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Read. Follow. Verify.North Carolina Increases Medicaid Personal Care and Nursing Rates with $393 Million in Combined State and Federal Funds
Last action · March 20, 2025: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action)Sponsors: Donna White and 16 others
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What This Bill Would Do
The General Assembly of North Carolina appropriates $139 million in recurring state funds per year for the 2025-2027 biennium to raise Medicaid reimbursement rates for and private duty nursing, matched by $254 million in recurring federal funds. Effective July 1, 2025, personal care service rates will increase to $7.50 per 15-minute increment, and private duty nursing rates will increase to $16.25 per 15 minutes.
Medicaid beneficiaries relying on in-home personal care and private duty nursing will experience rate adjustments designed to expand provider reimbursement, backed by substantial state and federal appropriations.
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.
Medicaid beneficiaries
Medicaid beneficiaries enrolled in personal care and private duty nursing programs experience changes tied to provider reimbursement rates.
Department of Health and Human Services, Division of Health Benefits
The agency receives and administers state and federal appropriations for Medicaid rate increases.
Key Facts
- Appropriates $119,200,000 in recurring state funds for each year of the 2025-2027 fiscal biennium to increase personal care services Medicaid rates.
- Provides a state match for $217,800,000 in recurring federal funds for personal care services for each year of the 2025-2027 biennium.
- Sets the Medicaid rate for personal care services to $7.50 per 15-minute increment under specified clinical coverage policies and programs.
- Appropriates $19,800,000 in recurring state funds for each year of the 2025-2027 fiscal biennium to increase private duty nursing Medicaid rates.
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- Provides a state match for $36,200,000 in recurring federal funds for private duty nursing services for each year of the 2025-2027 biennium.
- Sets the Medicaid rate for private duty nursing services to $16.25 per 15 minutes for beneficiaries of all ages.
- Establishes an effective date of July 1, 2025.
Frequently Asked Questions
What is the new Medicaid reimbursement rate for personal care services?
What is the new Medicaid reimbursement rate for private duty nursing services?
When does this rate increase take effect?
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 20, 2025HouseRef to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
- Mar 20, 2025HousePassed 1st Reading
- Mar 18, 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 12 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Federal Matching Funds Structure
The bill explicitly pairs state appropriations with specific federal matching dollar amounts for both personal care services and private duty nursing.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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