House rejects budget, passes Medicaid plan
During an hour-long session Tuesday afternoon, Democratic House members also filed a protest over how Gov. Pat McCrory's veto of marriage-related legislation was overridden. In addition, members took votes officially setting up the coming budget debate.Posted — Updated
He also argued that the House budget, which spends more than the Senate, is not out of line with how much spending has gone up in prior years.
The two plans share some features. For example, both rely on outside organizations to control costs in the state-run health insurance program for the poor and disabled. However, the Senate plan would lean heavily on established managed care companies, while the House would rely exclusively on provider-led entities, home-grown North Carolina companies run by hospitals and doctors. Both approaches would replace the current fee-for-service system under which most providers are paid based on the number of services they provide.
"Our current system is just not sustainable," Rep. Donny Lambeth, R-Forsyth, told his colleagues.
Rep. Marilyn Avila, R-Wake, said she backed the House bill in part because she knew negotiations with the Senate would temper it. She worried the state would have no fallback if provider-led entities were not up to the task of caring for Medicaid recipients.
"What is Plan B? What do we go back to?" Avila asked.
The bill now goes to the Senate.
The act would clear the way for 529 savings accounts not unlike the plans that help other families save for college. It now goes to the Senate.
"We understand the difficulty in bringing all these minds together," Rep. Larry Hall, D-Durham, the House minority leader, said on the floor.
However, he said, the House should allow open debate on contentious matters.
Although the protest records the opinions of the Democratic minority on the chamber's official record, it has little legal significance other than officially recording the dissenting views.
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