The North Carolina Senate has tentatively passed big changes to Medicaid and sales tax distributions. Senate leaders are calling the bills compromises, but there are still differences to work out with the House.
On Medicaid, Senate leaders favor giving insurance companies more responsibility for managing the government health care program. The House and Governor Pat McCrory would rather give that authority to groups of doctors and hospitals. So the Senate is advancing a bill that allows both insurance companies and groups of doctors and hospitals to take more control.