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HB 346 · 2023-2024 · Introduced in House

Signed into law

Reorganization & Economic Development Act.

Misleading 4/5signed

What It Actually Does

Lets Blue Cross NC move $4.6 billion in policyholder money into a new holding company with less regulatory oversight. The state Insurance Commissioner called it "a sure way to raise premiums."

This legislation establishes detailed rules for hospital service corporations to restructure themselves under nonprofit holding companies, permitting transfers of up to 25% of assets including cash, investments, and subsidiaries to these less-regulated entities. The bill includes specific provisions about executive compensation reporting, governance requirements, and exemptions from certain insurance conversion laws.

Why the name is misleading

The generic title 'Reorganization & Economic Development Act' completely obscures that this is highly specific legislation for hospital service corporations (insurance companies) and makes no mention of the healthcare/insurance industry focus, making it sound like broad economic policy.


Status

Signed into law

Governor action:signed

Sponsors

Bradford, Setzer, Reives, Bell, Alexander, Alston, Arp, A. Baker, Brockman, G. Brown, K. Brown, T. Brown, Cairns, Carney, Chesser, Clemmons, Cotham, Crawford, Crutchfield, Cunningham, Dahle, Gill, Gillespie, K. Hall, Hardister, Harris, Hawkins, Humphrey, F. Jackson, N. Jackson, Jeffers, Johnson, B. Jones, Lowery, Lucas, Majeed, McNeely, Miller, Moss, Paré, Pickett, Pierce, Potts, Pyrtle, Quick, Ross, Saine, Sossamon, Strickland, Tyson, Ward, Warren, Willingham, Wray, Zenger

Sources

ncleg.gov bill pageBPR North Carolina lawmakers move swiftly to restructure the state's largest health insurerNC Health News Contentious Blue Cross NC bill sails through legislature

The Vote

4/27/2023 12:38 PM · Reorganization & Economic Development Act. Second Reading · House

House Vote · Passed 8626

R Yea (58)D Yea (28)R Nay (11)D Nay (15)Absent (1)

Passed 86-26

Party Breakdown

R
58/72 (81%)
D
28/48 (58%)

5/30/2023 4:35 PM · Reorganization and Economic Development Act. Second Reading · Senate

Senate Vote · Passed 415

R Yea (27)D Yea (14)D Nay (5)

Passed 41-5

Party Breakdown

R
27/30 (90%)
D
14/20 (70%)