updated Fri, May 15Sunday, May 17, 2026
LapelIntelThe Public Record of NC Lobbying
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↺ RE‑REGFairrington, Michael·Restore Wellness NC LLC↺ RE‑REGFreeman, Nelson·NC East Alliance↺ RE‑REGMcCorkle, Betsy·Restore Wellness NC LLC▲ ADDBryson, CoryPOB Ventures, LLC↺ RE‑REGMiller, Todd·North Carolina Coastal Federation, Inc.▲ ADDApplewhite, Robert DerrickNC East Alliance↺ RE‑REGKelly, Tamika·North Carolina Association of Educators, Inc.▲ ADDSchlenker, LelaNorth Carolina Coastal Federation, Inc.▼ DROPKing, SebastianOnsite Wastewater Professionals▼ DROPApodaca, TomPOB Ventures, LLC▼ DROPHeath, D. BowenTract Capital Management▼ DROPHardister, JonathanOnsite Wastewater Professionals▼ DROPDugan, MarjorieCenter for Reproductive Rights▼ DROPNye, Hannah TedderPOB Ventures, LLC▼ DROPNichols, JoannaPOB Ventures, LLC▲ ADDDugan, MarjorieCenter for Reproductive Rights▲ ADDForest, MaxBanyan Oak Group LLC▲ ADDForest, DanUtilize Coalition▲ ADDKing, SebastianOnsite Wastewater Professionals▲ ADDNichols, JoannaPOB Ventures, LLC↺ RE‑REGFairrington, Michael·Restore Wellness NC LLC↺ RE‑REGFreeman, Nelson·NC East Alliance↺ RE‑REGMcCorkle, Betsy·Restore Wellness NC LLC▲ ADDBryson, CoryPOB Ventures, LLC↺ RE‑REGMiller, Todd·North Carolina Coastal Federation, Inc.▲ ADDApplewhite, Robert DerrickNC East Alliance↺ RE‑REGKelly, Tamika·North Carolina Association of Educators, Inc.▲ ADDSchlenker, LelaNorth Carolina Coastal Federation, Inc.▼ DROPKing, SebastianOnsite Wastewater Professionals▼ DROPApodaca, TomPOB Ventures, LLC▼ DROPHeath, D. BowenTract Capital Management▼ DROPHardister, JonathanOnsite Wastewater Professionals▼ DROPDugan, MarjorieCenter for Reproductive Rights▼ DROPNye, Hannah TedderPOB Ventures, LLC▼ DROPNichols, JoannaPOB Ventures, LLC▲ ADDDugan, MarjorieCenter for Reproductive Rights▲ ADDForest, MaxBanyan Oak Group LLC▲ ADDForest, DanUtilize Coalition▲ ADDKing, SebastianOnsite Wastewater Professionals▲ ADDNichols, JoannaPOB Ventures, LLC
Enacted May 5, 2026·budget·Budget impact

SL 2026-1Medicaid rewrite, HASP off-ramp, and a Greensboro megaproject

An act making various budget, Medicaid, HASP, social services, education, JDIG, justice, and transportation adjustments.

Primary bill · HB 1

A budget-adjustment vehicle whose center of gravity is Medicaid — sixteen Division of Health Benefits sections rewrite PHP network rules, copays, ABA policy, and program-integrity authority. Hospital assessment changes (HASP) name NCHA explicitly as DHHS's consultation counterparty.

Part I — General Provisions

1.1
Subject
Extends reversion date on FY23-24 / FY24-25 directed grants to 6/30/2027
Impacted industries
Nonprofits, local governments, universities holding unspent directed grants
Likely lobbying principals
NC Center for Nonprofits; individual grant recipients lobbying their own delegations

Part II — Education

2.1
Subject
Establishes NC Blue Ribbon Commission on Public Education; $300K to Friday Institute (NC State)
Impacted industries
K-12 public education; UNC System; ed-policy research; ed-tech
Likely lobbying principals
NC Association of Educators; Professional Educators of NC; NC School Boards Assoc; NC School Superintendents' Assoc; Public School Forum of NC; BEST NC; Parents for Educational Freedom in NC; UNC System
2.2
Subject
Conforms NC 529 plan eligible expenses to federal Code as of 7/4/2025 (OBBBA)
Impacted industries
529 plan administrators; financial services; private K-12 / homeschool (newly eligible expenses under OBBBA)
Likely lobbying principals
State Education Assistance Authority; financial-services principals (Wells Fargo, etc.); private school associations; NC Association of Independent Schools
2.3
Subject
$1M to top up Children of Wartime Veterans scholarships for 2025-26
Impacted industries
Higher education; veterans services
Likely lobbying principals
NC Dept of Military & Veterans Affairs (agency, not principal); UNC System; NC Independent Colleges & Universities; veterans service organizations
2.4–2.5
Subject
Doubles Class II/III Wartime Veterans scholarships (100→200); $10M recurring from Escheat Fund; extends program flexibility to 2026-27
Impacted industries
Same as 2.3
Likely lobbying principals
Same as 2.3; State Education Assistance Authority

Part III-A & III-B — Definitions; Rural Health Transformation Program reporting

3B.1
Subject
DHHS quarterly reporting to LegOps on NC Rural Health Transformation Plan (federal RHTP under OBBBA §71401)
Impacted industries
Rural hospitals; FQHCs; rural health clinics; EMS; rural broadband/telehealth; ag-health nonprofits
Likely lobbying principals
NC Healthcare Association (NCHA); NC Community Health Center Assoc; NC Rural Health Assoc; NC Rural Center; NC Association of Free & Charitable Clinics; NC Association of EMS Administrators

Part III-C — Division of Health Benefits (Medicaid)

3C.1
Subject
Sunsets non-statutory Medicaid modifications after 6/30/2027
Impacted industries
All Medicaid stakeholders
Likely lobbying principals
NCHA; NC Medical Society; NC Assoc of Health Plans; NC Providers Council
3C.2
Subject
$319M Medicaid rebase from Contingency Reserve; funds Children & Families Specialty Plan launch (Dec 2025)
Impacted industries
Medicaid PHPs; behavioral health providers; foster care/child welfare providers
Likely lobbying principals
Blue Cross NC (Healthy Blue); UnitedHealthcare; Centene (WellCare); Molina; AmeriHealth Caritas; Carolina Complete Health; NC Pediatric Society; Benchmarks; NC Child
3C.3
Subject
LME/MCO intergovernmental transfers: $18.028M/yr from Alliance, Partners, Trillium, Vaya
Impacted industries
LME/MCOs and the public-sector behavioral health system
Likely lobbying principals
Alliance Behavioral Healthcare; Partners Health Management; Trillium Health Resources; Vaya Health (directly named); i2i Center for Integrative Health; NC Council of Community Programs; Disability Rights NC
3C.4
Subject
Aligns Medicaid statute with OBBBA: "community engagement" instead of work requirements; immigrant-eligibility tightening
Impacted industries
Medicaid expansion population; immigrant-services nonprofits; safety-net hospitals
Likely lobbying principals
NC Justice Center; El Pueblo; Carolina Migrant Network; NC Council of Churches; NCHA; NC Assoc of Free & Charitable Clinics
3C.5
Subject
New community engagement (work) requirements at application and redetermination, effective 1/1/2027
Impacted industries
Same as 3C.4; NCWorks contractors; county DSS
Likely lobbying principals
NCWorks; NC Assoc of County Directors of Social Services; NC Justice Center; Legal Aid of NC; Maximus; Deloitte
3C.6
Subject
Monthly (vs. quarterly) eligibility data checks; expands data sources
Impacted industries
Medicaid IT vendors; county DSS; eligibility-verification vendors
Likely lobbying principals
Deloitte; Accenture; Maximus; LexisNexis Risk Solutions; Equifax; Experian; GetInsured (Vimo)
3C.7
Subject
Bars self-attestation as sole verification evidence
Impacted industries
Same as 3C.6
Likely lobbying principals
Same as 3C.6
3C.8
Subject
Counts income of ineligible (immigration-status) household members
Impacted industries
Mixed-status families; immigrant-serving orgs
Likely lobbying principals
NC Justice Center; El Pueblo; Carolina Migrant Network; NC Council of Churches
3C.9
Subject
Requires DHHS to refer unverified applicants to DHS/ICE
Impacted industries
Immigrant communities; legal aid; civil rights orgs
Likely lobbying principals
Legal Aid of NC; ACLU of NC; NC Justice Center; El Pueblo; NC Sheriffs' Assoc (interest in immigration enforcement coordination)
3C.10
Subject
State Auditor performance audit of Medicaid and NCWorks; $500K
Impacted industries
DHHS; NCWorks ecosystem; Medicaid contractors
Likely lobbying principals
Office of the State Auditor (Dave Boliek's office — agency, not a principal); NCHA; NC Assoc of Health Plans
3C.11
Subject
Annual fraud/waste/abuse reporting requirement
Impacted industries
Medicaid providers; program-integrity vendors
Likely lobbying principals
NC Medical Society; NCHA; Public Consulting Group (PCG); Myers and Stauffer; SAS Institute
3C.12
Subject
Rewrites PHP network rules: "open network" default; "any willing provider" for essential providers; LME/MCO + CAF plan apply same rules
Impacted industries
PHPs (5 statewide + regional); FQHCs; rural health clinics; free clinics; local health depts; State Veterans Homes; tribal/IHS providers; physician groups
Likely lobbying principals
NC Assoc of Health Plans (Blue Cross NC, UHC, Centene, Molina, AmeriHealth, Carolina Complete); NC Community Health Center Assoc; NC Rural Health Assoc; NC Association of Free & Charitable Clinics; NC Assoc of Local Health Directors; Eastern Band of Cherokee Indians; Catawba Indian Nation; NC Medical Society; NC Academy of Family Physicians
3C.13
Subject
Allows PHPs to perform prepayment claims review; tightens "clean claims" rate from 70% to 80%; allows PHP to drop providers failing review
Impacted industries
PHPs; all Medicaid-billing providers
Likely lobbying principals
NC Assoc of Health Plans; NC Medical Society; NCHA; NC Pediatric Society; NC Behavioral Health Council; NC Assoc of Long Term Care Facilities; Home Care Assoc of NC; NC Assoc for Home Care & Hospice
3C.14
Subject
Plan for "program integrity & efficiency" — including GLP-1 weight-loss management, AMH care-management risk-sharing, etc.
Impacted industries
PHPs; Advanced Medical Homes; primary care; obesity/endocrinology providers; pharma (GLP-1 makers)
Likely lobbying principals
NC Assoc of Health Plans; Community Care of NC (AMH network); NC Medical Society; NC Academy of Family Physicians; Eli Lilly; Novo Nordisk; PhRMA; NC Pharmacists Assoc; Obesity Action Coalition
3C.15
Subject
Allows PHPs to require itemized bills for outlier inpatient claims (\>$250K or 2σ above median)
Impacted industries
PHPs vs. hospital revenue cycle
Likely lobbying principals
NCHA; NC Assoc of Health Plans; AHA; individual systems (Duke, Atrium/Advocate, Novant, UNC Health, ECU Health, Cone, WakeMed, FirstHealth, HCA)
3C.16
Subject
Sets all Medicaid copays to federal max (effective 7/1/2027)
Impacted industries
All Medicaid enrollees; providers (copay collection)
Likely lobbying principals
NCHA; NC Medical Society; NC Justice Center; AARP NC; NC Council of Churches
3C.17
Subject
Extends 100%-of-FFS DME/orthotics/prosthetics rates in managed care through 6/30/2027
Impacted industries
DME suppliers; O&P providers
Likely lobbying principals
NC Assoc for Medical Equipment Services (NCAMES); American Orthotic & Prosthetic Assoc (AOPA); Hanger Inc.; NC Assoc of Health Plans
3C.18
Subject
Major rewrite of ABA/autism (CCP-8F) policy: in-person assessments; telehealth caps; supervision ratios (10–20%); RBT/ABAT certification; bans out-of-state BCBAs from enrollment
Impacted industries
ABA therapy industry — every NC ABA provider
Likely lobbying principals
Autism Society of NC; Behavior Analyst Certification Board (BACB); Council of Autism Service Providers (CASP); Easter Seals UCP NC & VA; SembraCare; Maxim Healthcare Services; Hopebridge; LEARN Behavioral; Centria Healthcare; NC Pediatric Society; NC Medical Society; NC Psychological Assoc; parent advocacy groups

Part III-D — Hospital Assessment Adjustments (HASP / health advancement)

3D.1
Subject
Legislative intent: fund OBBBA §71107 & §71119 admin costs from in-Article 7B sources
Impacted industries
Hospitals (all acute care)
Likely lobbying principals
NCHA
3D.2
Subject
Shifts public-hospital assessments to intergovernmental transfers (IGT)
Impacted industries
Public hospitals only: UNC Health Care System; ECU Health (Pitt County Memorial); other public acute-care
Likely lobbying principals
UNC Health Care System; ECU Health Medical Center; NCHA; UNC System; NC Assoc of County Commissioners (county-owned hospitals)
3D.3
Subject
One-time 2026 hospital assessments to raise $14.3M for new admin costs (public + private)
Impacted industries
All acute-care hospitals
Likely lobbying principals
NCHA (named explicitly as the consult party in 3D.7(c)); all systems above
3D.4
Subject
Adds "supplemental administration component" to ongoing HASP — $3.3M/quarter state + $7.8M/quarter county admin through FY 2035-36
Impacted industries
Hospitals; county DSS
Likely lobbying principals
NCHA; NC Assoc of County Commissioners; NC Assoc of County Directors of Social Services
3D.5–3D.6
Subject
Reporting & true-up for admin-cost overcollection
Impacted industries
NCHA member hospitals
Likely lobbying principals
NCHA
3D.7
Subject
"Off ramp": if CMS approves HASP at \<95% of max, or gross HASP \<$1.5B, or federal IGT rules tighten ≥20%, supplemental admin component zeroes out — and DHHS must give NCHA 30 days to confirm/dispute before triggering
Impacted industries
All acute-care hospitals
Likely lobbying principals
NCHA explicitly named as DHHS's consultation counterparty — this is one of the more direct lobbying fingerprints in any NC session law
3D.8
Subject
Report by 10/1/2031 on post-2036 funding options
Impacted industries
Hospitals
Likely lobbying principals
NCHA

Part III-E — Division of Health Service Regulation

3E.1
Subject
Raises adult day care overnight respite bed cap from 6 to 12; adds staffing rules
Impacted industries
Adult day care; Innovations waiver / CAP-DA waiver providers; family caregivers
Likely lobbying principals
NC Adult Day Services Assoc; LeadingAge NC; NC Senior Living Assoc; NC Assoc of Long Term Care Facilities; The Arc of NC; Disability Rights NC; AARP NC; Easter Seals UCP

Part III-F — Division of Social Services

3F.1
Subject
Bars self-attestation for SNAP; counts income of ineligible household members
Impacted industries
SNAP recipients; food banks; county DSS
Likely lobbying principals
NC Justice Center; MANNA FoodBank; Feeding the Carolinas; Food Bank of CENC; NC Assoc of County Directors of Social Services
3F.2
Subject
$1M study (third-party) on centralizing all social services administration under State DHHS instead of counties
Impacted industries
County DSS systems; consulting firms
Likely lobbying principals
NC Assoc of County Commissioners; NC Assoc of County Directors of Social Services; Deloitte; Accenture; KPMG; Guidehouse; Public Consulting Group

Part IV — Agriculture, Natural & Economic Resources

4.1
Subject
Restructures the $118.1M FY25-26 JDIG-linked appropriation for the Greensboro airplane manufacturer megaproject (Piedmont Triad Airport) — adds collateralization rights for project financing, sidewalks/pedestrian bridge
Impacted industries
Aerospace / supersonic aviation; airport authorities; construction; site-prep contractors; utilities
Likely lobbying principals
Boom Supersonic (the publicly identified airplane manufacturer for this PTI JDIG award); Piedmont Triad Airport Authority; Greensboro Chamber of Commerce; Guilford County Economic Development Alliance; NC Chamber; Economic Development Partnership of NC; AECOM / engineering consultants; City of Greensboro; FAA-related counsel
4.2
Subject
Lets Town of Hertford use Sec. 12.2(e)(82) S.L. 2023-134 funds for any water/wastewater project (not just capacity increase)
Impacted industries
Town of Hertford; municipal water
Likely lobbying principals
Town of Hertford; NC League of Municipalities

Part V — Justice & Public Safety

5.1
Subject
$80M shortfall fill for Dept of Adult Correction
Impacted industries
Prison operations; prison healthcare contractors; corrections officers
Likely lobbying principals
State Employees Association of NC (SEANC); NC Police Benevolent Assoc; NC Troopers Assoc; Wellpath / Centurion (prison healthcare); GEO Group; CoreCivic
5.2
Subject
$2.5M recurring + $1.2M NR to SBI
Impacted industries
Law enforcement; forensic services
Likely lobbying principals
NC Sheriffs' Assoc; NC Police Benevolent Assoc; Southern States PBA
5.3
Subject
$165K to extend NC Business Court case management software (separate from eCourts)
Impacted industries
Court technology vendors; complex commercial bar
Likely lobbying principals
NC Bar Assoc; NC Chamber; Tyler Technologies; Thomson Reuters

Part VI — General Government

6.1
Subject
$1.5M to General Assembly for operating expenses
Impacted industries
NCGA itself
Likely lobbying principals
None (internal)
6.2
Subject
Reshuffles five FY23-24 OSBM directed grants — Mayland CC Foundation animal shelter → Avery/Mitchell counties; Town of Selma $800K → Johnston County EDC; Iredell County fairgrounds $5M → split between Iredell Sheriff (Lake Norman safety building) and Statesville W&WW; Harnett County Johnson Farm $1.6M → parks/greenways; Burke County Western NC Megasite → general Burke W&WW
Impacted industries
Local governments; sheriff's offices; economic development corps; parks/recreation
Likely lobbying principals
Johnston County Economic Development Corporation; Iredell County Sheriff's Office; City of Statesville; Burke County; Burke Partnership for Economic Development; Avery and Mitchell counties; Town of Selma; Harnett County

Part VII — Transportation

7.1
Subject
$13.1M recurring + $8.5M NR Highway Fund backfill for DMV credit-card receipt shortfall
Impacted industries
DMV operations; payment processors; auto dealers (registration throughput)
Likely lobbying principals
NC Automobile Dealers Assoc; NC Trucking Assoc; AAA Carolinas; payment processors (FIS, Fiserv)
Methodology

The industries and principals in this chart are Lapel’s editorial readings of who is likely lobbying which provisions, drawn from NC Secretary of State lobbyist-principal registration data and the public bill history of the underlying legislation. These are not direct attestations from the principals named, and the chart does not claim that every party listed worked the section.

© 2026 Lapel Intelligence
Lapel Intelligence uses frontier AI that can make mistakes. Please double-check cited sources.