Saturday, April 16, 2011

Bill Update for the Week of April 11

Bills Previously Filed with Action Last Week:

HB 30, Allow Wage Garnishment to Satisfy Judgments (Moore Sponsor). As originally filed, this bill would drastically expand wage garnishment for judgments. However, a Proposed Committee Substitute with a much limited scope was moved forward this week in the House Judiciary C committee. This version only seeks wage garnishment for violation of unfair trade practices, which alleviated our concerns about its impact on people with disabilities. It will next be heard in the House Finance committee.

HB 234, Juror Qualifications/Disabilities (Glazier, S. Stevens, Parfitt, Samuelson Sponsors). HB 234 seeks to amend the current Juror Qualifications statute to remove the ability to hear as a requirement to serve as a juror. It also seeks to amend the statute regarding Requests to be Excused from Jury Duty to allow potential jurors with a disability to request to be excused if the person feels that their disability could interfere with their ability to serve as a juror. The bill was on the calendar in the House for concurrence on Monday evening. The House voted 113-4 to concur (Boles, Daughtry, Iler and Stone voted against concurrence).

HB 377, Strengthening Residential Placement (Brisson Sponsor). HB 377 seeks changes to the budget special provision regarding the restructuring of Level III and IV mental health residential placements to add that an assessment shall be completed to ensure the appropriateness of placement before admission to such a placement; to extend the length of stay to 180 from 120 days (180 is the average length of stay); and to specify that the authorization approval is not conditional upon all signatures and that LMEs shall designate appropriate individuals who can sign the discharge plan within 24 hours of receipt. HB 377 received a favorable report from the House Health and Human Services committee this week. Despite the average stay of 180 days, the Department objected to this change, and there was a fair amount of discussion. However, the committee passed the language with the 180 day change. Additionally, this language has been incorporated into the House Health and Human Services Appropriations budget language.

HB 595, Reorganization/Legislative Oversight Comns (Barnhart, Burr Sponsors). HB 595 proposes a new structure for the numerous legislative committees and commissions, including establishing a Joint Legislative Oversight Committee on Health and Human Services, which merges the Study Commission on Aging, the Joint Legislative Health Care Oversight Committee, the Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services, and the Public Health Study Commission. HB 595 has successfully passed through the House and will now be referred to the Senate.

HB 614, DMA Post Public Notices of Change on Website (Murry, Dollar, Brisson Sponsors). HB 614 seeks to require the Department of Health and Human Services to publish on its web site public notices of changes in statewide methods and standards for setting medicaid payment rates. It has successfully passed through the House and has been referred to the Senate Healthcare committee.

SB 8, No Cap on Number of Charter Schools (Stevens sponsor). This bill eliminates the existing cap of 100 charter schools and makes a number of changes to the existing statute governing charter schools. The bill passed the House this week and was referred back to the Senate. The Senate failed to concur with the changes made in the House and a conference committee has now been appointed.

SB 394, Clarify Process/Reportable Offenses in Schools (Newton, Tillman, Preston Sponsors). SB 394 seeks to amend the statute (115C-288(g)) regarding principal reporting of certain acts to law enforcement. A Proposed Committee Substitute (PCS) was heard in the Senate Judiciary I committee on April 7. The PCS changed the consequences for a principal’s failure to report an offense under the section from a Class 3 misdemeanor to demotion or dismissal. It still makes clear that the State Board of Education shall not require the principal to report to law enforcement acts in addition to those required to be reported by this subsection. There was a concern that additional offenses would be added to the list mandated to be reported, which Disability Rights NC has opposed in the past. However, the bill received a favorable report from the committee and a unanimous vote by the full Senate, without change. It now proceeds to the House.

SB 437, Enact First Evaluation Program (Hartsell Sponsor). SB 437 seeks to codify a practice that has been piloted that allows the Secretary to waive the requirements for a physician or eligible psychologist to perform the initial examination for involuntary commitment and substitute a licensed clinical social worker, a master's level psychiatric nurse, or a master's level certified clinical addictions specialist at the request of an LME. When making and considering the request, certain criteria must be addressed. The proposed statutory language also specifies that the waiver shall be for 3 years and the LME shall assure that a physician is available at all times to provide backup support to include telephone consultation and face to face evaluation, if necessary. A Proposed Committee Substitute for SB 437 was heard in the Senate Healthcare committee this week. The PCS adds licensed professional counselors to the list of practitioners who may conduct the examinations and clarifies that master’s level certified clinical addiction specialists are only authorized to conduct the initial examination of individuals for whom commitment is being sought based on substance abuse. The committee approved the PCS and the bill is scheduled to be heard on Monday evening in the Senate.

SB 498, Modify Law re: Corporal Punishment (Pate, Purcell Sponsors). SB 498 seeks to amend the law related to corporal punishment of children in public schools to restrict corporal punishment only to students whose parent or guardian has stated in writing that corporal punishment may be administered on that student. Parents and guardians shall be given a form to make such an election at the beginning of the school year or when the student first enters the school during the school year. SB 498 received a favorable report from the Senate Education committee this week and will be heard in the full Senate on Monday evening.

Newly Filed Bills:

HB 862, Election Integrity/Voter Access Act (Hall, Owens, Spear, Hill Sponsors). HB 862 would require voters to produce valid photo identification, a current utility bill, bank statement, government check, paycheck, or other government document. If the voter is unable to produce such identification, he or she must sign an affidavit stating the voter’s name, date of birth, and address with a clear statement that knowingly making a false statement is a Class I felony. It is the Democrats’ version of the voter identification bill. Whether this bill proceeds will likely depend upon what happens with HB 351.  It has been referred to the House Elections committee.

HB 863, Behavioral Health Services For Military/Funds (Martin; Parfitt; Hall Sponsors) (SB597 (Purcell Sponsor) was also filed in the Senate). HB 863 would require LMEs and schools to make certain staffing and procedural changes to ensure that care for members of the military, veterans, and their families, whose care is funded through federal programs is coordinated appropriately.  It has been referred to the House Appropriations committee.

HB 866, Transition Residential Schools To Department Of Public Instruction (Insko; Glazier Sponsors). HB 866 codifies the transfer of control of the state’s Residential Schools (the Governor Morehead School for the Blind, the Eastern North Carolina School for the Deaf in Wilson, and the North Carolina School for the Deaf in Morganton). The State Board of Education would be required to promulgate rules providing for: 1) codes of conduct and appeals provisions for students, 2) Policies and procedures for academic performance and academic discipline, and 3) reasonable fees and charges for extracurricular activities, transportation for extracurricular activities, and athletics. The bill would also require that each school establish a “Student Rights Advisory Committee” to monitor, review, and evaluate programs and procedures related to student rights, safety, security, and quality of life and to review data and make recommendations regarding cases of alleged abuse, neglect, exploitation, or student rights violations arising from actions or policies of the school or its staff. This section on the Student Rights Advisory Committees is intended to codify the committees currently knows as Human Rights Committees. The bill also seeks funding to bring back the 3 principal positions at the schools and 3 positions to support the Executive Director (now known as the Superintendent). Disability Rights NC worked with DPI, and others on this legislation and we support the bill. It is our understanding that advocates for the schools still have some remaining concerns.  It has been filed in the House but not yet referred to a committee.

SB 551, Establish State Public Health Authority (Hartsell Sponsor). SB 551 would decentralize public health functions from the state level except for the State Lab, Vital Records, Medical Examiner, and Public Health Emergency Response. Authority for all other responsibilities currently vested in the Department of Public Health would reside with four Regional Public Health Authorities and an Institute for Public Health Improvement. Counties could, at their election, select a regional authority to serve as the public health department for the county. The Institute for Public Health Improvement would administer the four regional authorities and receive all state and federal funds for public health. It has been referred to the Senate Healthcare committee.

SB 574, Senior Or Disabled Care Tax Credit (Robinson Sponsor). SB 574 seeks to provide a tax credit for training, supplies, and transportation costs incurred in caring for an elderly or disabled family member.  It has been referred to the Senate Finance committee.

SB 578, LME Minimum Population (Hartsell).  SB 578 seeks to set a minimum threshold for the population of the catchment area of a LME - to 300,000 by July 1, 2012 and 500,000 by July 1, 2013.  It has been referred to the Senate Mental Health committee.

SB 595, Voter Identification At Polls (Clary). SB 595 is the Senate companion bill to the House Voter ID bill, HB 351. It would require voters to produce valid photo identification in order to vote. It would also require county boards of elections to make voter identification cards including a photo and other personal information available, without a fee, to any voter who does not have a valid driver’s license or state identification card. This bill would allow for voters without the required identification to vote a provisional ballot. The bill would also waive the fee for Special Identification Cards produced by the DMV for those who are blind, over age 70, homeless, or lack other valid photo identification but are registered to vote. It has been referred to the Senate Judiciary I committee.

SB 607, Conform Medical Record Laws (Stein). SB 607 seeks to amend various sections in the General Statutes to make it easier to share currently protected health information. The legislation was developed in conjunction with the SB 375 setting up the statewide Health Information Exchange (HIE). Information shared through the HIE may be shared for all HIPAA permitted purposes. However, there are several state laws that provide for stricter standards for the disclosure of information than HIPAA. This bill attempts to bring these two standards closer together. Of particular interest to Disability Rights NC is the provision seeking to revise exceptions to confidentiality under 122C, which covers MH/DD/SA service providers. The bill allow service providers to share confidential information to coordinate (which means the provision, coordination, or management of MH/DD/SA services and includes the referral of a client from one facility to another) to coordinate appropriate and effective care, treatment or habilitation of the client. Before making such disclosures, the provider shall inform the client that the facility may make such disclosures unless the client objects in writing. If the client objects in writing, the disclosures are prohibited. A covered entity receiving confidential information under this provision may use and disclose the information when necessary to conduct quality assessment and improvement activities or to coordinate appropriate and effective care, treatment, or habilitation of the client. This language is a compromise reached among the provider community, DHHS and advocates, which Disability Rights NC has agreed not to oppose. We will be following this legislation closely.  It has been filed in the Senate but not yet referred to a committee.

SB 624,  Modify Hearing & Mailings for Rule Making (Preston). SB 624 seeks to require state agencies to increase notice to counties and the public of proposed rules by 1) notifying county governments of proposed rules that will affect their county, 2) publishing notice in at least one newspaper in each affected county of how to access the text of the proposed rule by internet, and 3) holding public hearings within 60 miles of each affected county where a resident has requested a hearing in writing.  It has been filed in the Senate but not yet referred to a committee.

Friday, April 15, 2011

More on House Health and Human Services and Education Appropriations Proposals

Here is a really brief rundown of the special provisions from Health and Human Services (special provisions are the narrative that go along with the line items) and Education. A summary of Justice and Public Safety and relevant provisions from any other budget subcommittee will be posted later.  Appropriations subcommittees will be meeting next week to consider amendments and vote on the proposals.

Health and Human Services Special Provisions
  • Mental Health Changes: leaves $29 mil in for local inpatient psychiatric beds; $5.7 mil to support 30 mobile crisis teams
  • MH/DD/SAS Healthcare Information System Project: DHHS may use funds to continue to develop and implement a health care information system for state institutions operated by the Division of MH/DD/SAS.
  • MH/DD/SAS Community Services funds: Big cuts, prohibition on state funded services for all Medicaid recipients (not just CAP-MR/DD) and copayments for state funded services: $20 mil cut to community service funding; LMEs prohibited from using community services (i.e., state or IPRS) funds for any Medicaid recipients' services, except for residential support services; and Division must develop a set of standardized covered benefits for recipients of state funds; copayment for all mh/dd/sa services based on medicaid copayment rates; reduce the funding for community services funds by additional $25 mil to be allocated among LMEs based on their fund balances ($209 mil in fund balances)
  • Consolidation of Forensice Health Care at Dix: RFP to consolidate forensic hospital care on the Dix campus.
  • DHHS Position Eliminations: eliminate 250 FTE positions, or $6.5 mil in state funds
  • Study DHHS Regulatory Functions: Directs DHHS to study all regulatory functions performed by each division, with recommendations by January 30, 2012.  DHHS is directed to develop a plan but not implement or consolidate except as directed by the legislature.
  • Reduce funding for nonprofit organizations: $5 mil reduction with instruction to minimize reductions to funds allocated to nonprofit organizations for the provision of direct services and shall not reduce funds allocated to nonprofit organizations to pay for direct services to individuals with developmental disabilities
  • Authorizes DMA to take certain steps to make budget reductions: PCS provisions appears to be the same as last year (pages 56-59); MH Residential section (pages 61-62) incorporates changes from HB 377, supported by Disability Rights NC; Change to medicaid rate reductions section - adds adult care homes services to list of services protected from cuts (others are federally qualified health clinics, rural health centers, state institutions, hospital outpatient and pharmacies)
  • Medicaid Appeals: Unfortunately, it is still not clear what changes are being proposed to the Medicaid appeals process.  There are 2 versions included in the Special Provisions starting at page 75 and we have not been able to sort out which version is actually being proposed.  So stay tuned.
Education
The Special Provisions are posted here and more handouts from the subcommittee meetings this week are available through the links here.
  • The proposed Special Provision to accompany the $1 mil proposed allocation to study education reform in NC starts on page 2.  Included in the items to study is reducing the teacher:student ratio to 1:15 in first through third grade and transition from high school.
  • The Special Provision regarding funding for students with disabilities has not changed.  This is a relief as this was an option discussed in committee.
  • A Special Provision starting on page 21 removes the requirement in statute for school improvement and safe school plans.
  • In the community college section, waiver of tuition and fees will no longer be included for the following: clients of sheltered workshops, clients of adult developmental activity programs, students in Health and Human Services development programs, and juveniles committed to the Department of Juvenile Justice, or prison inmates (although the Community Colleges shall transfer funds to the Department of Correction for curriculum and continuing education instruction, projected to result in a 43% reduction in the number of courses provided to prisoners).

Tuesday, April 12, 2011

House Appropriations Subcommittee Recommendations

The House Appropriations subcommittees began unveiling their proposals today.  Links and brief summaries for Health and Human Services and Education, as they may relate to people with disabilities, are below.  More information on special provisions and other budget subcommittee proposals will be forthcoming.

Health and Human Services - budget documents here - 10% Reduction overall.  We have not seen the special provisions.
  • Governor's Items not included in the House HHS proposals: Cuts that the subcommittee proposes NOT taking: school nurse funds; reduction of local health department funds; teen pregnancy prevention; modify optional and mandatory services for liver, lung, pancreas, small bowel transplants; More at Four swap for TANF; Increases the subcommittee declined to include: NC FAST, Project CARE, Adoption Assistance & Foster Care; and the Mental Health Trust Fund earmark.
  • Proposed Reductions Highlights:
Division of Central Management and Support
  • Reduce non-profit funding by $5 mil (2% reduction)
  • Reduce Community Health Grants by $1.5 mil (23% reduction)
  • Eliminate Migrant Fee for Service Program by $736K (25% reduction (leaves money in  grants))
  • Eliminate NC Care-Line ($380,478)
Division of Aging and Adult Services
  • "Prioritize" Senior Center funding - reduction of $660K, 47% reduction
  • Reduce Home and Community Care Block grant by 12% - $4 mil reduction
Division of Child Development
  • Reduce Smart Start by 20% ($37.6 mil reduction)
  • More at Four transfer from DPI
  • Swap TEACCH General Funds with block grant funds - savings of $3.8 mil.
Division of Social Services
  • Eliminate Special Adoption vendor payments - $551K
  • Eliminate Child and Family Team Pilot - $421K
  • Eliminate Special Assistance Intervention Team - $104K, 2 positions
  • "Prioritize" Adult Day Care funding - $1.1 mil reduction
Division of Medical Assistance (Medicaid)
  • Medicaid Provider Assessments ($60 mil reduction)
  • Targeted Rate adjustments ($6.2 mil), Adjust provider rates ($50 mil), eliminate inflationary increases ($63 mil)
  • Enhanced Federal Funding for Health Homes (Save $16 mil in first year and $25 mil in second)
  • Restructure/strengthen Program Integrity ($16 mil reduction and cut 30 positions)
  • Modify Pharmacy Services ($16 mil)
  • Modify optional and mandatory services - optical, durable medical equipment, specialized therapies, home health, and modifying a "variety of services" - we need to see the special provisions before we know exactly what is being proposed for each of these
  • Implement the behavioral health 1915 b/c waiver ($3.2 mil savings in first year, $38 mil saving second year)
  • $80 mil savings from CCNC
  • Health Choice targeted rate adjustments ($225K), modify services ($650K) and care coordination ($4 mil)
Division of Services for the Blind, Deaf & Hard of Hearing
  • Consolidate divisions with Vocational Rehabilitation
Division of MH/DD/SAS
  • Eliminate Child and Family Support team funding ($523k)
  • Reduce LME Administration funds by $10 mil in first year  and $20 mil in second year (17%)
  • Eliminate 7 Advocacy positions ($158K, 5% reduction) - I assume this is the Internal Advocacy positions at the facilities
  • Eliminate Community Funding spent for Medicaid recipients except for residential supports - $20 mil
  • Swap Fund Balance w/ state service funds - $25 mil
  • Reduce Division management flexibility funds by $7 mil
Division of Vocational Rehabilitation Services
  • Reduce Indpendent Living program by $2.5 mil, 13%
  • Reduce Basic Support Program by $2 mil, 10%
Education - budget documents here: $1.25 billion in proposed cuts to colleges and K-12, 8.8% cut to public schools, 10% cut to community colleges, 15.5% cut to universities

Public Schools
  • Proposes funding teacher assistants only for K-1 ($259 mil.)
  • Proposes $1 mil for an education reform study
  • Reduce at-risk student services by $30 mil
  • Reduce funding for noninstructional support personnel by $59 mil
  • Reduce central office administration by $10.7 mil
  • Reduce funding for principals and assistant principals by $25 mil
  • Eliminate funding for staff development ($12.6 mil)
  • More at Four - $16 mil cut with remaining general and lottery funds to Div of Child Development, HHS
  • Many cuts to the Department of Public Instruction, including a $1.7 mil reduction to the Residential Schools for the Deaf and Blind

Sunday, April 10, 2011

Bill Update for the Week of April 4

Bills Previously Filed with Action Last Week:
HB 234, Juror Qualifications/Disabilities (Glazier, S. Stevens, Parfitt, Samuelson Sponsors). HB 234 seeks to amend the current Juror Qualifications statute to remove the ability to hear as a requirement to serve as a juror. It also seeks to amend the statute regarding Requests to be Excused from Jury Duty to allow potential jurors with a disability to request to be excused if the person feels that their disability could interfere with their ability to serve as a juror. It was approved unanimously by the Senate last Tuesday, which also approved a minor amendment that clarified that the number of days in advance a juror must request to be excused are business days.   The bill was then referred back to the House for concurrence and is on the House calendar for Monday evening.

HB 329, Bldg Codes/Expand Equine Exemption (Horn, Dixon, Faircloth, Burr Sponsors). HB 329 seeks to exempt from the building code farm buildings used for certain temporary spectator events. The bill was again amended and voted on in the House last week.  The building code exemption proposed is now further narrowed to exempt farm buildings used for a spectator event for 50 or more people only if a permit is issued by the fire marshal (which can only be issued if the event is not more than 4 times per year (up to 24 hours each time), outstanding unsafe conditions have been mitigated and a fire watch established).  The bill will next be heard in the Senate Agriculture Committee.


HB 351, Restore Confidence in Government (Lewis, Moore and Killian Sponsors). HB351, aka the “Voter ID” bill seeks to require photo identification before voting. The week of March 28 a version of the bill with an expanded list of acceptable identification was discussed in committee.  However, this past week, a version much more like the original was proposed and voted upon favorably by the House Elections Committee.  This latest version did retain the exception for voters with disabilities, although it removes the language regarding the judgment of the election official: “any voter with a disability who does not present photo identification shall be permitted to vote as provided in this subsection. To satisfy the requirement of this subsection, a person who is at least 18 years of age accompanying the voter with a disability shall execute an affidavit, in the form prescribed by the State Board, affirming under the penalties of perjury that the voter with a disability is the same individual as is registered to vote and, to the best of the affiant's knowledge, does not have the required photo identification. Upon the completion of the affidavit, the voter with a disability shall vote a ballot as if that voter with a disability met the photo identification requirement.” The bill now proceeds to the House Appropriations Committee.

SB 8, No Cap on Number of Charter Schools (Stevens sponsor). This bill eliminates the existing cap of 100 charter schools and makes a number of changes to the existing statute governing charter schools. SB 8 received a favorable report from House Finance and passed 2nd Reading in the full House.  3d reading is scheduled for Monday evening.

SB 316, Additional Section 1915 Medicaid Waiver Sites (Hartsell Sponsor). SB 316 authorizes DHHS to allow additional 1915 (b)/(c) Medicaid waiver sites and to allow third-party billing for state facilities. This would allow further expansion of 1915(b)/(c) waivers beyond PBH, Mecklenburg and Western Highlands, without legislative approval. After several delays, the bill was heard in the full Senate this week.  Senator Nesbitt sought to amend the bill on Thursday to limit the expansion to three additional LMEs but to allow the expansion of PBH to certain additional counties. The amendment failed 20-30. The bill was passed on 3d reading with a 38-12 vote.  It will now proceed to the House.


SB 384, Conforming Changes/Persons with Disabilities Act (Hartsell). This is a Disability Rights NC agenda bill. It seeks to amend the North Carolina Persons with Disabilities Protection Act to conform to the Americans with Disabilities Amendments Act of 2008. The bill has successfully passed the Senate and has been referered to the House Judiciary A Committee.           

Newly Filed Bills:

The House bill introduction deadline was this week so hundreds of bills were filed in the House. I have tried to catch all the bills relevant to work of Disability Rights NC or of general interest to people with disabilities.  Because of the volume, the summaries below are brief.

HB 584, Governor’s Budget (Gillespie, Barnhart, Brubaker, Johnson Sponsors) (SB 500 (Brunstetter, Hunt, Stevens Sponsors) was also filed in the Senate).  HB 584 and SB 500 were filed as budget placeholders meant to signify the budget put forth by the Governor.  However, a number of provisions in the bills were not discussed earlier when the Governor’s budget was released, e.g., there is a proposal to amend the Medicaid appeals process for recipients that was not in the governor’s original proposed budget.   Each was referred to its respective Appropriations Committee.

HB 587, North Carolina Jobs Bill (Bradley, Warren, Torbett, Hastings Sponsors). HB 587 seeks to amend Chapter 150B to further restrict rules that may be promulgated in NC.  It has been referred to the House Commerce Committee.

HB 590, Amend Interpreter Laws/Cued Speech (Alexander Sponsor).  HB 590 seeks to make clarifying changes regarding cued speech in the laws regulating the practice of interpreters and transliterators.  It has been referred to the House Education Committee.

HB 595, Reorganization/Legislative Oversight Comns (Barnhart, Burr Sponsors).  HB 595 proposes a new structure for the numerous legislative committees and commissions, including establishing a Joint Legislative Oversight Committee on Health and Human Services, which merges the Study Commission on Aging, the Joint Legislative Health Care Oversight Committee, the Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services, and the Public Health Study Commission. It has been referred to the House Rules Committee.

HB 599, Patient’s Right/Notice of Professional Liability Insurance (Insko, Farmer‑Butterfield, Harrison Sponsors).  HB 599 would give adult care home and nursing home residents the right to receive written notice of the facility’s professional liability insurance coverage and to require adult care homes and nursing homes to post information about their professional liability insurance.  It has been referred to the House Health and Human Services Committee.

HB 606, Sheriff/Inspect Prescription Drug Records (McElraft, Randleman, McLawhorn Sponsors).  HB 606  provides that a sheriff or a designated deputy sheriff investigating the diversion and illegal use of controlled substances may inspect prescription and pharmaceutical records and may also obtain data in the controlled substance reporting system maintained by the Department of Health and Human Services.  It has been referred to the House Judiciary B subcommittee. 

HB 612, Incapacity to Proceed/LRC Study (Randleman, Hurley Sponsors).  HB seeks to authorize the Legislative Research Commission to study the current criminal and mental health laws and procedures regarding incapacity to proceed to trial and involuntary commitment.  It has been referred to the House Rules committee.

HB 614, DMA Post Public Notices of Change on Website (Murry, Dollar, Brisson Sponsors).  HB 614 seeks to require the Department of Health and Human Services to publish on its web site public notices of changes in statewide methods and standards for setting medicaid payment rates.  It has been referred to the House Health and Human Services committee.

HB 618, Streamline Oversight/DHHS Service Providers (Lewis, Hurley sponsors) (SB 525 (Tucker, Hartsell Sponsors) was also filed).  HB 618 seeks to streamline duplicate oversight of DHHS service providers by 1) establishing a task force made up of division staff and providers to objectively compare the tools and checklists currently in place, to look for redundancies and review items as to service provider monitoring that are not value added by August 1, 2011, with any duplication identified being removed and streamlines by December 31, 2011. 2)  Create one regulatory body within DHHS responsible for oversight review for service providers across all DHHS divisions to reduce duplication by May 1, 2012 and which will allow for one streamlined annual review of service provider agencies by the team of the facility, compliance to rules, record assurances, clinical integrity, and staff training. The Secretary shall also eliminate endorsement and all tools and checklists associated with Local Management Entity monitoring and oversight and replace with service licensure at an agency level, as opposed to a site-specific service license, that the multidisciplinary team issues.  3) Establish a coordination plan for the investigation of abuse or neglect complaints involving multiple agencies.  It also seeks to remove the annual Medicaid re-enrollment requirement for providers;  mandate  a fiscal note for every change or adjustment in service definition, policy, rule, or statute upon enactment; allow for data sharing from the Incident Response Improvement System (IRIS) with service providers and the regulatory body by June 30, 2012; evaluate NC-TOPPS to improve the way data is accessible across services rather than site-specific to reflect valid comparisons of program outcomes by August 1, 2011; and allow private sector development and implementation of an Internet‑based, secure, and consolidated data warehouse and archive for maintaining corporate, fiscal, and administrative records of providers by September 1, 2011.  It has been referred to the House Health and Human Services committee.

HB 622, Study Art. 3A Administrative Hearings Proced (McCormick, Stevens, Cleveland, Glazier Sponsors).  HB 622 directs the Joint Legislative Administrative Procedure Oversight Committee to study how to reconcile and harmonize administrative hearings in contested cases arising under article 3a of chapter 150b of the general statutes.  It has been referred to the House Rules Committee.

HB 623, Eliminate Agency Final Decision Authority (McCormick, Stevens, Cleveland, Glazier Sponsors).  HB 623 would remove final decision making authority from agencies in contested cases under Chapter 150B.  It has been referred to the House Judiciary A subcommittee.

HB 625, Bill of Rights/Deaf/Hearing Impaired (Blackwell, Farmer-Butterfield Sponsors).  HB 625 seeks to create a Deaf Child’s Bill of Rights that will mandate that an IEP team consider a child’s individual communication needs.  It has been referred to the House Judiciary A subcommittee.

HB 630, Clarify Law/Older Adults and Long-Term Services (Guice, McGrady Sponsors).  HB 630 seeks to update and clarify the statutes in older adults and long-term services and supports, including clarifying that each county, through its county board of commissioners, may elect to establish its own Community Resource Connections for Aging and Disabilities or participate in a multicounty Community Resource Connections for Aging and Disabilities.  It has been referred to the House Health and Human Services committee.

HB 632, Juvenile Age to 18 (Lewis, Randleman, Avila, Bordsen Sponsors) (SB 506 (Hartsell, Bingham, McKissick Sponsors) was also filed).  HB 632, also known as “Raise the Age,” seeks to amend the definition of “delinquent juvenile” to raise the age from sixteen to eighteen years in six‑month increments of age over a 4‑year period, to provide that 16 and 17‑year‑olds who have been previously convicted of a felony in adult court shall remain in adult court, to provide that 16‑ and 17‑year‑olds alleged delinquent for a class A‑E felony shall be transferred to adult court, to make conforming changes to other statutes relevant to changing the definition of delinquent juvenile, and to extend the Youth Accountability Task Force.  It has been referred to the House Judiciary B subcommittee.

HB 659, Capital Procedure/Severe Mental Disability (Stevens, Glazier,  McGrady,  Harrison Sponsors).  This a Disability Rights NC agenda bill.  It seeks to amend the capital trial, sentencing and postconviction procedures for a person with a severe mental disability to address the issue upfront in trial, and to remove the death penalty as possible punishment if the individuals qualifies as a person with severe mental disability under the law.  It also seeks to provide that Not Guilty by Reason of Insanity is not an available defense if prior alcohol or drug use are the sole cause of the psychosis.  It has been referred to the House Judiciary B subcommittee.

HB 677, Discharge of Adult Care Home Residents (Lewis).  HB 677 seeks to change the law governing Adult Care Home transfer and discharge of residents to make it easier to do so, to make county Departments of Social Services responsible for placing certain discharged residents, and to enact appeal rights for Adult Care Home residents and Adult Care Homes with respect to discharge decisions.  It has been referred to the House Health and Human Services committee.

HB 678, Pilot Release of Inmates to Adult Care Homes (Lewis Sponsor).  HB 678 seeks to establish a pilot program to allow certain inmates released from confinement to be placed in Adult Care Homes to receive Personal Care Services and Medication Management.  It has been referred to the House Health and Human Services committee.

HB 695, Family/School/Community Compacts (Bell, Lucas sponsors).  HB 695 seeks to provide for a family-school compact for every student, which is a written agreement between teachers and parents that clarifies what families and schools can do to help students reach high academic standards.  It has been referred to the House Education committee.

HB 709, Protect and Put NC Back to Work (Folwell, Dollar, Hager, Crawford Sponsors) (SB 544 (Brown, Apodaca, Davis Sponsors) was also filed in the Senate).  HB 709 seeks to reform the Workers’ Compensation Act.  It has been referred to the House Commerce Committee.

HB 721, Landlord/Tenant Bed Bug Liability (McCormick).  HB 721 seeks to set out certain obligations of landlords and tenants regarding bedbug infestations.  It has been referred to the House Commerce Committee.

HB 734, Require Photo ID/Food Stamps Program (Warren, Brown, Lewis, Moore Sponsors).  HB 734 seeks to require DHHS to issue debit cards that contain photo identification on the care for participants in the Supplemental Food and Nutrition Program (SNAP).  It has been referred to the House Judiciary C subcommittee, and, if favorable, to Finance.

HB 736, Amend Law re: School Discipline (Langdon, Luebke, Daughtry, Lucas Sponsors).  HB 736 seeks to make a number of changes to Chapter 115C regarding school discipline with the goal of keeping students in school.  It is a consensus bill supported by Disability Rights NC that numerous entities representing schools and students contributed to.  It has been referred to the House Education committee.

HB 745, Study Human Relations Comm Duties (Floyd).  HB 745 seeks a Joint Resolution authorizing the Legislative Research Commission to study the duties and services of the NC Human Relations Commission and the Civil Rights Division of the Office of Administrative Hearings.  It has been referred to the House Rules Committee.

HB 768, APA Rules: Federal Rule Restriction Ceiling (West, McElraft Sponsors).  HB 768 seeks to limit new agency rules to a standard no more restrictive than those imposed by federal law unless required by a serious and unforeseen threat to the public health, safety, or welfare; an act of the General Assembly or United States Congress that expressly requires the agency to adopt rules; change in federal or State budgetary policy; federal regulation; or a court order.  It has been referred to the House Environment Committee, and, if favorable, to the Judiciary committee.

HB 770, Reduce & Prevent School Discipline Problems (Cotham, Brandon, Glazier Sponsors).  HB 770 seeks to encourage local school boards to adopt policies to prevent disruptive behaviors that lead to suspension and expulsion and thereby to reduce suspension and expulsion rates and to provide alternative learning programs for continued academic progress for students who have been suspended. It has been referred to the House Education committee.

HB 781, Summary Ejectment/Appeals (LaRoque).  HB 781 seeks to shorten the time to appeal a magistrate’s judgment in a summary ejectment (eviction) proceeding to 5 days.  It has been referred to the House Commerce committee.

HB 793, Full-Service Community Schools Pilot Program (Cotham, Brandon, Jackson Sponsors).  HB 793 seeks to establish a full-service community schools pilot program in at least five middle or high schools.  The purpose of a full-service community school is to encourage the coordination of academic, social, and health services among schools, community‑based organizations, nonprofit organizations, and other public and private agencies to provide comprehensive academic, social, and health services for students, students' family members, and community members that will result in improved educational outcomes for children.  It has been referred to the House Education committee.

HB 808, Revise Laws on Adult Care Homes (Burr).  HB 808 seeks to waive annual inspections of Adult Care Homes that achieve the highest rating, and to develop an informal dispute resolution procedure that allows Adult Care Homes to dispute cited inspection deficiencies.  It has been referred to the House Health and Human Services committee.

HB 818, Modify Disabled Vet Property tax Exemption (McElraft).  HB 818 seeks to enhance the Disabled Veteran property tax homestead exclusion for combat-related disabled veterans.  It has been referred to the House Finance committee.

HB 823, Governance of the Dep’t of Public Instruction (Holloway, Hilton, Brubaker, Blackwell Sponsors).  HB 823 seeks to amend the North Carolina Constitution to make the Superintendent of Public Instruction the head of the Department of Public Instruction, to make the State Board of Education an advisory body, and to modify the membership of the State Board of Education.  It has been referred to the House Education committee, and, if favorable, to Judiciary and then Finance.

HB 826, Coverage for Treatment of Autism Disorders (Parfitt, Glazier,  Keever,  Murry Sponsors).  HB 826 seeks to require health benefit plans, including the State Health Plan, to provide coverage for treatment of Autism Spectrum disorders.  It has been referred to the House Health and Human Services committee, and, if favorable, to Insurance.

HB 829, Streamline Education Planning Responsibility (Cotham, Glazier, Holloway, Blackwell Sponsors).  HB 829 directs the State Board of Education to consolidate all plans that affect the school community, including school safety plans, school technology plans, plans for academically or intellectually gifted students, and others. It has been referred to the House Education committee.

HB 848, Establish HHS Oversight Committee (Barnhart).  HB 848 seeks to establish the Joint Legislative Oversight Committee on Health and Human Services, which is also contained in HB 595.  It has been referred to the House Health and Human Services committee.

HB 853, End Ct. Orders/Est. Local Intake Procedures (Mobley).  HB 853 seeks to amend the law to no longer require a Court Order to establish local intake procedures for receiving delinquency and undisciplined complaints under the laws pertaining to undisciplined and delinquent juveniles and authorizing the Department of Juvenile Justice and Delinquency Prevention to monitor county detention centers.  It has been referred to the House Judiciary Committee.

HB 855, Personal Learning Plan for Each Child (Brandon).  HB 855 seeks to require public schools to provide a Personal Education Plan for every student.  It has been referred to the House Education committee. 

SB 512, Adult Day Care/Overnight Respite Program (Clary).  SB 512 seeks to establish adult day care and overnight respite programs under Chapter 131D.  It has been referred to the Senate Health Care Committee.

SB 528, Accessible Electronic Info Act/Blind/Disabled (Purcell).  SB 528 seeks to establish and maintain an accessible electronic information service for Blind and disabled persons and to appropriate funds for the service.  It has been referred to the Senate Health Care committee, and, if favorable, to Appropriations.

SB 535, APA: Modify Final Administrative Decisions (Hartsell).  SB 535 seeks to modify the procedures concerning final administrative decisions in contested cases heard by the Office of Administrative Hearings.  It has not yet been referred to a committee.

Monday, April 4, 2011

Bill Update for the Week of March 28

Bills Previously Filed with Action Last Week:

The pace continues to be brisk down at the General Assembly. Legislation is moving quickly and we may be seeing Appropriation subcommittee budget recommendations by the end of the week.  Here's the scoop on bills we are tracking:

HB 115, North Carolina Health Benefit Exchange Act (Dockham, Brubaker, Wray, Murry Sponsors). HB 115 seeks to establish a Health Benefit Exchange to make available qualified health benefit plans beginning in 2014. Under the Affordable Care Act, states must either create their own state exchange or opt in to the federal exchange.  A Proposed Committee Substitute that still has insurers overseeing the exchange and even goes so far as to charge individuals accessing the exchange a "user fee," received a favorable report in the House Health and Human Services Committee this week. It now goes to the House Insurance committee.  For more information about why Disability Rights NC and other advocacy groups oppose this legislation, see the Citizens for Responsible Healthcare website.

HB 234, Juror Qualifications/Disabilities (Glazier, S. Stevens, Parfitt, Samuelson Sponsors). HB 234 seeks to amend the current Juror Qualifications statute to remove the ability to hear as a requirement to serve as a juror. It also seeks to amend the statute regarding Requests to be Excused from Jury Duty to allow potential jurors with a disability to request to be excused if the person feels that their disability could interfere with their ability to serve as a juror. This bill, which was successfully voted on in the House last week was heard in the Senate Judiciary I Committee this week where it received a favorable report. It be voted on by the full Senate on Monday.

HB 351, Restore Confidence in Government (Lewis, Moore and Killian Sponsors). HB351, aka the “Voter ID” bill, in its original form, sought to require photo identification before voting. A new version of the bill released last week but not voted on, adds to the list of acceptable identification a voter registration card with signature verification at the polls; or a current utility bill, bank statement, government check, paycheck, or other government document, also with signature verification.  To verify the signature, two election officials will compare the signature with the signature on record, and use their own judgment to decide if the signatures match.  There is great concern among voting rights advocates that this procedure could lead to mischief at the polls.
It also proposes a new section pertaining particularly to voters with disabilities: 

(a1) Identification Requirement for a Voter with a Disability. – Notwithstanding subsection (a) of this section, if a voter with a disability does not present documentary evidence as required by subsection (a)(1) through (7) of this section, or provides documentary evidence under subsection (a)(8) or (9) but is unable to sign, that person shall still be permitted to vote as provided by this subsection. To satisfy the requirement of this subsection, a person who is at least 18 years of age accompanying the voter shall execute an affidavit, in the form prescribed by the State Board of Elections, affirming under the penalties of perjury that the voter is the same individual as is registered to vote, and to the best of the affiants knowledge either does not have the required documentary identification or is unable to sign to meet the signature verification requirement. As used in this subsection, a "voter with a disability" is a registered voter who, to the satisfaction of the election official who personally sees the voter, on account of the condition of the voter either is unlikely to have any of the documentary evidence or is likely unable to be able to make a signature to meet the signature verification requirement. Such voter shall vote a ballot is if that voter met the documentary identification requirement.

This provision also leaves a great deal in the judgment of the election official.

SB 22, APA Rules: Increasing Costs Prohibition (Brown, Rouzer sponsors). SB 22 seeks to limit new agency rules by amending GS 150B-19 to add that an agency may not adopt a rule that results in additional costs on persons subject to the rule unless the rule adoption is required to respond to a serious and unforeseen threat to the public health, safety, or welfare, an act of the General Assembly or United States Congress, a change in federal or State budgetary policy, a federal regulation, or a court order. It was signed by the Governor last week, S.L. 2011-13.  It is became effective when signed and applies to rules published in the North Carolina Register by an agency on or after that date. It expires July 1, 2012.

SB 32, Hospital Medicaid Assessment/Payment Program (Brunstetter, Clodfelter Sponsors). This bill allows the state to obtain federal matching medicaid funds for hospital assessments.  It is a method states may use to draw down additional Medicaid matching funds.  It was signed by the Governor last week and is Chaptered Session Law 2011-11.  It became effective when signed.

SB 109, Spending Cuts for the Current Fiscal Year (Stevens, R., Brunstetter, Hunt Sponsors). SB 109, filed in response to the Governor’s veto of SB 13, directs the Governor to reduce expenditures in the 2010-11 fiscal year in order to increase General Fund availability for the 2011-2012 fiscal year by $537,740,799 by taking all actions necessary and by identifying funds in non-General Fund accounts for transfer to the General Fund on June 30, 2011. It does not apply to funds available to the Judicial Branch or the Legislative Branch. It was signed by the Governor last week - S.L. 2011-15 - and became effective when signed.


SB 248, Update Archaic Disability Terms (Hartsell Sponsor). SB 248 recommends several changes throughout the statutes regarding appropriate terminology for people with disabilities. It reflects recommendations made by the General Statutes Commission. The bill has passed the Senate and the House and will next be signed into law by the Governor.

SB 316, Additional Section 1915 Medicaid Waiver Sites (Hartsell Sponsor). SB 316 authorizes DHHS to allow additional 1915 (b)/(c) Medicaid waiver sites and to allow third-party billing for state facilities. This would allow further expansion of 1915(b)/(c) waivers beyond PBH, Mecklenburg and Western Highlands, without legislative approval. As reported previously, the bill received a favorable report from the Senate Mental Health Committee the week before last but a floor vote in the Senate continues to be postponed.  It is currently scheduled to be voted upon by the full Senate on Tuesday, April 5.

HB 329, Bldg Codes/Expand Equine Exemption (Horn, Dixon, Faircloth, Burr Sponsors). HB 329 seeks to exempt from the building code farm buildings used for a temporary spectator event (defined as 120 hours in a calendar year) where a fire watch is maintained. As  reported previously, the bill did receive a favorable report from the House committee but it has been postponed from a full House vote several times.  It is currently scheduled to be heard on Tuesday, April 5.

SB 375, Facilitate Statewide Health Info. Exchange (Stein and Brunstetter Sponsors). SB 375 seeks to set up a statewide health information exchange network. The framework proposed is to facilitate the exchange of healthcare information among covered healthcare providers within the confines of HIPAA. It allows individuals the right to opt out if they so choose. The provisions proposed only apply to protected health information disclosed within the Health Information Exchange.   The bill received a favorable report in the Senate Health Care Committee last week and it will be voted on in the full Senate on Monday.


SB 384, Conforming Changes/Persons with Disabilities Act (Hartsell). This is a Disability Rights NC agenda bill. It seeks to amend the North Carolina Persons with Disabilities Protection Act to conform to the Americans with Disabilities Amendments Act of 2008. The bill received a favorable report from the Senate Healthcare committee last week, and approved by the full Senate with a 48-0 vote.  It will now be heard in the House.  The House companion bill, HB 530 (Blackwell, Brisson, Earle, Hurley Sponsors), was also filed this week.

Newly Filed Bills:

A large number of bill were filed late last week, a trend that will continue this week as we approach the bill introduction deadline.

HB 487, Exempt Bd Cert. Beh. Analyst/Psych Practice (Parmon, Graham Sponsors). HB 487 seeks to amend the NC Psychology Practice Act to allow certified behavior analysts and assistant behavior analysts to offer services within the scope of practice authorized by the Behavior Analyst Certification Board, including behavior analysis and therapy. It has been referred to the House Health and Human Services Committee.


HB 493, Landlord Tenant Law Changes (Howard, Blust, Randleman Sponsors). HB 493 seeks to weaken certain rights and protections of tenants. If passed it would: 1. Allow removal/eviction more easily when a tenant dies, potentially denying surviving family from removing property. 2. End waiver defense in eviction cases where Landlord could not accept rent from Tenant and then evict them. 3. Reverses NC appellate case law that knowledge of defects, no repairs and continued demand and acceptance of rent is an unfair trade practice. 4. Requires Tenant to pay undefined alleged damages in order to appeal from small claims to District Court, effectively taking away right to new trial in small claims. 5. Allows private process servers for eviction complaints with little or no requirements for qualifications or consequences for abuse. Disability Rights NC is opposed to this legislation.  It has been referred to the House Judiciary Subcommittee A.

HB 509, Exclusions from Licensure: Home Services (Hurley Sponsor). HB 509 seeks to allow people with disabilities who receive MH/DD/SA services to live together as roommates without their home being considered a facility for licensing purposes. Specifically, it excludes from licensure: “A home in which up to three adults, two or more having a disability, co own or co rent a home in which the persons with disabilities are receiving three or more hours of day services in the home or up to 24 hours of residential services in the home. The individuals who have disabilities cannot be required to move if the individuals change services, change service providers, or discontinue services.” Disability Rights NC was part of the workgroup that developed this language, and we support this bill. It has been referred to House Health and Human Services Committee.

HB 540, Remove Adult Care Homes from CON Review (Cook, Dixon, Bradley Sponsors). HB 540 seeks to exempt Adult Care Homes from the Certificate of Need approval process. The Certificate of Need process allows for review and an analysis of need before new facilities may open. Disability Rights NC opposes this bill on the ground that it would only serve to increase facilities in the state, and further divert resources away from the community where people may live more independently. The bill has been referred to the House Health and Human Services committee.

HB 541, CAP-MR/DD Waiver Change/Residential Supports (Hurley Sponsor). HB 541 seeks to direct the Department of Health and Human Services to amend the CAP-MR/DD waiver to expand the type of facilities in which a recipient may receive residential supports. It would allow recipients to receive residential supports in a setting with six or fewer beds; a licensed residential setting with more than six beds if the recipient’s plan of care documents the circumstances that require the recipient to live in such a congregate setting; and also specifies that individuals residing in a licensed group home or adult care home with more than six beds, who were receiving services under the CAP-MR/DD waiver on November 1, 2008, may elect to receive residential supports. Disability Rights NC opposes the bill as written as it would direct resources intended for Home and Community based services into larger congregate settings, which is not the intent of the CAP waiver. It has been referred to the House Health and Human Services committee.

HB 542, Tort Reform for Citizens and Businesses (Rhyne, McComas, Brisson and Crawford Sponsors). HB 542 is the omnibus tort reform bill that has been mentioned in previous posts. HB 542 seeks to protect the makers of any drug, chemical or consumer product from lawsuits if the item was approved by or met regulatory requirements of a state or federal government agency; Allow only 25% of large damage awards intended to punish bad behavior to go to the victim, with the other 75% of a punitive award of more than $100,000 going to a state fund; Cap at $250,000 awards for medical malpractice that caused pain, suffering, disfigurement or other non-economic damages, with an inflation adjustment every three years; and Add protections against medical malpractice lawsuits for adult care homes. For the latest news and updates on tort reform, please refer to the NC Advocates for Justice website at http://www.ncaj.com/. The bill has been referred to the House Committee on Tort Reform, which heard from the public about the bill on Thursday.

HB 554, Residential Building Inspections (House Rules Committee bill). HB 554 seeks to limit the allowable periodic building inspections only when there is reasonable cause to believe that unsafe, unsanitary, or otherwise hazardous or unlawful conditions may exists in a residential building; or as part of a targeted effort to respond to blighted or potentially blighted conditions within a Community Development Block Grant geographic area that has been so designated by the board of commissioners, the Dept. of Commerce, Div. of Community Assistance, or HUD. It has been referred to the House Commerce committee.

HB 572, Accountability for Publicly Funded Nonprofits (Justice, Sager, Stevens, West Sponsors). HB 572 seeks to require nonprofits that receive funds from local, state or federal government to provide financial statements and a copy of its IRS Form 990 to the public. As the IRS Form 990 is already publicly available, it is not likely that this would impose any undue burden on nonprofits (For example, Disability Rights NC’s 990 is available on our website). It has been referred to the House Finance Committee.

HB 574, Distribution of Excise Tax on Title Instruments (Hall, Killian, Moore R., Adams Sponsors). HB 574 seeks to change the distribution of the excise tax to allocate a portion to the NC Housing Trust Fund for affordable housing. This would create a designated revenue stream to the Housing Trust Fund. Currently, all of these funds go to the Parks and Recreation Trust Fund and the Natural Heritage Trust Fund. A Senate companion bill, SB 462 (Mansfield, Gunn, Clary Sponsors) was also filed this week. The House bill was referred to the House Finance Committee and the Senate version was referred to the Senate Finance committee. Disability Rights NC, along with a number of organizations who promote affordable housing, supports this bill.

HB 579, Modify Law re: Corporal Punishment (Alexander, Johnson Sponsors). HB 579 seeks to amend the law related to corporal punishment of children in public schools to restrict corporal punishment only to students whose parent or guardian has stated in writing that corporal punishment may be administered on that student. Parents and guardians shall be given a form to make such an election at the beginning of the school year or when the student first enters the school during the school year. A similar restriction was passed last year to allow parents of students with disabilities to opt out of corporal punishment in school. Since the passage of that legislation, the number of schools districts in North Carolina that continue to allow corporal punishment has dropped to 18. Disability Rights NC is working with Action for Children NC, North Carolina Association for Educators, and other organizations to support this legislation. It has not yet been referred to a committee. SB 498 (Pate, Purcell Sponsors) has also been filed in the Senate.

SB 465, Behavioral Health Management (Hartsell Sponsor). SB 465 seeks to allow LMEs that are operating under Medicaid Managed Care waivers (i.e., 1915(b) or 1915(b)/(c) combo waivers like PBH) to organize under Chapter 131E of the General Statutes, Article 2 governing Public Hospitals. It would allow a behavioral health authority to be created under 131E whenever a county board of commissioners finds and adopts a resolution finding that it is in the interest of the public health and welfare to create a behavioral health authority in order to operate a behavioral health program under a Medicaid 1915 (b)/(c) waiver program. The behavioral health authority shall be created in the same manner as a hospital authority under 131E and subject to the same provisions, except that G.S. 131E 20 [regarding geographic boundaries] does not apply to a behavioral health authority. It is unclear how this would benefit the system as a whole. 131E would allow such an authority to appoint commissioners in a manner different from the 122C requirements of LMEs (for example, without the LME board requirements and the requirements for a CFAC).  It has been referred to the Senate Mental Health Committee.

SB 474, Photo ID for Certain Controlled Substances (Apodaca, Hise Sponsors). SB 374 seeks to direct pharmacies to require photo identification prior to dispensing Schedule II Controlled Substances. Schedule II includes a number of drugs for pain relief, as well as any drug that contains amphetamine (like Adderall). It would require the patient to present one of the following valid, unexpired forms of government issued photographic identification: (i) a drivers license, (ii) a special identification card issued under G.S. 20 37.7, (iii) a military identification card, or (iv) a passport. It does not provide for circumstances where an individual may not have such identification, or when the patient is a minor, or unable to pick up their own prescription in person. Although this bill is intended to reduce prescription fraud, it should be noted that there are already numerous state and federal provisions in place to discourage the fraudulent dispensing of Schedule II substances. The bill has been referred to the Senate Judiciary I committee.

SB 479, Testing in the Public Schools (Tillman, Preston, Soucek Sponsors). SB 479 seeks to implement several additional components of the state’s testing of public school students: continued participation in the development of the Common Core State Standards in conjunction with the consortium of other states, including implementing the assessments that the State Board deems most appropriate to assess student achievement on the Common Core State Standards; to the extent funds are made available, the State Board shall plan for and require the administration of the ACT test for all students in the eleventh grade unless the student has already taken a comparable test and scored at or above a level set by the State Board, as well as diagnostic tests in the eighth and tenth grades that align to the ACT test in order to help diagnose student learning and provide for students an indication of whether they are on track to be remediation free at a community college or university; and to the extent funds are made available for this purpose, the State Board shall plan for and require local school administrative units to make available the appropriate WorkKeys tests for all students who complete the second level of vocational/career courses. It has been filed in the Senate but not yet referred to a committee.

SB 482, ALJ Final Decision Authority (Hartsell Sponsor). SB 482 seeks to amend the Administrative Procedures Act to authorize Administrative Law Judges to make final administrative decisions in contested cases. For example, under the current law, the Department of Health and Human Services can set aside the decision of an ALJ in Medicaid recipient appeals (which occurs routinely when the ALJ finds in favor of the recipient). The recipient must then appeal to Superior Court to challenge that decision. Under this bill, the ALJ’s decision would be final. The bill has not yet been referred to a committee.

SB 496, PPACA/Required Fraud and Abuse Provisions (Pate Sponsor). SB 496 seeks to implement additional screening for Medicaid and Health Choice providers, identifying providers of certain types of services as low, moderate or high risk. It also provides for criminal history record checks for certain providers. It has not yet been referred to a committee.