HB 1138 North Carolina House · 2025-2026 Session

Aging With Dignity Act.

HB 1138, known as the Aging With Dignity Act, aims to improve long-term care for older North Carolinians by prioritizing home-based services over institutional care for Medicaid beneficiaries aged 55 and older. The bill mandates that institutional placement be the exception rather than the rule, requiring documented medical justification and regular reassessments to ensure individuals remain in the most integrated setting possible. It also establishes a requirement for periodic medication reviews to prevent adverse drug interactions and reduce hospitalizations, while integrating behavioral health services into geriatric care plans. Additionally, the legislation appropriates funds for strategic investments in the state's aging infrastructure and reestablishes a study commission to address the needs of the growing senior population.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 29, 2026 Last action May 4, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 2 edits
MINOR
The bill's header and metadata were updated to reflect a new session date of April 29, 2026, and the sponsor list was expanded to include Representatives G. Pierce, G. Brown, and Pittman alongside Representative Ball. A technical identifier was changed from a draft code to a final version number, indicating the bill has moved from a working draft to an official edition.
TECHNICAL

Added additional sponsors (Representatives G. Pierce, G. Brown, and Pittman) to the bill's primary sponsor list.

Updated the bill's session date to April 29, 2026, and changed the internal document identifier from a draft code to a final version number.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
May 4, 2026
Committee
Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
lower
Apr 29, 2026
Introduced
Filed
lower
3 primary · 40 co-sponsors

Sponsors