HB 573 – NC Medicaid & SNAP Program Integrity Reform

Primary House Sponsors: Rep. Sarah Stevens (R-Alleghany, Surry, Wilkes); Rep. Jerry Carter (R-Rockingham); Rep. Harry Warren (R-Rowan); Rep. Edward Goodwin (R-Bertie, Camden, Chowan, Perquimans, Tyrrell, Washington)


This bill:

  • Requires DHHS to review information concerning changes in circumstances that may affect medical assistance beneficiaries’ eligibility to receive medical assistance benefits on a monthly basis (was quarterly).
  • Requires DHHS to direct county departments of social services to do the following if the State receives federal funding for medical assistance that is contingent upon temporary maintenance of effort restrictions or that in any way limits the ability of the State to disenroll individuals from the program: (1) continue to conduct monthly redeterminations of eligibility in the same manner in which redeterminations were conducted prior to the restrictions or limitations; and (2) act on redeterminations to the fullest extent permissible under the law.
  • Specifies hospital responsibilities when making a presumptive eligibility determination.
  • Requires DHHS to establish standards to ensure accurate presumptive eligibility determinations are made by each qualified hospital.
  • Requires DHHS to require applicants for electronic food and nutrition benefits cooperate with the Child Support Enforcement Program as a condition of eligibility for benefits.
  • Requires any person eligible to receive electronic food and nutrition benefits to report to DHHS any change in circumstances, such as changes in income or residency, within 10 days from the date of the change to allow DHHS to re-verify the person’s eligibility.


Filed – 4/14/2021