Defund Planned Parenthood & Cost Transparency

EngrossedDonny Lambeth (R)House2025–2026 SessionHealthcare
AI Generated

This bill has two main parts: it prohibits Planned Parenthood from participating in North Carolina's Medicaid program, and it establishes new billing transparency and collections practices for hospitals and ambulatory surgical facilities. The billing provisions require hospitals to provide itemized cost estimates for scheduled services, limit final bills to within 5% of the estimate, and prohibit sending bills to collections without first providing an itemized breakdown.

Arguments in Favor

Supporters argue this bill aligns North Carolina with federal policy and the Supreme Court ruling allowing states to exclude Planned Parenthood from Medicaid, ensuring taxpayer funds are used in accordance with their values regarding abortion. On the billing side, supporters contend that requiring cost transparency and estimates helps patients make informed medical decisions and protects them from unexpected hospital bills, addressing a major source of medical debt and financial hardship.

Arguments Against

Opponents argue that defunding Planned Parenthood limits access to healthcare services like cancer screenings, contraception, and STI testing for low-income North Carolinians who rely on Medicaid, and that the organization uses Medicaid funding only for non-abortion services. Critics of the billing provisions worry that 5% price caps may burden hospitals financially, potentially reducing services or quality of care, and that the good-faith estimate requirements create administrative costs that could be passed to patients or insurance companies.

AI-generated analysis based on bill text. Always verify with official sources at ncleg.gov. This is not legal or political advice.

Sponsors

Cosponsors (30)

Diane Wheatley
Diane WheatleyRepublican

Representative · District 43

Garland Pierce
Garland PierceDemocrat

Representative · District 48

Howard Penny
Howard PennyRepublican

Representative · District 53

JL
Jarrod LoweryRepublican

Representative · District 47

Donnie Loftis
Donnie LoftisRepublican

Representative · District 109

Ben Moss
Ben MossRepublican

Representative · District 52

John Blust
John BlustRepublican

Representative · District 62

Charles Miller
Charles MillerRepublican

Representative · District 19

Frances Jackson
Frances JacksonDemocrat

Representative · District 45

Shelly Willingham
Shelly WillinghamDemocrat

Representative · District 23

Phillip Shepard
Phillip ShepardRepublican

Representative · District 15

Richard Carver
Richard CarverRepublican

Representative · District 95

Jerry Branson
Jerry BransonRepublican

Representative · District 59

Bill Ward
Bill WardRepublican

Representative · District 5

Allen Chesser
Allen ChesserRepublican

Representative · District 25

Donna White
Donna WhiteRepublican

Representative · District 26

Hugh Blackwell
Hugh BlackwellRepublican

Representative · District 86

David Willis
David WillisRepublican

Representative · District 68

Charles Smith
Charles SmithDemocrat

Representative · District 44

Carla Cunningham
Carla CunninghamDemocrat

Representative · District 106

Samuel Watford
Samuel WatfordRepublican

Representative · District 80

CB
Cecil BrockmanDemocrat

Representative · District 60

Stephen Ross
Stephen RossRepublican

Representative · District 63

Heather Rhyne
Heather RhyneRepublican

Representative · District 97

Joe Pike
Joe PikeRepublican

Representative · District 6

Brian Biggs
Brian BiggsRepublican

Representative · District 70

Sarah Crawford
Sarah CrawfordDemocrat

Representative · District 66

Jake Johnson
Jake JohnsonRepublican

Representative · District 113

Timothy Reeder
Timothy ReederRepublican

Representative · District 9

Jonathan Almond
Jonathan AlmondRepublican

Representative · District 73

Vote Breakdown (2 roll calls)

Final Vote

House Initial PassageJun 25, 2025

On: Second Reading

Passed
96
Yea
17
Nay
2
Not Voting
5
Absent
96 Yea17 Nay
Republican66 Yea·0 Nay
Democrat30 Yea·17 Nay