Sen. Gale Adcock

Maddy summarySB 286 increases licensing fees for nurses in North Carolina by doubling most existing rates. It directly affects registered nurses, licensed practical nurses, and applicants seeking new licenses, renewals, or reinstatements. Key provisions include raising application fees (e.g., $75 to $150 for registered nurses), renewal fees (e.g., $100 to $200 for two-year periods), and reinstatement costs. The bill takes effect October 1, 2025, and ensures fees cover board expenses without state treasury funding. No refunds are provided for paid fees under this updated schedule.

Maddy summarySB 287 prohibits health insurers from using artificial intelligence algorithms as the sole basis to deny, delay, or modify healthcare services based on medical necessity. The bill requires that only licensed and qualified healthcare providers make these determinations, and insurers must verify that third-party contractors (like pharmacy benefits managers) comply with this rule. It directly affects health insurers, pharmacy benefits managers, and the North Carolina State Health Plan for teachers and state employees, which must review its contracts and practices for compliance. The law takes effect 30 days after enactment and focuses on ensuring human medical judgment remains central to coverage decisions.

Maddy summarySB 155 establishes the Social Work Interstate Licensure Compact to allow licensed social workers in North Carolina to practice in other participating states without obtaining separate licenses. It directly affects licensed social workers, particularly those serving military families or providing telehealth services, by removing barriers to cross-state practice. The bill creates a system where a "home state" license permits practice in all member states (called "remote states") through mutual recognition, reducing duplicate licensing requirements. Key provisions include standardized disciplinary information sharing between states and ensuring social workers comply with the laws of the state where the client is located during service.

Maddy summarySB 265, the "Protecting Our Community Act," regulates hemp-derived consumable products (like edibles or vapes with ≤0.3% delta-9 THC) and bans them on school grounds. It requires businesses to verify buyers' ages (no sales to under 21), mandates independent lab testing for THC levels, and defines terms like "distributor" and "final form product." The law directly affects hemp product manufacturers, sellers (including online retailers), and schools, which must prohibit these items on campus. Key provisions include mandatory child-resistant packaging at point-of-sale and restrictions on selling to minors, aiming to limit youth access while creating new regulatory requirements for the industry.

Maddy summarySB 259, the School Psychologist Omnibus, aims to improve the number and quality of school psychologists in North Carolina public schools. It provides $8.1 million for 2025-2026 to increase school psychologists' salaries by $650 monthly plus 12% for those with NCSP credentials, and allocates $5 million for a grant program offering signing bonuses (up to $5,000) to recruit psychologists, requiring a one-year commitment. Another $5 million funds an internship program with stipends for psychology students and supervisor bonuses, while $5 million supports a virtual training program at Appalachian State University. These provisions directly affect school psychologists, school districts, and psychology training programs across North Carolina.

Maddy summarySB 181 allocates $2 million annually from the General Fund for the 2025-2027 fiscal biennium to the North Carolina Department of Health and Human Services. This funding will support adding five new mobile crisis teams focused on serving communities with the highest need for mental health, developmental disability, and substance use crisis services. The bill directs these teams to operate within the state’s existing mental health framework, with implementation beginning July 1, 2025. It directly affects residents in underserved areas by expanding access to immediate crisis response through these specialized mobile units.

Maddy summarySB 247 redirects $6.25 million annually from crisis pregnancy centers to evidence-based maternal and infant health programs administered by North Carolina's Department of Health and Human Services, starting July 2025. It requires the State Auditor to audit Carolina Pregnancy Care Fellowship by March 2026 and mandates detailed reporting from all crisis pregnancy centers receiving state funds. These centers must disclose service types, demographics of clients, funding sources, and whether they misrepresent as medical facilities. The bill aims to increase transparency and reallocate resources toward proven maternal health initiatives.

Maddy summarySB 239 increases the hourly wage for Direct Support Professionals (DSPs) serving Medicaid beneficiaries under North Carolina's Innovations waiver program by $5 per hour for the 2025-2026 fiscal year and another $5 per hour for 2026-2027. The law requires providers receiving this funding to use at least 90% of the increased payments to raise DSP wages directly, with verification through payroll documentation. The Department of Health and Human Services (DHB) will adjust payments to managed care organizations (LME/MCOs), which must pass the increase to providers and report quarterly on DSP wage changes. This policy directly affects DSPs working with people with intellectual and developmental disabilities (I/DD) and their employers under the waiver program.

Maddy summarySB 246 increases North Carolina's Medicaid Innovations Waiver slots by 5,000 for the 2025-2026 fiscal year and another 5,000 for 2026-2027, directly serving approximately 19,000 people with intellectual or developmental disabilities (I/DD) currently on a waiting list. The bill allocates $134 million (2025-2026) and $357.34 million (2026-2027) in state funds to cover a state match for federal funds, enabling these slots to be distributed based on waitlist length. It requires that direct care workers receive at least $20 per hour and ensures unused slots are redistributed to providers meeting wage and service capacity standards. This policy aims to reduce the waiting list, support caregivers in returning to work, and stimulate local economies through new jobs and community-based services.

Maddy summaryThis Senate Resolution (SR 150) formally asks the North Carolina Senate to confirm Governor Joey R. Hopkins' appointment of Joey R. Hopkins as Secretary of the Department of Transportation. It follows state law requiring Senate approval for heads of major state departments, as the Governor had previously nominated Hopkins for the role. The resolution does not change transportation policies or create new programs; it only initiates the Senate's formal confirmation process for a specific appointment. The bill is procedural, focusing solely on the confirmation step, not the duties or policies of the Department of Transportation.