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North CarolinaSB 3442025-2026 SessionSenateWALLET

AN ACT TO ENSURE THE TRANSFER OF ASSETS FOR FAIR MARKET VALUE TO POOLED SPECIAL NEEDS TRUSTS BY SENIORS AGE SIXTY-FIVE AND OLDER DOES NOT ADVERSELY IMPACT ELIGIBILITY FOR MEDICAID OR STATE-COUNTY SPECIAL ASSISTANCE.

Sponsored By: W. Ted Alexander (Republican), Carl Ford (Republican), Amy S. Galey (Republican)

Signed by Governor

AGINGDHHSFINANCIAL SERVICESHEALTH SERVICESINSURANCE, HEALTHMEDICAIDPOVERTYPRESENTEDPUBLICRATIFIEDSOCIAL SERVICESTRUSTSCHAPTERED

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Seniors’ pooled trust transfers protected for Medicaid

If you are 65 or older and move money into a pooled special needs trust that meets federal rules, the state treats that transfer as fair market value for Medicaid. You must show the trustee plans to use the money within your life expectancy to buy goods and services for you worth the same amount. This applies only as allowed by federal law. This helps you avoid transfer penalties and keep Medicaid, including for long-term care.

Seniors’ pooled trusts protected for Special Assistance

If you are 65 or older and move money into a pooled special needs trust that meets federal rules, the state treats that transfer as fair market value for State-County Special Assistance. You must show the trustee plans to use the money within your life expectancy to buy goods and services for you worth the same amount. This applies only as allowed by federal law. This helps you keep Special Assistance and lower your out-of-pocket support costs.

Sponsors & Cosponsors

Sponsors

  • W. Ted Alexander

    Republican • Senate

  • Carl Ford

    Republican • Senate

  • Amy S. Galey

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 158 • No: 0

House vote • 6/18/2025

SB 344: Pooled Trust Transfers/Public Benefits Eligibility.

Yes: 110 • No: 0 • Other: 9

Senate vote • 4/15/2025

SB 344: Pooled Trust Transfers/Public Benefits Elig.

Yes: 48 • No: 0 • Other: 2

Actions Timeline

  1. Ch. SL 2025-24

    6/26/2025Senate

  2. Signed by Gov. 6/26/2025

    6/26/2025Senate

  3. Pres. To Gov. 6/20/2025

    6/20/2025Senate

  4. Ratified

    6/19/2025Senate

  5. Ordered Enrolled

    6/18/2025House

  6. Passed 3rd Reading

    6/18/2025House

  7. Passed 2nd Reading

    6/18/2025House

  8. Added to Calendar

    6/18/2025House

  9. Cal Pursuant Rule 36(b)

    6/18/2025House

  10. Reptd Fav

    6/18/2025House

  11. Re-ref Com On Rules, Calendar, and Operations of the House

    6/17/2025House

  12. Reptd Fav

    6/17/2025House

  13. Re-ref to the Com on Judiciary 1, if favorable, Rules, Calendar, and Operations of the House

    6/9/2025House

  14. Withdrawn From Com

    6/9/2025House

  15. Ref To Com On Rules, Calendar, and Operations of the House

    4/28/2025House

  16. Passed 1st Reading

    4/28/2025House

  17. Regular Message Received From Senate

    4/17/2025House

  18. Regular Message Sent To House

    4/16/2025Senate

  19. Passed 3rd Reading

    4/15/2025Senate

  20. Passed 2nd Reading

    4/15/2025Senate

  21. Reptd Fav

    4/14/2025Senate

  22. Re-ref Com On Rules and Operations of the Senate

    4/9/2025Senate

  23. Com Substitute Adopted

    4/9/2025Senate

  24. Reptd Fav Com Substitute

    4/9/2025Senate

  25. Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

    3/24/2025Senate

Bill Text

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