SB 406 would establish a new court process in North Carolina called Extreme Risk Protection Orders (ERPOs), allowing family members, law enforcement, or health care providers to seek temporary removal of firearms from individuals deemed to pose a significant risk of self-harm or harm to others. Courts could issue emergency orders without the person present if danger is imminent, requiring immediate surrender of firearms and ammunition, with seizure ordered if compliance fails. The bill mandates specific evidence in petitions (e.g., details on firearms and safety risks), includes due process safeguards like verifying existing protection orders, and waives court costs for petitioners. It also requires annual reports to the legislature tracking ERPO usage, including petitions filed, orders issued, and denials.
SB 674 allows licensed mental health professionals (including clinical counselors, marriage and family therapists, psychologists, and psychiatrists) from other states to practice in North Carolina more easily. It requires applicants to have actively practiced for at least two of the past five years, pass background checks, pay fees, and provide a social security number. The bill mandates licensing boards must issue or deny licenses within 60 days of application, streamlining access to mental health services without replacing existing interstate compacts.
House Bill 618, the "Ivermectin Access Act," directs the State Health Director to issue a statewide standing order that allows licensed pharmacists to dispense ivermectin for human use. Under this order, pharmacists would be authorized to provide ivermectin without requiring a written prescription or consultation from a healthcare professional. The bill also grants immunity from civil or criminal liability to the State Health Director for issuing the order and to any pharmacist who dispenses ivermectin in accordance with it. The State Health Director is required to issue this statewide standing order by October 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.
HB 499, the North Carolina Paid Family Leave Insurance Act, would create a state-run program providing up to 26 weeks of paid leave for eligible workers in North Carolina starting January 1, 2027. It directly affects most employees who meet income and work requirements, allowing them to take leave for the birth or adoption of a child (up to 12 weeks), caring for a seriously ill family member (up to 12 weeks), their own serious health condition (up to 18 weeks), or caring for a military service member (up to 26 weeks). The program is funded through employee contributions and administered by the Division of Employment Security, with specific definitions of eligible family members and protections against employer retaliation for taking leave. The bill does not cover federal employees or the U.S. government.
House Bill 107 designates the second week of November each year as Sudden Unexpected Death in Epilepsy (SUDEP) Awareness Week in North Carolina. Additionally, it encourages local boards of education to develop and offer seizure awareness training for school personnel who are responsible for students with epilepsy or who are otherwise predisposed to seizures. This training aims to provide school staff with information to support these students.
SB 585 creates a tuition and registration fee waiver for mental health clinicians and peer support specialists working in municipal or county emergency medical services (EMS), rescue, or lifesaving departments. It specifically applies to professionals embedded in 911 call centers to direct mental health resources or paired with first responders during emergency calls. The bill amends North Carolina's community college tuition waiver rules to add these departments as eligible entities, allowing their employees to take approved community college courses without tuition costs. This policy directly affects local government emergency response teams and their mental health staff, effective July 1, 2025. The waiver covers standard tuition and registration fees for relevant training programs.
HB 156 sets minimum standards for stop loss, catastrophic, and reinsurance coverage provided to small employers in North Carolina. It directly affects small employers (defined as those with fewer than 12 eligible employees) and insurers selling these specific insurance products. The bill requires insurers to maintain a minimum annual attachment point of $20,000 per individual (adjusted annually using the Consumer Price Index) and a minimum aggregate attachment point of either 120% of expected claims or $20,000 per year. These standards apply to all new, renewed, or amended insurance contracts issued on or after October 1, 2025.
HB 339, the Economic Security Act, raises North Carolina's minimum wage to $22 per hour effective January 2026, with annual inflation adjustments based on the Consumer Price Index. It mandates equal pay for equal work, requires paid sick leave and family medical leave for all employees, and strengthens workplace safety protections. The bill also restores inflation-adjusted unemployment benefits, ends wage theft, removes criminal history questions from job applications ("banning the box"), and expands tax credits for childcare and low-income workers. Additionally, it creates a presumption that essential workers infected with COVID-19 contracted it on the job and appropriates funds for cost-of-living adjustments for public retirees.
SB 533 raises North Carolina's minimum age to purchase tobacco products, including smart vapes and other vapor products, from 18 to 21 years old. It requires retailers to display clear age restriction signs, verify customer age through ID for in-person sales, and use third-party age verification for online orders. The bill also prohibits tobacco sales via vending machines except in 21+ establishments and mandates employee training on age restrictions. Additionally, it directs lottery gaming revenues to fund gambling addiction education and treatment programs. The bill directly affects retailers, vendors, and anyone under 21 seeking these products.