Sen. Gale Adcock

Maddy summarySB 440, the "Current Operations Appropriations Act of 2025," allocates base budget funding for North Carolina's state departments, agencies, and universities for the 2025-2027 fiscal biennium. It specifies exact funding amounts for all state operations, including $12.94 billion for public instruction, $8.83 billion for health and human services, and $4.24 billion for the University of North Carolina system. The bill directs all state entities to spend within these allocated amounts, with unused funds reverting to the appropriate fund at year-end. As a routine budget measure, it does not create new policies or affect specific groups beyond funding existing state services.

Maddy summarySB 430 revises North Carolina's child passenger safety law to update requirements for restraining children in vehicles. It mandates that children under 8 years old or weighing less than 80 pounds and under 57 inches tall must use a weight- and height-appropriate car seat or booster seat, with newborns starting in rear-facing seats. Drivers must secure children under 5 years old in the rear seat unless the vehicle lacks a rear seat, lacks airbags, or the car seat is airbag-compatible. The law becomes effective December 1, 2025, and applies to all drivers transporting children meeting these criteria.

Maddy summarySB 410 allows hospitals in North Carolina to ask a court for permission to discharge adult patients (18+) who cannot make or communicate health decisions, when no authorized person (like a family member or legal guardian) will consent to the discharge. Hospitals must first get written agreement from two licensed doctors that the discharge is medically appropriate, and wait five business days after that agreement before filing the court petition. The court must rule on the petition within five business days. This bill directly affects hospitals, incapacitated adult patients, and their authorized decision-makers by creating a new court process for discharge decisions.

Maddy summarySB 414 allows licensed pharmacists (specifically clinical pharmacist practitioners) to test for and treat certain conditions like influenza, COVID-19, and strep throat using FDA-approved CLIA-waived tests, without requiring a physician referral. It mandates that health insurers cover these pharmacist-provided services at the same level as services from other healthcare providers, if performed within the pharmacist’s scope of practice. The bill prohibits pharmacists from treating conditions with controlled substances (Schedules I-IV) and requires statewide protocols for implementation by October 1, 2025. This directly affects pharmacists, patients seeking these specific services, and health insurers across North Carolina.

Maddy summarySB 466 ensures continuity of care for North Carolina Medicaid beneficiaries with behavioral health and intellectual disabilities (BH IDD) who use specialized "Tailored Plans." It allows these individuals to stay in the standard Medicaid fee-for-service program (Medicaid Direct) if their current healthcare providers aren't in their Tailored Plan's network, and to choose a Tailored Plan outside their geographic area if it offers better services or provider access. The bill also requires the state to submit CMS waiver amendments by July 2025 and report to lawmakers by August 2025 on promoting competition among managed care organizations to improve care quality. These changes directly affect BH IDD Medicaid participants and aim to reduce disruptions in their healthcare.

Maddy summarySB 406 would establish a new court process in North Carolina called Extreme Risk Protection Orders (ERPOs), allowing family members, law enforcement, or health care providers to seek temporary removal of firearms from individuals deemed to pose a significant risk of self-harm or harm to others. Courts could issue emergency orders without the person present if danger is imminent, requiring immediate surrender of firearms and ammunition, with seizure ordered if compliance fails. The bill mandates specific evidence in petitions (e.g., details on firearms and safety risks), includes due process safeguards like verifying existing protection orders, and waives court costs for petitioners. It also requires annual reports to the legislature tracking ERPO usage, including petitions filed, orders issued, and denials.

Maddy summarySB 426, the Student Borrowers' Bill of Rights, requires the North Carolina Commissioner of Banks to license and regulate student loan servicers operating in the state, directly affecting borrowers who took out loans for education at North Carolina institutions or for in-state school expenses. The bill mandates that all student loan servicers (excluding banks, credit unions, state entities, and certain educational institutions) obtain a license through the Nationwide Multistate Licensing System, ensuring fair treatment and clear accountability. It establishes a Student Loan Ombudsman position to handle borrower complaints and defines key terms like "servicer" and "overpayment" to clarify protections. The law aims to prevent unfair practices by standardizing servicer conduct and providing borrowers with a formal complaint pathway.

Maddy summarySB 464 creates a new team-based care coordination service for Medicaid recipients with substance use disorders, including screening, medication treatment, recovery support, and case management. It also changes Medicaid policy to suspend coverage during incarceration (rather than terminate it), aligning with federal law to maintain access to care upon release. The bill requires the state health department to develop this service, report costs and implementation plans by October 2025, and launch a statewide education campaign for providers. This directly affects Medicaid enrollees with substance use disorders and incarcerated individuals in North Carolina.

Maddy summarySB 435 restores education-based salary supplements for North Carolina teachers and instructional support personnel (ISP) that were previously eliminated. It directs the State Board of Education to use the 2013 policy (TCP-A-006) to determine eligibility for the "M" salary schedule and degree-based pay increases (e.g., for master's or doctoral degrees). The bill appropriates $8 million from the General Fund for the 2025-2026 fiscal year to fund these reinstated supplements. The law takes effect on July 1, 2025, directly affecting eligible educators' pay through revised salary calculations.

Maddy summarySB 366 increases Medicaid payment rates for personal care services to $7.50 per 15-minute increment and private duty nursing to $16.25 per 15-minute increment. It directly affects healthcare providers who deliver these services to Medicaid beneficiaries through programs like personal care services and private duty nursing. The bill allocates $119.2 million annually in state funds (with matching federal funds) to cover the rate increases for the 2025-2027 fiscal biennium. The changes take effect July 1, 2025.