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Legislation Tracker: Medicaid
Medicaid relief (2007-2008 Reg)
| Bill: | HB57
| | Sponsors: | Howard (R79); Yongue (D46); Carney (D102); Almond (R67) | | Title: | PHASE OUT MEDICAID COUNTY SHARE | | History: | 02/13/2007 H Withdrawn from committee.
02/13/2007 H Re-referred To House Committee On Appropriations. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
| | Comments: | This approach would phase out the county share over the next five years. No state funds have been identified to fund the increased costs to be absorbed by the state. The bill has significant bi-partisan support, with 21 representatives from both parties signing on as co-sponsors. |
| Bill: | HB560
| | Sponsors: | Holloway (R91) | | Title: | MEDICAID COUNTY SHARE/PHASE-OUT | | History: | 03/12/2007 H Passed 1st Reading.
03/12/2007 H Referred To House Committee On Appropriations. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
| | Comments: | This bill would phase down the county share of Medicaid by 3 percent each year until the county share is 0 percent effective July 1, 2011. This bill differs from the H57, filed by Rep. Julia Howard (Davie) in that it does not also contain a cap at 2005-06 levels. |
| Bill: | HB1016
| | Sponsors: | Wainwright (D12); Barnhart (R82); Dickson (D44); Carney (D102) | | Title: | STATE MEDICAID SWAP | | History: | 07/18/2007 H Received to concur in Senate committee substitute.
07/18/2007 H Committee substitute ruled material.
07/18/2007 H Referred To House Committee On Finance. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
| | Comments: | This would accomplish the Association's primary goal of complete Medicaid relief and would not require counties to raise any taxes. The state would assume 25 percent of the county Medicaid costs effective Oct. 1, 2007, 50 percent July 1, 2008 and 100 percent effective July 1, 2009. In return, the state would assume a portion of each county's ADM revenues for 2007-08 only, would take over the per capita half of the Article 44 sales tax effective Oct. 1, 2008, and would take over the entire Article 44 on Oct. 1, 2009. In addition, the state would convert the Article 42 sales tax from per capita to point of collection effective July 1, 2009. The net effect is that counties would give to the state the Article 44 half-cent sales tax (approximately $490 million in 2007-08) to be relieved of Medicaid (approximately $517 million in 2007-08). The state would hold counties harmless if their amount of lost revenue is greater than their Medicaid relief. Counties would hold cities harmless for their lost Article 44 revenues. The state Department of Revenue would pay the municipalities their hold harmless amount from the county's portion of the local sales taxes. |
| Bill: | HB1140
| | Sponsors: | Gibson (D69) | | Title: | SALES TAX MEDICAID SWAP | | History: | 03/28/2007 H Passed 1st Reading.
03/28/2007 H Referred To House Committee On Finance. | | Comments: | Identical to S1484 |
| Bill: | HB1424
| | Sponsors: | Michaux (D31); Owens (D1); Yongue (D46); Stam (R37) | | Title: | MEDICAID COUNTY SHARE REDUCED | | History: | 04/12/2007 H Passed 1st Reading.
04/12/2007 H Referred To House Committee On Appropriations. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
| | Comments: | Every member of the House of Representatives signed on to H1424, which would permanently cap county Medicaid costs at 2005-06 levels and provide additional, targeted relief each year to counties with the highest percentage of Medicaid-eligible citizens. The bill was sponsored by Reps. Bill Owens (Pasquotank), Mickey Michaux (Durham), Paul Stam (Wake) and Doug Yongue (Scotland). The bill calls for $100 million for 2007-08 and $154 million for 2008-09. The bill estimates that it will cost approximately $90 million to fund the cap in 2007-08 and $139 million in 2008-09, leaving $10 million and $15 million in each year for targeted relief. |
| Bill: | HB2004
| | Sponsors: | Blust (R62) | | Title: | GOLDEN L.E.A.F. FUNDS FOR COUNTY MEDICAID | | History: | 05/10/2007 H Passed 1st Reading.
05/10/2007 H Referred To House Committee On Appropriations. |
| Bill: | HB2030
| | Sponsors: | Mobley (D5) | | Title: | MEDICAID COUNTY SHARE/PHASE OUT | | History: | 05/10/2007 H Passed 1st Reading.
05/10/2007 H Referred To House Committee On Appropriations. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
| | Comments: | This bill would phase out the county Medicaid share over a period of several years, based on each county's ranking in the tier rankings. Tier 1 counties would have their share reduced to 9 percent of the state's share of Medicaid services costs, effective July 1, 2007. Effective July 1, 2009, Tier 1 counties would see their share reduced to 6 percent, while all other counties would see their share reduced to 12 percent. Non-Tier 1 counties would have their share further reduced to 9 percent on July 1, 2010. Beginning July 1, 2011, all counties would pay 6 percent. The share would be reduced to 3 percent beginning July 1, 2012, and 0 percent beginning July 1, 2013. |
| Bill: | SB213
| | Sponsors: | Brock (R34) | | Title: | PHASE OUT MEDICAID COUNTY SHARE | | History: | 02/20/2007 S Referred To Senate Committee On Appropriations/Base Budget. | | Position: | Support
| | Priority: | High
| | Category: | Priority Goal
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| Bill: | SB1484
| | Sponsors: | Rand (D19) | | Title: | SALES TAX MEDICAID SWAP | | History: | 03/27/2007 S Referred To Senate Committee On Finance. | | Category: | Priority Goal
| | Comments: | The Senate Finance Committee is currently considering a revised version of this bill that calls for counties to give to the state the Article 44 (half-cent) sales tax, one-fourth of the Article 40 (half-cent) sales tax for a total of 5-8ths of a cent of local sales tax, in exchange for being completely relieved of the Medicaid burden. In addition, counties would cede the county share of the deed stamp tax, the county share of the corporate income tax earmarked for the ADM Fund and the county beer and wine tax revenues. The state would phase the county Medicaid share down over two years, reducing it to 7.5% on Jan. 1, 2008 and 3.75% on July 1, 2008 before it is removed completely on July 1, 2009. Counties would receive a local-option, half-cent sales tax in return, which would be distributed point of sale. Counties would hold cities harmless for any loss of sales tax revenue at 2007-08 levels. |
| Bill: | SB1529
| | Sponsors: | Clodfelter (D37) | | Title: | IMPLEMENT MODERNIZATION COMMISSION RECOMMEND | | History: | 03/28/2007 S Referred To Senate Committee On Finance. | | Category: | Priority Goal
| | Comments: | This bill grants counties several new revenue authorities and relieves counties of their Medicaid burden. To help the state meet its increased Medicaid obligation, counties would forfeit to the state the Article 44 sales tax, and the state would also increase the cigarette tax from 1.75 cents per cigarette to 3.75 cents. The bill would also give counties a local-option 0.1 percent land transfer tax and authority for a prepared meals tax and room occupancy taxes sound. This bill represents the recommendations of the State-Local Fiscal Modernization Study Commissions efforts. |
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