It looks like this bill is under way in our Legislature, to be voted on in the November, 2010 election.

S 1
Short Title: 10th Amendment/Health Reform. (Public)
Sponsors: Senators Forrester; Allran, Blake, Brock, Brown, Goodall, Rouzer, and Tillman.
Referred to: Rules and Operations of the Senate.
May 17, 2010
4 The General Assembly of North Carolina enacts:
5 SECTION 1. Article 14 of the North Carolina Constitution is amended by adding
6 the following new section:
7 "Sec. 6. Health Care Services.
8 (1) To preserve the right of North Carolinians to provide for their health care:
9 (a) A law or rule shall not compel, directly or indirectly, any person, employer,
10 or health care provider to participate in any health care system.
11 (b) A person or employer may pay directly for lawful health care services and
12 shall not be required to pay penalties or fines for paying directly for lawful
13 health care services. A health care provider may accept direct payment for
14 lawful health care services and shall not be required to pay penalties or fines
15 for accepting direct payment from a person or employer for lawful health
16 care services.
17 (2) Subject to reasonable and necessary rules that do not substantially limit a person's
18 options, the purchase or sale of health insurance in private health care systems shall not be
19 prohibited by law or rule.
20 (3) This section does not:
21 (a) Affect which health care services a health care provider or hospital is
22 required to perform or provide.
23 (b) Affect which health care services are permitted by law.
24 (c) Prohibit care provided pursuant to laws relating to workers' compensation.
25 (d) Affect laws or rules in effect as of January 1, 2010.
26 (e) Affect the terms or conditions of any health care system to the extent that
27 those terms and conditions do not have the effect of punishing a person or
28 employer for paying directly for lawful health care services or a health care
29 provider or hospital for accepting direct payment from a person or employer
30 for lawful health care services.
31 (4) For the purposes of this section:
32 (a) "Compel" includes penalties or fines.
33 (b) "Direct payment or pay directly" means payment for lawful health care
34 services without a public or private third party, not including an employer,
35 paying for any portion of the service.
36 (c) "Health care system" means any public or private entity whose function or
37 purpose is the management of, processing of, enrollment of individuals for
General Assembly of North Carolina Session 2009
Page 2 Senate Bill 1157-First Edition
or payment for, in full o 1 r in part, health care services or health care data or
2 health care information for its participants.
3 (d) "Lawful health care services" means any health-related service or treatment
4 to the extent that the service or treatment is permitted or not prohibited by
5 law or regulation that may be provided by persons or businesses otherwise
6 permitted to offer such services.
7 (e) "Penalties or fines" means any civil or criminal penalty or fine, tax, salary or
8 wage withholding, or surcharge or any named fee with a similar effect
9 established by law or rule by a government-established, -created, or
10 -controlled agency that is used to punish or discourage the exercise of rights
11 protected under this section."
12 SECTION 2. The amendment set out in Section 1 of this act shall be submitted to
13 the qualified voters of the State at an election on November 2, 2010, which election shall be
14 conducted under the laws then governing elections in the State. Ballots, voting systems, or both
15 may be used in accordance with Chapter 163 of the General Statutes. The question to be used in
16 the voting systems and ballots shall be:
17 "[ ] FOR [ ] AGAINST
18 Constitutional Amendment on Health Reform."
19 SECTION 3. If a majority of votes cast on the question are in favor of the
20 amendment set out in Section 1 of this act, the State Board of Elections shall certify the
21 amendment to the Secretary of State. The Secretary of State shall enroll the amendment so
22 certified among the permanent records of that office.

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