Plain English Summary
This bill requires that any new state legislation creating health insurance mandates (such as requiring coverage of specific treatments or services) must also repeal an equal number of existing mandates and appropriate funds to cover the new mandate's cost. It applies to both private health insurance plans and the state employee health plan, with an exception if an actuarial analysis shows a mandate would actually decrease costs.
Arguments in Favor
Supporters argue this bill increases transparency about healthcare costs by forcing lawmakers to explicitly account for the financial impact of insurance mandates. They contend that mandates drive up premiums for employers and consumers, and that requiring the repeal of old mandates before adding new ones prevents unlimited growth in required coverage that increases costs without benefiting those who don't need those specific services.
Arguments Against
Opponents may argue this bill could prevent important health protections from being added to insurance plans, such as coverage for specific treatments or preventive services, by making it harder to expand benefits. They may also contend that the bill treats all mandates equally without distinguishing between those that serve essential health needs versus less critical coverage, and that it could limit patient access to necessary care by prioritizing cost reduction over coverage comprehensiveness.
AI-generated analysis based on bill text. Always verify with official sources at ncleg.gov. This is not legal or political advice.
Sponsors

Primary Sponsor
Senator · District 25

Primary Sponsor
Senator · District 12

Primary Sponsor
Senator · District 10
Cosponsors (21)
Senator · District 31
Senator · District 46
Senator · District 1
Senator · District 34
Senator · District 33
Senator · District 3
Senator · District 45
Senator · District 21
Senator · District 48
Senator · District 8
Senator · District 50
Senator · District 32
Senator · District 43
Senator · District 14
Senator · District 4
Senator · District 11
Senator · District 36
Senator · District 44
Senator · District 24
Senator · District 47
Senator · District 30
Vote Breakdown (3 roll calls)
Final Vote
On: Second Reading
Party Breakdown