S.494

Limit the Scope of Certificate of Need Laws

Introduced·3/25/25

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.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Rules and Operations of the Senate Committee
Next
Committee decision

Sponsors

0
1
R
Democratic CaucusRepublican Caucus

History

Mar 26, 2025

Senate

Passed 1st Reading

Mar 26, 2025

Senate

Ref To Com On Rules and Operations of the Senate

Mar 25, 2025

Senate

Filed