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Last Action

Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House2025-02-27

Vote Breakdown

No floor votes recorded.

Plain Language Summary

This bill requires North Carolina's Medicaid program to reimburse ambulatory surgical centers (outpatient surgery facilities) at rates of at least 95% of what Medicare pays for the same services. The state will spend $10.5 million annually to fund this increase, which will draw down $19.1 million in federal matching funds.

Arguments in Favor

• •Supporters argue that higher Medicaid reimbursement rates will ensure ambulatory surgical centers remain financially viable and can continue providing surgical services to Medicaid patients.
• •They contend that competitive payment rates are necessary to maintain access to outpatient surgery options and prevent these facilities from closing or limiting Medicaid patient capacity.

Arguments Against

• •Opponents may argue that the state is committing significant recurring spending ($10.5 million annually) during a time of budget constraints, and question whether increasing reimbursement rates is the most efficient use of taxpayer dollars.
• •Some may also contend that there is insufficient evidence that current payment rates are causing access problems or facility closures.