HB 685, the Rural NC Reinvestment Act, allocates $605 million in nonrecurring state funds for rural North Carolina communities during the 2025-2026 fiscal year. It provides grants for water/sewer infrastructure ($200M), law enforcement/fire equipment ($10M), economic development land ($20M), rural school construction ($200M), broadband expansion ($50M), early childhood education ($100M), and physician placement ($5M). Local governments, schools, emergency services, and healthcare providers in rural areas directly receive these funds, with allocations prioritized based on need, efficiency, and community impact. The bill becomes effective July 1, 2025, focusing on tangible infrastructure and service improvements without creating new regulations.
House Bill 390, titled "Alleviate the Dangers of Surgical Smoke," establishes new standards for surgical smoke evacuation in North Carolina. This bill requires all licensed hospitals and ambulatory surgical facilities to adopt and implement policies mandating the use of a smoke evacuation/filtering system during surgical procedures likely to generate surgical smoke. A smoke evacuation/filtering system is defined as equipment that captures, filters, and eliminates surgical smoke at its origin. The Department of Health and Human Services is authorized to take adverse action against facilities that violate these new requirements. This act is scheduled to become effective on January 1, 2026.
HB 692 requires all North Carolina public schools to install at least two automatic external defibrillators (AEDs) per school building - one in a state-identified location and one in athletic facilities - and provide annual training for school staff in AED use and CPR. The bill directly affects public school personnel, students, and school districts by mandating specific installation, maintenance, and training protocols through new rules from the State Board of Education. Key provisions include requiring schools to coordinate with emergency medical systems, maintain AEDs properly, and develop policies aligned with state guidelines. The law takes effect for the 2025-2026 school year, using existing school funding for implementation.
HB 874, the North Carolina Healthy Schools Act, prohibits public schools from serving or selling ultra-processed foods containing specific synthetic additives (like artificial dyes and preservatives such as Yellow Dye 5 or Potassium Bromate) during the school day. It directly affects all North Carolina public schools, including district, regional, and charter schools, requiring them to certify compliance with the ban through the Department of Public Instruction. Schools must submit certification forms, and the Department will publish a list of compliant schools online. The ban takes effect for the 2025-2026 school year, though parents may still provide such foods for their children.
HB 139, titled "Baby Boxes/Newborn Safety Device," allows for the safe surrender of infants up to 30 days old using a specialized newborn safety device. This bill permits parents to place an infant in these devices, which must have a dual alarm system connected to the facility and be tested monthly. These devices can only be installed at continuously staffed emergency departments, emergency facilities, or social services offices, where qualified healthcare providers, first responders, or social services workers will take temporary custody of the infant. The act is set to become effective on October 1, 2025.
HB 832 revises North Carolina's school safety grant program to expand eligible uses of funds for training aimed at improving student well-being and safety. It allows public school units to fund evidence-based programs including suicide prevention training (CALM), trauma-focused therapies (like cognitive behavioral therapy), violence prevention, and peer mentoring facilitation. The bill specifically permits up to $350,000 in annual funding for these expanded services, directly affecting school staff, counselors, and students in North Carolina public schools. This change modifies existing grant rules without creating new funding or altering overall program structure.
SB 448 removes two key barriers to Medicaid eligibility for North Carolina workers with disabilities under the "Health Coverage for Workers with Disabilities" program. It eliminates the federal limits on unearned income (like Social Security benefits) and countable assets (savings) that previously disqualified people from maintaining Medicaid coverage while working. The bill requires the state to seek federal CMS approval within 90 days to remove these limits, with implementation effective after CMS approval (targeting a July 2025 effective date). This change directly affects individuals with disabilities who currently face penalties for saving money or receiving certain benefits while enrolled in Medicaid, allowing them to retain healthcare coverage without losing eligibility due to income or asset thresholds. The state will provide $165,000 annually in funding for implementation starting July 2025.
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HB 886 requires all public schools in North Carolina to install Automatic External Defibrillators (AEDs) and train school personnel on their use and on CPR. The State Board of Education must develop rules for AED placement, maintenance, and coordination with emergency services, with at least one AED per school, ideally in an athletic area. Local school boards, charter schools, and regional schools are then required to create policies aligning with these state rules. The bill appropriates $4.1 million for the 2025-2026 fiscal year to help public school units purchase AEDs and train staff.
HB 460, the Medical Equipment Right to Repair Act, requires medical device manufacturers to provide hospitals, clinics, and independent repair shops with necessary support documents, tools, and parts to maintain and repair medical imaging (like MRI and X-ray machines) and radiation therapy equipment. The law mandates that manufacturers make these resources available at no cost (except for printing/shipping fees), automatically notify owners of updates, and offer the same training to independent repairers as they provide to their own authorized service teams. It prohibits manufacturers from restricting access to security systems or using agreements to avoid these requirements, while protecting trade secrets and limiting liability for repair-related damage. The bill takes effect July 1, 2025, applying to equipment in use after that date.
SB 473 creates the Capital for Communities Special Fund, a dedicated state fund that will receive 3.5% of certain investment earnings (when quarterly returns exceed 7%) from state funds managed by the Treasurer. The fund will provide grants for economic development projects in North Carolina, specifically targeting affordable housing, childcare centers, healthcare facilities addressing shortages, medical research, workforce development, living-wage jobs, and nonprofit education facilities. These grants must directly support community-based initiatives meeting the specified criteria. The bill establishes clear eligibility rules for fund usage but does not detail application processes or allocation priorities.
