A new bill filed by State Rep. Grant L. Campbell, MD in the North Carolina House aims to help residents lower their tax burden for out-of-pocket prescription drug costs, according to the North Carolina State House.
The bill, filed as HB 1074 on April 28 during the 2025 regular session, was formally listed with the short title: ‘Prescription Drug Expenses Tax Deduction.’
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, this bill allows North Carolina taxpayers to deduct up to $5,000 from their adjusted gross income for unreimbursed out-of-pocket costs for prescribed medications and pharmacy cost-sharing. The deduction excludes any amounts paid with tax-favored accounts, such as flexible spending accounts or health savings accounts, and cannot be taken for expenses already deducted elsewhere under state law for the same tax year. The bill appears intended to reduce state income tax liability for residents facing significant prescription drug costs. The act applies to taxable years beginning on or after Jan. 1, 2026.
Of the four sponsors of this bill, Campbell proposed the most bills (62) during the 2025 regular session.
Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.
You can read more about the bills and other measures here.
Campbell graduated from the University of North Carolina at Chapel Hill in 1993 with a BS.
Campbell, a Republican, was elected to the North Carolina State House in 2025 to represent the state’s 83rd House district, replacing previous state representative Kevin Crutchfield.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Grant L. Campbell, MD, Allen Chesser, Erin Paré, and Timothy Reeder, MD | HB 1074 | 04/28/2026 | Prescription Drug Expenses Tax Deduction. |
| Grant L. Campbell, MD, Allen Chesser, Celeste C. Cairns, and Timothy Reeder, MD | HB 1081 | 04/28/2026 | Funds for Veterans/HBOT. |
| Grant L. Campbell, MD and Monika Johnson-Hostler | HB 1001 | 04/10/2025 | Reports Related to Sexual Assault Exams. |
| Grant L. Campbell, MD, Donna McDowell White, John R. Bell, IV, and Robert T. Reives, II | HB 906 | 04/10/2025 | Reagan’s Law. |
| Grant L. Campbell, MD, Blair Eddins, David Willis, and Diane Wheatley | HB 956 | 04/10/2025 | Enhance Financial Protections/Older Adults. |
| Grant L. Campbell, MD, Brian Echevarria, David Willis, and Mike Schietzelt | HB 846 | 04/09/2025 | Teacher Retention and Recruitment. |
| Grant L. Campbell, MD, Cody Huneycutt, and Paul Scott | HB 893 | 04/09/2025 | Chiropractic Investigatory Costs. |
| Grant L. Campbell, MD, Heather H. Rhyne, Sarah Crawford, and Timothy Reeder, MD | HB 820 | 04/08/2025 | Prescription Eye Drop Early Refill Coverage. |
| Grant L. Campbell, MD, Carla D. Cunningham, Diane Wheatley, and Hugh Blackwell | HB 832 | 04/08/2025 | Revise School Safety Grant Program. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Erin Paré | HB 794 | 04/07/2025 | Study Highway Patrol Staffing/Salary Scale. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Erin Paré | HB 800 | 04/07/2025 | Review Effectiveness & Delivery of Child Care. |
| Grant L. Campbell, MD, Allen Buansi, Carla D. Cunningham, and Donnie Loftis | HB 790 | 04/03/2025 | Prohibit Vape/Tobacco Shops Near Schools. |
| Grant L. Campbell, MD, Julia Greenfield, and Mike Clampitt | HB 692 | 04/02/2025 | AEDs and CPR in Schools. |
| Grant L. Campbell, MD, Larry W. Potts, and Timothy Reeder, MD | HB 696 | 04/02/2025 | Health Care Practitioner Transparency Act. |
| Grant L. Campbell, MD, Larry W. Potts, Maria Cervania, and Timothy Reeder, MD | HB 697 | 04/02/2025 | NC Genetic Counselors Workforce Act. |
| Grant L. Campbell, MD, Mike Schietzelt, and Tricia Ann Cotham | HB 744 | 04/02/2025 | Fertility Preservation Pilot Program. |
| Grant L. Campbell, MD, Cody Huneycutt, Jarrod Lowery, and Jonathan L. Almond | HB 658 | 04/01/2025 | Optometrists Telehealth Services. |
| Grant L. Campbell, MD, Diane Wheatley, Garland E. Pierce, and Phil Shepard | HB 663 | 04/01/2025 | Living Donor Protection Act. |
| Grant L. Campbell, MD | HB 664 | 04/01/2025 | Eliminate PET Scanners from CON Review. |
| Grant L. Campbell, MD, David Willis, Mike Schietzelt, and Ray Pickett | HB 670 | 04/01/2025 | Workforce Credential Grant Program/CCP. |
| Grant L. Campbell, MD, Allen Chesser, and Sarah Crawford | HB 682 | 04/01/2025 | Public Safety Through Food Access Act. |
| Grant L. Campbell, MD, Jennifer Balkcom, Larry W. Potts, and Neal Jackson | HB 553 | 03/27/2025 | Ensuring Patient Safety w/Mail Order Meds. |
| Grant L. Campbell, MD, Cody Huneycutt, Donny Lambeth, and Larry W. Potts | HB 562 | 03/27/2025 | Com. Coll. Behav. Health Workforce Enhan. Act. |
| Grant L. Campbell, MD, Ben T. Moss, Jr., Diane Wheatley, and Howard Penny, Jr. | HB 567 | 03/27/2025 | Ensure Access to Biomarker Testing. |
| Grant L. Campbell, MD, Allen Chesser, Erin Paré, and Timothy Reeder, MD | HB 571 | 03/27/2025 | Funds for PTSD Treatment for Police Officers. |
| Grant L. Campbell, MD, Allen Chesser, Brenden H. Jones, and David Willis | HB 572 | 03/27/2025 | Veterans/eTMS Pilot Program. |
| Grant L. Campbell, MD and Monika Johnson-Hostler | HB 534 | 03/26/2025 | Funds for Sexual Assault Nurse Programs. |
| Grant L. Campbell, MD, Allen Chesser, Donny Lambeth, and Heather H. Rhyne | HB 536 | 03/26/2025 | Physical Therapy Practice Act Mods. |
| Grant L. Campbell, MD, John A. Torbett, Mike Clampitt, and Steve Tyson | HB 516 | 03/25/2025 | Motorcycle Road Guard Safety Act. |
| Grant L. Campbell, MD, Charles Smith, Diane Wheatley, and Mike Colvin | HB 486 | 03/24/2025 | Funds for Blue Star Families, Inc. |
| Grant L. Campbell, MD, Allen Chesser, Jeffrey C. McNeely, and Tricia Ann Cotham | HB 468 | 03/20/2025 | Regulate Kratom Products. |
| Grant L. Campbell, MD and Timothy Reeder, MD | HB 480 | 03/20/2025 | Medical Board Licensing Efficiency Act. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Stephen M. Ross | HB 430 | 03/18/2025 | Protect Youth From Harms of Vaping & Nicotine. |
| Grant L. Campbell, MD, John R. Bell, IV, Timothy Reeder, MD, and Tricia Ann Cotham | HB 434 | 03/18/2025 | Lower Healthcare Costs. |
| Grant L. Campbell, MD, Dean Arp, Dennis Riddell, and Mitchell S. Setzer | HB 435 | 03/18/2025 | Mod. Bd. of Eng’ers & Surveyors. |
| Grant L. Campbell, MD, Charles Smith, Donnie Loftis, and Edward C. Goodwin | HB 422 | 03/17/2025 | Beyond The Choice Act. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Stephen M. Ross | HB 425 | 03/17/2025 | Protect Youth From Harms of Vaping & Nicotine. |
| Grant L. Campbell, MD and Mike Clampitt | HB 400 | 03/13/2025 | Bentley’s Law. |
| Grant L. Campbell, MD, Donnie Loftis, Mike Schietzelt, and Wyatt Gable | HB 384 | 03/12/2025 | Nat. Guard Tax Deduction for Fed. Pay. |
| Grant L. Campbell, MD, David Willis, James Roberson, and Robert T. Reives, II | HB 365 | 03/11/2025 | Workforce Education Act. |
| Grant L. Campbell, MD, Allen Chesser, David Willis, and Ray Pickett | HB 373 | 03/11/2025 | UNC Tuition Discounts for Certain Students. |
| Grant L. Campbell, MD, Carla D. Cunningham, Cody Huneycutt, and Larry W. Potts | HB 349 | 03/10/2025 | Reqs HC POA/Adv Direct/IEP Nurse Choice. |
| Grant L. Campbell, MD and Todd Carver | HB 250 | 02/27/2025 | Annual Rep’t Due Date/Deployed Servicemembers. |
| Grant L. Campbell, MD, Donna McDowell White, Larry W. Potts, and Timothy Reeder, MD | HB 229 | 02/26/2025 | Medicaid Rates/Ambulatory Surgical Centers. |
| Grant L. Campbell, MD, Hugh Blackwell, Larry W. Potts, and Timothy Reeder, MD | HB 231 | 02/26/2025 | Social Work Interstate Licensure Compact. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 204 | 02/25/2025 | Restore Down-Zoning Auth./Cabarrus Co. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 205 | 02/25/2025 | SchCalFlex/Cabarrus/Open Cal. |
| Grant L. Campbell, MD, Carson Smith, Jennifer Balkcom, and Sarah Stevens | HB 164 | 02/21/2025 | Parental Consent to Release Child Autopsies. |
| Grant L. Campbell, MD | HB 176 | 02/21/2025 | SchCalFlex/Kannapolis/Open Cal. |
| Grant L. Campbell, MD and Harry Warren | HB 136 | 02/17/2025 | Town of Faith/Even-Yr. Elect./Four-Yr.Terms. |
| Grant L. Campbell, MD, Allen Buansi, Heather H. Rhyne, and Jarrod Lowery | HB 145 | 02/17/2025 | Funds for Diabetes Research Institute/UNC-CH. |
| Grant L. Campbell, MD and Jarrod Lowery | HB 146 | 02/17/2025 | Remote License Renewal/Active Duty Military. |
| Grant L. Campbell, MD, Allen Chesser, Donnie Loftis, and Mike Schietzelt | HB 118 | 02/13/2025 | Disabled Veterans Tax Relief Bill. |
| Grant L. Campbell, MD, Mark Brody, Rodney D. Pierce, and Timothy Reeder, MD | HB 128 | 02/13/2025 | Establish Prostate Cancer Control Program. |
| Grant L. Campbell, MD, Blair Eddins, Keith Kidwell, and Wyatt Gable | HB 98 | 02/11/2025 | Patriotism Expression Act. |
| Grant L. Campbell, MD, Donnie Loftis, and Harry Warren | HB 75 | 02/10/2025 | Pharmaceutical Full Disclosure Act. |
| Grant L. Campbell, MD, Erin Paré, Mike Schietzelt, and Tricia Ann Cotham | HB 76 | 02/10/2025 | Protect Access to In Vitro Fertilization. |
| Grant L. Campbell, MD, Allen Chesser, Dante Pittman, and Kelly E. Hastings | HB 69 | 02/06/2025 | Military and Veterans Educational Promise Act. |
| Grant L. Campbell, MD, Donny Lambeth, Larry W. Potts, and Timothy Reeder, MD | HB 67 | 02/05/2025 | Healthcare Workforce Reforms. |
| Grant L. Campbell, MD, Donny Lambeth, Kelly E. Hastings, and Timothy Reeder, MD | HB 49 | 02/04/2025 | Filial Debt Fairness Act. |
| Grant L. Campbell, MD | HB 32 | 02/03/2025 | China Grove Even Year Elections. |
| Grant L. Campbell, MD, David Willis, Harry Warren, and John R. Bell, IV | HB 12 | 01/29/2025 | Observe Standard Time All Year. |
