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.
SB 383, titled "Right to IVF," protects patients' access to assisted reproductive technology (ART) like in vitro fertilization (IVF), gamete intrafallopian transfer, and zygote intrafallopian transfer. It prohibits North Carolina or its subdivisions from restricting or interfering with patients' access to ART or healthcare providers' ability to offer or perform these services. The bill also clarifies that fertilized eggs or embryos outside the uterus are not legally considered "human beings" under state law. Additionally, it allocates $500,000 annually from 2025-2027 to expand Medicaid maternal support services (the Baby Love Program), matching federal funds for this purpose. The bill directly affects patients seeking ART and healthcare providers offering these services in North Carolina.
SB 463 requires North Carolina Medicaid to cover doula services during pregnancy and the postpartum period, directly affecting Medicaid-enrolled pregnant and postpartum individuals and doulas seeking to provide these services under Medicaid. The bill mandates the state health department to develop coverage rules, including reimbursement rates and provider requirements focused on doula training in areas like childbirth education, lactation support, and cultural awareness. It appropriates $1 million annually from the state general fund (matching $1.8 million in federal funds) for Medicaid coverage changes and $550,000 annually for doula workforce support services. The coverage must be implemented upon federal CMS approval, with a report to lawmakers by March 1, 2026.
SB 396 creates a new pathway for physicians, physician assistants, and anesthesiologist assistants to obtain a North Carolina medical license through "endorsement," allowing them to practice in the state if they hold an active license in another U.S. jurisdiction for at least five years (with two years of post-residency practice for physicians). Applicants must provide employer verification of a full-time job offer in North Carolina, proof of good standing with no recent disciplinary actions, and documentation of active practice (averaging 20+ hours weekly). The bill also establishes higher application fees for endorsement pathways (e.g., $825 for physicians vs. $400 for standard applications) and requires licensees to submit additional documentation within 120 days to keep their endorsement license active. This bill directly affects out-of-state medical professionals seeking to practice in North Carolina.
SB 415 requires all medical imaging and radiation therapy professionals (like radiographers, sonographers, and radiation therapists) to hold a state license before performing procedures on patients. It mandates that these professionals complete approved education and pass examinations to demonstrate competence, directly affecting healthcare facilities that employ them and the professionals themselves. The bill establishes a new "Medical Imaging and Radiation Therapy Board of Examiners" to oversee licensing, replacing voluntary certification with a standardized state requirement. Facilities must ensure staff are licensed, and unlicensed individuals cannot perform these procedures or imply they are qualified. This aims to enhance patient safety by ensuring only trained personnel handle imaging equipment and radiation therapy.
SB 410 allows hospitals in North Carolina to ask a court for permission to discharge adult patients (18+) who cannot make or communicate health decisions, when no authorized person (like a family member or legal guardian) will consent to the discharge. Hospitals must first get written agreement from two licensed doctors that the discharge is medically appropriate, and wait five business days after that agreement before filing the court petition. The court must rule on the petition within five business days. This bill directly affects hospitals, incapacitated adult patients, and their authorized decision-makers by creating a new court process for discharge decisions.
SB 494 limits North Carolina's Certificate of Need (CON) requirements, which typically require state approval for new healthcare facilities or expansions. The bill exempts all counties from CON rules except those with fewer than 100,000 residents *and* at least one functioning hospital. It creates a new "qualified urban ambulatory surgical facility" category, allowing certain surgical centers in larger counties to opt out of CON by meeting charity care reporting standards (ensuring at least 4% of revenue comes from self-pay or Medicaid patients). This directly affects healthcare providers planning new facilities or expansions in most counties, removing a major regulatory hurdle for projects exceeding $4 million in cost. The policy change takes effect November 2025, with specific reporting requirements for facilities choosing the opt-out path.
