A BILL TO BE ENTITLED
AN ACT to make technical and other changes to the state health plan for teachers and state employees statutes, as REQUESTED by the State Health Plan.
The General Assembly of North Carolina enacts:
SECTION 1.  G.S. 135‑48.30(a)(5) reads as rewritten:
"§ 135‑48.30.  Powers and duties of the State Treasurer.
(a)	The State Treasurer shall have the following powers and duties:
(5)	May adopt, implement, and administer population health management programs, including case and disease management programs and wellness programs or incentives."
SECTION 2.  G.S. 135‑48.40(b)(1) reads as rewritten:
"(b)	Partially Contributory Coverage. – The following persons are eligible for coverage under the Plan, on a partially contributory basis, subject to the provisions of G.S. 135‑48.43:
(1)	All full‑time employees of an employing unit.			 For the purposes of this section, the full‑time status of an employee will be determined by the employing unit in accordance with Section 4980H of the Internal Revenue Code and the applicable regulations, as amended."
SECTION 3.  G.S. 135‑48.40(b)(2) is repealed.
SECTION 4.  G.S. 135‑48.42(e) reads as rewritten:
"(e)	Eligible employees and retirees may only change their elections, including adding or removing dependents, during the Plan year due to a qualifying event as defined under federal law."
SECTION 5.  G.S. 135‑48.43 reads as rewritten:
"§ 135‑48.43.  Effective dates of coverage.
(a)	Eligible Employees and Retired Employees. – Employees and retirees who otherwise satisfy the eligibility requirements set forth in G.S. 135‑48.40 will be offered coverage with the following effective dates:
(1)	Employees and retired employees covered under the Predecessor Plan will continue to be covered, subject to the terms hereof.
(2)	New employees may apply for coverage to be effective on the first day of the month following the date that the employee is determined by the employing unit to be a full‑time employee as defined in G.S. 135‑48.40(b)(1) or, if later, the first day of any applicable stability periods established by the employing unit in accordance with section 4980H of the Internal Revenue Code and the applicable regulations, as amended.(3)	Employees not enrolling or adding dependents when first eligible in accordance with G.S. 135‑48.42 may enroll later during annual enrollment, except employees who elect to change their coverage in accordance with rules adopted by the State Treasurer for optional alternative plans offered under the Plan.
(4)	Members of the General Assembly, beginning with the 1985 Session, shall become first eligible with the convening of each Session of the General Assembly, regardless of a Member's service during previous Sessions. Members and their dependents enrolled when first eligible after the convening of each Session of the General Assembly will not be subject to any waiting periods for preexisting health conditions. Members of the 1983 Session of the General Assembly, not already enrolled, shall be eligible to enroll themselves and their dependents on or before October 1, 1983, without being subject to any waiting periods for preexisting health conditions.
(b)	Waiting Periods and Preexisting Conditions. –
…
(3)	Retiring employees and dependents enrolled when first eligible after an employee's retirement are subject to no waiting period for preexisting conditions under the Plan. Retiring employees not enrolled or not adding dependents age 19 and older when first eligible after an employee's retirement may enroll at a later time during annual enrollment, but may be subject to a 12‑month waiting period for preexisting conditions except as provided in subdivision (a)(3) of this section.
.…"
SECTION 6.  G.S. 135‑48.51 reads as rewritten:
"§ 135‑48.51.  Coverage and operational mandates related to Chapter 58 of the General Statutes.
The following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:
…
(8)	G.S. 58‑3‑250, Payment obligations for covered services.
(9)	G.S. 58‑3‑265, Prohibition on managed care provider incentives.
…."

SECTION 7.  G.S. 147‑86.23 reads as rewritten:
"§ 147‑86.23.  Interest and penalties.
A State agency shall charge interest at the rate established pursuant to G.S. 105‑241.21 on a past‑due account receivable from the date the account receivable was due until it is paid. A State agency shall add to a past‑due account receivable a late payment penalty of no more than ten percent (10%) of the account receivable. A State agency may waive a late‑payment penalty for good cause shown. If another statute requires the payment of interest or a penalty on a past‑due account receivable, this section does not apply to that past‑due account receivable. This section does not apply to money owed to the University of North Carolina Health Care System or to East Carolina University's Division of Health Sciences for health care  services, to the North Carolina Turnpike Authority for money owed to the Authority for  Tolls, or to the North Carolina State Health Plan for past‑due account receivables related to premiums and claims payments."
SECTION 8.  Sections 2, 4, and 5 become effective July 1, 2013, and apply to plan years beginning on or after that date. The remainder of this act is effective when it becomes law.