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SB 859 North Carolina Senate · 2025-2026 Session

Home Dialysis Accessibility Act.

This bill requires health insurance plans in North Carolina that cover dialysis to also cover home dialysis options. It specifically mandates coverage for staff-assisted home dialysis for individuals who are blind, have cognitive or neurological impairments, or suffer from conditions that limit mobility. The law applies to new, renewed, or amended insurance contracts starting on October 1, 2026, and also extends the same coverage requirements to the state's own health plan. Additionally, the state will allocate $100,000 annually beginning in the 2026-2027 fiscal year to help implement these new coverage rules.
Issues: ✓ HealthcareSupports HealthcareBill mandates insurance coverage for home dialysis, expanding access and protecting patient rights for vulnerable groups.95% confidence
Bill status died 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 28, 2026 Last action Apr 29, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Filed → Edition 1 · 3 edits
MINOR
The bill text was updated to reflect its official filing and referral to the Senate Rules and Operations committee, while removing internal administrative tracking numbers. These changes are primarily technical and formatting updates that standardize the bill's presentation for the legislative record without altering any policy, funding, or eligibility provisions.
TECHNICAL

Removed the internal document tracking number (DRS35360-MRa-158) and the original filing date of April 28, 2026.

Added the official committee referral to 'Rules and Operations of the Senate' dated April 29, 2026.

Replaced the internal tracking number with the official bill version identifier (S859-v-1) and adjusted the header layout for the official edition.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
5
Key actions
0
Committee
2
Apr 29, 2026
Committee
Re-ref Com On Appropriations/Base Budget
upper
Apr 29, 2026
Committee
Ref To Com On Rules and Operations of the Senate
upper
Apr 28, 2026
Introduced
Filed
upper
0 primary · 2 co-sponsors

Sponsors

No sponsor information available.