Legislation: batch C — MO MS MT NC ND NE NH NJ NM NV

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/nc/2019/hb-656.md

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+---
+type: "Bill"
+title: "Medicaid Changes for Transformation."
+description: "Medicaid Changes for Transformation."
+jurisdiction: "us/states/nc"
+legislature: "North Carolina General Assembly"
+session: "2019"
+identifier: "HB 656"
+citation: "North Carolina HB 656 (2019)"
+classification: ["bill"]
+subjects: ["DHHS", "HEALTH SERVICES", "INSURANCE", "INSURANCE", "HEALTH", "MEDICAID", "MENTAL HEALTH", "POVERTY", "PRESENTED", "PUBLIC", "RATIFIED", "SOCIAL SERVICES", "CHAPTERED", "LMES-MCOS", "HEALTH CHOICE"]
+status: "enacted"
+primary_sponsors: ["Dobson", "Lambeth", "Murphy"]
+version_count: 9
+action_count: 37
+vote_count: 2
+first_action: "2019-04-09"
+last_action: "2019-07-04"
+source: "openstates"
+source_identifier: "ocd-bill/32e7bd75-e7da-4b73-988c-275730107492"
+source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2019&BillID=H656&votesToView=all"
+source_hash: "e32bb40e11e0413e1a28e2955439486a516f14841434c05620853434e4447527"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-nc"]
+---
+
+# North Carolina HB 656 (2019) — Medicaid Changes for Transformation.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Filed** (filed) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v0.pdf)
+2. **A1: ATR-11-V-4** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2019/4927/0/H656-ATR-11-V-4)
+3. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v1.pdf)
+4. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v2.pdf)
+5. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v3.pdf)
+6. **Edition 4** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v4.pdf)
+7. **Edition 5** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v5.pdf)
+8. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v6.pdf)
+9. **SL 2019-81** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v7.pdf)
+
+## Votes
+
+- M11 Concur — **106–0** (pass) · lower
+- Second Reading — **47–0** (pass) · upper
+
+## Sponsors
+
+- Dobson — primary (person)
+- Lambeth — primary (person)
+- Murphy — primary (person)
+- Faircloth — cosponsor (person)
+- Fraley — cosponsor (person)
+- Horn — cosponsor (person)
+- Ross — cosponsor (person)
+- Sasser — cosponsor (person)
+- Sauls — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2019-07-04** Ch. SL 2019-81 `became-law`
+- **2019-07-04** Signed by Gov. 7/4/2019 `executive-signature`
+- **2019-06-26** Pres. To Gov. 6/26/2019 `executive-receipt`
+- **2019-06-25** Ratified
+- **2019-06-24** Ordered Enrolled
+- **2019-06-24** Concurred In S Com Sub `amendment-passage`
+- **2019-06-21** Placed On Cal For 06/24/2019
+- **2019-06-21** Cal Pursuant 36(b)
+- **2019-06-20** Regular Message Received For Concurrence in S Com Sub
+- **2019-06-20** Regular Message Sent To House
+- **2019-06-19** Engrossed
+- **2019-06-19** Passed 3rd Reading `passage, reading-3`
+- **2019-06-19** Passed 2nd Reading `reading-2`
+- **2019-06-19** Amend Adopted A1 `amendment-passage`
+- **2019-06-18** Reptd Fav `committee-passage-favorable`
+- **2019-06-13** Re-ref Com On Rules and Operations of the Senate `referral-committee`
+- **2019-06-13** Com Substitute Adopted
+- **2019-06-13** Reptd Fav Com Substitute `committee-passage-favorable`
+- **2019-05-20** Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
+- **2019-05-20** Withdrawn From Com
+- **2019-05-06** Ref To Com On Rules and Operations of the Senate `referral-committee`
+- **2019-05-06** Passed 1st Reading `reading-1`
+- **2019-05-06** Regular Message Received From House
+- **2019-05-03** Regular Message Sent To Senate
+- **2019-05-02** Passed 3rd Reading `passage, reading-3`
+- **2019-05-02** Passed 2nd Reading `reading-2`
+- **2019-05-02** Added to Calendar
+- **2019-05-02** Withdrawn From Cal
+- **2019-05-02** Placed On Cal For 05/03/2019
+- **2019-05-02** Cal Pursuant Rule 36(b)
+- **2019-05-02** Reptd Fav Com Sub 2 `committee-passage-favorable`
+- **2019-04-30** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
+- **2019-04-30** Reptd Fav Com Substitute `committee-passage-favorable`
+- **2019-04-25** Serial Referral To Insurance Stricken
+- **2019-04-10** Ref to the Com on Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
+- **2019-04-10** Passed 1st Reading `reading-1`
+- **2019-04-09** Filed `introduction`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/32e7bd75-e7da-4b73-988c-275730107492`. Confidence: reported (aggregated from official North Carolina legislature records).
+