Make Healthcare Affordable.

HB 46 requires that any new state law creating health benefit mandates (like coverage requirements or provider rules) must also repeal an equal number of existing mandates and include funding for the new mandate. It directly affects North Carolina legislators, employers (especially small businesses), and taxpayers by changing how health insurance rules are added or removed. Key provisions include defining "health benefit mandates" broadly (e.g., coverage requirements, cost-sharing rules) and mandating that new mandates must be paired with both repeal of existing mandates and dedicated funding. The bill applies to future legislation considered by the General Assembly, starting 30 days after enactment, and also updates rules for the State Health Plan for Teachers and State Employees.