North Carolina Senate bill seeks to end certificate of need for surgical, rehab centers

Michael V. Lee, North Carolina State Senator for 7th District
Michael V. Lee, North Carolina State Senator for 7th District
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State Sen. Michael V. Lee has introduced a new bill in the North Carolina Senate to repeal certificate of need requirements for surgical and rehabilitation facilities across the state, according to the North Carolina State Senate.

The proposal, filed as SB 1040 on April 30 in the 2025 regular session, carries the short title, ‘Repeal CON for ASCs and Inpatient Rehab.’

The summary below is based on the bill text and includes clarifications for its main provisions.

SB 1040 would remove North Carolina’s certificate of need requirements for ambulatory surgical facilities as well as for inpatient rehabilitation services, facilities, and beds. It also deletes corresponding outdated definitions from state law and updates cross-references so ambulatory surgical facilities would fall under current licensure statutes rather than certificate of need legislation. One-time funding of $50,000 is allotted for the 2026-27 fiscal year for the Department of Health and Human Services to carry out these changes and create a plan for ending all remaining certificate of need laws within three years of passage. The bill is set to take effect July 1, 2026.

Among the three sponsors, Jim Burgin led with 112 bills introduced during the 2025 regular session.

North Carolina’s legislative process for bills involves a series of steps before a bill becomes law. Lawmakers initially file a bill, which is sent to a committee for consideration. Each chamber must read the bill three times. If amendments are made in one chamber after passage in the other, agreement on a final version is required. Upon final approval by both chambers, the bill advances to the governor, who has 10 days (or 30 days if the legislature is adjourned) to sign, veto, or allow it to become law without a signature.

Further details about current bills and legislative actions are available here.

Lee earned his BA from the University of North Carolina at Chapel Hill in 1991 and a JD from Wake Forest University Law School in 1997.

A Republican, Lee was elected to represent North Carolina’s 7th Senate district in the State Senate in 2023, succeeding Jim Perry.

Bills Introduced by Your Senators in North Carolina Senate During 2025 Regular Session

Authors Bill Number Date Filed Title
Michael V. Lee, Benton G. Sawrey, and Jim Burgin SB 1040 04/30/2026 Repeal CON for ASCs and Inpatient Rehab.
Michael V. Lee SB 1002 04/30/2026 Micro-Budget Productions & Film Grant Changes.
Michael V. Lee, Dana Jones, and Kevin Corbin SB 1006 04/30/2026 K-12 Innovation and Transformation Act.
Michael V. Lee, Michael A. Lazzara, and Timothy D. Moffitt SB 1010 04/30/2026 FUTURE NC Infrastructure Act.
Michael V. Lee, Brad Overcash, and Ralph Hise SB 1037 04/30/2026 DIGITAL NC Act.
Michael V. Lee SB 1038 04/30/2026 Henry’s Law.
Michael V. Lee and Jay J. Chaudhuri SB 1039 04/30/2026 Construction Inspection Efficiency Act.
Michael V. Lee, Kevin Corbin, and Todd Johnson SB 1041 04/30/2026 Public Workforce Modernization Act.
Michael V. Lee and Danny Earl Britt, Jr. SB 1043 04/30/2026 2026 Water Safety Act.
Michael V. Lee, Kevin Corbin, and Ralph Hise SB 1044 04/30/2026 Foundational Mathematics Act.
Michael V. Lee, Bob Brinson, and Norman W. Sanderson SB 1066 04/30/2026 Alternative Bridge Funding Formula.
Michael V. Lee and Michael A. Lazzara SB 970 04/30/2026 E-Bike Definition and Local Regulation.
Michael V. Lee, Amy S. Galey, and Brad Overcash SB 990 04/30/2026 Students First Act.
Michael V. Lee, Brad Overcash, and Lisa S. Barnes SB 991 04/30/2026 Community College Workforce Readiness Act.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 914 04/29/2026 2026 Appropriations Act.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 915 04/29/2026 2026 Governor’s Budget.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 916 04/29/2026 2026 Appropriations Act.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 940 04/29/2026 2026 Appropriations Act.
Michael V. Lee, Jim Burgin, and Tom McInnis SB 840 04/27/2026 Teacher Licensure Modifications.
Michael V. Lee, W. Ted Alexander, and Warren Daniel SB 829 04/22/2026 Drivers License Reciprocity/Taiwan.
Michael V. Lee, Brad Overcash, and Timothy D. Moffitt SB 493 03/25/2025 Land Use Clarification and Changes.
Michael V. Lee, Bobby Hanig, and Michael A. Lazzara SB 505 03/25/2025 Address Abandoned and Derelict Vessels.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 506 03/25/2025 ATR Salary Sups and Grant Increases.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 507 03/25/2025 Auto Enrollment in Advanced ELA Courses.
Michael V. Lee, Dana Jones, and Tom McInnis SB 508 03/25/2025 LL to CPL/Apprenticeship Program.
Michael V. Lee and Michael A. Lazzara SB 576 03/25/2025 E-Bike Definition and Local Regulation.
Michael V. Lee, Eddie D. Settle, and Vickie Sawyer SB 579 03/25/2025 Transforming the High School Experience.
Michael V. Lee and Dana Jones SB 580 03/25/2025 Competency-Based Education Grant Program.
Michael V. Lee, Jay J. Chaudhuri, and Jim Burgin SB 581 03/25/2025 Revise Neglected Juvenile Definition.
Michael V. Lee, Dan Blue, and Gladys A. Robinson SB 596 03/25/2025 Critical Campus Funding Repairs.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 619 03/25/2025 AI Academic Support Grant Program.
Michael V. Lee SB 666 03/25/2025 2025 Water Safety Act.
Michael V. Lee, Danny Earl Britt, Jr., and David W. Craven, Jr. SB 693 03/25/2025 Veteran Access, Liberty, Options for Recovery.
Michael V. Lee, Bill Rabon, and David W. Craven, Jr. SB 706 03/25/2025 County Waste Management Assistance.
Michael V. Lee, David W. Craven, Jr., and Ralph Hise SB 709 03/25/2025 2025 State Investment Modernization Act.-AB
Michael V. Lee, Amy S. Galey, and Phil Berger SB 754 03/25/2025 School Calendar Flexibility:A New Alternative.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 440 03/24/2025 2025 Governor’s Budget.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 441 03/24/2025 Revive High-Need Retired Teachers Program.
Michael V. Lee and Lisa Grafstein SB 448 03/24/2025 Remove Employment Barriers/Ppl w Disabilities.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 449 03/24/2025 Continuing Budget Operations Part IV.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 257 03/10/2025 2025 Appropriations Act.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 258 03/10/2025 2025 Appropriations Act.
Michael V. Lee, Brent Jackson, and Ralph Hise SB 263 03/10/2025 2025 Appropriations Act.
Michael V. Lee, Timothy D. Moffitt, and Tom McInnis SB 223 03/03/2025 Expand Academic Trans. Pathways/Sophomore HS.
Michael V. Lee, Brad Overcash, and Phil Berger SB 227 03/03/2025 Eliminating “DEI” in Public Education.
Michael V. Lee, Amy S. Galey, and Brad Overcash SB 195 02/27/2025 Protect Campus Survivors Act.
Michael V. Lee and Bill Rabon SB 203 02/27/2025 City of Wilmington/Property Conveyances.
Michael V. Lee, Kevin Corbin, and Todd Johnson SB 124 02/21/2025 State Hiring Accessibility and Modernization.
Michael V. Lee, Dana Jones, and Kevin Corbin SB 125 02/21/2025 Various Education Changes.
Michael V. Lee, Brad Overcash, and Kevin Corbin SB 133 02/21/2025 NCCCS Learning Management System.
Michael V. Lee, Benton G. Sawrey, and Michael A. Lazzara SB 109 02/17/2025 Veterans Appreciation Act.
Michael V. Lee, Dana Jones, and Paul Newton SB 101 02/13/2025 Protect Tax-Advantaged Accts. & Living Donors.
Michael V. Lee, Jim Burgin, and Lisa S. Barnes SB 55 02/05/2025 Student Use of Wireless Communication Devices.
Michael V. Lee SB 34 01/30/2025 7th Senatorial District Local Act-1.


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