Healthcare

signed · North Carolina · Senate Jun 26, 2025

SB 344: Pooled Trust Transfers/Public Benefits Elig.

SB 344 ensures that North Carolina seniors aged 65+ who transfer funds into qualifying pooled special needs trusts (meeting federal standards) won't lose Medicaid or State-County Special Assistance eligibility. The bill requires the state health department to update eligibility rules so these transfers are treated as "fair market value" transactions - meaning the funds aren't counted against benefit eligibility if the trust uses the money to provide goods/services equal to the transfer value within the senior's life expectancy. It directly affects seniors using these trusts to manage assets while maintaining public benefits. The law amends state rules to align with federal guidelines (42 U.S.C. § 1396p(d)(4)(C)) and takes effect upon enactment.

Topics ✓ HealthcareSupports HealthcarePrevents loss of Medicaid eligibility for seniors using qualifying trusts, protecting access to healthcare benefits without restricting coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · North Carolina · House Jun 25, 2025

HB 480: Medical Board Licensing Efficiency Act.

HB 480 creates a new pathway for doctors, physician assistants, and anesthesiologist assistants to obtain North Carolina medical licenses by transferring licenses from other states ("licensure by endorsement"). To qualify, applicants must have held an active license in another U.S. jurisdiction for at least five years (with two years of practice post-residency for doctors), have a verified full-time job offer in North Carolina, maintain good standing with no recent disciplinary actions, and meet practice hour requirements. The bill increases application fees for endorsement (e.g., $825 for physicians vs. $400 for standard licensure) and requires additional documentation within 180 days to keep the license active. This directly affects out-of-state medical professionals seeking to practice in North Carolina without retaking exams.

Topics ✓ HealthcareSupports HealthcareStreamlines medical licensing for providers, increasing healthcare access and provider availability in North Carolina.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House Jun 24, 2025

HB 578: The Jason Flatt Act of North Carolina.

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.

Topics ✓ EducationSupports EducationMandates suicide prevention training for K-12 staff, enhancing mental health support within educational settings per bill requirements.95% confidence ✓ HealthcareSupports HealthcareMandates suicide prevention training and mental health plans in schools, strengthening mental health services under public health initiatives.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · North Carolina · House Jun 13, 2025

HB 231: Social Work Interstate Licensure Compact.

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.

Topics ✓ HealthcareSupports HealthcareBill removes licensure barriers for social workers, directly improving access to mental health services and supporting workforce mobility in healthcare.95% confidence ✓ VeteransSupports VeteransBill facilitates social workers serving military families (including veterans' families), improving access to social services and addressing workforce shortages in veteran support.75% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · North Carolina · House May 27, 2025

HB 485: Adult Care Home Medicaid Personal Care Services Coverage.

HB 485 requires North Carolina's Medicaid agency to request federal approval to extend Medicaid coverage for personal care services to adults living in licensed adult care homes who earn more than the current State-County Special Assistance income limit but stay below 180-200% of the federal poverty level. The bill specifically targets individuals who would qualify for lower-income Medicaid assistance if not for their higher earnings. Before implementing this coverage, the agency must submit a CMS request meeting three conditions: covering the specified income group, ensuring cost savings offset new expenses, and complying with legal requirements. This bill does not immediately change coverage - it only authorizes a federal request, pending CMS approval.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for personal care services to higher-income adults in care homes, increasing healthcare access for vulnerable populations.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House May 8, 2025

HB 886: AEDs and CPR in Public Schools.

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $4.1M for school AEDs/CPR training, directly funding public safety infrastructure under budgeting/appropriations subjects.95% confidence ✓ EducationSupports EducationMandates AEDs/CPR training in schools with $4.1M funding, enhancing student/staff safety within educational infrastructure.90% confidence ✓ HealthcareSupports HealthcareMandates AEDs and CPR training in schools, appropriating $4.1M for emergency medical equipment and training, directly supporting public health infrastructure and emergency services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House May 7, 2025

HB 906: Reagan's Law.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for prosthetics and orthotics, expanding access to essential medical devices and improving patient care for those with limb differences.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House May 7, 2025

HB 489: Insurance Coverage Emergency Ambulance Transportation.

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.

Topics ✓ HealthcareSupports HealthcareSets minimum ambulance reimbursement rates and caps patient cost-sharing, improving access to emergency services under health insurance.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House May 7, 2025

HB 572: Veterans/Electroencephalogram Combined Transcranial Magnetic Stimulation Pilot Program.

HB 572 authorizes the Department of Military and Veterans Affairs to establish a statewide pilot program providing Electroencephalogram combined Transcranial Magnetic Stimulation (eTMS) treatment. This program is for veterans, first responders, and their immediate family members experiencing conditions such as substance use disorders, mental illness, sleep disorders, traumatic brain injuries, and PTSD. The Department will select a provider to create a network for in-person and off-site care, aiming for statewide access. Participants in the program will also receive neurophysiological monitoring, counseling, wellness programming, and access to a peer-to-peer support network. The selected provider must collect and report treatment outcomes and expenditures to the Department and legislative committees by September 15, 2026.

Topics ✓ HealthcareSupports HealthcareAuthorizes pilot program for eTMS mental health treatment access for veterans and first responders, directly expanding healthcare services under mental health and health services subjects.95% confidence ✓ VeteransSupports VeteransEstablishes eTMS pilot program for veterans' mental health/PTSD treatment via Veterans Affairs department, directly expanding healthcare access for covered conditions.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · House May 7, 2025

HB 618: Ivermectin Access Act.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates pharmacists to dispense ivermectin without prescription, directly expanding patient access to medication per healthcare access indicator.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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