---
type: "Bill"
title: "Medicaid Transformation Modifications."
description: "Medicaid Transformation Modifications."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2015"
identifier: "SB 838"
citation: "North Carolina SB 838 (2015)"
classification: ["bill"]
subjects: ["DHHS", "HEALTH SERVICES", "INSURANCE", "INSURANCE", "HEALTH", "MEDICAID", "POVERTY", "PRESENTED", "PUBLIC", "RATIFIED", "REPORTING", "SESSION LAWS", "SOCIAL SERVICES", "CHAPTERED", "HEALTH CHOICE"]
status: "enacted"
primary_sponsors: []
version_count: 6
action_count: 34
vote_count: 2
first_action: "2016-05-10"
last_action: "2016-07-28"
source: "openstates"
source_identifier: "ocd-bill/d35e0b8a-a7bd-48e3-a000-3a16d51ee173"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2015&BillID=S838&votesToView=all"
source_hash: "47bbf5d121a620f8d3053ab4e514cd5a1998282be7a8655c78f978f4724176cd"
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 838 (2015) — Medicaid Transformation Modifications.

## 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/2015/Bills/Senate/PDF/S838v0.pdf)
2. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2015/Bills/Senate/PDF/S838v1.pdf)
3. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2015/Bills/Senate/PDF/S838v2.pdf)
4. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2015/Bills/Senate/PDF/S838v3.pdf)
5. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2015/Bills/Senate/PDF/S838v4.pdf)
6. **SL 2016-121** (committee substitute) — [source](http://www.ncleg.net/Sessions/2015/Bills/Senate/PDF/S838v5.pdf)

## Votes

- C RPT Adoption — **96–0** (pass) · lower
- Conference Rpt Motion 8 To Adopt — **40–0** (pass) · upper

## Sponsors

- Cook — cosponsor (person)
- Hise — cosponsor (person)
- Pate — cosponsor (person)
- Sanderson — cosponsor (person)

## Timeline

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

- **2016-07-28** Ch. SL 2016-121 `became-law`
- **2016-07-28** Signed by Gov. 7/28/2016 `executive-signature`
- **2016-07-01** Pres. To Gov. 7/1/2016 `executive-receipt`
- **2016-07-01** Ratified
- **2016-07-01** Ordered Enrolled
- **2016-07-01** Conf Report Adopted
- **2016-07-01** Conf Report Adopted
- **2016-07-01** Added to Calendar
- **2016-07-01** Cal Pursuant Rule 36(b)
- **2016-07-01** Conf Com Reported
- **2016-07-01** Placed on Today's Calendar
- **2016-07-01** Conf Com Reported
- **2016-06-02** Conf Com Appointed
- **2016-06-01** Conf Com Appointed
- **2016-05-31** Failed Concur In H Com Sub
- **2016-05-26** Placed On Cal For 05/31/2016
- **2016-05-26** Regular Message Received For Concurrence in H Com Sub
- **2016-05-25** Regular Message Sent To Senate
- **2016-05-25** Passed 3rd Reading `passage, reading-3`
- **2016-05-25** Passed 2nd Reading `reading-2`
- **2016-05-25** Added to Calendar
- **2016-05-25** Cal Pursuant Rule 36(b)
- **2016-05-25** Reptd Fav Com Substitute `committee-passage-favorable`
- **2016-05-23** Ref To Com On Health `referral-committee`
- **2016-05-23** Passed 1st Reading `reading-1`
- **2016-05-19** Regular Message Received From Senate
- **2016-05-19** Regular Message Sent To House
- **2016-05-18** Passed 3rd Reading `passage, reading-3`
- **2016-05-18** Passed 2nd Reading `reading-2`
- **2016-05-17** Com Substitute Adopted
- **2016-05-17** Reptd Fav Com Substitute `committee-passage-favorable`
- **2016-05-11** Ref To Com On Health Care `referral-committee`
- **2016-05-11** Passed 1st Reading `reading-1`
- **2016-05-10** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d35e0b8a-a7bd-48e3-a000-3a16d51ee173`. Confidence: reported (aggregated from official North Carolina legislature records).