---
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).