HB 565 — Limit Use of AI Medicaid/Commercial Insurance.
Last action — Re-ref Com On Rules and Operations of the Senate (Senate action)
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1Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill has been introduced in the House. Introduced June 23, 2026. It must pass committee before a floor vote.
Next likely step: a committee referral and hearing.
Odds of enactment
Low chanceBased 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
Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
In plain language
The bill aims to limit the use of AI in Medicaid and commercial insurance.
This legislation seeks to restrict the application of artificial intelligence within Medicaid and commercial insurance frameworks. It aims to ensure that decision-making in these areas takes place without reliance on AI systems.
What this means for you
- Families: Families could see differences in the management of healthcare benefits due to the limitations on AI use.
- Consumers: Consumers might experience changes in how their insurance claims are assessed, prioritizing human evaluations over AI.
- Healthcare: Healthcare providers may need to adjust their practices to accommodate the reduced role of AI in treatment decisions.
Summary
Limit Use of AI Medicaid/Commercial Insurance.
Bill Text
We don't have the full text on file for this bill yet.
Read HB 565 on the official North Carolina source →Action History
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Re-ref Com On Rules and Operations of the Senate (Senate action)
Sponsorship breakdown
Export CSV (upgrade) →0 sponsors · 0 co-sponsors · 179 not signed on · 1 voted No
Sponsors (0)
None.
Co-sponsors (0)
None.
Not signed on (179)
179 members have not signed on to this bill.
Show all 179 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 40 | 1 | 0 | 5 |
| U | 2 | 0 | 0 | 0 |
| Unaffiliated | 5 | 0 | 0 | 0 |
| Republican | 63 | 0 | 0 | 4 |
| Total | 110 | 1 | 0 | 9 |
| % of votes cast | 92% | 1% | 0% | 8% |
How each member voted (120)
| Member | Party | Vote |
|---|---|---|
| F. Jackson | — | Yea |
| Campbell | — | Yea |
| Johnson | — | Yea |
| Lowery | — | Yea |
| Reeder | — | Yea |
| Abe Jones | Democratic | Yea |
| Aisha O. Dew | Democratic | Yea |
| Allen Buansi | Democratic | Yea |
| Allison A. Dahle | Democratic | Yea |
| Amber M. Baker | Democratic | Nay |
| Amos L. Quick, III | Democratic | Not Voting |
| B. Ray Jeffers | Democratic | Yea |
| Becky Carney | Democratic | Yea |
| Beth Helfrich | Democratic | Yea |
| Brandon Lofton | Democratic | Yea |
| Brian Turner | Democratic | Yea |
| Bryan Cohn | Democratic | Yea |
| Carolyn G. Logan | Democratic | Yea |
| Cecil Brockman | Democratic | Yea |
| Charles Smith | Democratic | Yea |
| Cynthia Ball | Democratic | Yea |
| Dante Pittman | Democratic | Yea |
| Deb Butler | Democratic | Not Voting |
| Eric Ager | Democratic | Yea |
| Garland E. Pierce | Democratic | Not Voting |
| Gloristine Brown | Democratic | Yea |
| James Roberson | Democratic | Yea |
| Jordan Lopez | Democratic | Yea |
| Julia Greenfield | Democratic | Yea |
| Julie von Haefen | Democratic | Yea |
| Kanika Brown | Democratic | Not Voting |
| Laura Budd | Democratic | Yea |
| Lindsey Prather | Democratic | Yea |
| Marcia Morey | Democratic | Yea |
| Maria Cervania | Democratic | Yea |
| Mary Belk | Democratic | Yea |
| Mike Colvin | Democratic | Yea |
| Monika Johnson-Hostler | Democratic | Yea |
| Phil Rubin | Democratic | Yea |
| Pricey Harrison | Democratic | Not Voting |
| Renée A. Price | Democratic | Yea |
| Robert T. Reives, II | Democratic | Yea |
| Rodney D. Pierce | Democratic | Yea |
| Sarah Crawford | Democratic | Yea |
| Shelly Willingham | Democratic | Yea |
| Terry M. Brown Jr. | Democratic | Yea |
| Tim Longest | Democratic | Yea |
| Tracy Clark | Democratic | Yea |
| Vernetta Alston | Democratic | Yea |
| Ya Liu | Democratic | Yea |
| Zack Hawkins | Democratic | Yea |
| A. Reece Pyrtle, Jr. | Republican | Yea |
| Allen Chesser | Republican | Not Voting |
| Ben T. Moss, Jr. | Republican | Yea |
| Bill Ward | Republican | Yea |
| Blair Eddins | Republican | Yea |
| Brenden H. Jones | Republican | Yea |
| Brian Biggs | Republican | Yea |
| Brian Echevarria | Republican | Yea |
| Carson Smith | Republican | Yea |
| Celeste C. Cairns | Republican | Yea |
| Charles W. Miller | Republican | Yea |
| Chris Humphrey | Republican | Yea |
| Cody Huneycutt | Republican | Yea |
| David Willis | Republican | Yea |
| Dean Arp | Republican | Yea |
| Dennis Riddell | Republican | Yea |
| Destin Hall | Republican | Yea |
| Diane Wheatley | Republican | Yea |
| Donna McDowell White | Republican | Yea |
| Donnie Loftis | Republican | Yea |
| Donny Lambeth | Republican | Yea |
| Dudley Greene | Republican | Yea |
| Edward C. Goodwin | Republican | Yea |
| Erin Paré | Republican | Yea |
| Frank Iler | Republican | Yea |
| Harry Warren | Republican | Yea |
| Heather H. Rhyne | Republican | Yea |
| Howard Penny, Jr. | Republican | Yea |
| Hugh Blackwell | Republican | Yea |
| Jay Adams | Republican | Yea |
| Jeff Zenger | Republican | Yea |
| Jeffrey C. McNeely | Republican | Yea |
| Jennifer Balkcom | Republican | Yea |
| Jerry "Alan" Branson | Republican | Yea |
| Jimmy Dixon | Republican | Yea |
| John A. Torbett | Republican | Yea |
| John M. Blust | Republican | Yea |
| John R. Bell, IV | Republican | Not Voting |
| John Sauls | Republican | Yea |
| Jonathan L. Almond | Republican | Yea |
| Joseph Pike | Republican | Yea |
| Julia C. Howard | Republican | Yea |
| Karl E. Gillespie | Republican | Yea |
| Keith Kidwell | Republican | Yea |
| Kelly E. Hastings | Republican | Yea |
| Kyle Hall | Republican | Yea |
| Larry C. Strickland | Republican | Yea |
| Larry W. Potts | Republican | Yea |
| Mark Brody | Republican | Yea |
| Mark Pless | Republican | Yea |
| Matthew Winslow | Republican | Yea |
| Mike Clampitt | Republican | Yea |
| Mike Schietzelt | Republican | Yea |
| Mitchell S. Setzer | Republican | Yea |
| Neal Jackson | Republican | Yea |
| Paul Scott | Republican | Yea |
| Phil Shepard | Republican | Yea |
| Ray Pickett | Republican | Yea |
| Sam Watford | Republican | Yea |
| Sarah Stevens | Republican | Yea |
| Stephen M. Ross | Republican | Not Voting |
| Steve Tyson | Republican | Yea |
| Ted Davis, Jr. | Republican | Yea |
| Todd Carver | Republican | Yea |
| Tricia Ann Cotham | Republican | Yea |
| William D. Brisson | Republican | Yea |
| Wyatt Gable | Republican | Not Voting |
| Carla D. Cunningham | U | Yea |
| Nasif Majeed | U | Yea |
Subjects
Frequently asked questions
- What does HB 565 do?
- Limit Use of AI Medicaid/Commercial Insurance.
- What is the current status of HB 565?
- This bill has been introduced in the House. Introduced June 23, 2026. It must pass committee before a floor vote.
- Where can I track HB 565?
- Track HB 565 free on One Click Politics — get push/email alerts when it moves.
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