Healthcare

signed · North Carolina · House Jul 7, 2026

HB 1104: Improve Involuntary Commitment Process and Enhance Public Safety.

This bill requires the North Carolina Department of Health and Human Services, the Department of Information Technology, and the Administrative Office of the Courts to study the state's involuntary commitment process. The agencies must identify gaps in the current system and submit a report with recommendations by February 1, 2027. Key areas for improvement include ensuring judges receive timely clinical data, training legal officials on community-based treatment options, and updating electronic forms to capture consistent data. The legislation also aims to increase data sharing between health and court systems to support more effective legal and clinical outcomes.

Topics ✓ HealthcareSupports HealthcareBill mandates a study to identify gaps in involuntary commitment and improve clinical data sharing and training, aiming to strengthen mental health services and patient safety.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed both · North Carolina · House Jun 25, 2026

HB 349: Modify Health Care Powers of Attorney/Advance Directives.

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.

Topics ✓ HealthcareSupports HealthcareClarifies witness rules and standardizes healthcare directives, strengthening patient autonomy in medical decision-making without conflicts of interest.95% confidence ✓ TechnologySupports TechnologyBill enables electronic filing of health directives via Secretary of State registry, directly supporting electronic government services under 'INFORMATION TECHNOLOGY' and 'ELECTRONIC GOVERNMENT' subjects.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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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

signed · North Carolina · House May 12, 2026

HB 433: State Fiscal Recovery Fund/NC Pandemic Recovery Office Revisions.

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.

Topics ✓ EducationSupports EducationRemoves degree barriers for RNs to serve as school nurses, expanding qualified staffing options without additional costs. Directly supports school staff accessibility in education.95% confidence ✓ HealthcareSupports HealthcareAllows qualified RNs to work as school nurses without degree requirements, expanding access to school health services per bill's explicit language.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · North Carolina · Senate May 6, 2026

SB 316: Lower Healthcare Costs.

SB 316 requires North Carolina hospitals and ambulatory surgical facilities to publicly disclose detailed pricing information for common medical services, including full charges, negotiated rates, and reimbursements from Medicaid, Medicare, and major insurers. Beginning in 2015, these facilities must submit quarterly reports to the state health department on the 100 most frequent inpatient diagnoses (DRGs) and common surgical/imaging procedures. The data will be made publicly available online, enabling patients and employers to compare costs and make informed healthcare decisions. This bill directly affects healthcare providers by mandating transparency but does not alter insurance coverage or set price limits. Its key mechanism is standardized reporting of pricing data to foster competition and affordability in the healthcare market.

Topics ✓ HealthcareSupports HealthcareMandates hospital price transparency for common services, improving patient access to cost information and aligning with patient rights and healthcare affordability goals.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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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

passed both · North Carolina · Senate Jun 16, 2025

SB 171: Pract. Transparency/Reagan's Law/Sam's Law.

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.

Topics ✓ HealthcareSupports HealthcareReduces regulatory barriers for mental health professionals, improving access to services by allowing independent practice after experience requirements.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 · 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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