HB 681 directs the Commission for Mental Health, Developmental Disabilities, and Substance Use Services to update state rules for outpatient opioid treatment programs (OTPs). The bill aims to align these rules more closely with federal regulations governing medications for opioid use disorder, affecting patients receiving treatment and the OTPs providing care. Key changes include removing home environment stability as a criterion for take-home medication and prohibiting administrative discharge due to continued substance use or missed doses. It also reduces the frequency of required drug tests, removes observed testing, and allows OTPs to administer methadone to non-enrolled patients. The Commission must engage with clients and providers for input and publish the proposed amended rules by July 1, 2025.
HB 733, the "Everybody Eats Act," would allow North Carolina to bypass federal rules that block food assistance benefits for people convicted of certain drug-related felony offenses (Class H or I). It requires individuals to complete substance abuse treatment or avoid new drug offenses for six months after release or conviction to qualify for benefits, and extends the period for renewing eligibility from less than a year to 12 months. The bill directly affects formerly incarcerated individuals with specific drug felony convictions who meet treatment or offense-free conditions. It makes no changes to federal law but adjusts North Carolina's program implementation for food assistance and temporary aid.
SB 350, the Marijuana Justice and Reinvestment Act, would legalize recreational cannabis for adults 21 and older in North Carolina, allowing possession of up to 2 ounces of cannabis, 15 grams of concentrate, or products containing no more than 2,000mg THC. It establishes a regulatory framework requiring licenses for cultivation, manufacturing, and retail sales, with mandatory lab testing, potency labeling, and restrictions on advertising. The bill directly affects North Carolina residents over 21, cannabis businesses, and communities disproportionately impacted by past cannabis prohibition - addressing the ACLU finding that Black individuals were 3.6 times more likely to be arrested for possession than white individuals despite similar usage rates. Key provisions include creating three funds to reinvest tax revenue into affected communities for substance abuse treatment, education, and business support, while requiring licensed businesses to prioritize diversity, fair wages, and community investment.
SB 564, the "Public Safety Through Food Access Act," allows North Carolina to opt out of a federal ban that denies food assistance and Temporary Assistance for Needy Families (TANF) benefits to people convicted of drug-related felony offenses. It directly affects individuals convicted of Class H or I drug felonies who meet specific conditions: they must complete six months without new offenses and successfully finish or actively participate in a substance abuse treatment program approved by mental health authorities. The bill requires county social services to link food and TANF benefits to this treatment requirement, as permitted by federal law. The policy change takes effect January 1, 2026.
HB 682 allows North Carolina to override federal restrictions that block food and cash assistance (TANF) for people convicted of certain drug-related felonies. It directly affects individuals with Class H or I controlled substance felony convictions who complete substance abuse treatment (while incarcerated or in the community) and avoid new drug offenses for six months. The bill requires counties to offer food and cash benefits to eligible individuals who meet these conditions, making treatment participation a requirement for accessing aid. This change aims to support successful reintegration by removing a barrier to basic needs assistance for this group.
HB 868 requires North Carolina law enforcement to use confirmatory lab tests before relying on field drug tests for arrests or convictions related to drug possession. It mandates that colorimetric field drug tests alone cannot establish probable cause for arrest, initiate charges, lead to conviction, or influence sentencing after January 1, 2026. Law enforcement must adopt policies ensuring cases without a lab-confirmed result lead to release (via citation or written promise to appear) rather than continued detention. The bill directly affects all North Carolina law enforcement agencies and prosecutors handling drug possession cases under G.S. 90-95(a)(3), requiring them to implement these changes by 2026.
