HB 1147 North Carolina House · 2025-2026 Session

Intellectual and Developmental Disabilities Omnibus.

This bill aims to improve support for people with intellectual and developmental disabilities in North Carolina through three main changes. It mandates a minimum wage increase of $18 per hour for direct care workers by raising Medicaid reimbursement rates for providers and facilities, with funds appropriated starting in fiscal year 2026-2027. Additionally, the legislation adds at least 1,000 slots to the state's Medicaid waiver program and requires the creation of a ten-year plan to address unmet service needs. Finally, it seeks to remove income and asset limits for the state's Medicaid buy-in program for workers with disabilities, allowing more individuals to qualify for coverage regardless of their earnings or savings.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 30, 2026 Last action May 4, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 3 edits
MINOR
The bill was reformatted from a draft version to a final edition, updating the header information and sponsor list. The core policy provisions regarding wage increases, funding amounts, and program updates remain substantively unchanged.
Scope change
None; the bill's scope and applicability are identical to the previous version.
TECHNICAL

The header was updated to reflect the final bill number (H1147-v-1) and added a note directing readers to the General Assembly website for a complete list of sponsors.

The date in the header was changed from April 30, 2026, to May 4, 2026, likely reflecting the official filing or referral date.

Draft-specific metadata, including the bill identifier 'DRH40651-NLa-135' and the 'Filed' status, were removed.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
May 4, 2026
Committee
Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
lower
Apr 30, 2026
Introduced
Filed
lower
3 primary · 37 co-sponsors

Sponsors