Rep. Julia Greenfield

Maddy summaryHouse Bill 592, known as the Toxic-Free Medical Devices Act of 2025, aims to prohibit the use of a chemical called DEHP in certain medical devices within North Carolina. Specifically, it bans the manufacturing, selling, and distributing of intravenous solution containers and intravenous tubing that are intentionally made with DEHP. The prohibition for IV solution containers takes effect on January 1, 2030, and for IV tubing on January 1, 2035. The bill also prevents replacing DEHP with other similar chemicals in these devices and sets limits for unintentionally present DEHP, while exempting certain blood-related products. Violations of these provisions could lead to administrative penalties.

Maddy summaryHouse 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.

Maddy summaryHB 555, "Medicaid Telehealth Services," aims to ensure that certain telehealth providers can enroll as Medicaid providers in North Carolina. The bill specifies that individual health care providers licensed by the state who offer services exclusively through telemedicine are not required to maintain a physical presence in the state to be eligible for Medicaid enrollment. Similarly, medical provider groups that exclusively offer telemedicine services will not need an in-state service address to be eligible for the state's Medicaid program. This bill directly affects telehealth providers and medical groups by removing location-based requirements for participating in Medicaid.

Maddy summaryHB 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.

Maddy summaryHB 634 updates North Carolina laws to enhance parity in health insurance coverage for mental health and addiction recovery. It requires all health benefit plans to provide benefits for mental health conditions that are no less favorable than those for physical illnesses, including applying the same financial limits. A key provision mandates that medical necessity determinations for substance use disorders must rely solely on the most recent American Society of Addiction Medicine criteria. The bill also requires the State Health Plan for Teachers and State Employees to comply with these new utilization review standards and updates terminology from "chemical dependency" to "substance use disorder" in relevant statutes.

Maddy summaryHB 69, the Military and Veterans Educational Promise Act, provides two key benefits for military-affiliated individuals and veterans at North Carolina's University of North Carolina (UNC) schools. First, it requires UNC institutions to allow eligible military members (including reservists) and their spouses to defer admission for up to five years (for active duty) or two years (for reserve service) upon enrollment notice. Second, it establishes in-state tuition rates for honorably discharged veterans who served at least 90 days in the military, graduated from a North Carolina high school after 2004, had a North Carolina duty station, or received a Purple Heart. The bill applies to all UNC institutions beginning in the 2025-2026 academic year.

Maddy summaryHouse Bill 213, titled "Post NC Veterans' Benefits," requires employers in North Carolina to display a notice about veterans' benefits. This bill mandates that employers with five or more persons working in a room post this information in a conspicuous place. The Commissioner of Labor will provide a digital or printed form of this notice. The poster must include details on services such as benefits and claims, employment and training, housing assistance, and how to request military records, with the Department of Labor consulting the Department of Military and Veterans Affairs to create it.

Maddy summaryHouse Bill 820 requires health benefit plans in North Carolina to provide coverage for early refills of prescription eye drops. This means insurers cannot deny a refill for a 30-day supply if at least 21 days have passed since the last fill, or if the patient has used 70% of the medication according to their healthcare provider's instructions. The bill also specifies that the requested refill must not exceed the total number of refills indicated on the original prescription. These requirements apply to all health benefit plans, including the State Health Plan, with an effective date of October 1, 2025, or the subsequent plan year.

Maddy summaryHB 885 revises North Carolina public school discipline policies to limit suspensions, prohibit corporal punishment, and improve parental notification. It defines suspension lengths (short-term up to 20 days, long-term over 43 days), bans corporal punishment entirely, and requires schools to make documented, multi-channel attempts to contact parents within one hour of disciplinary actions. The bill mandates schools to collect and publicly report demographic data (race, gender, disability status, etc.) on all suspensions, expulsions, and disciplinary actions. These changes directly affect all public school students in North Carolina, with specific restrictions on suspending kindergarten through third graders and requiring in-school suspension to not exceed 40 cumulative days per year.

Maddy summaryHB 888 appropriates $1 million from the General Fund to the North Carolina Community Health Worker Association (a nonprofit) for the 2025-2026 fiscal year. The funds will directly support the Association's work in mobilizing, training, and certifying community health workers across North Carolina. This grant enables the Association to expand its workforce development efforts, specifically targeting the training and certification of community health workers. The bill affects the Association's operations and the community health workers they certify, but does not change health service delivery or eligibility for residents. The appropriation becomes effective July 1, 2025.