H97 - 2015 Appropriations Act, Sec. 12H.14: Miscellaneous Health Choice Provisions (SL 2015-241)

Session Year 2015

Overview: Sec. 12H.14 of S.L. 2015-241 makes the following changes to the NC Health Choice for Children program:

  • Repeals the statute which allows an enrollee in the program who loses eligibility due to an increase in family income above 200% of the federal poverty level and up to and including 225% of the federal poverty level to purchase at full premium cost continued coverage under the program for up to one year.
  • Repeals the statute which provides that no State or federal funds can be used to cover or offset the cost of purchased continued coverage.
  • Amends the statutes to provide that enrollees in the program may now be subject to a lifetime maximum benefit limit set forth in Medicaid and NC Health Choice medical coverage policies under the procedures for changing a medical policy set forth in statute.
  • Provides that any State plan amendments required to implement this section are not subject to the 90-day prior submission requirements under current law.

This section became effective September 18, 2015.

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