North Carolina Health Care Affordability Commission
Jun 30, 2026 · Health-care affordability study established; first report due January 21, 2027
Gov. Josh Stein · Issued
Reviewed signed executive order
Governor Josh Stein signed Executive Order 39 on June 30, 2026. Sections 1–2 establish a Health Care Affordability Commission with seven voting members and at most 25 nonvoting members, all Governor-appointed at pleasure for renewable one-year terms. Voting members are the DHHS Secretary and State Treasurer as co-chairs, the OSBM Director, two state senators and two state representatives. Nonvoting North Carolina residents bring health-industry and cost-driver knowledge; membership should reflect geographic, professional and demographic diversity. Section 3 directs research and advice on transparency, data and records; competition and system capacity; provider shortages, especially primary care; primary-care access and use; value-based care; and rural affordability. The commission considers existing initiatives, including the Rural Health Transformation Program, and reports recommendations to the Governor. Its first report is required by January 21, 2027. Recommendations do not themselves lower premiums, expand insurance eligibility, set prices or enact competition law. Section 4 requires at least three whole-body meetings, with additional meetings at the Governor’s or co-chairs’ call, permits electronic meetings, applies the Open Meetings Act and requires a simple majority of voting members for quorum. Section 5 assigns Governor’s Office, Treasurer and DHHS staff, with unpaid members eligible for necessary travel/subsistence under state rules. Section 6 is effective immediately and states no fixed sunset; renewable one-year member terms are not a one-year termination of the commission. The HTML body header says May 27, 2026, but the signed header, witness clause and first-publication record say June 30. The HTML also omits the signed original’s recital about Medicaid and State Health Plan financial pressure. The signed instrument controls these details. Referenced SCRIPT Act provisions, underlying claims data, numerical spending/enrollment/debt-relief assertions, appointments and implementation remain unverified; those background figures are not added as measured facts. Research into medical costs and affordability concerns consumer prices. This is component price context, not an enacted price cap or measured CPI reduction.
Signed 2026-06-30; published 2026-06-30. Health-care affordability study established; first report due January 21, 2027. Historical issuance is verified; current operation and outcomes require separate review.
Why this record is included
Research into medical costs and affordability concerns consumer prices. This is component price context, not an enacted price cap or measured CPI reduction.
Retained North Carolina evidence context: cpi · reviewed policy context · deficit-debt-interest · reviewed policy context · health · reviewed policy context · unemployment-rate · reviewed policy context. This record’s connection to the topic does not establish an effect on the measured result.
Governor Josh Stein signed Executive Order 39 on June 30, 2026. Sections 1–2 establish a Health Care Affordability Commission with seven voting members and at most 25 nonvoting members, all Governor-appointed at pleasure for renewable one-year terms. Voting members are the DHHS Secretary and State Treasurer as co-chairs, the OSBM Director, two state senators and two state representatives. Nonvoting North Carolina residents bring health-industry and cost-driver knowledge; membership should reflect geographic, professional and demographic diversity.Review official supporting evidence ↗