A BILL TO BE ENTITLED
AN ACT to clarify the calculation of the medicaid swap hold harmless.
The General Assembly of North Carolina enacts:
SECTION 1.  G.S. 105‑523(b)(2) reads as rewritten:
"(b)	Definitions. – The following definitions apply in this section:
…
(2)	Hold harmless threshold. – The amount of a county's Medicaid service costs and Medicare Part D clawback payments assumed by the State under G.S. 108A‑54 for the fiscal year, less five hundred thousand dollars ($500,000). A county's Medicaid service costs for fiscal years 2008‑2009, 2009‑2010, and 2010‑2011 are determined without regard to the changes made to the Federal Medical Assistance Percentage by Section 5001 of the American Recovery and Reinvestment Act of 2009."
SECTION 2.  This act is effective when it becomes law and applies to distributions for months beginning on or after October 1, 2008.