North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S378

Introduced
3/20/25  
Refer
3/24/25  
Refer
4/14/25  
Report Pass
5/6/25  
Refer
5/6/25  
Report Pass
5/6/25  
Engrossed
5/7/25  
Refer
5/8/25  

Caption

Align Medicaid Eligibility with Federal Law

Impact

The implementation of S378 would have significant implications on state Medicaid policies and the services available to those who rely on Medicaid assistance. By removing Planned Parenthood as a service provider, the state may limit access to certain healthcare services, including reproductive health services, which many women utilize. The potential disenrollment could disrupt care continuity for Medicaid beneficiaries who depend on these services, raising concerns among advocates for women's health and healthcare access.

Summary

Senate Bill 378 aims to align Medicaid eligibility requirements in North Carolina with federal law, specifically by disenrolling Planned Parenthood Federation of America, Inc., and associated entities as Medicaid providers. The bill outlines that the Department of Health and Human Services will discontinue Medicaid contracts with Planned Parenthood and will seek alternative providers to deliver the services that were previously provided by this organization. This legislative move appears intended to conform state law to federal stipulations regarding Medicaid provider eligibility, which advocates argue is overdue and necessary for compliance.

Sentiment

The sentiment surrounding S378 is sharply divided along partisan lines. Proponents of the bill, largely from the Republican party, view it as a necessary step to ensure that state Medicaid programs adhere strictly to federal guidelines, thereby eliminating what they consider an unnecessary loophole. Conversely, opponents including numerous Democratic legislators and healthcare advocates express strong opposition, arguing that the bill undermines critical health services for vulnerable populations and represents an attack on women's healthcare rights.

Contention

Key points of contention within the discourse around S378 revolve around reproductive health and access to services. Critics assert that the removal of Planned Parenthood could severely limit healthcare access for individuals who turn to these clinics for a range of health services and not just abortion procedures. This raises broader questions concerning the balance between adhering to federal regulations and ensuring that all residents have access to comprehensive healthcare services tailored to their needs.

Companion Bills

No companion bills found.

Previously Filed As

NC HB125

Medicaid; direct Division of Medicaid to apply for federal waivers to expand Medicaid eligibility.

NC HB114

Medicaid; direct Division of Medicaid to apply for federal waivers to expand Medicaid eligibility.

NC HB4133

Relating to alignment with federal education law; declaring an emergency.

NC HB132

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB427

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB706

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB1105

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB123

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB252

Medicaid; expand eligibility under federal Affordable Care Act.

NC HB374

Medicaid; expand eligibility under federal Affordable Care Act.

Similar Bills

No similar bills found.