Legislative UpdateMarch 23, 2015

Annaliese DolphLaw Office of Annaliese Dolph

State Budget

State Budget Process

Governor Submitted his Budget March 5April Revenue Numbers after April 15House develops budget for considerationSenate consider House Budget and makes changesHouse considers Senate version of budgetHouse and Senate Conference on disputed mattersTarget date July 1

Governors Budget Highlights

• Additional Funding for Behavioral Health from Sale of Dix• Funding to Address Mental Health Needs of Prisoners•Medicaid Reform ACO Model• Teacher Salary Funding for Increases

Revenue Considerations

• 2013 Tax Changes • Economic development Incentives• Tax Credits – historic preservation, etc.• Broader considerations around sales tax• Sales Tax redistribution proposal

House Budget Possibilities

• Substance Abuse system changes• TBI Waiver•Health Care for Workers with Disabilities

A New Way of Budgeting in HHS?

•Moving from Paying to Investing• Starting with Birth to 5 Funding• Pew Results First Initiative

Medicaid Reform

Medicaid Reform

•Differing concepts about reform• Fate of the LME/MCO model•What about long term care?

Proposed Bills

Bills You May Be Interested In• HB 46, Senior Tax Deduction for Medical Expenses (Catlin, R-New

Hanover)• HB 91, Handicapped Parking Law Revisions (Speciale)• HB 119, PED Recs/Publicly Funded Substance Abuse Services (Horn,

Hurley, Saine)• HB 142, Require Safety Helmets/Under 21 (Torbett, Speciale)/SB 144

(Meredith)• HB 314, Pilot/Sports for Students with Disabilities (Bryan, Stam,

Lambeth)• SB 49, Curbside Voting IDs (Tillman)

Bills, Continued

• SB 291, Extend Overnight Respite Pilot Program (Hartsell)• SB 343, Student Assault on Teacher/Felony Offense (Tillman)• SB 349, Restore Driving Privileges/Competency (Randleman)• ABLE Act bill Coming

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