HB 451 North Carolina House · 2025-2026 Session

Diabetes Education for Parents.

HB 451 requires North Carolina public schools to provide parents and legal guardians with an annual information packet about type 1 and type 2 diabetes at the start of each school year. The packet must include descriptions of diabetes types, risk factors, warning signs, screening processes, and recommendations to consult healthcare providers for diagnosis or treatment planning. Schools must also ensure staff are trained to support students with diabetes through individualized care plans. The law, effective July 1, 2025, includes $10,000 in state funds to help schools develop implementation guidance. It directly affects all parents/guardians of students in North Carolina public schools.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2025

Committee Review

Floor Vote

Governor

Introduced Mar 18, 2025 Last action May 19, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 → Edition 2 · 5 edits

MODERATE

The bill was amended to remove specific funding and effective date provisions, while simultaneously expanding the bill's scope by adding detailed requirements for cervical cancer education and newborn abandonment information. Additionally, the text was updated to clarify that these health and safety standards apply to regional schools and laboratory schools in addition to local public schools.

Scope change

The bill's applicability was expanded from only local public school units to include regional schools and laboratory schools.

FISCAL

A $10,000 appropriation for developing guidance materials was removed from the bill.

TIMELINE

The specific effective date of July 1, 2025, and the application to the 2025-2026 school year were removed.

REQUIREMENT

New requirements were added to mandate that schools provide parents with information about cervical cancer, HPV, and vaccines for children entering grades 5 through 12.

New requirements were added to mandate that high school students (grades 9-12) receive annual information on how parents can lawfully abandon a newborn baby.

SCOPE

The bill's health and safety requirements were extended to explicitly cover regional schools and laboratory schools, in addition to local school administrative units.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 19, 2026

Committee

Re-ref Com On Appropriations

lower

May 19, 2026

Lower · Passed

Reptd Fav Com Substitute

lower

Mar 20, 2025

Committee

Ref to the Com on Education - K-12, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House

lower

Mar 18, 2025

Introduced

Filed

lower

3 primary · 16 co-sponsors