# North Carolina HB 1175: AN ACT TO LOWER HEALTHCARE COSTS, INCREASE COMPETITION IN THE HEALTH INSURANCE MARKET, AND IMPROVE VALUE AND TRANSPARENCY BY LEVERAGING THE STATE'S PURCHASING POWER; TO ESTABLISH A LOW-COST, AFFORDABLE HEALTH PLAN OPTION ON THE AFFORDABLE CARE ACT HEALTH INSURANCE MARKETPLACE; TO CREATE A HEALTHCARE PURCHASING CONSORTIUM TO ALIGN PUBLIC PROCUREMENT; TO APPROPRIATE FUNDS FOR IMPLEMENTATION; TO CONTINUE AND EXPAND HEALTHY OPPORTUNITIES ACTIVITIES TO PROMOTE CHRONIC DISEASE PREVENTION; TO ELIMINATE CERTIFICATE OF NEED REVIEW FOR INPATIENT REHABILITATION SERVICES, REHABILITATION FACILITIES, AND REHABILITATION BEDS; TO PROVIDE GREATER PROTECTION FOR ESSENTIAL RURAL HEALTH SERVICES; AND TO PRESERVE COMPETITION IN HEALTHCARE BY REGULATING THE CONSOLIDATION AND CONVEYANCE OF HOSPITALS.

North Carolina HB 1175, AN ACT TO LOWER HEALTHCARE COSTS, INCREASE COMPETITION IN THE HEALTH INSURANCE MARKET, AND IMPROVE VALUE AND TRANSPARENCY BY LEVERAGING THE STATE'S PURCHASING POWER; TO ESTABLISH A LOW-COST, AFFORDABLE HEALTH PLAN OPTION ON THE AFFORDABLE CARE ACT HEALTH INSURANCE MARKETPLACE; TO CREATE A HEALTHCARE PURCHASING CONSORTIUM TO ALIGN PUBLIC PROCUREMENT; TO APPROPRIATE FUNDS FOR IMPLEMENTATION; TO CONTINUE AND EXPAND HEALTHY OPPORTUNITIES ACTIVITIES TO PROMOTE CHRONIC DISEASE PREVENTION; TO ELIMINATE CERTIFICATE OF NEED REVIEW FOR INPATIENT REHABILITATION SERVICES, REHABILITATION FACILITIES, AND REHABILITATION BEDS; TO PROVIDE GREATER PROTECTION FOR ESSENTIAL RURAL HEALTH SERVICES; AND TO PRESERVE COMPETITION IN HEALTHCARE BY REGULATING THE CONSOLIDATION AND CONVEYANCE OF HOSPITALS., is a 2025-2026 Session House bill sponsored by Cynthia Ball (Democratic), Mary Belk (Democratic), Maria Cervania (Democratic) and 1 others; status in committee, last action 2026-05-04 (Ref To Com On Rules, Calendar, and Operations of the House) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB1175-2025
- 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 1175
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT TO LOWER HEALTHCARE COSTS, INCREASE COMPETITION IN THE HEALTH INSURANCE MARKET, AND IMPROVE VALUE AND TRANSPARENCY BY LEVERAGING THE STATE'S PURCHASING POWER; TO ESTABLISH A LOW-COST, AFFORDABLE HEALTH PLAN OPTION ON THE AFFORDABLE CARE ACT HEALTH INSURANCE MARKETPLACE; TO CREATE A HEALTHCARE PURCHASING CONSORTIUM TO ALIGN PUBLIC PROCUREMENT; TO APPROPRIATE FUNDS FOR IMPLEMENTATION; TO CONTINUE AND EXPAND HEALTHY OPPORTUNITIES ACTIVITIES TO PROMOTE CHRONIC DISEASE PREVENTION; TO ELIMINATE CERTIFICATE OF NEED REVIEW FOR INPATIENT REHABILITATION SERVICES, REHABILITATION FACILITIES, AND REHABILITATION BEDS; TO PROVIDE GREATER PROTECTION FOR ESSENTIAL RURAL HEALTH SERVICES; AND TO PRESERVE COMPETITION IN HEALTHCARE BY REGULATING THE CONSOLIDATION AND CONVEYANCE OF HOSPITALS.
- Status: in committee
- Chamber: House
- Introduced: 2026-04-30
- Last action: 2026-05-04, Ref To Com On Rules, Calendar, and Operations of the House
- Sponsors: Cynthia Ball (Democratic), Mary Belk (Democratic), Maria Cervania (Democratic), Sarah Crawford (Democratic)
- Cosponsors: 36
- Subjects: ATTORNEY GENERAL, AUDITING & AUDITS, CERTIFICATES OF NEED, CLINICS, COMMERCE, COMMISSIONS, CONFIDENTIALITY, CONSUMER PROTECTION, COUNCIL OF STATE, DHHS, DISEASES & HEALTH DISORDERS, HEALTH SERVICES, HOSPITALS, INSURANCE, INSURANCE, HEALTH, JUSTICE DEPT
- 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: Cynthia Ball (Democratic), House
- Sponsor: Mary Belk (Democratic), House
- Sponsor: Maria Cervania (Democratic), House
- Sponsor: Sarah Crawford (Democratic), House
- Cosponsor: Eric Ager (Democratic), House
- Cosponsor: Vernetta Alston (Democratic), House
- Cosponsor: Amber M. Baker (Democratic), House
- Cosponsor: Allen Buansi (Democratic), House
- Cosponsor: Deb Butler (Democratic), House
- Cosponsor: Becky Carney (Democratic), House
- Cosponsor: Charles Smith (Democratic), House
- Cosponsor: Tracy Clark (Democratic), House
- Cosponsor: Bryan Cohn (Democratic), House
- Cosponsor: Mike Colvin (Democratic), House
- Cosponsor: Amanda P. Cook (Democratic), House
- Cosponsor: Allison A. Dahle (Democratic), House
- Cosponsor: Frances Jackson, PhD (Democratic), House
- Cosponsor: Gloristine Brown (Democratic), House
- Cosponsor: Garland E. Pierce (Democratic), House
- Cosponsor: Julia Greenfield (Democratic), House
- Cosponsor: Pricey Harrison (Democratic), House
- Cosponsor: Zack Hawkins (Democratic), House
- Cosponsor: Beth Helfrich (Democratic), House
- Cosponsor: Monika Johnson-Hostler (Democratic), House
- Cosponsor: Kanika Brown (Democratic), House
- Cosponsor: Ya Liu (Democratic), House
- Cosponsor: Carolyn G. Logan (Democratic), House
- Cosponsor: Tim Longest (Democratic), House
- Cosponsor: Jordan Lopez (Democratic), House
- Cosponsor: Nasif Majeed (Independent), House
- Cosponsor: Marcia Morey (Democratic), House
- Cosponsor: Lindsey Prather (Democratic), House
- Cosponsor: Renée A. Price (Democratic), House
- Cosponsor: Amos L. Quick, III (Democratic), House
- Cosponsor: Rodney D. Pierce (Democratic), House
- Cosponsor: Robert T. Reives, II (Democratic), House
- Cosponsor: James Roberson (Democratic), House
- Cosponsor: Phil Rubin (Democratic), House
- Cosponsor: Brian Turner (Democratic), House
- Cosponsor: Julie von Haefen (Democratic), House

## Actions (3)

- 2026-05-04: Ref To Com On Rules, Calendar, and Operations of the House (House)
- 2026-05-04: Passed 1st Reading (House)
- 2026-04-30: Filed (House)

## Bill text

- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1175v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1175v1.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
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1175v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H1175v1.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-HB1175-2025 (as of 2026-11-01).