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.
SB 160, the Respiratory Care Modernization Act, updates North Carolina's laws governing respiratory care professionals to reflect current practices, especially after increased pandemic demands. It creates a new "Advanced respiratory care practitioner" (ARCP) role for licensed professionals with specialized training, allowing them to perform advanced procedures under physician supervision - while explicitly excluding medical diagnosis, prescribing, or invasive surgeries. The bill clarifies the scope of practice for both standard respiratory care practitioners and ARCPs, defining permitted tasks like mechanical ventilation support and diagnostic testing, and establishing requirements for board-approved training. This directly affects respiratory therapists seeking advanced roles, their supervising physicians, and healthcare facilities providing respiratory care services.
HB 842 clarifies that North Carolina public schools may conduct vision, hearing, dental, and developmental screenings for students without requiring parental consent, but must notify parents at the start of each school year about all screenings offered and provide results for their child. This bill directly affects parents of students in public schools across North Carolina, particularly for kindergarten through third grade as noted in the bill text. Key provisions require schools to provide written notice of screenings and results to parents (instead of seeking consent for each screening), while maintaining existing requirements for other health services that do require consent. The law updates school health screening procedures under North Carolina General Statutes § 115C-76.46.
SB 326, the Economic Security Act, raises North Carolina's minimum wage to $22 per hour starting January 1, 2026, with annual inflation adjustments based on the Consumer Price Index. It requires employers to provide paid sick leave, paid family medical leave, and workplace safety protections, while mandating equal pay for equal work regardless of gender. The bill also increases the tipped minimum wage, ends wage theft, prohibits employers from asking about criminal history on job applications ("ban the box"), and expands unemployment benefits for workers. These provisions directly affect all private and public employers and employees across North Carolina, including gig economy workers and essential workers.
SB 617, the Accessing Certified Professional Midwives Act, establishes a licensing requirement for Certified Professional Midwives (CPMs) in North Carolina who must hold national certification from the North American Registry of Midwives (NARM). The bill creates the North Carolina Council of Certified Professional Midwives, composed of seven members (four CPMs, one physician, and two community consumers), to administer licensing, set practice rules, and review standards. It directly affects CPMs seeking to legally practice midwifery, requiring them to obtain a state license while exempting existing nurse midwives, physicians, and emergency childbirth assistance. The law defines key terms like antepartal, intrapartal, and postpartal care to clarify scope of practice under the new licensing framework.
SB 344 ensures that North Carolina seniors aged 65+ who transfer funds into qualifying pooled special needs trusts (meeting federal standards) won't lose Medicaid or State-County Special Assistance eligibility. The bill requires the state health department to update eligibility rules so these transfers are treated as "fair market value" transactions - meaning the funds aren't counted against benefit eligibility if the trust uses the money to provide goods/services equal to the transfer value within the senior's life expectancy. It directly affects seniors using these trusts to manage assets while maintaining public benefits. The law amends state rules to align with federal guidelines (42 U.S.C. § 1396p(d)(4)(C)) and takes effect upon enactment.
SB 571 (MOMnibus 3.0) establishes a North Carolina grant program to address racial disparities in maternal health outcomes, specifically targeting Black women. The bill requires the Department of Health and Human Services to award competitive grants (between $10,000 and $50,000) to community-based organizations serving Black women in areas with high maternal health disparities. Grants prioritize organizations led by Black women that provide evidence-based services, including culturally respectful care, mental health support, assistance with social determinants like housing and transportation, and doula support. The program mandates technical assistance for grantees and annual reports to the legislature on funding and outcomes. This bill directly affects Black women in North Carolina and community health organizations providing maternal care services.
SB 483, "The Children First Act," expands affordable child care access for North Carolina families by increasing financial assistance eligibility to 85% of the state median income and raising subsidy rates to match 2023 market costs. It allocates $50 million annually for subsidies and $15 million for grants to establish new child care facilities in rural or underserved areas, targeting "child care deserts." The bill also creates an employer child care credit and includes workforce licensing reforms to address staffing shortages. These provisions directly affect low-to-moderate-income families, child care providers, and employers seeking to support working parents.
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SB 181 allocates $2 million annually from the General Fund for the 2025-2027 fiscal biennium to the North Carolina Department of Health and Human Services. This funding will support adding five new mobile crisis teams focused on serving communities with the highest need for mental health, developmental disability, and substance use crisis services. The bill directs these teams to operate within the state’s existing mental health framework, with implementation beginning July 1, 2025. It directly affects residents in underserved areas by expanding access to immediate crisis response through these specialized mobile units.
HB 571 appropriates $500,000 from the state General Fund to the Department of Public Safety for a grant program treating police officers diagnosed with PTSD. It directly affects North Carolina police officers who have received a clinical PTSD diagnosis. The key provision establishes a state-funded grant program to cover treatment costs, with funds allocated for the 2025-2026 fiscal year. The program becomes effective July 1, 2025, and focuses solely on providing financial support for treatment, not on expanding eligibility or altering diagnosis standards.
