SB 978 North Carolina Senate · 2025-2026 Session

Healthcare Competition Reforms.

This bill creates a new review process in North Carolina to oversee major transactions involving hospitals, aiming to preserve competition in healthcare services. It requires hospital entities and acquiring parties to notify the State Auditor, Attorney General, and State Treasurer before selling or transferring control of at least 50% of a hospital's assets, provided the deal involves $5 million or more. These officials must jointly review the proposed transaction within a set timeframe and can object if they determine it would harm competition, though they may also choose to take no action. The law applies to licensed hospitals and their affiliated organizations, including holding companies and subsidiaries, but excludes routine business activities unless specifically waived by the reviewing officials. Additionally, the bill includes provisions to protect healthcare workers as whistleblowers and limits CEO compensation for non-profit hospitals that receive state funds.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2026
Committee Review
Jun 2026
Senate Passage
Jun 2026
House Passage
Governor
Introduced Apr 30, 2026 Last action Jun 16, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 Edition 2 · 5 edits
MODERATE
The bill was completely rewritten to remove a section on hospital competition and replace it with new protections for healthcare workers. The original text focused on regulating hospital mergers and acquisitions, while the new text establishes whistleblower protections, limits on non-compete agreements, and specific rules for medical staff bylaws.
Scope change
The bill's scope shifted entirely from regulating hospital transactions to protecting healthcare employees from retaliation and restrictive employment agreements.
SCOPE

Deleted all provisions regarding the review of hospital mergers, acquisitions, and asset transfers by the State Auditor, Attorney General, and State Treasurer.

Changed the bill's title and short title to reflect the new focus on whistleblower and employment protections rather than healthcare competition.

REQUIREMENT

Added new protections preventing hospitals from retaliating against healthcare professionals who report violations of medical staff bylaws or comment on patient care.

Added new rules limiting the use of nondisclosure agreements and non-compete clauses for healthcare professionals.

DEFINITION

Created new definitions for 'health care professional,' 'hospital,' 'medical staff bylaws,' and 'stakeholder' to support the new whistleblower protections.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
12
Key actions
3
Committee
8
Jun 16, 2026
Committee
Re-ref Com On Appropriations/Base Budget
upper
Jun 16, 2026
Upper · Passed
Reptd Fav
upper
Jun 15, 2026
Committee
Sequential Referral To Appropriations/Base Budget Added After Judiciary
upper
Jun 15, 2026
Committee
Sequential Referral To Rules and Operations of the Senate Stricken
upper
Jun 11, 2026
Committee
Re-ref Com On Judiciary
upper
Jun 11, 2026
Upper · Passed
Com Substitute Adopted
upper
Jun 11, 2026
Upper · Passed
Reptd Fav Com Substitute
upper
Jun 8, 2026
Committee
Re-ref to Health Care. If fav, re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate
upper
May 4, 2026
Committee
Ref To Com On Rules and Operations of the Senate
upper
Apr 30, 2026
Introduced
Filed
upper
0 primary · 1 co-sponsor

Sponsors

No sponsor information available.