North Carolina 2025 Session Status: In Committee 4 R cosponsors

HB 455 — Repeal Certificate of Need Laws.

Last action — Passed 1st Reading

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced March 18, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 22% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 4 sponsors

    2 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 R).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

146 added · 145 removed

Plain-language change summary

The updated version of House Bill 455 adds more specific definitions for what constitutes a "health care facility," including the addition of hospice facilities, which were not mentioned previously. This change is important because it clarifies the types of facilities covered under the law, ensuring that regulations and protections apply to a broader range of health care providers. This could improve oversight and support for patients receiving care in these facilities.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 455 Short Title:
455 Mar 18, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30001-MG-6 Short Title:
Representative Kidwell.
Representatives Kidwell, Ward, and Pike (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT REPEALING NORTH CAROLINA'S CERTIFICATE OF NEED LAWS.
Rules, Calendar, and Operations of the House March 20, 2025 A BILL TO BE ENTITLED AN ACT REPEALING NORTH CAROLINA'S CERTIFICATE OF NEED LAWS.
"(a) In any civil action, other than an adjudication for the purpose of establishing or fixing a rate, or a disciplinary action by a licensing board, brought by the State or brought by a party who is contesting State action pursuant to G.S.
"(a) In anycivil action, other than an adjudication for the purpose of establishing or fixing a rate, or a disciplinary action by a licensing board, brought by the State or brought by a party who is contesting State action pursuant to G.S.
Any attorney's fees assessed against an agency under this section shall be charged against the operating expenses of the agency and shall not be reimbursed from any other source." SECTION 1.(b) Subsection (a) of this section applies to contested cases arising on or after January 1, 2026.
Any attorney's fees assessed against an agencyunder this section shall be charged against the operating expenses of the agency and shall not be reimbursed from any other source." SECTION 1.(b) Subsection (a) of this section applies to contested cases arising on or after January 1, 2026.
131E-188(b),theNorth CarolinaIndustrial Commission,theNorth CarolinaStateBarunder G.S.
131E-188(b),theNorth Carolina Industrial Commission,theNorth CarolinaStateBarunder G.S.
126-34.02, or the Secretary of Environmental Quality under G.S.
126-34.02, or the Secretary of *H455-v-1* General Assembly Of North Carolina Session 2025 Environmental Quality under G.S.
130A-293, appeal as of right lies directly to the Court of Appeals." *DRH30001-MG-6* General Assembly Of North Carolina Session 2025 SECTION 2.(b) Subsection (a) of this section applies to appeals arising on or after January 1, 2026.
130A-293, appeal as of right lies directly to the Court of Appeals." SECTION 2.(b) Subsection (a) of this section applies to appeals arising on or after January 1, 2026.
131E-176(13a).Any coordinated program of home care with provision for inpatient care for terminally ill patients and their families.
131E-176(13a).Any coordinated program of home care with provision for inpatient care for terminallyill patients and their families.
This care is provided by a medically directed interdisciplinary team directly or through an agreement under the direction of an identifiable hospice administration.
This care is provided by a medically directed interdisciplinary team directlyor through an agreement under the direction of an identifiable hospice administration.
131E-176.A facility licensed under Article 5 of Chapter 131E of the General Statutes." SECTION 6.
131E-176.A facility licensed under Article 5 of Chapter 131E of the General Statutes." Page 2 House Bill 455-First Edition General Assembly Of North Carolina Session 2025 SECTION 6.
Page 2 DRH30001-MG-6 General Assembly Of North Carolina Session 2025 "(1) The following providers of Medicaid services licensed to operate in the State that have an electronic health record system shall begin submitting, at a minimum, demographic and clinical data by June 1, 2018:
"(1) The following providers of Medicaid services licensed to operate in the State that have an electronic health record system shall begin submitting, at a minimum, demographic and clinical data by June 1, 2018:
"(a1) In the event of a declaration of a state of emergency by the Governor in accordance with Article 1A of Chapter 166A of the General Statutes, a declaration of a national emergency DRH30001-MG-6 Page 3 General Assembly Of North Carolina Session 2025 by the President of the United States, a declaration of a public health emergency by the Secretary of the United States Department of Health and Human Services;
House Bill 455-First Edition Page 3 General Assembly Of North Carolina Session 2025 "(a1) In the event of a declaration of a state of emergency by the Governor in accordance with Article 1A of Chapter 166A of the General Statutes, a declaration of a national emergency by the President of the United States, a declaration of a public health emergencyby the Secretary of the United States Department of Health and Human Services;
or to the extent necessary to allow for consistency with any temporary waiver or modification issued by the Secretary of the United States Department of Health and Human Services or the Centers for Medicare and Medicaid Services under section 1135or1812(f)oftheSocialSecurity Act;
or to the extent necessary to allow for consistency with any temporary waiver or modification issued by the Secretary of the United States Department of Health and Human Services or the Centers for Medicare and Medicaid Services under section 1135or1812(f)oftheSocialSecurityAct;
orwhen the Division of Health Service Regulation determines the existence of an emergency that poses a risk to the health or safety of patients, the Division of Health Service Regulation may do either or both of the following:
orwhenthe Division of Health Service Regulation determines the existence of an emergency that poses a risk to the health or safety of patients, the Division of Health Service Regulation may do either or both of the following:
"(4) "Home health agency" means a home care agency which is certified to receive Medicare and Medicaid reimbursement for providing nursing care, therapy, medical social services, and home health aide services on a part-time, intermittent basis as set out in G.S.
"(4) "Home health agency" means a home care agencywhich is certified to receive Medicare and Medicaid reimbursement for providing nursing care, therapy, medical social services, and home health aide services on a part-time, intermittent basis as set out in G.S.
Page 4 DRH30001-MG-6
Page 4 House Bill 455-First Edition
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How this bill changes current law

7 changes Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

The bill repeals the Certificate of Need laws in North Carolina, impacting various statutes pertaining to health services and administrative procedures.

  • G.S. 131E-188

    Nothing in this section shall be deemed to authorize the assessment of attorney's fees for the administrative review portion of the case in contested cases arising under Article 9 of Chapter 131E of the General Statutes.

    The bill removes the prohibition on assessing attorney's fees in contested cases arising from the repealed Certificate of Need laws.

  • G.S. 7A-29

    the Department of Health and Human Services under G.S. 131E-188(b),

    Removes the Department of Health and Human Services as a subject of appeals related to Certificate of Need decisions.

  • G.S. 150B-43

    or any other appropriate provisions of law, unless the prevailing party is the State,

    Alters the right to judicial review by removing references to provisions enacted for contested cases related to the now-repealed Certificate of Need laws.

  • G.S. 131E-176

    all references to Article 9 of Chapter 131E of the General Statutes

    Eliminates the legal framework for Certificate of Need requirements and their definitions.

  • G.S. 131E-184

    Certificate of Need Laws prescribed in Article 9 of Chapter 131E of the General Statutes → or, if Certificate of Need Law is inapplicable, by review procedure designed to

    Changes the conditions under which hospital services can be terminated by removing the necessity of Certificate of Need compliance.

  • Effective January 1, 2026, the provisions related to Certificate of Need will no longer apply.

    Establishes a clear date when the repeal of Certificate of Need laws takes effect.

  • Repeals Article 9 of Chapter 131E of the General Statutes.

    Completely eliminates the regulatory framework surrounding Certificate of Need laws.

Action History

  1. Passed 1st Reading

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

  3. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 2 co-sponsors · 175 not signed on

Sponsors (2)

Co-sponsors (2)

Not signed on (175)

175 members have not signed on to this bill.

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"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 455?
HB 455 is sponsored by Edward C. Goodwin (Republican), Joseph Pike (Republican), Bill Ward (Republican), and Keith Kidwell (Republican).
What is the current status of HB 455?
This bill is in committee in the House. Introduced March 18, 2025. It must pass committee before a floor vote.
Where can I track HB 455?
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