Sen. Amy Galey

Maddy summarySB 121 clarifies when a surviving spouse loses the right to a life estate in marital property after their partner's death. It specifies that this right is forfeited if the spouse joined in a property transfer, signed a written waiver, or conveyed their interest before death. The law updates the process for claiming the life estate, requiring a formal petition filed with the court and recorded with property records. This directly affects married couples who own real estate together and need to understand inheritance rights under North Carolina law.

Maddy summarySB 336 establishes the Interstate Medical Licensure Compact, creating a streamlined pathway for qualified physicians to obtain licenses in multiple participating states. This compact aims to enhance the portability of medical licenses and improve patient access to healthcare by allowing eligible physicians to apply for an "expedited license." To qualify, physicians must meet specific criteria, including holding an unrestricted license in a member state, passing medical exams, completing graduate medical education, and maintaining a clean disciplinary and criminal record. The bill also defines how physicians designate a 'state of principal license' and outlines the role of an Interstate Commission in managing the compact.

Maddy summarySB 345 establishes a "team-based practice" model for Physician Assistants (PAs) in North Carolina. It defines specific requirements for medical practices to qualify as team-based settings, including physician ownership and participation in patient care design. PAs must meet extensive clinical experience criteria to practice in these settings, allowing them to operate with a modified supervision arrangement that emphasizes team collaboration rather than a named supervising physician in some contexts. However, physician supervision is still explicitly required for team-based PAs providing surgical or anesthesia services.

Maddy summaryThis bill provides local boards of education with a new alternative for setting their school calendars, directly affecting public schools and students. It allows schools to start as early as the Monday closest to August 19, provided fall and spring semesters have an equal number of instructional days, and end no later than the Friday before the last Monday in May. The bill also establishes stricter enforcement mechanisms, enabling the State Board of Education to investigate non-compliance and withhold central office administration funds from local boards that fail to follow calendar requirements. Additionally, it permits residents or businesses to file civil actions against non-compliant local boards, potentially leading to court-ordered remedies, attorney's fees, and civil penalties.

Maddy summarySB 357 expands and modernizes collaborative practice agreements between physicians and pharmacists. It allows licensed pharmacists, designated as "clinical pharmacist practitioners," to provide a broader range of "health care services" under a physician's supervision, including modifying drug dosages, ordering tests, and managing drug therapy for patients. These services must be conducted under specific, written collaborative practice agreements and adhere to rules set by the North Carolina Medical Board and Board of Pharmacy. The bill also permits therapeutic drug substitutions by pharmacists with physician authorization and allows for multi-provider collaborative agreements in institutional settings.

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 summaryThis bill proposes to repeal North Carolina's Certificate of Need (CON) laws, which currently require healthcare providers to obtain state approval for certain projects. These projects include building new facilities, expanding existing services, or acquiring major medical equipment. By eliminating these requirements, the bill would remove a regulatory step for various healthcare facilities, such as hospitals, nursing homes, and diagnostic centers, looking to establish or grow their operations. The bill achieves this by amending several state statutes to remove references to the Certificate of Need process.

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.