---
type: "Bill"
title: "Medicaid Billing by Local Health Departments."
description: "Medicaid Billing by Local Health Departments."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2011"
identifier: "SB 245"
citation: "North Carolina SB 245 (2011)"
classification: ["bill"]
subjects: ["DHHS", "HEALTH DEPTS.", "HEALTH SERVICES", "INSURANCE", "HEALTH", "LOCAL GOVERNMENT", "MEDICAID", "POVERTY", "PRESENTED", "PUBLIC", "PUBLIC HEALTH", "RATIFIED", "SOCIAL SERVICES", "TITLE CHANGE", "SEN. HARTSELL", "CHAPTERED"]
status: "enacted"
primary_sponsors: []
version_count: 8
action_count: 25
vote_count: 2
first_action: "2011-03-07"
last_action: "2011-05-26"
source: "openstates"
source_identifier: "ocd-bill/55443fd3-9c7f-40ba-80d6-0845e4d1b2c6"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2011&BillID=S245&votesToView=all"
source_hash: "ea4f3e9aacf904e70467e9acb88c9ad6d4e0673cba692d385883ce5bd9cfb123"
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 SB 245 (2011) — Medicaid Billing by Local Health Departments.

## 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/2011/Bills/Senate/PDF/S245v0.pdf)
2. **A1: ASQ-58-V-1** (committee substitute) — [source](https://webservices.ncleg.net/ViewBillDocument/2011/614/0/S245-ASQ-58-V-1)
3. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v1.pdf)
4. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v2.pdf)
5. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v3.pdf)
6. **Edition 4** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v4.pdf)
7. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v5.pdf)
8. **SL2011-90** (committee substitute) — [source](http://www.ncleg.net/Sessions/2011/Bills/Senate/PDF/S245v6.pdf)

## Votes

- Motion 9\To Concur — **50–0** (pass) · upper
- Second Reading — **118–0** (pass) · lower

## Sponsors

- Atwater — cosponsor (person)
- Hartsell — cosponsor (person)
- Mansfield — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2011-05-26** Ch. SL 2011-90 `became-law`
- **2011-05-26** Signed By Gov. 5/26/2011 `executive-signature`
- **2011-05-25** Pres. To Gov. 5/25/2011 `executive-receipt`
- **2011-05-24** Ratified
- **2011-05-23** Concurred In H/com Sub `amendment-passage`
- **2011-05-19** Placed On Cal For 5/23/2011
- **2011-05-19** Rec To Concur H Com Sub
- **2011-05-18** Ordered Engrossed
- **2011-05-18** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
- **2011-05-18** Amend Adopted 1 `amendment-passage`
- **2011-05-17** Placed On Cal For 5/18/2011
- **2011-05-17** Cal Pursuant Rule 36(b)
- **2011-05-17** Reptd Fav Com Substitute `committee-passage-favorable`
- **2011-05-05** Re-ref Com On Health and Human Services `referral-committee`
- **2011-05-05** Withdrawn From Com
- **2011-04-05** Re-ref Com On Appropriations `referral-committee`
- **2011-04-05** Reptd Fav `committee-passage-favorable`
- **2011-03-23** Ref To Com On Health and Human Services `referral-committee`
- **2011-03-23** Passed 1st Reading `reading-1`
- **2011-03-21** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
- **2011-03-17** Com Substitute Adopted
- **2011-03-17** Reptd Fav Com Substitute `committee-passage-favorable`
- **2011-03-08** Ref To Com On Health Care `referral-committee`
- **2011-03-08** Passed 1st Reading `reading-1`
- **2011-03-07** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/55443fd3-9c7f-40ba-80d6-0845e4d1b2c6`. Confidence: reported (aggregated from official North Carolina legislature records).