North Carolina 2025 Session Status: In Committee 1 R cosponsors

SB 494 — Limit the Scope of Certificate of Need Laws.

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 March 25, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 16% · 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.

  • 1 sponsor

    0 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 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

14 added · 15 removed

Plain-language change summary

The recent amendments to Senate Bill 494 include specific language clarifying the requirements for facilities licensed to operate as ambulatory surgical centers, specifically in regards to population size and demonstrating need. While the text has been cleaned up for clarity, the essential criteria remain the same. This change is significant as it aims to streamline the licensing process, ensuring that hospitals and surgical centers meet the necessary demands for healthcare services in densely populated areas.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Mar 25, 2025 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 494 Short Title:
494 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS35143-MG-42 Short Title:
A BILL TO BE ENTITLED AN ACT ENCOURAGING THE EXPANSION OF HEALTH CARE ACCESS BY ELIMINATING CERTIFICATE OF NEED LAWS IN ALL COUNTIES EXCEPT THOSE THAT HAVE A POPULATION OF LESS THAN ONE HUNDRED THOUSAND AND AT LEAST ONE FUNCTIONING HOSPITAL.
Rules and Operations of the Senate March 26, 2025 A BILL TO BE ENTITLED AN ACT ENCOURAGING THE EXPANSION OF HEALTH CARE ACCESS BY ELIMINATING CERTIFICATE OF NEED LAWS IN ALL COUNTIES EXCEPT THOSE THAT HAVE A POPULATION OF LESS THAN ONE HUNDRED THOUSAND AND AT LEAST ONE FUNCTIONING HOSPITAL.
131E-176, as amended by Section 3.1 of this act, reads as rewritten:
131E-176, as amended bySection 3.1 of this act, reads as rewritten:
hospiceoffice,hospiceinpatientfacility, hospiceresidential care facility;
hospiceoffice,hospiceinpatientfacility,hospiceresidential care facility;
The cost of any studies, surveys, designs, plans, working drawings, specifications, and other activities, including staff effort and *DRS35143-MG-42* General Assembly Of North Carolina Session 2025 consulting and other services, essential to the acquisition, improvement, expansion, or replacement of any plant or equipment with respect to which an expenditure is made shall be included in determining if the expenditure exceeds four million dollars ($4,000,000).
The cost of any studies, surveys, designs, plans, working drawings, specifications, and other activities, including staff effort and *S494-v-1* General Assembly Of North Carolina Session 2025 consulting and other services, essential to the acquisition, improvement, expansion, or replacement of any plant or equipment with respect to which an expenditure is made shall be included in determining if the expenditure exceeds four million dollars ($4,000,000).
Is locatedin acounty withapopulation greaterthan125,000 according to the 2020 federal decennial census or any subsequent federal decennial census.has elected to opt out of the certificate of need requirements prescribed by this Article by obtaining a license as a qualified ambulatory surgical facility under Part 4 of Article 6 of this Chapter.
Is locatedin acountywith apopulation greaterthan125,000according to the 2020 federal decennial census or any subsequent federal decennial census.has elected to opt out of the certificate of need requirements prescribed by this Article by obtaining a license as a qualified ambulatory surgical facility under Part 4 of Article 6 of this Chapter.
"(3) "Qualified urban ambulatory surgical facility" means an ambulatory surgical facility licensed under this Part that has elected to opt out of the certificate of need requirements prescribed by Article 9 of this Chapter and demonstrates to the satisfaction of the Department that the facility meets the definition of G.S.
"(3) "Qualified urban ambulatory surgical facility" means an ambulatory surgical facility licensed under this Part that has elected to opt out of the certificate of need requirements prescribed byArticle 9 of this Chapter and demonstrates to the satisfaction of the Department that the facility meets the definition of G.S.
(c) A license to operate an ambulatory surgical facility or a qualified ambulatory surgical facility shall be annually renewed upon the filing and the department's approval of a renewal application.
(c) A license to operate an ambulatorysurgical facility or a qualified ambulatory surgical facility shall be annually renewed upon the filing and the department's approval of a renewal application.
…." Page 2 DRS35143-MG-42 General Assembly Of North Carolina Session 2025 "SECTION 3.2.(c) Part 4 of Article 6 of Chapter 131E of the General Statutes is amended by adding a new section to read:
…." Page 2 Senate Bill 494-First Edition General Assembly Of North Carolina Session 2025 "SECTION 3.2.(c) Part 4 of Article 6 of Chapter 131E of the General Statutes is amended by adding a new section to read:
DRS35143-MG-42 Page 3
Senate Bill 494-First Edition Page 3
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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 · 1 co-sponsors · 178 not signed on

Sponsors (0)

None.

Co-sponsors (1)

Not signed on (178)

178 members have not signed on to this bill.

Show all 178 →

"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

healthcare health-insurance
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 SB 494?
SB 494 is sponsored by Steve Jarvis (Republican).
What is the current status of SB 494?
This bill is in committee in the Senate. Introduced March 25, 2025. It must pass committee before a floor vote.
Where can I track SB 494?
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