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North Carolina Congressional Bills

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Bill results

in committee · North Carolina · Senate Mar 19, 2026

S 3525: American Franchise Act

This bill clarifies when franchisors can be held legally responsible for franchisee employees' pay and working conditions under federal labor laws. It specifies that franchisors are only joint employers if they exercise "substantial direct and immediate control" over essential employment terms like wages, hours, hiring, or discipline - excluding routine brand standards or training. The law explicitly states that franchisors do not become joint employers for actions like setting operating hours, minimum staffing levels, or offering brand guidelines. This directly affects franchisors, franchisees, and their employees by reducing legal uncertainty in the $825 billion franchise sector.
Roger Marshall (R) · 11 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 2903: Safe Step Act

S 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.
Lisa Murkowski (R) · 52 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 2859: Equal Campus Access Act of 2025

This bill prohibits public colleges and universities receiving federal funding from denying religious student groups access to campus facilities or official recognition solely because of their religious beliefs, practices, or standards. It directly affects public higher education institutions and religious student organizations seeking equal treatment alongside secular groups. The key mechanism requires institutions to provide religious groups with the same rights, benefits, and privileges - such as meeting space, event scheduling, and official status - as non-religious student organizations. This policy change ensures religious groups cannot be discriminated against in campus activities through the threat of withheld federal funding.
James Lankford (R) · 30 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 1756: Conscience Protection Act of 2025

This bill, the Conscience Protection Act of 2025, strengthens protections for healthcare providers and organizations that refuse to participate in certain medical procedures (including abortion, assisted suicide, and sterilization) based on religious, moral, or ethical beliefs. It creates a private right of action allowing affected entities to seek legal remedies when their conscience rights are violated, addressing a gap in current law where victims could not defend their rights in court. The bill amends the Public Health Service Act to prohibit discrimination against such healthcare entities and establishes clearer enforcement mechanisms through the Department of Health and Human Services, including administrative investigations and civil actions. It directly affects healthcare providers, hospitals, insurers, and other health-related organizations operating under federal funding. The bill aims to address inconsistent enforcement of existing conscience protections like the Weldon Amendment, which has been challenged in cases such as California's abortion coverage mandate.
James Lankford (R) · 23 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 1677: Ensuring Lasting Smiles Act

This bill (S 1677, Ensuring Lasting Smiles Act) requires health insurance plans to cover medically necessary treatments for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. It mandates coverage for reconstructive services, dental/orthodontic care, and related treatments during the course of medical treatment, while excluding purely cosmetic procedures not medically necessary. Plans may apply cost-sharing requirements similar to those for other medical services but must provide notice about these coverage requirements to participants by January 1, 2026. The bill also directs a study on provider network adequacy and cost impacts related to these coverage requirements, to be completed by December 2027.
Tammy Baldwin (D) · 54 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 1482: National Nursing Workforce Center Act of 2025

The National Nursing Workforce Center Act of 2025 establishes a two-year federal pilot program to create or enhance state-based nursing workforce centers. These centers, funded through $1.5 million annually (2026-2027), will analyze nursing workforce data, address shortages, and develop strategies for recruitment and retention - using matching funds requiring $1 non-Federal for every $4 federal dollar. Eligible entities like state nursing boards, schools of nursing, and nonprofits will use grants to conduct statewide research on education gaps, clinical staffing challenges, and strategies to improve rural access and workforce diversity. Centers must report annually on outcomes, including demographic data and best practices for reducing shortages across specialties and regions.
Lisa Blunt Rochester (D) · 4 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 942: REDI Act

Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.
Jacky Rosen (D) · 17 co-sponsors
in committee · North Carolina · Senate Mar 19, 2026

S 864: HELP Copays Act

The HELP Copays Act requires that financial assistance from non-profit organizations or prescription drug manufacturers counts toward patients' annual out-of-pocket cost-sharing limits (like deductibles and copays) for certain prescription drugs. It directly affects individuals enrolled in group health plans or individual insurance who receive such assistance, ensuring payments from these sources reduce their total out-of-pocket spending. The bill amends key healthcare laws to include these payments in calculating cost-sharing thresholds, specifically for specialty drugs and drugs subject to utilization management (like prior authorization). It takes effect for plan years beginning in 2026 and does not change how utilization management tools are applied.
Roger Marshall (R) · 28 co-sponsors
in committee · North Carolina · House Mar 19, 2026

HR 1799: Financial Reporting Threshold Modernization Act

HR 1799, the Financial Reporting Threshold Modernization Act, raises reporting thresholds for financial institutions handling large cash transactions. It increases the threshold for currency transaction reports from $10,000 to $30,000 and adjusts suspicious activity report thresholds from $5,000/$2,000 to $10,000/$3,000. The bill requires automatic updates to these thresholds every five years using the Consumer Price Index to account for inflation. This directly affects banks, money services businesses, and other entities that must file these reports under U.S. financial regulations.
Barry Loudermilk (R) · 20 co-sponsors
in committee · North Carolina · House Mar 18, 2026

HR 7983: Clean Water for All Life Act

This bill, titled the Clean Water for All Life Act, would amend federal criminal law to prohibit chemical abortions unless a healthcare provider is physically present during the procedure. It directly affects individuals who prescribe, administer, or assist with chemical abortion drugs like mifepristone and misoprostol by making it a federal crime to provide these services without a physical exam and the provider's presence. The law requires that patients receive a catch kit and red bag medical waste container with disposal instructions, and it defines an unborn child as beginning at fertilization. Violations could result in up to five years in prison and a $50,000 fine for each occurrence. The bill does not address other forms of abortion or change existing state laws.
Mary E. Miller (R) · 19 co-sponsors
in committee · North Carolina · House Mar 18, 2026

HR 7977: Energy Bills Relief Act

The Energy Bills Relief Act aims to lower household energy costs and accelerate the development of low-cost, clean energy by modifying federal tax credits, expanding weatherization programs, and streamlining permitting processes. Key provisions include restoring tax incentives for renewable energy projects, increasing funding for low-income heating assistance, and requiring federal agencies to treat wind, solar, and storage projects with the same procedural fairness as oil and gas projects. The bill also establishes new incentives for upgrading the electricity grid, such as tax credits for transmission lines and grants for wildfire prevention measures, while creating mechanisms to ensure utilities serve public interests and protect consumers from price volatility.
Sean Casten (D) · 162 co-sponsors
in committee · North Carolina · House Mar 18, 2026

HR 7975: Feeding Families Not Fear Act of 2026

The Feeding Families Not Fear Act of 2026 reverses specific provisions from the One Big Beautiful Bill Act of 2025 by restoring funding and benefits that were previously cut. It directly affects low-income families and individuals who rely on the Supplemental Nutrition Assistance Program (SNAP) by reinstating benefits that were reduced under earlier legislation. The bill achieves this by repealing two sections that increased funding for immigration and customs enforcement and another section that modified SNAP benefits under the Food and Nutrition Act of 2008. By removing these changes, the legislation returns SNAP provisions to their previous state as if the 2025 law had not been enacted.
Shontel M. Brown (D) · 22 co-sponsors
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