HB 464 requires every public school in North Carolina - including traditional, charter, regional, and laboratory schools - to have at least one full-time, permanent school nurse starting in the 2025-2026 school year. The bill appropriates $95 million from the state General Fund for the 2025-2026 school year to fund these additional nursing positions, with funds designated to supplement - not replace - existing school nurse funding. It amends multiple statutes to mandate this staffing requirement across all public school units. The law becomes effective July 1, 2025, with implementation beginning for the 2025-2026 school year.
SB 352 allocates $2.5 million annually from 2025-2027 to fund grants for nonprofit community health centers in North Carolina. These grants will allow centers to purchase and provide long-acting reversible contraceptives (LARCs), such as IUDs or implants, to underserved, uninsured, or medically indigent patients. LARCs must meet specific criteria: they provide extended birth control without daily user action, are temporary, FDA-approved, and require a prescription. The bill becomes effective July 1, 2025, focusing on expanding access to affordable, long-term contraceptive options.
SB 373 (Vaccination Schedule Variance/Minors) prohibits healthcare providers (including doctors, physician assistants, and nurses) from refusing to treat minors or their parents/guardians solely because they choose to delay or vary from the CDC's recommended vaccination schedule. The bill ensures minors cannot be discriminated against for this reason, while clarifying that mandatory vaccination requirements under state law (G.S. 130A-152) still apply. Violations would be considered unprofessional conduct by licensing boards. The law requires the Medical Board and Nursing Board to adopt implementing rules, with the main provision effective October 1, 2025.
HB 474, titled "Right to Use Contraception," declares that North Carolina recognizes the right to use contraception to prevent pregnancy as a fundamental liberty. It directly affects all residents who use contraception by stating the state has "no legitimate governmental interest in limiting the freedom to use contraception." The bill amends state law to add a new Article 44, explicitly prohibiting state restrictions on contraceptive access for pregnancy prevention. This is a declarative policy change, not a funding or program measure, and would become effective upon enactment.
SB 379, the Senior Care Assurance Act, expands healthcare access for North Carolina seniors (65+) by enhancing Medicaid coverage for preventive screenings and chronic care services. It creates two new programs: a $2.5 million annual grant program to fund free health screenings and geriatric care for low-income seniors (at or below the federal poverty level), prioritizing rural and underserved areas, and a $2 million annual program to help seniors purchase telehealth equipment and internet access, with priority for rural seniors. The bill also updates telehealth infrastructure funding to support rural healthcare providers in establishing telehealth services. These provisions directly benefit seniors facing financial or geographic barriers to care, focusing on preventive health and independent aging.
HB 473 protects patients' and healthcare providers' rights to access and provide assisted reproductive technology (ART), including in vitro fertilization (IVF), by prohibiting state interference. It defines ART broadly and explicitly states that fertilized eggs or embryos outside the uterus are not considered "human beings" under North Carolina law. The bill also appropriates $500,000 annually (starting July 2025) from the state General Fund to increase Medicaid maternal support services (the Baby Love Program), matching $913,000 in federal funds for the 2025-2027 biennium. This legislation directly affects patients seeking ART, healthcare providers offering these services, and Medicaid beneficiaries receiving maternal support.
SB 366 increases Medicaid payment rates for personal care services to $7.50 per 15-minute increment and private duty nursing to $16.25 per 15-minute increment. It directly affects healthcare providers who deliver these services to Medicaid beneficiaries through programs like personal care services and private duty nursing. The bill allocates $119.2 million annually in state funds (with matching federal funds) to cover the rate increases for the 2025-2027 fiscal biennium. The changes take effect July 1, 2025.
SB 360 requires every public school in North Carolina (including traditional, charter, regional, and laboratory schools) to have at least one full-time, permanent school nurse starting in the 2025-2026 school year. The bill appropriates $95 million in recurring state funds to the Department of Public Instruction to cover the cost of adding these nurse positions, ensuring funding supplements existing resources without replacing them. This policy directly affects all K-12 public schools across the state by mandating nurse staffing levels and providing dedicated funding to meet that requirement. The law becomes effective July 1, 2025, with implementation beginning for the 2025-2026 school year.
SB 362 appropriates $1 million annually from 2025-2027 to strengthen North Carolina's Long-Term Care Ombudsman Program. It funds $855,000-$893,250 yearly for nine new regional ombudsman positions targeting areas with the greatest need, plus $145,000-$106,750 for operational costs like equipment and transportation. The bill also mandates a study by the Department of Health and Human Services to recommend statutory changes improving the ombudsman program and its volunteer Community Advisory Committees. These changes directly support long-term care residents and their advocates by increasing staffing and program capacity, effective July 1, 2025.
SB 382 prohibits licensed mental health professionals from providing conversion therapy to minors or adults with disabilities. The bill bans attempts to change a person’s sexual orientation, gender identity, or gender expression. It directly affects vulnerable individuals, including minors and adults with disabilities, who might otherwise be subjected to these practices. The law aligns with medical consensus from major health organizations stating such therapies are ineffective and harmful. Licensed practitioners would be barred from offering these services under this legislation.
