# North Carolina HB 1090: AN ACT TO ENACT THE REVITALIZING, UPLIFTING REGIONS & ACCESS LOCAL (RURAL) CARE ACT TO PROVIDE FOR THE CREATION OF A RURAL HEALTHCARE INFRASTRUCTURE FUND AND A RURAL HEALTHCARE INFRASTRUCTURE PROGRAM TO BE ADMINISTERED BY THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL; TO DIRECT THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL TO DEVELOP A PLAN FOR THE ESTABLISHMENT AND ADMINISTRATION OF THE RURAL HEALTHCARE INFRASTRUCTURE PROGRAM; TO REPEAL THE RURAL HEALTH CARE STABILIZATION PROGRAM; AND TO AMEND THE COMPOSITION AND DUTIES OF THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL. North Carolina HB 1090, AN ACT TO ENACT THE REVITALIZING, UPLIFTING REGIONS & ACCESS LOCAL (RURAL) CARE ACT TO PROVIDE FOR THE CREATION OF A RURAL HEALTHCARE INFRASTRUCTURE FUND AND A RURAL HEALTHCARE INFRASTRUCTURE PROGRAM TO BE ADMINISTERED BY THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL; TO DIRECT THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL TO DEVELOP A PLAN FOR THE ESTABLISHMENT AND ADMINISTRATION OF THE RURAL HEALTHCARE INFRASTRUCTURE PROGRAM; TO REPEAL THE RURAL HEALTH CARE STABILIZATION PROGRAM; AND TO AMEND THE COMPOSITION AND DUTIES OF THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL., is a 2025-2026 Session House bill sponsored by Dudley Greene (Republican), Donny Lambeth (Republican), Timothy Reeder, MD (Republican) and 1 others; status in committee, last action 2026-05-12 (Re-ref Com On Appropriations) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NC-HB1090-2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: North Carolina HB 1090 - State: North Carolina - Session: 2025-2026 Session - Title: AN ACT TO ENACT THE REVITALIZING, UPLIFTING REGIONS & ACCESS LOCAL (RURAL) CARE ACT TO PROVIDE FOR THE CREATION OF A RURAL HEALTHCARE INFRASTRUCTURE FUND AND A RURAL HEALTHCARE INFRASTRUCTURE PROGRAM TO BE ADMINISTERED BY THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL; TO DIRECT THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL TO DEVELOP A PLAN FOR THE ESTABLISHMENT AND ADMINISTRATION OF THE RURAL HEALTHCARE INFRASTRUCTURE PROGRAM; TO REPEAL THE RURAL HEALTH CARE STABILIZATION PROGRAM; AND TO AMEND THE COMPOSITION AND DUTIES OF THE NORTH CAROLINA STATE HEALTH COORDINATING COUNCIL. - Status: in committee - Chamber: House - Introduced: 2026-04-29 - Last action: 2026-05-12, Re-ref Com On Appropriations - Sponsors: Dudley Greene (Republican), Donny Lambeth (Republican), Timothy Reeder, MD (Republican), Bill Ward (Republican) - Cosponsors: 19 - Subjects: COUNCILS, DHHS, FUNDS & ACCOUNTS, HEALTH SERVICES, INFRASTRUCTURE, PUBLIC, RURAL DEVELOPMENT, STATE HEALTH COORDINATING COUNCIL - Touches household money: no - Economic provisions PRIA read: 0 ## Summary No summary available. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Dudley Greene (Republican), House - Sponsor: Donny Lambeth (Republican), House - Sponsor: Timothy Reeder, MD (Republican), House - Sponsor: Bill Ward (Republican), House - Cosponsor: Hugh Blackwell (Republican), House - Cosponsor: Grant L. Campbell, MD (Republican), House - Cosponsor: Tracy Clark (Democratic), House - Cosponsor: Jimmy Dixon (Republican), House - Cosponsor: Anna Ferguson (Republican), House - Cosponsor: Pricey Harrison (Democratic), House - Cosponsor: Frank Iler (Republican), House - Cosponsor: John L. Lowery (Republican), House - Cosponsor: Donnie Loftis (Republican), House - Cosponsor: Jeffrey C. McNeely (Republican), House - Cosponsor: Ben T. Moss, Jr. (Republican), House - Cosponsor: Howard Penny, Jr. (Republican), House - Cosponsor: Ray Pickett (Republican), House - Cosponsor: Joseph Pike (Republican), House - Cosponsor: Larry W. Potts (Republican), House - Cosponsor: Heather H. Rhyne (Republican), House - Cosponsor: Stephen M. Ross (Republican), House - Cosponsor: Donna McDowell White (Republican), House - Cosponsor: Shelly Willingham (Democratic), House ## Actions (5) - 2026-05-12: Re-ref Com On Appropriations (House) - 2026-05-12: Reptd Fav Com Substitute (House) - 2026-04-30: Ref to the Com on Health, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House (House) - 2026-04-30: Passed 1st Reading (House) - 2026-04-29: Filed (House) ## Bill text - Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v1.pdf) - Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v0.pdf) - Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v2.pdf) ## Related bills - HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed) - HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed) - HB 377: 2026 Court Changes. (vetoed) - HB 268: 2026 Budget Technical Corrections - II. (signed) - SB 445: Regulatory Reform Act of 2026. (signed) - HB 832: Education Omnibus. (passed senate) ## Sources - [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v1.pdf) - [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v0.pdf) - [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1090v2.pdf) ## Related - [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025) - [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025) - [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025) - [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025) - [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025) - [HB 832: Education Omnibus.](https://policyrisk.com/state-bill/NC-HB832-2025) - [North Carolina bills](https://policyrisk.com/states/north-carolina/bills) - [North Carolina state hub](https://policyrisk.com/states/north-carolina) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NC-HB1090-2025 (as of 2026-11-01).