1. Legislative Update March 23, 2015 Annaliese Dolph Law Office of Annaliese Dolph

2. State Budget

3. State Budget Process  Governor Submitted his Budget March 5  April Revenue Numbers after April 15  House develops budget for consideration  Senate consider House Budget and makes changes  House considers Senate version of budget  House and Senate Conference on disputed matters  Target date July 1

4. Governors Budget Highlights Additional Funding for Behavioral Health from Sale of Dix Funding to Address Mental Health Needs of Prisoners Medicaid Reform ACO Model Teacher Salary Funding for Increases

5. Revenue Considerations 2013 Tax Changes Economic development Incentives Tax Credits – historic preservation, etc. Broader considerations around sales tax Sales Tax redistribution proposal

6. House Budget Possibilities Substance Abuse system changes TBI Waiver Health Care for Workers with Disabilities

7. A New Way of Budgeting in HHS? Moving from Paying to Investing Starting with Birth to 5 Funding Pew Results First Initiative

8. Medicaid Reform

9. Differing concepts about reform Fate of the LME/MCO model What about long term care?

10. Proposed Bills

11. Bills You May Be Interested In HB 46, Senior Tax Deduction for Medical Expenses (Catlin, R-New Hanover) HB 91, Handicapped Parking Law Revisions (Speciale) HB 119, PED Recs/Publicly Funded Substance Abuse Services (Horn, Hurley, Saine) HB 142, Require Safety Helmets/Under 21 (Torbett, Speciale)/SB 144 (Meredith) HB 314, Pilot/Sports for Students with Disabilities (Bryan, Stam, Lambeth) SB 49, Curbside Voting IDs (Tillman)

12. Bills, Continued SB 291, Extend Overnight Respite Pilot Program (Hartsell) SB 343, Student Assault on Teacher/Felony Offense (Tillman) SB 349, Restore Driving Privileges/Competency (Randleman) ABLE Act bill Coming

13. Thank you for having me!