HB 608 amends North Carolina's computer trespass law to add automatic minimum damages for unauthorized copying of protected health information (like medical records) or government employee personnel files (including SSNs, medical history, and salary details). It establishes a $5,000 minimum penalty per violation for breaches involving either type of sensitive data, replacing the previous requirement to prove actual damages. The law directly affects healthcare providers, government employers, and anyone handling such data, ensuring victims can recover at least $5,000 per incident without proving financial loss. The bill takes effect July 1, 2025, and applies to offenses committed after that date.
HB 619, the Health Care Security Act, repeals a law that would have ended Medicaid expansion coverage in North Carolina if federal funding dropped below 90%. This change directly affects the state's Medicaid expansion population, ensuring their coverage remains secure regardless of federal funding fluctuations. The bill removes a specific statutory trigger (G.S. 108A-54.3C) that previously threatened automatic discontinuation of benefits. It does not create new programs or alter eligibility but prevents coverage loss due to federal funding changes. The act becomes effective upon enactment.
HB 591, the G.U.A.R.D. Act, allows residents of nursing homes and adult care facilities in North Carolina to install and use their own electronic monitoring devices (like cameras or audio recorders) in their rooms at their own expense. The bill requires facilities to provide power, mounting space, and not deny admission or discharge based on a resident's request for monitoring. Recordings from these devices can be used as evidence in court, and facilities face fines or jail time for violating the law. The act directly affects residents and their families by giving them greater control over monitoring their living environment while protecting facility obligations.
HB 629 extends the deadline for North Carolina's Primary Care Payment Reform Task Force from May 1, 2024, to December 31, 2026. The task force studies primary care spending across Medicaid, the State Health Plan, and commercial insurance to evaluate system adequacy, define primary care services, and identify data collection methods. This extension allows the task force additional time to complete its analysis and submit reports to legislative committees, directly affecting state agencies like the Department of Health and Human Services responsible for implementing the study.
HB 624 requires drug manufacturers to notify state agencies, insurers, and pharmacy benefit managers 60 days before raising prices on prescription drugs by 10% or more in a year. Manufacturers must disclose the justification for price hikes, previous marketing budgets, and historical pricing data within 30 days of notification. The bill also mandates rapid disclosure of pricing for new FDA-approved drugs and requires manufacturers to inform prescribers if a drug contains ingredients known to cause dependency. The state will create a public online portal for transparency, including annual reports on the most prescribed, costliest, and fastest-increasing drugs, but does not set price limits.
HB 653 lowers the federal funding threshold that would trigger loss of Medicaid coverage for North Carolina's newly eligible expansion recipients. Currently, coverage would end if federal funding for this group drops below 90% compared to non-expansion recipients; the bill reduces this threshold to a lower percentage. If funding falls below the new threshold, Medicaid coverage for this group must discontinue promptly, with state agencies required to notify lawmakers and CMS. The bill affects only those added to Medicaid through the 2014 expansion, not all Medicaid beneficiaries.
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 721 appropriates $500,000 from the General Fund to fund Muddy Sneakers, Inc.'s fifth-grade science programs, which provide hands-on field instruction aligned with state science standards. It also allocates $2.75 million to St. Gerard House to support its autism treatment programs. The funding is designated for the 2025-2026 fiscal year, with the Muddy Sneakers funds being recurring and the St. Gerard House grant nonrecurring. The bill directly affects fifth-grade students in North Carolina public schools and individuals receiving autism services through St. Gerard House.
HB 664 removes positron emission tomography (PET) scanners from North Carolina's Certificate of Need (CON) review process. This means healthcare facilities seeking to purchase PET scanners will no longer need state approval through the CON program. The bill specifically repeals a section of state law (G.S. 131E-176(16)f1.8) that previously required this review. The change directly affects hospitals and medical centers planning to acquire PET scanning equipment. This is a procedural adjustment to reduce regulatory requirements for a specific medical technology.
HB 714 creates a state-run universal healthcare benefit plan administered by North Carolina's Commissioner of Insurance. It requires the plan to offer sliding-scale premiums based on household income, covering residents whose incomes exceed Medicaid eligibility but who cannot afford private insurance. The bill mandates the Commissioner to develop the plan by January 1, 2026, with a report to the legislature detailing implementation steps. It also appropriates $100,000 for initial planning in the 2025-2026 fiscal year and ensures coverage meets or exceeds federal Affordable Care Act standards.
