---
type: "Bill"
title: "Health Insurance Coverage/Lymphedema."
description: "Health Insurance Coverage/Lymphedema."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2009"
identifier: "HB 535"
citation: "North Carolina HB 535 (2009)"
classification: ["bill"]
subjects: ["ACTUARIAL NOTES", "BOARDS", "DISEASES", "EMPLOYMENT", "HEALTH SERVICES", "INSURANCE", "INSURANCE", "HEALTH", "LICENSING & CERTIFICATION", "OCCUPATIONAL THERAPY", "OCCUPATIONS", "PHYSICAL THERAPY", "PHYSICAL THERAPY BOARD", "PRESENTED", "PUBLIC", "PUBLIC HEALTH", "RATIFIED", "SALARIES & BENEFITS", "STATE EMPLOYEES", "TEACHERS", "STATE HEALTH PLAN", "CHAPTERED", "OCCUPATIONAL THERAPY BOARD", "REP. COTHAM"]
status: "enacted"
primary_sponsors: ["Cotham", "England", "Insko"]
version_count: 5
action_count: 24
vote_count: 2
first_action: "2009-03-11"
last_action: "2009-07-17"
source: "openstates"
source_identifier: "ocd-bill/26aa71a5-828a-46a6-883c-439f20cad1cb"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2009&BillID=H535&votesToView=all"
source_hash: "02d59d22133826f3bf555939e113e475c47adb10e51072ee9db628493bb567ae"
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 535 (2009) — Health Insurance Coverage/Lymphedema.

## 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/H535v0.pdf)
2. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H535v1.pdf)
3. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H535v2.pdf)
4. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H535v3.pdf)
5. **SL2009-313** (committee substitute) — [source](http://www.ncleg.net/Sessions/2009/Bills/House/PDF/H535v4.pdf)

## Votes

- Second Reading — **107–9** (pass) · lower
- Second Reading — **46–0** (pass) · upper

## Sponsors

- Cotham — primary (person)
- England — primary (person)
- Insko — primary (person)
- Blue — cosponsor (person)
- Boles — cosponsor (person)
- Brown — cosponsor (person)
- Bryant — cosponsor (person)
- Burris-Floyd — cosponsor (person)
- Carney — cosponsor (person)
- Current — cosponsor (person)
- Earle — cosponsor (person)
- Faison — cosponsor (person)
- Gibson — cosponsor (person)
- Glazier — cosponsor (person)
- Goforth — cosponsor (person)
- Gulley — cosponsor (person)
- Harrell — cosponsor (person)
- Harrison — cosponsor (person)
- Howard — cosponsor (person)
- Jones — cosponsor (person)
- Lucas — cosponsor (person)
- M. Alexander — cosponsor (person)
- Mackey — cosponsor (person)
- McLawhorn — cosponsor (person)
- Rapp — cosponsor (person)
- Stewart — cosponsor (person)
- Tarleton — cosponsor (person)
- Tillis — cosponsor (person)
- Wainwright — cosponsor (person)
- Whilden — cosponsor (person)
- Wilkins — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2009-07-17** Ch. SL 2009-313 `became-law`
- **2009-07-17** Signed By Gov. 7/17/2009 `executive-signature`
- **2009-07-10** Pres. To Gov. 7/10/2009 `executive-receipt`
- **2009-07-09** Ratified
- **2009-07-08** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
- **2009-07-01** Placed On Cal For 7/8/2009
- **2009-07-01** Withdrawn From Cal
- **2009-06-29** Placed On Cal For 7/1/2009
- **2009-06-29** Withdrawn From Com
- **2009-06-24** Re-ref Com On Appropriations/Base Budget `referral-committee`
- **2009-06-24** Reptd Fav `committee-passage-favorable`
- **2009-06-04** Ref to Health Care. If fav, re-ref to Appropriations/Base Budget `referral-committee`
- **2009-06-04** Withdrawn From Com
- **2009-05-19** Ref to Commerce. If fav, re-ref to Appropriations/Base Budget `referral-committee`
- **2009-05-14** Rec From House
- **2009-05-14** Passed 2nd & 3rd Reading `passage, reading-2, reading-3`
- **2009-05-13** Placed On Cal For 5/14/2009
- **2009-05-13** Cal Pursuant Rule 36(b)
- **2009-05-13** Reptd Fav `committee-passage-favorable`
- **2009-05-05** Re-ref Com On Insurance `referral-committee`
- **2009-05-05** Reptd Fav Com Substitute `committee-passage-favorable`
- **2009-03-12** Ref to the Com on Health, if favorable, Insurance, if favorable, Appropriations `referral-committee`
- **2009-03-12** Passed 1st Reading `reading-1`
- **2009-03-11** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/26aa71a5-828a-46a6-883c-439f20cad1cb`. Confidence: reported (aggregated from official North Carolina legislature records).