Criteria for Prepaid Health Plan Contract Procurement.
HB 558 updates how North Carolina selects Medicaid health plans by limiting statewide contracts to four and allowing up to 12 regional contracts through local health providers. It requires the state to prioritize bids from local providers and those with high provider satisfaction scores from existing contracts. The bill also mandates staggered contract terms (3-5 years) to prevent coverage gaps during transitions. These changes directly affect Medicaid health plan contractors and the Division of Health Benefits, aiming to stabilize coverage and improve provider relationships.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 27, 2025
Last action Apr 15, 2025
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What changed between versions
Filed
→
Edition 1
·
4 edits
MODERATE
This bill update primarily involves formatting and sponsorship information changes rather than substantive policy modifications. The main addition is the inclusion of three new primary sponsors (Representatives Reeder, Potts, and Lambeth) and updated committee referral information. The bill text regarding provider satisfaction measures for PHP contract procurement remains unchanged.
TECHNICAL
Added three new primary sponsors: Representatives Reeder, Potts, and Lambeth, with a note directing readers to the General Assembly website for a complete sponsor list.
Updated committee referral information to include Health, Insurance, Finance, Rules, Calendar, and Operations of the House committees.
Changed bill identifier from DRH40318-NL-76 to H558-v-1 and updated page footer from 'DRH40318-NL-76' to 'House Bill 558-First Edition'.
Added a new line break between the bill text and the page 2 footer.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
0
Committee
3
Apr 15, 2025
Committee
Serial Referral To Finance Stricken
lower
Apr 15, 2025
Committee
Serial Referral To Insurance Stricken
lower
Mar 31, 2025
Committee
Ref to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
lower
Mar 27, 2025
Introduced
Filed
lower
2 primary · 4 co-sponsors
Sponsors
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