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Prescription Drug Expenses Tax Deduction

IntroducedErin Pare (R)House2025–2026 Session
AI Generated

This bill allows North Carolina taxpayers to deduct up to $5,000 per year in out-of-pocket prescription drug expenses from their state income taxes, starting in 2026. The deduction covers unreimbursed medication costs and pharmacy co-pays, but excludes amounts already covered by tax-advantaged accounts like Health Savings Accounts or Flexible Spending Accounts.

Arguments in Favor

Supporters argue this deduction helps North Carolinians struggling with high prescription drug costs by reducing their state tax burden. They contend it provides meaningful relief for households paying significant out-of-pocket medication expenses, particularly seniors and people with chronic illnesses, while encouraging residents to maintain necessary prescriptions without financial hardship.

Arguments Against

Opponents may argue the deduction reduces state tax revenue and primarily benefits higher-income taxpayers who have more tax liability to offset. They contend the $5,000 cap may not help lower-income individuals who pay little or no state income tax, and question whether a tax deduction is the most effective way to address prescription drug affordability compared to other policy approaches.

AI-generated analysis based on bill text. Always verify with official sources at ncleg.gov. This is not legal or political advice.

Sponsors

Cosponsors (40)

Becky Carney
Becky CarneyDemocrat

Representative · District 102

Patricia Cotham
Patricia CothamRepublican

Representative · District 105

Mary Harrison
Mary HarrisonDemocrat

Representative · District 61

Francis Iler
Francis IlerRepublican

Representative · District 17

James Dixon
James DixonRepublican

Representative · District 4

Harry Warren
Harry WarrenRepublican

Representative · District 76

Phillip Shepard
Phillip ShepardRepublican

Representative · District 15

Carla Cunningham
Carla CunninghamDemocrat

Representative · District 106

Shelly Willingham
Shelly WillinghamDemocrat

Representative · District 23

Larry Potts
Larry PottsRepublican

Representative · District 81

Donna White
Donna WhiteRepublican

Representative · District 26

Deb Butler
Deb ButlerDemocrat

Representative · District 18

Chris Humphrey
Chris HumphreyRepublican

Representative · District 12

Carolyn Logan
Carolyn LoganDemocrat

Representative · District 101

Jeffrey McNeely
Jeffrey McNeelyRepublican

Representative · District 84

Abraham Jones
Abraham JonesDemocrat

Representative · District 38

Diane Wheatley
Diane WheatleyRepublican

Representative · District 43

Matthew Winslow
Matthew WinslowRepublican

Representative · District 7

Jeff Zenger
Jeff ZengerRepublican

Representative · District 74

Ben Moss
Ben MossRepublican

Representative · District 52

Howard Penny
Howard PennyRepublican

Representative · District 53

Reece Pyrtle
Reece PyrtleRepublican

Representative · District 65

Donnie Loftis
Donnie LoftisRepublican

Representative · District 109

Brian Biggs
Brian BiggsRepublican

Representative · District 70

Gloristine Brown
Gloristine BrownDemocrat

Representative · District 8

Kanika Brown
Kanika BrownDemocrat

Representative · District 71

Frances Jackson
Frances JacksonDemocrat

Representative · District 45

Ray Jeffers
Ray JeffersDemocrat

Representative · District 2

Ya Liu
Ya LiuDemocrat

Representative · District 21

Joe Pike
Joe PikeRepublican

Representative · District 6

Bill Ward
Bill WardRepublican

Representative · District 5

Eric Ager
Eric AgerDemocrat

Representative · District 114

Jerry Branson
Jerry BransonRepublican

Representative · District 59

Tracy Clark
Tracy ClarkDemocrat

Representative · District 57

Heather Rhyne
Heather RhyneRepublican

Representative · District 97

Bryan Cohn
Bryan CohnDemocrat

Representative · District 32

Julia Greenfield
Julia GreenfieldDemocrat

Representative · District 100

Monika Johnson-Hostler
Monika Johnson-HostlerDemocrat

Representative · District 33

Richard Carver
Richard CarverRepublican

Representative · District 95

PR
Phil RubinDemocrat

Representative · District 40