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Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/nc/2009/hb-436.md

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+---
+type: "Bill"
+title: "Fairness in CON Determinations/Inflation Adj."
+description: "Fairness in CON Determinations/Inflation Adj."
+jurisdiction: "us/states/nc"
+legislature: "North Carolina General Assembly"
+session: "2009"
+identifier: "HB 436"
+citation: "North Carolina HB 436 (2009)"
+classification: ["bill"]
+subjects: ["CERTIFICATES OF NEED", "CLINICS", "DHHS", "FISCAL NOTES", "HEALTH SERVICES", "HOSPITALS", "MENTAL HEALTH", "PRESENTED", "PUBLIC", "RATIFIED", "TITLE CHANGE", "CHAPTERED", "REP. LEWIS", "REP. FOLWELL", "REP. BOLES"]
+status: "enacted"
+primary_sponsors: ["Folwell", "Lewis"]
+version_count: 6
+action_count: 24
+vote_count: 2
+first_action: "2009-03-05"
+last_action: "2009-06-19"
+source: "openstates"
+source_identifier: "ocd-bill/a284a947-38e4-430d-bf86-90f7464c3050"
+source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2009&BillID=H436&votesToView=all"
+source_hash: "732b9cea2474644db16765cda0ae621ca9e3d90b0d7bc446e07f96d082bb5f1d"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-nc"]
+---
+
+# North Carolina HB 436 (2009) — Fairness in CON Determinations/Inflation Adj.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Filed** (filed) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v0.pdf)
+2. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v1.pdf)
+3. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v2.pdf)
+4. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v3.pdf)
+5. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v4.pdf)
+6. **SL2009-145** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H436v5.pdf)
+
+## Votes
+
+- M11 Concur — **99–13** (pass) · lower
+- Second Reading — **48–0** (pass) · upper
+
+## Sponsors
+
+- Folwell — primary (person)
+- Lewis — primary (person)
+- Boles — cosponsor (person)
+- Gulley — cosponsor (person)
+- Starnes — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2009-06-19** Ch. SL 2009-145 `became-law`
+- **2009-06-19** Signed By Gov. 6/19/2009 `executive-signature`
+- **2009-06-09** Pres. To Gov. 6/9/2009 `executive-receipt`
+- **2009-06-08** Ratified
+- **2009-06-04** Concurred In S/Com Sub `amendment-passage`
+- **2009-06-03** Placed On Cal For 6/4/2009
+- **2009-06-03** Cal Pursuant Rule 36(b)
+- **2009-06-03** Withdrawn From Com
+- **2009-06-02** Re-ref Com On Health `referral-committee`
+- **2009-06-02** Rec To Concur S Com Sub
+- **2009-05-28** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
+- **2009-05-27** Com Substitute Adopted
+- **2009-05-27** Reptd Fav Com Substitute `committee-passage-favorable`
+- **2009-05-19** Ref To Com On Health Care `referral-committee`
+- **2009-05-14** Rec From House
+- **2009-05-13** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
+- **2009-05-12** Placed On Cal For 5/13/2009
+- **2009-05-12** Cal Pursuant Rule 36(b)
+- **2009-05-12** Reptd Fav `committee-passage-favorable`
+- **2009-05-07** Re-ref Com On Judiciary II `referral-committee`
+- **2009-05-07** Reptd Fav Com Substitute `committee-passage-favorable`
+- **2009-03-09** Ref to the Com on Health, if favorable, Judiciary II `referral-committee`
+- **2009-03-09** Passed 1st Reading `reading-1`
+- **2009-03-05** Filed `introduction`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a284a947-38e4-430d-bf86-90f7464c3050`. Confidence: reported (aggregated from official North Carolina legislature records).
+