Healthcare (Children)

HB 1107 allocates $2 million in recurring state funds to support families who provide foster care in North Carolina. Beginning in the 2026-2027 fiscal year, these funds will be distributed to county social services departments based on documented need to help with recruiting, training, and supporting foster families. The bill takes effect on July 1, 2026, and aims to assist the Division of Social Services in its efforts to maintain foster care placements.

HB 1201 creates a temporary pilot program within the Department of Health and Human Services to place high-needs youth in safer, lower-level settings instead of overcrowded emergency rooms or social service offices. The bill authorizes the department to seek waivers that allow experienced providers to operate with simplified approval processes and introduces clinical exception pathways to reduce hesitation in admitting these youth. Additionally, the legislation mandates a study by October 1, 2026, to evaluate the pilot's success and recommend reforms on provider licensure, emergency admission flexibility, and youth reintegration outcomes. To fund these initiatives, the bill appropriates $100,000 from the General Fund for the 2026-2027 fiscal year.

SB 483, "The Children First Act," expands affordable child care access for North Carolina families by increasing financial assistance eligibility to 85% of the state median income and raising subsidy rates to match 2023 market costs. It allocates $50 million annually for subsidies and $15 million for grants to establish new child care facilities in rural or underserved areas, targeting "child care deserts." The bill also creates an employer child care credit and includes workforce licensing reforms to address staffing shortages. These provisions directly affect low-to-moderate-income families, child care providers, and employers seeking to support working parents.