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Primary Sponsor

Last Action

Ref To Com On Rules, Calendar, and Operations of the House2025-02-05

Vote Breakdown

No floor votes recorded.

Plain Language Summary

This bill requires that any new state legislation creating health insurance mandates (such as coverage requirements for specific treatments, providers, or drugs) must also repeal at least an equal number of existing mandates and must appropriate funds to cover the cost. The bill establishes a definition of health benefit mandates and applies these requirements to both private health plans and the State Health Plan for Teachers and State Employees.

Arguments in Favor

• •Supporters argue this bill helps control rising healthcare costs by requiring lawmakers to weigh the cost of new insurance requirements before adding them and by forcing a trade-off that prevents unlimited mandate expansion.
• •They contend that by making the financial impact of mandates transparent and requiring funding, the state can reduce premium increases and out-of-pocket costs for North Carolina residents and employers, particularly small businesses.

Arguments Against

• •Opponents worry that requiring repeal of existing mandates to add new ones could eliminate important consumer protections and necessary coverage for treatments like mental health care, hearing aids, or specialized treatments.
• •They argue the bill makes it harder to expand healthcare coverage when medical needs evolve and contend that the real drivers of healthcare costs are provider prices and administrative overhead, not state-mandated benefits.