North Carolina HB 192: Defund Planned Parenthood and Cost Transparency.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 3
HOUSE BILL 192
Committee Substitute Favorable 6/24/25
Senate Appropriations/Base Budget Committee Substitute Adopted 9/22/25

Short Title: Defund Planned Parenthood & Cost Transparency. (Public)
Sponsors:
Referred to:
February 26, 2025
*H192-v-3*
A BILL TO BE ENTITLED 1
AN ACT TO PROVIDE GREATER FAIRNESS IN BILLING AND COLLECTIONS 2
PRACTICES FOR HOSPITALS AND AMBULATORY SURGICAL FACILITIES AND 3
TO PROHIBIT PLANNED PARENTHOOD PARTICIPATION IN MEDICAID. 4
Whereas, on January 24, 2025, President Donald J. Trump issued Executive Order 5
14182, Enforcing the Hyde Amendment, which reinforced that the policy of the United States is 6
to end the forced use of federal taxpayer dollars to fund or promote elective abortion. President 7
Trump also reversed prior actions from the Biden administration that disregarded and 8
contradicted the Hyde amendment; and 9
Whereas, Congress passed and President Trump signed H.R. 1, the One Big Beautiful 10
Bill Act, which included the federal defunding of elective abortion centers like Planned 11
Parenthood for the next year; and 12
Whereas, in its June 26, 2025, ruling in Medina v. Planned Parenthood, the U.S. 13
Supreme Court affirmed the right of states to bar Planned Parenthood from receiving Medicaid 14
funds; and 15
Whereas, Americans and North Carolinians have made clear that they do not want 16
their tax dollars subsidizing abortions; Now, therefore, 17
The General Assembly of North Carolina enacts: 18
19
PROHIBIT PLANNED PARENTHOOD PARTICIPATION IN MEDICAID 20
SECTION 1.(a) The Department of Health and Human Services, Division of Health 21
Benefits, shall do all of the following: 22
(1) Disenroll Planned Parenthood Federation of America, Inc., and associated 23
entities as Medicaid providers. 24
(2) Discontinue any Medicaid contracts with Planned Parenthood Federation of 25
America, Inc., and associated entities. 26
(3) Engage other Medicaid providers to provide Medicaid services previously 27
provided by Planned Parenthood Federation of America, Inc., and associated 28
entities. 29
SECTION 1.(b) This section is effective when it becomes law. 30
31
GREATER FAIRNESS IN BILLING AND COLLECTIONS PRACTICES FOR 32
HOSPITALS AND AMBULATORY SURGICAL FACILITIES 33

General Assembly Of North Carolina Session 2025
Page 2 House Bill 192-Third Edition
SECTION 2.(a) Chapter 131E of the General Statutes is amended by adding a new 1
Article 11C to be entitled "Fair Billing and Collections Practices for Hospitals and Ambulatory 2
Surgical Facilities." 3
SECTION 2.(b) G.S. 131E-91 is recodified as G.S. 131E-214.50 under Article 11C 4
of Chapter 131E of the General Statutes, as created by subsection (a) of this section. 5
SECTION 2.(c) G.S. 131E-214.50(d) reads as rewritten: 6
"(d) Hospitals and ambulatory surgical facilities shall abide by the following reasonable 7
collections practices: 8
... 9
(1a) A hospital or ambulatory surgical facility shall not refer a patient's unpaid bill 10
to a collections agency, entity, or other assignee unless it has first presented 11
an itemized list of charges to the patient detailing, in language comprehensible 12
to an ordinary layperson, the specific nature of the charges or expenses 13
incurred by the patient. 14
...." 15
SECTION 2.(d) Article 11C of Chapter 131E of the General Statutes, as created by 16
subsection (a) of this section, is amended by adding a new section to read: 17
"§ 131E-214.52. Patient's right to a good-faith estimate. 18
(a) Definitions. – The following definitions apply in this section: 19
(1) CMS. – The federal Centers for Medicare and Medicaid Services. 20
(2) Facility. – A hospital or ambulatory surgical facility licensed under this 21
Chapter. 22
(3) Items and services. – All items and services, including individual items and 23
services and service packages, that could be provided by a facility to a patient 24
in connection with an inpatient admission or an outpatient visit for which the 25
facility has established a standard charge. Examples include, but are not 26
limited to, all of the following: 27
a. Supplies and procedures. 28
b. Room and board. 29
c. Fees for use of the facility or other items. 30
d. Professional charges for services of physicians and nonphysician 31
practitioners who are employed by the facility. 32
e. Professional charges for services of physicians and nonphysician 33
practitioners who are not employed by the facility. 34
f. Any other items or services for which a facility has established a 35
standard charge. 36
(4) Service package. – An aggregation of individual items and services into a 37
single service with a single charge. 38
(5) Shoppable service. – A non-urgent service that can be scheduled by a patient 39
in advance. The term includes all CMS-specified shoppable services plus as 40
many additional facility-selected shoppable services as are necessary for a 41
combined total of at least 300 shoppable services. 42
(b) Good-Faith Estimate.