Healthcare

HB 152 aims to regulate how health benefit plans in North Carolina cover Transcranial Magnetic Stimulation (TMS) services. If an insurer chooses to cover TMS, the bill requires them to cover all procedures performed by properly licensed healthcare providers, regardless of their medical specialty, as long as TMS is within their scope of practice. It prohibits insurers from penalizing providers solely based on their specialty when submitting TMS claims. However, the bill maintains that insurers retain discretion over whether to cover TMS, for which conditions, and at what reimbursement rates.

House Bill 592, known as the Toxic-Free Medical Devices Act of 2025, aims to prohibit the use of a chemical called DEHP in certain medical devices within North Carolina. Specifically, it bans the manufacturing, selling, and distributing of intravenous solution containers and intravenous tubing that are intentionally made with DEHP. The prohibition for IV solution containers takes effect on January 1, 2030, and for IV tubing on January 1, 2035. The bill also prevents replacing DEHP with other similar chemicals in these devices and sets limits for unintentionally present DEHP, while exempting certain blood-related products. Violations of these provisions could lead to administrative penalties.

HB 160 requires North Carolina's University of North Carolina School of Medicine Area Health Education Centers (NC AHEC) to create and share evidence-based information about sudden unexpected death in epilepsy (SUDEP) with all healthcare practitioners in the state. This includes current risk factors, conditions, and contact details for epilepsy support organizations, available on NC AHEC's website. Healthcare providers treating epilepsy patients will directly receive this standardized resource, which must be compiled by consulting medical boards and professional societies. NC AHEC must report the completed resource to the legislature by September 1, 2025.

HB 71, the Respiratory Care Modernization Act, updates North Carolina's laws governing respiratory care practice. It creates a new "Advanced respiratory care practitioner" (ARCP) category for licensed professionals with postgraduate training, requiring Board-endorsed competency for advanced procedures. The bill clarifies that ARCPs cannot diagnose, prescribe, or perform invasive procedures without physician supervision, while defining their scope to include cardiopulmonary care and tasks delegated by physicians. This directly affects respiratory care practitioners and patients by standardizing advanced practice rules and ensuring procedures align with current professional standards. The changes aim to reflect modern respiratory care practices without altering basic licensing requirements.