![]() The House budget gives $10.6 million for medication assisted treatment programs run by the state Department of Public Safety. Money from this fund would be used to add 1,000 people with disabilities to a program that allows them to live outside institutions or group homes, increase wages for direct care workers, and extend home health services to people on Medicaid who are moving out of institutions. The budget transfers state taxpayer money into the fund and replaces it with federal money. The House budget creates a new $274.8 million Home and Community Based Services fund with the help of the federal relief money. Bonuses would be based on how long a teacher or staff person has worked at a childcare facility. Up to $207.8 million would be used to build the pipeline of childcare teachers through the use of bonuses, apprenticeships, and fast-track programs.Up to $30 million would be used to cover co-pays for children in subsidized care through the end of this year. ![]() Up to $215 million would be used to reduce the waitlist of children eligible for subsidized care, starting with foster children.Here’s how the House budget proposes to spend $502.8 million from the Child Care and Development block grant. Money from the American Rescue Plan, which provides states with pandemic relief funds, is giving a significant boost to spending on early childhood education, independent living for people with disabilities, and direct care worker salaries.Īs Policy Watch previously reported, North Carolina is receiving $1.3 billion from the American Rescue Plan for early childhood education and to support childcare centers. Stein sued the company claiming it had designed products and marketing to attract middle- and high school students. The $13 million is the first installment. Attorney General Josh Stein settled a lawsuit with the e-cigarette company, which agreed to pay the state $40 million over six years. The House budget uses $13 million from the state legal settlement with Juul for programs aimed to get young people to quit using e-cigarettes and other tobacco products. Roy Cooper and Democrats in the legislature have long made a priority. The House and Senate budgets do not include full Medicaid expansion, which Gov. Parents who qualify for Medicaid have incomes far below the federal poverty line. ![]() Senators who promoted the change said allowing parents to keep the insurance would allow them to enter court-ordered drug treatment. Black and Native American women are 2 to 3 times more likely to die of pregnancy related causes than white women, according to the Centers for Disease Control and Prevention.īoth the House and Senate budgets include money to allow parents who use Medicaid to remain on the government insurance plan if they temporarily lose custody of their children. The additional time is considered key to reducing maternal illness and death. It would take effect in April and last for five years.Īdding the extra time has been a priority for maternal health advocates in North Carolina and around the country. The American Rescue Plan gave states the option of adding the 10 extra months of Medicaid coverage for pregnant women. State professional societies representing OB/GYNs, pediatricians, and family physicians pushed for the extension. They are usually cut off after two months. The House proposal does not include expanding what’s called “pregnancy Medicaid” to 12 months from 60 days as the Senate budget does.ĭoctors’ groups have pushed to allow women who qualify for Medicaid when they are pregnant to stay on the government insurance for a year after giving birth. The House and Senate budgets for health and human services have some striking differences. Traditionally, negotiators from the House and Senate resolve their differences and present a budget to the governor. The Senate has passed its own spending plan, and the two versions are not the same. If it sticks to its schedule, the House will vote on its budget proposal by the end of next week and send it to the Senate. Still to come are salary increases or bonuses the House will propose for teachers and state employees. House budget subcommittee leaders released big pieces of their spending proposal Thursday, as the chamber began speeding toward passage of its full budget. Differences in HHS proposals indicate that much work lies ahead for House and Senate negotiators
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