summary
Introduced
02/25/2025
02/25/2025
In Committee
09/22/2025
09/22/2025
Crossed Over
06/25/2025
06/25/2025
Passed
Dead
Introduced Session
2025-2026 Session
Bill Summary
AN ACT TO PROVIDE GREATER FAIRNESS IN BILLING AND COLLECTIONS PRACTICES FOR HOSPITALS AND AMBULATORY SURGICAL FACILITIES AND TO PROHIBIT PLANNED PARENTHOOD PARTICIPATION IN MEDICAID. Whereas, on January 24, 2025, President Donald J. Trump issued Executive Order 14182, Enforcing the Hyde Amendment, which reinforced that the policy of the United States is to end the forced use of federal taxpayer dollars to fund or promote elective abortion. President Trump also reversed prior actions from the Biden administration that disregarded and contradicted the Hyde amendment; and Whereas, Congress passed and President Trump signed H.R. 1, the One Big Beautiful Bill Act, which included the federal defunding of elective abortion centers like Planned Parenthood for the next year; and Whereas, in its June 26, 2025, ruling in Medina v. Planned Parenthood, the U.S. Supreme Court affirmed the right of states to bar Planned Parenthood from receiving Medicaid funds; and Whereas, Americans and North Carolinians have made clear that they do not want their tax dollars subsidizing abortions; Now, therefore,
AI Summary
This bill has two main components: first, it requires the North Carolina Department of Health and Human Services to disenroll Planned Parenthood from Medicaid, terminate all Medicaid contracts with Planned Parenthood, and find alternative Medicaid providers to replace their services. Second, the bill introduces new transparency requirements for hospitals and ambulatory surgical facilities regarding medical billing. These new requirements include mandating that facilities provide patients with a detailed, easy-to-understand itemized list of charges before referring an unpaid bill to collections, and requiring facilities to offer a "good-faith estimate" for scheduled medical services at least three days before the service is performed. The good-faith estimate must include specific medical coding information (like DRG, CPT, or HCPCS codes) and cover all potential related items and services. Moreover, the bill stipulates that a patient's final bill for a scheduled service cannot exceed the good-faith estimate by more than 5%. The bill is set to become effective retroactively to July 1, 2025, with some provisions taking effect on January 1, 2026, or when the Department of Health and Human Services finalizes implementing rules.
Committee Categories
Budget and Finance, Government Affairs
Sponsors (34)
Patricia Cotham (R)*,
Donny Lambeth (R)*,
Erin Paré (R)*,
Mike Schietzelt (R)*,
Jonathan Almond (R),
Brian Biggs (R),
Hugh Blackwell (R),
John Blust (R),
Jerry Branson (R),
Cecil Brockman (D),
Richard Carver (R),
Allen Chesser (R),
Sarah Crawford (D),
Carla Cunningham (D),
Frances Jackson (D),
Jake Johnson (R),
Donnie Loftis (R),
Jarrod Lowery (R),
Charlie Miller (R),
Ben Moss (R),
Howard Penny (R),
Garland Pierce (D),
Joe Pike (R),
Tim Reeder (R),
Heather Rhyne (R),
Stephen Ross (R),
Phil Shepard (R),
Charles Smith (D),
Bill Ward (R),
Sam Watford (R),
Diane Wheatley (R),
Donna White (R),
Shelly Willingham (D),
David Willis (R),
Last Action
Re-ref Com On Rules, Calendar, and Operations of the House (on 09/22/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ncleg.gov/BillLookUp/2025/H192 |
| Analysis - Summary H192-SMLU-2(CSLUa-7)-v-2 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H192-SMLU-2(CSLUa-7)-v-2 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H192v3.pdf |
| Analysis - Summary H192-SMNI-1(CSMHa-4)-v-8 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H192-SMNI-1(CSMHa-4)-v-8 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H192v2.pdf |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H192v1.pdf |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H192v0.pdf |
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