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Read. Follow. Verify.North Carolina authorizes Commissioner of Insurance to establish a universal healthcare benefit plan
Last action · April 3, 2025: Ref To Com On Rules, Calendar, and Operations of the House (House action)Sponsors: Brockman and 18 others
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What This Bill Would Do
North Carolina authorizes the Commissioner of Insurance to establish and operate a state-run universal healthcare benefit plan with sliding-scale premiums based on household income. The measure appropriates $100,000 in for the Department of Insurance effective July 1, 2025, and requires an implementation report by January 1, 2026.
Residents whose incomes exceed eligibility thresholds gain access to state-managed health coverage with premiums adjusted to household income levels. The Department of Insurance receives $100,000 in recurring state funding to develop the plan.
- The North Carolina Department of Insurance regulates insurance companies and licenses agents operating within the state. context
- The Joint Legislative Oversight Committee on Health and Human Services reviews legislative and agency actions concerning health and human services in North Carolina. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
State residents
Residents with incomes exceeding Medicaid thresholds gain access to a state-run healthcare plan with sliding-scale premiums.
Department of Insurance
The department receives $100,000 in recurring funds and is tasked with planning, establishing, and implementing the universal healthcare benefit plan.
Key Facts
- The Commissioner of Insurance is directed to establish and operate a state-run universal healthcare benefit plan for state residents.
- Coverage under the plan is designed for residents with incomes exceeding Medicaid eligibility thresholds.
- Premiums for the universal healthcare benefit plan will be charged on a sliding scale based on household income.
- Benefit coverage must meet or exceed all federal requirements for individual health benefit plans under the Affordable Care Act.
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- The Commissioner may create advisory boards or committees and set premium collection methods.
- The sum of $100,000 in recurring funds is appropriated from the General Fund to the Department of Insurance for the 2025-2026 fiscal year, effective July 1, 2025.
- A report detailing the implementation plans must be submitted to the Joint Legislative Oversight Committee on Health and Human Services no later than January 1, 2026.
Frequently Asked Questions
Who is eligible for the universal healthcare benefit plan?
How will premiums be determined under the plan?
When is the implementation report due?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
3 actions- Apr 3, 2025HouseRef To Com On Rules, Calendar, and Operations of the House
- Apr 3, 2025HousePassed 1st Reading
- Apr 2, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Show 14 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Establishment of State-Managed Universal Healthcare
The bill shifts regulatory responsibilities to include the direct creation and operation of a universal healthcare benefit plan managed by the Commissioner of Insurance.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz60Current news / social attention level
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