Healthcare (Public Safety)

This North Carolina bill aims to address public safety staffing issues by increasing salaries for state law enforcement and correctional officers, with changes taking effect in July 2026. It establishes new mental health benefits, including 12 confidential annual visits per year, and creates peer support programs to assist officers with stress and burnout. The legislation also introduces retention bonuses for correctional officers and provides grants to help local governments offer comparable pay increases to their own employees. Funded through state appropriations, the bill requires regular reporting on staffing levels, vacancy rates, and the usage of mental health services.

HB 456, the "No Surprises for Ambulance Services Act," prevents unexpected high costs for ambulance services by requiring health insurance companies to cover both emergency and non-emergency ground ambulance transport without surprise bills. Specifically, it caps out-of-network cost-sharing (like copays or deductibles) for ambulance services at 110% of what would apply for in-network providers, ensuring patients aren’t charged more for using an ambulance outside their insurance network. This directly affects insured individuals who use ambulance services, especially in emergencies or when they cannot choose a network provider. The law also mandates insurers to clearly disclose coverage details for emergency services, including cost-sharing and how to access care.

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.