SB 413, titled "Right to Use Contraception," declares that North Carolina has no legitimate interest in limiting access to contraception for pregnancy prevention. It directly affects all residents by affirming their right to use contraception without state interference, adding a new legislative declaration to the state statutes. The bill’s key mechanism is a policy statement in Chapter 90 of North Carolina’s General Statutes, explicitly stating that preventing pregnancy through contraception is protected. It does not change existing laws or create new regulations but formally codifies this policy position. The measure is currently in early committee review after its initial filing and first reading.
SB 467, the "Right to Reproductive Freedom Act," codifies protections from the Supreme Court's *Roe v. Wade* and *Planned Parenthood v. Casey* rulings into North Carolina law. It prohibits the state from imposing "undue burdens" on abortion access before fetal viability (approximately 24 weeks), allowing restrictions only to preserve life or health after viability. The bill updates consent rules to let minors consent to abortion care without parental notification (under specific medical circumstances), clarifies healthcare provider immunity, and requires health insurance plans to cover abortion-related complications even if they don’t cover the procedure itself. This directly affects all patients seeking abortion services in North Carolina, particularly those facing prior barriers like young people, low-income individuals, and rural residents.
SB 522, the "Thrive at Midlife Act," requires all health insurance plans in North Carolina to cover specific healthcare services for women aged 40-65, including menopause care, bone density screenings, heart disease prevention, diabetes management, cancer screenings, mental health support, and telehealth. It also expands Medicaid coverage for these services and allocates $10 million annually (2025-2027) to fund grants for community health centers serving uninsured midlife women, prioritizing rural and underserved areas. The bill creates tax credits for individuals and businesses covering qualified midlife healthcare expenses like prescription medications, screenings, and mental health services. These provisions aim to improve access to preventive and specialized care for midlife women while requiring insurers to limit copays and deductibles for covered services to federal preventive care standards.
SB 536, the Birth Freedom Act, requires all health insurance plans in North Carolina to cover maternity care at home or birthing centers on the same terms as hospital births. It mandates that Medicaid beneficiaries also receive full coverage for these options starting July 2025, with providers reimbursed at 90% of standard hospital rates for similar care. The bill allocates $150,000 to expand access to birthing center care under the State Health Plan for public employees, including potential subsidies for beneficiaries. These changes directly affect health insurers, Medicaid, birthing centers, and individuals seeking non-hospital maternity options.
HB 514 defines the scope of practice for Advanced Practice Registered Nurses (APRNs) in North Carolina, including nurse practitioners (NPs), certified nurse midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). The bill explicitly outlines the specific responsibilities for each role - such as CNMs managing reproductive health care, NPs diagnosing and treating illnesses, and CRNAs administering anesthesia - removing ambiguity in current law. It directly affects over 20,000 APRNs in North Carolina who currently face restrictions due to undefined practice parameters. The legislation aims to align North Carolina with 36 other states that have clarified APRN authority without compromising patient safety, as supported by research cited in the bill. This statutory definition is intended to improve healthcare access and reduce costs by enabling APRNs to practice to the full extent of their training.
SB 679, the Women's Care Act, requires North Carolina courts to defer imprisonment for 12 weeks after a pregnant person’s delivery (or end of pregnancy) if they pose no threat to the community. It directly affects pregnant female persons sentenced to prison, mandating courts to postpone incarceration while requiring them to maintain perinatal care, participate in community programs, and report monthly via phone or electronic means. The bill also allows probation supervision without fees during this period and requires prisons to report annual data on pregnant incarcerated women starting in 2026. The law applies to sentences issued on or after its effective date.
HB 522 prohibits crisis pregnancy centers (CPCs) in North Carolina from falsely advertising that they provide abortion or emergency contraceptive services when they do not. It defines this as a deceptive practice, requiring CPCs to clearly disclose staff qualifications and service offerings (like abortion care) on-site or via corrective advertising. The bill establishes a complaint process for the Attorney General to enforce violations, with civil penalties up to $5,000 per violation, and mandates a state health department evaluation of CPCs’ impact on reproductive healthcare access by 2026. This directly affects CPCs operating in the state, particularly those receiving public funds and targeting marginalized communities.
HB 509, the Right to Reproductive Freedom Act, codifies the constitutional protections for abortion access established in Roe v. Wade and Planned Parenthood v. Casey by prohibiting North Carolina from imposing restrictions that create an undue burden before fetal viability. The bill allows state restrictions only after fetal viability to preserve life or health and defines "undue burden" as any substantial obstacle to accessing abortion care. It removes barriers such as unnecessary parental consent requirements for minors and expands the scope of healthcare providers (including nurse practitioners and certified nurse midwives) who can perform or assist with abortion care. Additionally, the bill requires health insurance plans to cover abortion services and related complications, ensuring broader access for insured individuals.
HB 844, the Finding Grace Family Bill, revises North Carolina's adoption and abortion laws. It requires the state to provide adoptive families with resources to prevent adoption dissolution (such as counseling and support services) and clarifies parental consent processes before birth (e.g., allowing biological mothers to seek court determination of consent after three months of pregnancy). The bill bans most abortions after 12 weeks of pregnancy, with exceptions for medical emergencies and procedures performed within the first 12 weeks. These changes directly affect adoptive families, prospective adoptive parents, and individuals seeking abortion care in North Carolina.
House Bill 635 requires certain large group health benefit plans to provide coverage for fertility diagnostic care, treatment, and preservation services. This bill directly affects individuals covered by these plans, aiming to increase their access to fertility-related medical care. Key provisions include mandatory coverage for at least three in vitro fertilization (IVF) cycles per insured, provided procedures follow American Society of Reproductive Medicine guidelines and are performed at licensed facilities. However, the requirements do not apply to plans offered by religious institutions or self-insured group health plans, and explicitly exclude experimental procedures or nonmedical costs for donor gametes or surrogacy.
