H259 - 2023 Appropriations Act. (SL 2023-134)

Overview: Section 9E.28 of S.L. 2023-134 creates a new temporary Primary Care Payment Reform Task Force (Task Force) in the Division of Health Benefits (DHB), Department of Health and Human Services. This section of the act directs the Task Force to do the following:

• Define the term "primary care" for purposes of the Task Force.
• Conduct an actuarial evaluation of the current healthcare spend on primary care services, both as it relates to the North Carolina Medicaid program and the commercial market.
• Determine the adequacy of the primary care delivery system in North Carolina.
• Study the primary care payment landscape in other states, including states that have implemented a minimum primary care spend.
• Identify data collection and measurement systems to inform creation of a primary care investment target for the North Carolina Medicaid program, the State Health Plan, and commercial insurance.
• Evaluate the need for the Task Force to be permanent.

The Task Force must submit a report with findings and recommendations to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Oversight Committee on Medicaid by April 1, 2024.

This section became effective July 1, 2023, and expires on May 1, 2024.