---
type: "Bill"
title: "Access to Healthcare Options."
description: "Access to Healthcare Options."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2023"
identifier: "HB 76"
citation: "North Carolina HB 76 (2023)"
classification: ["bill"]
subjects: ["BUDGETING", "CHAPTERED", "COMMERCE", "DHHS", "EDUCATION", "EMPLOYMENT", "FUNDING", "FUNDS & ACCOUNTS", "HEALTH", "HEALTH SERVICES", "HOSPITALS", "INSURANCE", "LABOR DEPT.", "MEDICAID", "POVERTY", "PRESENTED", "PUBLIC", "RATIFIED", "REPORTS", "SESSION LAWS", "SOCIAL SERVICES", "VOCATIONAL EDUCATION"]
status: "enacted"
primary_sponsors: ["Lambeth", "White", "Wray"]
version_count: 9
action_count: 45
vote_count: 0
first_action: "2023-02-08"
last_action: "2023-03-27"
source: "openstates"
source_identifier: "ocd-bill/6f6f30fc-7cf8-4ffb-abcd-784c07898a8e"
source_url: "https://www.ncleg.gov/BillLookUp/2023/H76"
source_hash: "19cffbdc6edea4a8736e55af99421a4196d0e4f7b80a9dcda1ed06e715cf1b86"
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 76 (2023) — Access to Healthcare Options.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Filed** (filed) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v0.pdf)
2. **A1: AMR-1-V-4** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2023/656/0/H76-AMR-1-V-4)
3. **A2: ATR-5-V-4** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2023/657/0/H76-ATR-5-V-4)
4. **A3: ATR-4-V-7** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2023/658/0/H76-ATR-4-V-7)
5. **Edition 1** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v1.pdf)
6. **Edition 2** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v2.pdf)
7. **Edition 3** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v3.pdf)
8. **Ratified** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v4.pdf)
9. **SL 2023-7** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2023/Bills/House/PDF/H76v5.pdf)

## Sponsors

- Lambeth — primary (person)
- White — primary (person)
- Wray — primary (person)
- A. Baker — cosponsor (person)
- Ager — cosponsor (person)
- Alexander — cosponsor (person)
- Alston — cosponsor (person)
- Autry — cosponsor (person)
- Ball — cosponsor (person)
- Belk — cosponsor (person)
- Brisson — cosponsor (person)
- Buansi — cosponsor (person)
- Butler — cosponsor (person)
- Carney — cosponsor (person)
- Cervania — cosponsor (person)
- Charles Smith — cosponsor (person)
- Clemmons — cosponsor (person)
- Cotham — cosponsor (person)
- Crawford — cosponsor (person)
- Cunningham — cosponsor (person)
- Davis — cosponsor (person)
- Everitt — cosponsor (person)
- F. Jackson — cosponsor (person)
- Faircloth — cosponsor (person)
- G. Brown — cosponsor (person)
- Gill — cosponsor (person)
- Harris — cosponsor (person)
- Harrison — cosponsor (person)
- Hawkins — cosponsor (person)
- Humphrey — cosponsor (person)
- Jeffers — cosponsor (person)
- John — cosponsor (person)
- K. Brown — cosponsor (person)
- Liu — cosponsor (person)
- Lofton — cosponsor (person)
- Logan — cosponsor (person)
- Longest — cosponsor (person)
- Lucas — cosponsor (person)
- Majeed — cosponsor (person)
- Morey — cosponsor (person)
- Penny — cosponsor (person)
- Pierce — cosponsor (person)
- Prather — cosponsor (person)
- Price — cosponsor (person)
- Quick — cosponsor (person)
- Reives — cosponsor (person)
- Roberson — cosponsor (person)
- Ross — cosponsor (person)
- Rudow — cosponsor (person)
- Sasser — cosponsor (person)
- Staton-Williams — cosponsor (person)
- Winslow — cosponsor (person)
- von Haefen — cosponsor (person)

## Timeline

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

- **2023-03-27** Ch. SL 2023-7 `became-law`
- **2023-03-27** Signed by Gov. 3/27/2023 `executive-signature`
- **2023-03-23** Pres. To Gov. 3/23/2023 `executive-receipt`
- **2023-03-23** Ratified
- **2023-03-23** Ordered Enrolled
- **2023-03-23** Concurred On 3rd Reading
- **2023-03-22** Concurred On 2nd Reading
- **2023-03-15** Placed On Cal For 03/22/2023
- **2023-03-15** Cal Pursuant 36(b)
- **2023-03-15** Ruled Material
- **2023-03-15** Special Message Received For Concurrence in S Com Sub
- **2023-03-15** Special Message Sent To House
- **2023-03-15** Passed 3rd Reading `passage, reading-3`
- **2023-03-14** Passed 2nd Reading `reading-2`
- **2023-03-13** Reptd Fav `committee-passage-favorable`
- **2023-03-08** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2023-03-08** Reptd Fav `committee-passage-favorable`
- **2023-03-08** Re-ref Com On Finance `referral-committee`
- **2023-03-08** Com Sub Ruled Material
- **2023-03-08** Com Substitute Adopted
- **2023-03-08** Reptd Fav Com Substitute `committee-passage-favorable`
- **2023-03-07** Sequential Referral To Appropriations/Base Budget Stricken
- **2023-03-02** Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Appropriations/Base Budget. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2023-03-02** Withdrawn From Com
- **2023-02-20** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2023-02-20** Passed 1st Reading `reading-1`
- **2023-02-20** Regular Message Received From House
- **2023-02-16** Regular Message Sent To Senate
- **2023-02-16** Regular Message Sent To Senate
- **2023-02-16** Ordered Engrossed
- **2023-02-16** Passed 3rd Reading `passage, reading-3`
- **2023-02-15** Passed 2nd Reading `reading-2`
- **2023-02-15** Amend Adopted A3 `amendment-passage`
- **2023-02-15** Amend Adopted A2 `amendment-passage`
- **2023-02-15** Amend Adopted A1 `amendment-passage`
- **2023-02-15** Added to Calendar
- **2023-02-15** Cal Pursuant Rule 36(b)
- **2023-02-15** Reptd Fav `committee-passage-favorable`
- **2023-02-14** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2023-02-14** Reptd Fav `committee-passage-favorable`
- **2023-02-14** Re-ref Com On Finance `referral-committee`
- **2023-02-14** Reptd Fav `committee-passage-favorable`
- **2023-02-09** Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2023-02-09** Passed 1st Reading `reading-1`
- **2023-02-08** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6f6f30fc-7cf8-4ffb-abcd-784c07898a8e`. Confidence: reported (aggregated from official North Carolina legislature records).