N.C. House Bill 542 created Rule 414 of the North Carolina Rules of Evidence, relating to the admissibility of medical expenses at trial. Rule 414 states that evidence of the medical expenses is limited to evidence of the amounts actually paid to satisfy the bills, as well as the amount actually needed to satisfy any unpaid and outstanding bills. This is a significant change in the law. These changes become effective October 1, 2011 and apply to all cases on or arising after that date.

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