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---
type: "Bill"
title: "Exempt Direct Primary Care from DOI Regs."
description: "Exempt Direct Primary Care from DOI Regs."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2019"
identifier: "HB 471"
citation: "North Carolina HB 471 (2019)"
classification: ["bill"]
subjects: ["CONTRACTS", "DEREGULATION", "DHHS", "HEALTH SERVICES", "INSURANCE", "INSURANCE DEPT.", "MENTAL HEALTH", "OCCUPATIONS", "PHYSICIANS", "PRESENTED", "PUBLIC", "PUBLIC HEALTH", "RATIFIED", "REPORTS", "SOCIAL SERVICES", "STUDIES", "TITLE CHANGE", "SUBSTANCE ABUSE", "CHAPTERED", "DEVELOPMENTAL DISABILITIES"]
status: "enacted"
primary_sponsors: ["Dobson", "Hardister", "White"]
version_count: 7
action_count: 40
vote_count: 2
first_action: "2019-03-26"
last_action: "2020-07-01"
source: "openstates"
source_identifier: "ocd-bill/9020f785-8388-4d84-8f79-076460d0cad3"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2019&BillID=H471&votesToView=all"
source_hash: "cff48f6711b0d1e9c6b2d07ef011bf1c1a0d4e0434cd26e1d5d377023635be17"
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 471 (2019) — Exempt Direct Primary Care from DOI Regs.
## 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/2019/Bills/House/PDF/H471v0.pdf)
2. **A1: ABC-127-V-1** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2019/7846/0/H471-ABC-127-V-1)
3. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H471v1.pdf)
4. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H471v2.pdf)
5. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H471v3.pdf)
6. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H471v4.pdf)
7. **SL 2020-85** (committee substitute) — [source](http://www.ncleg.net/Sessions/2019/Bills/House/PDF/H471v5.pdf)
## Votes
- M11 Concur — **109–0** (pass) · lower
- Second Reading — **46–0** (pass) · upper
## Sponsors
- Dobson — primary (person)
- Hardister — primary (person)
- White — primary (person)
- Adcock — cosponsor (person)
- Brockman — cosponsor (person)
- Harrison — cosponsor (person)
- Holley — cosponsor (person)
- Insko — cosponsor (person)
- Logan — cosponsor (person)
- Terry — cosponsor (person)
- Willingham — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-07-01** Ch. SL 2020-85 `became-law`
- **2020-07-01** Signed by Gov. 7/1/2020 `executive-signature`
- **2020-06-26** Pres. To Gov. 6/26/2020 `executive-receipt`
- **2020-06-26** Ratified
- **2020-06-25** Ordered Enrolled
- **2020-06-25** Concurred In S Com Sub `amendment-passage`
- **2020-06-25** Added to Calendar
- **2020-06-25** Withdrawn From Com
- **2020-06-17** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2020-06-17** Withdrawn From Cal
- **2020-06-16** Placed On Cal For 06/17/2020
- **2020-06-16** Cal Pursuant Rule 36(b)
- **2020-06-16** Withdrawn From Com
- **2020-06-09** Ref To Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2020-06-08** Regular Message Received For Concurrence in S Com Sub
- **2020-06-08** Regular Message Sent To House
- **2020-06-03** Engrossed
- **2020-06-03** Passed 3rd Reading `passage, reading-3`
- **2020-06-03** Passed 2nd Reading `reading-2`
- **2020-06-03** Amend Adopted A1 `amendment-passage`
- **2020-06-02** Reptd Fav `committee-passage-favorable`
- **2020-05-28** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2020-05-28** Com Substitute Adopted
- **2020-05-28** Reptd Fav Com Substitute `committee-passage-favorable`
- **2019-06-27** Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2019-06-27** Withdrawn From Com
- **2019-04-17** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2019-04-17** Passed 1st Reading `reading-1`
- **2019-04-17** Regular Message Received From House
- **2019-04-17** Regular Message Sent To Senate
- **2019-04-16** Passed 3rd Reading `passage, reading-3`
- **2019-04-16** Passed 2nd Reading `reading-2`
- **2019-04-15** Placed On Cal For 04/16/2019
- **2019-04-15** Cal Pursuant Rule 36(b)
- **2019-04-15** Reptd Fav `committee-passage-favorable`
- **2019-04-09** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2019-04-09** Reptd Fav `committee-passage-favorable`
- **2019-03-28** Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2019-03-28** Passed 1st Reading `reading-1`
- **2019-03-26** Filed `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9020f785-8388-4d84-8f79-076460d0cad3`. Confidence: reported (aggregated from official North Carolina legislature records).