SB 177 expands North Carolina's Medicaid Healthcare Access and Stabilization Program (HASP) to include qualifying freestanding psychiatric hospitals, allowing them to receive increased reimbursements for services. The bill creates a new assessment (a fee) on these hospitals, calculated as a percentage of their hospital costs, to fund the program. To implement this, the state must seek federal approval from CMS to include psychiatric hospitals in HASP. This change directly affects all Medicare-certified, state-licensed freestanding psychiatric hospitals in North Carolina, requiring them to pay the new assessment while gaining eligibility for enhanced Medicaid payments.
HB 349 updates North Carolina's requirements for healthcare powers of attorney (POA) and advance health care directives (like living wills). It clarifies witness and notary rules to prevent conflicts of interest (e.g., prohibiting facility staff from witnessing), standardizes forms for easier use, and allows electronic filing of directives with the Secretary of State’s registry. The bill directly affects residents planning ahead for medical decisions, ensuring their chosen agents or instructions are legally recognized. Key changes include revised witness eligibility criteria, simplified form language, and a new online filing option to improve accessibility. The bill does not alter medical care standards but streamlines the legal process for end-of-life planning.
HB 565 ("Check Yes, Save Lives") allows North Carolina taxpayers to register as organ donors by checking a box on their state income tax return, starting with tax returns for 2026 and later. This directly affects all North Carolina taxpayers who file income tax returns, providing a simple, automatic way to enroll in the organ donation program during annual tax filing. The bill amends tax and organ donation statutes to add income tax return enrollment as a valid method for making an anatomical gift (under Section 130A-412.7(1a)), while keeping existing options like driver's license or wills. It requires coordination between the Department of Revenue and Motor Vehicles to update the Organ Donor Registry, ensuring the tax-based enrollment is properly recorded. The policy change streamlines donor registration without altering the existing organ donation process or eligibility.
HB 727 modifies the licensure process for marriage and family therapists and therapy associates in North Carolina. It streamlines the process for professionals licensed in other states to obtain a North Carolina license through reciprocity, making it mandatory for qualified applicants. The bill adjusts experience requirements and expands acceptable examination options to include California's clinical examination. Additionally, it clarifies that all applicants, including those applying via reciprocity, must undergo criminal history record checks. These changes aim to facilitate licensing for out-of-state therapists while maintaining regulatory oversight.
HB 693 establishes the "Interstate Massage Compact" to create a multistate licensing pathway for massage therapists across participating states. It directly affects licensed massage therapists seeking to practice in multiple states and the public receiving those services. Key mechanisms include creating an Interstate Commission to administer the compact, enabling therapists to hold a single "multistate license" valid in all member states, requiring background checks and continuing competence, and allowing states to share disciplinary information and hold licensees accountable. The compact aims to improve public access to safe massage therapy while reducing regulatory burdens for therapists, particularly aiding military members and their spouses relocating between states.
SB 479, the SCRIPT Act, requires health insurers in North Carolina to allow patients to choose any participating pharmacy without restrictions. It prohibits insurers from imposing unequal copayments, financial penalties, or incentives that steer patients toward specific pharmacies. The bill directly affects insurers offering prescription drug coverage, independent pharmacies (defined as groups of 10 or fewer under common ownership), and patients seeking pharmacy services. Key provisions ensure equal treatment for all pharmacies in a plan and prevent insurers from limiting patient choice based on financial incentives.
HB 546 modernizes North Carolina's Medicaid program by requiring the state to develop team-based care coordination for individuals with alcohol and opioid use disorders, including screening, medication, and recovery support. The bill also allows telehealth-only providers to enroll in Medicaid without needing a physical office in the state and mandates a statewide specialty plan for children in foster care or receiving adoption assistance, to be implemented by December 2025. These changes directly affect Medicaid beneficiaries with substance use disorders, telehealth providers, and eligible children and families. The Department of Health and Human Services must report on the implementation of the substance use care and telehealth provisions by October 1, 2025.
SB 77 allows parents of students with disabilities to choose their preferred nurse for school-based nursing services required by an Individualized Education Program (IEP), provided specific conditions are met. The bill requires schools to assign the parent's chosen nurse if that nurse previously provided care to the student, the nursing agency agrees to contract under standard terms, and the rate matches other contracted nurses. This directly affects families of students needing nursing services under IEPs and ensures schools honor parent preferences without altering their obligation to provide a free appropriate public education. The policy applies starting the 2025-2026 school year.
HB 576 makes technical revisions to North Carolina's laws governing the Department of Health and Human Services (DHHS). It designates DHHS as the agency managing school nurse funds, requiring school nurses to focus solely on health services (like health education and emergency response) rather than instructional duties. The bill extends until June 2028 the temporary use of the federal health insurance marketplace for determining Medicaid eligibility, and clarifies that Medicaid coverage for people released from prison continues for up to 12 months post-release. It also updates Medicaid provider screening rules to align with federal standards, particularly for Indian Health Program providers.
HB 697 establishes North Carolina's first licensure requirements for genetic counselors. The bill creates a 5-member Genetic Counselors Licensure Board (with 3 licensed counselors, 1 physician, and 1 public member) to regulate the profession. Key provisions include defining "genetic counseling," setting standards for licensure (requiring ABGC certification or equivalent), establishing temporary licenses for interns, and granting the Board authority to issue, deny, suspend, or revoke licenses. This directly affects genetic counselors practicing in North Carolina, requiring them to obtain a license to legally provide services. The bill does not change healthcare access or funding but sets professional standards for this specific healthcare role.
