Sen. Jim Burgin

Maddy summarySenate Bill 527 modifies laws applicable to Local Management Entities/Managed Care Organizations (LME/MCOs), which oversee behavioral health and intellectual/developmental disability services. It grants LME/MCOs greater flexibility in managing their personnel by largely exempting their employees from most provisions of the State Human Resources Act. Specifically, the bill removes salary caps tied to county plans and allows LME/MCOs to establish their own personnel systems, subject to approval by the State Human Resources Commission and county commissioners. Additionally, it provides flexibility for LME/MCOs operating certain tailored health plans regarding contracting with specific licensed entities after an initial period. These changes primarily affect LME/MCO employees and their operational autonomy.

Maddy summarySenate Bill 335 allows pharmacists to order and perform CLIA-waived tests to treat influenza, provided they follow statewide protocols and do not use controlled substances. The bill mandates that health benefit plans cover healthcare services provided by pharmacists if the services are within their licensed scope of practice and would be covered if performed by another healthcare provider. It also ensures consistent application of prescription drug and pharmacy service coverage requirements across insurers, third-party administrators, and pharmacy benefits managers. These changes aim to expand access to certain healthcare services through pharmacists, affecting patients, pharmacists, and health insurance providers. Most provisions become effective October 1, 2025.

Maddy summarySB 63 establishes a nine-member Board of Motor Vehicles to oversee North Carolina's Division of Motor Vehicles, replacing the current structure where the Commissioner is appointed by the Transportation Secretary. The Board will appoint the Motor Vehicles Commissioner and include members from the Transportation Secretary, Information Technology Secretary, Highway Patrol, and appointments by the Governor and General Assembly. The bill also mandates a study by the Department of Transportation to evaluate creating a separate Motor Vehicle Authority (replacing the current Division), including feasibility, required legal changes, a timeline, and implementation steps. The study must be completed and reported to the General Assembly by January 1, 2026, but does not create the Authority itself.

Maddy summaryThis Senate Simple Resolution (SR 260) formally asks the North Carolina Senate to consider confirming Dr. Devdutta Sangvai for appointment as Secretary of the Department of Health and Human Services (DHHS). It follows state law requiring Senate confirmation for the Governor's appointment of a department head. The resolution triggers the Senate's formal review process for this specific nomination, which is pending under North Carolina's constitutional requirements. The bill itself does not change policy or create new rules - it solely addresses the procedural step of confirming a gubernatorial appointment.

Maddy summarySB 361, the "Protecting First Responders Act," increases criminal penalties for assaulting or exposing emergency medical technicians, firefighters, and other first responders to fentanyl or harmful substances. It criminalizes intentionally exposing these responders to fentanyl (a Class H felony) or causing serious injury through such exposure (Class G felony), and imposes a Class I felony for failing to warn responders about fentanyl at a scene. The bill appropriates $10.35 million in nonrecurring funds for the 2025-2026 fiscal year to provide bulletproof vests ($8.1 million) and bulletproof backpack plates ($2.25 million) to paramedics and EMTs through grants. These provisions apply to first responders registered with North Carolina’s Office of Emergency Medical Services, with funding effective July 1, 2025, and criminal provisions effective December 1, 2025.

Maddy summarySB 359 reorganizes and standardizes death benefit rules across North Carolina's retirement systems for teachers, state employees, local government workers, judicial staff, and legislators. It updates the structure of survivor benefits, including the "survivor's alternate benefit," and ensures funding for line-of-duty death benefits (deaths occurring during official duties). The bill primarily affects beneficiaries - like spouses or dependents - of deceased members in these retirement systems by clarifying how death benefits are calculated and paid. It makes technical adjustments to existing laws without creating new benefits or changing eligibility rules.

Maddy summarySB 97 adds stomach cancer (gastric cancer) to the list of cancers presumed to be work-related for firefighters under North Carolina's Public Safety Employees' Death Benefits Act. This means firefighters who die from stomach cancer will automatically qualify for line-of-duty death benefits without needing to prove occupational connection. The bill appropriates $500,000 annually from 2025-2027 to cover these new benefits. It takes effect July 1, 2025, applying to qualifying deaths occurring on or after that date.

Maddy summarySB 509 revises North Carolina's Statewide Health Information Exchange Act to require certain health care providers serving Medicaid and other state-funded health care programs to connect to the statewide health information exchange network (HIE Network). It overrides the previous voluntary nature of the HIE Network by mandating participation for covered entities providing state-funded care, aiming to improve care coordination and reduce costs through secure electronic sharing of patient data. The bill also adds new civil penalties for violations and introduces a state health data assessment fee. These changes directly affect health care providers, health plans, and facilities receiving state health care funds, with the goal of enhancing data sharing for quality improvement and cost management.

Maddy summarySB 418 authorizes North Carolina's Commissioner of Insurance to establish and operate a state-run health benefits exchange, creating a marketplace for residents to shop for health insurance plans compliant with federal law. The bill gives the Commissioner authority to set rules, apply for federal funding, and form advisory committees to manage the exchange, with $100,000 appropriated for 2025-2026 to launch it. This directly affects North Carolinians seeking health insurance, providing an alternative to the federal marketplace. The exchange must align with the federal Affordable Care Act, and the bill explicitly prohibits state agencies from pursuing a federal "Partnership" model without legislative approval.

Maddy summarySB 514, the "Social Media Algorithmic Control in Information Technology Act," requires social media platforms with over 1 million monthly U.S. users to obtain clear, separate consent from North Carolina minors (under 18) before using their personal data for advertising or algorithmic recommendations. The bill mandates accessible opt-in mechanisms - replacing default settings - to let users control how their data is processed, while banning the use of minors' data for targeted ads or content algorithms. It defines prohibited data uses broadly to include browsing history, location, and biometric information, and designates violations as unfair business practices under North Carolina law. The law directly affects major social media platforms operating in North Carolina, imposing new data privacy obligations without specifying enforcement details.