HB 555, "Medicaid Telehealth Services," 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 who offer services exclusively through telemedicine are not required to maintain a physical presence in the state to be eligible for Medicaid enrollment. Similarly, medical provider groups that exclusively offer telemedicine services will not need an in-state service address to be eligible for the state's Medicaid program. This bill directly affects telehealth providers and medical groups by removing location-based requirements for participating in Medicaid.
SB 509 revises North Carolina's Statewide Health Information Exchange Act to require certain health care providers serving Medicaid and other state-funded health care programs to connect to the statewide health information exchange network (HIE Network). It overrides the previous voluntary nature of the HIE Network by mandating participation for covered entities providing state-funded care, aiming to improve care coordination and reduce costs through secure electronic sharing of patient data. The bill also adds new civil penalties for violations and introduces a state health data assessment fee. These changes directly affect health care providers, health plans, and facilities receiving state health care funds, with the goal of enhancing data sharing for quality improvement and cost management.
SB 80 allows specific North Carolina towns (including Apex, Cary, and Wake Forest) to use electronic notices - like posting on city websites - for public hearings and required notices, replacing traditional methods like printed notices. It directly affects these 11 towns by expanding their notice options while preserving existing requirements for mail notices to certain groups and property postings. The bill does not change current rules for mail notices or property sign requirements but lets local governments choose electronic methods for other public notices. It applies only to the listed towns and becomes effective when signed into law. The bill is currently in the Senate Rules Committee.
SB 327, the North Carolina Bitcoin Reserve and Investment Act, authorizes the State Treasurer to allocate up to 10% of public funds into Bitcoin as a long-term strategic reserve. It requires the Treasurer to hold Bitcoin in secure offline storage with multi-signature protection, establish a dedicated department for management, and create an advisory board of industry experts. The reserve can only be used during severe financial crises, for approved infrastructure projects, or Bitcoin-related economic development, and requires a two-thirds vote by both legislative chambers to liquidate. The Treasurer must provide quarterly public reports on the reserve’s value and security, while complying with all federal and state cryptocurrency regulations.
HB 857 creates North Carolina's Missing with Disability Alert System, requiring law enforcement to issue rapid statewide alerts for missing persons or children with disabilities (as defined by state law) who face potential harm, neglect, or exploitation. The system mandates that alerts include only essential recovery information while protecting sensitive health details, and requires coordination with broadcasters and highway message signs for public dissemination. All law enforcement agencies and the state missing persons center must develop new guidelines and training procedures to implement the alert system. This policy change directly affects law enforcement, broadcasters, and individuals with disabilities who go missing.
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SB 245 would allow residents to apply for or renew driver's licenses remotely, without visiting a physical office. This directly affects people who face challenges traveling to license centers, such as those with disabilities, rural residents, or individuals with busy schedules. The bill would establish a secure online process for these transactions, including identity verification and document submission. Currently pending in the Senate's Rules and Operations committee (after being withdrawn and re-referred to Health Care), it has not yet advanced to a vote.
House Bill 38, known as the Second Amendment Financial Privacy Act, prohibits payment card networks from using a specific "firearms code" to identify or track purchases made at firearms merchants in North Carolina. It also forbids these networks from knowingly maintaining records of individuals in the state who own firearms. The bill aims to prevent the separate tracking of lawful firearm and ammunition purchases and protect the financial privacy of individuals exercising their right to bear arms. Payment card networks are also prohibited from discriminating against firearms merchants based on code assignment. Violations can lead to civil penalties assessed by the Attorney General or civil lawsuits from affected merchants or individuals.
SB 376 increases funding for North Carolina's State Auditor's Office to enhance oversight of state government finances. The bill allocates $95,000 one-time for recruitment, $3 million for audit infrastructure, and $1 million for office space in 2025-2026, plus $6.7 million annually for 70 new staff, $500,000 for salary increases, and $5 million yearly for technology upgrades. These funds aim to expand audit capacity, improve fraud detection, and modernize systems for better accountability of taxpayer funds. The State Auditor must report on fund usage, including audit results and efficiency gains, by December 2025.
HB 685, the Rural NC Reinvestment Act, allocates $605 million in nonrecurring state funds for rural North Carolina communities during the 2025-2026 fiscal year. It provides grants for water/sewer infrastructure ($200M), law enforcement/fire equipment ($10M), economic development land ($20M), rural school construction ($200M), broadband expansion ($50M), early childhood education ($100M), and physician placement ($5M). Local governments, schools, emergency services, and healthcare providers in rural areas directly receive these funds, with allocations prioritized based on need, efficiency, and community impact. The bill becomes effective July 1, 2025, focusing on tangible infrastructure and service improvements without creating new regulations.
HB 164 requires parental or guardian consent before releasing autopsy records for children under 18. It makes all autopsy-related materials - including photos, videos, and reports - confidential, except when disclosure is needed for public health, research, legal compliance, or to address safety concerns. If parents withhold consent, a court may override this through a special proceeding after reviewing factors like public interest and privacy intrusion. The bill also allows public access to autopsy recordings (with supervision) unless parents request confidentiality under this law. It applies to all child deaths under 18 in North Carolina, affecting medical examiners, families, and entities seeking autopsy records.
