Sen. Gale Adcock

Maddy summarySB 89 requires all public schools and certain nonpublic schools in North Carolina to install automatic external defibrillators (AEDs) and provide training to staff on their use and on CPR. The State Board of Education will adopt rules for public schools, which include placing at least two AEDs per school, with one in an athletic facility, and implementing staff training. Local school boards, charter schools, and other public school entities must then develop policies in line with these state rules. The bill appropriates $4,000 per school to assist with the purchase and installation of AEDs and staff training.

Maddy summarySB 369 aims to ensure that certain telehealth providers can enroll as Medicaid providers in North Carolina. The bill specifies that individual health care providers, licensed by the state and offering services exclusively through telemedicine, do not need a physical presence in the state to be eligible for Medicaid enrollment. Additionally, medical provider groups that exclusively offer telemedicine services will not be required to have an in-state service address to enroll as Medicaid provider groups. This measure directly affects telehealth providers and Medicaid recipients by clarifying requirements for remote healthcare services.

Maddy summaryThis bill establishes the Physician Assistant (PA) Licensure Compact, a multi-state agreement designed to enhance the ability of PAs to practice in multiple participating states. It allows PAs who hold a qualifying license and meet national standards, including specific education and certification requirements, to obtain a "Compact Privilege" to practice in other member states. The Compact aims to improve access to medical services and ease licensing burdens for PAs, including military spouses. It also maintains patient safety through shared regulatory oversight and a central data system for tracking licenses and disciplinary actions across participating states.

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 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 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 567 adjusts Medicaid reimbursement rates for substance use disorder (SUD) treatment services in North Carolina. It increases daily rates for outpatient programs (e.g., $255.28 for level 2.1 care) and establishes new coverage for residential treatment levels (e.g., $350/day for level 3.1), with higher rates for medically monitored services like detox ($756.65/day). The bill appropriates $15 million annually from the state General Fund to cover these rate changes, matching $27.4 million in federal funds for the 2025-2027 biennium. These changes directly affect Medicaid-certified SUD treatment providers by increasing their reimbursement rates for specific service levels, effective July 1, 2025.

Maddy summarySB 482, the "Don't Tread on Me: An Individual Freedoms Act," creates new legal protections for North Carolinians by limiting state agency actions across multiple areas. It directly affects all residents by prohibiting warrantless government surveillance, requiring agencies to stop demanding private medical, religious, or political information for services, banning ideological restrictions on reproductive care, and protecting parental rights in education and healthcare decisions. Key provisions mandate that schools provide fact-based education without political manipulation, prevent discrimination in employment or housing based on private beliefs, and ensure government benefits are not denied due to personal health choices or political views. The bill establishes these rights as enforceable standards for all state agencies, requiring actions to be "narrowly tailored" to a compelling state interest.

Maddy summarySB 566 updates North Carolina's health insurance laws to require equal coverage for substance use disorder treatment as for physical health conditions. It replaces outdated terms like "chemical dependency" with "substance use disorder" in state statutes and mandates that medical necessity determinations for addiction treatment must use the same clinical criteria applied to physical health conditions. This directly affects health insurers offering group plans and patients seeking addiction treatment, ensuring they face no stricter coverage limits than for other medical issues. The bill aligns North Carolina's requirements with federal mental health parity law (the Paul Wellstone Act) by explicitly including substance use disorders under coverage parity rules.