The civic record
Read. Follow. Verify.North Carolina appropriates $2.5 million to expand psychosocial rehabilitation clubhouse programs for adults with severe mental illness
Last action · March 31, 2025: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action)Sponsors: Vernetta Alston and 13 others
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What This Bill Would Do
North Carolina directs the Department of Health and Human Services to develop a statewide reimbursement plan and service definition for Clubhouse model psychosocial rehabilitation programs by June 1, 2026, and appropriates $2.5 million in starting July 1, 2026, to fund accredited clubhouses and implement the plan.
Adults with severe and persistent mental illness across North Carolina gain expanded access to structured community-based rehabilitation services backed by recurring state funding and new Medicaid coverage pathways.
- Clubhouse model programs are community centers that provide peer support, employment training, and rehabilitation services for individuals living with severe mental illnesses. context
- Local management entities and managed care organizations (LME/MCOs) in North Carolina manage regional behavioral health, intellectual and developmental disability, and substance use services. context
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.
adults with a severe and persistent mental illness diagnosis
Adults with severe and persistent mental illness gain expanded access to psychosocial rehabilitation programs and standardized behavioral health services.
Clubhouse model psychosocial rehabilitation day programs
Clubhouse programs become eligible for state funding, accreditation incentives, training support, and expanded service locations.
local management entities/managed care organizations (LME/MCOs)
LME/MCO staff must receive education and training on the Clubhouse model, and their service regions will experience consistent application of reimbursement rates.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What is the Clubhouse model of psychosocial rehabilitation?
How much money does the bill appropriate and when does funding start?
When is the state required to report on the reimbursement plan?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
3 actions- Mar 31, 2025HouseRef to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
- Mar 31, 2025HousePassed 1st Reading
- Mar 27, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →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 9 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Establishment of Statewide Reimbursement for Clubhouse Programs
The legislation mandates a shift from fragmented local approaches to a standardized statewide reimbursement methodology and Medicaid coverage framework for psychosocial rehabilitation clubhouses.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance65How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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