North Carolina has made recent strides in health care transparency by requiring the NC Department of Health and Human Services to publish charge information relating to the most frequently reported admissions. However, the state lacks a legislated website such as an APCD to enable consumers to make side-by-side price comparisons between providers, and consequently earned an F from the Catalyst for Payment Reform group on the 2016 Report Card on State Price Transparency Laws. The federal government has also been active in enforcing antitrust law North Carolina. Most recently, in June 2016, the Department of Justice filed a civil suit in federal court in North Carolina against Carolinas Healthcare System, alleging that the provider uses anticompetitive, illegal anti-steering clauses in its contracts with insurers, which prohibit commercial health insurers in the Charlotte area from offering patients financial benefits to use less-expensive healthcare services offered by CHS’s competitors.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from the 2017-2018 legislative term and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates. 

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Additional Resources


North Carolina’s current legislative session runs from 1/30/2019 – 7/12/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.

FY 2018-2019 BUDGET

North Carolina enacts budgets on a two-year cycle, beginning July 1 of each odd-numbered year. North Carolina’s new Biennial Budget will take effect on July 1, 2017 and is valid through June 30, 2019. To view North Carolina’s FY 2018-2019 Budget, click here.