Rep. Donny Lambeth

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 summaryHB 615 helps military families enroll children in North Carolina public schools before establishing local residency. It allows students to register remotely (e.g., online) if a parent is on active duty and either transferring to a North Carolina military base or separating within 12 months, requiring only a copy of the military order or separation document. Families have one year from the parent's duty start or separation date (or until the end of the school year) to provide proof of residency, with high school juniors/seniors getting until graduation. The law takes effect for the 2025-2026 school year.

Maddy summaryHB 231 establishes North Carolina's participation in the Social Work Interstate Licensure Compact, allowing licensed social workers from participating states to practice across state lines without obtaining separate licenses in each state. The bill directly affects licensed social workers seeking to provide services in multiple states, particularly those serving military families or addressing workforce shortages. Key provisions include mutual recognition of licenses among member states, accountability for social workers practicing where clients are located, and streamlined processes for disciplinary information sharing. This reduces duplicate licensing requirements while maintaining state authority to protect public health and safety through existing licensure systems.

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.

Maddy summaryHB 74 is a technical corrections bill that extends deadlines for unspent state grants. It prevents certain nonrecurring grants (originally set to revert to the state on December 31, 2024) from reverting, keeping them available for expenditure until used or until the end of the 2025-2026 fiscal year. This directly affects non-state entities (like local governments or nonprofits) that received these grants but hadn’t spent them by the original deadline. The bill makes no new policy changes - only adjusts existing budget rules to avoid unintended loss of funds. It is purely procedural, with no substantive policy shifts.

Maddy summaryHouse Bill 489 establishes a minimum reimbursement rate for emergency ambulance transportation services provided by out-of-network providers under health benefit plans. It mandates that insurers pay these out-of-network ambulance providers directly and sets a cap on the cost-sharing amounts that insured individuals must pay for these services. The minimum reimbursement rate is determined by local government rates, or if none, by comparing 400% of the Medicare rate to the provider's billed charges. This bill affects individuals needing emergency ambulance services, health insurers, and ambulance service providers, with an effective date of October 1, 2025, for new or renewed insurance contracts.

Maddy summaryThis bill, HB 519, revises laws regarding when minors can consent to medical treatment and parental access to their children's medical records. It restricts the medical services a minor can consent to on their own to primarily pregnancy-related care, removing their ability to consent for venereal diseases, substance abuse, or emotional disturbance treatment. The bill also requires written parental consent for minors to receive vaccines authorized for emergency use but not yet fully FDA approved. Additionally, it grants parents the right to access all their minor child's medical records, including those for care the minor could consent to, with exceptions for suspected abuse or neglect, court orders, or active law enforcement investigations.

Maddy summaryHB 772, titled the North Carolina Student Lifeline Act, requires public schools and community colleges in North Carolina to provide students with the Suicide and Crisis Lifeline phone number. It mandates that institutions display the phrase "To reach the Suicide and Crisis Lifeline, call 988 or text HOME to 741741." in several locations. These locations include new student identification cards issued to students in grades six through 12, the school website, and the home screen of any electronic device issued to students. The information must also appear on school agendas or calendars, documents used during suicide awareness activities, and registration documents. Additionally, schools are required to annually verify the accuracy of the Lifeline contact information.

Maddy summaryHB 297, titled "Breast Cancer Prevention Imaging Parity," aims to ensure equal health insurance coverage for different types of breast cancer imaging. The bill mandates that health benefit plans apply the same cost-sharing requirements (like deductibles and copayments) for diagnostic and supplemental breast examinations, such as MRIs and ultrasounds, as they do for routine screening mammograms. This ensures individuals needing these additional medically necessary tests do not face higher out-of-pocket costs compared to standard screenings. It also maintains existing coverage for cervical cancer screenings and includes provisions for high-deductible health plans.

Maddy summaryHouse Bill 746 provides limited immunity from medical malpractice lawsuits for registered nurses in North Carolina. It clarifies that nurses acting under the direction of a supervising health care provider do not owe a separate duty of care to the patient. This means a nurse cannot be held liable for malpractice solely based on a separate duty of care when following a supervisor's orders. However, this protection does not apply if a nurse acts independently, departs from supervision, fails to exhibit professional conduct, or engages in gross negligence or intentional wrongdoing.