HB 908 – Access to Affordable Health Coverage for All

Primary House Sponsors: Rep. Cecil Brockman (D-Guilford); Rep. Verla Insko (D-Orange)



This bill creates a refundable premium tax credit that is (1) designed to help eligible individuals afford health insurance purchased through the federal Health Insurance Marketplace, or the health Benefits Exchange, and (2) modeled after the federal refundable premium tax credit for purchasing health insurance on the Exchange, as provided for under the Patient Protection and Affordable Care Act.


To be eligible for the premium tax credit, this bill requires State residents to meet the following minimum requirements: (1) the individual has a modified adjusted gross income that is below 100% of the federal poverty level; (2) the individual is at least 19 years old and under age 65; (3) the individual is not entitled to or enrolled in Medicare benefits under Part A or Part B of Title XVIII of the federal Social Security Act; (4) the individual is not eligible for Medicaid coverage or NC Health Choice coverage under the NC State Plan that provides minimum essential coverage; (5) the individual is not eligible for coverage under TRICARE; (6) the individual is not able to obtain affordable coverage through an eligible employer-sponsored plan that provides minimum value and minimum essential coverage.


This bill also directs the Secretary of DHHS and the Secretary of the Department of Revenue to design a program to implement the State premium tax credit that does both of the following: (1) estimates the amount of State premium tax credit that an individual will be eligible for in a given tax year, and (2) allows an individual to direct any amount of the estimated State premium tax credit be paid in advance directly to an insurance company offering health benefit plans in this State on the Exchange.


This bill also appropriates $100K in nonrecurring funds for the 2021-2022 fiscal year to DHHS  and $100K in nonrecurring funds for the 2021-2022 fiscal year to the Department of Revenue for the purposes of designing a program to implement the State premium tax credit.



Filed – 5/10/2021