SB 177 North Carolina Senate · 2025-2026 Session

Continuing Budget Adjustments.

SB 177 expands North Carolina's Medicaid Healthcare Access and Stabilization Program (HASP) to include qualifying freestanding psychiatric hospitals, allowing them to receive increased reimbursements for services. The bill creates a new assessment (a fee) on these hospitals, calculated as a percentage of their hospital costs, to fund the program. To implement this, the state must seek federal approval from CMS to include psychiatric hospitals in HASP. This change directly affects all Medicare-certified, state-licensed freestanding psychiatric hospitals in North Carolina, requiring them to pay the new assessment while gaining eligibility for enhanced Medicaid payments.

Bill status failed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Jun 2025

Senate Failed

Jul 2026

House Passage

Jun 2025

Governor

Introduced Feb 26, 2025 Last action Aug 6, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

Edition 2 → Edition 3 · 2 edits

MINOR

The bill was updated from Edition 2 to Edition 3, reflecting a procedural revision rather than a substantive change in policy. The text of the statute remains identical, but the document metadata was updated to include a new 'Third Edition' date and a revised version number (S177-v-3).

Scope change

No change in the scope or applicability of the bill; the legislative authority and exemptions defined in the text remain exactly the same.

TECHNICAL

Updated the bill's version identifier from 'v-2' to 'v-3' and added a new engrossment date of 6/25/25.

Added the header 'House Committee Substitute Favorable 6/24/25' and 'Third Edition Engrossed 6/25/25' to the document.

Floor votes · Senate Jul 29, 2026 · House Jun 25, 2025

How they voted

0–36

Failed · 14 other

Total votes 50

Jul 29, 2026

D Democratic19

10 Nay 9

52% Nay

R Republican31

26 Nay 5

83% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jul 29, 2026

Vote failed

Senate Vote: fail (0-36-14)

senate

Jun 26, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

Jun 25, 2025

Lower · Passed

Passed 3rd Reading

lower

Jun 25, 2025

Amended

Amend Failed A2

lower

Jun 25, 2025

Lower · Passed

Amend Adopted A1

lower

Jun 25, 2025

Lower · Passed

Reptd Fav

lower

Jun 24, 2025

Committee

Re-ref Com On Rules, Calendar, and Operations of the House

lower

Jun 24, 2025

Lower · Passed

Reptd Fav Com Substitute

lower

Jun 23, 2025

Committee

Re-ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House

lower

Jun 10, 2025

Committee

Re-ref Com On Rules, Calendar, and Operations of the House

lower

Jun 10, 2025

Lower · Passed

Reptd Fav

lower

Jun 5, 2025

Committee

Re-ref to the Com on Finance, if favorable, Rules, Calendar, and Operations of the House

lower

Apr 28, 2025

Committee

Ref To Com On Rules, Calendar, and Operations of the House

lower

Apr 16, 2025

Upper · Passed

Passed 3rd Reading

upper

Apr 14, 2025

Upper · Passed

Reptd Fav

upper

Apr 9, 2025

Committee

Re-ref Com On Rules and Operations of the Senate

upper

Apr 9, 2025

Upper · Passed

Reptd Fav

upper

Mar 31, 2025

Committee

Re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate

upper

Mar 26, 2025

Committee

Re-ref Com On Rules and Operations of the Senate

upper

Mar 26, 2025

Upper · Passed

Reptd Fav

upper

Feb 27, 2025

Committee

Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

upper

Feb 27, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

Feb 26, 2025

Introduced

Filed

upper

2 primary · 4 co-sponsors