June 7, 2019
The House and Senate have both presented their respective budget proposals for the 2019-2021 SFY biennium. HB966, the “Appropriations Act of 2019,” passed the House in April and the Senate just last week. Given significant changes made by the Senate to the original bill, the House voted not to concur on Tuesday, setting the stage for the budget debate to be continued in closed conference with representatives from both chambers. Negotiations are expected to begin early next week. Budget conferees were announced yesterday by Speaker Tim Moore and Senate Phil Berger: Budget Conferees - https://www.ncleg.gov/Legislation/Bills/Conferees/2019/H966
Health Care Expansion Act of 2019
In an effort to keep the conversation about Certificate of Need reform alive, sponsors of SB361, the “Health Care Expansion Act of 2019,” plan to amend the bill so that it no longer mandates a full repeal of CON regulations. The amended legislation is intended to match a CON provision already included in the Senate’s proposed budget that removes requirements for a specific list of facilities: psychiatric facilities, dialysis centers, ambulatory surgical facilities, intermediate care facilities, diagnostic centers and chemical dependency treatment facilities. The amended bill will also remove a section that adds funding to reduce the Intellectual/Development Disability (IDD) Medicaid program's years-long waitlist, as that funding is included in the Senate budget. The proposed committee substitute (PCS) also removes a section that tweaks regulatory rules for adult care and assisted living facilities. While the bill was in Senate Health Care this week, and revisions were introduced, the item was on the agenda for discussion only. A vote on the PCS has been scheduled for next Wednesday, June 12th.
https://www.ncleg.gov/Sessions/2019/Bills/Senate/PDF/S361v1.pdf (original bill, not yet revised)
Of Significance This Week
Two significant notes to pass along at the end of a very busy week on Jones Street:
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