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RALEIGH, N.C. (AP) - The Senate's idea of Medicaid reform in North Carolina has cleared a hurdle in the chamber despite opposition from several medical organizations and Gov. Pat McCrory's administration, which prefer a House plan.

A Senate committee voted Thursday for a measure that would shift Medicaid to a managed-care model in which hospital and doctor networks and insurance companies receive a fixed amount for each patient. The House would only allow networks led by medical providers.

The Senate plan also ramps-up the new model years before the House's goal of paying for a majority of Medicaid recipients by the new method in mid-2020. The Senate also wants to create a new state department that would oversee Medicaid.

The bill isn't expected to reach the Senate floor until next week.

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