HB 672 creates a new "team-based practice" model for physician assistants (PAs) in North Carolina, allowing them to practice without direct physician oversight under specific conditions. To qualify, PAs must have over 4,000 hours of clinical experience (including 1,000+ hours in their specialty) and work in practices meeting defined criteria, such as physician ownership and collaborative care structures. The bill revises licensing rules to remove the requirement for PAs in these settings to provide a supervising physician’s contact information, while maintaining supervision requirements for perioperative services. This directly affects PAs seeking to work in team-based medical practices, including hospitals and clinics meeting the new standards.
HB 736 allows North Carolina pharmacists to perform simple tests (like for flu, COVID-19, or strep throat) and provide treatment for those conditions using approved medications, within specific guidelines. It requires health insurance plans to cover these pharmacist-provided services if they would cover the same service from a doctor or nurse, and ensures pharmacists aren't excluded from provider networks solely because they are pharmacists. Pharmacists cannot treat conditions with controlled substances (Schedules I-IV) and must follow statewide protocols for patient referrals. The bill takes effect October 1, 2025, expanding pharmacist roles to improve access to basic care.
Senate Bill 335 allows pharmacists to order and perform CLIA-waived tests to treat influenza, provided they follow statewide protocols and do not use controlled substances. The bill mandates that health benefit plans cover healthcare services provided by pharmacists if the services are within their licensed scope of practice and would be covered if performed by another healthcare provider. It also ensures consistent application of prescription drug and pharmacy service coverage requirements across insurers, third-party administrators, and pharmacy benefits managers. These changes aim to expand access to certain healthcare services through pharmacists, affecting patients, pharmacists, and health insurance providers. Most provisions become effective October 1, 2025.
HB 824 aims to expand access to treatment for opioid use disorder and overdose for individuals covered by health benefit plans. It requires health insurers to cover specific healthcare services provided by pharmacists, such as testing and medication administration, if those services are within a pharmacist's scope of practice. The bill also mandates coverage for all FDA-approved prescription drugs for opioid disorder and overdose, prohibiting prior authorization for these medications. Additionally, it updates state laws to ensure mental health benefits in health plans are no less favorable than physical health benefits, aligning with federal requirements.
SB 238 allocates $530,000 in recurring state funds for Edgecombe County Public Schools and $1.675 million for Pitt County Schools to ensure every public school in both counties has at least one full-time, permanent school nurse starting July 1, 2025. The funds must supplement - not replace - existing resources for school nursing services. This bill directly affects students and school staff in all public schools within Edgecombe and Pitt Counties by providing dedicated nursing support. It does not create new positions but secures ongoing state funding to address staffing needs.
This bill establishes the Physician Assistant (PA) Licensure Compact, a multi-state agreement designed to enhance the ability of PAs to practice in multiple participating states. It allows PAs who hold a qualifying license and meet national standards, including specific education and certification requirements, to obtain a "Compact Privilege" to practice in other member states. The Compact aims to improve access to medical services and ease licensing burdens for PAs, including military spouses. It also maintains patient safety through shared regulatory oversight and a central data system for tracking licenses and disciplinary actions across participating states.
HB 152 aims to regulate how health benefit plans in North Carolina cover Transcranial Magnetic Stimulation (TMS) services. If an insurer chooses to cover TMS, the bill requires them to cover all procedures performed by properly licensed healthcare providers, regardless of their medical specialty, as long as TMS is within their scope of practice. It prohibits insurers from penalizing providers solely based on their specialty when submitting TMS claims. However, the bill maintains that insurers retain discretion over whether to cover TMS, for which conditions, and at what reimbursement rates.
HB 349 updates North Carolina's requirements for healthcare powers of attorney (POA) and advance health care directives (like living wills). It clarifies witness and notary rules to prevent conflicts of interest (e.g., prohibiting facility staff from witnessing), standardizes forms for easier use, and allows electronic filing of directives with the Secretary of State’s registry. The bill directly affects residents planning ahead for medical decisions, ensuring their chosen agents or instructions are legally recognized. Key changes include revised witness eligibility criteria, simplified form language, and a new online filing option to improve accessibility. The bill does not alter medical care standards but streamlines the legal process for end-of-life planning.
HB 576 makes technical revisions to North Carolina's laws governing the Department of Health and Human Services (DHHS). It designates DHHS as the agency managing school nurse funds, requiring school nurses to focus solely on health services (like health education and emergency response) rather than instructional duties. The bill extends until June 2028 the temporary use of the federal health insurance marketplace for determining Medicaid eligibility, and clarifies that Medicaid coverage for people released from prison continues for up to 12 months post-release. It also updates Medicaid provider screening rules to align with federal standards, particularly for Indian Health Program providers.
SB 77 allows parents of students with disabilities to choose their preferred nurse for school-based nursing services required by an Individualized Education Program (IEP), provided specific conditions are met. The bill requires schools to assign the parent's chosen nurse if that nurse previously provided care to the student, the nursing agency agrees to contract under standard terms, and the rate matches other contracted nurses. This directly affects families of students needing nursing services under IEPs and ensures schools honor parent preferences without altering their obligation to provide a free appropriate public education. The policy applies starting the 2025-2026 school year.
