Healthcare

in committee · North Carolina · House Apr 8, 2025

HB 802: Nicotine and Vaping Prevention in Schools.

HB 802 requires all North Carolina public schools to adopt written policies banning the use of nicotine, hemp, and vaping products (including e-cigarettes and delta-8) in school buildings, on campuses, and at school events. Students under 21 found in possession of these products will have them confiscated, with parents notified within 24 hours; first offenses require schools to provide evidence-based cessation resources and education, while repeat offenses trigger disciplinary action. Schools must also distribute age-appropriate, Department of Health and Human Services-approved prevention materials to students at the start of each school year. The bill mandates schools to enforce these policies through clear signage, staff training, and collaboration with health officials.

Topics ✓ HealthcareSupports HealthcareBill mandates school policies to prevent youth nicotine/vaping use, providing cessation resources aligning with public health initiatives to improve student health outcomes.95% confidence

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signed · North Carolina · House Jun 13, 2025

HB 231: Social Work Interstate Licensure Compact.

HB 231 establishes North Carolina's participation in the Social Work Interstate Licensure Compact, allowing licensed social workers from participating states to practice across state lines without obtaining separate licenses in each state. The bill directly affects licensed social workers seeking to provide services in multiple states, particularly those serving military families or addressing workforce shortages. Key provisions include mutual recognition of licenses among member states, accountability for social workers practicing where clients are located, and streamlined processes for disciplinary information sharing. This reduces duplicate licensing requirements while maintaining state authority to protect public health and safety through existing licensure systems.

Topics ✓ HealthcareSupports HealthcareBill removes licensure barriers for social workers, directly improving access to mental health services and supporting workforce mobility in healthcare.95% confidence ✓ VeteransSupports VeteransBill facilitates social workers serving military families (including veterans' families), improving access to social services and addressing workforce shortages in veteran support.75% confidence

Sub-Topics Medical Licensing Public Health Memorials & Recognition

passed both · North Carolina · House Jun 23, 2026

HB 565: Limit Use of AI Medicaid/Commercial Insurance.

HB 565 ("Check Yes, Save Lives") allows North Carolina taxpayers to register as organ donors by checking a box on their state income tax return, starting with tax returns for 2026 and later. This directly affects all North Carolina taxpayers who file income tax returns, providing a simple, automatic way to enroll in the organ donation program during annual tax filing. The bill amends tax and organ donation statutes to add income tax return enrollment as a valid method for making an anatomical gift (under Section 130A-412.7(1a)), while keeping existing options like driver's license or wills. It requires coordination between the Department of Revenue and Motor Vehicles to update the Organ Donor Registry, ensuring the tax-based enrollment is properly recorded. The policy change streamlines donor registration without altering the existing organ donation process or eligibility.

Topics ✓ HealthcareSupports HealthcareSimplifies organ donor registration via tax forms, increasing donation rates and supporting public health initiatives in organ availability.95% confidence

Sub-Topics Medicaid

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in committee · North Carolina · Senate Mar 3, 2025

SB 218: Increase Access for Small Employers/Insurance.

SB 218 requires insurers in North Carolina to provide stop loss, catastrophic, and reinsurance coverage to small employers (those with fewer than 12 eligible employees) that meet specific minimum standards. It mandates that policies must have a per-individual claim attachment point of at least $20,000 (adjusted annually using medical inflation rates) and an aggregate attachment point of at least $20,000 or 120% of expected claims, whichever is higher. These requirements apply to all new or renewed policies issued on or after October 1, 2025, ensuring small employers receive standardized coverage thresholds. The bill does not restrict insurers from offering additional wellness-focused benefits but sets baseline protections for coverage affordability.

Topics ✓ HealthcareSupports HealthcareMandates insurers to provide stop loss/catastrophic coverage for small employers, expanding access to comprehensive health insurance options and stabilizing coverage for vulnerable groups.92% confidence

Sub-Topics Insurance

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in committee · North Carolina · House Mar 10, 2025

HB 319: Hispanic Grassroots/Funds.

HB 319 appropriates $500,000 from the state General Fund to Hispanic Grassroots, a nonprofit organization serving North Carolina's Hispanic community. The funds will support its existing education outreach programs, including scholarship assistance for private school choices, small business development, healthcare education, and civics classes to help residents navigate government services. This one-time grant, effective July 1, 2025, directly benefits Hispanic Grassroots' current services for Hispanic residents across the state. The bill does not create new programs but provides targeted funding for established community initiatives.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill appropriates $500k from General Fund to fund nonprofit's public service programs (education, healthcare, small business), increasing state funding for community services.95% confidence ✓ EducationSupports EducationAllocates $500k for nonprofit's education programs including scholarship assistance and civics classes, directly funding educational access for Hispanic community.90% confidence ✓ HealthcareSupports HealthcareBill explicitly funds healthcare education within Hispanic Grassroots' outreach programs, directly advancing community health literacy and access to services.90% confidence ✓ ImmigrationSupports ImmigrationFunds Hispanic community services including healthcare education and civics classes to navigate government services, directly supporting immigrant integration and access to state services.85% confidence

Sub-Topics State Budget Student Financial Aid

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in committee · North Carolina · House Mar 25, 2025

HB 495: Accessing Midwives Act.

HB 495, the "Accessing Midwives Act," establishes a licensing system for Certified Professional Midwives (CPMs) in North Carolina. It requires CPMs to obtain a state license to practice midwifery care - covering pregnancy, birth, and postpartum support - while exempting existing Certified Nurse-Midwives (CNMs), physicians, and emergency care. The bill creates the North Carolina Council of Midwives to set standards and oversee licensing, with members including CPMs, physicians, and community representatives. This directly affects CPMs seeking legal practice and aims to standardize midwifery care under state regulation.

Topics ✓ HealthcareSupports HealthcareEstablishes licensing for midwives, expanding regulated access to midwifery care for pregnancy/birth/postpartum services.90% confidence

Sub-Topics Healthcare Workforce

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in committee · North Carolina · House Apr 3, 2025

HB 733: The Everybody Eats Act.

HB 733, the "Everybody Eats Act," would allow North Carolina to bypass federal rules that block food assistance benefits for people convicted of certain drug-related felony offenses (Class H or I). It requires individuals to complete substance abuse treatment or avoid new drug offenses for six months after release or conviction to qualify for benefits, and extends the period for renewing eligibility from less than a year to 12 months. The bill directly affects formerly incarcerated individuals with specific drug felony convictions who meet treatment or offense-free conditions. It makes no changes to federal law but adjusts North Carolina's program implementation for food assistance and temporary aid.

Topics ✓ Criminal JusticeSupports Criminal JusticeRestores food benefits for formerly incarcerated individuals completing substance abuse treatment, reducing barriers to reintegration and aligning with rehabilitation-focused criminal justice reform.95% confidence ✓ HealthcareSupports HealthcareExpands access to nutrition assistance for formerly incarcerated individuals, strengthening public health support through extended eligibility and reduced barriers to food benefits.95% confidence

Sub-Topics Drug Policy Substance Abuse

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in committee · North Carolina · House Apr 14, 2025

HB 929: Water Safety Bill.

HB 929 bans adding fluoride to public water systems in North Carolina, effective January 1, 2026. It directly affects municipal water utilities that currently add fluoride for dental health purposes. The bill includes exceptions for naturally occurring fluoride in water sources and industrial uses unrelated to water treatment. It does not apply to private wells, bottled water, or water systems using naturally present fluoride.

Topics ✗ HealthcareOpposes HealthcareBill bans fluoride in public water systems, a proven public health measure for dental health. Directly restricts a public health initiative (subjects: PUBLIC HEALTH), weakening a standard preventive healthcare program.90% confidence

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in committee · North Carolina · House Apr 2, 2025

HB 658: Optometrists Telehealth Services.

HB 658 allows licensed optometrists in North Carolina to provide telehealth services (remote video consultations) to patients within the state, without requiring the optometrist to be physically present in North Carolina or hold a license in the state where they are located during the consultation. This directly affects optometrists licensed in North Carolina who wish to offer remote care to NC patients. The bill specifies that telehealth practice must follow all existing optometry laws and Board rules, and the North Carolina Board of Examiners in Optometry must create implementing rules by December 2025 covering patient records, diagnoses, and telehealth standards. The law takes effect on October 1, 2025.

Topics ✓ HealthcareSupports HealthcareEnables telehealth for optometrists, improving patient access to eye care services without physical presence requirements, aligning with healthcare access improvement indicators.95% confidence

Sub-Topics Telehealth

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in committee · North Carolina · House Apr 2, 2025

HB 633: Expand Sickle Cell Disease Programs and Services.

HB 633 appropriates $1.678 million annually in recurring funds and additional nonrecurring funds to expand sickle cell disease services in North Carolina. The bill directly supports approximately 7,000 North Carolinians living with sickle cell disease by funding comprehensive medical centers (like Atrium Health, Duke, and UNC Chapel Hill), creating transition coordinators to help patients move from pediatric to adult care, and providing grants to community organizations in underserved areas. Key mechanisms include distributing $1.3 million yearly to medical centers for care coordination, allocating $75,000 annually per center for transition staff, and funding a statewide emergency department toolkit to improve acute care. The bill becomes effective July 1, 2025, with funds designated for the 2025-2027 fiscal biennium.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $1.678M annually to fund sickle cell disease services, directly increasing state budget allocation for public health programs.95% confidence ✓ HealthcareSupports HealthcareFunds $1.678M annually to expand sickle cell disease services, including medical centers, transition coordinators, and community grants for 7,000 patients, directly advancing healthcare access and treatment.95% confidence

Sub-Topics Children's Health

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