Rep. Allen Chesser

Maddy summaryHB 681 directs the Commission for Mental Health, Developmental Disabilities, and Substance Use Services to update state rules for outpatient opioid treatment programs (OTPs). The bill aims to align these rules more closely with federal regulations governing medications for opioid use disorder, affecting patients receiving treatment and the OTPs providing care. Key changes include removing home environment stability as a criterion for take-home medication and prohibiting administrative discharge due to continued substance use or missed doses. It also reduces the frequency of required drug tests, removes observed testing, and allows OTPs to administer methadone to non-enrolled patients. The Commission must engage with clients and providers for input and publish the proposed amended rules by July 1, 2025.

Maddy summaryHB 789 creates a new mitigating factor for individuals charged with impaired driving offenses in North Carolina. This factor applies if the defendant voluntarily equips their vehicle with an approved ignition interlock system within 45 days of being charged and uses it for at least six months prior to trial, without violations. The bill aims to incentivize early intervention and responsible behavior by offering a potential reduction in sentencing for eligible defendants who meet specific criteria. It also allows individuals who voluntarily install the system and meet certain requirements to apply for a waiver of a portion of the costs if they cannot afford it.

Maddy summaryHB 156 sets minimum standards for stop loss, catastrophic, and reinsurance coverage provided to small employers in North Carolina. It directly affects small employers (defined as those with fewer than 12 eligible employees) and insurers selling these specific insurance products. The bill requires insurers to maintain a minimum annual attachment point of $20,000 per individual (adjusted annually using the Consumer Price Index) and a minimum aggregate attachment point of either 120% of expected claims or $20,000 per year. These standards apply to all new, renewed, or amended insurance contracts issued on or after October 1, 2025.

Maddy summaryHouse Bill 146 amends North Carolina's driver's license renewal process. It allows active duty members of the U.S. Armed Forces, or reserve components serving on active duty and stationed outside North Carolina, to renew their driver's licenses remotely multiple times in a row. Currently, a remote renewal requires the previous renewal to have been done in person, but this bill removes that restriction for eligible military personnel. This change aims to make it easier for these individuals to maintain their licenses while serving away from the state. The act becomes effective October 1, 2025, applying to licenses renewed on or after that date.

Maddy summaryHouse Bill 38, known as the Second Amendment Financial Privacy Act, prohibits payment card networks from using a specific "firearms code" to identify or track purchases made at firearms merchants in North Carolina. It also forbids these networks from knowingly maintaining records of individuals in the state who own firearms. The bill aims to prevent the separate tracking of lawful firearm and ammunition purchases and protect the financial privacy of individuals exercising their right to bear arms. Payment card networks are also prohibited from discriminating against firearms merchants based on code assignment. Violations can lead to civil penalties assessed by the Attorney General or civil lawsuits from affected merchants or individuals.

Maddy summaryHB 163 regulates Pharmacy Benefits Managers (PBMs) to ensure fair practices for pharmacies and insured individuals. The bill prohibits PBMs from charging insurers more for a prescription drug than they pay the pharmacy (spread pricing) and requires patient out-of-pocket costs to be based on the net price after any PBM concessions. It establishes minimum reimbursement standards for pharmacies, preventing PBMs from paying less than the national average drug acquisition cost plus a dispensing fee. Additionally, it clarifies that PBMs cannot restrict accredited pharmacies from dispensing specialty drugs and strengthens audit protections for pharmacies.

Maddy summaryHB 152 aims to regulate how health benefit plans in North Carolina cover Transcranial Magnetic Stimulation (TMS) services. If an insurer chooses to cover TMS, the bill requires them to cover all procedures performed by properly licensed healthcare providers, regardless of their medical specialty, as long as TMS is within their scope of practice. It prohibits insurers from penalizing providers solely based on their specialty when submitting TMS claims. However, the bill maintains that insurers retain discretion over whether to cover TMS, for which conditions, and at what reimbursement rates.

Maddy summaryHB 462, titled the "Personal Data Privacy/Social Media Safety Act," aims to protect North Carolinians by enacting two main components: the Personal Data Privacy Act and the Social Media Safety Act. The provided text details the "North Carolina Personal Data Privacy Act," which is set to take effect on January 1, 2026. This act establishes definitions for key terms such as "personal data," "biometric data," "precise geolocation data," and "consent," affecting North Carolina residents as "consumers" and entities that process their data as "controllers." It also outlines the framework for consumer rights regarding their personal data.

Maddy summaryHB 574 establishes a Workforce Development Pilot Project in North Carolina. This bill provides funds to the Office of State Budget and Management to be allocated to the North Carolina Workforce Development Coalition (NCWDC). The NCWDC will then provide grants to eligible North Carolina-based employers, with 20 to 1,500 employees, to support employer-sponsored training programs. These grants aim to increase job creation, reduce employee turnover, improve wages, and upgrade worker skills, especially in industries with identified training gaps. Employers can receive up to 50% of eligible training costs or $2,000 per trainee, with a maximum of $40,000 annually per employer.

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.