Limits Certificate of Need laws to counties with populations under 100,000 and at least one hospital.
This bill modifies North Carolina's Certificate of Need laws, exempting counties with populations under 100,000 and at least one functioning hospital. It allows ambulatory surgical facilities in larger counties to opt out of these laws by obtaining a specific license. The bill also defines "qualified urban ambulatory surgical facility" and outlines the charity care requirements for these facilities. Effective November 21, 2025, the changes apply to counties meeting the specified criteria.
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