14 | 13 | | A BILL TO BE ENTITLED 1 |
---|
15 | 14 | | AN ACT AUTHORIZING THE DEPARTMENT OF MILITARY AND VETERAN S AFFAIRS 2 |
---|
16 | 15 | | TO SELECT A PROVIDER TO ESTABLISH A STATEWIDE PILOT PROGRAM TO 3 |
---|
17 | 16 | | MAKE ELECTROENCEPHALOGRAM COMBINED TRANSCRANIAL MAGNETIC 4 |
---|
18 | 17 | | STIMULATION TREATMENT AVAILABLE FOR VETERANS, FIRST RESPONDERS, 5 |
---|
19 | 18 | | AND THEIR IMMEDIATE FAMILY MEMBERS. 6 |
---|
20 | 19 | | The General Assembly of North Carolina enacts: 7 |
---|
21 | 20 | | SECTION 1.(a) The Department of Military and Veterans Affairs shall select a 8 |
---|
22 | 21 | | provider to establish a statewide pilot program to make eTMS available for veterans, first 9 |
---|
23 | 22 | | responders, and immediate family members of veterans and first responders experiencing one or 10 |
---|
24 | 23 | | more of the conditions listed in subsection (b) of this section. For purposes of this act, the 11 |
---|
25 | 24 | | following definitions shall apply: 12 |
---|
26 | 25 | | (1) Electroencephalogram combined Transcranial Magnetic Stimulation 13 |
---|
27 | 26 | | Treatment (eTMS). โ Treatment in which transcranial magnetic stimulation 14 |
---|
28 | 27 | | frequency pulses are tuned to the patient's physiology and biometric data. 15 |
---|
29 | 28 | | (2) Immediate family. โ A spouse, child, stepchild, parent, or stepparent. 16 |
---|
30 | 29 | | (3) Veteran. โ A person who (i) served in the Armed Forces of the United States 17 |
---|
31 | 30 | | on active duty, for reasons other than training, and has been discharged under 18 |
---|
32 | 31 | | other than dishonorable conditions, (ii) served in a reserve component as 19 |
---|
33 | 32 | | defined in 38 U.S.C. ยง 101(27), and (iii) served in the National Guard of any 20 |
---|
34 | 33 | | state. 21 |
---|
35 | 34 | | SECTION 1.(b) The conditions that shall be the subject of the pilot program are the 22 |
---|
36 | 35 | | following: 23 |
---|
37 | 36 | | (1) Substance use disorders. 24 |
---|
38 | 37 | | (2) Mental illness. 25 |
---|
39 | 38 | | (3) Sleep disorders. 26 |
---|
40 | 39 | | (4) Traumatic brain injuries. 27 |
---|
41 | 40 | | (5) Sexual trauma. 28 |
---|
42 | 41 | | (6) Posttraumatic stress disorder and accompanying comorbidities. 29 |
---|
43 | 42 | | (7) Concussions. 30 |
---|
44 | 43 | | (8) Other brain trauma. 31 |
---|
45 | 44 | | (9) Quality of life issues affecting human performance, including issues related 32 |
---|
46 | 45 | | to or resulting from problems with cognition and problems maintaining 33 |
---|
47 | | - | attention, concentration, or focus. 34 General Assembly Of North Carolina Session 2025 |
---|
48 | | - | Page 2 House Bill 572-First Edition |
---|
49 | | - | SECTION 1.(c) The provider selected by the Department to conduct the pilot 1 |
---|
50 | | - | program must display a history of serving veteran and first responder populations at a statewide 2 |
---|
51 | | - | level. The provider shall establish a network for in-person and off-site care with the goal of 3 |
---|
52 | | - | providing statewide access. Consideration shall be provided to locations with a large population 4 |
---|
53 | | - | of first responders and veterans. In addition to traditional eTMS devices, the provider may utilize 5 |
---|
54 | | - | nonmedical portable magnetic stimulation devices to improve access to underserved populations 6 |
---|
55 | | - | in remote areas or to be used to serve as a pre-post treatment or a stand-alone device. The provider 7 |
---|
56 | | - | shall be required to establish and operate a clinical practice and to evaluate outcomes of such 8 |
---|
57 | | - | clinical practice. 9 |
---|
58 | | - | SECTION 1.(d) At a minimum, the pilot program shall include all of the following: 10 |
---|
59 | | - | (1) The establishment of a peer-to-peer support network by the provider made 11 |
---|
60 | | - | available to all individuals receiving treatment under the program. 12 |
---|
61 | | - | (2) The requirement that each individual who receives treatment under the 13 |
---|
62 | | - | program also must receive neurophysiological monitoring, monitoring for 14 |
---|
63 | | - | symptoms of substance use and other mental health disorders, and access to 15 |
---|
64 | | - | counseling and wellness programming. Each individual who receives 16 |
---|
65 | | - | treatment must also participate in the peer-to-peer support network established 17 |
---|
66 | | - | by the provider. 18 |
---|
67 | | - | (3) The establishment of protocols which include the use of adopted stimulation 19 |
---|
68 | | - | frequency and intensity modulation based on EEGs done on days 0, 10, and 20 |
---|
69 | | - | 20 and motor threshold testing, as well as clinical symptoms, signs, and 21 |
---|
70 | | - | biometrics. 22 |
---|
71 | | - | (4) The requirement that protocols and outcomes of any treatment provided by 23 |
---|
72 | | - | the clinical practice shall be collected and reported by the provider not later 24 |
---|
73 | | - | than September 15, 2026, to the Department, the Joint Legislative Oversight 25 |
---|
74 | | - | Committee on General Government, and the Fiscal Research Division. The 26 |
---|
75 | | - | report shall include the bio-data metrics and all expenditures made using State 27 |
---|
76 | | - | funds. 28 |
---|
77 | | - | SECTION 1.(e) The Department may adopt rules to implement the provisions of this 29 |
---|
78 | | - | act. 30 |
---|
79 | | - | SECTION 2. This act is effective when it becomes law. 31 |
---|
| 46 | + | attention, concentration, or focus. 34 |
---|
| 47 | + | SECTION 1.(c) The provider selected by the Department to conduct the pilot 35 |
---|
| 48 | + | program must display a history of serving veteran and first responder populations at a statewide 36 |
---|
| 49 | + | H.B. 572 |
---|
| 50 | + | Mar 27, 2025 |
---|
| 51 | + | HOUSE PRINCIPAL CLERK General Assembly Of North Carolina Session 2025 |
---|
| 52 | + | Page 2 DRH40337-LM-109 |
---|
| 53 | + | level. The provider shall establish a network for in-person and off-site care with the goal of 1 |
---|
| 54 | + | providing statewide access. Consideration shall be provided to locations with a large population 2 |
---|
| 55 | + | of first responders and veterans. In addition to traditional eTMS devices, the provider may utilize 3 |
---|
| 56 | + | nonmedical portable magnetic stimulation devices to improve access to underserved populations 4 |
---|
| 57 | + | in remote areas or to be used to serve as a pre-post treatment or a stand-alone device. The provider 5 |
---|
| 58 | + | shall be required to establish and operate a clinical practice and to evaluate outcomes of such 6 |
---|
| 59 | + | clinical practice. 7 |
---|
| 60 | + | SECTION 1.(d) At a minimum, the pilot program shall include all of the following: 8 |
---|
| 61 | + | (1) The establishment of a peer-to-peer support network by the provider made 9 |
---|
| 62 | + | available to all individuals receiving treatment under the program. 10 |
---|
| 63 | + | (2) The requirement that each individual who receives treatment under the 11 |
---|
| 64 | + | program also must receive neurophysiological monitoring, monitoring for 12 |
---|
| 65 | + | symptoms of substance use and other mental health disorders, and access to 13 |
---|
| 66 | + | counseling and wellness programming. Each individual who receives 14 |
---|
| 67 | + | treatment must also participate in the peer-to-peer support network established 15 |
---|
| 68 | + | by the provider. 16 |
---|
| 69 | + | (3) The establishment of protocols which include the use of adopted stimulation 17 |
---|
| 70 | + | frequency and intensity modulation based on EEGs done on days 0, 10, and 18 |
---|
| 71 | + | 20 and motor threshold testing, as well as clinical symptoms, signs, and 19 |
---|
| 72 | + | biometrics. 20 |
---|
| 73 | + | (4) The requirement that protocols and outcomes of any treatment provided by 21 |
---|
| 74 | + | the clinical practice shall be collected and reported by the provider not later 22 |
---|
| 75 | + | than September 15, 2026, to the Department, the Joint Legislative Oversight 23 |
---|
| 76 | + | Committee on General Government, and the Fiscal Research Division. The 24 |
---|
| 77 | + | report shall include the bio-data metrics and all expenditures made using State 25 |
---|
| 78 | + | funds. 26 |
---|
| 79 | + | SECTION 1.(e) The Department may adopt rules to implement the provisions of this 27 |
---|
| 80 | + | act. 28 |
---|
| 81 | + | SECTION 2. This act is effective when it becomes law. 29 |
---|