From WRAL.com 12.5.11
Raleigh, N.C. — North Carolina Department of Health and Human Services officials said Monday that state lawmakers have changed their tune about finding funds to fill a projected $139 million Medicaid budget shortfall, forcing them to consider making catastrophic cuts to the program.
Unless lawmakers find more money for Medicaid, many adult services, like hospice care and mental health care, could be on the chopping block. The state could also reduce reimbursements to physicians who treat Medicaid patients by up to 20 percent, DHHS officials have said.
They say lawmakers publicly pledged to help fill the shortfall in October after it became clear that the agency couldn’t make the $356 million in cuts required in the state budget.
“We are not going to cut services, and we are not going to cut rates to make up for one-time liabilities,” said state Rep. Nelson Dollar, R-Wake, in October.
Speaker Thom Tillis also said at the time that lawmakers were looking at a $150 million surplus to plug the funding hole.
“That (money) could be appropriated for those areas where we’re coming up short without necessarily having to go back and cut any reimbursement rates or programs,” he said.
Legislative leaders have since privately indicated to DHHS officials that the money isn’t coming, according to correspondence between legislative leaders and Health and Human Services Secretary Lanier Cansler obtained by WRAL News.
That leaves officials with two options – ”large-scale rate cuts or the elimination of some optional services,” DHHS Deputy Secretary Michael Watson said.
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