House Bill 433 allows licensed registered nurses (RNs) to serve as school nurses in North Carolina public schools. The bill prohibits the State Board of Education from requiring a four-year degree for school nurse employment. It specifies that RNs with at least two years of experience in a hospital or health clinic can work as school nurses without needing additional certifications or licenses. These qualified registered nurses will be paid under the certified school nurse pay scale.
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 696, the Health Care Practitioner Transparency Act, requires health care providers in North Carolina to clearly state their license type, certification, or registration in all advertisements and public representations. It prohibits deceptive claims about qualifications and bans unlicensed individuals from using medical titles like "doctor," "surgeon," or specialty terms (e.g., "cardiologist") to mislead patients. The law applies to licensed professionals (doctors, nurses, dentists, etc.) who advertise services, but exempts those in non-patient settings without direct care interactions. Violations could lead to disciplinary action by their licensing board, with daily noncompliance treated as separate offenses. The bill takes effect October 1, 2025.
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.
HB 578, the Jason Flatt Act, requires all North Carolina public K-12 schools to implement suicide prevention education and training for school staff. It mandates that licensed educators complete at least one hour of annual suicide prevention training, while staff working with grades 6-12 must receive guidelines for identifying at-risk students and procedures for referrals. Schools must adopt a mental health plan including these elements, with initial staff training of six hours (within six months of hire) and two hours annually thereafter. The law applies to all public schools, charter schools, regional schools, and lab schools starting the 2025-2026 school year.
SB 171 allows licensed psychological associates in North Carolina to practice independently without direct supervision after completing 3,000 hours of supervised experience over 24-60 months. This directly affects psychological associates who meet the experience requirement, reducing regulatory barriers to their practice. The bill amends licensing rules to establish this pathway, requiring an application with proof of experience and granting certification as a "health services provider psychological associate." It also updates board composition rules to ensure balanced representation. The changes take effect October 1, 2025.
HB 231 establishes North Carolina's participation in the Social Work Interstate Licensure Compact, allowing licensed social workers from participating states to practice across state lines without obtaining separate licenses in each state. The bill directly affects licensed social workers seeking to provide services in multiple states, particularly those serving military families or addressing workforce shortages. Key provisions include mutual recognition of licenses among member states, accountability for social workers practicing where clients are located, and streamlined processes for disciplinary information sharing. This reduces duplicate licensing requirements while maintaining state authority to protect public health and safety through existing licensure systems.
HB 886 requires all public schools in North Carolina to install Automatic External Defibrillators (AEDs) and train school personnel on their use and on CPR. The State Board of Education must develop rules for AED placement, maintenance, and coordination with emergency services, with at least one AED per school, ideally in an athletic area. Local school boards, charter schools, and regional schools are then required to create policies aligning with these state rules. The bill appropriates $4.1 million for the 2025-2026 fiscal year to help public school units purchase AEDs and train staff.
This bill, titled Reagan's Law, aims to improve access to prosthetic and orthotic devices for North Carolinians with limb loss or limb difference by requiring most health benefit plans to cover these devices and related care. Key provisions mandate that plans cover all materials, instruction, and repairs for prosthetics and orthotics, allow for multiple devices based on medical needs, and prohibit denying claims for these devices that would otherwise be covered for non-disabled individuals seeking similar medical treatment. The legislation also requires insurers to provide coverage for device replacements when medically necessary due to changes in the insured's condition or device damage, without limiting coverage based on the device's age or useful lifetime. Additionally, the bill repeals state requirements for health plans to cover emergency care that duplicates federal law, aligning state regulations with federal standards.
House Bill 489 establishes a minimum reimbursement rate for emergency ambulance transportation services provided by out-of-network providers under health benefit plans. It mandates that insurers pay these out-of-network ambulance providers directly and sets a cap on the cost-sharing amounts that insured individuals must pay for these services. The minimum reimbursement rate is determined by local government rates, or if none, by comparing 400% of the Medicare rate to the provider's billed charges. This bill affects individuals needing emergency ambulance services, health insurers, and ambulance service providers, with an effective date of October 1, 2025, for new or renewed insurance contracts.
