Short Session Budget Overview

Joint Conference Committee Report on the Base and Expansion Budget for SB 99

Proposed Conference Committee Substitute for SB 99

View the Bill History

Bill Movement

This budget was released online on May 28, 2018 as a Conference Report. A Conference Report can not be amended and can only be voted up or down.


This Conference Report passed the House Appropriations Committee on May 29, 2018.

This Conference Report passed the House Finance Committee on May 29, 2018.

This Conference Report was placed on the House Calendar for May 31, 2018.

This Conference Report passed second reading on May 31, 2018 after almost 6 hours of debate.

This Conference Report passed third reading and was sent to Gov. Cooper on June 1, 2018

Gov. Cooper vetoed the budget on June 6, 2018.

The House has overrode the Governor’s budget veto on June 12, 2018 with a vote of 73-44.


This Conference Report was placed on the Senate Calendar for May 30, 2018.

This Conference Report passed second reading on May 30, 2018.

This Conference Report passed third reading on May 31, 2018.

Gov. Cooper vetoed the budget on June 6, 2018.

The Senate overrode Gov. Cooper’s veto on June 7, 2018 and the veto will now move to the House.


AHEC Funding

This Conference Report provides additional $4.8 million in additional non-recurring funds to the Southern Regional Area Health Education Center (SR-AHEC). These funds would be used for surgery and family medicine residencies and for improvements associated with residency programs.

Health and Human Services

Rural Health Funding

This Conference Report provides 8 different funding initiatives for rural areas. One are includes $25,000 non-recurring for HealthQuest which provides free prescription medicine to low income individuals. Another initiative includes $250,000 non-recurring for the Free Clinic of Reidsville and $30,000 for the safety net healthcare provider, Wayne Action Team for Community Health (WATCH).

Tobacco Prevention

This Conference Report  provides $250,000 in non-recurring funding for two smoking cessation programs.

The Conference Report provides an additional $250,000 in non-recurring funding for youth tobacco prevention programming.

Newborn Screening

This Conference Report provides a $6.4 million increase in recurring funding to support the Newborn Screening Program. In addition, the funding would be used to add three new tests to the screening panel in order to conform to federal standards.

This Conference Report budgets $3.7 million of the newborn screening receipts to be used to add 3 new tests to the panel and for newborn screening equipment maintenance and replacement.

Women’s Health

This Conference Report provides $250,000 in recurring funding for Temporary Assistance for Needy Families (TANF) Block Grant receipts for teen pregnancy prevention programs.

The Conference Report also provides additional $2.856 million for additional Maternal and Child Health Block Grant federal receipts.

Child Development

The Conference Report provides $250,000 in additional funding for the Smart Start – Reach Out and Read program. This program works with pediatricians to provide books to patients as well as a “prescription” to read.

Subsidized Child Care

This Conference Report increases funding for the child care market rates for children ages 3-5 in Tier 3 counties.

In addition, the Conference Report reduces the Child Care Subsidy waitlist by providing block grant funding to remove approximately 3,700 children from the waiting list.

Food and Nutrition Services

This Conference Report provides funds to continue a pilot program to increase access to food and nutrition services for individuals who are dually eligible for Medicare and Medicaid.

Social Determinants of Health

A provision in this Conference Report provides an additional $8.5 million for the Low Income Heating Energy Assistance Program to aid in low income recipients with emergency heating or cooling needs.


This Conference Report provides a funding increase of $166,000 in recurring funding to  increase in access to the Home and Community Care Block Grant (HCCBG). This grant helps provide meals to senior populations. There was also an additional $944,000 in recurring funding for HCCBG in home community based services for older adults.

Eastern Band of Cherokee Indians (EBCI)

The Conference Report provides an additional $43,000 of additional funding to the EBCI for Home and Community Care Block Grant services.

Broughton Hospital

The Conference Report provides$5 million in funding to open and staff the new Broughton Hospital which will include 85 new beds.

Agriculture and Consumer Services

GenX – Public Health

This Conference Report would authorize the Governor to require a facility to cease operations for unauthorized substance discharges.

In addition, the Conference Report would require the establishment of permanent replacement water supplies for affected parties with drinking water well contaminated by GenX substances.

Information Technology

Potential Increased Telemedicine Access

This Conference Report establishes the Growing Rural Economies with Access to Technology (GREAT) program in order to facilitate the deployment of broadband to unserved areas of the state of speeds above the minimum federal standard. This provision could help providers provide telemedicine services in underserved rural areas.



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