SB 24 North Carolina Senate · 2025-2026 Session

Govt Mandates Increase Healthcare Costs.

SB 24 requires that any new state health insurance mandate must be paired with the repeal of an existing mandate and include funding to cover the new cost. It directly affects North Carolina employers (especially small businesses) and taxpayers by targeting mandates that increase insurance premiums and state health plan expenses. Key provisions mandate that new health benefit requirements (like coverage for specific treatments or drugs) must include both a repeal of an equivalent existing mandate and recurring state funding for the new cost. The bill applies to all health insurance plans, including the State Health Plan for Teachers and State Employees, and takes effect 30 days after enactment.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
House Passage
Governor
Introduced Jan 29, 2025 Last action Feb 17, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

A1: ABC-1-V-8 Edition 1 · 5 edits
MODERATE
This bill was converted from an amendment document to a full legislative bill. The new version establishes requirements for disclosing healthcare mandate costs to employers and taxpayers, while the amendment version focused on amending specific provider language and adding an exception for cost decreases.
Scope change
The document changed from an amendment to a complete bill with new sections establishing health benefit mandate legislation requirements and impact on the State Health Plan for Teachers and State Employees.
REQUIREMENT

New Section 1 defines health benefit mandates and requires legislation containing mandates to include provisions repealing existing mandates and appropriating funds for mandate costs.

New Section 2 modifies G.S. 135-48.51 to specify which Chapter 58 provisions apply to the State Health Plan for Teachers and State Employees.

DEFINITION

Added comprehensive definitions for health benefit mandate, health benefit plan, piece of legislation, and State Health Plan.

TECHNICAL

Removed amendment-specific formatting including amendment number fields, signature lines for amendment sponsors, and amendment adoption information.

SCOPE

Added short title, sponsors, referral information, and where clauses explaining the bill's purpose regarding healthcare cost disclosure.

Floor votes · Senate Feb 12, 2025

How they voted

3115
Passed · 5 other
Total votes 51
Feb 12, 2025
D Democratic20
3 Yea 15 Nay 2
75% Nay
R Republican31
28 Yea 3
90% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
4
Committee
7
Amendments
2
Feb 17, 2025
Committee
Ref To Com On Rules, Calendar, and Operations of the House
lower
Feb 12, 2025
Upper · Passed
Passed 3rd Reading
upper
Feb 12, 2025
Amended
Amend Failed A2
upper
Feb 12, 2025
Upper · Passed
Amend Adopted A1
upper
Feb 11, 2025
Upper · Passed
Reptd Fav
upper
Feb 5, 2025
Committee
Re-ref Com On Rules and Operations of the Senate
upper
Feb 5, 2025
Committee
Re-ref Com On Pensions and Retirement and Aging
upper
Feb 5, 2025
Upper · Passed
Reptd Fav
upper
Jan 30, 2025
Committee
Re-ref to Health Care. If fav, re-ref to Pensions and Retirement and Aging. If fav, re-ref to Rules and Operations of the Senate
upper
Jan 30, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Jan 29, 2025
Introduced
Filed
upper
2 primary · 22 co-sponsors

Sponsors