The Latest Assisted Living News from the NC General Assembly!
The Latest Assisted Living News from the NC General Assembly!
Legislative Update
News from the NCGA
December 6, 2019
by Tony Adams, Adams and Associates Government Relations
The 2019–2020 budget that passed the Legislature but was vetoed by the Governor includes a section of the bill that has $2,250,000 for special assistance personal needs allowance for adult care home residents. This would increase the personal needs allowance for residents from $46 to $70 a month effective October 1, 2019. The budget also would allocate $3,300,000 for temporary assistance for facilities that serve special assistance residents. NCALA and other affected organizations are working with legislators to get the increases placed in a “mini-budget” during the January special session of the legislature.

Moratorium on Special Care Units

In the budget passed by the legislature but vetoed by the Governor the moratorium on special care units is extended from July 1, 2019, to June 30, 2021. There are certain exceptions in the section of the budget on the moratorium extension. The bill is still alive and will possibly be worked on when the Legislature convenes in early January for a short special session.

Senate Bill 302

SB302 was signed into law by the Governor. The bill authorizes adult care homes to use service plans completed as the result of a Medicaid personal care services assessment to fulfill the activities of daily living portion of the required service plans or care plans for adult care home residents. The bill contains a section amending Assisted Living Administrator certification qualifications.

Senate Bill 537

SB537 was passed into law and signed by the Governor. The bill states that examination and establishment of a new payment methodology for adult care homes providing care to of North Carolina Medicaid beneficiaries to promote health as well as fair and reasonable compensation for the services rendered. It is the intent of the General Assembly to provide funding to adult care homes in a manner that recognizes the importance of a stable and reliable funding stream to ensure access, choice, and quality of care within adult care homes. To achieve these aims, the NC Department of Health and Human Services would be directed to establish and convene a workgroup to evaluate reimbursement options under managed care for adult care homes that consider all funding streams and to develop a service definition under managed care to accomplish this intent. The workgroup will consist of adult care home representatives and other relevant stakeholders.

House Bill 70

HB70 extends the deadlines by which certain providers are required to connect to and participate in North Carolina’s Health Information network known as NC Healthconnex. The Department of Health and Human Services shall establish a process to grant exemptions to providers of Medicaid and other State-funded health care services for whom acquiring and implementing an electronic health record system and connecting to the HIE network would constitute an undue hardship. Lastly, connection is voluntary for certain providers, including personal care, community alternatives programs, private duty nursing, and Program of All-Inclusive Care for the Elderly (PACE) service providers. The bill was signed into law by the Governor.
For more information about the North Carolina General Assembly, or to identify your legislators, please visit For more information on these and other legislative issues, please contact NCALA.


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