SB 532 North Carolina Senate · 2025-2026 Session

Preserving Competition in Healthcare Act.

SB 532, the "Preserving Competition in Healthcare Act," requires hospitals in North Carolina to notify state auditors, the attorney general, and the state treasurer before selling or merging more than half their assets (valued at $5 million or more). This applies to hospital entities and their potential buyers, such as larger healthcare systems, aiming to prevent anti-competitive consolidation. The state agencies must review these transactions within 60 days (extendable by 30 days) to decide whether to approve them or object. Routine transactions not affecting competition can be exempted through a written waiver from the three state officials.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2025

Committee Review

Floor Vote

Governor

Introduced Mar 25, 2025 Last action Mar 26, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Filed → Edition 1 · 3 edits

MINOR

The bill underwent significant formatting and structural changes during its initial filing to first edition. The header information was updated with a new bill number (S532-v-1) and session details, while the reference to the Rules and Operations of the Senate was added with a specific date. The most substantive change involves the addition of a new section regarding timelines and processes for decisions to object or take no action on proposed transactions, which was previously missing.

Scope change

The bill's scope appears to expand with the addition of new procedural requirements for transaction review, specifically establishing a timeline and process for decision-making regarding objections to proposed transactions.

TIMELINE

New section 131E-214.26 was added to establish a timeline and process for decisions to object or take no action on proposed transactions, including provisions for parties to provide information.

TECHNICAL

Bill header was updated with new bill number S532-v-1 and added Senate referral information to Rules and Operations of the Senate dated March 26, 2025.

Original filing information including the DRS35190-MGfy-28A reference number and unassigned referral section were removed during the transition from filed to edition 1.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 26, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

Mar 25, 2025

Introduced

Filed

upper

2 primary · 3 co-sponsors