This bill establishes a new licensing framework in North Carolina for artificial intelligence chatbots that handle health information, requiring operators to obtain permission from the Department of Justice before offering such services. To qualify for a license, companies must submit detailed technical documentation, prove insurance coverage, and demonstrate that their systems meet rigorous safety and efficacy standards through independent testing and expert review. Once licensed, operators are required to implement strong data security measures, report breaches within 24 hours, provide clear disclosures about the chatbot's artificial nature, and allow users to access or delete their personal data. The state's Department of Justice will enforce these rules by conducting regular physical and digital inspections of chatbot systems, including reviews of source code and data practices.
This bill requires health insurance plans in North Carolina that cover dialysis to also cover home dialysis options. It specifically mandates coverage for staff-assisted home dialysis for individuals who are blind, have cognitive or neurological impairments, or suffer from conditions that limit mobility. The law applies to new, renewed, or amended insurance contracts starting on October 1, 2026, and also extends the same coverage requirements to the state's own health plan. Additionally, the state will allocate $100,000 annually beginning in the 2026-2027 fiscal year to help implement these new coverage rules.
This bill creates a special fund to protect North Carolina state employees from having their take-home pay reduced if their health insurance premiums rise. To achieve this, the state will transfer $150 million from scholarship reserves to the new fund, which will be used to supplement employee compensation and maintain their net income. The State Treasurer, in consultation with the Office of State Human Resources, will manage the fund and establish rules for its administration. The law takes effect on July 1, 2026, and applies specifically to participants in the North Carolina State Health Plan for Teachers and State Employees.
This North Carolina bill aims to improve menopause care by funding research, expanding insurance coverage, and protecting workers from discrimination related to menopausal symptoms. It directs the state health department to evaluate current medical knowledge, collect data on symptom prevalence, and create a strategic plan to address gaps in care, particularly for underserved populations. The legislation also incentivizes doctors to receive extra continuing education credits for studying menopause and mandates that Medicaid and private health insurers cover necessary treatments like hormone therapy and behavioral health services. Additionally, the bill includes provisions to prevent employment discrimination based on menopause and allocates five million dollars to fund these initiatives and public awareness campaigns.
This bill authorizes the North Carolina Commissioner of Insurance to create and run a state-operated health insurance marketplace. It grants the commissioner the power to set rules, manage policies, and apply for federal funding to establish this exchange, while also allowing for the creation of an advisory committee to guide the process. The legislation clarifies that other state agencies cannot enter into contracts or commit resources for a federally facilitated exchange unless the General Assembly specifically approves it, reserving the state's right to decide its level of involvement. Additionally, the bill appropriates $100,000 in recurring funds starting in the 2026-2027 fiscal year to support the initial setup and ongoing operations of the new state-run system.
This bill creates a voluntary program allowing businesses in North Carolina to contribute to portable benefit accounts for their independent contractors. The plan enables hiring parties to fund benefits such as health insurance, retirement, and disability through a third-party administrator, which helps contractors maintain coverage when moving between jobs. To encourage participation, the legislation allows businesses to deduct contributions as business expenses and permits contractors to exclude those amounts from their taxable income. Additionally, the bill includes a $100,000 appropriation to fund public education about the program, which will take effect on July 1, 2026.
This bill aims to lower healthcare expenses and shield patients from unexpected financial burdens by establishing new rules for insurance plans and medical billing. It directly affects individuals with health insurance, hospitals, and insurance companies operating in North Carolina. Key provisions include capping annual out-of-pocket costs for prescription drugs at $2,000, prohibiting surprise billing for nonemergency care at in-network facilities, and delaying the reporting of unpaid medical bills to credit agencies until 180 days past due. Additionally, the legislation requires hospitals to publicly report negotiated prices for common medical procedures and mandates that emergency ground ambulance services be covered under standard health benefit packages.
This bill creates a tax credit for North Carolina businesses that pay wages to employees to cover their health insurance premiums. To qualify, a business must employ individuals who work at least 35 hours per week and are subject to state tax withholding. Each eligible employee can generate up to a $400 tax credit for the business, but the total credits available in any given year are capped at $5 million. Applications for this credit will be processed on a first-come, first-served basis, and the state will track and report the number of applications and approvals by county. The provisions of this act will take effect for tax years beginning on or after January 1, 2026.
SB 910 requires health insurance plans in North Carolina that cover pregnancy-related benefits to also cover infertility care for diagnosed individuals. The bill mandates specific coverage limits, including at least four oocyte retrievals, unlimited embryo transfers, and unlimited cycles of intrauterine and intracervical insemination. It also requires insurance to cover fertility preservation services, such as egg or embryo freezing, when a person has a medical condition that could impair their future fertility. This legislation directly affects insurance providers and individuals seeking assisted reproductive technologies or fertility preservation in the state.
This North Carolina legislation aims to reduce healthcare expenses and boost competition by adding a low-cost plan option to the state's insurance marketplace. It establishes a purchasing consortium for public entities to negotiate better rates and allocates funds for chronic disease prevention initiatives. The bill also removes regulatory barriers for rehabilitation facilities and limits hospital consolidation to maintain market diversity. These provisions impact residents seeking coverage, public employers, healthcare providers, and hospital systems within the state.
