HB 1090 North Carolina House · 2025-2026 Session

Revitalizing, Uplifting Regions and Access Local (RURAL) Care Act.

This bill creates a new Rural Healthcare Infrastructure Fund in North Carolina to help build, repair, and modernize healthcare facilities in rural areas. The fund will provide money through grants and low-interest loans to support construction and renovation projects, while also replacing an older stabilization program. A state council must first develop and get approval for a detailed plan outlining how the fund will be managed and who can apply before any money is awarded. The bill also updates the duties of the state health council and requires annual reports on how the fund is being used.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Apr 2026

Committee Review

Floor Vote

Governor

Introduced Apr 29, 2026 Last action May 12, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 → Edition 2 · 3 edits

MINOR

The bill was amended to replace the 'North Carolina State Health Coordinating Council' with a newly created 'North Carolina Rural Healthcare Infrastructure Council' as the administrator of the Rural Healthcare Infrastructure Fund. This change expands the bill's scope by establishing a new, dedicated entity specifically for rural healthcare infrastructure rather than using an existing general council. Additionally, the amendment clarifies that the new council is not required to submit its initial annual report until after its program plan is approved by the General Assembly.

Scope change

The bill's scope changed by creating a new administrative body (the NC Rural Healthcare Infrastructure Council) to specifically manage rural healthcare funding, shifting responsibility from the existing State Health Coordinating Council.

SCOPE

Creation of a new 'North Carolina Rural Healthcare Infrastructure Council' to replace the State Health Coordinating Council as the fund administrator.

References to the 'North Carolina State Health Coordinating Council' were removed from the fund administration and reporting sections.

REQUIREMENT

The requirement for the new council to submit an annual report is delayed until after the program plan is approved by the General Assembly.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 12, 2026

Committee

Re-ref Com On Appropriations

lower

May 12, 2026

Lower · Passed

Reptd Fav Com Substitute

lower

Apr 30, 2026

Committee

Ref to the Com on Health, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House

lower

Apr 29, 2026

Introduced

Filed

lower

3 primary · 20 co-sponsors