North Carolina 2025-2026 Regular Session

North Carolina House Bill H1074

Introduced
4/28/26  
Refer
4/29/26  
Report Pass
5/12/26  

Caption

Prescription Drug Expenses Tax Deduction

Impact

If enacted, H1074 would have a significant impact on state tax regulations, particularly those governing personal income tax deductions. The introduction of this deduction would effectively lower the taxable income of North Carolinians who meet the criteria, thus providing some financial relief to patients facing high healthcare costs. The measure is expected to assist not only individuals with substantial prescription expenses but also families managing multiple healthcare needs. By facilitating a more affordable approach to medication costs, the bill may improve overall health outcomes within the state.

Summary

House Bill 1074, titled 'Prescription Drug Expenses Tax Deduction,' seeks to amend the North Carolina income tax code to provide a tax deduction for certain out-of-pocket prescription drug expenses. Specifically, the bill allows taxpayers to deduct up to $5,000 from their adjusted gross income for unreimbursed pharmacy costs. This provision aims to relieve the financial burden on individuals who incur substantial medication costs without insurance coverage or reimbursement, particularly benefiting those with chronic conditions requiring regular prescriptions.

Sentiment

The sentiment surrounding H1074 appears largely positive among supporters who advocate for increased accessibility to necessary medications through tax relief. Particularly, proponents believe that the bill addresses a critical gap in healthcare affordability that has been exacerbated by rising drug prices. However, there may also be concerns about the fiscal implications of implementing such tax deductions on state revenue, leading to a more cautious view among those worried about potential budgetary impacts. Opponents might argue that the scope of the deduction could lead to inequities if not carefully regulated.

Contention

Notable points of contention regarding H1074 may revolve around the financial implications and eligibility criteria for the deduction. While many support the concept of easing the tax burden associated with healthcare, discussions may arise regarding the potential impact on state funding and services, particularly if a significant number of taxpayers utilize the deduction. Additionally, there could be debates about whether the cap of $5,000 is sufficient to cover typical prescription costs for families, pointing to a need for balancing taxpayer relief with comprehensive healthcare solutions.

Companion Bills

No companion bills found.

Previously Filed As

NC S983

TIPs Tax Deduction

NC A885

Provides $5,000 gross income tax deduction for taxpayers who incur certain commuter expenses.

NC SB349

Authorizes an income tax deduction for certain research expenses

NC SB1231

Authorizes an income tax deduction for certain research expenses

NC HB224

Medical Care Expenses Tax Deduction

NC HB69

Regards taxpayer deduction for depreciation, enhanced expensing

NC S511

Allows a gross income tax deduction for certain higher education tuition and fee expenses.

NC A1305

Allows a gross income tax deduction for certain higher education tuition and fee expenses.

NC H14

Gambling Loss Tax Deduct, NC Sound Money Act

NC A127

Provides gross income tax deduction for in vitro fertilization treatment expenses.

Similar Bills

No similar bills found.