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Advocacy in Action June 28, 2019

Posted By Jennifer Gill, Wednesday, July 3, 2019

June 28, 2019

CON Exemption for CCRCs Reemerges in New Bill
The North Carolina Senate Health Care committee yesterday resurrected an exemption from CON need determination for CCRCs wishing to provide Medicare-certified home health. The exemption, contained in House Bill 126, is in response to efforts by opponents of the exemption in gutting Senate Bill 361 and the removal of CON language from the consensus state budget plan released late Tuesday (see article below). With passage by the Senate Health Care committee, the bill now goes to the Rules and Operations of the Senate committee. Thanks to all who reached out to their elected officials to breathe life back into this exemption…and there’s still plenty of work ahead. Stay tuned!

Consensus State Budget Plan Released
House and Senate Republican leaders released their consensus state budget on Tuesday afternoon.  LeadingAge North Carolina is a proud member of the North Carolina Coalition on Aging, which provided a summary of key items in the budget related to aging interests.  When viewed in total, this budget plan provides the most support for aging related programs and services in over a decade. The budget does not include Medicaid expansion, which is the top priority of Governor Roy Cooper.  There is speculation that the Governor will veto the budget for that reason which could result in no approved spending plan by the start of the new fiscal year on July 1.  If things drag out past July 1, state government will not shut down as funding stays as it is until a new budget is approved.

Amendment to Extend 7.5% Federal Medical Expense Deduction Defeated
The US House of Representatives Ways and Means committee met earlier this week to markup legislation related to a number of tax “extenders.” Among these was an amendment by Rep. Kenny Marchant (R-TX), which would permanently lower the threshold for an itemized medical expense deduction from 10 percent of adjusted gross income to 7.5 percent. While there are bills in the House and Senate on this topic, separate from this tax bill that was marked up last week, it is unlikely at this point that they will gain traction, particularly not in the Senate.

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