GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1991

H	1 

HOUSE BILL 1449

Short Title:  Sickle Cell Program/Elig.	(Public)
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Sponsors: Representatives McAllister; Beard, Fitch, Foster, Gottovi, Green, H. Hunter, Hurley, Kennedy, Luebke, Lutz, Michaux, Oldham, Wainwright, and Warner.
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Referred to:  Appropriations.
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June 1, 1992

A BILL TO BE ENTITLED
AN ACT TO EXPAND THE ELIGIBILITY REQUIREMENTS FOR SERVICES FROM THE SICKLE CELL PROGRAM.
The General Assembly of North Carolina enacts:
Section 1.  Section 172 of Chapter 689 of the 1991 Session Laws reads as rewritten:
"Sec. 172.  Providers of medical services under the various State programs other than Medicaid offering medical care to citizens of the State shall be reimbursed at rates no more than those under the North Carolina Medical Assistance Program.
The Department of Environment, Health, and Natural Resources may reimburse hospitals at the full prospective per diem rates without regard to the Medical Assistance Program's annual limits on hospital days.  When the Medical Assistance Program's per diem rates for inpatient services and its interim rates for outpatient services are used to reimburse providers in non-Medicaid medical service programs, retroactive adjustments to claims already paid shall not be required.
Notwithstanding the provisions of paragraph one of this section, the Department of Environment, Health, and Natural Resources may negotiate with providers of medical services under the various Environment, Health, and Natural Resources programs, other than Medicaid, for rates as close as possible to Medicaid rates for the following purposes:  contracts or agreements for medical services and purchases of medical equipment and other medical supplies.  These negotiated rates are allowable only to meet the medical needs of its non-Medicaid eligible patients, residents and clients who require such services which cannot be provided when limited to the Medicaid rate.
Maximum net family annual income eligibility standards for services in these programs with the exception of Migrant Health, School Health, AIDS Drug Reimbursement Program, diagnostic assessment for infants with sickle cell syndrome, and Home Health shall be as follows:
	Family	 All 
	Size 	Kidney	Other
	1	$ 6,400	$ 4,200
	2	  8,000	  5,300
	3	  9,600	  6,400
	4	 11,000	  7,500
	5	 12,000	  7,900
	6	 12,800	  8,300
	7	 13,600	  8,800
	8	 14,400	  9,300
The eligibility level each fiscal year for outpatient services for all clients and for inpatient services for children under the age of 5, in the Children's Special Health Services Program shall be one hundred percent (100%) of the federal poverty guidelines as revised annually by the United States Department of Health and Human Services, in effect on July 1 of each fiscal year.
The eligibility level each fiscal year for outpatient services covered by the Sickle Cell Program shall be one hundred percent (100%) of the federal poverty guidelines as revised annually by the United States Department of Health and Human Services, in effect on July 1 of each fiscal year."
Sec. 2.  This act becomes effective July 1, 1992.