Clubhouse Expansion.

SB 282 aims to expand access to clubhouse model psychosocial rehabilitation programs for adults with severe mental illness in North Carolina who are Medicaid beneficiaries. It requires the Department of Health and Human Services to develop a statewide reimbursement plan by December 2025, including incentives for clubhouse accreditation, consistent payment rates across managed care organizations, and staff training. The bill also appropriates $2.5 million annually (2025-2027) from the General Fund to the North Carolina Clubhouse Coalition to support member clubhouses for program expansion, accreditation, or staff training. This directly affects Medicaid-funded clubhouses, managed care organizations, and the coalition itself. The plan must be reported to the legislature by December 2025, with implementation effective July 2025.