# North Carolina HB 434: Lower Healthcare Costs.

North Carolina HB 434, Lower Healthcare Costs., is a 2025-2026 Session House bill sponsored by John R. Bell, IV (Republican), Grant L. Campbell, MD (Republican), Tricia Ann Cotham (Republican) and 1 others; status passed senate, last action 2026-04-06 (Conferees Changed); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB434-2025
- 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 434
- State: North Carolina
- Session: 2025-2026 Session
- Title: Lower Healthcare Costs.
- Status: passed senate
- Chamber: House
- Introduced: 2025-03-18
- Last action: 2026-04-06, Conferees Changed
- Sponsors: John R. Bell, IV (Republican), Grant L. Campbell, MD (Republican), Tricia Ann Cotham (Republican), Timothy Reeder, MD (Republican)
- Cosponsors: 56
- Subjects: AUDITING & AUDITS, CERTIFICATES OF NEED, CLINICS, COMMERCE, COMMISSIONS, CONSUMER PROTECTION, COUNCIL OF STATE, DHHS, DISEASES & HEALTH DISORDERS, HEALTH SERVICES, HOSPITALS, INSURANCE, INSURANCE, HEALTH, MEDICAL CARE COMN
- Touches household money: yes
- Roll calls: 3 (265 yes, 4 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: John R. Bell, IV (Republican), House
- Sponsor: Grant L. Campbell, MD (Republican), House
- Sponsor: Tricia Ann Cotham (Republican), House
- Sponsor: Timothy Reeder, MD (Republican), House
- Cosponsor: Eric Ager (Democratic), House
- Cosponsor: Jonathan L. Almond (Republican), House
- Cosponsor: Dean Arp (Republican), House
- Cosponsor: Amber M. Baker (Democratic), House
- Cosponsor: Jennifer Balkcom (Republican), House
- Cosponsor: Mary Belk (Democratic), House
- Cosponsor: Brian Biggs (Republican), House
- Cosponsor: Cecil Brockman (Democratic), House
- Cosponsor: Allen Buansi (Democratic), House
- Cosponsor: Laura Budd (Democratic), House
- Cosponsor: Becky Carney (Democratic), House
- Cosponsor: Todd Carver (Republican), House
- Cosponsor: Maria Cervania (Democratic), House
- Cosponsor: Charles Smith (Democratic), House
- Cosponsor: Allen Chesser (Republican), House
- Cosponsor: Mike Clampitt (Republican), House
- Cosponsor: Tracy Clark (Democratic), House
- Cosponsor: Bryan Cohn (Democratic), House
- Cosponsor: Mike Colvin (Democratic), House
- Cosponsor: Allison A. Dahle (Democratic), House
- Cosponsor: Aisha O. Dew (Democratic), House
- Cosponsor: Jimmy Dixon (Republican), House
- Cosponsor: Gloristine Brown (Democratic), House
- Cosponsor: Julia Greenfield (Democratic), House
- Cosponsor: Pricey Harrison (Democratic), House
- Cosponsor: Zack Hawkins (Democratic), House
- Cosponsor: Chris Humphrey (Republican), House
- Cosponsor: Cody Huneycutt (Republican), House
- Cosponsor: B. Ray Jeffers (Democratic), House
- Cosponsor: Jake Johnson (Republican), House
- Cosponsor: Kanika Brown (Democratic), House
- Cosponsor: Donny Lambeth (Republican), House
- Cosponsor: Donnie Loftis (Republican), House
- Cosponsor: Brandon Lofton (Democratic), House
- Cosponsor: Tim Longest (Democratic), House
- Cosponsor: Jarrod Lowery (Republican), House
- Cosponsor: Jeffrey C. McNeely (Republican), House
- Cosponsor: Neal Jackson (Republican), House
- Cosponsor: Ray Pickett (Republican), House
- Cosponsor: Larry W. Potts (Republican), House
- Cosponsor: Lindsey Prather (Democratic), House
- Cosponsor: Heather H. Rhyne (Republican), House
- Cosponsor: Stephen M. Ross (Republican), House
- Cosponsor: Phil Rubin (Democratic), House
- Cosponsor: Mike Schietzelt (Republican), House
- Cosponsor: Paul Scott (Republican), House
- Cosponsor: Mitchell S. Setzer (Republican), House
- Cosponsor: Larry C. Strickland (Republican), House
- Cosponsor: Brian Turner (Democratic), House
- Cosponsor: Steve Tyson (Republican), House
- Cosponsor: Bill Ward (Republican), House
- Cosponsor: Harry Warren (Republican), House
- Cosponsor: Diane Wheatley (Republican), House
- Cosponsor: Donna McDowell White (Republican), House
- Cosponsor: Shelly Willingham (Democratic), House
- Cosponsor: Jeff Zenger (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-06-17 | House | HB 434: Lower Healthcare Costs. | pass | 114 | 0 | 6 |
| 2025-06-04 | Senate | HB 434: Lower Healthcare Costs. | pass | 42 | 3 | 5 |
| 2025-04-30 | House | HB 434: The Cut Authorization Red Tape Efficiently and Facilitate Interventions Ra | pass | 109 | 1 | 8 |

## Actions (33)

- 2026-04-06: Conferees Changed (House)
- 2025-06-24: Conf Com Appointed (Senate)
- 2025-06-24: Conf Com Appointed (House)
- 2025-06-17: Failed Concur In S Com Sub (House)
- 2025-06-16: Placed On Cal For 06/17/2025 (House)
- 2025-06-16: Withdrawn From Com (House)
- 2025-06-09: Ref To Com On Rules, Calendar, and Operations of the House (House)
- 2025-06-05: Regular Message Received For Concurrence in S Com Sub (House)
- 2025-06-05: Regular Message Sent To House (Senate)
- 2025-06-04: Passed 3rd Reading (Senate)
- 2025-06-04: Passed 2nd Reading (Senate)
- 2025-06-03: Reptd Fav (Senate)
- 2025-05-22: Re-ref Com On Rules and Operations of the Senate (Senate)
- 2025-05-22: Com Substitute Adopted (Senate)
- 2025-05-22: Reptd Fav Com Substitute (Senate)
- 2025-05-19: Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate (Senate)
- 2025-05-19: Withdrawn From Com (Senate)
- 2025-05-01: Ref To Com On Rules and Operations of the Senate (Senate)
- 2025-05-01: Passed 1st Reading (Senate)
- 2025-05-01: Regular Message Received From House (Senate)
- 2025-05-01: Regular Message Sent To Senate (House)
- 2025-04-30: Passed 3rd Reading (House)
- 2025-04-30: Passed 2nd Reading (House)
- 2025-04-28: Placed On Cal For 04/30/2025 (House)
- 2025-04-28: Cal Pursuant Rule 36(b) (House)
- 2025-04-28: Reptd Fav (House)
- 2025-04-16: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-04-16: Reptd Fav (House)
- 2025-04-15: Re-ref Com On Insurance (House)
- 2025-04-15: Reptd Fav (House)
- 2025-03-19: Ref to the Com on Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-03-19: Passed 1st Reading (House)
- 2025-03-18: Filed (House)

## Bill text

- Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v1.pdf)
- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v2.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 377: 2026 Court Changes. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v1.pdf)
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H434v2.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 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 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 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)
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Source: PRIA, https://policyrisk.com/state-bill/NC-HB434-2025 (as of 2026-11-01).