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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People with Disabilities
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.
HB 700, the Patients' Restoration of Rights Act, allows patients or their representatives to file medical malpractice or wrongful death lawsuits for injuries or deaths occurring after March 1, 2020, if those claims would otherwise be barred by statute due to missed deadlines. It specifically excludes cases where the death or injury was directly caused by contracting COVID-19. The bill temporarily revives time-barred claims from March 2020 onward for one year after the law takes effect, applying to cases under North Carolina’s civil procedures for medical malpractice (Chapter 90, Article 1B) or wrongful death (Chapter 28A). This provides a limited window for eligible claimants to pursue legal action without needing to prove new harm. The law expires one year after enactment, with no permanent change to standard statute of limitations rules.
HB 49, the Filial Debt Fairness Act, clarifies North Carolina's filial responsibility law by explicitly stating that adult children are **not liable for debts their parents incurred** (such as medical bills or loans). The bill amends Section 14-326.1 to clarify that while adult children may still face misdemeanor charges for failing to support a sick or unable-to-work parent (without reasonable cause), they cannot be held responsible for their parents' pre-existing debts. This directly affects adult children who might otherwise be sued for their parents' financial obligations. The law aims to prevent unintended liability for parents' debts while maintaining the existing requirement for children to support parents in need.
This North Carolina bill (SB 346) provides limited legal immunity for people who seek medical help during drug or alcohol overdoses. It protects individuals from minor charges (like possession of less than 1 gram of drugs or underage alcohol consumption) if they call 911 or assist others in calling for overdose emergencies, provided they act in good faith, provide their name, and weren’t seeking help during an active arrest. The immunity also extends to the overdose victim themselves and prevents probation/parole revocation for these covered offenses. The law applies to acts occurring on or after October 1, 2025, and does not affect evidence collection for other crimes.
SB 609 allocates $1.25 million in one-time state funds for Steele Creek community projects in Mecklenburg County, directly benefiting residents in this rapidly growing unincorporated area. The bill provides $250,000 to a nonprofit for community health initiatives (focusing on mobility, wellness, family support, and mental health), $500,000 to the Steele Creek Fire and Rescue Service for emergency equipment and facilities, and $500,000 to the state DOT for a traffic study on Shopton Road West. These funds aim to address infrastructure and service gaps as Steele Creek’s population has grown over 70% in 15 years. The bill becomes effective July 1, 2025, with all funding directed to specific projects for the 2025-2026 fiscal year.
This bill requires most North Carolina employers to provide earned paid sick leave to workers. Employees would earn one hour of paid sick time for every 30 hours worked, with small businesses (10 or fewer employees) limited to 32 hours annually and other employers to 56 hours. Workers could use this time for their own illness, family medical care, or safety-related needs like domestic violence or sexual assault recovery. The law applies to most private-sector employees but excludes volunteers and certain exempt workers, directly affecting over 1.6 million North Carolinians currently without access to paid sick days.
HB 572 authorizes the Department of Military and Veterans Affairs to establish a statewide pilot program providing Electroencephalogram combined Transcranial Magnetic Stimulation (eTMS) treatment. This program is for veterans, first responders, and their immediate family members experiencing conditions such as substance use disorders, mental illness, sleep disorders, traumatic brain injuries, and PTSD. The Department will select a provider to create a network for in-person and off-site care, aiming for statewide access. Participants in the program will also receive neurophysiological monitoring, counseling, wellness programming, and access to a peer-to-peer support network. The selected provider must collect and report treatment outcomes and expenditures to the Department and legislative committees by September 15, 2026.
