---
type: "Bill"
title: "No N.C. Exchange/No Medicaid Expansion."
description: "No N.C. Exchange/No Medicaid Expansion."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2013"
identifier: "SB 4"
citation: "North Carolina SB 4 (2013)"
classification: ["bill"]
subjects: ["APPROPRIATIONS", "BUDGETING", "DHHS", "FUNDING", "GRANTS", "HEALTH SERVICES", "INSURANCE", "INSURANCE DEPT.", "INSURANCE", "HEALTH", "MEDICAID", "POVERTY", "PRESENTED", "RATIFIED", "SESSION LAWS", "SOCIAL SERVICES", "CHAPTERED"]
status: "enacted"
primary_sponsors: ["Apodaca", "Brown"]
version_count: 6
action_count: 37
vote_count: 2
first_action: "2013-01-30"
last_action: "2013-03-06"
source: "openstates"
source_identifier: "ocd-bill/32cead0b-fb35-409d-b497-03f5b785f1bd"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2013&BillID=S4&votesToView=all"
source_hash: "3e91b7f06cab7f7e414d22b9f160270115b0d8581c722674ce5e33805c41beb4"
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 SB 4 (2013) — No N.C. Exchange/No Medicaid Expansion.

## 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/2013/Bills/Senate/PDF/S4v0.pdf)
2. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2013/Bills/Senate/PDF/S4v1.pdf)
3. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2013/Bills/Senate/PDF/S4v2.pdf)
4. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2013/Bills/Senate/PDF/S4v3.pdf)
5. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2013/Bills/Senate/PDF/S4v4.pdf)
6. **SL2013-5** (committee substitute) — [source](http://www.ncleg.net/Sessions/2013/Bills/Senate/PDF/S4v5.pdf)

## Votes

- C RPT Adopted — **74–40** (pass) · lower
- Conference Rpt Motion 8 To Adopt — **31–16** (pass) · upper

## Sponsors

- Apodaca — primary (person)
- Brown — primary (person)
- Allran — cosponsor (person)
- B. Jackson — cosponsor (person)
- Barefoot — cosponsor (person)
- Bingham — cosponsor (person)
- Brock — cosponsor (person)
- Brunstetter — cosponsor (person)
- Cook — cosponsor (person)
- Curtis — cosponsor (person)
- Daniel — cosponsor (person)
- Goolsby — cosponsor (person)
- Gunn — cosponsor (person)
- Harrington — cosponsor (person)
- Hartsell — cosponsor (person)
- Hise — cosponsor (person)
- Hunt — cosponsor (person)
- J. Davis — cosponsor (person)
- Meredith — cosponsor (person)
- Newton — cosponsor (person)
- Pate — cosponsor (person)
- Rabin — cosponsor (person)
- Rabon — cosponsor (person)
- Randleman — cosponsor (person)
- Rucho — cosponsor (person)
- Sanderson — cosponsor (person)
- Soucek — cosponsor (person)
- Tillman — cosponsor (person)
- Tucker — cosponsor (person)
- Wade — cosponsor (person)

## Timeline

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

- **2013-03-06** Ch. SL 2013-5 `became-law`
- **2013-03-06** Signed by Gov. 3/6/2013 `executive-signature`
- **2013-02-28** Pres. To Gov. 2/28/2013 `executive-receipt`
- **2013-02-27** Ratified
- **2013-02-26** Ordered Enrolled
- **2013-02-26** Conf Report Adopted
- **2013-02-26** Conf Report Adopted
- **2013-02-25** Placed On Cal For 02/26/2013
- **2013-02-25** Conf Com Reported
- **2013-02-25** Placed On Cal For 02/26/2013
- **2013-02-25** Conf Com Reported
- **2013-02-19** Conf Com Appointed
- **2013-02-19** Conf Com Appointed
- **2013-02-19** Failed Concur In H Com Sub
- **2013-02-18** Placed On Cal For 02/19/2013
- **2013-02-18** Withdrawn From Cal
- **2013-02-14** Placed On Cal For 02/18/2013
- **2013-02-14** Rec To Concur H Com Sub
- **2013-02-14** Passed 3rd Reading `passage, reading-3`
- **2013-02-13** Passed 2nd Reading `reading-2`
- **2013-02-13** Amend Failed A3 `amendment-failure`
- **2013-02-13** Amend Failed A2 `amendment-failure`
- **2013-02-13** Amend Failed A1 `amendment-failure`
- **2013-02-12** Placed On Cal For 02/13/2013
- **2013-02-12** Cal Pursuant Rule 36(b)
- **2013-02-12** Reptd Fav Com Substitute `committee-passage-favorable`
- **2013-02-11** Serial Referral To Appropriations Stricken
- **2013-02-07** Ref to the Com on Health and Human Services, if favorable, Appropriations `referral-committee`
- **2013-02-07** Passed 1st Reading `reading-1`
- **2013-02-06** Rec From Senate
- **2013-02-05** Passed 3rd Reading `passage, reading-3`
- **2013-02-04** Passed 2nd Reading `reading-2`
- **2013-01-31** Com Substitute Adopted
- **2013-01-31** Reptd Fav Com Substitute `committee-passage-favorable`
- **2013-01-31** Ref To Com On Insurance `referral-committee`
- **2013-01-31** Passed 1st Reading `reading-1`
- **2013-01-30** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/32cead0b-fb35-409d-b497-03f5b785f1bd`. Confidence: reported (aggregated from official North Carolina legislature records).