North Carolina 2025 Session Status: In Committee 2 R cosponsors

SB 105 — Continuing Care Retirement Communities Act.-AB

Last action — Passed 1st Reading

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

This bill is in committee in the Senate. Introduced February 17, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 18% · 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.

  • 2 sponsors

    0 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 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

171 added · 172 removed

Plain-language change summary

The amendments to Senate Bill 105 include new provisions aimed at improving the oversight and transparency of continuing care retirement communities in North Carolina. The changes emphasize the importance of health and safety for older residents and require providers to demonstrate financial stability. This matters because it helps ensure that elderly citizens receive the care they need in secure environments, promoting their overall well-being.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Feb 17, 2025 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 105 Short Title:
105 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS15043-NE-15 Short Title:
A BILL TO BE ENTITLED AN ACT TO ENACT THE CONTINUING CARE RETIREMENT COMMUNITIES ACT, AS RECOMMENDED BY THE DEPARTMENT OF INSURANCE.
Rules and Operations of the Senate February 18, 2025 A BILL TO BE ENTITLED AN ACT TO ENACT THE CONTINUING CARE RETIREMENT COMMUNITIES ACT, AS RECOMMENDED BY THE DEPARTMENT OF INSURANCE.
Chapter 58 of the General Statutes is amended by adding a new Article to read:
Chapter 58 of the General Statutes is amended byadding a new Article to read:
The General Assembly recognizes that continuing care retirement community residents often expend a significant portion of their savings when contracting with a provider for continuing care and devastating consequences can result if a provider becomes insolvent or unable to provide continuing care.
The General Assemblyrecognizes that continuing care retirement communityresidents often expend a significant portion of their savings when contracting with a provider for continuing care and devastating consequences can result if a provider becomes insolvent or unable to provide continuing care.
It is the intent of the General Assembly to promote the dignity and protect the health, safety, and welfareofolder citizens ofNorthCarolinaby (i)encouraging thedevelopment of continuing care retirement communities and (ii) requiring providers offering or providing continuing care in this State to obtain a license and to be monitored and regulated by the North Carolina Department of Insurance under this Article.
It is the intent of the General Assembly to promote the dignity and protect the health, safety, and welfareofolder citizens ofNorth Carolinaby(i)encouragingthedevelopment of continuing care retirement communities and (ii) requiring providers offering or providing continuing care in this State to obtain a license and to be monitored and regulated by the North Carolina Department of Insurance under this Article.
– An analysis that includes an actuary's opinion of whether theproviderorapplicant is in satisfactory actuarial balancein accordancewith accepted actuarial standards of practice.
– An analysis that includes an actuary's opinion of whether theproviderorapplicant is in satisfactoryactuarial balancein accordancewith accepted actuarial standards of practice.
*DRS15043-NE-15* General Assembly Of North Carolina Session 2025 (4) Actuary.
*S105-v-1* General Assembly Of North Carolina Session 2025 (4) Actuary.
– A person that, directly or indirectly, through one or more other persons,controls, is controlledby,oris undercommon control with aprovider or applicant.
– A person that, directly or indirectly, through one or more other persons,controls, is controlledby, oris undercommon control with aprovider or applicant.
– The rendering to an individual other than an individual related by blood, marriage, or adoption to the person rendering the care, of housing in an independent livingunit,togetherwith relatedservices, including access, when needed, to progressive levels of health care, including either assisted living care, as defined in G.S.
– The rendering to an individual other than an individual related by blood, marriage, or adoption to the person rendering the care, of housingin an independent livingunit,togetherwithrelatedservices, including access, when needed, to progressive levels of health care, including either assisted living care, as defined in G.S.
– The direct or indirect ability to direct or cause the direction of the management and policies of a person, including the right to designate or elect Page 2 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 not less than a majority of the members of its board of directors or other governing board or body.
– The direct or indirect ability to direct or cause the direction of the management and policies of a person, including the right to designate or elect Page 2 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 not less than a majority of the members of its board of directors or other governing board or body.
DRS15043-NE-15 Page 3 General Assembly Of North Carolina Session 2025 (28) Long-term care facility.
Senate Bill 105-First Edition Page 3 General Assembly Of North Carolina Session 2025 (28) Long-term care facility.
– A person who administers the day-to-day business operations of a continuing care retirement community for a provider, subject to the policies, directives, and oversight of the provider.
– A person who administers the day-to-day business operations of a continuing care retirement communityfor a provider, subject to the policies, directives, and oversight of the provider.
– A ratio used to show the actual occupancy or utilization of living units, calculated by living unit type, at a continuing care retirement community fora giventimeperiod expressedas a percent.
– A ratio used to show the actual occupancy or utilization of living units, calculated by living unit type, at a continuing care retirement communityfora giventimeperiod expressedas a percent.
Theoccupancy rate shall be a rolling average that is equal to 100 times the quotient obtained by dividing occupied living unit days by living unit days available.
Theoccupancyrate shall be a rolling average that is equal to 100 times the quotient obtained by dividing occupied living unit days by living unit days available.
The total shall equal the sum of all living units, minusanyliving unitsthatareunavailableforoccupancy,oneach day for the given time period.
The total shall equal the sum of all livingunits, minusanylivingunits thatareunavailableforoccupancy, oneach dayfor the given time period.
Page 4 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (41) Resident.
Page 4 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (41) Resident.
DRS15043-NE-15 Page 5 General Assembly Of North Carolina Session 2025 "§ 58-64A-30.
Senate Bill 105-First Edition Page 5 General Assembly Of North Carolina Session 2025 "§ 58-64A-30.
58-2-100 or Chapter 132 of the General Statutes, shall not be subject to subpoena, and shall not besubject to discovery or admissiblein evidencein anyprivate civil action:
58-2-100 or Chapter 132 of the General Statutes, shall not be subject to subpoena, and shall not besubject to discoveryor admissiblein evidencein anyprivate civil action:
The Commissioner shall not otherwise make these documents, materials, or other information public without the prior written consent of the provider to which it pertains unless the Commissioner, after giving the provider and its related parties who would be affected thereby notice and opportunity to be heard, determines that the interest of residents or the public will be served by their publication, in which Page 6 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 event the Commissioner may publish all or any part of the information in a manner deemed appropriate by the Commissioner.
The Commissioner shall not otherwise make these documents, materials, or other information public without the prior written consent of the provider to which it pertains unless the Commissioner, after giving the provider and its related parties who would be affected thereby notice and opportunity to be heard, determines that the interest of residents or the public will be served bytheir publication, in which Page 6 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 event the Commissioner may publish all or any part of the information in a manner deemed appropriate by the Commissioner.
A provider may not engage in any type of advertisement for a continuing care retirement community if the advertisement contains a statement or representation which materially conflicts with the disclosures required under this Article or materially conflicts with any continuing care or continuing care at home contract offered by the provider.
A provider may not engage in any type of advertisement for a continuing care retirement communityif the advertisement contains a statement or representation which materiallyconflicts with the disclosures required under this Article or materially conflicts with any continuing care or continuing care at home contract offered by the provider.
DRS15043-NE-15 Page 7 General Assembly Of North Carolina Session 2025 (4) A proposed escrow agreement that meets the requirements of G.S.
Senate Bill 105-First Edition Page 7 General Assembly Of North Carolina Session 2025 (4) A proposed escrow agreement that meets the requirements of G.S.
Page 8 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (4) If the applicant intends to lease any land or other real property to be used as part or all of the proposed continuing care retirement community, the name of theperson from whomthelandorotherreal property will beleased along with a copy of the lease agreement, or proposed lease agreement, if available, or a statement describing the applicant's intentions, including the intended length of the lease, if a lease agreement or proposed lease agreement is not available.
Page 8 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (4) If the applicant intends to lease any land or other real property to be used as part or all of the proposed continuing care retirement community, the name of theperson from whomthelandorotherreal propertywill beleased alongwith a copy of the lease agreement, or proposed lease agreement, if available, or a statement describing the applicant's intentions, including the intended length of the lease, if a lease agreement or proposed lease agreement is not available.
DRS15043-NE-15 Page 9 General Assembly Of North Carolina Session 2025 (5) The applicant's and, if applicable, the applicant's controlling person's, governing body, officers, and management are, in the Commissioner's opinion, competent, experienced, and of good integrity.
Senate Bill 105-First Edition Page 9 General Assembly Of North Carolina Session 2025 (5) The applicant's and, if applicable, the applicant's controlling person's, governing body, officers, and management are, in the Commissioner's opinion, competent, experienced, and of good integrity.
All orany partofanentrancefeeor deposit collectedshall beplacedin escrow and shall only be released in accordance with Part 4 of this Article.
All oranypartofanentrancefeeor deposit collectedshall beplaced in escrow and shall only be released in accordance with Part 4 of this Article.
(2) A feasibility study, prepared by an independent person experienced in preparing feasibility studies for continuing care retirement communities, with financial, marketing, and actuarial assumptions that projects the market and financial viability of the proposed continuing care retirement community.
(2) A feasibility study, prepared by an independent person experienced in preparing feasibility studies for continuing care retirement communities, with financial, marketing, and actuarial assumptions that projects the market and financial viabilityof the proposed continuing care retirement community.
A statement itemizing all estimated project costs, including the real property costs, the cost of acquiring or designing and constructing the proposed continuing care retirement Page 10 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 community, and all similar costs that the applicant expects to incur prior to the commencement of operation.
A statement itemizing all estimated project costs, includingthe real property costs, the cost of acquiring or designing and constructing the proposed continuing care retirement Page 10 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 community, and all similar costs that the applicant expects to incur prior to the commencement of operation.
An economic analysis of current market conditions and trends that can impact the feasibility of the proposed continuing care retirement community, positively or negatively, including real estate,income,employment,andthegeneral economicoutlook for the primary market area and surrounding areas.
An economic analysis of current market conditions and trends that can impact the feasibility of the proposed continuing care retirement community, positively or negatively, including real estate,income,employment, andthegeneral economicoutlook for the primary market area and surrounding areas.
Prospective financial statements for the period commencing on the first day of the applicant's current fiscal year through at least the fifth DRS15043-NE-15 Page 11 General Assembly Of North Carolina Session 2025 yearofoperationwhichshall bepreparedin accordancewith standards adopted by the American Institute of Certified Public Accountants.
Prospective financial statements for the period commencing on the first day of the applicant's current fiscal year through at least the fifth Senate Bill 105-First Edition Page 11 General Assembly Of North Carolina Session 2025 yearofoperationwhichshall bepreparedin accordancewith standards adopted by the American Institute of Certified Public Accountants.
Page 12 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (6) If applicable, confirmation that commitments have been secured for construction financing and long-term financing or that a documented plan acceptable to the Commissioner has been adopted by the applicant for long-term financing.
Page 12 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (6) If applicable, confirmation that commitments have been secured for construction financing and long-term financing or that a documented plan acceptable to the Commissioner has been adopted by the applicant for long-term financing.
(4) Amarket forthecontinuing careretirementcommunityappearsto exist,based on data that meets all of the following requirements:
(4) Amarket forthecontinuingcareretirementcommunityappearsto exist,based on data that meets all of the following requirements:
DRS15043-NE-15 Page 13 General Assembly Of North Carolina Session 2025 (1) Require the provider to submit periodic sales, development, and unaudited financial statements in a form prescribed by the Commissioner.
Senate Bill 105-First Edition Page 13 General Assembly Of North Carolina Session 2025 (1) Require the provider to submit periodic sales, development, and unaudited financial statements in a form prescribed by the Commissioner.
(e) After receiving a preliminary certificate from the Commissioner, the provider may do both of the following:
(e) After receiving a preliminarycertificate from the Commissioner, the provider maydo both of the following:
(8) Evidence that the applicant has in place the operating reserve required by Part 11 of this Article.
(8) Evidence that the applicant has in place the operating reserve required byPart 11 of this Article.
Page 14 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (c) The Commissioner shall approve an application for a permanent license if all of the following requirements are met:
Page 14 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (c) The Commissioner shall approve an application for a permanent license if all of the following requirements are met:
If the Commissioner determines that the application, notification, or request for approval is incomplete, the notice to the applicant shall specifically set forth and request any additional DRS15043-NE-15 Page 15 General Assembly Of North Carolina Session 2025 information the Commissioner determines is necessary to complete the application, notification, or request for approval.
If the Commissioner determines that the application, notification, or request for approval is incomplete, the notice to the applicant shall specifically set forth and request any additional Senate Bill 105-First Edition Page 15 General Assembly Of North Carolina Session 2025 information the Commissioner determines is necessary to complete the application, notification, or request for approval.
Page 16 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 "Part 3.
Page 16 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 "Part 3.
DRS15043-NE-15 Page 17 General Assembly Of North Carolina Session 2025 (1) Receive Commissioner approval of an expansion notification pursuant to G.S.
Senate Bill 105-First Edition Page 17 General Assembly Of North Carolina Session 2025 (1) Receive Commissioner approval of an expansion notification pursuant to G.S.
A statement itemizing all estimated project costs, including the real property costs, the cost of designing and constructing the proposed expansion, and all similar costs that the applicant expects to incur prior to the opening of the expansion.
A statement itemizing all estimated project costs, includingthe real property costs, the cost of designing and constructing the proposed expansion, and all similar costs that the applicant expects to incur prior to the opening of the expansion.
An economic analysis of current market conditions and trends that can impact the feasibility of the proposed expansion, positively or negatively, including real estate, income, employment,andthegeneral economicoutlookfortheprimary market area and surrounding areas.
An economic analysis of current market conditions and trends that can impact the feasibility of the proposed expansion, positively or negatively, including real estate, income, employment,andthe general economicoutlookfortheprimary market area and surrounding areas.
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Page 18 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 2.
Page 18 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 2.
DRS15043-NE-15 Page 19 General Assembly Of North Carolina Session 2025 (2) None of the grounds for denial listed in G.S.
Senate Bill 105-First Edition Page 19 General Assembly Of North Carolina Session 2025 (2) None of the grounds for denial listed in G.S.
Demonstrates that the expansion is financially viable and will not have an unreasonably adverse effect on the financial ability of the applicant to furnish continuing care.
Demonstrates that the expansion is financiallyviable and will not have an unreasonably adverse effect on the financial abilityof the applicant to furnish continuing care.
(4) The applicant demonstrates the ability to provide continuing care and meet all financial and contractual obligations related to its operations, including the financial requirements of this Article.
(4) The applicant demonstrates the abilityto provide continuing care and meet all financial and contractual obligations related to its operations, including the financial requirements of this Article.
(6) The actuarial study, if applicable, projects that the continuing care retirement community will be in satisfactory actuarial balance within a reasonable period of time once stabilized occupancy of the expansion is achieved, or if no actuarial study is required, the actuarial projection of future population flows demonstrates a sufficient number of adult care home beds and nursing beds to meet the needs of residents and the contractual obligations of the applicant.
(6) The actuarial study, if applicable, projects that the continuing care retirement communitywill be in satisfactoryactuarial balance within a reasonable period of time once stabilized occupancy of the expansion is achieved, or if no actuarial study is required, the actuarial projection of future population flows demonstrates a sufficient number of adult care home beds and nursing beds to meet the needs of residents and the contractual obligations of the applicant.
(e) AftertheCommissionerapprovestheexpansion application,theprovidershallsubmit periodic sales and development reports to the Commissioner in a form prescribed by the Commissioner to monitor the expansion project.
(e) AftertheCommissionerapprovestheexpansionapplication,theprovidershallsubmit periodic sales and development reports to the Commissioner in a form prescribed by the Commissioner to monitor the expansion project.
Allentrancefees anddepositscollectedforindependentlivingunitsinanexpansionrequiring Commissioner approval under this Part shall be placed in an escrow account in accordance with Part 4 of this Article unless otherwise exempted by the Commissioner.
Allentrancefees anddepositscollectedforindependentlivingunitsin anexpansionrequiring Commissioner approval under this Part shall be placed in an escrow account in accordance with Part 4 of this Article unless otherwise exempted by the Commissioner.
Page 20 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (1) A provision requiring that all funds received shall be placed into the escrow account in accordance with G.S.
Page 20 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (1) A provision requiring that all funds received shall be placed into the escrow account in accordance with G.S.
(b) Any deposit delivery to an escrow agent pursuant to this Article shall be accompanied with a copy of the executed nonbinding reservation agreement, binding reservation agreement, or continuing care contract, a copy of the receipt given to the depositor, a summary of all deposits made on that date, and any other materials required by the escrow agent.
(b) Anydeposit deliveryto an escrow agent pursuant to this Article shall be accompanied with a copy of the executed nonbinding reservation agreement, binding reservation agreement, or continuing care contract, a copyof the receipt given to the depositor, a summaryof all deposits made on that date, and any other materials required by the escrow agent.
DRS15043-NE-15 Page 21 General Assembly Of North Carolina Session 2025 "§ 58-64A-125.
Senate Bill 105-First Edition Page 21 General Assembly Of North Carolina Session 2025 "§ 58-64A-125.
Anyindependent living unit forwhicharefundis pending shall not becounted toward the fifty percent (50%) requirement.
Anyindependent livingunit forwhicharefundis pendingshall not becounted toward the fifty percent (50%) requirement.
Page 22 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (3) For a proposed continuing care retirement community, the aggregate entrance fees received or receivable by the provider pursuant to binding reservation agreements and continuing care contracts, plus theanticipated proceeds of any first mortgage loan or other long-term financing commitment, plus any equity being contributed by the provider or a related party, are equal to not less than ninety percent (90%) of the following amount:
Page 22 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (3) For a proposed continuing care retirement community, the aggregate entrance fees received or receivable by the provider pursuant to binding reservation agreements and continuingcare contracts, plus theanticipatedproceeds of any first mortgage loan or other long-term financing commitment, plus any equity being contributed by the provider or a related party, are equal to not less than ninety percent (90%) of the following amount:
(1) The provider has presold at least seventy percent (70%) of the proposed independent living units, having received a minimum ten percent (10%) deposit of each applicable entrance fee and maintains at least seventy-five percent (75%) of each entrance fee or deposit received in escrow, or has maintainedanindependentlivingunitoccupancy minimumofseventypercent (70%) for at least 60 days.
(1) The provider has presold at least seventy percent (70%) of the proposed independent living units, having received a minimum ten percent (10%) deposit of each applicable entrance fee and maintains at least seventy-five percent (75%) of each entrance fee or deposit received in escrow, or has maintainedanindependentlivingunitoccupancyminimumofseventypercent (70%) for at least 60 days.
(3) Theindependent living units areavailablefor occupancybythenewresidents.
(3) Theindependent livingunits areavailableforoccupancybythenewresidents.
(c) The Commissioner shall instruct the escrow agent in writing to release to the provider entrance fees and deposits in the escrow account only when the Commissioner has confirmed the information provided by the provider pursuant to subsection (a) or subsection (b) of this section.
(c) The Commissioner shall instruct the escrow agent in writing to release to the provider entrance fees and deposits in the escrow account onlywhen the Commissioner has confirmed the information provided by the provider pursuant to subsection (a) or subsection (b) of this section.
DRS15043-NE-15 Page 23 General Assembly Of North Carolina Session 2025 (2) Average daily cash operating expenses.
Senate Bill 105-First Edition Page 23 General Assembly Of North Carolina Session 2025 (2) Average daily cash operating expenses.
(8) Operating ratio.
(8) Operatingratio.
The quotient shall be calculated by dividing unrestricted cash and investments by total long-term debt, less the current portion of long-term debt.
The quotient shall be calculated bydividing unrestricted cash and investments bytotal long-term debt, less the current portion of long-term debt.
(a) A provider shall prepare a disclosure statement for each continuing care retirement community operated or to be operated in this State that includes all of the following information:
(a) A provider shall prepare a disclosure statement for each continuing care retirement communityoperated or to be operated in this State that includes all of the following information:
Page 24 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (1) The name, business address, and telephone number of the provider and a statement of whether the provider is a partnership, corporation, or other type of legal entity.
Page 24 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (1) The name, business address, and telephone number of the provider and a statement of whether the provider is a partnership, corporation, or other type of legal entity.
(6) Thename,business address,education,workexperience,andlengthofservice with the provider or the provider's controlling person of (i) all officers, directors, trustees, managers, managing or general partners of the provider and, if applicable, the provider's controlling person, and any person having a ten percent (10%) or greater equity or beneficial interest in the provider or the provider's controlling person and (ii) any person who will be managing the continuingcareretirementcommunityonaday-to-daybasis,andadescription of the person's interest in or occupation with the provider or controlling person.
(6) Thename,business address,education,workexperience,andlengthofservice with the provider or the provider's controlling person of (i) all officers, directors, trustees, managers, managing or general partners of the provider and, if applicable, the provider's controlling person, and any person having a ten percent (10%) or greater equity or beneficial interest in the provider or the provider's controlling person and (ii) any person who will be managing the continuingcareretirementcommunityonaday-to-daybasis, andadescription of the person's interest in or occupation with the provider or controlling person.
A description of any matter in which the person (i) has been convicted of any felony or pleaded nolo contendere to a felony charge, (ii) has been held liable or enjoined in a civil action by final judgment involving fraud, embezzlement, fraudulent conversion, or DRS15043-NE-15 Page 25 General Assembly Of North Carolina Session 2025 misappropriation of property, or (iii) is subject to a currently effective injunctive or restrictive court order, or within the past five years, had any state or federal license or permit suspended or revoked as a result of an action brought by a governmental agency or department.
A description of any matter in which the person (i) has been convicted of any felony or pleaded nolo contendere to a felony charge, (ii) has been held liable or enjoined in a civil action by final judgment involving fraud, embezzlement, fraudulent conversion, or Senate Bill 105-First Edition Page 25 General Assembly Of North Carolina Session 2025 misappropriation of property, or (iii) is subject to a currently effective injunctive or restrictive court order, or within the past five years, had any state or federal license or permit suspended or revoked as a result of an action brought by a governmental agency or department.
(10) A statement indicating whether the provider has a relationship with any religious, charitable,orotherorganizationorperson,along with thenatureand extent of that relationship.
(10) A statement indicating whether the provider has a relationship with any religious, charitable,orotherorganizationorperson,alongwith thenatureand extent of that relationship.
(14) A statement indicating whether the provider currently employs or will employ a third-party manager for the continuing care retirement community and, if so, the name of the third-party manager employed and their experience in providing management services within the continuing care retirement community industry.
(14) A statement indicating whether the provider currentlyemploys or will employ a third-partymanager for the continuing care retirement communityand, if so, the name of the third-party manager employed and their experience in providing management services within the continuing care retirement community industry.
Page 26 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (19) If the provider is licensed to provide continuing care at home, a description of the continuing care at home program, including the primary market area served.
Page 26 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (19) If the provider is licensed to provide continuing care at home, a description of the continuing care at home program, including the primary market area served.
(21) The 12-month daily average occupancy rate at the continuing care retirement community, by living unit type, as of the provider's fiscal year-end for the past five years or for each year of the continuing care retirement community's operation if it has been in operation for less than five years.
(21) The 12-month daily average occupancy rate at the continuing care retirement community, byliving unit type, as of the provider's fiscal year-end for the past five years or for each year of the continuing care retirement community's operation if it has been in operation for less than five years.
(25) A description of all nonancillary fees required of residents, including entrance fees, periodic fees, transfer fees, and resale fees, if any.
(25) A description of all nonancillaryfees required of residents, including entrance fees, periodic fees, transfer fees, and resale fees, if any.
If the continuing care retirement community is not yet in operation, the provider shall include a table showing the expected frequency, average percent increase, and average dollar amount of each increase in periodic fees utilized in the five-year prospective financial statements required pursuant to subdivision (37) of this subsection.
If the continuing care retirement communityis not yet in operation, the provider shall include a table showing the expected frequency, average percent increase, and average dollar amount of each increase in periodic fees utilized in the five-year prospective financial statements required pursuant to subdivision (37) of this subsection.
If the continuing care retirement community is DRS15043-NE-15 Page 27 General Assembly Of North Carolina Session 2025 not yet in operation, the provider shall include a table showing the expected frequency, average percent increase, and average dollar amount of each increase in entrance fees utilized in the five-year prospective financial statements required pursuant to subdivision (37) of this subsection.
If the continuing care retirement communityis Senate Bill 105-First Edition Page 27 General Assembly Of North Carolina Session 2025 not yet in operation, the provider shall include a table showing the expected frequency, average percent increase, and average dollar amount of each increase in entrance fees utilized in the five-year prospective financial statements required pursuant to subdivision (37) of this subsection.
Will be due to residents who have permanently vacated their independent living unit and now reside in a non-independent living unit provided by the provider whose former independent living unit has already been resold.
Will be due to residents who have permanently vacated their independent living unit and now reside in a non-independent living unit provided bythe provider whose former independent living unit has already been resold.
(29) The conditions under which a living unit occupied by a resident may be made available by the provider to a different or new resident other than on the death of the prior resident.
(29) The conditions under which a living unit occupied by a resident may be made available bythe provider to a different or new resident other than on the death of the prior resident.
58-64A-245, to provide reserve funding or security to enable the provider to refund entrance fees and deposits when due and to fulfill all of its other obligations under binding reservation agreements, continuing care contracts, and continuing care at home contracts, Page 28 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 including the establishment of escrow accounts, trusts, or reserve funds, together with the manner in which these funds will be invested, and the names and experience of any person or persons who will make the investment decisions.
58-64A-245, to provide reserve funding or securityto enable the provider to refund entrance fees and deposits when due and to fulfill all of its other obligations under binding reservation agreements, continuing care contracts, and continuing care at home contracts, Page 28 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 including the establishment of escrow accounts, trusts, or reserve funds, together with the manner in which these funds will be invested, and the names and experience of any person or persons who will make the investment decisions.
Details of any leasing agreements where the provider is leasing from another person any part of the real property of the continuing care retirement community, including the length of the lease and the remaining term.
Details of anyleasing agreements where the provider is leasing from another person any part of the real property of the continuing care retirement community, including the length of the lease and the remaining term.
DRS15043-NE-15 Page 29 General Assembly Of North Carolina Session 2025 3.
Senate Bill 105-First Edition Page 29 General Assembly Of North Carolina Session 2025 3.
(38) A narrative describing the reasons for any material differences between (i) the five-year prospective financial statements included as a part of the disclosure statement recorded most immediately subsequent to the start of the provider's most recently completed fiscal year and (ii) the actual results of operations of the provider's most recently completed fiscal year.
(38) A narrative describing the reasons for anymaterial differences between (i) the five-year prospective financial statements included as a part of the disclosure statement recorded most immediately subsequent to the start of the provider's most recently completed fiscal year and (ii) the actual results of operations of the provider's most recently completed fiscal year.
(39) A table detailing the following key financial metrics for the past three fiscal years, including the most recent fiscal year, or for each year the provider has beeninoperationiftheproviderhasbeeninoperationforlessthanthreeyears, plus the next three fiscal years, based on the provider's current and prior annual audited financial statements andcurrent five-yearprospectivefinancial statements.
(39) A table detailing the following key financial metrics for the past three fiscal years, including the most recent fiscal year, or for each year the provider has beeninoperationiftheproviderhasbeeninoperationforlessthanthree years, plus the next three fiscal years, based on the provider's current and prior annual audited financial statements andcurrent five-yearprospectivefinancial statements.
(40) If the provider has had an actuarial study prepared within the prior three years, a statement of actuarial opinion which includes a description of the key Page 30 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 assumptions used to prepare the actuarial study and an opinion on satisfactory actuarial balance.
(40) If the provider has had an actuarial studyprepared within the prior three years, a statement of actuarial opinion which includes a description of the key Page 30 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 assumptions used to prepare the actuarial study and an opinion on satisfactory actuarial balance.
(41) A summary of the last examination report issued by the Commissioner, if any, with references to the page numbers of the examination report noting any deficiencies foundbythe Commissioner,andtheactions takenbytheprovider to rectify those deficiencies, indicating in the summary where the full examination report may be inspected at the continuing care retirement community.
(41) A summaryof the last examination report issued bythe Commissioner, if any, with references to the page numbers of the examination report noting any deficiencies foundbythe Commissioner,andtheactions takenbytheprovider to rectify those deficiencies, indicating in the summary where the full examination report may be inspected at the continuing care retirement community.
(4) That the disclosure statement has not been reviewed or approved by any government agencyorrepresentativeto ensure accuracy oftheinformationset out.
(4) That the disclosure statement has not been reviewed or approved by any government agencyorrepresentativeto ensure accuracyoftheinformationset out.
DRS15043-NE-15 Page 31 General Assembly Of North Carolina Session 2025 (a) A provider shall deliver a current disclosure statement meeting the requirements of G.S.
Senate Bill 105-First Edition Page 31 General Assembly Of North Carolina Session 2025 (a) A provider shall deliver a current disclosure statement meeting the requirements of G.S.
(a) A provider may revise its disclosure statement at any time if, in the opinion of the provider, revision is necessary to prevent an otherwise current disclosure statement from containing amaterial misstatement offact oromitting amaterial fact required to bestatedtherein.
(a) A provider may revise its disclosure statement at any time if, in the opinion of the provider, revision is necessary to prevent an otherwise current disclosure statement from containing amaterial misstatement offact oromittingamaterialfact requiredto bestated therein.
Page 32 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 "Part 6.
Page 32 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 "Part 6.
(3) A provision that, if an agreement is rescinded, automatically canceled, or otherwise canceled by the depositor, the depositor shall receive a refund of all money or other consideration transferred to the provider.
(3) A provision that, if an agreement is rescinded, automatically canceled, or otherwise canceled bythe depositor, the depositor shall receive a refund of all money or other consideration transferred to the provider.
(ii) those nonstandard costs specifically incurred by the provider at the request of the resident and described in the contract or any contract DRS15043-NE-15 Page 33 General Assembly Of North Carolina Session 2025 amendment signed by the resident;
(ii) those nonstandard costs specifically incurred by the provider at the request of the resident and described in the contract or any contract Senate Bill 105-First Edition Page 33 General Assembly Of North Carolina Session 2025 amendment signed by the resident;
(2) Adraftamendeddisclosurestatementcontaining adescriptionofthe proposed continuing care at home program, including the primary market area to be served, the types of services to be provided, and the fees to be charged.
(2) Adraftamendeddisclosurestatementcontaininga descriptionoftheproposed continuing care at home program, including the primary market area to be served, the types of services to be provided, and the fees to be charged.
Page 34 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (4) An actuarial study prepared in accordance with accepted actuarial standards of practice which estimates when the continuing care at home program is projected to be in satisfactory actuarial balance.
Page 34 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (4) An actuarial study prepared in accordance with accepted actuarial standards of practice which estimates when the continuing care at home program is projected to be in satisfactory actuarial balance.
Providers who do not collect entrance fees or some other type of up-front prepayment of costs are exempt from this requirement and shall only be required to submit an actuarial projection of future population flows and adult care home bed and nursing bed needs using appropriate mortality, morbidity, withdrawal, occupancy, and other demographic assumptions, and using a projection period that extends to a point at which, in the actuary's professional judgment, the use of a longer period would not materially affect the results and conclusions.
Providers who do not collect entrance fees or some other type of up-front prepayment of costs are exempt from this requirement and shall only be required to submit an actuarial projection of future population flows and adult care home bed and nursingbed needs using appropriate mortality, morbidity, withdrawal, occupancy, and other demographic assumptions, and using a projection period that extends to a point at which, in the actuary's professional judgment, the use of a longer period would not materially affect the results and conclusions.
(5) A market study prepared by a person experienced in the preparation of market studies for continuing care at home or similar programs that demonstrates sufficient interest in a continuing care at home program.
(5) A market studyprepared bya person experienced in the preparation of market studies for continuing care at home or similar programs that demonstrates sufficient interest in a continuing care at home program.
DRS15043-NE-15 Page 35 General Assembly Of North Carolina Session 2025 (2) A provision that, if a resident dies prior to the effective start date of services, orif,on account ofillness,injury,orincapacity,a resident wouldbeprecluded from meeting the eligibility terms of the contract, the contract is automatically canceled.
Senate Bill 105-First Edition Page 35 General Assembly Of North Carolina Session 2025 (2) A provision that, if a resident dies prior to the effective start date of services, orif,on account ofillness,injury,orincapacity,a resident wouldbeprecluded from meeting the eligibilityterms of the contract, the contract is automatically canceled.
Page 36 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 "§ 58-64A-195.
Page 36 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 "§ 58-64A-195.
(a) All providers shall have an annual audit by an independent certified public accountant and shall file audited financial statements with the Commissioner within 150 days following the end of each fiscal year.
(a) All providers shall have an annual audit byan independent certified public accountant and shall file audited financial statements with the Commissioner within 150 days following the end of each fiscal year.
(b) Extensions of the filing date may be granted by the Commissioner for 30-day periods upon a showing by the provider and its independent certified public accountant of the reasons for requesting an extension and determination by the Commissioner of good cause for an extension.
(b) Extensions of the filing date may be granted by the Commissioner for 30-day periods upon a showing bythe provider and its independent certified public accountant of the reasons for requesting an extension and determination by the Commissioner of good cause for an extension.
(a) The annual audited financial statements shall report the financial position of the provider as of the end of the most recent fiscal year and the results of its operations, cash flows, and changes in equity or net assets for the year then ended.
(a) The annual audited financial statements shall report the financial position of the provider as of the end of the most recent fiscal year and the results of its operations, cash flows, and changes in equityor net assets for the year then ended.
The audited financial statements shall be comparative, presenting the amounts as of the end of the most current year-end and the amounts as of the immediately preceding year-end.
The audited financial statements shall be comparative, presenting the amounts as of the end of the most current year-end and the amounts as of the immediatelypreceding year-end.
(3) If a provider is part of an obligated group, the audited financial statements shall be either consolidated or combined with the other members of the obligated group and shall include a combining or consolidating balance sheet, acombiningorconsolidatingstatementofoperationsandchangesinnet assets or equity, and a combining or consolidating statement of cash flows as DRS15043-NE-15 Page 37 General Assembly Of North Carolina Session 2025 supplemental information to the audited combined or consolidated financial statements.
(3) If a provider is part of an obligated group, the audited financial statements shall be either consolidated or combined with the other members of the obligated group and shall include a combining or consolidating balance sheet, acombiningorconsolidatingstatementofoperationsandchanges innet assets or equity, and a combining or consolidating statement of cash flows as Senate Bill 105-First Edition Page 37 General Assembly Of North Carolina Session 2025 supplemental information to the audited combined or consolidated financial statements.
Page 38 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (c) The Commissioner may request the information required in this section more frequently to assist in the determination of a possible hazardous condition.
Page 38 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (c) The Commissioner may request the information required in this section more frequently to assist in the determination of a possible hazardous condition.
If the Commissioner determines that additional information is needed to properly monitor the financial condition or operations of a provider or continuing care retirement community or is otherwise needed to protect the interests of residents and the general public, the Commissioner may require a provider licensed under this Article to file any of the following:
If the Commissioner determines that additional information is needed to properlymonitor the financial condition or operations of a provider or continuing care retirement community or is otherwise needed to protect the interests of residents and the general public, the Commissioner may require a provider licensed under this Article to file any of the following:
A provider shall notify the Commissioner and all residents in writing within 10 business days whenever any of the following apply:
A provider shall notifythe Commissioner and all residents in writing within 10 business days whenever any of the following apply:
DRS15043-NE-15 Page 39 General Assembly Of North Carolina Session 2025 (4) The provider plans to reduce the number of any type of living unit by twenty percent (20%) or more.
Senate Bill 105-First Edition Page 39 General Assembly Of North Carolina Session 2025 (4) The provider plans to reduce the number of any type of living unit by twenty percent (20%) or more.
(6) Any proceeding for denial, suspension, or revocation of any license or permit needed to operate all or part of a continuing care retirement community in this State.
(6) Any proceeding for denial, suspension, or revocation of any license or permit needed to operate all or part of a continuing care retirement communityin this State.
(b) A provider or any other person who owns the real property used in the operations of a continuing care retirement community shall obtain approval from the Commissioner before consummating any sale or transfer of any real property used in the operations of a continuing care retirement community, including a sale-leaseback transaction, or any interest in a continuing care retirement community, other than the sale of an independent living unit to a resident or other transferee.
(b) A provider or any other person who owns the real property used in the operations of a continuing care retirement community shall obtain approval from the Commissioner before consummating any sale or transfer of any real property used in the operations of a continuing care retirement community, including a sale-leaseback transaction, or anyinterest in a continuing care retirement community, other than the sale of an independent living unit to a resident or other transferee.
Page 40 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (2) A description of the transaction and the terms of the transaction.
Page 40 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (2) A description of the transaction and the terms of the transaction.
If the person is not an individual, a report of the nature of its business operations duringthe past fiveyearsorfor alesser periodas the person and any predecessors have been in existence.
If the person is not an individual, a report of the nature of its business operations duringthe past five yearsorfor alesser periodas the person and any predecessors have been in existence.
(3) Fully audited financial information as to the earnings and financial condition of each acquiring person for the preceding five fiscal years, or for a lesser period as the acquiring person and any predecessors have been in existence, DRS15043-NE-15 Page 41 General Assembly Of North Carolina Session 2025 and similar unaudited information as of a date not earlier than 90 days prior to the filing of the written notice.
(3) Fully audited financial information as to the earnings and financial condition of each acquiring person for the preceding five fiscal years, or for a lesser period as the acquiring person and any predecessors have been in existence, Senate Bill 105-First Edition Page 41 General Assembly Of North Carolina Session 2025 and similar unaudited information as of a date not earlier than 90 days prior to the filing of the written notice.
(7) A description of any agreements made or to be made with residents which will amend any continuing care or continuing care at home contract at the time of the transfer of control.
(7) A description of anyagreements made or to be made with residents which will amend any continuing care or continuing care at home contract at the time of the transfer of control.
(3) Afterthe change ofcontrol, theproviderwill be ableto satisfythecertification or licensure requirements, as applicable, of this Article.
(3) Afterthe change ofcontrol, theproviderwill beableto satisfythe certification or licensure requirements, as applicable, of this Article.
(5) Any plans or proposals that any acquiring person has to liquidate the provider, or any continuing care retirement community operated by the provider in this State, sell its assets or consolidate or merge it with any person, or to make any other material change in its business or corporate structure or management, are fair and reasonable to residents and in the public interest.
(5) Anyplans or proposals that anyacquiringperson has to liquidate the provider, or any continuing care retirement community operated by the provider in this State, sell its assets or consolidate or merge it with anyperson, or to make any other material change in its business or corporate structure or management, are fair and reasonable to residents and in the public interest.
Page 42 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (b) Theprovidershall inform all residents in writing oftherequest forapproval submitted to the Commissioner pursuant to this section within 10 business days after the request for approval is submitted to the Commissioner.
Page 42 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (b) Theprovidershall inform all residents in writingofthe request forapproval submitted to the Commissioner pursuant to this section within 10 business days after the request for approval is submitted to the Commissioner.
(2) The proposed third-party manager is affiliated directly or indirectly through ownership, control, or business relations with any person or persons whose business operations are or have been marked by manipulation of assets or accounts or by bad faith, to the detriment of residents, members, stockholders, investors, creditors, or the public.
(2) The proposed third-party manager is affiliated directly or indirectly through ownership, control, or business relations with any person or persons whose business operations are or have been marked by manipulation of assets or accounts or bybad faith, to the detriment of residents, members, stockholders, investors, creditors, or the public.
(2) That a manager is now, or was in the past, affiliated directly or indirectly through ownership interest of ten percent (10%) or more in, or control of, any business, corporation, or other entity that has been convicted of any felony or pleaded nolo contendere to a felony charge or has been held liable or enjoined in a civil action by final judgment involving fraud, embezzlement, fraudulent conversion, or misappropriation of property.
(2) That a manager is now, or was in the past, affiliated directly or indirectly through ownership interest of ten percent (10%) or more in, or control of, any business, corporation, or other entity that has been convicted of any felony or pleaded nolo contendere to a felonycharge or has been held liable or enjoined in a civil action by final judgment involving fraud, embezzlement, fraudulent conversion, or misappropriation of property.
(a) A provider shall maintain after the opening of a continuing care retirement community an operating reserve equal to fifty percent (50%) of the total operating costs of the continuing care retirement community forecasted or projected for the 12-month period following the period covered by the most recent disclosure statement filed with the Department.
(a) A provider shall maintain after the opening of a continuing care retirement community an operating reserve equal to fifty percent (50%) of the total operating costs of the continuing care retirement communityforecasted or projected for the 12-month period following the period covered by the most recent disclosure statement filed with the Department.
(b) Once a continuing care retirement community achieves a 12-month daily average independent living unit occupancy rate of ninety percent (90%) or higher, a provider shall only berequired to maintain an operatingreservein anamount calculatedusing thetablebelow,unless otherwise instructed by the Commissioner:
(b) Once a continuing care retirement community achieves a 12-month daily average independent living unit occupancy rate of ninety percent (90%) or higher, a provider shall only berequired to maintain an operatingreservein anamount calculatedusingthetablebelow,unless otherwise instructed by the Commissioner:
12-Month Daily Average Operating Reserve Requirement as a Percentage Independent Living Unit of Total Operating Costs of the Continuing Care Occupancy Rate Retirement Community 90% or above.....................................................................................................................
12-Month Daily Average Operating Reserve Requirement as a Percentage Independent Living Unit of Total Operating Costs of the Continuing Care Occupancy Rate Retirement Community 90% or above.....................................................................................................................25.00% 86% to 89.9%....................................................................................................................31.25% 83% to 85.9%....................................................................................................................37.50% 80% to 82.9%....................................................................................................................43.75% Below 80%........................................................................................................................50.00% (c) A provider who has a 12-month daily average independent living unit occupancy rate equal to or in excess of ninety-three percent (93%) and has no long-term debt or a debt service coverage ratio in excess of 2.00 as of the provider's most recent fiscal year-end shall only be required to maintain an operating reserve equal to twelve and one-half percent (12.5%) of total operating costs of the continuing care retirement community, unless otherwise instructed by the Commissioner.
25.00% 86% to 89.9%....................................................................................................................
Senate Bill 105-First Edition Page 43 General Assembly Of North Carolina Session 2025 (d) The Commissioner may increase the amount a provider is required to maintain as its operating reserve, not to exceed fifty percent (50%) of total operating costs as calculated in accordance with G.S.
31.25% 83% to 85.9%....................................................................................................................
37.50% 80% to 82.9%....................................................................................................................
43.75% Below 80%........................................................................................................................
50.00% (c) A provider who has a 12-month daily average independent living unit occupancy rate equal to or in excess of ninety-three percent (93%) and has no long-term debt or a debt service coverage ratio in excess of 2.00 as of the provider's most recent fiscal year-end shall only be required to maintain an operating reserve equal to twelve and one-half percent (12.5%) of total operating costs of the continuing care retirement community, unless otherwise instructed by the Commissioner.
DRS15043-NE-15 Page 43 General Assembly Of North Carolina Session 2025 (d) The Commissioner may increase the amount a provider is required to maintain as its operating reserve, not to exceed fifty percent (50%) of total operating costs as calculated in accordance with G.S.
(e) A provider shall notify all residents in writing within 10 business days if the Commissioner, pursuant to subsection (d) of this section, increases the amount a provider is required to maintain as its operating reserve for a continuing care retirement community operated by the provider or requires the operating reserve to be placed on deposit with the Commissioner.
(e) A provider shall notify all residents in writing within 10 business days if the Commissioner, pursuant to subsection (d) of this section, increases the amount a provider is required to maintain as its operatingreserve for a continuing care retirement communityoperated by the provider or requires the operating reserve to be placed on deposit with the Commissioner.
If the debt service portion is accounted forby way ofanotherreserveaccount, thedebt serviceportion maybeexcludedupon satisfactory evidence of the existence and purpose of the other reserve account.
If the debt service portion is accounted forbywayofanotherreserveaccount, thedebt serviceportion maybeexcludeduponsatisfactory evidence of the existence and purpose of the other reserve account.
Page 44 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 "§ 58-64A-255.
Page 44 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 "§ 58-64A-255.
(a) Aprovidershall fundits operatingreservewith anyofthefollowing qualifyingassets:
(a) Aprovidershall fundits operatingreservewith anyofthefollowingqualifyingassets:
(b) Except as otherwise provided in this subsection, the assets maintained by the provider as an operating reserve for a continuing care retirement community operated by the provider underthis Articleshall not besubject to anyliens, charges, judgments, garnishments, orcreditors' claims and shall not be hypothecated, pledged as collateral, or otherwise encumbered in any manner.
(b) Except as otherwise provided in this subsection, the assets maintained bythe provider as an operating reserve for a continuing care retirement community operated by the provider underthis Articleshall not besubject to anyliens, charges, judgments, garnishments, orcreditors' claims and shall not be hypothecated, pledged as collateral, or otherwise encumbered in any manner.
A provider may encumber assets held as an operating reserve as part of a security pledge of assets or similar collateralization that is part of the provider's debt financing and is included in the provider's debt indenture security instruments related thereto or other similar instrument.
A provider mayencumber assets held as an operatingreserve as part of a securitypledge of assets or similar collateralization that is part of the provider's debt financing and is included in the provider's debt indenture security instruments related thereto or other similar instrument.
(1) The surety bond may be exchanged or replaced with another surety bond if (i) the surety bond applies to obligations and liabilities that arose during the period of the original surety bond, (ii) the surety bond meets the requirements of this section, and (iii) 90 days' advance written notice is provided to the Commissioner.
(1) The surety bond maybe exchanged or replaced with another surety bond if (i) the surety bond applies to obligations and liabilities that arose during the period of the original surety bond, (ii) the surety bond meets the requirements of this section, and (iii) 90 days' advance written notice is provided to the Commissioner.
DRS15043-NE-15 Page 45 General Assembly Of North Carolina Session 2025 (3) A surety bond may be canceled by the issuer of the bond with respect to future obligations or liabilities upon proper notice pursuant to this section and without regard to approval or acceptance of the Commissioner.
Senate Bill 105-First Edition Page 45 General Assembly Of North Carolina Session 2025 (3) A suretybond maybe canceled bythe issuer of the bond with respect to future obligations or liabilities upon proper notice pursuant to this section and without regard to approval or acceptance of the Commissioner.
As used is this Part, "impaired" means a weakened financial state or condition that may affect a provider's ability to pay its obligations as they come due in the normal course of business.
As used is this Part, "impaired" means a weakened financial state or condition that mayaffect a provider's ability to pay its obligations as they come due in the normal course of business.
Page 46 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (a) The Commissioner may (i) deny an application or any other request for approval or (ii) restrict or revoke any permit, certificate, license, or other authorization issued under this Article if the Commissioner finds that the applicant or provider did any of the following:
Page 46 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (a) The Commissioner may (i) deny an application or any other request for approval or (ii) restrict or revoke any permit, certificate, license, or other authorization issued under this Article if the Commissioner finds that the applicant or provider did any of the following:
(12) Failed to maintain the operating reserve required under this Article or released a portion of the operating reserve required to be maintained under this Article without Commissioner approval.
(12) Failed to maintain the operatingreserve required under this Article or released a portion of the operating reserve required to be maintained under this Article without Commissioner approval.
DRS15043-NE-15 Page 47 General Assembly Of North Carolina Session 2025 (d) If the Commissioner issues a cease and desist order or restricts or revokes a provider's permit, certificate, or license, the provider shall notify all residents and depositors of the cease and desist order, restriction, or revocation within five business days.
Senate Bill 105-First Edition Page 47 General Assembly Of North Carolina Session 2025 (d) If the Commissioner issues a cease and desist order or restricts or revokes a provider's permit, certificate, or license, the provider shall notify all residents and depositors of the cease and desist order, restriction, or revocation within five business days.
(h) A provider who has their permanent license revoked shall continue to maintain an operating reserve and to file its annual audited financial statements, annual disclosure statement, andpay annualfeestotheCommissionerasrequiredunderthisArticleasifthepermanentlicense had continued in full force, but the provider shall not issue any new continuing care or continuing care at home contracts.
(h) A provider who has their permanent license revoked shall continue to maintain an operating reserve and to file its annual audited financial statements, annual disclosure statement, andpayannualfeestotheCommissionerasrequiredunderthisArticleasifthepermanentlicense had continued in full force, but the provider shall not issue anynew continuing care or continuing care at home contracts.
(10) Whether the management of a provider, including officers, directors, or any other person who directly or indirectly controls the operations of an applicant, provider, or continuing care retirement community, fails to possess and demonstrate the competence, experience, or integrity considered by the Commissioner to be necessary to serve the provider or continuing care retirement community in that position.
(10) Whether the management of a provider, including officers, directors, or any other person who directly or indirectlycontrols the operations of an applicant, provider, or continuing care retirement community, fails to possess and demonstrate the competence, experience, or integrity considered by the Commissioner to be necessary to serve the provider or continuing care retirement community in that position.
(11) Whether the management of a provider has failed to respond to the Commissioner's inquiries about the condition of the applicant or provider or Page 48 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 has furnished false and misleading information in response to an inquiry by the Commissioner.
(11) Whether the management of a provider has failed to respond to the Commissioner's inquiries about the condition of the applicant or provider or Page 48 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 has furnished false and misleading information in response to an inquiry by the Commissioner.
(b) Within 45 days after the submittal of a corrective action plan, the Commissioner shall notify the provider whether the corrective action plan shall be implemented or is, in the judgment of the Commissioner, unsatisfactory.
(b) Within 45 days after the submittal of a corrective action plan, the Commissioner shall notifythe provider whether the corrective action plan shall be implemented or is, in the judgment of the Commissioner, unsatisfactory.
If the Commissioner determines the corrective action plan is unsatisfactory, the notification to the provider shall set forth the reasons for the determination and may set forth proposed revisions that will render the corrective action plan satisfactory in the judgment oftheCommissioner.
If the Commissioner determines the corrective action plan is unsatisfactory, the notification to the provider shall set forth the reasons for the determination and mayset forth proposed revisions that will render the corrective action plan satisfactoryin the judgment oftheCommissioner.
58-64A-155 DRS15043-NE-15 Page 49 General Assembly Of North Carolina Session 2025 shall apply to the corrective action plan and the most recent report to the Commissioner required to be distributed pursuant to this subsection.
58-64A-155 Senate Bill 105-First Edition Page 49 General Assembly Of North Carolina Session 2025 shall apply to the corrective action plan and the most recent report to the Commissioner required to be distributed pursuant to this subsection.
(a) TheCommissionermaymakepublicorprivateinvestigations withinoroutsideofthis State as necessary to (i) determine whether any person has violated or is about to violate any provision of this Article, (ii) aid in the enforcement of this Article, or (iii) verify statements contained in any disclosure statement or other filing filed or delivered under this Article.
(a) TheCommissionermaymakepublicorprivateinvestigations within oroutsideofthis State as necessary to (i) determine whether any person has violated or is about to violate any provision of this Article, (ii) aid in the enforcement of this Article, or (iii) verify statements contained in any disclosure statement or other filing filed or delivered under this Article.
Page 50 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (a) A permit, certificate, license, or other approval issued by the Commissioner pursuant to this Article shall be forfeited, after notice and opportunity for hearing, when any one of the following occurs:
Page 50 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (a) A permit, certificate, license, or other approval issued by the Commissioner pursuant to this Article shall be forfeited, after notice and opportunity for hearing, when any one of the following occurs:
(c) No resident or depositor shall have the benefit of this section who, within 30 days of receipt, has refused or failed to accept an offer made in writing by the provider to rescind the binding reservation agreement, continuing care contract, or continuing care at home contract in question and to refund the full amount paid by the resident or depositor with interest at the rate established monthly by the Commissioner of Banks pursuant to G.S.
(c) No resident or depositor shall have the benefit of this section who, within 30 days of receipt, has refused or failed to accept an offer made in writing by the provider to rescind the binding reservation agreement, continuing care contract, or continuing care at home contract in question and to refund the full amount paid by the resident or depositor with interest at the rate established monthlybythe Commissioner of Banks pursuant to G.S.
DRS15043-NE-15 Page 51 General Assembly Of North Carolina Session 2025 Regardless of whether delinquency proceedings as to a provider have been or are to be initiated, a provider may not actively solicit, approve the solicitation of, or enter into new binding reservation agreements, continuing care contracts, or continuing care at home contracts in this State after the provider knew, or reasonably should have known, that the provider was impaired or insolvent except with the written permission of the Commissioner.
Senate Bill 105-First Edition Page 51 General Assembly Of North Carolina Session 2025 Regardless of whether delinquency proceedings as to a provider have been or are to be initiated, a provider maynot activelysolicit, approve the solicitation of, or enter into new binding reservation agreements, continuing care contracts, or continuing care at home contracts in this State after the provider knew, or reasonably should have known, that the provider was impaired or insolvent except with the written permission of the Commissioner.
(2) A provider has been or will be unable to fully perform its obligations pursuant to continuing care and continuing care at home contracts, or to meet prospective financial data previously filed by the provider.
(2) A provider has been or will be unable to fullyperform its obligations pursuant to continuing care and continuing care at home contracts, or to meet prospective financial data previously filed by the provider.
(d) If, at any time, the Court finds, upon petition of the Commissioner, a provider, or on its own motion, that the objectives of an order to rehabilitate a provider have been accomplished and that the continuing care retirement community or communities owned by, or operated by, the provider can be returned to the provider's management without further jeopardy to the residents or depositors of the continuing care retirement community or communities, the Court may, upon a full report and accounting of the conduct of the provider's affairs during the rehabilitation and of the provider's current financial condition, terminate the rehabilitation and, by order, return thecontinuing careretirementcommunityorcommunitiesownedby,or operated by, the provider, along with the assets and affairs of the provider, to the provider's management.
(d) If, at any time, the Court finds, upon petition of the Commissioner, a provider, or on its own motion, that the objectives of an order to rehabilitate a provider have been accomplished and that the continuing care retirement community or communities owned by, or operated by, the provider can be returned to the provider's management without further jeopardy to the residents or depositors of the continuing care retirement community or communities, the Court may, upon a full report and accounting of the conduct of the provider's affairs during the rehabilitation and of the provider's current financial condition, terminate the rehabilitation and, byorder, return thecontinuingcareretirementcommunityorcommunities owned by,or operated by, the provider, along with the assets and affairs of the provider, to the provider's management.
(f) An order for rehabilitation shall be refused or vacated if the provider posts a bond, by a recognized surety authorized to do business in this State and executed in favor of the Commissioner on behalf of persons who may be found entitled to a refund of entrance fees and deposits from the provider or other damages in the event the provider is unable to fulfill its Page 52 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 contracts to provide continuing care, in an amount determined by the Court to be equal to the reserve funding that would otherwise need to be available to fulfill the provider's obligations.
(f) An order for rehabilitation shall be refused or vacated if the provider posts a bond, by a recognized surety authorized to do business in this State and executed in favor of the Commissioner on behalf of persons who may be found entitled to a refund of entrance fees and deposits from the provider or other damages in the event the provider is unable to fulfill its Page 52 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 contracts to provide continuing care, in an amount determined by the Court to be equal to the reserve funding that would otherwise need to be available to fulfill the provider's obligations.
DRS15043-NE-15 Page 53 General Assembly Of North Carolina Session 2025 (d) Whenever a state of emergency or disaster has been proclaimed in this State or for an area within this State under G.S.
Senate Bill 105-First Edition Page 53 General Assembly Of North Carolina Session 2025 (d) Whenever a state of emergency or disaster has been proclaimed in this State or for an area within this State under G.S.
(e) If a semiannual meeting is held under subsection (d) of this section, notice of the method residents may use to attend the meeting shall be published with the notice of the meeting.
(e) If a semiannual meeting is held under subsection (d) of this section, notice of the method residents mayuse to attend the meetingshall be published with the notice of the meeting.
No act, agreement, or statement of any resident, or of an individual purchasing continuing care for a resident under any continuing care or continuing care at home contract shall constitute avalid waiverofany provision ofthis Articleintended forthebenefit or protectionoftheresident or the individual purchasing continuing care for the resident.
No act, agreement, or statement of any resident, or of an individual purchasing continuing care for a resident under any continuing care or continuing care at home contract shall constitute avalid waiverofanyprovision ofthis Articleintended forthebenefit or protectionoftheresident or the individual purchasing continuing care for the resident.
(4) Report to the Commissioner on developments in the continuing care retirement communityindustry,including continuing careat homeand similar programs, and problems or concerns of providers and residents.
(4) Report to the Commissioner on developments in the continuing care retirement communityindustry,includingcontinuing careat homeand similar programs, and problems or concerns of providers and residents.
Page 54 DRS15043-NE-15 General Assembly Of North Carolina Session 2025 (a) Nothing in this Article affects the authority of the Department of Health and Human Services or any successor agency otherwise provided by law to license or regulate any long-term care facility.
Page 54 Senate Bill 105-First Edition General Assembly Of North Carolina Session 2025 (a) Nothing in this Article affects the authority of the Department of Health and Human Services or any successor agency otherwise provided by law to license or regulate anylong-term care facility.
(b) Continuing careretirement communitiesandproviderslicensed underthis Articlethat are also subject to the provisions of the North Carolina Condominium Act under Chapter 47C of the General Statutes shall not be subject to the provisions of Chapter 39A of the General Statutes, provided that the continuing care retirement community's declaration of condominium does not require the payment of any fee or charge not otherwise provided for in a resident's continuing care contract, or other separate contract for the provisions of membership or services.
(b) Continuingcareretirement communitiesand providerslicensed underthis Articlethat are also subject to the provisions of the North Carolina Condominium Act under Chapter 47C of the General Statutes shall not be subject to the provisions of Chapter 39A of the General Statutes, provided that the continuing care retirement community's declaration of condominium does not require the payment of any fee or charge not otherwise provided for in a resident's continuing care contract, or other separate contract for the provisions of membership or services.
DRS15043-NE-15 Page 55
Senate Bill 105-First Edition Page 55
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How this bill changes current law

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

The bill repeals the existing Continuing Care Retirement Communities framework and introduces a new regulatory structure for these communities under the Department of Insurance.

  • Article 64 of Chapter 58

    Article 64 of Chapter 58 of the General Statutes is repealed.

    This section completely removes the previous framework for Continuing Care Retirement Communities from the statutes.

  • Chapter 58 of the General Statutes

    Article 64A. Continuing Care Retirement Communities.

    This section adds a new article to specifically regulate Continuing Care Retirement Communities.

  • § 58-64A-2

    The General Assembly recognizes that continuing care retirement community residents often expend a significant portion of their savings when contracting with a provider for continuing care and devastating consequences can result if a provider becomes insolvent or unable to provide continuing care.

    This emphasizes the importance of protecting residents' investments and welfare in continuing care retirement communities.

  • § 58-64A-4

    This Article applies to both for-profit and nonprofit providers.

    This establishes that the new regulations apply to all types of providers.

  • § 58-64A-5

    Definitions for terms specific to Continuing Care Retirement Communities are established.

    This provides clarity and specificity for terms that will be used within the regulatory framework.

Action History

  1. Passed 1st Reading

  2. Ref To Com On Rules and Operations of the Senate

  3. Filed

Sponsors

Sponsorship breakdown

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0 sponsors · 2 co-sponsors · 177 not signed on

Sponsors (0)

None.

Co-sponsors (2)

Not signed on (177)

177 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

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Frequently asked questions

Who sponsors SB 105?
SB 105 is sponsored by Ralph Hise (Republican) and Todd Johnson (Republican).
What is the current status of SB 105?
This bill is in committee in the Senate. Introduced February 17, 2025. It must pass committee before a floor vote.
Where can I track SB 105?
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