GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 572 Short Title: Veterans/eTMS Pilot Program. (Public) Sponsors: Representatives Willis, B. Jones, Campbell, and Chesser (Primary Sponsors). For a complete list of sponsors, refer to the North Carolina General Assembly web site. Referred to: Homeland Security and Military and Veterans Affairs, if favorable, Health, if favorable, Rules, Calendar, and Operations of the House April 1, 2025 *H572 -v-1* A BILL TO BE ENTITLED 1 AN ACT AUTHORIZING THE DEPARTMENT OF MILITARY AND VETERANS AFFAIRS 2 TO SELECT A PROVIDER TO ESTABLISH A STATEWIDE PILOT PROGRAM TO 3 MAKE ELECTROENCEPHAL OGRAM COMBINED TRANS CRANIAL MAGNETIC 4 STIMULATION TREATMEN T AVAILABLE FOR VETERANS, FIRST RESPONDERS, 5 AND THEIR IMMEDIATE FAMILY MEMBERS. 6 The General Assembly of North Carolina enacts: 7 SECTION 1.(a) The Department of Military and Veterans Affairs shall select a 8 provider to establish a statewide pilot program to make eTMS available for veterans, first 9 responders, and immediate family members of veterans and first responders experiencing one or 10 more of the conditions listed in subsection (b) of this section. For purposes of this act, the 11 following definitions shall apply: 12 (1) Electroencephalogram combined Transcranial Magnetic Stimulation 13 Treatment (eTMS). โ Treatment in which transcranial magnetic stimulation 14 frequency pulses are tuned to the patient's physiology and biometric data. 15 (2) Immediate family. โ A spouse, child, stepchild, parent, or stepparent. 16 (3) Veteran. โ A person who (i) served in the Armed Forces of the United States 17 on active duty, for reasons other than training, and has been discharged under 18 other than dishonorable conditions, (ii) served in a reserve component as 19 defined in 38 U.S.C. ยง 101(27), and (iii) served in the National Guard of any 20 state. 21 SECTION 1.(b) The conditions that shall be the subject of the pilot program are the 22 following: 23 (1) Substance use disorders. 24 (2) Mental illness. 25 (3) Sleep disorders. 26 (4) Traumatic brain injuries. 27 (5) Sexual trauma. 28 (6) Posttraumatic stress disorder and accompanying comorbidities. 29 (7) Concussions. 30 (8) Other brain trauma. 31 (9) Quality of life issues affecting human performance, including issues related 32 to or resulting from problems with cognition and problems maintaining 33 attention, concentration, or focus. 34 General Assembly Of North Carolina Session 2025 Page 2 House Bill 572-First Edition SECTION 1.(c) The provider selected by the Department to conduct the pilot 1 program must display a history of serving veteran and first responder populations at a statewide 2 level. The provider shall establish a network for in-person and off-site care with the goal of 3 providing statewide access. Consideration shall be provided to locations with a large population 4 of first responders and veterans. In addition to traditional eTMS devices, the provider may utilize 5 nonmedical portable magnetic stimulation devices to improve access to underserved populations 6 in remote areas or to be used to serve as a pre-post treatment or a stand-alone device. The provider 7 shall be required to establish and operate a clinical practice and to evaluate outcomes of such 8 clinical practice. 9 SECTION 1.(d) At a minimum, the pilot program shall include all of the following: 10 (1) The establishment of a peer-to-peer support network by the provider made 11 available to all individuals receiving treatment under the program. 12 (2) The requirement that each individual who receives treatment under the 13 program also must receive neurophysiological monitoring, monitoring for 14 symptoms of substance use and other mental health disorders, and access to 15 counseling and wellness programming. Each individual who receives 16 treatment must also participate in the peer-to-peer support network established 17 by the provider. 18 (3) The establishment of protocols which include the use of adopted stimulation 19 frequency and intensity modulation based on EEGs done on days 0, 10, and 20 20 and motor threshold testing, as well as clinical symptoms, signs, and 21 biometrics. 22 (4) The requirement that protocols and outcomes of any treatment provided by 23 the clinical practice shall be collected and reported by the provider not later 24 than September 15, 2026, to the Department, the Joint Legislative Oversight 25 Committee on General Government, and the Fiscal Research Division. The 26 report shall include the bio-data metrics and all expenditures made using State 27 funds. 28 SECTION 1.(e) The Department may adopt rules to implement the provisions of this 29 act. 30 SECTION 2. This act is effective when it becomes law. 31