GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 3 HOUSE BILL 412 Committee Substitute Favorable 4/8/25 Third Edition Engrossed 4/15/25 Short Title: Child Care Regulatory Reforms. (Public) Sponsors: Referred to: March 18, 2025 *H412 -v-3* A BILL TO BE ENTITLED 1 AN ACT TO DECOUPLE T HE CHILD CARE RATED LICENSE SYSTEM AND 2 SUBSIDIZED CHILD CARE SUBSIDY REIMBURSEM ENT RATES AND TO MAK E 3 OTHER CHILD CARE REGULATORY REFORMS. 4 The General Assembly of North Carolina enacts: 5 6 PART I. DECOUPLE RATED LICENSE AND SUBSIDIZED CHILD CARE 7 SECTION 1.(a) The General Assembly recognizes the need to balance maintaining 8 critical health, safety, and welfare standards for child care, as well as a well-established rating 9 system used for informational purposes, with the need to move toward maximizing State funds 10 for child care and increasing the supply of child care from State-funded sources. The General 11 Assembly further recognizes the importance of weighing the need to decrease the cost of child 12 care through deregulatory actions and at the same time maintain child care subsidy 13 reimbursement rates. The purpose of this provision, in part, is to encourage the business 14 community to partner with the State in achieving this goal. 15 SECTION 1.(b) To that end, by May 1, 2026, the Department of Health and Human 16 Services, Division of Child Development and Early Education (Division), shall develop a 17 proposed plan to separate the quality rating improvement system (QRIS) from the requirements 18 and payments for participation in the State-subsidized child care program using the market rate 19 study required by Section 1(c) of this act and make recommendations on implementation of the 20 plan while meeting the federal Child Care and Development Fund requirements. The Division 21 shall submit the proposed plan to the chairs of the House and Senate Appropriations Committees, 22 the chairs of the House and Senate Appropriations Committees on Health and Human Services, 23 the Joint Legislative Oversight Committee on Health and Human Services, and the Fiscal 24 Research Division by May 1, 2026. The current plan will stay in full force and effect until such 25 time as the General Assembly first approves and adopts the proposed plan and any amendments 26 to that plan and then the federal government approves the proposed plan and any amendments. 27 SECTION 1.(c) The Division shall complete a new market rate study by May 1, 28 2026. This market rate study shall be made available to the public by May 1, 2026. The Division 29 shall ensure that the market rate study includes potential rates that are not segmented by 30 star-rating and new market rates for the QRIS system. The Division shall not implement new 31 reimbursement rates unless approved by the federal Administration of Children and Families and 32 authorized to do so by the General Assembly. 33 SECTION 1.(d) Nothing in this section shall be construed as impacting the 34 star-rating requirements for the NC Prekindergarten (NC Pre-K) program. 35 General Assembly Of North Carolina Session 2025 Page 2 House Bill 412-Third Edition 1 PART II. REGULATORY CHANGES 2 SECTION 2. G.S. 110-86(5a) reads as rewritten: 3 "(5a) Lead teacher. – An individual who is responsible for planning and 4 implementing the daily program of activities for a group no more than two 5 groups of children in a child care facility." 6 SECTION 5.(a) G.S. 110-91 reads as rewritten: 7 "§ 110-91. Mandatory standards for a license. 8 All child care facilities shall comply with all State laws and federal laws and local ordinances 9 that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the 10 standards in this section shall be complied with by all child care facilities. However, none 11 Notwithstanding any provision of law or rule to the contrary, any building and grounds which 12 are currently approved for school occupancy and which house a public or private elementary or 13 middle school shall be deemed to have met the space and equipment, sanitation, fire, and building 14 code requirements for a licensed child care facility when the building and grounds are serving 15 the same, or a subset of the same, school-age children in an out-of-school child care program. 16 None of the standards in this section apply to the school-age children of the operator of a child 17 care facility but do apply to the preschool-age children of the operator. Children 13 years of age 18 or older may receive child care on a voluntary basis provided all applicable required standards 19 are met. The standards in this section, along with any other applicable State laws and federal laws 20 or local ordinances, shall be the required standards for the issuance of a license by the Secretary 21 under the policies and procedures of the Commission except that the Commission may, in its 22 discretion, adopt less stringent standards for the licensing of facilities which provide care on a 23 temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. 24 … 25 (6) Space and Equipment Requirements. – There shall be no less than 25 square 26 feet of indoor space for each child for which a child care center is licensed, 27 exclusive of closets, passageways, kitchens, and bathrooms, and this floor 28 space shall provide during rest periods 200 cubic feet of airspace per child for 29 which the center is licensed. There shall be adequate outdoor play area for 30 each child under rules adopted by the Commission which shall be related to 31 the size of center and the availability and location of outside land area. In no 32 event shall the minimum required exceed 75 square feet per child. The outdoor 33 area shall be protected to assure the safety of the children receiving child care 34 by an adequate fence or other protection. A center operated in a public school 35 shall be deemed to have adequate fencing protection. A center operating 36 exclusively during the evening and early morning hours, between 6:00 P.M. 37 and 6:00 A.M., need not meet the outdoor play area requirements mandated 38 by this subdivision. 39 Each child care facility shall provide indoor area equipment and 40 furnishings that are child size, sturdy, safe, and in good repair. Each child care 41 facility that provides outdoor area equipment and furnishings shall provide 42 outdoor area equipment and furnishings that are child size, sturdy, free of 43 hazards that pose a threat of serious injury to children while engaged in normal 44 play activities, and in good repair. The Commission shall adopt standards to 45 establish minimum requirements for equipment appropriate for the size of 46 child care facility. Space shall be available for proper storage of beds, cribs, 47 mats, cots, sleeping garments, and linens as well as designated space for each 48 child's personal belongings. 49 The Division of Child Development of the Department of Health and 50 Human Services shall establish and implement a policy that defines any 51 General Assembly Of North Carolina Session 2025 House Bill 412-Third Edition Page 3 building which is currently approved for school occupancy and which houses 1 a public or private elementary or middle school to include the playgrounds 2 and athletic fields as part of the school building when that building is used to 3 serve school-age children in after-school out-of-school child care programs. 4 Playgrounds and athletic fields referenced in this section that do not meet 5 licensure standards promulgated by the North Carolina Child Care 6 Commission shall be noted on the program's licensure and rating information. 7 …." 8 SECTION 5.(b) The Child Care Commission shall adopt or amend any rules to 9 ensure uniformity and consistency in application of the exemptions for school-age children in 10 out-of-school child care programs as provided in this section. 11 SECTION 6. G.S. 110-91(7)a. reads as rewritten: 12 "a. The Commission shall adopt rules for child care centers regarding 13 staff-child ratios, group sizes and multi-age groupings other than for 14 infants and toddlers, provided that these rules shall be no less stringent 15 than those currently required for staff-child ratios as enacted in Section 16 156(e) of Chapter 757 of the 1985 Session Laws. Each lead teacher 17 shall support no more than two groups. 18 1. Except as otherwise provided in this subdivision, the 19 staff-child ratios and group sizes for infants and toddlers in 20 child care centers shall be no more than as follows: 21 Age Ratio Staff/Children Group Size 22 0 to 12 months 1/5 1015 23 12 to 24 months 1/6 1218 24 2 to 3 years 1/10 20. 25 No child care center shall care for more than 25 children in one 26 group. Child care centers providing care for 26 or more 27 children shall provide for two or more groups according to the 28 ages of children and shall provide separate supervisory 29 personnel and separate identifiable space for each group. 30 1a. If a child care center is operating under voluntary enhanced 31 requirements, the maximum group size for toddlers aged 2 to 32 3 years may be increased from 18 to 20 children when the child 33 care center maintains a 1/9 staff-child ratio. 34 1b. If a child care center is operating under the highest voluntary 35 enhanced requirements, the child care center may use the 36 following maximum group sizes for infants and toddlers when 37 the child care center maintains staff-child ratios as provided 38 herein: 39 Age Ratio Staff/Children Group Size 40 0 to 12 months 1/4 12 41 12 to 24 months 1/5 15 42 2 to 3 years 1/8 20. 43 …." 44 SECTION 7. G.S. 110-91(8) reads as rewritten: 45 "(8) Qualifications for Staff. – Qualifications for child care staff are as follows: 46 a. All child care center administrators shall be at least 21 years of age. 47 All child care center administrators shall have the North Carolina 48 Early Childhood Administration Credential or its equivalent as 49 determined by the Department. All child care administrators 50 performing administrative duties as of the date this act becomes law 51 General Assembly Of North Carolina Session 2025 Page 4 House Bill 412-Third Edition and child care administrators who assume administrative duties at any 1 time after this act becomes law and until September 1, 1998, shall 2 obtain the required credential by September 1, 2000. Child care 3 administrators who assume administrative duties after September 1, 4 1998, shall begin working toward the completion of the North Carolina 5 Early Childhood Administration Credential or its equivalent within six 6 months after assuming administrative duties and shall complete the 7 credential or its equivalent within two years after beginning work to 8 complete the credential. Each child care center shall be under the 9 direction or supervision of a person meeting these requirements. All 10 staff counted toward meeting the required staff-child ratio shall be at 11 least 16 years of age, provided that persons younger than 18 years of 12 age work under the direct supervision of a credentialed staff person 13 who is at least 21 years of age. 14 b. All lead teachers in a child care center shall have at least a North 15 Carolina Early Childhood Credential or its equivalent as determined 16 by the Department. Lead teachers shall either (i) be enrolled in the 17 North Carolina Early Childhood Credential coursework or its 18 equivalent as determined by the Department within six months after 19 becoming employed as a lead teacher or within six months after this 20 act becomes law, whichever is later, and shall complete the credential 21 or its equivalent within 18 months after enrollment.enrollment or (ii) 22 have a minimum of five years of documented experience teaching in a 23 licensed child care facility in this State which shall be deemed 24 equivalent to the North Carolina Early Childhood Credential. 25 c. Only administrators and lead teachers in licensed child care centers are 26 required to have a North Carolina Early Childhood Credential or its 27 equivalent as determined by the Department. All other staff shall meet 28 the standards established by the Commission for their positions that do 29 not include a North Carolina Early Childhood Credential or its 30 equivalent as determined by the Department. 31 d. For child care centers licensed to care for 200 or more children, the 32 Department, in collaboration with the North Carolina Institute for 33 Early Childhood Professional Development, shall establish categories 34 to recognize the levels of education achieved by child care center 35 administrators and teachers who perform administrative functions. 36 The Department shall use these categories to establish appropriate 37 staffing based on the size of the center and the individual staff 38 responsibilities. 39 e. Effective January 1, 1998, an operator of a licensed family child care 40 home shall be at least 21 years old and have a high school diploma or 41 its equivalent. Operators of a family child care home licensed prior to 42 January 1, 1998, shall be at least 18 years of age and literate. Literate 43 is defined as understanding licensing requirements and having the 44 ability to communicate with the family and relevant emergency 45 personnel. Any operator of a licensed family child care home shall be 46 the person on-site providing child care. 47 f. The Commission shall adopt standards to establish appropriate 48 qualifications for all staff in child care centers. These standards shall 49 reflect training, experience, education and credentialing and shall be 50 appropriate for the size center and the level of individual staff 51 General Assembly Of North Carolina Session 2025 House Bill 412-Third Edition Page 5 responsibilities. It is the intent of this provision to guarantee that all 1 children in child care are cared for by qualified people. Pursuant to 2 G.S. 110-106, no requirements may interfere with the teachings or 3 doctrine of any established religious organization. The staff 4 qualification requirements of this subdivision do not apply to 5 religious-sponsored child care facilities pursuant to G.S. 110-106." 6 SECTION 7.5. Caregivers for children aged 0 to 24 months shall meet the Federal 7 Child Care and Development Block Grant health and safety standards as well as the provisions 8 contained in the following North Carolina Child Care Commission rules: 9 (1) 10A NCAC 09 .0511-"Daily Routines for Children Under Two Years of Age". 10 (2) 10A NCAC 09 .1801-"Supervision in Child Care Centers". 11 (3) 10A NCAC 09 .1802-"Staff/Child Interactions". 12 For the care of children aged 0-24 months, child care center operators shall have the 13 option to either employ a lead teacher or a caregiver meeting the standards set forth in this section. 14 SECTION 8. Section 8 of S.L. 2024-34 is amended by adding a new subsection to 15 read: 16 "SECTION 8.(a1) In modifying the quality rating improvement system (QRIS), the Division 17 of Child Development and Early Education shall ensure a North Carolina Early Childhood 18 Credential based on five years of work experience in a licensed child care facility in this State is 19 treated as equivalent to when that credential is earned through other pathways for purposes of 20 awarding a star-rating." 21 SECTION 9. The Weikart Youth Program Quality Assessment ("Weikart Program") 22 shall be added as an assessment tool for evaluating out-of-school child care programs and 23 awarding of a star-rating. The Department of Health and Human Services, Division of Child 24 Development and Early Education, shall complete the necessary crosswalk evaluation of the 25 Weikart Program and have it available for applicants to use not later than one year after the date 26 this act becomes law. 27 SECTION 10. Notwithstanding any other provision of law, rule, or regulation, the 28 Department of Health and Human Services, Division of Child Development and Early Education 29 (Division), shall, for courses offered by a community college in the North Carolina Community 30 Colleges System (NCCCS), assign credit for continuing education courses on the same basis as 31 curriculum courses designated by NCCCS as equivalent to the continuing education courses for 32 the purpose of providing any credential offered by the Division. 33 SECTION 11. The Department of Health and Human Services, Division of Child 34 Development and Early Education, shall: 35 (1) Not later than December 1, 2025, and in consultation with the North Carolina 36 Community Colleges System, create a North Carolina School 37 Age/Out-of-School Care Credential that aligns with a new curriculum course 38 and continuing education course entitled "Introduction to School Age Care 39 and Education." 40 (2) Award the North Carolina Early Childhood Administration Credential or the 41 North Carolina Family Child Care Credential to individuals who have 42 successfully completed continuing education courses that are equivalent to 43 child care curriculum courses, as determined by the Community Colleges 44 System. The Community Colleges System shall ensure that the continuing 45 education courses are comparable to the corresponding curriculum courses in 46 course descriptions, competencies, and hour requirements and shall state the 47 credential that is to be awarded for each continuing education course. 48 SECTION 12.(a) The Commissioner of the Department of Insurance shall establish 49 a workgroup to examine the potential for developing group liability insurance plan opportunities 50 General Assembly Of North Carolina Session 2025 Page 6 House Bill 412-Third Edition for all child care providers. The workgroup shall consist of representatives from all of the 1 following: 2 (1) The Department of Insurance. 3 (2) The insurance industry. 4 (3) The child care industry, including foster family homes and out-of-school 5 providers. 6 (4) The Department of Health and Human Services, Division of Child 7 Development and Early Education. 8 (5) The American Tort Reform Association. 9 SECTION 12.(b) The workgroup shall develop findings and recommendations 10 related to at least the following: 11 (1) Potential methods for creating group liability insurance plan opportunities for 12 all child care providers. 13 (2) Reforms that could reduce group liability insurance plan premiums. 14 (3) Tort reforms that could reduce the liability damages of child care providers. 15 SECTION 12.(c) By January 1, 2026, the Department of Insurance shall report the 16 findings and recommendations of the workgroup to the Joint Legislative Oversight Committee 17 on Health and Human Services, the Joint Legislative Oversight Committee on General 18 Government, and the Fiscal Research Division. 19 SECTION 13. The Child Care Commission shall adopt or amend any rules to ensure 20 uniformity and consistency in application of the provisions of this act. 21 22 PART III. EFFECTIVE DATE 23 SECTION 14. This act is effective when it becomes law. 24