North Carolina 2025 Session Status: In Committee Bipartisan · 38 D · 1 I · 1 R cosponsors

HB 1175 — Affordability in Healthcare Act.

Last action — Passed 1st Reading

  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 April 30, 2026. It must pass committee before a floor vote.

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

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 40 sponsors

    3 primary, 37 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (38 D · 1 I · 1 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

604 added · 604 removed

Plain-language change summary

The latest version of House Bill 1175, now titled the Affordability in Healthcare Act, has made some updates to the language concerning healthcare costs. Notably, it clarifies the commitment to expanding access to affordable health plans and emphasizes the importance of public health initiatives to manage chronic diseases. These changes matter because they strengthen the bill's focus on ensuring that North Carolinians can access necessary medical care without financial burdens and address the need for practices that enhance rather than inflate costs. Overall, the adjustments aim to improve healthcare affordability and quality for residents.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 1175 Short Title:
1175 Apr 30, 2026 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30588-MRa-130D Short Title:Affordability in Healthcare Act.
Affordability in Healthcare Act.
Representative Cervania.
Representatives Cervania, Crawford, Ball, and Belk (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO LOWER HEALTHCARE COSTS, INCREASE COMPETITION IN THE HEALTH INSURANCE MARKET, AND IMPROVE VALUE AND TRANSPARENCY BY LEVERAGING THE STATE'S PURCHASING POWER;
Rules, Calendar, and Operations of the House May 4, 2026 A BILL TO BE ENTITLED AN ACT TO LOWER HEALTHCARE COSTS, INCREASE COMPETITION IN THE HEALTH INSURANCE MARKET, AND IMPROVE VALUE AND TRANSPARENCY BY LEVERAGING THE STATE'S PURCHASING POWER;
and Whereas, excessive healthcare costs force North Carolinians to delay treatment, forgo preventive care, accumulate medical debt, and remain uninsured or underinsured, thereby worsening illness, increasing long-term system costs, and deepening inequality;
and Whereas, excessive healthcare costs force North Carolinians to delaytreatment, forgo preventive care, accumulate medical debt, and remain uninsured or underinsured, thereby worsening illness, increasing long-term system costs, and deepening inequality;
and Whereas, many North Carolinians remain uninsured or lack access to coverage they can reasonably afford, and the State has a compelling interest in expanding access to dependable, affordable health benefit plans so that residents may obtain needed care before medical conditions become more severe and more costly;
and Whereas, many North Carolinians remain uninsured or lack access to coverage they can reasonablyafford, and the State has a compelling interest in expanding access to dependable, *H1175-v-1* General Assembly Of North Carolina Session 2025 affordable health benefit plans so that residents may obtain needed care before medical conditions become more severe and more costly;
and *DRH30588-MRa-130D* General Assembly Of North Carolina Session 2025 Whereas, chronic disease is a major driver of suffering, preventable death, and rising medical expenditures, and public health initiatives that prevent, mitigate, and better manage chronic illness are necessary both to improve quality of life and to reduce long-term healthcare costs;
and Whereas, chronic disease is a major driver of suffering, preventable death, and rising medical expenditures, and public health initiatives that prevent, mitigate, and better manage chronic illness are necessary both to improve quality of life and to reduce long-term healthcare costs;
(2) North Carolina's public employers and public programs purchase health coverage and health care services at scale, yet procurement and contracting are fragmented across publicentities, dilutingnegotiatingleverage,increasing administrative costs, and limiting the State's ability to align purchasing strategies toward affordability and value.
(2) North Carolina's public employers and public programs purchase health coverage and health care services at scale, yet procurement and contracting are fragmented across publicentities, dilutingnegotiatingleverage, increasing administrative costs, and limiting the State's ability to align purchasing strategies toward affordability and value.
(4) Investments in evidence-based interventions that address health-related social needs can reduce avoidable healthcare utilization, improve health outcomes, and support chronic disease prevention when coordinated with Medicaid managed careandother Stateinitiatives to theextent permitted by federal law.
(4) Investments in evidence-based interventions that address health-related social needs can reduce avoidable healthcare utilization, improve health outcomes, and support chronic disease prevention when coordinated with Medicaid managed careandother Stateinitiatives to theextent permitted byfederal law.
(2) Exchange.
Page 2 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (2) Exchange.
Page 2 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (4) Low-Cost Health Plan Option.
(4) Low-Cost Health Plan Option.
(c) DHHS may procure one or more participating carriers or third-party administrators to underwrite, administer, and operate the Low-Cost Health Plan Option, including provider network contracting, claims administration, utilization management, and customer service.
(c) DHHS mayprocure one or more participating carriers or third-party administrators to underwrite, administer, and operate the Low-Cost Health Plan Option, including provider network contracting, claims administration, utilization management, and customer service.
– DHHS shall require standardized benefitdesignsforatleastonesilverplanandshall setcost-sharingparameters intended to reduce out-of-pocket costs relative to comparable silver plans, including lower deductibles or copayments for primary care, behavioral DRH30588-MRa-130D Page 3 General Assembly Of North Carolina Session 2025 health, and generic prescription drugs, consistent with federal law for qualified health plans.
– DHHS shall require standardized benefitdesignsforatleastonesilverplanandshall setcost-sharingparameters House Bill 1175-First Edition Page 3 General Assembly Of North Carolina Session 2025 intended to reduce out-of-pocket costs relative to comparable silver plans, including lower deductibles or copayments for primary care, behavioral health, and generic prescription drugs, consistent with federal law for qualified health plans.
(c) Appropriations mayberequested forplanstart-upcosts,systemsintegration, actuarial services, and procurement expenses.
(c) Appropriations mayberequested forplanstart-upcosts,systems integration, actuarial services, and procurement expenses.
(b) The Consortium shall be chaired by the State Treasurer or the Treasurer's designee and shall include, at a minimum, the following members:
Page 4 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (b) The Consortium shall be chaired by the State Treasurer or the Treasurer's designee and shall include, at a minimum, the following members:
Page 4 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (1) The Department of Health and Human Services.
(1) The Department of Health and Human Services.
(a) TheConsortium mayestablishasecuredatasharingframeworkforclaims, encounter, and pharmacy data among participating public purchasers for purposes of analytics, fraud detection, payment reform, and evaluation of procurement performance, subject to HIPAA and State privacy laws.
(a) TheConsortium mayestablish asecuredatasharingframeworkforclaims, encounter, and pharmacy data among participating public purchasers for purposes of analytics, fraud detection, payment reform, and evaluation of procurement performance, subject to HIPAA and State privacy laws.
SECTION 3.1.(b) The Department of Health and Human Services may issue requests for information and requests for proposals and may take other actions necessary to ensuretheLow-CostHealthPlanOptionunderPartIofthisact isoperationalbythedaterequired in this act.
SECTION 3.1.(b) The Department of Health and Human Services may issue requests for information and requests for proposals and may take other actions necessary to ensuretheLow-CostHealthPlanOptionunderPart Iofthisact isoperationalbythedaterequired in this act.
SECTION 3.2.
House Bill 1175-First Edition Page 5 General Assembly Of North Carolina Session 2025 SECTION 3.2.
Effective July 1, 2026, there is appropriated from the General Fund to the Department of Health and Human Services the sum of twenty-five million dollars DRH30588-MRa-130D Page 5 General Assembly Of North Carolina Session 2025 ($25,000,000)inrecurringfundsandthesumoftenmilliondollars($10,000,000)innonrecurring funds for the 2026-2027 fiscal year to implement the Low-Cost Health Plan Option under Part I of this act and the Public Health Purchasing Consortium under Part II of this act, including Consortium analytics and procurement coordination, actuarial services, information technology, contracting support, and outreach.
Effective July 1, 2026, there is appropriated from the General Fund to the Department of Health and Human Services the sum of twenty-five million dollars ($25,000,000)inrecurringfundsandthesumoftenmilliondollars($10,000,000)innonrecurring funds for the 2026-2027 fiscal year to implement the Low-Cost Health Plan Option under Part I of this act and the Public Health Purchasing Consortium under Part II of this act, including Consortium analytics and procurement coordination, actuarial services, information technology, contracting support, and outreach.
7 PART IV.
9 PART IV.
HEALTHY OPPORTUNITIES CONTINUATION FOR CHRONIC DISEASE PREVENTION SECTION 4.1.(a) There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits (DHB), the sum of one hundred seventy-five million dollars ($175,000,000) in recurring funds and associated receipts for the 2026-2027 fiscal year to continue and expand Healthy Opportunities Pilots activities to promote chronicdiseaseprevention, reduceavoidablehealthcareutilization, and improvehealthoutcomes through evidence-informed interventions addressing health-related social needs, including, as applicable, nutrition supports, housing-related supports, transportation supports, interpersonal safety supports, and other services authorized by DHHS consistent with federal requirements.
HEALTHY OPPORTUNITIES CONTINUATION FOR CHRONIC DISEASE PREVENTION SECTION 4.1.(a) There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits (DHB), the sum of one hundred seventy-five million dollars ($175,000,000) in recurring funds and associated receipts for the 2026-2027 fiscal year to continue and expand Healthy Opportunities Pilots activities to promote chronicdiseaseprevention, reduceavoidablehealthcareutilization,andimprovehealth outcomes through evidence-informed interventions addressing health-related social needs, including, as applicable, nutrition supports, housing-related supports, transportation supports, interpersonal safety supports, and other services authorized by DHHS consistent with federal requirements.
(3) Information technology, referral platforms, community resource connectivity, and related infrastructure needed to support screening, referral, service delivery, and reporting.
(3) Information technology, referral platforms, communityresource connectivity, and related infrastructure needed to support screening, referral, service delivery, and reporting.
(4) Technical assistance, provider engagement, beneficiary outreach, and training necessary for effective implementation.
(4) Technical assistance, provider engagement, beneficiaryoutreach, and training necessary for effective implementation.
SECTION 4.1.(c) DHB shall prioritize the use of funds under this section for interventions and program designs thatareexpectedto reducetheincidence orseverity ofchronic disease, including diabetes, cardiovascular disease, asthma, and other conditions identified by DHB.
SECTION 4.1.(c) DHB shall prioritize the use of funds under this section for interventions and program designs thatareexpectedto reducetheincidence orseverityofchronic disease, including diabetes, cardiovascular disease, asthma, and other conditions identified by DHB.
The Department of Health and Human Services, Division of Health Benefits (DHB), shall submit a report by March 1, 2027, and annually thereafter while funds remain available,to theJoint LegislativeOversight CommitteeonMedicaid, theJoint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on all of the following items related to the Healthy Opportunities Pilots:
The Department of Health and Human Services, Division of Health Benefits (DHB), shall submit a report by March 1, 2027, and annually thereafter while funds remain available,to the Joint LegislativeOversight Committeeon Medicaid, theJoint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on all of the following items related to the Healthy Opportunities Pilots:
Page 6 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 PART V.
Page 6 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 2 PART V.
(2) The average negotiated settlement on the amount that will be charged to a patient required to be provided in subdivision (1) of this subsection.
House Bill 1175-First Edition Page 7 General Assembly Of North Carolina Session 2025 (2) The average negotiated settlement on the amount that will be charged to a patient required to be provided in subdivision (1) of this subsection.
DRH30588-MRa-130D Page 7 General Assembly Of North Carolina Session 2025 (3) The amount of Medicaid reimbursement for each DRG, including claims and pro rata supplemental payments.
(3) The amount of Medicaid reimbursement for each DRG, including claims and pro rata supplemental payments.
(1) The method by which the Department shall determine the 100 most frequently reported DRGs for inpatients for which hospitals must provide the data set out in subsection (b) of this section.
(1) The method bywhich the Department shall determine the 100 most frequently reported DRGs for inpatients for which hospitals must provide the data set out in subsection (b) of this section.
(f) Upon request of a patient for a particular DRG, imaging procedure, or surgery procedure reported in this section, a hospital or ambulatory surgical facility shall provide the Page 8 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 information required by subsection (b) or subsection (d) of this section to the patient in writing, either electronically or by mail, within three business days after receiving the request.
Page 8 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (f) Upon request of a patient for a particular DRG, imaging procedure, or surgery procedure reported in this section, a hospital or ambulatory surgical facility shall provide the information required by subsection (b) or subsection (d) of this section to the patient in writing, either electronically or by mail, within three business days after receiving the request.
For each day of violation, the amount of thecivil penalty shall not be(i)lessthanonehundredth ofonepercent (.01%)oftheannual salary of the chief executive officer of the noncompliant hospital or ambulatory surgical facility or (ii) greater than two thousand dollars ($2,000).
For each day of violation, the amount of thecivil penaltyshall not be(i)lessthanonehundredth ofonepercent (.01%)oftheannual salary of the chief executive officer of the noncompliant hospital or ambulatory surgical facility or (ii) greater than two thousand dollars ($2,000).
… (8) Receive datarequiredto besubmittedbyhospitalsunder G.S.
… (8) Receive datarequiredto besubmittedbyhospitals under G.S.
131E-214.13(b) and by hospitals and ambulatorysurgical facilitiesunder G.S.
131E-214.13(b) and byhospitals and ambulatorysurgical facilitiesunder G.S.
This Part becomes effective on the later of January 1, 2027, or the date the rules adopted by the North Carolina Medical Care Commission under G.S.
This Part becomes effective on the later of January 1, 2027, or the date the rules adopted by the North Carolina Medical Care Commission under House Bill 1175-First Edition Page 9 General Assembly Of North Carolina Session 2025 G.S.
131E-214.18, as enacted by this Part, applies to DRH30588-MRa-130D Page 9 General Assembly Of North Carolina Session 2025 acts occurring on or after that date.
131E-214.18, as enacted by this Part, applies to acts occurring on or after that date.
4 PART VI.
5 PART VI.
"§ 131E-214.31.
Page 10 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 "§ 131E-214.31.
Page 10 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 At the time a health care provider not participating in an insurer's provider network (i) treats an insured individual for anything other than screening and stabilization in accordance with G.S.
At the time a health care provider not participating in an insurer's provider network (i) treats an insured individual for anything other than screening and stabilization in accordance with G.S.
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58-3-190, (ii) schedules an appointment or procedure for nonemergency services for an insured individual, or (iii) seeks prior authorization from an insurer for the provision of nonemergency services to an insured individual, the provider shall provide the insured individual with a written disclosure containing all of the following information:
58-3-190, (ii) schedules an appointment or procedure for nonemergency services for an insured individual, or (iii) seeks prior authorization from an insurer for the provision of nonemergencyservices to an insured individual, the provider shall provide the insured individual with a written disclosure containing all of the following information:
The repeated failure to comply with this Article shall indicate a general business practice that is deemed an unfair and deceptive trade practice and is actionable under Chapter 75 of the GeneralStatutes.NothinginthisArticleforeclosesotherremedies availableunderlaworequity." SECTION 6.2.(a) G.S.
The repeated failure to complywith this Article shall indicate a general business practice that is deemed an unfair and deceptive trade practice and is actionable under Chapter 75 of the GeneralStatutes.NothinginthisArticleforeclosesotherremedies availableunderlaworequity." SECTION 6.2.(a) G.S.
58-3-223, unless contracting health careproviders ableto meet healthneeds oftheinsuredare reasonably available to the insured without unreasonable delay.
58-3-223, unless contractinghealth careproviders ableto meet healthneeds oftheinsured are reasonablyavailable to the insured without unreasonable delay.
GREATER FAIRNESS IN BILLING AND COLLECTIONS PRACTICES FOR HOSPITALS AND AMBULATORY SURGICAL FACILITIES SECTION 7.1.(a) Chapter 131E of the General Statutes is amended by adding a new Article 11C to be entitled "Fair Billing and Collections Practices for Hospitals and Ambulatory Surgical Facilities." SECTION 7.1.(b) G.S.
GREATER FAIRNESS IN BILLING AND COLLECTIONS PRACTICES FOR HOSPITALS AND AMBULATORY SURGICAL FACILITIES SECTION 7.1.(a) Chapter 131E of the General Statutes is amended byadding a new Article 11C to be entitled "Fair Billing and Collections Practices for Hospitals and Ambulatory Surgical Facilities." SECTION 7.1.(b) G.S.
… DRH30588-MRa-130D Page 11 General Assembly Of North Carolina Session 2025 (1a) A hospital or ambulatory surgical facility shall not refer a patient's unpaid bill to a collections agency, entity, or other assignee unless it has first presented an itemized list ofcharges to thepatient detailing,in language comprehensible to an ordinary layperson, the specific nature of the charges or expenses incurred by the patient.
… House Bill 1175-First Edition Page 11 General Assembly Of North Carolina Session 2025 (1a) A hospital or ambulatory surgical facility shall not refer a patient's unpaid bill to a collections agency, entity, or other assignee unless it has first presented an itemized list ofcharges to thepatient detailing,in language comprehensible to an ordinary layperson, the specific nature of the charges or expenses incurred by the patient.
– Upon request of any patient for a good-faith estimate for a shoppable service, the facility shall provide to the patient, in writing, at least three business days prior to the date the patient schedules the shoppable service, an itemized list of expected charges, in language comprehensible to an ordinary layperson, that the patient will be obligated to pay for all items and services related to the shoppable service.
– Upon request of any patient for a good-faith estimate for a shoppable service, the facility shall provide to the patient, in writing, at least three business days prior to the date the patient schedules the shoppable service, an itemized list of expected charges, in language comprehensible to an ordinarylayperson, that the patient will be obligated to pay for all items and services related to the shoppable service.
GREATER PROTECTION FOR HEALTHCARE CONSUMERS FROM FACILITY FEES Page 12 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 SECTION 8.1.(a) Article 11C of Chapter 131E of the General Statutes, as created by Section 7.1(a) of this act, is amended by adding a new section to read:
GREATER PROTECTION FOR HEALTHCARE CONSUMERS FROM FACILITY FEES Page 12 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 SECTION 8.1.(a) Article 11C of Chapter 131E of the General Statutes, as created by Section 7.1(a) of this act, is amended by adding a new section to read:
DRH30588-MRa-130D Page 13 General Assembly Of North Carolina Session 2025 (1) The name and full address of each facility owned or operated by the hospital or health system that provides services for which a facility fee is charged or billed.
House Bill 1175-First Edition Page 13 General Assembly Of North Carolina Session 2025 (1) The name and full address of each facility owned or operated by the hospital or health system that provides services for which a facility fee is charged or billed.
(2) In addition to the remedies described in subdivision (1) of this subsection, any health care provider who violates any provision of this section shall be subject to an administrative penalty of not more than one thousand dollars ($1,000) per occurrence." SECTION 8.1.(b) No later than January 1, 2027, the Department of Health and Human Services shall adopt rules necessary to implement G.S.
(2) In addition to the remedies described in subdivision (1) of this subsection, any health care provider who violates anyprovision of this section shall be subject to an administrative penalty of not more than one thousand dollars ($1,000) per occurrence." SECTION 8.1.(b) No later than January 1, 2027, the Department of Health and Human Services shall adopt rules necessary to implement G.S.
131E-214.54, as enacted by Section 8.1(a) of this Part, becomes effective on the later of January 1, 2027, or the date the rules adopted by the Department of Health and Human Services pursuant to Section 8.1(b) of this Part become effective, and applies to healthcare services provided on or after that date.
131E-214.54, as enacted bySection 8.1(a) of this Part, becomes effective on the later of January 1, 2027, or the date the rules adopted by the Department of Health and Human Services pursuant to Section 8.1(b) of this Part become effective, and applies to healthcare services provided on or after that date.
of this subdivision." Page 14 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 PART X.
of this subdivision." Page 14 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 PART X.
Except as provided in subdivision (3) of this subsection, within three business days afterreceiving agrievance,theinsurershall provide thecovered person with the name, address, and telephone number of the coordinator and information on where and how to submit written material.material for the first-level grievance review, including contact information for the insurer.
Except as provided in subdivision (3) of this subsection, within three business days afterreceivinga grievance,theinsurershall provide thecovered person with the name, address, and telephone number of the coordinator and information on where and how to submit written material.material for the first-level grievance review, including contact information for the insurer.
(2) An insurer shall issue a written decision, in clear terms, to the covered person and, if applicable, to the covered person's provider, within 30 days after receiving agrievance.
(2) An insurer shall issue a written decision, in clear terms, to the covered person and, if applicable, to the covered person's provider, within 30 days after receiving a grievance.
Thepersonorpersonsreviewingthegrievanceshall not be the same person or persons who initially handled the matter that is the subject of the grievance and, if the issue is a clinical one, at least one of whom shall be a medical doctor with appropriate expertise to evaluate the matter.
Thepersonorpersonsreviewingthe grievanceshall not be the same person or persons who initially handled the matter that is the subject of the grievance and, if the issue is a clinical one, at least one of whom shall be a medical doctor with appropriate expertise to evaluate the matter.
A covered person or the covered person's DRH30588-MRa-130D Page 15 General Assembly Of North Carolina Session 2025 provider acting on the covered person's behalf may submit a second-level grievance.
A covered person or the covered person's House Bill 1175-First Edition Page 15 General Assembly Of North Carolina Session 2025 provider acting on the covered person's behalf may submit a second-level grievance.
– A bed licensed for use in a health service facility in thecategoriesof(i) acutecarebeds;
– A bed licensed for use in a health service facility in thecategories of(i) acutecarebeds;
Page 16 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 b.
Page 16 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 b.
– Any of the following services when provided inaruralcountyorwhenreasonablynecessaryto maintainaccessforresidents of a rural county:
– Anyof the following services when provided inaruralcountyorwhenreasonablynecessaryto maintainaccessforresidents of a rural county:
DRH30588-MRa-130D Page 17 General Assembly Of North Carolina Session 2025 (3) Essential rural provider.
House Bill 1175-First Edition Page 17 General Assembly Of North Carolina Session 2025 (3) Essential rural provider.
(6) The projected effect of the proposed material change on service availability, staffing,hours, bed capacity,call coverage,patient travel time,payormix, and service to Medicaid recipients, uninsured persons, and underserved populations.
(6) The projected effect of the proposed material change on service availability, staffing, hours, bed capacity,call coverage,patient travel time,payormix,and service to Medicaid recipients, uninsured persons, and underserved populations.
Page 18 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (1) Materially reduce access to an essential rural health service for residents of a rural county.
Page 18 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (1) Materially reduce access to an essential rural health service for residents of a rural county.
(3) Reducethe availabilityof emergency services, obstetrical services, behavioral health services, primary care, inpatient services, or other essential rural health services in a rural county.
(3) Reducethe availabilityof emergencyservices, obstetrical services, behavioral health services, primary care, inpatient services, or other essential rural health services in a rural county.
DRH30588-MRa-130D Page 19 General Assembly Of North Carolina Session 2025 (2) Approve the proposed material change subject to a mitigation plan that satisfies the criteria specified in subsection (b) of this section.
House Bill 1175-First Edition Page 19 General Assembly Of North Carolina Session 2025 (2) Approve the proposed material change subject to a mitigation plan that satisfies the criteria specified in subsection (b) of this section.
(c) The Department may extend the period of time for making a determination under subsection (a)ofthis section by not morethan30additionaldays with writtennotice to theperson that submitted notice under G.S.
(c) The Department may extend the period of time for making a determination under subsection (a)ofthis section bynot morethan30additional days with writtennotice to theperson that submitted notice under G.S.
131E-193.13 is necessary or thatadditionalinformation is reasonably necessaryto complete the review, or both.
131E-193.13 is necessaryor thatadditionalinformation is reasonablynecessaryto complete the review, or both.
Page 20 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (b) The Department shall report annually by November 1 to the Joint Legislative Oversight Committee on Health and Human Services and the Fiscal Research Division regarding all notices received under this Article, determinations made, mitigation plans required, enforcement actions taken, and observed effects on rural access to essential health services.
Page 20 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (b) The Department shall report annually by November 1 to the Joint Legislative Oversight Committee on Health and Human Services and the Fiscal Research Division regarding all notices received under this Article, determinations made, mitigation plans required, enforcement actions taken, and observed effects on rural access to essential health services.
a health care facility as defined in G.S.
a health care facilityas defined in G.S.
DRH30588-MRa-130D Page 21 General Assembly Of North Carolina Session 2025 … (16a) "Urgent health careservice" means ahealth careservice, including mental and behavioral health care services and dental care services, with respect to which the application of the time periods for making an urgent care determination that, in the opinion of a health care provider with knowledge of the covered person's medical condition, meets either of the following criteria:
House Bill 1175-First Edition Page 21 General Assembly Of North Carolina Session 2025 … (16a) "Urgent health careservice"means ahealth careservice, including mental and behavioral health care services and dental care services, with respect to which the application of the time periods for making an urgent care determination that, in the opinion of a health care provider with knowledge of the covered person's medical condition, meets either of the following criteria:
– All of the following shall apply in the administration of a utilization review program under this section:
– All of the following shall applyin the administration of a utilization review program under this section:
Utilization Reviews Based UponTypeofHealthCareService.–Asusedinthissubsection,theterm"necessaryinformation" includes the results of any patient examination, clinical evaluation, or second opinion that may be required.
Utilization Reviews Based UponTypeofHealthCareService.–Asusedinthissubsection,theterm "necessaryinformation" includes the results of any patient examination, clinical evaluation, or second opinion that may be required.
Page 22 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (1) Non-urgent health care services.
Page 22 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (1) Non-urgent health care services.
– An insurer or its URO shall both (i) render a utilization review determination or noncertification concerning urgent health care services and (ii) notify the covered person and the covered person's provider of that utilization review determination or noncertification not later than 24 hours after receiving all necessary information needed to complete the review of the requested services.
– An insurer or its URO shall both (i) render a utilization review determination or noncertification concerning urgent health care services and (ii) notify the covered person and the covered person's provider of that utilization review determination or noncertification not later than 24 hours after receiving all necessaryinformation needed to complete the review of the requested services.
In (f2) Concurrent ReviewLiability.
In (f2) Concurrent Review Liability.
After a written notice of noncertification has been issued in accordance with subsection (h) of this section, then the reconsideration shall be conducted between the covered person's provider and a medical doctor licensed to practice medicine in this State designated by the insurer.Aninsurershall not requireacoveredpersonto participatein aninformalreconsideration before the covered person may appeal a noncertification under subsection (j) of this section.
After a written notice of noncertification has been issued in accordance with subsection (h) of this section, then the reconsideration shall be conducted between the covered person's provider and a medical doctor licensed to practice medicine in this State designated by the insurer.Aninsurershall not requireacoveredpersonto participatein an informal reconsideration before the covered person may appeal a noncertification under subsection (j) of this section.
provided that appeal and the requirements of subsection (k) of this section for acknowledging the request shall apply beginning on the day the insurerdetermines an informal reconsiderationdecision cannot bemadebeforethetenth business day after receipt of the request for an informal reconsideration.
provided that appeal and the requirements of subsection (k) of this section for acknowledging the request shall apply beginning on the day the insurerdetermines an informal reconsiderationdecisioncannot bemadebeforethetenth business day after receipt of the request for an informal reconsideration.
DRH30588-MRa-130D Page 23 General Assembly Of North Carolina Session 2025 (1) Except as otherwise provided, all appeals shall be reviewed by a licensed physician who meets all of the following criteria:
House Bill 1175-First Edition Page 23 General Assembly Of North Carolina Session 2025 (1) Except as otherwise provided, all appeals shall be reviewed by a licensed physician who meets all of the following criteria:
The requirements of subdivision (1) of this subsection shall apply to the reviewing licensed mental health professional in the same manner that they apply to a licensed physician.
The requirements of subdivision (1) of this subsection shall applyto the reviewing licensed mental health professional in the same manner that they apply to a licensed physician.
(3) The insurer or its URO shall communicate its the expedited appeal decision in writing to the covered person and his or her the covered person's provider as soon as possible, but not later than four days after receiving the information justifying expedited review.
(3) The insurer or its URO shall communicate its the expedited appeal decision in writing to the covered person and his or her the covered person's provider as soon as possible, but not later than four days after receivingthe information justifying expedited review.
Page 24 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (m) Disclosure of Utilization Review Requirements.
Page 24 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (m) Disclosure of Utilization Review Requirements.
– An insurer shall make any current prior authorization requirements and restrictions readily accessible on its website.
– An insurer shall make anycurrent prior authorization requirements and restrictions readily accessible on its website.
– All of the following apply to the length of time an approved prior authorization shall remain valid under certain circumstances:
– All of the following applyto the length of time an approved prior authorization shall remain valid under certain circumstances:
(2) If a health care service, other than for in-patient care, requires prior authorization and is for the treatment of a covered person's chronic condition, thentheprior authorizationshall remainvalidfor noless thansix months from thedatethehealthcareproviderreceivesnotificationofthepriorauthorization approval.
(2) If a health care service, other than for in-patient care, requires prior authorization and is for the treatment of a covered person's chronic condition, thentheprior authorizationshall remainvalidfor nolessthansix months from thedatethehealthcareproviderreceivesnotificationofthepriorauthorization approval.
58-50-61 for the North Carolina State Health Plan for Teachers and State Employees (State Health Plan), the State Treasurer and the Executive Administrator of the State Health Planshall review all practices oftheState HealthPlanand all contracts with, and practices DRH30588-MRa-130D Page 25 General Assembly Of North Carolina Session 2025 of, any third party conducting any utilization review on behalf of the State Health Plan to ensure compliance with subsection (a) of this section no later than the start of the next plan year.
58-50-61 for the North Carolina State Health Plan for Teachers and State Employees (State Health Plan), the State Treasurer and the Executive Administrator of the State Health Planshall review all practices oftheState HealthPlanand all contracts with, and practices House Bill 1175-First Edition Page 25 General Assembly Of North Carolina Session 2025 of, any third party conducting any utilization review on behalf of the State Health Plan to ensure compliance with subsection (a) of this section no later than the start of the next plan year.
"(1) The liability of the managed care entity is based on an administrative decision to approve or disapprove payment or reimbursement for, or denial, reduction, or termination of coverage, for a health care service and the physician organizations, health care providers, or entities wholly owned by physicians or health care providers or any combination thereof, which have made the decision at issue, have agreed explicitly, in a written addendum or agreement separate from the managed care organization's standard professional service agreement, to assume responsibility for making noncertification decisions decisions, as defined under G.S.
"(1) The liabilityof the managed care entity is based on an administrative decision to approve or disapprove payment or reimbursement for, or denial, reduction, or termination of coverage, for a health care service and the physician organizations, health care providers, or entities wholly owned by physicians or health care providers or any combination thereof, which have made the decision at issue, have agreed explicitly, in a written addendum or agreement separate from the managed care organization's standard professional service agreement, to assume responsibility for making noncertification decisions decisions, as defined under G.S.
(2) Attorney General.
(2) AttorneyGeneral.
– The AttorneyGeneral orany employeeoftheDepartment of Justice designated by the Attorney General.
– The AttorneyGeneral oranyemployeeoftheDepartment of Justice designated by the Attorney General.
The sale, transfer, lease, exchange, optioning, conveyance, or other disposition of no less than fifty percent (50%) of the assets or Page 26 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 operations of any hospital entity to any person or entity other than another hospital entity that controls, is controlled by, or is under common control with such hospital entity.
The sale, transfer, lease, exchange, optioning, conveyance, or other disposition of no less than fifty percent (50%) of the assets or Page 26 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 operations of any hospital entity to any person or entity other than another hospital entity that controls, is controlled by, or is under common control with such hospital entity.
(d) The State Auditor, Attorney General, and State Treasurer shall adopt rules specifying the required contents of the written notice required by this section and the manner in which the written notice shall be provided to the State Auditor, Attorney General, and State Treasurer in DRH30588-MRa-130D Page 27 General Assembly Of North Carolina Session 2025 order to be deemed complete and effective.
(d) The State Auditor, Attorney General, and State Treasurer shall adopt rules specifying the required contents of the written notice required by this section and the manner in which the written notice shall be provided to the State Auditor, Attorney General, and State Treasurer in House Bill 1175-First Edition Page 27 General Assembly Of North Carolina Session 2025 order to be deemed complete and effective.
(d) Upon notice, in writing, to all parties to the transaction, the State Auditor, Attorney General, and State Treasurer may extend their 60-day review period for up to an additional 30 days if the extension is necessary to obtain additional information from one or more of the parties to the transaction or to complete any component of the review process specified in G.S.
(d) Upon notice, in writing, to all parties to the transaction, the State Auditor, Attorney General, and State Treasurer may extend their 60-day review period for up to an additional 30 days if the extension is necessaryto obtain additional information from one or more of the parties to the transaction or to complete any component of the review process specified in G.S.
131E-214.64, without regard to whether or not the State Auditor, Attorney General, and State Treasurer have acknowledged receipt of a complete notice, the hospital entity shall give written notice of the proposed transaction by publication in one or more newspapers of general circulation in every county in which (i) there exists a hospital entity whose control or governance would be altered by the proposed transaction or (ii) there resides a substantial number of patients of a hospital entity whose control or governance would be altered by the proposed transaction.
131E-214.64, without regard to whether or not the State Auditor, Attorney General, and State Treasurer have acknowledged receipt of a complete notice, the hospital entity shall give written notice of the proposed transaction by publication in one or more newspapers of general circulation in every county in which (i) there exists a hospital entitywhose control or governance would be altered bythe proposed transaction or (ii) there resides a substantial number of patients of a hospital entity whose control or governance would be altered by the proposed transaction.
Page 28 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 a.
Page 28 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 a.
131E-214.64 to provide a published written notice as required by subsection (a) of this section shall be a sufficient ground for the State Auditor, Attorney General, and State Treasurer to object to theproposed transaction.
131E-214.64 to provide a published written notice as required by subsection (a) of this section shall be a sufficient ground for the State Auditor, AttorneyGeneral, and State Treasurer to object to theproposed transaction.
In addition, the hospital entity and the acquiring entity shall give written notice to the governing bodies of both the county and the municipality in which the hospital entity that is the subject of the proposed transaction is located, as applicable.
In addition, the hospital entityand the acquiring entity shall give written notice to the governing bodies of both the county and the municipality in which the hospital entity that is the subject of the proposed transaction is located, as applicable.
(c) With written notice to, and approval by, the State Auditor, Attorney General, and StateTreasurer, thehospital entity andtheacquiring entity mayconduct apublichearingrequired by this section via online teleconferencing and video-conferencing technology;
(c) With written notice to, and approval by, the State Auditor, Attorney General, and StateTreasurer, thehospital entityandtheacquiringentitymayconduct apublichearingrequired by this section via online teleconferencing and video-conferencing technology;
The hospital entity and the acquiring entity shall also communicate to attendees howinterestedparties mayprovidewrittencommentsabouttheproposedtransaction,whichshall DRH30588-MRa-130D Page 29 General Assembly Of North Carolina Session 2025 be identical to the statement required by sub-subdivision (2)b.
The hospital entity and the acquiring entity shall also communicate to attendees howinterestedparties mayprovidewrittencommentsabouttheproposedtransaction,whichshall House Bill 1175-First Edition Page 29 General Assembly Of North Carolina Session 2025 be identical to the statement required by sub-subdivision (2)b.
(f) In any transaction in which the hospital entity is a nonprofit or publicly owned entity, thehospitalentityandtheacquiringentityshallprovideinformationregardingtheextenttowhich the proposed transaction is expected to impact the nonprofit or community benefit activities of thehospital entity, including adescriptionoftheresources thatwill becommittedto thenonprofit or community benefit activities after the consummation of the transaction.
(f) In any transaction in which the hospital entity is a nonprofit or publicly owned entity, thehospitalentityandtheacquiringentityshallprovideinformationregardingtheextenttowhich the proposed transaction is expected to impact the nonprofit or community benefit activities of thehospital entity, includingadescriptionoftheresources thatwill becommittedto thenonprofit or community benefit activities after the consummation of the transaction.
(1) Whether the fair market value of any asset to be transferred from the hospital entity to theacquiring entity has beenmanipulated bytheactions of theparties in a manner that causes the fair market value of the asset to decrease.
(1) Whether the fair market value of any asset to be transferred from the hospital entityto the acquiringentityhas beenmanipulated bythe actions of theparties in a manner that causes the fair market value of the asset to decrease.
Page 30 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 c.
Page 30 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 c.
In determining whether the level of commitment by the acquiring entity will have a significant effect on the availability, accessibility, or quality of healthcare services for any affected community if the proposed transaction is approved, the State Auditor, Attorney General, and State Treasurer shall consider the number of programs and activities and the amount of funding dedicated by the acquiring entity, as compared to the hospital entity or their affiliated foundations, to:
In determining whether the level of commitment by the acquiring entity will have a significant effect on the availability, accessibility, or quality of healthcare services for any affected community if the proposed transaction is approved, the State Auditor, Attorney General, and State Treasurer shall consider the number of programs and activities and the amount of funding dedicated bythe acquiring entity, as compared to the hospital entityor their affiliated foundations, to:
Whether sufficient safeguards are included to maintain appropriate capacity forhealthscienceresearchand healthcare providereducation.
Whether sufficient safeguards are included to maintain appropriate capacityforhealthscienceresearchand healthcare providereducation.
(8) Any objection to the transaction raised in comments submitted to the Attorney General.
(8) Anyobjection to the transaction raised in comments submitted to the Attorney General.
DRH30588-MRa-130D Page 31 General Assembly Of North Carolina Session 2025 (2) Whether the proceeds of the proposed transaction would be used in a manner consistent with the trust under which the assets are held by the hospital entity.
House Bill 1175-First Edition Page 31 General Assembly Of North Carolina Session 2025 (2) Whether the proceeds of the proposed transaction would be used in a manner consistent with the trust under which the assets are held by the hospital entity.
(c) The State Auditor, Attorney General, and State Treasurer may request from the Department of Health and Human Services a report on the anticipated effects of any proposed Page 32 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 transaction on access to, or the pricing of, healthcare services in any part of the State.
(c) The State Auditor, Attorney General, and State Treasurer may request from the Department of Health and Human Services a report on the anticipated effects of any proposed Page 32 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 transaction on access to, or the pricing of, healthcare services in any part of the State.
131E-214.66 may be extended an additional 30 days to allow for the completion of such a report;
131E-214.66 maybe extended an additional 30 days to allow for the completion of such a report;
(3) Actual costs incurred by the Department of Health and Human Services for preparing a report for the StateAuditor,Attorney General, and StateTreasurer pursuant to subsection (c) of this section.
(3) Actual costs incurred by the Department of Health and Human Services for preparing a report for the StateAuditor,AttorneyGeneral, and StateTreasurer pursuant to subsection (c) of this section.
Upon receipt of this fee from the acquiringentity,theStateAuditor,AttorneyGeneral,andStateTreasurershall reimburse the Department of Health and Human Services for the actual cost of preparing the report.
Upon receipt of this fee from the acquiringentity,theStateAuditor,AttorneyGeneral, andStateTreasurershall reimburse the Department of Health and Human Services for the actual cost of preparing the report.
DRH30588-MRa-130D Page 33 General Assembly Of North Carolina Session 2025 (a) The State Auditor, Attorney General, and State Treasurer may object to any transaction coveredbythisArticlebyprovidingwrittennoticetotheparties withinthetimeframe prescribed by G.S.
House Bill 1175-First Edition Page 33 General Assembly Of North Carolina Session 2025 (a) The State Auditor, Attorney General, and State Treasurer may object to any transaction coveredbythisArticlebyprovidingwrittennoticetotheparties withinthetimeframe prescribed by G.S.
(5) In determining whether the State Auditor, Attorney General, and State Treasurer have met the burden of proof under subdivision (4) of this Page 34 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 subsection, the court should consider evidence of any of the applicable criteria listed in G.S.
(5) In determining whether the State Auditor, Attorney General, and State Treasurer have met the burden of proof under subdivision (4) of this Page 34 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 subsection, the court should consider evidence of anyof the applicable criteria listed in G.S.
Any party may appeal a decision of the court approving the transaction subject to modification, except the State Auditor, Attorney General, and State Treasurer shall not appeal a decision of the court approving the transaction subject to the same modifications initially sought by the State Auditor, Attorney General, and State Treasurer.
Anyparty may appeal a decision of the court approving the transaction subject to modification, except the State Auditor, Attorney General, and State Treasurer shall not appeal a decision of the court approvingthe transaction subject to the same modifications initially sought by the State Auditor, Attorney General, and State Treasurer.
(5) In determining whether the State Auditor, Attorney General, and State Treasurer have met the burden of proof under subdivision (4) of this subsection, the court should consider evidence of any of the applicable criteria listed in G.S.
(5) In determining whether the State Auditor, Attorney General, and State Treasurer have met the burden of proof under subdivision (4) of this subsection, the court should consider evidence of anyof the applicable criteria listed in G.S.
131E-214.78, the acquiring entity shall submit to theStateAuditor,Attorney General, andStateTreasurer anannual reportontheacquiring entity's compliance with the terms of the purchase agreement for the transaction, including any DRH30588-MRa-130D Page 35 General Assembly Of North Carolina Session 2025 representations made to, or modifications made by, the State Auditor, Attorney General, and State Treasurer.
131E-214.78, the acquiring entity shall submit to theStateAuditor,AttorneyGeneral, andStateTreasurer anannual reportontheacquiringentity's compliance with the terms of the purchase agreement for the transaction, including any House Bill 1175-First Edition Page 35 General Assembly Of North Carolina Session 2025 representations made to, or modifications made by, the State Auditor, Attorney General, and State Treasurer.
131E-214.78,the StateAuditor,Attorney General, andState Treasurer may file an action in either (i) the superior court of any county in which there exists a hospital entity whose control or governance would be altered by the proposed transaction or (ii) the superior court of the county in which the acquiring entity's principal place of business is located, if located within the State.
131E-214.78,the StateAuditor,AttorneyGeneral, and State Treasurer may file an action in either (i) the superior court of any county in which there exists a hospital entity whose control or governance would be altered by the proposed transaction or (ii) the superior court of the county in which the acquiring entity's principal place of business is located, if located within the State.
(3) The State Auditor, Attorney General, and State Treasurer have the burden of demonstrating by clear and convincing evidence that the benefits of the relief sought to restore the benefits of healthcare provider competition in any part of the State clearly outweigh the costs of doing so, including the transactional costs associated with doing so and any likelihood that the resulting market would not provide the benefits of healthcare provider competition in any part of the State.
(3) The State Auditor, Attorney General, and State Treasurer have the burden of demonstrating by clear and convincing evidence that the benefits of the relief sought to restore the benefits of healthcare provider competition in anypart of the State clearly outweigh the costs of doing so, including the transactional costs associated with doing so and any likelihood that the resulting market would not provide the benefits of healthcare provider competition in any part of the State.
(d) Afterconsummationofatransaction,anacquiring entity shallnotchangethefinancial assistance policy regarding patients who are uninsured or underinsured that were in effect for the hospital entity immediately preceding consummation of the transaction without first providing 120 days' notice, in writing, to the Attorney General;
(d) Afterconsummationofatransaction,anacquiringentityshallnotchangethefinancial assistance policy regarding patients who are uninsured or underinsured that were in effect for the hospital entity immediately preceding consummation of the transaction without first providing 120 days' notice, in writing, to the Attorney General;
Page 36 DRH30588-MRa-130D General Assembly Of North Carolina Session 2025 (1) Provide written notice to both the patient's last known mailing address and to the email address on file for the patient that includes at least all of the following:
Page 36 House Bill 1175-First Edition General Assembly Of North Carolina Session 2025 (1) Provide written notice to both the patient's last known mailing address and to the email address on file for the patient that includes at least all of the following:
Physicians shall verbally inform patients about the new financial assistance policy at appointments occurring during the 120-day notice period required by this subsection.
Physicians shall verballyinform patients about the new financial assistance policy at appointments occurring during the 120-day notice period required by this subsection.
(b) Each member of the governing boards and each chief financial officer of the parties to a transaction entered into in violation of this Article are subject to a civil penalty of up to fifty thousand dollars ($50,000) each per transaction, unless the violation was made in wanton disregardofthelaw,in which casethe civil penaltymaybeup to onemilliondollars ($1,000,000) each per transaction.
(b) Each member of the governing boards and each chief financial officer of the parties to a transaction entered into in violation of this Article are subject to a civil penalty of up to fifty thousand dollars ($50,000) each per transaction, unless the violation was made in wanton disregardofthelaw,in which casethe civil penaltymaybeupto onemillion dollars ($1,000,000) each per transaction.
DRH30588-MRa-130D Page 37
House Bill 1175-First Edition Page 37
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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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3 sponsors · 37 co-sponsors · 139 not signed on

Sponsors (3)

Co-sponsors (37)

Not signed on (139)

139 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.

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Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 1175?
HB 1175 is sponsored by Brian Turner (Democratic), Phil Rubin (Democratic), James Roberson (Democratic), Robert T. Reives, II (Democratic), Amos L. Quick, III (Democratic), Renée A. Price (Democratic), Lindsey Prather (Democratic), Rodney D. Pierce (Democratic), Garland E. Pierce (Democratic), Marcia Morey (Democratic), Nasif Majeed (U), Jordan Lopez (Democratic), Tim Longest (Democratic), Carolyn G. Logan (Democratic), Ya Liu (Democratic), Monika Johnson-Hostler (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Allison A. Dahle (Democratic), Amanda P. Cook (Democratic), Mike Colvin (Democratic), Bryan Cohn (Democratic), Tracy Clark (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Allen Buansi (Democratic), Kanika Brown (Democratic), Gloristine Brown (Democratic), Amber M. Baker (Democratic), Vernetta Alston (Democratic), Eric Ager (Democratic), Mary Belk (Democratic), Cynthia Ball (Democratic), Sarah Crawford (Democratic), Maria Cervania (Democratic), Beth Helfrich (Democratic), Neal Jackson (Republican), Julie von Haefen (Democratic), and Charles Smith (Democratic).
What is the current status of HB 1175?
This bill is in committee in the House. Introduced April 30, 2026. It must pass committee before a floor vote.
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