Business leaders in Pitt County say they are concerned with possible funding cuts to the Brody School of Medicine at ECU.
The medical school, which employs nearly 2,000 faculty and staff, could face losing millions of dollars in revenue.
The Greenville-Pitt County Chamber of Commerce says if recent amendments to two pieces of legislation are made law, Brody could lose more than $9 million in revenue, on top of state budget cuts that have already totaled $9.2 million over the past five years.
"The economic vitality of Greenville, Pitt County, and eastern North Carolina is closely tied to the Brody School of Medicine," said Scott Senatore, chamber president. "The services it provides and the jobs it creates are critical to our economy."
The chamber says if the changes are allowed to happen, the medical school could seriously be impacted in its ability to remain a driving economic force.
The two acts are the Physician Upper Payment Limit, which ECU says was trimmed in 2013, and the Set-Off Debt Collection Act.
Some 53% of Brody's graduates live in North Carolina, with a majority residing here in the east. The chamber says that's the highest percentage of any North Carolina medical school.