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High Impact

North Carolina appropriates $52 million to raise Medicaid dental reimbursement rates to 46% of 2023 charges

Original title: Modernize Medicaid Dental Rates.

Last action · February 6, 2025: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action)Sponsors: Brian Biggs and 58 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

North Carolina allocates $52 million in recurring state funds and $95 million in federal matching funds annually for the 2025-2027 biennium to increase Medicaid dental reimbursement rates from 35% to 46% of 2023 average dentist charges, effective July 1, 2025.

Why it matters

Increases financial compensation for dental care providers serving Medicaid enrollees, aiming to expand provider participation and access to preventative dental services across the state.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Dental care providers

Medicaid reimbursement rates paid to dental care providers increase from 35% to 46% of 2023 average charges.

Directly affected

Medicaid enrollees

Access to preventative dental care and provider participation levels under Medicaid are adjusted.

Directly affected

Department of Health and Human Services, Division of Health Benefits

Receives and administers state and federal appropriations for dental service rate increases.

Key Facts

  • Appropriates $52 million in recurring state funds from the General Fund for each year of the 2025-2027 fiscal biennium to the Department of Health and Human Services, Division of Health Benefits.
  • Provides a state match for $95 million in recurring federal funds for each year of the 2025-2027 fiscal biennium for the same purpose.
  • Raises Medicaid reimbursement rates paid to dental care providers from 35% to 46% of average dentist charges in 2023.
  • Requires implementation of the rate increases as soon as practicable after July 1, 2025.
Show all 5 facts
  • Takes effect on July 1, 2025.

Frequently Asked Questions

How much state funding is allocated for the Medicaid dental rate increase?
The bill appropriates $52 million in recurring state funds from the General Fund for each year of the 2025-2027 .
What new reimbursement percentage will dental providers receive?
Medicaid reimbursement rates will increase from 35% to 46% of the average dentist charges in 2023.
When does this rate increase take effect?
The act becomes effective July 1, 2025, and rate increases are to be implemented as soon as practicable after that date.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

3 actions
  1. Feb 6, 2025House
    Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
  2. Feb 6, 2025House
    Passed 1st Reading
  3. Feb 4, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Show 54 more sponsors
ClampittHouseCosponsorNo profile match

Connected Entities

General Fund, Division of Health Benefits, Department of Health and Human Services
OrganizationGeneral Fund“Source of state appropriations”Map →
OrganizationDivision of Health Benefits“Administers appropriated funds for Medicaid dental services”Map →
OrganizationDepartment of Health and Human Services“Receives appropriations for health benefits”Map →

Sources

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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