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.
SB 257, the 2025 Appropriations Act, allocates funding for North Carolina's state agencies, departments, and institutions for the 2025-2027 fiscal biennium. It provides budget authority from the General Fund, Highway Fund, and Highway Trust Fund to cover current operations, maintenance, and specific programs like those managed by the Department of Transportation. The bill also includes federal block grant funding for health and human services (DHHS) and other designated programs. This funding measure directly affects all state entities receiving these appropriations and becomes effective July 1, 2025.
This bill, titled "Truth in Taxation," requires local taxing authorities in North Carolina to follow a specific process before raising property tax rates above a revenue-neutral level during years when a general reappraisal of real property occurs. To implement this change, the governing body must publish public notices in newspapers and online, send direct mail to taxpayers detailing the proposed tax increase, and hold a dedicated public hearing where a majority vote is required to approve the higher rate. If a local government fails to comply with these procedures and collects excess taxes, the bill mandates that they refund the overage to affected property owners. Additionally, the legislation increases the late reinstatement fee for expired real estate appraiser trainee registrations, licenses, and certificates to $12 per month, up from $10.
HB 87 (Educational Choice for Children Act) allows North Carolina to participate in a federal tax credit program that encourages donations to private scholarship organizations. The bill requires the State Education Assistance Authority to maintain and publish an annual list of qualifying scholarship groups operating in North Carolina, enabling donors to claim federal tax credits for contributions. These scholarships can cover elementary and secondary school costs, including homeschooling expenses, as permitted under federal law. The law becomes effective after 2026, with the Authority needing to establish necessary rules by July 2026 to comply with federal requirements.
The bill title "Defund Planned Parenthood and Cost Transparency" does not match the actual content of HB 192, which is focused on education funding. This bill raises teacher salaries for the 2025-2026 school year using a new salary schedule (e.g., $5,000 for 0 years experience, $6,823 for 25+ years) and reinstates education-based supplements for advanced degrees ($126-$253 monthly). It appropriates $1.597 billion for salary increases and $8 million for supplements, while directing the North Carolina Collaboratory to study a student-based funding system by February 2026. The bill directly affects public school teachers, instructional support staff, and school psychologists. The title appears to be incorrect based on the provided bill text.
HB 402 requires North Carolina state agencies to assess the financial impact of proposed permanent rules. If a rule would cost affected individuals or businesses $20 million or more over five years, it must be approved by the General Assembly before taking effect. For rules with a $1 million or more annual cost impact, agencies must prepare a fiscal note for review by the Office of State Budget and Management. The bill also mandates a two-thirds vote by agency boards to adopt rules exceeding the $1 million cost threshold. This directly affects state agencies creating regulations and the businesses or residents who would bear the costs of those rules.
SB 24 requires that any new state health insurance mandate must be paired with the repeal of an existing mandate and include funding to cover the new cost. It directly affects North Carolina employers (especially small businesses) and taxpayers by targeting mandates that increase insurance premiums and state health plan expenses. Key provisions mandate that new health benefit requirements (like coverage for specific treatments or drugs) must include both a repeal of an equivalent existing mandate and recurring state funding for the new cost. The bill applies to all health insurance plans, including the State Health Plan for Teachers and State Employees, and takes effect 30 days after enactment.
