Rep. Carla Cunningham

Maddy summaryHB 495, the "Accessing Midwives Act," establishes a licensing system for Certified Professional Midwives (CPMs) in North Carolina. It requires CPMs to obtain a state license to practice midwifery care - covering pregnancy, birth, and postpartum support - while exempting existing Certified Nurse-Midwives (CNMs), physicians, and emergency care. The bill creates the North Carolina Council of Midwives to set standards and oversee licensing, with members including CPMs, physicians, and community representatives. This directly affects CPMs seeking legal practice and aims to standardize midwifery care under state regulation.

Maddy summaryHB 184 allows small North Carolina sawmills (those milling under 1 million board feet annually) to sell ungraded lumber directly to homeowners for residential construction. The bill amends building codes to permit this ungraded "dimension lumber" in one- and two-family homes and certain small structures, provided mills meet specific requirements. These include operators holding state-approved lumber grading training certifications, marking lumber with detailed specifications (species, mill ID, PS20 compliance), and providing purchaser certificates. Code officials must review construction for safety compliance (excluding grade-stamp requirements) and are protected from liability for structural issues related to ungraded lumber use. The law aims to support local sawmills while maintaining safety standards through defined labeling, training, and oversight.

Maddy summaryHB 452 makes it a crime to obstruct access to or threaten people at healthcare facilities in North Carolina. It prohibits blocking entrances, delaying care, or threatening patients, staff, or those helping others access services. The bill also restricts protests within 8 feet of people near facility entrances (unless consented to) and increases penalties: first offenses are misdemeanors, repeat offenses within three years become more serious misdemeanors, and third offenses escalate to felonies. This law directly affects individuals engaging in protests or obstruction near healthcare facilities, healthcare providers, and patients seeking care. It takes effect December 1, 2025.

Maddy summaryHB 453 increases Medicaid reimbursement rates for two specific services in North Carolina. It raises the rate for personal care services (e.g., help with daily tasks) to $7.50 per 15-minute increment for beneficiaries in programs like State Plan Personal Care Services and Community Alternatives programs. It also increases private duty nursing rates to $16.25 per 15 minutes for both children under 21 and adults, using state funds to match federal support. The changes, effective July 1, 2025, will directly affect Medicaid beneficiaries receiving these services through approved programs.

Maddy summaryHB 463 establishes a supplemental insurance plan for North Carolina first responders diagnosed with specific mental health conditions (like anxiety, depression, or PTSD) directly resulting from their job. It provides three key benefits: up to $5,000 annually for out-of-pocket mental health costs, 75% of salary or $5,000 monthly (max 12 weeks/year) for leave due to treatment, and disability benefits (75% salary or $5,000/month, max 36 months) if unable to work. Eligibility requires a job-related diagnosis, current employment as a defined first responder (including police, firefighters, EMTs, and dispatchers), and exclusion from workers' compensation benefits. The plan aims to support recovery and return to duty while limiting benefits to cover gaps not met by other sources.

Maddy summaryHB 460, the Medical Equipment Right to Repair Act, requires medical device manufacturers to provide hospitals, clinics, and independent repair shops with necessary support documents, tools, and parts to maintain and repair medical imaging (like MRI and X-ray machines) and radiation therapy equipment. The law mandates that manufacturers make these resources available at no cost (except for printing/shipping fees), automatically notify owners of updates, and offer the same training to independent repairers as they provide to their own authorized service teams. It prohibits manufacturers from restricting access to security systems or using agreements to avoid these requirements, while protecting trade secrets and limiting liability for repair-related damage. The bill takes effect July 1, 2025, applying to equipment in use after that date.

Maddy summaryHB 464 requires every public school in North Carolina - including traditional, charter, regional, and laboratory schools - to have at least one full-time, permanent school nurse starting in the 2025-2026 school year. The bill appropriates $95 million from the state General Fund for the 2025-2026 school year to fund these additional nursing positions, with funds designated to supplement - not replace - existing school nurse funding. It amends multiple statutes to mandate this staffing requirement across all public school units. The law becomes effective July 1, 2025, with implementation beginning for the 2025-2026 school year.

Maddy summaryHB 465 waives the renewal fee for North Carolina drivers licenses that display an "active duty military designation" or "veteran military designation." It directly affects military service members (currently serving) and veterans who have these designations on their licenses. The bill amends state law to remove the standard $5.50 annual renewal fee for these specific license holders when renewing their licenses. The fee waiver takes effect July 1, 2025, for licenses renewed on or after that date.

Maddy summaryHB 35 designates November of each year as Military Appreciation Month in North Carolina. The bill creates a symbolic recognition within state law, honoring military service members and veterans during this month. It does not establish new programs, funding, or requirements - it simply formally names November for this purpose. The bill affects the state government's official calendar and public recognition efforts, with no direct impact on individuals or organizations.

Maddy summaryHB 391 appropriates $2.178 million for the 2025-2026 fiscal year and $4.542 million for 2026-2027 to hire 50 additional Adult Protective Services (APS) workers statewide. The funds, distributed based on need factors like case volume and senior population, directly support county social services departments overwhelmed by rising elder abuse reports. Counties must use the funds solely for APS worker salaries and benefits, not to replace existing funding. This addresses a critical staffing gap identified by counties, where federal funds are depleted early and reports of elder abuse have increased significantly.