NC Health Benefits Exchange Implementation.

SB 418 authorizes North Carolina's Commissioner of Insurance to establish and operate a state-run health benefits exchange, creating a marketplace for residents to shop for health insurance plans compliant with federal law. The bill gives the Commissioner authority to set rules, apply for federal funding, and form advisory committees to manage the exchange, with $100,000 appropriated for 2025-2026 to launch it. This directly affects North Carolinians seeking health insurance, providing an alternative to the federal marketplace. The exchange must align with the federal Affordable Care Act, and the bill explicitly prohibits state agencies from pursuing a federal "Partnership" model without legislative approval.