North Carolina 2025-2026 Regular Session

North Carolina House Bill H237 Compare Versions

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11 GENERAL ASSEMBLY OF NORTH CAROLINA
22 SESSION 2025
3-H 2
3+H 1
44 HOUSE BILL 237
5-Committee Substitute Favorable 3/18/25
5+
66
77 Short Title: Child Welfare. (Public)
8-Sponsors:
9-Referred to:
8+Sponsors: Representative Stevens.
9+For a complete list of sponsors, refer to the North Carolina General Assembly web site.
10+Referred to: Judiciary 2, if favorable, Health, if favorable, Rules, Calendar, and Operations of
11+the House
1012 February 27, 2025
11-*H237 -v-2*
13+*H237 -v-1*
1214 A BILL TO BE ENTITLED 1
1315 AN ACT TO MAKE VARIOUS CHANGES TO THE LAWS AFFECTING JUVENILES AND 2
1416 ASSOCIATED SERVICES, COUNTY SOCIAL SERVI CES BOARDS AND 3
1517 DEPARTMENTS, REGIONA L SOCIAL SERVICES BOARDS AND DEPARTMENTS , 4
1618 CONSOLIDATED HUMAN S ERVICES BOARDS AND AGENCIES, AND THE NORTH 5
1719 CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. 6
1820 The General Assembly of North Carolina enacts: 7
1921 8
2022 PART I. CHILD WELFARE LAW REFORMS 9
2123 SECTION 1.(a) G.S. 7B-100 reads as rewritten: 10
2224 "§ 7B-100. Purpose. 11
2325 This Subchapter shall be interpreted and construed so as to implement the following purposes 12
2426 and policies: 13
2527 … 14
2628 (5) To provide standards, consistent with the Adoption and Safe Families Act of 15
2729 1997, P.L. 105-89, for ensuring that the best interests of the juvenile are of 16
2830 paramount consideration by the court and that when it is not in the juvenile's 17
2931 best interest to be returned home, the juvenile will be placed in a safe, 18
3032 permanent home within a reasonable amount of time.one year from the date 19
3133 of the initial order removing custody." 20
3234 SECTION 1.(b) G.S. 7B-101 reads as rewritten: 21
3335 "§ 7B-101. Definitions. 22
3436 As used in this Subchapter, unless the context clearly requires otherwise, the following words 23
3537 have the listed meanings: 24
3638 (1) Abused juveniles. – Any juvenile less than 18 years of age (i) who is found to 25
3739 be a minor victim of human trafficking under G.S. 14-43.15 or unlawful sale, 26
3840 surrender, or purchase of a minor under G.S. 14-43.14 or (ii) whose parent, 27
3941 guardian, custodian, or caretaker: 28
4042 … 29
4143 d. Commits, permits, or encourages the commission of a violation of the 30
4244 following laws by, with, or upon the juvenile: first-degree forcible 31
4345 rape, as provided in G.S. 14-27.21; second-degree forcible rape as 32
4446 provided in G.S. 14-27.22; statutory rape of a child by an adult as 33
45-provided in G.S. 14-27.23; first-degree statutory rape as provided in 34
46-G.S. 14-27.24; first-degree forcible sex offense as provided in 35
47-G.S. 14-27.26; second-degree forcible sex offense as provided in 36 General Assembly Of North Carolina Session 2025
48-Page 2 House Bill 237-Second Edition
49-G.S. 14-27.27; statutory sexual offense with a child by an adult as 1
50-provided in G.S. 14-27.28; first-degree statutory sexual offense as 2
51-provided in G.S. 14-27.29; sexual activity by a substitute parent or 3
52-custodian as provided in G.S. 14-27.31; sexual activity with a student 4
53-as provided in G.S. 14-27.32; unlawful sale, surrender, or purchase of 5
54-a minor, as provided in G.S. 14-43.14; a sexually violent offense, as 6
55-provided in G.S. 14-208.6(5); crime against nature, as provided in 7
56-G.S. 14-177; incest, as provided in G.S. 14-178; preparation of 8
57-obscene photographs, slides, or motion pictures of the juvenile, as 9
58-provided in G.S. 14-190.5; employing or permitting the juvenile to 10
59-assist in a violation of the obscenity laws as provided in G.S. 14-190.6; 11
60-dissemination of obscene material to the juvenile as provided in 12
61-G.S. 14-190.7 and G.S. 14-190.8; and displaying or disseminating 13
62-material harmful to the juvenile as provided in G.S. 14-190.14 and 14
63-G.S. 14-190.15; first and second degree sexual exploitation of the 15
64-juvenile as provided in G.S. 14-190.16 and G.S. 14-190.17; promoting 16
65-the prostitution of the juvenile as provided in G.S. 14-205.3(b); and 17
66-taking indecent liberties with the juvenile, as provided in 18
67-G.S. 14-202.1;G.S. 14-190.15. 19
68-… 20
69-(15) Neglected juvenile. – Any juvenile less than 18 years of age (i) who is found 21
70-to be a minor victim of human trafficking under G.S. 14-43.15 or (ii) whose 22
71-parent, guardian, custodian, or caretaker does any of the following: 23
72-… 24
73-h. Uses an illegal substance, abuses alcohol, or uses a controlled 25
74-substance in violation of the law and is unable to care for and provide 26
75-a safe and appropriate home for the juvenile. 27
76-i. Uses an illegal substance, abuses alcohol, or uses a controlled 28
77-substance in violation of the law while a child is in utero. 29
78-In determining whether a juvenile is a neglected juvenile, it is relevant whether 30
79-that juvenile lives in a home where another juvenile has died as a result of 31
80-suspected abuse or neglect or lives in a home where another juvenile has been 32
81-subjected to abuse or neglect by an adult who regularly lives in the home. 33
82-…." 34
83-SECTION 1.(c) G.S. 7B-503(a) reads as rewritten: 35
84-"(a) When a request is made for nonsecure custody, the court shall first consider release 36
85-of the juvenile to the juvenile's parent, relative, guardian, custodian, or other responsible adult. 37
86-An order for nonsecure custody shall be made only when there is a reasonable factual basis to 38
87-believe the matters alleged in the petition are true, and any of the following apply: 39
88-… 40
89-(7) The juvenile is an infant who was born exposed to alcohol, illegal substances, 41
90-or controlled substances used in violation of the law. If the parent is enrolled 42
91-in and meeting or exceeding the benchmarks of a substance abuse treatment 43
92-program recommended by a medical provider or a local management 44
93-entity/managed care organization (LME/MCO), then any use of alcohol, 45
94-illegal substances, or controlled substances in violation of the law shall not be 46
95-the sole ground for ordering nonsecure custody. 47
96-A juvenile alleged to be abused, neglected, or dependent shall be placed in nonsecure custody 48
97-only when there is a reasonable factual basis to believe that there are no other reasonable means 49
98-available to protect the juvenile. The developmental and attachment needs of the juvenile must 50 General Assembly Of North Carolina Session 2025
99-House Bill 237-Second Edition Page 3
100-be considered in making nonsecure custody determinations. In no case shall a juvenile alleged to 1
101-be abused, neglected, or dependent be placed in secure custody." 2
102-SECTION 1.(d) G.S. 7B-505(b) reads as rewritten: 3
103-"(b) The court shall order the department of social services to make diligent efforts to 4
104-notify relatives and other persons with legal custody of a sibling of the juvenile that the juvenile 5
105-is in nonsecure custody and of any hearings scheduled to occur pursuant to G.S. 7B-506, unless 6
106-the court finds the notification would be contrary to the best interests of the juvenile. The 7
107-department of social services shall use due diligence to identify and notify adult relatives 8
108-relatives, next of kin, and other persons with legal custody of a sibling of the juvenile within 30 9
109-days after the initial order removing custody. The department shall file with the court information 10
110-regarding attempts made to identify and notify adult relatives of the juvenile and persons with 11
111-legal custody of a sibling of the juvenile. In placing a juvenile in nonsecure custody under this 12
112-section, the court shall first consider whether a relative of the juvenile is willing and able to 13
113-provide proper care and supervision of the juvenile in a safe home. If the court finds that the 14
114-relative is willing and able to provide proper care and supervision in a safe home, then the court 15
115-shall order placement of the juvenile with the relative unless the court finds that placement with 16
116-the relative would be contrary to the best interests of the juvenile. The developmental and 17
117-attachment needs of the child shall be considered by the court when determining whether 18
118-placement with the relative would be contrary to the best interest of the juvenile." 19
119-SECTION 1.(e) G.S. 7B-901(c) reads as rewritten: 20
120-"(c) If the disposition order places a juvenile in the custody of a county department of 21
121-social services, the court shall direct that reasonable efforts for reunification as defined in 22
122-G.S. 7B-101 shall not be required if the court makes written findings of fact pertaining to any of 23
123-the following, unless the court concludes that there is compelling evidence warranting continued 24
124-reunification efforts: 25
125-(1) A court of competent jurisdiction determines or has determined that 26
126-aggravated circumstances exist because the parent has committed or 27
127-encouraged the commission of, or allowed the continuation of, any of the 28
128-following upon the juvenile: 29
129-… 30
130-e. Chronic or toxic exposure to alcohol or controlled substances that 31
131-causes impairment of or addiction in the juvenile.juvenile, including 32
132-in utero exposure to alcohol, illegal substances, or controlled 33
133-substances used in violation of the law. The court shall consider 34
134-whether a parent is enrolled in and meeting or exceeding the 35
135-benchmarks of a substance abuse treatment program recommended by 36
136-a medical provider or a local management entity/managed care 37
137-organization (LME/MCO). 38
138-…." 39
139-SECTION 1.(f) G.S. 7B-903 reads as rewritten: 40
140-"§ 7B-903. Dispositional alternatives for abused, neglected, or dependent juvenile. 41
47+provided in G.S. 14-27.23; first-degree statutory rape as provided in 34 General Assembly Of North Carolina Session 2025
48+Page 2 House Bill 237-First Edition
49+G.S. 14-27.24; first-degree forcible sex offense as provided in 1
50+G.S. 14-27.26; second-degree forcible sex offense as provided in 2
51+G.S. 14-27.27; statutory sexual offense with a child by an adult as 3
52+provided in G.S. 14-27.28; first-degree statutory sexual offense as 4
53+provided in G.S. 14-27.29; sexual activity by a substitute parent or 5
54+custodian as provided in G.S. 14-27.31; sexual activity with a student 6
55+as provided in G.S. 14-27.32; unlawful sale, surrender, or purchase of 7
56+a minor, as provided in G.S. 14-43.14; a sexually violent offense, as 8
57+provided in G.S. 14-208.6(5); crime against nature, as provided in 9
58+G.S. 14-177; incest, as provided in G.S. 14-178; preparation of 10
59+obscene photographs, slides, or motion pictures of the juvenile, as 11
60+provided in G.S. 14-190.5; employing or permitting the juvenile to 12
61+assist in a violation of the obscenity laws as provided in G.S. 14-190.6; 13
62+dissemination of obscene material to the juvenile as provided in 14
63+G.S. 14-190.7 and G.S. 14-190.8; and displaying or disseminating 15
64+material harmful to the juvenile as provided in G.S. 14-190.14 and 16
65+G.S. 14-190.15; first and second degree sexual exploitation of the 17
66+juvenile as provided in G.S. 14-190.16 and G.S. 14-190.17; promoting 18
67+the prostitution of the juvenile as provided in G.S. 14-205.3(b); and 19
68+taking indecent liberties with the juvenile, as provided in 20
69+G.S. 14-202.1;G.S. 14-190.15. 21
70+… 22
71+(15) Neglected juvenile. – Any juvenile less than 18 years of age (i) who is found 23
72+to be a minor victim of human trafficking under G.S. 14-43.15 or (ii) whose 24
73+parent, guardian, custodian, or caretaker does any of the following: 25
74+… 26
75+h. Uses an illegal substance, abuses alcohol, or uses a controlled 27
76+substance in violation of the law and is unable to care for and provide 28
77+a safe and appropriate home for the juvenile. 29
78+i. Uses an illegal substance, abuses alcohol, or uses a controlled 30
79+substance in violation of the law while a child is in utero. 31
80+In determining whether a juvenile is a neglected juvenile, it is relevant whether 32
81+that juvenile lives in a home where another juvenile has died as a result of 33
82+suspected abuse or neglect or lives in a home where another juvenile has been 34
83+subjected to abuse or neglect by an adult who regularly lives in the home. 35
84+…." 36
85+SECTION 1.(c) G.S. 7B-503(a) reads as rewritten: 37
86+"(a) When a request is made for nonsecure custody, the court shall first consider release 38
87+of the juvenile to the juvenile's parent, relative, guardian, custodian, or other responsible adult. 39
88+An order for nonsecure custody shall be made only when there is a reasonable factual basis to 40
89+believe the matters alleged in the petition are true, and any of the following apply: 41
14190 … 42
142-(a1) In placing a juvenile in out-of-home care under this section, the court shall first 43
143-consider whether a relative of the juvenile is willing and able to provide proper care and 44
144-supervision of the juvenile in a safe home. If the court finds that the relative is willing and able 45
145-to provide proper care and supervision in a safe home, then the court shall order placement of the 46
146-juvenile with the relative unless the court finds that the placement is contrary to the best interests 47
147-of the juvenile. The developmental and attachment needs of the child shall be considered by the 48
148-court when determining whether placement with the relative would be contrary to the best interest 49
149-of the juvenile. In placing a juvenile in out-of-home care under this section, the court shall also 50
150-consider whether it is in the juvenile's best interest to remain in the juvenile's community of 51 General Assembly Of North Carolina Session 2025
151-Page 4 House Bill 237-Second Edition
152-residence. Placement of a juvenile with a relative outside of this State must be in accordance with 1
153-the Interstate Compact on the Placement of Children. 2
154- 3
155-(a5) Once a juvenile who is not a member of a State-recognized tribe as set forth in 4
156-G.S. 143B-407(a) has resided in the home of a foster parent for a continuous period of at least 5
157-nine months, the foster parent is deemed to be nonrelative kin for purposes of this section. 6
158-." 7
159-SECTION 1.(g) G.S. 7B-903.1(c) reads as rewritten: 8
160-"(c) If a juvenile is removed from the home and placed in the custody or placement 9
161-responsibility of a county department of social services, the director shall not allow unsupervised 10
162-visitation with or return physical custody of the juvenile to the parent, guardian, custodian, or 11
163-caretaker without a hearing at which the court finds that the juvenile will receive proper care and 12
164-supervision in a safe home. Before a county department of social services may recommend 13
165-unsupervised visits or return of physical custody of the juvenile juvenile, whichever occurs first, 14
166-to the parent, guardian, custodian, or caretaker from whom the juvenile was removed, a county 15
167-department of social services shall first observe that parent, guardian, custodian, or caretaker with 16
168-the juvenile for at least two visits that support the recommendation. Each observation visit shall 17
169-consist of an observation of not less than one hour with the juvenile, shall be conducted at least 18
170-seven days apart, and shall occur within 30 days of the hearing at which the department of social 19
171-services makes the recommendation. A department of social services shall provide 20
172-documentation of any observation visits that it conducts to the court for its consideration as to 21
173-whether unsupervised visits or physical custody custody, whichever occurs first, should be 22
174-granted to the parent, guardian, custodian, or caretaker from whom the juvenile was removed." 23
175-SECTION 1.(h) G.S. 7B-906.1 reads as rewritten: 24
176-"§ 7B-906.1. Review and permanency planning hearings. 25
177-(a) The court shall conduct a review or permanency planning hearing within 90 days from 26
178-the date of the initial dispositional hearing held pursuant to G.S. 7B-901. Review or permanency 27
179-planning hearings shall be held at least every six months thereafter. If custody has not been 28
180-removed from a parent, guardian, caretaker, or custodian, the hearing shall be designated as a 29
181-review hearing. If custody has been removed from a parent, guardian, or custodian, or the juvenile 30
182-was residing with a caretaker at the time the petition was filed, the hearing shall be designated as 31
183-a permanency planning hearing. 32
184- 33
185-(d) At each hearing, the court shall consider the following criteria and make written 34
186-findings regarding those that are relevant: 35
187- 36
188-(1a) Reports on the juvenile's continuation in the home of the parent, guardian, or 37
189-custodian; and the appropriateness of the juvenile's continuation in that home. 38
190-If the juvenile is removed from the custody of a parent, guardian, or custodian 39
191-at a review hearing, the court shall schedule a permanency planning hearing 40
192-within 30 days of the review, unless the hearing was noticed and heard as a 41
193-permanency planning hearing.review. 42
91+(7) The juvenile is an infant who was born exposed to alcohol, illegal substances, 43
92+or controlled substances used in violation of the law. If the parent is enrolled 44
93+in and meeting or exceeding the benchmarks of a substance abuse treatment 45
94+program recommended by a medical provider or a local management 46
95+entity/managed care organization (LME/MCO), then any use of alcohol, 47
96+illegal substances, or controlled substances in violation of the law shall not be 48
97+the sole ground for ordering nonsecure custody. 49
98+A juvenile alleged to be abused, neglected, or dependent shall be placed in nonsecure custody 50
99+only when there is a reasonable factual basis to believe that there are no other reasonable means 51 General Assembly Of North Carolina Session 2025
100+House Bill 237-First Edition Page 3
101+available to protect the juvenile. The developmental and attachment needs of the juvenile must 1
102+be considered in making nonsecure custody determinations. In no case shall a juvenile alleged to 2
103+be abused, neglected, or dependent be placed in secure custody." 3
104+SECTION 1.(d) G.S. 7B-505(b) reads as rewritten: 4
105+"(b) The court shall order the department of social services to make diligent efforts to 5
106+notify relatives and other persons with legal custody of a sibling of the juvenile that the juvenile 6
107+is in nonsecure custody and of any hearings scheduled to occur pursuant to G.S. 7B-506, unless 7
108+the court finds the notification would be contrary to the best interests of the juvenile. The 8
109+department of social services shall use due diligence to identify and notify adult relatives 9
110+relatives, next of kin, and other persons with legal custody of a sibling of the juvenile within 30 10
111+days after the initial order removing custody. The department shall file with the court information 11
112+regarding attempts made to identify and notify adult relatives of the juvenile and persons with 12
113+legal custody of a sibling of the juvenile. In placing a juvenile in nonsecure custody under this 13
114+section, the court shall first consider whether a relative of the juvenile is willing and able to 14
115+provide proper care and supervision of the juvenile in a safe home. If the court finds that the 15
116+relative is willing and able to provide proper care and supervision in a safe home, then the court 16
117+shall order placement of the juvenile with the relative unless the court finds that placement with 17
118+the relative would be contrary to the best interests of the juvenile. The developmental and 18
119+attachment needs of the child shall be considered by the court when determining whether 19
120+placement with the relative would be contrary to the best interest of the juvenile." 20
121+SECTION 1.(e) G.S. 7B-901(c) reads as rewritten: 21
122+"(c) If the disposition order places a juvenile in the custody of a county department of 22
123+social services, the court shall direct that reasonable efforts for reunification as defined in 23
124+G.S. 7B-101 shall not be required if the court makes written findings of fact pertaining to any of 24
125+the following, unless the court concludes that there is compelling evidence warranting continued 25
126+reunification efforts: 26
127+(1) A court of competent jurisdiction determines or has determined that 27
128+aggravated circumstances exist because the parent has committed or 28
129+encouraged the commission of, or allowed the continuation of, any of the 29
130+following upon the juvenile: 30
131+ 31
132+e. Chronic or toxic exposure to alcohol or controlled substances that 32
133+causes impairment of or addiction in the juvenile.juvenile, including 33
134+in utero exposure to alcohol, illegal substances, or controlled 34
135+substances used in violation of the law. The court shall consider 35
136+whether a parent is enrolled in and meeting or exceeding the 36
137+benchmarks of a substance abuse treatment program recommended by 37
138+a medical provider or a local management entity/managed care 38
139+organization (LME/MCO). 39
140+…." 40
141+SECTION 1.(f) G.S. 7B-903 reads as rewritten: 41
142+"§ 7B-903. Dispositional alternatives for abused, neglected, or dependent juvenile. 42
194143 … 43
195-(3) Whether efforts to reunite the juvenile with either parent clearly would be 44
196-unsuccessful or inconsistent with the juvenile's health or safety and need for a 45
197-safe, permanent home within a reasonable period of time. one year from the 46
198-date the initial order removing custody was entered, including whether a 47
199-parent has engaged in any of the factors described under G.S. 7B-901(c). The 48
200-court shall consider efforts to reunite regardless of whether the juvenile 49
201-resided with the parent, guardian, or custodian at the time of removal. 50
202-… 51 General Assembly Of North Carolina Session 2025
203-House Bill 237-Second Edition Page 5
204-(i) The At any permanency planning hearing, the court may maintain the juvenile's 1
205-placement under review or order a different placement, appoint a guardian of the person for the 2
206-juvenile pursuant to G.S. 7B-600, or order any disposition authorized by G.S. 7B-903, including 3
207-the authority to place the child in the custody of either parent or any relative found by the court 4
208-to be suitable and found by the court to be in the best interests of the juvenile. 5
209-… 6
210-(l) If the court orders or continues the juvenile's placement in the custody or placement 7
211-responsibility of a county department of social services, the provisions of G.S. 7B-903.1 shall 8
212-apply to any order entered under this section. 9
213-… 10
214-(n) Notwithstanding other provisions of this Article, the court may waive the holding of 11
215-permanency planning hearings required by this section, may require written reports to the court 12
216-by the agency or person holding custody in lieu of permanency planning hearings, or order that 13
217-permanency planning hearings be held less often than every six months if the court finds by clear, 14
218-cogent, clear and convincing evidence each of the following: 15
219-(1) The juvenile has resided in the placement for a period of at least one year or 16
220-the juvenile has resided in the placement for at least six consecutive months 17
221-the parties are in agreement and the court enters a consent order pursuant to 18
222-G.S. 7B-801(b1). 19
223-(2) The placement is stable, and continuation of the placement is in the juvenile's 20
224-best interests. 21
225-(3) Neither the juvenile's best interests nor the rights of any party require that 22
226-permanency planning hearings be held every six months. 23
227-(4) All parties are aware that the matter may be brought before the court for 24
228-review at any time by the filing of a permanency planning or modification 25
229-motion for review or on the court's own motion. 26
230-(5) The court order has designated the relative or other suitable person as the 27
231-juvenile's permanent custodian or guardian of the person. 28
232-The court may not waive or refuse to conduct a hearing if a party files a motion seeking the 29
233-hearing. However, if a guardian of the person has been appointed for the juvenile and the court 30
234-has also made findings in accordance with subsection (n) of this section that guardianship is the 31
235-permanent plan for the juvenile, the court shall proceed in accordance with apply the criteria of 32
236-G.S. 7B-600(b). 33
237-…." 34
238-SECTION 1.(i) G.S. 7B-1103(a) reads as rewritten: 35
239-"(a) A petition or motion to terminate the parental rights of either or both parents to his, 36
240-her, or their minor juvenile may only be filed by one or more of the following: 37
241-… 38
242-(5) Any person with whom the juvenile has resided for a continuous period of 18 39
243-15 months or more next preceding the filing of the petition or motion. 40
244-…." 41
245-SECTION 1.(j) G.S. 7B-1109(f) reads as rewritten: 42
246-"(f) The burden in such proceedings shall be upon the petitioner or movant and all findings 43
247-of fact shall be based on clear, cogent, clear and convincing evidence. The rules of evidence in 44
248-civil cases shall apply. No husband-wife or physician-patient privilege shall be grounds for 45
249-excluding any evidence regarding the existence or nonexistence of any circumstance authorizing 46
250-the termination of parental rights." 47
251-SECTION 1.(k) G.S. 7B-1111(a) reads as rewritten: 48
252-"(a) The court may terminate the parental rights upon a finding of one or more of the 49
253-following: 50
254-… 51 General Assembly Of North Carolina Session 2025
255-Page 6 House Bill 237-Second Edition
256-(2) The parent has willfully left the juvenile in foster care or placement outside 1
257-the home for more than 12 nine months without showing to the satisfaction of 2
258-the court that reasonable progress under the circumstances has been made in 3
259-correcting those conditions which led to the removal of the juvenile. No 4
260-parental rights, however, shall be terminated for the sole reason that the 5
261-parents are unable to care for the juvenile on account of their poverty. 6
262-…." 7
263-SECTION 1.(l) This section becomes effective October 1, 2025, and applies to 8
264-petitions or motions to terminate parental rights filed on or after that date. 9
265- 10
266-PART II. REGIONAL ABUSE AND MEDICAL SPEC IALIST PROGRAM 11
267-SECTION 2.(a) The Regional Abuse and Medical Specialist (RAMS) program 12
268-staffed within the North Carolina Child Medical Evaluation Program (NC CMEP) through one 13
269-or more contracts or memorandums of understanding between the Department of Health and 14
270-Human Services and the Pediatric Department of the UNC School of Medicine is immediately 15
271-stayed pending compliance with the following: 16
272-(1) Establishment of rules for the program in compliance with Chapter 150A of 17
273-the General Statutes. 18
274-(2) Amendment of and federal approval of any State plan, which is required to 19
275-comply with federal laws and regulations and maintain federal funding. 20
276-(3) Federal approval of rules for the RAMS program, which is required to comply 21
277-with federal laws and regulations and maintain federal funding. 22
278-If necessary, any contracts or memorandums of understanding between the 23
279-Department of Health and Human Services and the UNC School of Medicine regarding the 24
280-RAMS program shall be modified to comply with the provisions of this section. 25
281-SECTION 2.(b) The Social Services Commission shall adopt temporary and 26
282-permanent rules to implement the RAMS program which shall include: 27
283-(1) Limiting the RAMS team's focus to screened in cases meeting one or more of 28
284-the following criteria: 29
285-a. The child is less than 4 years of age and presents with unexplained or 30
286-poorly explained injuries. Injuries would not be considered poorly 31
287-explained or unexplained in cases where the discipline or action by the 32
288-caretaker explains the child's injury and the reporting medical provider 33
289-states that the mechanism of the injury is plausible for having caused 34
290-the injury. 35
291-b. The child is less than 4 years of age and there is a concern for a 36
292-sexually transmitted infection. 37
293-c. The child is less than 4 years of age and another child who lives in the 38
294-home died as a result of suspected abuse or neglect. 39
295-d. There is concern for medical child abuse (Munchausen by Proxy) to a 40
296-child of any age. 41
297-e. The child, regardless of age, has a medically complex issue and one or 42
298-more of the following is present: 43
299-1. The child requires subspecialty care by two or more specialists. 44
300-2. A second report of medical neglect is received within six 45
301-months regardless of the prior case outcome. 46
302-3. The child requires devices to sustain their function such as a 47
303-tracheostomy or g-tube. 48
304-f. The child is a substance-affected infant. 49
305-(2) Requiring the RAMS team to be contacted if the following criteria are met: 50 General Assembly Of North Carolina Session 2025
306-House Bill 237-Second Edition Page 7
144+(a1) In placing a juvenile in out-of-home care under this section, the court shall first 44
145+consider whether a relative of the juvenile is willing and able to provide proper care and 45
146+supervision of the juvenile in a safe home. If the court finds that the relative is willing and able 46
147+to provide proper care and supervision in a safe home, then the court shall order placement of the 47
148+juvenile with the relative unless the court finds that the placement is contrary to the best interests 48
149+of the juvenile. The developmental and attachment needs of the child shall be considered by the 49
150+court when determining whether placement with the relative would be contrary to the best interest 50
151+of the juvenile. In placing a juvenile in out-of-home care under this section, the court shall also 51 General Assembly Of North Carolina Session 2025
152+Page 4 House Bill 237-First Edition
153+consider whether it is in the juvenile's best interest to remain in the juvenile's community of 1
154+residence. Placement of a juvenile with a relative outside of this State must be in accordance with 2
155+the Interstate Compact on the Placement of Children. 3
156+… 4
157+(a5) Once a juvenile who is not a member of a State-recognized tribe as set forth in 5
158+G.S. 143B-407(a) has resided in the home of a foster parent for a continuous period of at least 6
159+nine months, the foster parent is deemed to be nonrelative kin for purposes of this section. 7
160+…." 8
161+SECTION 1.(g) G.S. 7B-903.1(c) reads as rewritten: 9
162+"(c) If a juvenile is removed from the home and placed in the custody or placement 10
163+responsibility of a county department of social services, the director shall not allow unsupervised 11
164+visitation with or return physical custody of the juvenile to the parent, guardian, custodian, or 12
165+caretaker without a hearing at which the court finds that the juvenile will receive proper care and 13
166+supervision in a safe home. Before a county department of social services may recommend 14
167+unsupervised visits or return of physical custody of the juvenile juvenile, whichever occurs first, 15
168+to the parent, guardian, custodian, or caretaker from whom the juvenile was removed, a county 16
169+department of social services shall first observe that parent, guardian, custodian, or caretaker with 17
170+the juvenile for at least two visits that support the recommendation. Each observation visit shall 18
171+consist of an observation of not less than one hour with the juvenile, shall be conducted at least 19
172+seven days apart, and shall occur within 30 days of the hearing at which the department of social 20
173+services makes the recommendation. A department of social services shall provide 21
174+documentation of any observation visits that it conducts to the court for its consideration as to 22
175+whether unsupervised visits or physical custody custody, whichever occurs first, should be 23
176+granted to the parent, guardian, custodian, or caretaker from whom the juvenile was removed." 24
177+SECTION 1.(h) G.S. 7B-906.1 reads as rewritten: 25
178+"§ 7B-906.1. Review and permanency planning hearings. 26
179+(a) The court shall conduct a review or permanency planning hearing within 90 days from 27
180+the date of the initial dispositional hearing held pursuant to G.S. 7B-901. Review or permanency 28
181+planning hearings shall be held at least every six months thereafter. If custody has not been 29
182+removed from a parent, guardian, caretaker, or custodian, the hearing shall be designated as a 30
183+review hearing. If custody has been removed from a parent, guardian, or custodian, or the juvenile 31
184+was residing with a caretaker at the time the petition was filed, the hearing shall be designated as 32
185+a permanency planning hearing. 33
186+… 34
187+(d) At each hearing, the court shall consider the following criteria and make written 35
188+findings regarding those that are relevant: 36
189+… 37
190+(1a) Reports on the juvenile's continuation in the home of the parent, guardian, or 38
191+custodian; and the appropriateness of the juvenile's continuation in that home. 39
192+If the juvenile is removed from the custody of a parent, guardian, or custodian 40
193+at a review hearing, the court shall schedule a permanency planning hearing 41
194+within 30 days of the review, unless the hearing was noticed and heard as a 42
195+permanency planning hearing.review. 43
196+… 44
197+(3) Whether efforts to reunite the juvenile with either parent clearly would be 45
198+unsuccessful or inconsistent with the juvenile's health or safety and need for a 46
199+safe, permanent home within a reasonable period of time. one year from the 47
200+date the initial order removing custody was entered, including whether a 48
201+parent has engaged in any of the factors described under G.S. 7B-901(c). The 49
202+court shall consider efforts to reunite regardless of whether the juvenile 50
203+resided with the parent, guardian, or custodian at the time of removal. 51 General Assembly Of North Carolina Session 2025
204+House Bill 237-First Edition Page 5
205+… 1
206+(i) The At any permanency planning hearing, the court may maintain the juvenile's 2
207+placement under review or order a different placement, appoint a guardian of the person for the 3
208+juvenile pursuant to G.S. 7B-600, or order any disposition authorized by G.S. 7B-903, including 4
209+the authority to place the child in the custody of either parent or any relative found by the court 5
210+to be suitable and found by the court to be in the best interests of the juvenile. 6
211+… 7
212+(l) If the court orders or continues the juvenile's placement in the custody or placement 8
213+responsibility of a county department of social services, the provisions of G.S. 7B-903.1 shall 9
214+apply to any order entered under this section. 10
215+… 11
216+(n) Notwithstanding other provisions of this Article, the court may waive the holding of 12
217+permanency planning hearings required by this section, may require written reports to the court 13
218+by the agency or person holding custody in lieu of permanency planning hearings, or order that 14
219+permanency planning hearings be held less often than every six months if the court finds by clear, 15
220+cogent, clear and convincing evidence each of the following: 16
221+(1) The juvenile has resided in the placement for a period of at least one year or 17
222+the juvenile has resided in the placement for at least six consecutive months 18
223+the parties are in agreement and the court enters a consent order pursuant to 19
224+G.S. 7B-801(b1). 20
225+(2) The placement is stable, and continuation of the placement is in the juvenile's 21
226+best interests. 22
227+(3) Neither the juvenile's best interests nor the rights of any party require that 23
228+permanency planning hearings be held every six months. 24
229+(4) All parties are aware that the matter may be brought before the court for 25
230+review at any time by the filing of a permanency planning or modification 26
231+motion for review or on the court's own motion. 27
232+(5) The court order has designated the relative or other suitable person as the 28
233+juvenile's permanent custodian or guardian of the person. 29
234+The court may not waive or refuse to conduct a hearing if a party files a motion seeking the 30
235+hearing. However, if a guardian of the person has been appointed for the juvenile and the court 31
236+has also made findings in accordance with subsection (n) of this section that guardianship is the 32
237+permanent plan for the juvenile, the court shall proceed in accordance with apply the criteria of 33
238+G.S. 7B-600(b). 34
239+…." 35
240+SECTION 1.(i) G.S. 7B-1103(a) reads as rewritten: 36
241+"(a) A petition or motion to terminate the parental rights of either or both parents to his, 37
242+her, or their minor juvenile may only be filed by one or more of the following: 38
243+… 39
244+(5) Any person with whom the juvenile has resided for a continuous period of 18 40
245+15 months or more next preceding the filing of the petition or motion. 41
246+…." 42
247+SECTION 1.(j) G.S. 7B-1109(f) reads as rewritten: 43
248+"(f) The burden in such proceedings shall be upon the petitioner or movant and all findings 44
249+of fact shall be based on clear, cogent, clear and convincing evidence. The rules of evidence in 45
250+civil cases shall apply. No husband-wife or physician-patient privilege shall be grounds for 46
251+excluding any evidence regarding the existence or nonexistence of any circumstance authorizing 47
252+the termination of parental rights." 48
253+SECTION 1.(k) G.S. 7B-1111(a) reads as rewritten: 49
254+"(a) The court may terminate the parental rights upon a finding of one or more of the 50
255+following: 51 General Assembly Of North Carolina Session 2025
256+Page 6 House Bill 237-First Edition
257+… 1
258+(2) The parent has willfully left the juvenile in foster care or placement outside 2
259+the home for more than 12 nine months without showing to the satisfaction of 3
260+the court that reasonable progress under the circumstances has been made in 4
261+correcting those conditions which led to the removal of the juvenile. No 5
262+parental rights, however, shall be terminated for the sole reason that the 6
263+parents are unable to care for the juvenile on account of their poverty. 7
264+…." 8
265+SECTION 1.(l) This section becomes effective October 1, 2025, and applies to 9
266+petitions or motions to terminate parental rights filed on or after that date. 10
267+ 11
268+PART II. REGIONAL ABUSE AND MEDICAL SPEC IALIST PROGRAM 12
269+SECTION 2.(a) The Regional Abuse and Medical Specialist (RAMS) program 13
270+staffed within the North Carolina Child Medical Evaluation Program (NC CMEP) through one 14
271+or more contracts or memorandums of understanding between the Department of Health and 15
272+Human Services and the Pediatric Department of the UNC School of Medicine is immediately 16
273+stayed pending compliance with the following: 17
274+(1) Establishment of rules for the program in compliance with Chapter 150A of 18
275+the General Statutes. 19
276+(2) Amendment of and federal approval of any State plan, which is required to 20
277+comply with federal laws and regulations and maintain federal funding. 21
278+(3) Federal approval of rules for the RAMS program, which is required to comply 22
279+with federal laws and regulations and maintain federal funding. 23
280+If necessary, any contracts or memorandums of understanding between the 24
281+Department of Health and Human Services and the UNC School of Medicine regarding the 25
282+RAMS program shall be modified to comply with the provisions of this section. 26
283+SECTION 2.(b) The Social Services Commission shall adopt temporary and 27
284+permanent rules to implement the RAMS program which shall include: 28
285+(1) Limiting the RAMS team's focus to screened in cases meeting one or more of 29
286+the following criteria: 30
287+a. The child is less than 4 years of age and presents with unexplained or 31
288+poorly explained injuries. Injuries would not be considered poorly 32
289+explained or unexplained in cases where the discipline or action by the 33
290+caretaker explains the child's injury and the reporting medical provider 34
291+states that the mechanism of the injury is plausible for having caused 35
292+the injury. 36
293+b. The child is less than 4 years of age and there is a concern for a 37
294+sexually transmitted infection. 38
295+c. The child is less than 4 years of age and another child who lives in the 39
296+home died as a result of suspected abuse or neglect. 40
297+d. There is concern for medical child abuse (Munchausen by Proxy) to a 41
298+child of any age. 42
299+e. The child, regardless of age, has a medically complex issue and one or 43
300+more of the following is present: 44
301+1. The child requires subspecialty care by two or more specialists. 45
302+2. A second report of medical neglect is received within six 46
303+months regardless of the prior case outcome. 47
304+3. The child requires devices to sustain their function such as a 48
305+tracheostomy or g-tube. 49
306+f. The child is a substance-affected infant. 50
307+(2) Requiring the RAMS team to be contacted if the following criteria are met: 51 General Assembly Of North Carolina Session 2025
308+House Bill 237-First Edition Page 7
307309 a. The report of abuse or neglect is screened in for a family or 1
308310 investigative assessment by the local county child welfare agency. 2
309311 b. One or more of the criteria of subdivision (1) of this subsection are 3
310312 present. 4
311313 (3) Requiring the RAMS team to cease involvement upon a determination that the 5
312314 child does not meet the criteria of subdivision (2) of this subsection or upon 6
313315 the final case decision resulting from the family or investigative assessment, 7
314316 whichever shall occur first. 8
315317 (4) Requiring the county director of social services to decide issues where a 9
316318 disagreement between the local social services worker and the RAMS team 10
317319 arises, including: 11
318320 a. Whether the child meets the criteria of subdivision (2) of this 12
319321 subsection. 13
320322 b. The course of action to be taken during the family or investigative 14
321323 assessment. 15
322324 c. The ultimate decision arising from the family or investigative 16
323325 assessment. 17
324326 The county director of social services shall make this determination based on 18
325327 information contained in the case file provided by the RAMS team, provided 19
326328 by the county social worker, and, if applicable, provided by the Regional Child 20
327329 Welfare Consultant. The county director shall make the determination as soon 21
328330 as possible after notification of the disagreement but no later than 24 hours 22
329331 after the disagreement arises. 23
330332 (5) Requiring the social worker assigned to the case to notify the county director 24
331333 as soon as possible after a disagreement arises between the social worker and 25
332334 the RAMS team member but no later than four hours after the disagreement 26
333335 arises. 27
334336 (6) Requiring the social worker to notify the family to be notified as soon as 28
335337 possible of any decision impacting the family when the RAMS program is 29
336338 involved in the family's case but no later than 24 hours after the decision is 30
337339 made. 31
338340 (7) Limiting the RAMS program's role to supporting, guiding, and mentoring 32
339341 county supervisors during the family or investigative assessment phase only. 33
340342 The county supervisor may include the social worker in meetings with the 34
341343 RAMS personnel. The recommendations and suggestions made by the RAMS 35
342344 team are contributions to the county's family or investigative assessment and 36
343345 are not a complete guide of the assessment. The county must follow the policy 37
344346 outlined in the Child Protective Services Family and Investigative 38
345347 Assessments section of the NC Child Welfare policy manual. The county 39
346348 director is ultimately responsible for the safety and well-being of children in 40
347349 their county and is tasked with determining whether protective services should 41
348350 be put in place or a petition filed after making a prompt and thorough 42
349351 assessment to determine the extent of abuse or neglect against the child and 43
350352 the risk of future harm to the child. 44
351353 (8) Establishing the frequency in which the RAMS team member and the county 45
352354 social worker supervisor must meet during the family or investigative 46
353355 assessment period. 47
354356 (9) Establishing the documentation or information which must be provided to the 48
355357 RAMS team during the family or investigative assessment period. 49
356358 (10) Allowing the parent, guardian, or caretaker of the child who is subject to the 50
357359 report of alleged abuse or neglect or their attorney to access all documentation 51 General Assembly Of North Carolina Session 2025
358-Page 8 House Bill 237-Second Edition
360+Page 8 House Bill 237-First Edition
359361 provided to or generated by the RAMS team during and after the RAMS 1
360362 team's involvement in the matter. 2
361363 SECTION 2.(c) No later than 30 days after the rulemaking process is complete, the 3
362364 Secretary of the North Carolina Department of Health and Human Services or the Secretary's 4
363365 designee shall submit to the United States Secretary of Health and Human Services or the U.S. 5
364366 Secretary's designee for approval of the following: 6
365367 (1) A draft of the proposed new rules outlined in subsection (b) of this section. 7
366368 (2) Any proposed changes to the State plan necessitated by the proposed rules to 8
367369 ensure there is no reduction or elimination of federal funding from any source. 9
368370 SECTION 2.(d) The Social Services Commission shall initiate temporary and 10
369371 permanent rulemaking within 30 days of this act becoming effective. 11
370372 SECTION 2.(e) If the United States Secretary of Health and Human Services or the 12
371373 U.S. Secretary's designee determines that any proposed rule, statute, or plan amendment 13
372374 submitted under subsection (c) of this section would negatively impact federal funding provided 14
373375 to North Carolina, then the proposed rules, statutes, and plan amendments submitted shall not 15
374376 become effective. The North Carolina Secretary of Health and Human Services or the Secretary's 16
375377 designee shall notify the Social Services Commission and Rules Review Commission of the 17
376378 United States Department of Health and Human Services' determination regarding the proposed 18
377379 rules, statutes, and plan amendments submitted under subsection (c) of this section within five 19
378380 days of receipt. 20
379381 SECTION 2.(f) The Division shall report to the Joint Legislative Oversight 21
380382 Committee on Health and Human Services, the chairs of the House Appropriations Committee 22
381383 on Health and Human Services, the chairs of the Senate Appropriations Committee on Health 23
382384 and Human Services, and the Joint Legislative Administrative Procedures Oversight Committee 24
383385 by September 1, 2025, and each year thereafter, on the hiring, training, and oversight of the 25
384386 RAMS program and, if applicable, the progress being made regarding the rulemaking process as 26
385387 provided for in this section. A copy of all reports and plans submitted to the federal government 27
386388 which includes information regarding the RAMS program shall be simultaneously provided to 28
387389 the Joint Legislative Oversight Committee on Health and Human Services, the chairs of the 29
388390 House Appropriations Committee on Health and Human Services, the chairs of the Senate 30
389391 Appropriations Committee on Health and Human Services, and the Joint Legislative 31
390392 Administrative Procedures Oversight Committee. 32
391393 SECTION 2.(g) This section is effective when it becomes law. If approval by the 33
392394 United States Secretary of Health and Human Services is not required for any State plan 34
393395 amendments or for the proposed rules, the proposed rules shall become effective as provided for 35
394396 in G.S. 150B-21.3. If approval by the United States Secretary of Health and Human Services is 36
395397 required for the proposed rules created pursuant to subsection (a) of this section, or if any 37
396398 amendments to the State plan are necessary because of the proposed rules, the proposed rules 38
397399 shall be effective on the first day of the month that follows the date that the Secretary of the North 39
398400 Carolina Department of Health and Human Services receives notification of approval by the 40
399401 United States Secretary of Health and Human Services and as provided for in G.S. 150B-21.3. 41
400402 The Secretary of the North Carolina Department of Health and Human Services shall report to 42
401403 the Revisor of Statutes the applicable effective date once known. 43
402404 44
403405 PART III. PRIVATE CAUSE OF ACTION 45
404406 SECTION 3.(a) Part 1 of Article 3 of Chapter 143B of the General Statutes is 46
405407 amended by adding a new section to read: 47
406408 "§ 143B-138.1A. Private cause of action. 48
407409 If the Secretary of the Department or the Secretary's designee takes any action or causes any 49
408410 action to be taken against an individual through a program created, administered, supervised, or 50
409411 funded by the Department that is operating without going through the required rulemaking 51 General Assembly Of North Carolina Session 2025
410-House Bill 237-Second Edition Page 9
412+House Bill 237-First Edition Page 9
411413 process and the individual experiences a loss or harm, including court costs, attorneys' fees, and 1
412414 other litigation costs, that individual shall have a private cause of action against the Department. 2
413415 The individual must prevail on any claim to be eligible for an award of court costs, attorneys' 3
414416 fees, and other litigation costs." 4
415417 SECTION 3.(b) This section becomes effective October 1, 2025, and is applicable 5
416418 to actions taken by the Department on or after that date. 6
417419 7
418420 PART IV. EDUCATION AND TRAINING REQUIREM ENTS FOR COUNTY SOCI AL 8
419421 SERVICES BOARD MEMBE RS, REGIONAL SOCIAL SERVICES BOARD 9
420422 MEMBERS, CONSOLIDATED HUMAN S ERVICES BOARD MEMBER S, AND 10
421423 COUNTY COMMISSIONERS 11
422424 SECTION 4.(a) G.S. 108A-9 reads as rewritten: 12
423425 "§ 108A-9. Duties and responsibilities. 13
424426 The county board of social services shall have the following duties and responsibilities: 14
425427 (1) To select the county director of social services according to the merit system 15
426428 rules of the North Carolina Human Resources Commission;Commission. 16
427429 (2) To advise county and municipal authorities in developing policies and plans 17
428430 to improve the social conditions of the community;community. 18
429431 (3) To consult with the director of social services about problems relating to his 19
430432 office, and to assist him in planning budgets for the county department of 20
431433 social services;services. 21
432434 (4) To transmit or present the budgets of the county department of social services 22
433435 for public assistance, social services, and administration to the board of county 23
434436 commissioners;commissioners. 24
435437 (4a) To attend education and training sessions provided for new board members 25
436438 during the first year they serve on the board. 26
437439 (5) To have such other duties and responsibilities as the General Assembly, the 27
438440 Department of Health and Human Services or the Social Services Commission 28
439441 or the board of county commissioners may assign to it." 29
440442 SECTION 4.(b) G.S. 108A-15.8 reads as rewritten: 30
441443 "§ 108A-15.8. Regional board of social services. 31
442444 … 32
443445 (m) All regional boards of social services members shall attend education and training 33
444446 sessions provided for new board members during the first year they serve on the board." 34
445447 SECTION 4.(c) The Department of Health and Human Services, Division of Social 35
446448 Services, shall collaborate with key stakeholders, including the North Carolina Association of 36
447449 County Boards of Social Services, the Association of North Carolina County Social Services 37
448450 Directors, the North Carolina Association of County Commissioners, and the University of North 38
449451 Carolina School of Government, to create formal education and training sessions for new county 39
450452 board of social services members in accordance with G.S. 108A-9(4a), as enacted in subsection 40
451453 (a) of this section, and G.S. 108A-15.8(m), as enacted in subsection (b) of this section. The 41
452454 education and training sessions shall include a segment on the potential liabilities of the county 42
453455 or regional board of social services. The education and training sessions shall be available 43
454456 statewide by March 1, 2026. 44
455457 SECTION 4.(d) G.S. 153A-77(d) reads as rewritten: 45
456458 "§ 153A-77. Authority of boards of commissioners over commissions, boards, agencies, etc. 46
457459 … 47
458460 (d) The consolidated human services board shall have authority to: 48
459461 (1) Set fees for departmental services based upon recommendations of the human 49
460462 services director. Fees set under this subdivision are subject to the same 50
461463 restrictions on amount and scope that would apply if the fees were set by a 51 General Assembly Of North Carolina Session 2025
462-Page 10 House Bill 237-Second Edition
464+Page 10 House Bill 237-First Edition
463465 county board of health, a county board of social services, or a mental health, 1
464466 developmental disabilities, and substance abuse area authority. 2
465467 (2) Assure compliance with laws related to State and federal programs. 3
466468 (3) Recommend creation of local human services programs. 4
467469 (4) Adopt local health regulations and participate in enforcement appeals of local 5
468470 regulations. 6
469471 (5) Perform regulatory health functions required by State law. 7
470472 (6) Act as coordinator or agent of the State to the extent required by State or 8
471473 federal law. 9
472474 (7) Plan and recommend a consolidated human services budget. 10
473475 (8) Conduct audits and reviews of human services programs, including quality 11
474476 assurance activities, as required by State and federal law or as may otherwise 12
475477 be necessary periodically. 13
476478 (9) Advise local officials through the county manager. 14
477479 (10) Perform public relations and advocacy functions. 15
478480 (11) Protect the public health to the extent required by law. 16
479481 (12) Perform comprehensive mental health services planning if the county is 17
480482 exercising the powers and duties of an area mental health, developmental 18
481483 disabilities, and substance abuse services board under the consolidated human 19
482484 services board. 20
483485 (13) Develop dispute resolution procedures for human services contractors and 21
484486 clients and public advocates, subject to applicable State and federal dispute 22
485487 resolution procedures for human services programs, when applicable. 23
486488 Except as otherwise provided, the consolidated human services board shall have the powers 24
487489 and duties conferred by law upon a board of health, a social services board, and an area mental 25
488490 health, developmental disabilities, and substance abuse services board. 26
489491 All consolidated human services board members shall attend education and training sessions 27
490492 provided for new board members during the first year they serve on the board. 28
491493 Local employees who serve as staff of a consolidated county human services agency are 29
492494 subject to county personnel policies and ordinances only and are not subject to the provisions of 30
493495 the North Carolina Human Resources Act, unless the county board of commissioners elects to 31
494496 subject the local employees to the provisions of that Act. All consolidated county human services 32
495497 agencies shall comply with all applicable federal laws, rules, and regulations requiring the 33
496498 establishment of merit personnel systems." 34
497499 SECTION 4.(e) The Divisions of Social Services, Public Health, and Mental Health, 35
498500 Developmental Disabilities, and Substance Use Services of the Department of Health and Human 36
499501 Services shall collaborate with key stakeholders, including the North Carolina Association of 37
500502 County Boards of Social Services, the Association of North Carolina County Social Services 38
501503 Directors, the North Carolina Association of County Commissioners, the Association of North 39
502504 Carolina Boards of Health, the Commission for Mental Health, Developmental Disabilities, and 40
503505 Substance Abuse Services, and the University of North Carolina School of Government, to create 41
504506 formal education and training sessions for new consolidated human services board members in 42
505507 accordance with G.S. 153A-77(d), as amended in subsection (d) of this section. The education 43
506508 and training sessions shall include a segment on the potential liabilities of the consolidated human 44
507509 services board. The education and training sessions shall be available statewide by March 1, 45
508510 2026. 46
509511 SECTION 4.(f) Subsections (a), (b), and (d) of this section become effective March 47
510-1, 2026, and by March 1, 2027, all current county board of social services members must have 48
512+1, 2026, and by March 1, 2028, all current county board of social services members must have 48
511513 participated in the education and training sessions provided in G.S. 108A-9(4a), as enacted by 49
512514 this act, all current regional board of social services members must have participated in the 50
513515 education and training sessions provided in G.S. 108A-15.8(m), as enacted by this act, and all 51 General Assembly Of North Carolina Session 2025
514-House Bill 237-Second Edition Page 11
516+House Bill 237-First Edition Page 11
515517 current consolidated human services board members must have participated in the education and 1
516518 training sessions provided in G.S. 153A-77(d), as amended by this act. The remainder of this 2
517519 section is effective when it becomes law. 3
518520 4
519521 PART V. CHILD SUPPORT TRIBUNAL ST UDY BY THE ADMINISTR ATIVE OFFICE 5
520522 OF THE COURTS 6
521523 SECTION 5. The Administrative Office of the Courts shall conduct a feasibility and 7
522524 cost study of a proposed child support tribunal, with dedicated court officers to hear child support 8
523525 matters, using quasi-judicial procedures. The study shall include, at a minimum, strategies to 9
524526 address funding, staffing, and a plan for how the proposed changes will be implemented. The 10
525527 Administrative Office of the Courts shall submit a report of its findings and recommendations to 11
526528 the Joint Legislative Oversight Committee on Health and Human Services by May 1, 2026. 12
527529 13
528530 PART VI. CONFLICTS O F INTEREST WITHIN CO UNTY DEPARTMENTS OF 14
529531 SOCIAL SERVICES 15
530532 SECTION 6.(a) Part 2B of Article 1 of Chapter 108A of the General Statutes is 16
531533 amended by adding a new section to read: 17
532534 "§ 108A-15.16. Conflicts of interest. 18
533535 When conflicts of interest arise in the provision of social services provided by county 19
534536 departments of social services, regional departments of social services, or consolidated human 20
535537 services agencies, the office in which the conflict arose shall work expeditiously to resolve the 21
536538 conflict consistent with applicable law and any policies and procedures established by the 22
537539 Department of Health and Human Services. Policies and procedures shall address financial and 23
538540 practice responsibilities associated with conflicts of interest. Upon identifying a conflict of 24
539541 interest, the office in which the conflict arose shall notify the appropriate authority within the 25
540542 Department of Health and Human Services of the conflict. The Department of Health and Human 26
541543 Services shall have authority to make final decisions regarding conflicts of interest assignments 27
542544 when disputes arise, with the regional office having initial authority when a dispute arises 28
543545 between county departments of social services and consolidated human services agencies, unless 29
544546 no regional office is available, then the central office, and the central office having initial 30
545547 authority when disputes arise between regions. For purposes of this section, a "conflict of 31
546548 interest" occurs when at least one of the following occurs: 32
547549 (1) A county department of social services, regional department of social services, 33
548550 or consolidated human services agency is not able to manage the adverse 34
549551 interests of two individuals to whom the office owes a duty to serve. 35
550552 (2) A preexisting relationship between an individual and a county that results in 36
551553 a county department of social services', regional department of social 37
552554 services', or consolidated human services agency's inability to objectively 38
553555 fulfill its statutory responsibilities. 39
554556 (3) The provision of social services and duty owed by a county department of 40
555557 social services, regional department of social services, or consolidated human 41
556558 services agency conflicts with services and the duty owed by another county 42
557559 department of social services, regional department of social services, or 43
558560 consolidated human services agency." 44
559561 SECTION 6.(b) The Social Services Commission shall adopt rules regarding 45
560562 conflicts of interest management, including establishing reasonable and specific time lines for 46
561563 resolving conflicts of interest, and shall begin the rulemaking process within 30 days of this 47
562564 section becoming law. 48
563565 SECTION 6.(c) The Social Services Commission shall report to the Joint Legislative 49
564566 Oversight Committee on Health and Human Services upon adopting rules pursuant to 50 General Assembly Of North Carolina Session 2025
565-Page 12 House Bill 237-Second Edition
567+Page 12 House Bill 237-First Edition
566568 G.S. 108A-15.16, as enacted in subsection (b) of this section, within 30 days of the adoption of 1
567569 the rules. 2
568570 3
569571 PART VII. INTERIM ST UDY COMMITTEE TO REV IEW CHILD WELFARE 4
570572 PROGRAMS, POLICIES, AND PROCEDURES AND R EVIEW NORTH CAROLINA 5
571573 DEPARTMENT OF HEALTH AND HUMAN SERVICES' COMPLIANCE WITH 6
572574 RULEMAKING REQUIREME NTS 7
573575 SECTION 7.(a) The Joint Legislative Oversight Committee (Committee) on Health 8
574-and Human Services shall do all of the following: 9
576+and Human Services shall do the following: 9
575577 (1) Study, evaluate, and make recommendations on the following: 10
576578 a. Creating a Foster Ombudsman program, including review of House 11
577-Bill 665 from the 2023-2024 biennium and House Bill 165 from the 12
578-current biennium, review of Foster Ombudsman programs and their 13
579-effectiveness in other states, including Maryland and Texas, and the 14
580-cost of implementing a Foster Ombudsman program in North 15
581-Carolina. 16
582-b. Working with churches and nonprofit/private organizations to provide 17
583-services and close gaps in services and needs of foster children, foster 18
584-families, kinship care providers, and to aid in keeping families 19
585-together, including Least of These, Safe Families for Children, and 20
586-Adoption-Share. 21
587-c. Requiring the North Carolina Department of Health and Human 22
588-Services (DHHS) to review all outstanding policies and guidance that 23
589-did not go through the proper rulemaking process and requiring DHHS 24
590-to do so. 25
591-d. Requiring foster parent and kinship care providers' participation in 26
592-court proceedings. 27
593-(2) Work with DHHS and county department of social services boards to create 28
594-more uniform standards regarding child welfare matters and make 29
595-recommendations based on this work. 30
596-(3) Follow up with DHHS for updated information on the work being done by the 31
597-Child Welfare and Family Well-Being Transformation Team since its May 32
598-2022 interim report and make recommendations based on the information 33
599-provided. 34
600-(4) Follow up with DHHS regarding status of regional offices required under 35
601-Ryan's Law (S.L. 2017-41) including services provided, and 36
602-recommendations for statewide, uniform standards in handling child welfare 37
603-matters and areas for improving the delivery of child welfare services and 38
579+Bill 665, review of Foster Ombudsman programs and their 12
580+effectiveness in other states, including Maryland and Texas, and the 13
581+cost of implementing a Foster Ombudsman program in North 14
582+Carolina. 15
583+b. Working with churches and nonprofit/private organizations to provide 16
584+services and close gaps in services and needs of foster children, foster 17
585+families, kinship care providers, and to aid in keeping families 18
586+together, including Least of These, Safe Families for Children, and 19
587+Adoption-Share. 20
588+c. Requiring the North Carolina Department of Health and Human 21
589+Services (DHHS) to review all outstanding policies and guidance that 22
590+did not go through the proper rulemaking process and requiring DHHS 23
591+to do so. 24
592+d. Establishing the regional offices by DHHS as required under Ryan's 25
593+Law (S.L. 2017-41). 26
594+e. Requiring foster parent and kinship care providers' participation in 27
595+court proceedings. 28
596+(2) Work with DHHS and county department of social services boards to create 29
597+more uniform standards regarding child welfare matters and make 30
598+recommendations based on this work. 31
599+(3) Follow up with DHHS for updated information on the work being done by the 32
600+Child Welfare and Family Well-Being Transformation Team and make 33
601+recommendations based on the information provided. 34
602+(4) Work with the Chief Justice of the Supreme Court and his team regarding 35
603+improvements to child welfare/foster/adoption cases, obtain any updates by 36
604+Chief Justice Newby's Task Force of Adverse Childhood Experience (ACE) 37
605+Informed Courts since the release of its final report in December 2023, and 38
604606 make recommendations based on the information provided. 39
605-(5) Work with the Chief Justice of the Supreme Court and his team regarding 40
606-improvements to child welfare/foster/adoption cases, obtain any updates by 41
607-Chief Justice Newby's Task Force of Adverse Childhood Experience (ACE) 42
608-Informed Courts since the release of its final report in December 2023, and 43
609-make recommendations based on the information provided. 44
610-(6) Follow up with DHHS on the status of the development and implementation 45
611-of innovative Medicaid services to fill gaps in care for foster children with 46
612-behavioral health needs and a statewide trauma-informed standardized 47
613-assessment for foster cases, the status of the working group required to be 48
614-established under Section 9E.21 of S.L. 2023-134, and make 49
615-recommendations based on the information provided. 50 General Assembly Of North Carolina Session 2025
616-House Bill 237-Second Edition Page 13
617-(7) Any other issues which the committee deems appropriate for the improvement 1
618-of the child welfare system. 2
619-SECTION 7.(b) The Committee shall report its findings and any legislative 3
620-recommendations to the 2026 Regular Session of the 2025 General Assembly prior to its 4
621-convening. 5
622- 6
623-PART VIII. EFFECTIVE DATE 7
624-SECTION 8. Except as otherwise provided, this act is effective when it becomes 8
625-law. 9
607+(5) Follow up with DHHS on the status of the working group required to be 40
608+established by the 2023 budget to identify innovative Medicaid services to fill 41
609+gaps in care for foster children with behavioral health needs and develop a 42
610+statewide trauma-informed standardized assessment for foster cases and make 43
611+recommendations based on the information provided. 44
612+(6) Any other issues which the committee deems appropriate for the improvement 45
613+of the child welfare system. 46
614+SECTION 7.(b) The Committee shall report its findings and any legislative 47
615+recommendations to the 2026 Regular Session of the 2025 General Assembly prior to its 48
616+convening. 49
617+ 50
618+PART VIII. EFFECTIVE DATE 51 General Assembly Of North Carolina Session 2025
619+House Bill 237-First Edition Page 13
620+SECTION 8. Except as otherwise provided, this act is effective when it becomes 1
621+law. 2