HB 149 — Expanding Access to Healthcare.
Last action — Amend Adopted A3
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✓Introduced
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✓In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2021-2022 Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.
Bill Text
What changed in the latest version
25 added · 24 removedPlain-language change summary
The main changes to House Bill 149 include a clearer definition of how health insurance plans should treat telehealth services compared to in-person visits, ensuring that out-of-pocket costs like deductibles and copays are the same regardless of the delivery method. Additionally, the bill specifies that health plans cannot impose limits on where telehealth services can be accessed, and it maintains restrictions on the use of telehealth for abortion services, except in emergencies. These adjustments aim to improve access to healthcare through telehealth while ensuring that patients are not financially penalized for choosing this option.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 H 21 HOUSE BILL 149 Committee Substitute Favorable 5/5/21 Short Title:
Representatives Lambeth, White, Potts, and K.
Baker (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House February 25, 2021 A BILL TO BE ENTITLED AN ACT TO REQUIRE HEALTH BENEFIT PLAN COVERAGE FOR THE DELIVERY OF HEALTH CARE SERVICES THROUGH TELEHEALTH.
Telehealth shall not include the delivery of services solely through electronic mail, text chat, or audio communication onlyunless if additional medical history and clinical information is communicated electronically between the provider and patient.
Telehealth shall not include the delivery of services solely through electronic mail, text chat, or fax.
(3) A health benefit plan may require a deductible, a copayment, or coinsurance for a covered health care service or procedure delivered by a preferred or *H149-v-1* General Assembly Of North Carolina Session 2021 contracted health professional to an insured through telehealth.
The amount of the deductible, copayment, or coinsurance may not exceed the amount of *H149-v-2* General Assembly Of North Carolina Session 2021 the deductible, copayment, or coinsurance required had the covered health care service been provided in person, face-to-face.
(6) InTelehealth accordanceshall withnot G.S.be used for anyhealth care services related to an abortion, including a medication abortion, except in the case of an emergency therapeutic abortion." SECTION 2.
90-21.82(1), telehealth shall not be used for any health care services related to an abortion, including a medication abortion, except in the case of a medical emergency as defined in G.S.
90-21.81(5)." SECTION 2.
Page 2 House Bill 149-Second149-First Edition
Action History
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Amend Adopted A3
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Passed 3rd Reading
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Engrossed
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Special Message Sent To House
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Special Message Received For Concurrence in S Com Sub
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Ruled Material
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Ref To Com On Rules, Calendar, and Operations of the House
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Amend Adopted A1
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Amend Adopted A2
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Passed 2nd Reading
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Reptd Fav
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Reptd Fav Com Substitute
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Com Substitute Adopted
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Re-ref Com On Finance
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Reptd Fav
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Re-ref Com On Rules and Operations of the Senate
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Withdrawn From Com
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Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate
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Regular Message Received From House
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Passed 1st Reading
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Ref To Com On Rules and Operations of the Senate
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Regular Message Sent To Senate
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Passed 2nd Reading
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Passed 3rd Reading
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Reptd Fav Com Substitute
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Re-ref Com On Rules, Calendar, and Operations of the House
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Reptd Fav
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Cal Pursuant Rule 36(b)
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Placed On Cal For 05/06/2021
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Reptd Fav
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Re-ref Com On Insurance
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Passed 1st Reading
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Ref to the Com on Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House
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Filed
Sponsors
- Joe John · Cosponsor
- K. Smith · Cosponsor
- Donny Lambeth · Primary
- Donna McDowell White · Primary
- Larry W. Potts · Primary
- Jay Adams · Cosponsor
- Adcock · Cosponsor
- Cynthia Ball · Cosponsor
- Mary Belk · Cosponsor
- Bradford · Cosponsor
- Terry M. Brown Jr. · Cosponsor
- Becky Carney · Cosponsor
- Everitt · Cosponsor
- Farkas · Cosponsor
- Fisher · Cosponsor
- Garrison · Cosponsor
- Gill · Cosponsor
- Edward C. Goodwin · Cosponsor
- Graham · Cosponsor
- Hanig · Cosponsor
- Harris · Cosponsor
- Pricey Harrison · Cosponsor
- Zack Hawkins · Cosponsor
- Chris Humphrey · Cosponsor
- Hurley · Cosponsor
- Carolyn G. Logan · Cosponsor
- Lucas · Cosponsor
- Marcia Morey · Cosponsor
- James Roberson · Cosponsor
- Sasser · Cosponsor
- Cecil Brockman · Cosponsor
- Eric Ager · Cosponsor
- Amber M. Baker · Cosponsor
- Mitchell S. Setzer · Cosponsor
- Larry C. Strickland · Cosponsor
- Diane Wheatley · Cosponsor
- Shelly Willingham · Cosponsor
- Wray · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 35 co-sponsors · 141 not signed on · 1 voted No
Sponsors (3)
- Donny Lambeth Republican
- Donna McDowell White Republican
- Larry W. Potts Republican
Co-sponsors (35)
- Joe John Democratic
- K. Smith
- Jay Adams Republican
- Adcock
- Cynthia Ball Democratic
- Mary Belk Democratic
- Bradford
- Terry M. Brown Jr. Democratic
- Becky Carney Democratic
- Everitt
- Farkas
- Fisher
- Garrison
- Gill
- Edward C. Goodwin Republican
- Graham
- Hanig
- Harris
- Pricey Harrison Democratic
- Zack Hawkins Democratic
- Chris Humphrey Republican
- Hurley
- Carolyn G. Logan Democratic
- Lucas
- Marcia Morey Democratic
- James Roberson Democratic
- Sasser
- Cecil Brockman Democratic
- Eric Ager Democratic
- Amber M. Baker Democratic
- Mitchell S. Setzer Republican
- Larry C. Strickland Republican
- Diane Wheatley Republican
- Shelly Willingham Democratic
- Wray
Not signed on (141)
141 members have not signed on to this bill.
Show all 141 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 12 | 0 | 0 | 1 |
| Unaffiliated | 15 | 0 | 0 | 3 |
| Republican | 18 | 0 | 0 | 1 |
| Total | 45 | 0 | 0 | 5 |
| % of votes cast | 90% | 0% | 0% | 10% |
How each member voted (50)
| Member | Party | Vote |
|---|---|---|
| deViere | — | Yea |
| Fitch | — | Yea |
| Foushee | — | Yea |
| Marcus | — | Yea |
| Nickel | — | Yea |
| Woodard | — | Yea |
| Edwards | — | Yea |
| Harrington | — | Yea |
| Johnson | — | Yea |
| Perry | — | Yea |
| Proctor | — | Yea |
| Steinburg | — | Yea |
| Bazemore | — | Not Voting |
| Ballard | — | Not Voting |
| Krawiec | — | Not Voting |
| D. Davis | — | Yea |
| J. Jackson | — | Yea |
| P. Newton | — | Yea |
| Dan Blue | Democratic | Yea |
| DeAndrea Salvador | Democratic | Yea |
| Gladys A. Robinson | Democratic | Not Voting |
| Jay J. Chaudhuri | Democratic | Yea |
| Joyce Waddell | Democratic | Yea |
| Julie Mayfield | Democratic | Yea |
| Michael Garrett | Democratic | Yea |
| Mujtaba A. Mohammed | Democratic | Yea |
| Natalie S. Murdock | Democratic | Yea |
| Paul A. Lowe, Jr. | Democratic | Yea |
| Sarah Crawford | Democratic | Yea |
| Sydney Batch | Democratic | Yea |
| Tracy Clark | Democratic | Yea |
| Amy S. Galey | Republican | Yea |
| Bill Rabon | Republican | Yea |
| Brent Jackson | Republican | Yea |
| Carl Ford | Republican | Yea |
| Danny Earl Britt, Jr. | Republican | Yea |
| David W. Craven, Jr. | Republican | Yea |
| Jim Burgin | Republican | Yea |
| Kevin Corbin | Republican | Yea |
| Lisa S. Barnes | Republican | Yea |
| Michael A. Lazzara | Republican | Yea |
| Michael V. Lee | Republican | Yea |
| Norman W. Sanderson | Republican | Yea |
| Phil Berger | Republican | Yea |
| Ralph Hise | Republican | Yea |
| Steve Jarvis | Republican | Not Voting |
| Tom McInnis | Republican | Yea |
| Vickie Sawyer | Republican | Yea |
| W. Ted Alexander | Republican | Yea |
| Warren Daniel | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 12 | 0 | 0 | 1 |
| Unaffiliated | 15 | 0 | 0 | 3 |
| Republican | 17 | 1 | 0 | 1 |
| Total | 44 | 1 | 0 | 5 |
| % of votes cast | 88% | 2% | 0% | 10% |
How each member voted (50)
| Member | Party | Vote |
|---|---|---|
| deViere | — | Yea |
| Fitch | — | Yea |
| Foushee | — | Yea |
| Marcus | — | Yea |
| Nickel | — | Yea |
| Woodard | — | Yea |
| Edwards | — | Yea |
| Harrington | — | Yea |
| Johnson | — | Yea |
| Perry | — | Yea |
| Proctor | — | Yea |
| Steinburg | — | Yea |
| Bazemore | — | Not Voting |
| Ballard | — | Not Voting |
| Krawiec | — | Not Voting |
| D. Davis | — | Yea |
| J. Jackson | — | Yea |
| P. Newton | — | Yea |
| Dan Blue | Democratic | Yea |
| DeAndrea Salvador | Democratic | Yea |
| Gladys A. Robinson | Democratic | Not Voting |
| Jay J. Chaudhuri | Democratic | Yea |
| Joyce Waddell | Democratic | Yea |
| Julie Mayfield | Democratic | Yea |
| Michael Garrett | Democratic | Yea |
| Mujtaba A. Mohammed | Democratic | Yea |
| Natalie S. Murdock | Democratic | Yea |
| Paul A. Lowe, Jr. | Democratic | Yea |
| Sarah Crawford | Democratic | Yea |
| Sydney Batch | Democratic | Yea |
| Tracy Clark | Democratic | Yea |
| Amy S. Galey | Republican | Yea |
| Bill Rabon | Republican | Yea |
| Brent Jackson | Republican | Yea |
| Carl Ford | Republican | Yea |
| Danny Earl Britt, Jr. | Republican | Yea |
| David W. Craven, Jr. | Republican | Yea |
| Jim Burgin | Republican | Yea |
| Kevin Corbin | Republican | Yea |
| Lisa S. Barnes | Republican | Yea |
| Michael A. Lazzara | Republican | Yea |
| Michael V. Lee | Republican | Yea |
| Norman W. Sanderson | Republican | Nay |
| Phil Berger | Republican | Yea |
| Ralph Hise | Republican | Yea |
| Steve Jarvis | Republican | Not Voting |
| Tom McInnis | Republican | Yea |
| Vickie Sawyer | Republican | Yea |
| W. Ted Alexander | Republican | Yea |
| Warren Daniel | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors HB 149?
- HB 149 is sponsored by Joe John (Democratic), K. Smith, Donny Lambeth (Republican), Donna McDowell White (Republican), Larry W. Potts (Republican), Jay Adams (Republican), Adcock, Cynthia Ball (Democratic), Mary Belk (Democratic), Bradford, Terry M. Brown Jr. (Democratic), Becky Carney (Democratic), Everitt, Farkas, Fisher, Garrison, Gill, Edward C. Goodwin (Republican), Graham, Hanig, Harris, Pricey Harrison (Democratic), Zack Hawkins (Democratic), Chris Humphrey (Republican), Hurley, Carolyn G. Logan (Democratic), Lucas, Marcia Morey (Democratic), James Roberson (Democratic), Sasser, Cecil Brockman (Democratic), Eric Ager (Democratic), Amber M. Baker (Democratic), Mitchell S. Setzer (Republican), Larry C. Strickland (Republican), Diane Wheatley (Republican), Shelly Willingham (Democratic), and Wray.
- What is the current status of HB 149?
- This bill died with 2021-2022 Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 149?
- Track HB 149 free on One Click Politics — get push/email alerts when it moves.
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