Healthcare

signed · North Carolina · House Jun 22, 2026

HB 536: Physical Therapy Practice Act Modifications.

HB 536 modifies North Carolina's Physical Therapy Practice Act by establishing a new Board of Examiners to regulate the profession. The Board will consist of eight members (including a medical doctor, four physical therapists, two physical therapist assistants, and a public member) appointed to oversee licensing, discipline, and continuing education requirements for physical therapists and assistants. The bill clarifies that physical therapy practice excludes surgery, chiropractic, or medical diagnosis, and specifies that the Board may investigate complaints confidentially while making disciplinary decisions public. This legislation directly affects licensed physical therapists, physical therapist assistants, and the public by setting standards for practice, licensure, and professional conduct in North Carolina.

Topics ✓ HealthcareSupports HealthcareEstablishes regulatory board to maintain physical therapy standards, ensuring quality care and professional oversight within healthcare services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed both · North Carolina · House May 12, 2026

HB 390: Medicaid Prepaid Health Plan Practices.

House Bill 390, titled "Alleviate the Dangers of Surgical Smoke," establishes new standards for surgical smoke evacuation in North Carolina. This bill requires all licensed hospitals and ambulatory surgical facilities to adopt and implement policies mandating the use of a smoke evacuation/filtering system during surgical procedures likely to generate surgical smoke. A smoke evacuation/filtering system is defined as equipment that captures, filters, and eliminates surgical smoke at its origin. The Department of Health and Human Services is authorized to take adverse action against facilities that violate these new requirements. This act is scheduled to become effective on January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates smoke evacuation systems in hospitals to protect staff/patients from surgical smoke dangers, enhancing healthcare safety standards.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · North Carolina · Senate Jul 9, 2025

SB 479: SCRIPT Act.

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.

Topics ✓ HealthcareSupports HealthcareRequires insurers to allow patient pharmacy choice without restrictions or financial penalties, directly protecting patient rights and improving access to prescription drugs.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · North Carolina · Senate Jul 1, 2025

SB 77: School Contracted Health Services.

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.

Topics ✓ EducationSupports EducationEnables parent choice in nursing services for IEP students, enhancing educational access and support for children with disabilities within school health services.90% confidence ✓ HealthcareSupports HealthcareEnables parent choice in school nursing services for IEP students, improving access to continuity of care and patient-centered healthcare access within education settings.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · North Carolina · House Jun 27, 2025

HB 576: Department of Health and Human Services Revisions.

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.

Topics ✓ HealthcareSupports HealthcareExtends federal health insurance marketplace for Medicaid eligibility until 2028, ensuring continued coverage access; designates DHHS to manage school nurse health services focus.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports 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

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 · Senate May 5, 2025

SB 357: Pharmacists/Collaborative Practice.

SB 357 expands and modernizes collaborative practice agreements between physicians and pharmacists. It allows licensed pharmacists, designated as "clinical pharmacist practitioners," to provide a broader range of "health care services" under a physician's supervision, including modifying drug dosages, ordering tests, and managing drug therapy for patients. These services must be conducted under specific, written collaborative practice agreements and adhere to rules set by the North Carolina Medical Board and Board of Pharmacy. The bill also permits therapeutic drug substitutions by pharmacists with physician authorization and allows for multi-provider collaborative agreements in institutional settings.

Topics ✓ HealthcareSupports HealthcareExpands pharmacists' clinical authority to manage drug therapy under physician supervision, improving medication access and patient care coordination.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · Senate Apr 28, 2025

SB 369: Medicaid Telehealth Services.

SB 369 aims to ensure that certain telehealth providers can enroll as Medicaid providers in North Carolina. The bill specifies that individual health care providers, licensed by the state and offering services exclusively through telemedicine, do not need a physical presence in the state to be eligible for Medicaid enrollment. Additionally, medical provider groups that exclusively offer telemedicine services will not be required to have an in-state service address to enroll as Medicaid provider groups. This measure directly affects telehealth providers and Medicaid recipients by clarifying requirements for remote healthcare services.

Topics ✓ HealthcareSupports HealthcareRemoves physical presence requirement for telehealth providers to enroll in Medicaid, expanding patient access to telemedicine services under public health program.95% confidence ✓ TechnologySupports TechnologyRemoves physical presence barriers for telehealth providers, enabling tech-based healthcare access under Medicaid, aligning with emerging technologies subject.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · North Carolina · Senate Apr 28, 2025

SB 190: Physician Assistant Licensure Compact.

This bill establishes the Physician Assistant (PA) Licensure Compact, a multi-state agreement designed to enhance the ability of PAs to practice in multiple participating states. It allows PAs who hold a qualifying license and meet national standards, including specific education and certification requirements, to obtain a "Compact Privilege" to practice in other member states. The Compact aims to improve access to medical services and ease licensing burdens for PAs, including military spouses. It also maintains patient safety through shared regulatory oversight and a central data system for tracking licenses and disciplinary actions across participating states.

Topics ✓ HealthcareSupports HealthcareBill creates multi-state PA licensure to improve medical access, reduce licensing barriers, and enhance healthcare workforce mobility, directly advancing healthcare access per topic description.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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