SB 369 North Carolina Senate · 2025-2026 Session

Medicaid Telehealth Services.

SB 369 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 and offering services exclusively through telemedicine, do not need a physical presence in the state to be eligible for Medicaid enrollment. Additionally, medical provider groups that exclusively offer telemedicine services will not be required to have an in-state service address to enroll as Medicaid provider groups. This measure directly affects telehealth providers and Medicaid recipients by clarifying requirements for remote healthcare services.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Governor
Introduced Mar 20, 2025 Last action Apr 28, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 Edition 2 · 4 edits
MODERATE
The bill was amended to remove the names of the original sponsors and the committee referral information, while updating the bill version number. The core policy provisions regarding telehealth provider enrollment requirements remained substantively unchanged, though minor wording adjustments were made to clarify terminology from 'telemedicine' to 'telehealth' and to specify 'provider' instead of 'provider' in certain contexts.
Scope change
The bill's scope and applicability remain unchanged; it continues to allow telehealth providers to enroll in Medicaid without a physical presence in North Carolina.
TECHNICAL

Removed the names of the original sponsors (Senators Galey, Sawrey, and Burgin) and the committee referral information from the header section.

Added a 'Health Care Committee Substitute Adopted 4/9/25' designation to indicate this is a committee substitute version of the bill.

Updated the bill version identifier from 'S369-v-1' to 'S369-v-2' to reflect the amendment.

DEFINITION

Changed the term 'telemedicine' to 'telehealth' in Section 1 and Section 2 to align with current terminology used in healthcare policy.

Floor votes · Senate Apr 15, 2025

How they voted

490
Passed · 2 other
Total votes 51
Apr 15, 2025
D Democratic20
19 Yea 1
95% Yea
R Republican31
30 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
4
Committee
6
Apr 28, 2025
Committee
Ref To Com On Rules, Calendar, and Operations of the House
lower
Apr 15, 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
Com Substitute Adopted
upper
Apr 9, 2025
Upper · Passed
Reptd Fav Com Substitute
upper
Mar 24, 2025
Committee
Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate
upper
Mar 24, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Mar 20, 2025
Introduced
Filed
upper
2 primary · 9 co-sponsors

Sponsors