Rep. Deb Butler

Maddy summaryHB 1141 allocates over one billion dollars in state funding to adjust Medicaid payments for North Carolina starting in 2025, ensuring the program can cover rising costs and new services. The bill also permits Medicaid managed care plans to create exclusive networks of providers specifically for research-based behavioral health treatments, while requiring all other essential services to remain available to all providers in the area. Additionally, the legislation removes specific rules that could cause people enrolled in Medicaid expansion to lose their coverage, thereby stabilizing access to care for this population.

Maddy summaryThis bill reduces the amount low-income families must pay for state-subsidized child care in North Carolina starting in October 2026. It lowers the required parent contribution from 10% of gross family income to 7%, with specific adjustments for part-time and blended-rate care. To fund this reduction, the state will allocate $25 million from the General Fund to the Department of Health and Human Services beginning in the 2026-2027 fiscal year. The legislation takes effect on July 1, 2026, and applies to families currently participating in the child care subsidy program.

Maddy summaryHB 1133 aims to support Historically Black Colleges and Universities (HBCUs) and other minority-serving institutions in North Carolina through three main actions. First, it establishes a temporary committee to study the physical condition of HBCU buildings, including safety risks, age, and maintenance needs, with a report due in early 2027. Second, it creates a permanent financial aid program for students at specific UNC constituent institutions, providing up to $1,000 per year to help cover costs for those who need financial assistance to graduate on time. Third, the bill allocates nonrecurring funds in the 2026-2027 fiscal year for specific infrastructure repairs and renovations at Winston-Salem State University.

Maddy summaryHB 1146 establishes the 2026 Governor's Budget for North Carolina by allocating specific funding amounts to state departments, institutions, and agencies for the 2025-2027 fiscal biennium. The bill directly affects public education, health and human services, agriculture, justice, and general government entities by setting their operational budgets for the upcoming fiscal year. Key provisions include detailed dollar amounts for various programs, such as funding for public instruction, university operations, and health services, while also allowing for savings to revert to the state fund if not fully utilized. This legislation provides the financial framework necessary for state agencies to carry out their mandated duties and services during the specified period.

Maddy summaryHB 1136 pauses new surface water transfers from the upper Cape Fear River Basin until June 1, 2030, while a university study evaluates the region's water supply and recommends future policy changes. The bill directs the North Carolina Collaboratory to assess water availability, environmental impacts, and economic fairness, with findings due by July 2029. Additionally, it strengthens the Environmental Management Commission's authority to order reductions to existing water withdrawals and pollution discharges if they harm public health or water resources.

Maddy summaryHB 1138, known as the Aging With Dignity Act, aims to improve long-term care for older North Carolinians by prioritizing home-based services over institutional care for Medicaid beneficiaries aged 55 and older. The bill mandates that institutional placement be the exception rather than the rule, requiring documented medical justification and regular reassessments to ensure individuals remain in the most integrated setting possible. It also establishes a requirement for periodic medication reviews to prevent adverse drug interactions and reduce hospitalizations, while integrating behavioral health services into geriatric care plans. Additionally, the legislation appropriates funds for strategic investments in the state's aging infrastructure and reestablishes a study commission to address the needs of the growing senior population.

Maddy summaryThis North Carolina legislation aims to reduce healthcare expenses and boost competition by adding a low-cost plan option to the state's insurance marketplace. It establishes a purchasing consortium for public entities to negotiate better rates and allocates funds for chronic disease prevention initiatives. The bill also removes regulatory barriers for rehabilitation facilities and limits hospital consolidation to maintain market diversity. These provisions impact residents seeking coverage, public employers, healthcare providers, and hospital systems within the state.

Maddy summaryHB 1167 establishes the 2026 Governor's Budget for North Carolina by providing specific funding amounts to state departments, institutions, and agencies for their current operations. The bill directly affects a wide range of public services, including education, health and human services, agriculture, justice, and general government functions. Key provisions include allocating funds for public schools, universities, healthcare programs, and law enforcement, with detailed dollar amounts specified for each fiscal year of the 2025-2027 biennium. Any unused funds from these appropriations will revert to the appropriate state funds at the end of the fiscal year.

Maddy summaryThis bill directs North Carolina state agencies to stop using the current development tier system for various programs by July 1, 2028, and instead create their own specific criteria based on objective data. It applies to multiple departments, including those responsible for agriculture, transportation, health, and education, which must report their proposed replacement plans to relevant oversight committees by February 1, 2027. The legislation provides $1.1 million in funding to assist agencies in developing these new standards and includes a temporary clause preventing the downgrading of certain economic areas for the next three years. Ultimately, the bill aims to replace the existing tier designations with tailored measures that better align program goals with measurable outcomes.

Maddy summaryThis bill proposes to officially change the timing of Arbor Week in North Carolina from March to November. It achieves this by amending state law to designate the week containing November 15 as the new Arbor Week. Additionally, the legislation allocates $10,000 to the Department of Agriculture and Consumer Services to create educational materials for these celebrations. The funds are specifically intended for the 2025-2026 fiscal year to support the reorganized observance.