Rep. Carla Cunningham

Maddy summaryHB 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.

Maddy summaryHB 633 appropriates $1.678 million annually in recurring funds and additional nonrecurring funds to expand sickle cell disease services in North Carolina. The bill directly supports approximately 7,000 North Carolinians living with sickle cell disease by funding comprehensive medical centers (like Atrium Health, Duke, and UNC Chapel Hill), creating transition coordinators to help patients move from pediatric to adult care, and providing grants to community organizations in underserved areas. Key mechanisms include distributing $1.3 million yearly to medical centers for care coordination, allocating $75,000 annually per center for transition staff, and funding a statewide emergency department toolkit to improve acute care. The bill becomes effective July 1, 2025, with funds designated for the 2025-2027 fiscal biennium.

Maddy summaryHB 628 reenacts North Carolina's state-level child tax credit, which expired, to provide financial support to families with children. It directly affects low- and middle-income North Carolina residents who qualify under federal child tax credit rules, offering up to $250 per child annually based on household income. Key provisions include income-based credit amounts (e.g., $250 for married couples filing jointly with under $40,000 income) that phase out at higher earnings, and the credit is refundable - meaning families may receive cash payments even if they owe no state tax. The bill takes effect for 2025 tax years and mirrors the federal credit structure without creating new policy.

Maddy summaryHB 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.

Maddy summaryHB 300 establishes a program to reimburse owners of retired first responder dogs for veterinary care. It directly affects owners of canines that served with law enforcement, fire departments, or correctional agencies in roles like narcotics detection or search and rescue, after retiring on or after July 1, 2024. The bill requires registration of the dog and owner with the Department of Public Safety, then allows reimbursement of up to $1,500 annually for covered care - including routine check-ups, vaccinations, emergencies, surgeries, and euthanasia. Owners must submit itemized vet bills within 90 days of service.

Maddy summaryHB 571 appropriates $500,000 from the state General Fund to the Department of Public Safety for a grant program treating police officers diagnosed with PTSD. It directly affects North Carolina police officers who have received a clinical PTSD diagnosis. The key provision establishes a state-funded grant program to cover treatment costs, with funds allocated for the 2025-2026 fiscal year. The program becomes effective July 1, 2025, and focuses solely on providing financial support for treatment, not on expanding eligibility or altering diagnosis standards.

Maddy summaryHB 566 establishes a competitive grant program to support North Carolina's Principal Fellows Program, directly affecting school leader preparation programs and future principals. It provides forgivable scholarship loans to participants in these programs (repaid only if they don’t work in North Carolina schools) and grants to eligible entities to develop innovative principal training methods. The bill sets specific grant terms, including 2-6 year durations for loan programs and 1-year terms for innovation grants, with funding capped at $250,000 per recipient annually. Recipients must report on key metrics like program completers’ placement rates in high-need schools and their performance evaluations. The program also allocates funds for administrative costs and program monitoring, requiring public sharing of non-identifiable materials to promote best practices.

Maddy summaryHB 545 bans the sale, possession, or transfer of "ghost guns" (unserialized firearms lacking a manufacturer's serial number) and "undetectable firearms" (like plastic or 3D-printed guns that evade metal detectors). It directly affects individuals and businesses that manufacture, sell, or possess these weapons, except for federally licensed firearm manufacturers under ATF rules. The law defines undetectable firearms as those failing airport-style metal detector scans or being made entirely of non-metal materials. Violations carry Class I felony penalties, and the bill takes effect December 1, 2025.

Maddy summaryHB 275 increases penalties for drivers who fail to yield the right-of-way to blind or partially blind pedestrians using a white cane (white or red-tipped) or a guide dog. It requires drivers to come to a full stop, leave a clear path, and remain stopped until the pedestrian has crossed at both uncontrolled intersections and signal-controlled crossings where the pedestrian is already moving when lights change. This bill directly affects drivers operating vehicles in North Carolina and blind/partially blind pedestrians using visible signals. The penalty for violating this law becomes a Class 2 misdemeanor, effective December 1, 2026.

Maddy summaryHB 525 reorganizes North Carolina's Advisory Council on Rare Diseases by moving it from the University of North Carolina at Chapel Hill School of Medicine to the Department of Health and Human Services (DHHS) and appropriates funds to cover its operating costs. The council, composed of 19 diverse members including patients, caregivers, medical professionals, researchers, and industry representatives, directly serves the rare disease community by advising state leaders on research, treatment, and policy. Key provisions include requiring the council to coordinate statewide efforts on rare disease awareness, incidence tracking, and policy initiatives, and to submit annual reports to the Governor, DHHS, and legislative committees. This bill formalizes DHHS oversight of the council and ensures dedicated funding for its operations, streamlining coordination with state health programs.