Healthcare

SB 445 automatically adopts federal temporary waivers or modifications issued by the U.S. Department of Health and Human Services or Centers for Medicare & Medicaid Services under specific Social Security Act sections (1135 or 1812(f)) for North Carolina hospitals during declared emergencies. This means hospitals in disaster zones no longer need separate state approval to implement federal rule changes, directly affecting hospitals operating under such declarations. Key provisions include automatically waiving state hospital regulations to align with federal waivers and allowing temporary increases in bed capacity without additional state review. The bill streamlines emergency hospital operations by eliminating bureaucratic delays in applying federally authorized relief measures.

HB 491 prepares North Carolina's Medicaid program to implement work requirements if authorized by the federal Centers for Medicare and Medicaid Services (CMS). It requires the state's Division of Health Benefits to negotiate with CMS, notify oversight committees within 30 days of starting talks, and submit detailed reports after CMS approves any work requirements plan. The bill does not enact work requirements itself but establishes procedures for future implementation, including timelines for reporting funding needs. This would directly affect current Medicaid recipients if CMS approves work requirements, though the bill is procedural and conditional on federal approval. The legislation is currently in committee review and has not yet become law.

House Bill 618, the "Ivermectin Access Act," directs the State Health Director to issue a statewide standing order that allows licensed pharmacists to dispense ivermectin for human use. Under this order, pharmacists would be authorized to provide ivermectin without requiring a written prescription or consultation from a healthcare professional. The bill also grants immunity from civil or criminal liability to the State Health Director for issuing the order and to any pharmacist who dispenses ivermectin in accordance with it. The State Health Director is required to issue this statewide standing order by October 1, 2025.

HB 139, titled "Baby Boxes/Newborn Safety Device," allows for the safe surrender of infants up to 30 days old using a specialized newborn safety device. This bill permits parents to place an infant in these devices, which must have a dual alarm system connected to the facility and be tested monthly. These devices can only be installed at continuously staffed emergency departments, emergency facilities, or social services offices, where qualified healthcare providers, first responders, or social services workers will take temporary custody of the infant. The act is set to become effective on October 1, 2025.

HB 123 makes it a crime for health care providers to willfully destroy, alter, or falsify medical records to conceal medical errors causing patient harm, illegally obtain money, or hide facts related to potential legal claims. It creates specific criminal penalties: a serious felony for hiding errors that caused injury or death, a lesser felony for financial gain, and a misdemeanor for other concealment. The law applies to all health care providers and becomes effective December 1, 2025. It explicitly states this does not affect existing civil remedies available to patients.