Rep. Becky Carney

Maddy summaryThis bill establishes an Interstate Medical Licensure Compact in North Carolina, allowing physicians who meet specific qualifications to obtain medical licenses in multiple participating states through a streamlined process. The law creates an Interstate Commission to oversee the compact and sets clear standards for physician eligibility, including requirements for medical school graduation, passing licensing exams, specialty certification, and a clean disciplinary record. While the compact simplifies licensing for qualified doctors, it maintains that each state retains authority to regulate medical practice within its borders and can take disciplinary action against physicians licensed through the compact. The bill does not alter existing state medical practice laws but adds an additional pathway for physicians to practice across state lines.

Maddy summaryHB 612, the "Fostering Care in NC Act," updates North Carolina's laws governing child abuse, neglect, and dependency cases. It expands the definition of "abused juveniles" to include specific offenses like sexual crimes, human trafficking, and certain violent acts, affecting how cases are classified. The bill requires county social services directors to use either a family-centered assessment or a formal investigation when reviewing reports, and to collect military affiliation details of the juvenile's caregiver. It also clarifies that court jurisdiction over juveniles continues until age 18, emancipation, or death. These changes standardize responses to child welfare reports and improve information gathering for safety decisions.

Maddy summaryHB 578, the Jason Flatt Act, requires all North Carolina public K-12 schools to implement suicide prevention education and training for school staff. It mandates that licensed educators complete at least one hour of annual suicide prevention training, while staff working with grades 6-12 must receive guidelines for identifying at-risk students and procedures for referrals. Schools must adopt a mental health plan including these elements, with initial staff training of six hours (within six months of hire) and two hours annually thereafter. The law applies to all public schools, charter schools, regional schools, and lab schools starting the 2025-2026 school year.

Maddy summaryHB 923 requires North Carolina counties and cities to remove specific personal information (such as physical addresses and phone numbers, but not names) from public websites when requested by certain legal professionals. Eligible requesters include state judges, prosecutors, public defenders, and federal law enforcement attorneys, who must submit written requests with required details. The bill mandates that local governments remove the information upon valid request, keep requests confidential, and prohibit re-adding the information without a written revocation. It also strengthens protections for law enforcement officers' residence details in personnel files, ensuring such information remains non-public except for safety-related disclosures.

Maddy summaryHB 569 requires PFAS manufacturers (those who produce PFAS compounds like GenX) to pay public water systems for cleaning up PFAS contamination in drinking water when levels exceed EPA safety limits. It allows the Environmental Quality Secretary to order polluters to cover actual cleanup costs, including technology to reduce PFAS levels, and applies retroactively to expenses since 2017. The bill appropriates $300,000 for implementation and mandates annual reports on fund use, with water systems refunding ratepayers when manufacturers cover costs. This directly affects water systems burdened by PFAS cleanup, PFAS manufacturers deemed responsible, and ratepayers who may see reduced future water rates.

Maddy summaryHB 485 requires North Carolina's Medicaid agency to request federal approval to extend Medicaid coverage for personal care services to adults living in licensed adult care homes who earn more than the current State-County Special Assistance income limit but stay below 180-200% of the federal poverty level. The bill specifically targets individuals who would qualify for lower-income Medicaid assistance if not for their higher earnings. Before implementing this coverage, the agency must submit a CMS request meeting three conditions: covering the specified income group, ensuring cost savings offset new expenses, and complying with legal requirements. This bill does not immediately change coverage - it only authorizes a federal request, pending CMS approval.

Maddy summaryHB 886 requires all public schools in North Carolina to install Automatic External Defibrillators (AEDs) and train school personnel on their use and on CPR. The State Board of Education must develop rules for AED placement, maintenance, and coordination with emergency services, with at least one AED per school, ideally in an athletic area. Local school boards, charter schools, and regional schools are then required to create policies aligning with these state rules. The bill appropriates $4.1 million for the 2025-2026 fiscal year to help public school units purchase AEDs and train staff.

Maddy summaryThis bill, titled Reagan's Law, aims to improve access to prosthetic and orthotic devices for North Carolinians with limb loss or limb difference by requiring most health benefit plans to cover these devices and related care. Key provisions mandate that plans cover all materials, instruction, and repairs for prosthetics and orthotics, allow for multiple devices based on medical needs, and prohibit denying claims for these devices that would otherwise be covered for non-disabled individuals seeking similar medical treatment. The legislation also requires insurers to provide coverage for device replacements when medically necessary due to changes in the insured's condition or device damage, without limiting coverage based on the device's age or useful lifetime. Additionally, the bill repeals state requirements for health plans to cover emergency care that duplicates federal law, aligning state regulations with federal standards.

Maddy summaryHouse Bill 489 establishes a minimum reimbursement rate for emergency ambulance transportation services provided by out-of-network providers under health benefit plans. It mandates that insurers pay these out-of-network ambulance providers directly and sets a cap on the cost-sharing amounts that insured individuals must pay for these services. The minimum reimbursement rate is determined by local government rates, or if none, by comparing 400% of the Medicare rate to the provider's billed charges. This bill affects individuals needing emergency ambulance services, health insurers, and ambulance service providers, with an effective date of October 1, 2025, for new or renewed insurance contracts.

Maddy summaryHB 121 provides local boards of education with additional flexibility in adopting their school calendars. It removes the current state-mandated earliest opening date for students (the Monday closest to August 26) and the latest closing date (the Friday closest to June 11). This change allows local boards to determine the specific opening and closing dates for public schools under their authority. The bill directly affects public schools and students in North Carolina and would apply starting with the 2025-2026 school year.