Sen. Carl Ford

Maddy summarySB 537 defines the scope of practice for Advanced Practice Registered Nurses (APRNs) in North Carolina, specifically for nurse practitioners (NPs), certified nurse midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). The bill provides statutory definitions for each role, detailing permitted activities like diagnosing conditions, prescribing medications, ordering diagnostic tests, and managing patient care within their specialized focus areas. By codifying these definitions in state law, the bill removes longstanding ambiguity about APRN practice that has persisted for decades, as noted by North Carolina courts and the executive branch. This change directly affects over 20,000 APRNs in the state by legally clarifying their scope of practice.

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 91 allows qualified emergency facilities (like hospitals, police stations, and fire departments) to install secure "newborn safety devices" where parents can safely leave infants under 30 days old without legal consequences. The bill requires these devices to be temperature-controlled, equipped with dual alarms, inspected weekly, and located visibly on the facility exterior. Facilities must cover installation costs, develop emergency response plans, and undergo annual inspections by the Department of Health and Human Services. This law directly affects parents seeking to surrender infants safely and the 24-hour emergency facilities that install these devices, effective October 1, 2025.

Maddy summarySB 314 (Eliminate ETJ Overlap) prevents North Carolina cities from extending their land use authority (extraterritorial jurisdiction or ETJ) into areas within counties that have their own zoning or development regulations. The bill directly affects cities and counties by prohibiting cities from exercising powers beyond their corporate limits in counties actively enforcing zoning rules, unless the county isn't using those powers or city-county agreements exist. Key provisions require cities to get county commissioner approval for ETJ extensions beyond one mile and eliminate overlapping land use authority between cities and counties. This change streamlines land use decisions by clarifying that county zoning regulations take precedence in areas where counties are actively managing development.

Maddy summarySB 312, the "Stars and Stripes Commitment Act," requires all North Carolina public schools (including charter, regional, and laboratory schools) to schedule daily recitation of the Pledge of Allegiance within one hour of the start of the school day, display U.S. and North Carolina flags in classrooms when available, and provide age-appropriate instruction about the flag and pledge. It also mandates that State Board of Education and local school governing body meetings begin with the Pledge of Allegiance. The bill explicitly states these requirements do not compel any student, staff, or attendee to stand, salute, or recite the Pledge. The law applies beginning with the 2025-2026 school year.

Maddy summarySB 320 creates an additional retirement allowance for North Carolina state and local law enforcement officers who retire after meeting specific service and age requirements. Eligible officers with at least 30 years of service (or 55+ with 5+ years) under age 62 can choose between two calculation methods for their annual allowance: one based on their current pay rate and service, or one based on their pay rate at 30 years of service. The allowance, paid monthly from state funds, stops upon the officer’s death, reaching age 62 (for the first method), or meeting a time-based condition (for the second method). This change supplements retirement income without affecting other retirement benefits or salary increases.

Maddy summaryNorth Carolina's SB 296 requires state and local governments to use iron and steel products manufactured in the United States for public works projects funded by state money. This applies to permanent materials like structural steel, pipes, and construction components, but includes exceptions when U.S. products are unavailable (e.g., insufficient supply, 20%+ cost increase), or when foreign materials cost less than 0.1% of the total project cost. The bill excludes electrical components (except poles) and does not apply to Department of Transportation projects already covered by federal Buy America rules. It takes effect July 1, 2026, for contracts awarded after that date.

Maddy summarySB 315 improves transparency and efficiency in insurance reviews of medical services by setting strict timeframes for insurers to make decisions. For urgent care, insurers must decide within 24 hours; for non-urgent care, within three business days after receiving all necessary information. The bill also requires insurers to clearly explain review processes in patient handbooks, on websites, and on membership cards, and to notify both patients and providers of outcomes. Additionally, it mandates that appeal reviews be conducted by qualified medical professionals without conflicts of interest, ensuring fairer assessments of coverage disputes.

Maddy summarySB 261, the Energy Security and Affordability Act, removes a mandated interim timeline for carbon reduction by North Carolina's major electric utilities (those serving 150,000+ customers) and introduces an alternative cost recovery method for ongoing construction of base load power plants. The bill requires these utilities to achieve a 70% reduction in carbon dioxide emissions by 2030 (from 2005 levels) and carbon neutrality by 2050, with the Utilities Commission developing a Carbon Plan by 2026 for achieving these goals. It specifies that new solar energy must come from 45% third-party power purchase agreements for small solar facilities (80 MW or less) and 55% utility-owned or purchased sources, including for solar paired with storage. This bill directly affects North Carolina's largest electric utilities and the Utilities Commission, altering their regulatory framework for emissions and infrastructure costs.

Maddy summarySB 290, the NC REINS Act, requires North Carolina's General Assembly to approve certain state agency regulations before they take effect. It directly affects state agencies creating rules with significant economic impact (over $1 million annually) and gives legislators a 30-day window to block such rules through a specific disapproval bill. The bill adds a legislative review period for all permanent rules and mandates that rules with substantial economic impact must be ratified by the legislature, effectively creating a veto power over those regulations. This changes current process by requiring explicit legislative action for high-impact rules instead of automatic implementation after agency approval.