North Carolina 2023-2024 Regular Session

North Carolina House Bill H681

Introduced
4/18/23  
Refer
4/19/23  
Report Pass
5/23/23  
Refer
5/23/23  
Report Pass
6/14/23  
Refer
6/14/23  
Engrossed
6/15/23  
Refer
6/15/23  
Refer
6/20/23  
Report Pass
5/22/24  

Caption

Healthcare Flexibility Act

Impact

If enacted, HB 681 would significantly amend Chapter 90 of the General Statutes concerning medical licensure and the practice of healthcare. The Interstate Compact is intended to streamline the licensing process, thereby facilitating better cross-state practice among healthcare providers. Additionally, the provisions aimed at regulating facility fees and ensuring notification regarding out-of-network providers reflect a commitment to fostering transparency within the healthcare system. This bill could lead to a shift in how healthcare services are delivered and funded, potentially improving patient outcomes and healthcare access across state lines.

Summary

House Bill 681, also known as the Healthcare Flexibility Act, aims to establish an Interstate Medical Licensure Compact to enhance access to healthcare by allowing physicians to be licensed in multiple states. The Act addresses the need for flexibility in healthcare delivery, particularly for nurse practitioners and anesthesiologists. Importantly, it seeks to amend existing regulations regarding out-of-network billing practices in in-network facilities while limiting facility fees. The bill aligns with recent healthcare trends that prioritize convenience for both providers and patients, aiming to reduce barriers in the healthcare system.

Sentiment

The sentiment around the bill seems generally positive among healthcare stakeholders who argue that the changes will enhance access to care, particularly in underserved areas needing more healthcare professionals. Advocates for the bill emphasize that it empowers nurse practitioners and reduces bureaucratic inefficiencies. However, concerns exist regarding potential pushback from some healthcare facilities who may oppose limits on facility fees and regulations regarding out-of-network billing. Overall, the dialogue reflects a balance between the need for accessibility and the interests of healthcare providers and facilities.

Contention

Notable points of contention include the provisions related to facility fees and out-of-network billing, which may stir debate among healthcare providers and insurance companies. Some stakeholders worry that limiting facility fees could impact the operational sustainability of healthcare facilities, particularly in rural areas that rely on higher fees to manage costs. Additionally, the notification requirements for out-of-network services aim to protect consumers but may raise concerns about the administrative burdens placed on healthcare providers. The discussions involve differing opinions on the balance of flexibility versus regulation within healthcare services.

Companion Bills

No companion bills found.

Previously Filed As

NC H67

Healthcare Workforce Reforms

NC S324

Interstate Medical Licensure Compact

NC S336

Interstate Med.l Lic. Comp./Intern'l Phys

NC H434

Lower Healthcare Costs

NC S316

Lower Healthcare Costs

NC H125

NC Health & Human Services Workforce Act

NC S528

Child Care Regulatory Reforms & Flexibilities

NC H76

Access to Healthcare Options

NC S607

Regulatory Reform Act of 2024

NC SB674

Relating To The Interstate Medical Licensure Compact.

Similar Bills

MS HB849

CRNAs; exempt from collaborative agreement, and license anesthesiologist assistants.

MS HB1437

Board of Medical Licensure; revise licensure status, definitions, procedure, fines and temporary practice authority.

NC S385

Anesthesia Care/TEFRA Compliance

MO SB910

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MO SB27

Modifies provisions relating to certified registered nurse anesthetists

VA SB739

Certified registered nurse anesthetists; supervision, report.

VA SB33

Certified registered nurse anesthetists; supervision during an operation or procedure.

VA SB33

Certified registered nurse anesthetists; supervision during an operation or procedure.