H.B. 471
GENERAL ASSEMBLY OF NORTH CAROLINA
Mar 26, 2019
SESSION 2019 HOUSE PRINCIPAL CLERK
H D
HOUSE BILL DRH30204-NB-10
Short Title: Reduce Admin. Duplication MH/DD/SAS Providers. (Public)
Sponsors: Representatives Hardister, White, Dobson, and Adcock (Primary Sponsors).
Referred to:
1 A BILL TO BE ENTITLED
2 AN ACT REQUIRING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 ESTABLISH A WORKGROUP TO EXAMINE AND MAKE RECOMMENDATIONS
4 ABOUT HOW TO ELIMINATE ADMINISTRATIVE DUPLICATION FOR MENTAL
5 HEALTH, INTELLECTUAL/DEVELOPMENTAL DISABILITY, AND SUBSTANCE
6 USE DISORDER PROVIDERS.
7 The General Assembly of North Carolina enacts:
8 SECTION 1.(a) The Secretary of the Department of Health and Human Services
9 shall establish a workgroup to examine current administrative requirements for mental health,
10 intellectual/developmental disability, and substance use disorder providers and how best to
11 integrate these requirements with similar administrative requirements for physical health
12 providers in order to avoid duplication and enhance efficiency. The workgroup shall consist of
13 representatives from the Division of Mental Health, Developmental Disabilities, and Substance
14 Abuse Services, the Division of Health Benefits, the Division of Health Service Regulation, local
15 management entity/managed care organizations, providers, and stakeholders. The examination
16 shall include a review of at least all of the following categories of requirements imposed on
17 mental health, intellectual/developmental disability, and substance use disorder providers and
18 physical health providers:
19 (1) Training.
20 (2) Service delivery.
21 (3) Documentation.
22 (4) Claims processing.
23 (5) Reporting.
24 (6) Monitoring.
25 (7) Oversight.
26 (8) Facility licensure.
27 (9) Medicaid enrollment.
28 (10) Credentialing.
29 (11) Accreditation.
30 (12) Contracts.
31 (13) Investigations.
32 (14) Audits.
33 SECTION 1.(b) In conducting the examination required under subsection (a) of this
34 section, the workgroup shall identify the federal or State entity that created each requirement
35 examined by the workgroup to include State legislation, statutes, contractual requirements,
36 federal Medicaid and managed care law and provide a recommendation about whether that
*DRH30204-NB-10*
 General Assembly Of North Carolina Session 2019
1 requirement should remain, be eliminated, or be redesigned. The workgroup shall consider any
2 requirement imposed on mental health, intellectual/developmental disability, and substance use
3 disorder providers that:
4 (1) Is not federally mandated.
5 (2) Exceeds what is required for physical health.
6 (3) Does not add value to the delivery of behavioral health services.
7 (4) Is unable to be incorporated into standard electronic health records or does not
8 align with meaningful use of electronic health records.
9 SECTION 1.(c) By March 31, 2020, the Department of Health and Human Services
10 shall report the findings and recommendations of the workgroup to the Joint Legislative
11 Oversight Committee on Health and Human Services, the Joint Legislative Oversight Committee
12 on Medicaid and NC Health Choice, and the Fiscal Research Division.
13 SECTION 2. This act is effective when it becomes law.
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