Healthcare

passed · North Carolina · House Apr 30, 2025

HB 152: Access to Transcranial Magnetic Stimulation.

HB 152 aims to regulate how health benefit plans in North Carolina cover Transcranial Magnetic Stimulation (TMS) services. If an insurer chooses to cover TMS, the bill requires them to cover all procedures performed by properly licensed healthcare providers, regardless of their medical specialty, as long as TMS is within their scope of practice. It prohibits insurers from penalizing providers solely based on their specialty when submitting TMS claims. However, the bill maintains that insurers retain discretion over whether to cover TMS, for which conditions, and at what reimbursement rates.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage of TMS procedures without specialty restrictions, expanding access to mental health services under health insurance regulations.95% confidence

Sub-Topics Healthcare Workforce Insurance Mental Health

Track

in committee · North Carolina · House Apr 30, 2025

HB 663: Living Donor Protection Act.

House Bill 663, known as the Living Donor Protection Act, aims to support individuals who donate organs or bone marrow. The bill prohibits insurance companies from discriminating against individuals solely based on their status as a living organ donor in various insurance policies. It also establishes a state income tax credit of up to $5,000 for unreimbursed expenses, such as lost wages and travel, incurred by living donors. Furthermore, the act provides state employees and state-supported personnel with up to 30 days of paid leave for organ donation and seven days for bone marrow donation.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides $5,000 individual income tax credit for donor expenses, directly advancing tax relief under Budget & Taxes.95% confidence ✓ HealthcareSupports HealthcareProhibits insurance discrimination against organ donors and provides tax credit for donor expenses, directly protecting patient rights and improving access to organ donation healthcare services.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProvides tax credit for lost wages incurred during organ donation, directly supporting workers' income during leave90% confidence

Sub-Topics Income Tax Tax Credits Paid Leave

Track

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

Sub-Topics Medical Licensing Prescription Drugs

Track

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

Sub-Topics Hospitals Insurance Medicare Tags Public Safety

Track

passed · North Carolina · Senate May 7, 2025

SB 336: Interstate Med.l Lic. Comp./Intern'l Phys.

SB 336 establishes the Interstate Medical Licensure Compact, creating a streamlined pathway for qualified physicians to obtain licenses in multiple participating states. This compact aims to enhance the portability of medical licenses and improve patient access to healthcare by allowing eligible physicians to apply for an "expedited license." To qualify, physicians must meet specific criteria, including holding an unrestricted license in a member state, passing medical exams, completing graduate medical education, and maintaining a clean disciplinary and criminal record. The bill also defines how physicians designate a 'state of principal license' and outlines the role of an Interstate Commission in managing the compact.

Topics ✓ HealthcareSupports HealthcareBill creates streamlined interstate medical licensing to improve patient access to healthcare by expanding physician mobility, directly advancing healthcare delivery and access.95% confidence

Sub-Topics Medical Licensing

Track

passed · North Carolina · House May 7, 2025

HB 567: Ensure Access to Biomarker Testing.

HB 567, titled "Ensure Access to Biomarker Testing," mandates that North Carolina health benefit plans provide coverage for biomarker testing for the diagnosis, treatment, and monitoring of various diseases or conditions. This coverage is required when the testing is supported by medical and scientific evidence, such as FDA approval or nationally recognized clinical guidelines. The bill also prohibits insurers from denying coverage, raising premiums, or charging higher rates based on an individual's biomarker information. Additionally, it establishes a 24-hour timeline for insurers to complete utilization reviews for urgent healthcare services, aiming to improve access to diagnostic testing and care for North Carolinians.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for evidence-based biomarker testing, prohibits denial/price hikes based on results - expands access and protects patient rights per bill text.95% confidence

Track

passed · North Carolina · House May 7, 2025

HB 297: Breast Cancer Prevention Imaging Parity.

HB 297, titled "Breast Cancer Prevention Imaging Parity," aims to ensure equal health insurance coverage for different types of breast cancer imaging. The bill mandates that health benefit plans apply the same cost-sharing requirements (like deductibles and copayments) for diagnostic and supplemental breast examinations, such as MRIs and ultrasounds, as they do for routine screening mammograms. This ensures individuals needing these additional medically necessary tests do not face higher out-of-pocket costs compared to standard screenings. It also maintains existing coverage for cervical cancer screenings and includes provisions for high-deductible health plans.

Topics ✓ HealthcareSupports HealthcareMandates equal cost-sharing for breast imaging (MRIs, ultrasounds) as mammograms, expanding patient access to necessary diagnostic care without higher out-of-pocket costs.92% confidence

Sub-Topics Insurance

Track

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

Sub-Topics Long-Term Care Medicaid

Track

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

Sub-Topics Healthcare Workforce

Track

signed · North Carolina · Senate Aug 11, 2026

SB 445: Regulatory Reform Act of 2026.

SB 445 automatically adopts federal temporary waivers or modifications issued by the U.S. Department of Health and Human Services or Centers for Medicare & Medicaid Services under specific Social Security Act sections (1135 or 1812(f)) for North Carolina hospitals during declared emergencies. This means hospitals in disaster zones no longer need separate state approval to implement federal rule changes, directly affecting hospitals operating under such declarations. Key provisions include automatically waiving state hospital regulations to align with federal waivers and allowing temporary increases in bed capacity without additional state review. The bill streamlines emergency hospital operations by eliminating bureaucratic delays in applying federally authorized relief measures.

Topics ✓ HealthcareSupports HealthcareAutomates federal waiver adoption for NC hospitals in disasters, removing state approval barriers to maintain healthcare access during emergencies, directly supporting hospital operations under crisis conditions.90% confidence

Sub-Topics Hospitals Medicaid Medicare