# North Carolina HB 163: AN ACT TO REGULATE THE USE OF SPREAD PRICING AND CONCESSIONS BY PHARMACY BENEFITS MANAGERS, TO ESTABLISH UNIFORM STANDARDS FOR THE TREATMENT OF SPECIALTY PHARMACY ACCREDITATION BY PHARMACY BENEFITS MANAGERS, TO CLARIFY THE RIGHT TO A PHARMACY OF CHOICE, AND TO STRENGTHEN THE PROTECTIONS PROVIDED TO PHARMACIES DURING AUDITS.

North Carolina HB 163, AN ACT TO REGULATE THE USE OF SPREAD PRICING AND CONCESSIONS BY PHARMACY BENEFITS MANAGERS, TO ESTABLISH UNIFORM STANDARDS FOR THE TREATMENT OF SPECIALTY PHARMACY ACCREDITATION BY PHARMACY BENEFITS MANAGERS, TO CLARIFY THE RIGHT TO A PHARMACY OF CHOICE, AND TO STRENGTHEN THE PROTECTIONS PROVIDED TO PHARMACIES DURING AUDITS., is a 2025-2026 Session House bill sponsored by Hugh Blackwell (Republican), Cody Huneycutt (Republican), Lowery and 1 others; status passed house, last action 2025-04-30 (Ref To Com On Rules and Operations of the Senate); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB163-2025
- 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 163
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT TO REGULATE THE USE OF SPREAD PRICING AND CONCESSIONS BY PHARMACY BENEFITS MANAGERS, TO ESTABLISH UNIFORM STANDARDS FOR THE TREATMENT OF SPECIALTY PHARMACY ACCREDITATION BY PHARMACY BENEFITS MANAGERS, TO CLARIFY THE RIGHT TO A PHARMACY OF CHOICE, AND TO STRENGTHEN THE PROTECTIONS PROVIDED TO PHARMACIES DURING AUDITS.
- Status: passed house
- Chamber: House
- Introduced: 2025-02-21
- Last action: 2025-04-30, Ref To Com On Rules and Operations of the Senate
- Sponsors: Hugh Blackwell (Republican), Cody Huneycutt (Republican), Lowery, Heather H. Rhyne (Republican)
- Cosponsors: 31
- Subjects: COMMERCE, CONTROLLED SUBSTANCES, HEALTH SERVICES, OCCUPATIONS, PHARMACEUTICALS, PHARMACISTS & PHARMACIES, PUBLIC
- Touches household money: yes
- Roll calls: 1 (106 yes, 9 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Hugh Blackwell (Republican), House
- Sponsor: Cody Huneycutt (Republican), House
- Sponsor: Lowery
- Sponsor: Heather H. Rhyne (Republican), House
- Cosponsor: Eric Ager (Democratic), House
- Cosponsor: Jonathan L. Almond (Republican), House
- Cosponsor: Jennifer Balkcom (Republican), House
- Cosponsor: Brian Biggs (Republican), House
- Cosponsor: Jerry "Alan" Branson (Republican), House
- Cosponsor: William D. Brisson (Republican), House
- Cosponsor: Grant L. Campbell, MD (Republican), House
- Cosponsor: Todd Carver (Republican), House
- Cosponsor: Allen Chesser (Republican), House
- Cosponsor: Pricey Harrison (Democratic), House
- Cosponsor: Julia C. Howard (Republican), House
- Cosponsor: Chris Humphrey (Republican), House
- Cosponsor: Jake Johnson (Republican), House
- Cosponsor: Keith Kidwell (Republican), House
- Cosponsor: Donnie Loftis (Republican), House
- Cosponsor: Jeffrey C. McNeely (Republican), House
- Cosponsor: Charles W. Miller (Republican), House
- Cosponsor: Ben T. Moss, Jr. (Republican), House
- Cosponsor: Joseph Pike (Republican), House
- Cosponsor: A. Reece Pyrtle, Jr. (Republican), House
- Cosponsor: Timothy Reeder, MD (Republican), House
- Cosponsor: Paul Scott (Republican), House
- Cosponsor: Mitchell S. Setzer (Republican), House
- Cosponsor: Larry C. Strickland (Republican), House
- Cosponsor: Steve Tyson (Republican), House
- Cosponsor: Bill Ward (Republican), House
- Cosponsor: Diane Wheatley (Republican), House
- Cosponsor: Donna McDowell White (Republican), House
- Cosponsor: Shelly Willingham (Democratic), House
- Cosponsor: David Willis (Republican), House
- Cosponsor: Jeff Zenger (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-29 | House | HB 163: Pharmacy Benefits Manager Provisions. | pass | 106 | 9 | 5 |

## Actions (16)

- 2025-04-30: Ref To Com On Rules and Operations of the Senate (Senate)
- 2025-04-30: Passed 1st Reading (Senate)
- 2025-04-30: Regular Message Received From House (Senate)
- 2025-04-30: Regular Message Sent To Senate (House)
- 2025-04-29: Passed 3rd Reading (House)
- 2025-04-29: Passed 2nd Reading (House)
- 2025-04-15: Placed On Cal For 04/29/2025 (House)
- 2025-04-15: Cal Pursuant Rule 36(b) (House)
- 2025-04-15: Reptd Fav (House)
- 2025-04-15: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-04-15: Reptd Fav Com Sub 2 (House)
- 2025-04-01: Re-ref Com On Regulatory Reform (House)
- 2025-04-01: Reptd Fav Com Substitute (House)
- 2025-02-24: Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-02-24: Passed 1st Reading (House)
- 2025-02-21: Filed (House)

## Bill text

- Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v1.pdf)
- Edition 2: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v2.pdf)
- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v3.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)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v1.pdf)
- [Edition 2 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v2.pdf)
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H163v3.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)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
- [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-HB163-2025 (as of 2026-11-01).