North Carolina’s insurance commissioner would establish a state health insurance marketplace

North Carolina’s insurance commissioner would have to establish a state-run health insurance marketplace. The commissioner would oversee the state-run marketplace in North Carolina. The marketplace would follow the Affordable Care Act or other applicable federal laws and rules. The commissioner could change programs, rules, and policies as needed to operate it, apply for and accept federal money, and form advisory groups. The bill specifies July 1, 2026, as its effective date, but the recorded actions do not show that it became law.

The state would set aside $100,000 each year for the Department of Insurance. The North Carolina Department of Insurance would receive the money. The money would come from the state’s General Fund and could be used only to establish and operate the state-run health insurance marketplace. The recurring funding would begin in the 2026–2027 budget year if the bill becomes law.