North Carolina 2025-2026 Regular Session

North Carolina House Bill H1175

Introduced
4/30/26  

Caption

Affordability in Healthcare Act

Impact

The bill focuses on reining in skyrocketing healthcare costs attributed to market consolidation, opaque pricing, and lack of competition, which adversely affect consumers. Notably, it seeks to eliminate the certificate of need review for inpatient rehabilitation services, promoting a more streamlined approval process for healthcare facilities. Additionally, it aims to bolster essential rural health services, ensuring that communities in these areas retain access to critical healthcare services by establishing protective regulations against service reductions or closures.

Summary

House Bill 1175, known as the Affordability in Healthcare Act, aims to lower healthcare costs, increase competition within the health insurance market, and improve value and transparency for consumers in North Carolina. The bill proposes various initiatives, including establishing a low-cost health plan option on the Affordable Care Act marketplace, creating a public health purchasing consortium to leverage the state's purchasing power, and appropriating funds for these implementations. The overarching goal is to make healthcare more accessible and affordable for residents across the state.

Sentiment

The sentiment around HB 1175 is mixed but leans towards the positive among proponents who see it as a necessary reform for improving healthcare access and affordability. Supporters point out the burden of high healthcare costs on families and small businesses, while also emphasizing the importance of enhancing competition within the healthcare sector. However, there are significant concerns raised by some opposition, particularly regarding the potential negative effects on local governance concerning health service regulations, and the fear that certain provisions might undermine oversight of the healthcare system.

Contention

Key points of contention within the bill include debates about the balance between state regulation and local autonomy over healthcare decisions, particularly in rural areas that may be disproportionately affected by changes in service availability. Furthermore, opponents worry about the implications of dismantling certificate of need processes, fearing it may lead to unregulated expansions that could destabilize existing healthcare infrastructure. Discussions surrounding the bill also highlight frustrations regarding the complexity of healthcare pricing and how transparency measures are implemented within the state.

Companion Bills

No companion bills found.

Previously Filed As

NC S724

Promoting healthcare access and affordability for patients

NC S316

Lower Healthcare Costs

NC H434

Lower Healthcare Costs

NC H1364

Relative to promoting healthcare access and affordability for patients

NC H46

Make Healthcare Affordable

NC HB1110

Georgia Small Business Healthcare Affordability Act; enact

NC S24

Govt Mandates Increase Healthcare Costs

NC S532

Preserving Competition in Healthcare Act

NC H1066

Child Care Stabilization & Affordability Act

NC S978

Healthcare Competition Reforms

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