Rep. Sarah Crawford

Maddy summaryThis bill raises child care subsidy rates in North Carolina to the 75th percentile of market costs, directly benefiting low-income families who use state-funded care. Starting in July 2026, the state will automatically update these rates based on future market studies and establish a minimum payment floor for providers in counties where local rates are lower. The legislation appropriates $60 million from the General Fund and $20 million from federal grants to cover the initial increase, with an additional $160 million allocated to maintain the statewide rate floor. While most counties will adopt the new statewide standard, areas with very few children in specific age groups may keep their current rates if the state rate would be too low to secure care for eligible families.

Maddy summaryThis North Carolina bill appropriates approximately $1.3 million from the state's General Fund to the Department of Health and Human Services for the 2026-2027 fiscal year. The funds are designated to expand access to Teen Mental Health First Aid and Youth Mental Health First Aid training programs across the state. These training courses are designed to teach high school students how to recognize signs of mental health and substance use challenges among their peers and connect them with support. The legislation takes effect on July 1, 2026.

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 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 expands the property tax exemption for disabled veterans and their surviving spouses in North Carolina by increasing the excluded home value from $45,000 to the entire appraised value of the primary residence. To offset the resulting loss in local tax revenue, the state will reimburse counties and cities for the taxes they no longer collect from these exempt properties. The legislation also allocates $100,000 to cover administrative costs and sets the changes to take effect for tax years beginning on or after July 1, 2027.