Maddy summaryHB 546 modernizes North Carolina's Medicaid program by requiring the state to develop team-based care coordination for individuals with alcohol and opioid use disorders, including screening, medication, and recovery support. The bill also allows telehealth-only providers to enroll in Medicaid without needing a physical office in the state and mandates a statewide specialty plan for children in foster care or receiving adoption assistance, to be implemented by December 2025. These changes directly affect Medicaid beneficiaries with substance use disorders, telehealth providers, and eligible children and families. The Department of Health and Human Services must report on the implementation of the substance use care and telehealth provisions by October 1, 2025.
Rep. Phil Rubin
Sponsored bills
Maddy summaryHB 837 is a study bill requiring North Carolina to examine alternative highway funding methods, primarily to address potential revenue gaps as electric/hybrid vehicle adoption grows. It directs the Legislative Services Officer and Transportation Oversight Committee to hire a consultant to study mileage-based fees (VMT) for electric/hybrid vehicles and a new "Access User Fee" for all non-diesel vehicles (replacing gas taxes). The study must be completed by May 2026, with findings reported to key legislative committees. This bill does not implement new fees but assesses options affecting all vehicle owners, particularly electric/hybrid drivers and non-diesel vehicle registrants. It allocates $125,000 from the Highway Fund for the study, effective July 1, 2025.
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 480 creates a new pathway for doctors, physician assistants, and anesthesiologist assistants to obtain North Carolina medical licenses by transferring licenses from other states ("licensure by endorsement"). To qualify, applicants must have held an active license in another U.S. jurisdiction for at least five years (with two years of practice post-residency for doctors), have a verified full-time job offer in North Carolina, maintain good standing with no recent disciplinary actions, and meet practice hour requirements. The bill increases application fees for endorsement (e.g., $825 for physicians vs. $400 for standard licensure) and requires additional documentation within 180 days to keep the license active. This directly affects out-of-state medical professionals seeking to practice in North Carolina without retaking exams.
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 summaryHR 778 is a non-binding resolution passed by the North Carolina House of Representatives expressing support for the state's historical and economic ties with the United Kingdom. It highlights North Carolina's cultural connections (e.g., city names like Raleigh and Charlotte), economic partnerships (including $1 billion in UK investment and 218 UK-owned companies employing 43,200 workers), and trade relationships (over $2.5 billion in annual trade). The resolution urges the U.S. Congress to strengthen trade and investment cooperation with the UK and directs transmission to the UK Embassy, consulates, and North Carolina's congressional delegation. As a symbolic gesture, it does not create new laws or policy changes but reinforces existing diplomatic and economic bonds.
Maddy summaryThis resolution (HR 777) expresses the North Carolina House of Representatives' support for the longstanding friendship and economic ties between North Carolina and France. It highlights historical connections (like French Huguenot settlements and General Lafayette's role), notes France as a major investor in NC ($429M since 2013) and employer (15,500 jobs), and urges closer U.S.-France trade cooperation. The resolution is purely symbolic, with no new policies or funding, and serves to affirm existing bilateral relations through ceremonial recognition.
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.