HB 914 – Support Our Direct Care Workforce

Primary House Sponsors: Rep. William Brisson (R-Bladen, Sampson); Rep. Timothy Moffitt (R-Henderson); Rep. Donny Lambeth (R-Forsyth); Rep. Wayne Sasser (R-Cabarrus, Rowan, Stanly)





This bill:

  • Directs DHHS to provide a rate increase to the following Medicaid providers for services related to the provision of direct care to Medicaid beneficiaries: (1) providers who provide services through certain specified Medicaid waiver programs; (2) personal care services providers; (3) intermediate care facilities for individuals with intellectual disabilities; (4) home health providers; (5) nursing homes; and (6) behavioral health residential facilities.
  • Requires any provider receiving a rate increase to use at least 80% of the funding to increase the wages paid to its direct care employees.
  • Requires DHHS to adjust the per member per month capitation amount paid to local management entities/managed care organizations and to prepaid health plans to include amounts sufficient to implement the same rate increase for providers paid by the LME/MCO or PHP.
  • Appropriates $160M in recurring funds for the 2021-2022 fiscal year and $160M in recurring funds for the 2022-2023 fiscal year to be used to implement the rate increase.
  • Permits the Division of Health Benefits to recoup par of all of the funds related to the rate increase if the Division determines the provider did not use at least 80% of the funds to increase the wages paid to its direct care employees.



Filed – 5/10/2021