NC S316

Requires hospitals and ambulatory surgical facilities to submit quarterly pricing data to a statewide data processor for the 100 most frequently reported inpatient DRGs and 20 most common surgical/imaging procedures, with civil penalties up to $2,000 per day for noncompliance

Mandates written disclosure to insured patients when healthcare providers or facilities are out-of-network, with repeated violations constituting unfair and deceptive trade practices under Chapter 75

Caps patient bills at 5% above good-faith estimates for shoppable services and prohibits facility fees for outpatient evaluation, management, diagnostic, and imaging services unless provided on a hospital's main campus, at a remote hospital location, emergency department, or ambulatory surgical facility

Removes certificate of need requirements for inpatient rehabilitation services, rehabilitation facilities, and rehabilitation beds

Updates health insurer prior authorization requirements including 3-business-day determinations for non-urgent services, 24-hour determinations for urgent services, prohibition on AI as sole basis for denials, and requires prior authorizations to remain valid for at least 6 months for chronic condition treatments