Expand Sickle Cell Disease Programs and Services.

HB 633 appropriates $1.678 million annually in recurring funds and additional nonrecurring funds to expand sickle cell disease services in North Carolina. The bill directly supports approximately 7,000 North Carolinians living with sickle cell disease by funding comprehensive medical centers (like Atrium Health, Duke, and UNC Chapel Hill), creating transition coordinators to help patients move from pediatric to adult care, and providing grants to community organizations in underserved areas. Key mechanisms include distributing $1.3 million yearly to medical centers for care coordination, allocating $75,000 annually per center for transition staff, and funding a statewide emergency department toolkit to improve acute care. The bill becomes effective July 1, 2025, with funds designated for the 2025-2027 fiscal biennium.