SB 414 North Carolina Senate · 2025-2026 Session

Pharmacists/Test and Treat.

SB 414 allows licensed pharmacists (specifically clinical pharmacist practitioners) to test for and treat certain conditions like influenza, COVID-19, and strep throat using FDA-approved CLIA-waived tests, without requiring a physician referral. It mandates that health insurers cover these pharmacist-provided services at the same level as services from other healthcare providers, if performed within the pharmacist’s scope of practice. The bill prohibits pharmacists from treating conditions with controlled substances (Schedules I-IV) and requires statewide protocols for implementation by October 1, 2025. This directly affects pharmacists, patients seeking these specific services, and health insurers across North Carolina.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 24, 2025 Last action Mar 25, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 4 edits
MODERATE
The bill underwent cosmetic formatting changes and metadata updates during its transition from filed to first edition. The primary substantive change is the addition of a referral to the Senate Rules and Operations Committee with a specific date, indicating the bill's procedural status. No substantive policy changes regarding pharmacists' testing and treatment authority were made in this version.
TECHNICAL

Added Senate Rules and Operations Committee referral with date March 25, 2025

Removed blank referral line and original bill number DRS15177-NB-85

Updated bill identifier from DRS15177-NB-85 to S414-v-1

Changed filing date from March 24, 2025 to Session 2025 header format

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 25, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Mar 24, 2025
Introduced
Filed
upper
2 primary · 5 co-sponsors

Sponsors