Fair Wages in Health Care Act/Funds.

HB 1045, known as the Fair Wages in Health Care Act, establishes minimum hourly wages for five specific direct care occupations in North Carolina: home care aides, direct support professionals, certified nursing assistants, psychiatric aides, and licensed practical nurses. The bill sets wage floors ranging from $18 to $24 per hour depending on the role, with protections against employers using different job titles to avoid paying the required rates. To help healthcare providers meet these new costs, the Department of Health and Human Services must adjust reimbursement rates for publicly funded programs and update contracts with managed care organizations. The law takes effect on October 1, 2027, and applies to all employers in the state, regardless of whether they are public or private entities.