health care organization, for the construction of mental health treatment beds at Betsy Johnson Hospital.
  • Provides $15,735,496 in nonrecurring funds for FY 2021-2022 and $812,250 in nonrecurring funds for FY 2022-2023 from the multi-state opioid settlement with McKinsey to DHHS to be allocated with the allowable uses of the Opioid Abatement Fund, with $1M to be provided to the NC Association for the Treatment of Opioid Dependence. 

 

Public Health

 

  • Provides $150M in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund to support lead and asbestos remediation in public schools and childcare facilities.
  • Provides $36M in nonrecurring funds for FY 2021-2022 to expand communicable disease surveillance, detection, control, and prevention activities.
  • Provides $1.2M in combined nonrecurring and recurring funds for FY 2021-2022 and FY 2022-2023 for the Communicable Disease Branch of the Division of Public Health for communicable disease prevention efforts.
  • Provides $2M in nonrecurring funds for FY 2021-2022 to scan and digitize the State’s vital records.
  • Provides $150K in nonrecurring funds for FY 2021-2022 to the Town of Huntersville to study and abate the cause of frequent cases of ocular melanoma. 
  • Provides $3.2M in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to the Human Coalition for a statewide expansion of the Continuum of Care Pilot Project.
  • Provides $250K in nonrecurring funds for FY 2021-2022 to the HELP Pregnancy Center in Monroe, NC.
  • Provides $20K in nonrecurring funds for FY 2021-2022 to the Crisis Pregnancy Center of Gaston County, Inc.
  • Provides $50K in nonrecurring funds for FY 2021-2022 for the Pregnancy Resources Center of Cleveland County.
  • Provides $240K in nonrecurring funds for FY 2021-2022 for the Pregnancy Resource Center of Stanly County and to the Cabarrus Women’s Center in Cabarrus County.
  • Provides $500K in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to increase funding for the Carolina Pregnancy Care Fellowship.
  • Provides $500K in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to be allocated to the Carolina Pregnancy Care Fellowship for training and durable medical equipment.
  • Provides $1M in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to the Nurse-Family Partnership to provide support for first-time parents. 
  • Budgets $102,468,748 in nonrecurring funds for FY 2021-2022 from the American Rescue Plan COVID-19 Vaccination Supplement to support Statewide vaccination efforts.
  • Provides $62,340,758 in nonrecurring funds from federal receipts to establish, expand, train, and sustain a State and local public health workforce to support jurisdictional COVID-19 prevention, preparedness, response, and recovery initiatives. 
  • Provides $643,163 in recurring funds for FY 2021-2022 and FY 2022-2023 for the State Metabolic Formula Program.
  • Provides $13M in nonrecurring funds for FY 2021-2022 and $8M in nonrecurring funds for FY 2022-2023 from the North Carolina settlement with Juul Labs, Inc. to the Division of Public Health for tobacco and nicotine dependence prevention activities targeted at youth and young adults.

 

Social Services

 

  • Provides $48M in nonrecurring funds for FY 2021-2022 from the State Fiscal Recovery Fund to reduce the negative economic impact of the pandemic on facilities that serve Special Assistance recipients.
  • Provides $32K in nonrecurring funds for FY 2021-2022 for Strong Able Youth Speaking Out, a statewide organization for youth who are or have been in the out-of-home care system in NC, including foster care, group homes, and mental health placements.

 

Vocational Rehabilitation Services

 

  • Provides $300K in nonrecurring funds for FY 2021-2022 for the National Multiple Sclerosis Society to provide home modification services to help NC residents with MS to remain in their homes.
  • Provides $800K in nonrecurring funds for FY 2021-2022 to purchase equipment to maintain a statewide inventory of up-to-date assistive technology equipment.

 

Agriculture and Natural and Economic Resources

 

  • Provides $40M in nonrecurring funds for FY 2021-2022 to be equally distributed to 6 food banks across the state to meet increased demand caused by COVID-19.
  • Adjusts the budget for the Food Distribution Division to reflect $119K in nonrecurring funds for FY 2021-2022 as receipts from the American Rescue Plan for the federal Commodity Supplemental Food Program.
  • Provides $2M in nonrecurring funds for FY 2021-2022 to the Division of Workforce Solutions to fund a program that helps individuals battling substance abuse enter and stay in the workforce.

 

Education

 

  • Allocates $15M in nonrecurring funds for FY 2021-2022 to improve broadband access for 24 rural community colleges. 
  • Provides $3M in recurring funds for FY 2021-2022 and in FY 2022-2023 to establish a new fund for homeless and foster children in order to support extraordinary transportation costs.
  • Provides $850K in recurring funds for FY 2021-2022 and in FY 2022-2023 for the UNC System Office for system-wide priorities, including business intelligence and health affairs initiatives.
  • Provides $4.2M in recurring funds for FY 2021-2022 and in FY 2022-2023 to the Wake Forest Institute for Regenerative Medicine.
  • Provides $18M in nonrecurring funds for FY 2021-2022 to the Vice Chancellor for Research at UNC Chapel Hill for the Rapidly Emerging Antiviral Drug Development Initiative to advance development of therapeutics for COVID-19 and other viruses that pose a pandemic threat. 
  • Provides $4.6M in recurring funds for FY 2021-2022 and in FY 2022-2023 to the UNC School of Medicine’s Asheville Campus, a joint program between the UNC School of Medicine, other UNC System universities, and the Mountain Area Health Education Center.
  • Provides $4.8M in nonrecurring funds for FY 2021-2022 to Southern Regional Area Health Education Center to support additional residencies in SR AHEC services areas.
  • Provides $500K in nonrecurring funds for FY 2021-2022 to Appalachian State University for the Rural Medical Resource Initiative.

 

General Government

 

  • Provides $6.6M in nonrecurring funds for FY 2021-2022 to provide grants to organizations that provide services to victims of human trafficking for economic assistance and to help mitigate the increased risks as a result of the COVID-19 pandemic.
  • Provides $8,308,218 in nonrecurring funds for FY 2021-2022 to reduce the negative economic impact of COVID-19 on organizations that provide services to victims of domestic violence and sexual assault.
  • Provides $250K in recurring funds for FY 2021-2022 and FY 2022-2023 to provide additional funds to the state’s sexual assault grant program.
  • Provides $250K in recurring funds for FY 2021-2022 and FY 2022-2023 to provide additional funds to the State’s domestic violence grant program.
  • Provides $3,691,782 in nonrecurring funds for FY 2021-2022 from the federal American Rescue Plan Act for the Family Violence Prevention and Services Act formula grants to states to support organizations that provide assistance to domestic violence victims. 
  • Provides $4M in nonrecurring funds for FY 2021-2022 to the CAGC Foundation for health and safety education and services for construction workers.
  • Provides $10M in nonrecurring funds for FY 2021-2022 to 7 state-recognized American Indian Tribes to mitigate and respond to the impacts of the COVID-19 pandemic.
  • Transfer $1,420,481 in nonrecurring funds for FY 2021-2022 to DHHS to be allocated to Good Hope Hospital in Harnett County for construction of mental health treatment beds. 
  • Transfer $1,420,481 in nonrecurring funds for FY 2021-2022 to DHHS to be allocated to Harnett Health System for construction of mental health treatment beds.
  • Transfer $1,420,482 in nonrecurring funds for FY 2021-2022 to DHHS to be allocated to Johnston Health Enterprises for the construction of mental health treatment beds.
  • Provides $200M in nonrecurring funds for FY 2021-2022 to the Workforce Housing Loan Program to assist with development of multi-family affordable housing units in Qualified Census Tracts across the state. 
  • Provides $100K recurring funds for FY 2021-2022 and FY 2022-2023 to support outreach, training, and other suicide prevention activities to veterans and active-duty military personnel.

 

Justice and Public Safety

 

  • Provides $10M in recurring funds for FY 2021-2022 and $15M in recurring funds for FY 2022-23 for a GPS-related electronic monitoring program for pre-trial domestic violence defendants.
  • Provides $500K in recurring funds for FY 2021-2022 and FY 2022-2023 to the State Crime Lab for testing materials and related costs for newly submitted sexual assault evidence collection kits.
  • Provides $500K in nonrecurring funds for FY 2021-2022 and $250K in nonrecurring funds for FY 2022-2023 to the Department of Public Safety, in conjunction with the City of Wilmington, to continue the implementation of a pilot project to establish a Quick Response Team to address the needs of opiate and heroin overdose victims.
  • Provides $2M in nonrecurring funds for FY 2021-2022 and FY 2022-2023 to sheriff’s’ offices to assist in expanding, maintaining, or establishing medication-assisted treatment of non-opioid, long-acting, injectable medication regimes as treatment for alcohol and/or opioid dependence as part of reentry programing in county jails. 

 

Transportation

 

  • Provides $781,873 in nonrecurring funds for FY 2021-2022 to provide additional grant funds for transportation for the elderly and persons with disabilities through ARP.
 
 

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