North Carolina legislation · 2025-2026 Session
North Carolina H434: Lower Healthcare Costs.
Status: Introduced, April 6, 2026
What the bill says
An act to enact the cut authorization red tape efficiently and facilitate interventions rapidly, start treatment act.
From the introduced text:
A BILL TO BE ENTITLED AN ACT TO ENACT THE CUT AUTHORIZATION RED TAPE EFFICIENTLY AND FACILITATE INTERVENTIONS RAPIDLY, START TREATMENT ACT. The General Assembly of North Carolina enacts: PART I. UPDATES TO HEALTH INSURANCE UTILIZATION REVIEW SECTION 1.(a) G.S. 58-50-61 reads as rewritten: "§ 58-50-61. Utilization review. (a) Definitions. - As used in this section, in G.S. 58-50-62, and in Part 4 of this Article, the term:The following definitions apply in this section: (1) "Certificate of coverage" includes a Certificate of coverage. - A policy of insurance issued to an individual person or a franchise policy issued pursuant to G.S. 58-51-90. (1a) Chronic or long-term condition. - A condition that has an expected duration of one year or more and that (i) requires ongoing medical attention, (ii) limits activities of daily living, or (iii) both. (1b) "Clinical peer" means a health care Clinical peer. - A healthcare professional who holds an unrestricted license in a state of the United States, in the same or similar specialty, specialty as those subject to utilization review and who also routinely provides the health care healthcare services subject to utilization review. (2) "Clinical Clinical review criteria" means the criteria. - The written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by an insurer to determine medically necessary services and supplies. (2a) …
Sponsors
- Bell, John R. (R, 10) · primary sponsor
- Reeder, Timothy (R, 9) · primary sponsor
- Cotham (R) · primary sponsor
- Campbell, Grant L. (R, 83) · primary sponsor
- Ager, Eric (D, 114)
- Almond, Jonathan L. (R, 73)
- Arp, Dean (R, 69)
- Baker, Amber M. (D, 72)
- Jennifer Balkcom (R, HD-117)
- Belk, Mary (D, 88)
- Biggs, Brian (R, 70)
- Brockman, Cecil (D, 60)
Latest actions
- : Conferees Changed
- : Conf Com Appointed
- : Failed Concur In S Com Sub
- : Placed On Cal For 06/17/2025
- : Withdrawn From Com
- : Ref To Com On Rules, Calendar, and Operations of the House
- : Regular Message Received For Concurrence in S Com Sub
- : Regular Message Sent To House
- : Passed 3rd Reading
- : Passed 2nd Reading
Votes
- Lower Healthcare Costs. M11 Not Concur (June 17, 2025): 114 yea, 0 nay, passed
- Lower Healthcare Costs. Second Reading (June 4, 2025): 42 yea, 3 nay, passed
- The Cut Authorization Red Tape Efficiently and Facilitate Interventions Ra Second Reading (April 30, 2025): 109 yea, 1 nay, passed
Subjects: NOTIFICATION, HOSPITALS, CONSUMER PROTECTION, COUNCIL OF STATE, PATIENT RIGHTS, DHHS, COMMERCE, HEALTH SERVICES
Common questions
- What is H434?
- H434 is a bill in the North Carolina Legislature (2025-2026 Session): Lower Healthcare Costs.
- What does H434 do?
- In its own words: An act to enact the cut authorization red tape efficiently and facilitate interventions rapidly, start treatment act.
- What is the status of H434?
- Introduced as of April 6, 2026. Latest action: Conferees Changed (April 6, 2026).
- Who sponsored H434?
- Bell, John R. (R, 10), with 11 co-sponsors.
- Where is the official record for H434?
- On the North Carolina Legislature website: https://www.ncleg.gov/BillLookUp/2025/H434
Source: official North Carolina record. Tracked by Delilah, AI for legislation across all 50 states and Congress.