c5c7033001
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
109 lines
5.1 KiB
Markdown
109 lines
5.1 KiB
Markdown
---
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type: "Bill"
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title: "Medicaid Changes for Transformation."
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description: "Medicaid Changes for Transformation."
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jurisdiction: "us/states/nc"
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legislature: "North Carolina General Assembly"
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session: "2019"
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identifier: "HB 656"
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citation: "North Carolina HB 656 (2019)"
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classification: ["bill"]
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subjects: ["DHHS", "HEALTH SERVICES", "INSURANCE", "INSURANCE", "HEALTH", "MEDICAID", "MENTAL HEALTH", "POVERTY", "PRESENTED", "PUBLIC", "RATIFIED", "SOCIAL SERVICES", "CHAPTERED", "LMES-MCOS", "HEALTH CHOICE"]
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status: "enacted"
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primary_sponsors: ["Dobson", "Lambeth", "Murphy"]
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version_count: 9
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action_count: 37
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vote_count: 2
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first_action: "2019-04-09"
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last_action: "2019-07-04"
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source: "openstates"
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source_identifier: "ocd-bill/32e7bd75-e7da-4b73-988c-275730107492"
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source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2019&BillID=H656&votesToView=all"
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source_hash: "e32bb40e11e0413e1a28e2955439486a516f14841434c05620853434e4447527"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-nc"]
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---
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# North Carolina HB 656 (2019) — Medicaid Changes for Transformation.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Filed** (filed) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v0.pdf)
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2. **A1: ATR-11-V-4** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2019/4927/0/H656-ATR-11-V-4)
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3. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v1.pdf)
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4. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v2.pdf)
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5. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v3.pdf)
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6. **Edition 4** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v4.pdf)
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7. **Edition 5** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v5.pdf)
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8. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v6.pdf)
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9. **SL 2019-81** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H656v7.pdf)
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## Votes
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- M11 Concur — **106–0** (pass) · lower
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- Second Reading — **47–0** (pass) · upper
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## Sponsors
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- Dobson — primary (person)
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- Lambeth — primary (person)
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- Murphy — primary (person)
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- Faircloth — cosponsor (person)
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- Fraley — cosponsor (person)
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- Horn — cosponsor (person)
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- Ross — cosponsor (person)
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- Sasser — cosponsor (person)
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- Sauls — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2019-07-04** Ch. SL 2019-81 `became-law`
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- **2019-07-04** Signed by Gov. 7/4/2019 `executive-signature`
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- **2019-06-26** Pres. To Gov. 6/26/2019 `executive-receipt`
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- **2019-06-25** Ratified
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- **2019-06-24** Ordered Enrolled
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- **2019-06-24** Concurred In S Com Sub `amendment-passage`
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- **2019-06-21** Placed On Cal For 06/24/2019
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- **2019-06-21** Cal Pursuant 36(b)
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- **2019-06-20** Regular Message Received For Concurrence in S Com Sub
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- **2019-06-20** Regular Message Sent To House
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- **2019-06-19** Engrossed
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- **2019-06-19** Passed 3rd Reading `passage, reading-3`
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- **2019-06-19** Passed 2nd Reading `reading-2`
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- **2019-06-19** Amend Adopted A1 `amendment-passage`
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- **2019-06-18** Reptd Fav `committee-passage-favorable`
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- **2019-06-13** Re-ref Com On Rules and Operations of the Senate `referral-committee`
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- **2019-06-13** Com Substitute Adopted
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- **2019-06-13** Reptd Fav Com Substitute `committee-passage-favorable`
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- **2019-05-20** Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
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- **2019-05-20** Withdrawn From Com
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- **2019-05-06** Ref To Com On Rules and Operations of the Senate `referral-committee`
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- **2019-05-06** Passed 1st Reading `reading-1`
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- **2019-05-06** Regular Message Received From House
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- **2019-05-03** Regular Message Sent To Senate
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- **2019-05-02** Passed 3rd Reading `passage, reading-3`
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- **2019-05-02** Passed 2nd Reading `reading-2`
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- **2019-05-02** Added to Calendar
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- **2019-05-02** Withdrawn From Cal
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- **2019-05-02** Placed On Cal For 05/03/2019
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- **2019-05-02** Cal Pursuant Rule 36(b)
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- **2019-05-02** Reptd Fav Com Sub 2 `committee-passage-favorable`
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- **2019-04-30** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
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- **2019-04-30** Reptd Fav Com Substitute `committee-passage-favorable`
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- **2019-04-25** Serial Referral To Insurance Stricken
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- **2019-04-10** Ref to the Com on Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
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- **2019-04-10** Passed 1st Reading `reading-1`
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- **2019-04-09** Filed `introduction`
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## Source
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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).
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