GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H D
HOUSE BILL DRH40327-MGf-92A
Short Title: Dept. of Health and Human Services Revisions.-AB (Public)
Sponsors: Representative Potts.
Referred to:
*DRH40327 -MGf-92A*
A BILL TO BE ENTITLED 1
AN ACT MAKING TECHNICAL, CONFORMING, AND OTHER MODIFICATIONS TO 2
LAWS PERTAINING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. 3
The General Assembly of North Carolina enacts: 4
5
PART I. LAWS PERTAINING TO THE DIVISION OF CHILD AND FAMILY 6
WELL-BEING 7
8
DESIGNATE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AS THE 9
STATE AGENCY RESPONSIBLE FOR MANAGING SCHOOL NURSE FUNDS 10
SECTION 1.1. G.S. 130A-4.3(b) reads as rewritten: 11
"(b) The Division of Public Health Department shall ensure that school nurses funded with 12
State funds (i) do not assist in any instructional or administrative duties associated with a school's 13
curriculum and (ii) perform all of the following with respect to school health programs: 14
(1) Serve as the coordinator of the health services program and provide nursing 15
care. 16
(2) Provide health education to students, staff, and parents. 17
(3) Identify health and safety concerns in the school environment and promote a 18
nurturing school environment. 19
(4) Support healthy food services programs. 20
(5) Promote healthy physical education, sports policies, and practices. 21
(6) Provide health counseling, assess mental health needs, provide interventions, 22
and refer students to appropriate school staff or community agencies. 23
(7) Promote community involvement in assuring a healthy school and serve as 24
school liaison to a health advisory committee. 25
(8) Provide health education and counseling and promote healthy activities and a 26
healthy environment for school staff. 27
(9) Be available to assist the county health department during a public health 28
emergency." 29
30
PART II. LAWS PERTAINING TO THE DIVISION OF HEALTH BENEFITS 31
32
TEMPORARILY EXTEND OPTION TO DECREASE MEDICAID ENROLLMENT 33
BURDEN ON COUNTY DEPARTMENTS OF SOCIAL SERVICES 34
SECTION 2.1. Section 1.8(a) of S.L. 2023-7, as amended by Section 9(a) of S.L. 35
2024-34, reads as rewritten: 36
H.B. 576
Mar 31, 2025
HOUSE PRINCIPAL CLERK General Assembly Of North Carolina Session 2025
Page 2 DRH40327-MGf-92A
"SECTION 1.8.(a) Notwithstanding G.S. 108A-54(d) and in accordance with 1
G.S. 143B-24(b), the Department of Health and Human Services (DHHS) is authorized, on a 2
temporary basis to conclude by June 30, 2025, 2028, to utilize the federally facilitated 3
marketplace (Marketplace), also known as the federal health benefit exchange, to make Medicaid 4
eligibility determinations. In accordance with G.S. 108A-54(b), G.S. 108A-54(f), these 5
eligibility determinations shall be in compliance with all eligibility categories, resource limits, 6
and income thresholds set by the General Assembly." 7
8
CLARIFY ENROLLMENT IN MEDICAID MANAGED CARE AFTER RELEASE 9
FROM INCARCERATION 10
SECTION 2.2.(a) G.S. 108D-40 reads as rewritten: 11
"§ 108D-40. Populations covered by PHPs. 12
(a) Capitated PHP contracts shall cover all Medicaid program aid categories except for 13
the following categories: 14
… 15
(9) Recipients who are inmates of prisons. Upon the recipient's release from 16
prison, the exception under this subdivision shall continue to apply for a 17
period that is the shorter of the following:until the first day of the month 18
following the twelfth month after the recipient's release. 19
a. The recipient's initial Medicaid eligibility certification period post 20
release. 21
b. Three hundred sixty-five days. 22
(9a) Recipients residing in carceral settings other than prisons and whose Medicaid 23
eligibility has been suspended. Upon the recipient's release from 24
incarceration, the exception under this subdivision shall continue to apply for 25
a period that is the shorter of the following:until the first day of the month 26
following the twelfth month after the recipient's release. 27
a. The recipient's initial Medicaid eligibility certification period post 28
release. 29
b. Three hundred sixty-five days. 30
…." 31
SECTION 2.2.(b) This section is effective when it becomes law and applies to (i) 32
inmates released on or after that date and (ii) inmates released on or after January 1, 2025, who 33
are not enrolled with a PHP on the date this act becomes law. 34
35
CONFORM NORTH CAROLINA LAW TO FEDERAL REQUIREMENTS FOR 36
MEDICAID CATEGORICAL RISK LEVELS FOR PROVIDER SCREENINGS 37
SECTION 2.3.(a) G.S. 108C-3 reads as rewritten: 38
"§ 108C-3. Medicaid provider screening. 39
… 40
(c) Limited Categorical Risk Provider Types. – The following provider types are hereby 41
designated as "limited" categorical risk: 42
… 43
(10) Nursing facilities, including Intermediate Care Facilities for Individuals with 44
Intellectual Disabilities.Disabilities, that are not skilled nursing facilities. 45
… 46
(e) Moderate Categorical Risk Provider Types. – The following provider types are hereby 47
designated as "moderate" categorical risk: 48
… 49
(15) Revalidating skilled nursing facilities, unless they meet the description in 50
subdivision (g)(13) of this section. 51 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 3
… 1
(g) High Categorical Risk Provider Types. – The following provider types are hereby 2
designated as "high" categorical risk: 3
… 4
(13) Prospective (newly enrolling) skilled nursing facilities and those undergoing 5
a change in ownership. 6
…." 7
SECTION 2.3.(b) G.S. 108C-3, as amended by Section 2.3(a) of this act, reads as 8
rewritten: 9
"§ 108C-3. Medicaid provider screening. 10
… 11
(c) Limited Categorical Risk Provider Types. – The following provider types are hereby 12
designated as "limited" categorical risk: 13
(1) Ambulatory surgical centers. 14
(1a) Behavioral health and intellectual and developmental disability provider 15
agencies that are nationally accredited by an entity approved by the 16
Secretary.Secretary, unless they meet the description in subdivision (g)(15) of 17
this section. 18
… 19
(16) Portable X-ray suppliers. 20
… 21
(e) Moderate Categorical Risk Provider Types. – The following provider types are hereby 22
designated as "moderate" categorical risk: 23
… 24
(5) Hospice organizations.Revalidating hospice organizations, unless they meet 25
the description in subdivisions (g)(14) and (g)(15) of this section. 26
… 27
(10) Revalidating adult care homes delivering Medicaid-reimbursed 28
services.services, unless they meet the description in subdivision (g)(15) of 29
this section. 30
(11) Revalidating agencies providing durable medical equipment, including, but 31
not limited to, orthotics and prosthetics.prosthetics, unless they meet the 32
description in subdivision (g)(15) of this section. 33
(12) Revalidating agencies providing nonbehavioral health home- or 34
community-based services pursuant to waivers authorized by the federal 35
Centers for Medicare and Medicaid Services under 42 U.S.C. § 1396n(c).42 36
U.S.C. § 1396n(c), unless they meet the description in subdivision (g)(15) of 37
this section. 38
(13) Revalidating agencies providing private duty nursing, home health, personal 39
care services or in-home care services, or home infusion.infusion, unless they 40
meet the description in subdivision (g)(15) of this section. 41
(14) Nonemergency medical transportation. 42
(15) Revalidating skilled nursing facilities.facilities, unless they meet the 43
description in subdivision (g)(15) of this section. 44
(16) Portable X-ray suppliers. 45
… 46
(g) High Categorical Risk Provider Types. – The following provider types are hereby 47
designated as "high" categorical risk: 48
… 49
(14) Prospective (newly enrolling) hospice organizations and those undergoing a 50
change in ownership. 51 General Assembly Of North Carolina Session 2025
Page 4 DRH40327-MGf-92A
(15) The following revalidating providers (i) who are revalidating for the first time 1
since newly enrolling and (ii) whose fingerprinting requirements, as a newly 2
enrolling provider, were waived due to a national, State, or local emergency: 3
a. Opioid treatment programs that have not been fully and continuously 4
certified by the Substance Abuse and Mental Health Services 5
Administration since October 23, 2018. 6
b. Agencies providing durable medical equipment, including, but not 7
limited to, orthotics and prosthetics. 8
c. Adult care homes delivering Medicaid-reimbursed services. 9
d. Agencies providing private duty nursing, home health, personal care 10
services, or in-home care services, or home infusion. 11
e. Skilled nursing facilities. 12
f. Hospice organizations. 13
…." 14
SECTION 2.3.(c) Subsection (a) of this section is retroactively effective January 1, 15
2023. The remainder of this section is retroactively effective January 1, 2024. 16
17
CLARIFY MEDICAID SUBROGATION RIGHTS IN MANAGED CARE 18
ENVIRONMENT 19
SECTION 2.4.(a) G.S. 108A-57 reads as rewritten: 20
"§ 108A-57. Subrogation rights; withholding of information a misdemeanor. 21
(a) As used in this section, the term "beneficiary" means (i) the beneficiary of medical 22
assistance, including a minor beneficiary, (ii) the medical assistance beneficiary's parent, legal 23
guardian, or personal representative, (iii) the medical assistance beneficiary's heirs, and (iv) the 24
administrator or executor of the medical assistance beneficiary's estate. 25
Notwithstanding any other provisions of the law, to the extent of payments under this Part, 26
the State shall be subrogated to all rights of recovery, contractual or otherwise, of a beneficiary 27
against any person. Any claim brought by a medical assistance beneficiary against a third party 28
shall include a claim for all medical assistance payments for health care items or services 29
furnished to the medical assistance beneficiary as a result of the injury or action, hereinafter 30
referred to as the "Medicaid claim." Any claim brought by a medical assistance beneficiary 31
against a third party that does not state the Medicaid claim shall be deemed to include the 32
Medicaid claim. If the beneficiary has claims against more than one third party related to the 33
same injury, then any amount received in payment of the Medicaid claim related to that injury 34
shall reduce the total balance of the Medicaid claim applicable to subsequent recoveries related 35
to that injury. 36
The Department may designate one or more PHPs to receive all or a portion of payments due 37
under this section to the Department for the Medicaid claim by sending a notice of designation 38
to (i) the beneficiary who has the claim against the third party and (ii) any PHP designated in the 39
notice. As used in this section, the term "designated PHP" refers to a PHP designated in the notice 40
of designation under this subsection. 41
(a1) If the amount of the Medicaid claim does not exceed one-third of the medical 42
assistance beneficiary's gross recovery, it is presumed that the gross recovery includes 43
compensation for the full amount of the Medicaid claim. If the amount of the Medicaid claim 44
exceeds one-third of the medical assistance beneficiary's gross recovery, it is presumed that 45
one-third of the gross recovery represents compensation for the Medicaid claim. 46
(a2) A medical assistance beneficiary may dispute the presumptions established in 47
subsection (a1) of this section by applying to the court in which the medical assistance 48
beneficiary's claim against the third party is pending, or if there is none, then to a court of 49
competent jurisdiction in this State, for a determination of the portion of the beneficiary's gross 50
recovery that represents compensation for the Medicaid claim. An application under this 51 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 5
subsection shall be filed with the court and served on the Department pursuant to the Rules of 1
Civil Procedure no later than 30 days after the date that the settlement agreement is executed by 2
all parties and, if required, approved by the court, or in cases in which judgment has been entered, 3
no later than 30 days after the date of entry of judgment. If a PHP made payments on behalf of a 4
Medicaid beneficiary that are included in the Medicaid claim, then the application shall also be 5
served on that PHP within the same time frame in which service is required on the Department. 6
The court shall hold an evidentiary hearing no sooner than 60 days after the date the action was 7
filed. All of the following shall apply to the court's determination under this subsection: 8
(1) The medical assistance beneficiary has the burden of proving by clear and 9
convincing evidence that the portion of the beneficiary's gross recovery that 10
represents compensation for the Medicaid claim is less than the portion 11
presumed under subsection (a1) of this section. 12
(2) The presumption arising under subsection (a1) of this section is not rebutted 13
solely by the fact that the medical assistance beneficiary was not able to 14
recover the full amount of all claims. 15
(3) If the beneficiary meets its burden of rebutting the presumption arising under 16
subsection (a1) of this section, then the court shall determine the portion of 17
the recovery that represents compensation for the Medicaid claim and shall 18
order the beneficiary to pay the amount so determined to the Department 19
Department, or designated PHP, in accordance with subsection (a5) of this 20
section. In making this determination, the court may consider any factors that 21
it deems just and reasonable. 22
(4) If the beneficiary fails to rebut the presumption arising under subsection (a1) 23
of this section, then the court shall order the beneficiary to pay the amount 24
presumed pursuant to subsection (a1) of this section to the Department 25
Department, or designated PHP, in accordance with subsection (a5) of this 26
section. 27
(a3) Notwithstanding the presumption arising pursuant to subsection (a1) of this section, 28
the medical assistance beneficiary and the Department may reach an agreement on the portion of 29
the recovery that represents compensation for the Medicaid claim. If such an agreement is 30
reached after an application has been filed pursuant to subsection (a2) of this section, a stipulation 31
of dismissal of the application signed by both parties shall be filed with the court. 32
(a4) Within 30 days of receipt of the proceeds of a settlement or judgment related to a 33
claim described in subsection (a) of this section, the medical assistance beneficiary or any 34
attorney retained by the beneficiary shall notify the Department Department, and any designated 35
PHP, of the receipt of the proceeds. 36
(a5) The medical assistance beneficiary or any attorney retained by the beneficiary shall, 37
out of the proceeds obtained by or on behalf of the beneficiary by settlement with, judgment 38
against, or otherwise from a third party by reason of injury or death, distribute to the Department 39
Department, or designated PHP, the amount due pursuant to this section as follows: 40
(1) If, upon the expiration of the time for filing an application pursuant subsection 41
(a2) of this section, no application has been filed, then the amount presumed 42
pursuant to subsection (a1) of this section, as prorated with the claims of all 43
others having medical subrogation rights or medical liens against the amount 44
received or recovered, shall be paid to the Department Department, or 45
designated PHP, within 30 days of the beneficiary's receipt of the proceeds, in 46
the absence of an agreement pursuant to subsection (a3) of this section. 47
(2) If an application has been filed pursuant to subsection (a2) of this section and 48
no agreement has been reached pursuant to subsection (a3) of this section, 49
then the Department Department, or designated PHP, shall be paid as follows: 50 General Assembly Of North Carolina Session 2025
Page 6 DRH40327-MGf-92A
a. If the beneficiary rebuts the presumption arising under subsection (a1) 1
of this section, then the amount determined by the court pursuant to 2
subsection (a2) of this section, as prorated with the claims of all others 3
having medical subrogation rights or medical liens against the amount 4
received or recovered, shall be paid to the Department Department, or 5
designated PHP, within 30 days of the entry of the court's order. 6
b. If the beneficiary fails to rebut the presumption arising under 7
subsection (a1) of this section, then the amount presumed pursuant to 8
subsection (a1) of this section, as prorated with the claims of all others 9
having medical subrogation rights or medical liens against the amount 10
received or recovered, shall be paid to the Department Department, or 11
designated PHP, within 30 days of the entry of the court's order. 12
(3) If an agreement has been reached pursuant to subsection (a3) of this section, 13
then the agreed amount, as prorated with the claims of all others having 14
medical subrogation rights or medical liens against the amount received or 15
recovered, shall be paid to the Department Department, or designated PHP, 16
within 30 days of the execution of the agreement by the medical assistance 17
beneficiary and the Department. 18
(a6) The United States and the State of North Carolina shall be entitled to shares in each 19
net recovery by the Department under this section. Their shares shall be promptly paid under this 20
section and their proportionate parts of such sum shall be determined in accordance with the 21
matching formulas in use during the period for which assistance was paid to the recipient. 22
(b) It is a Class 1 misdemeanor for any person seeking or having obtained assistance 23
under this Part for himself or another to willfully fail to disclose to the county department of 24
social services or its attorney and to the Department the identity of any person or organization 25
against whom the recipient of assistance has a right of recovery, contractual or otherwise. 26
(c) (For contingent repeal, see note) This section applies to the administration of and 27
claims payments under the NC Health Choice Program established under Part 8 of this Article. 28
(d) As required to ensure compliance with this section, the Department may apply to the 29
court in which the medical assistance beneficiary's claim against the third party is pending, or if 30
there is none, then to a court of competent jurisdiction in this State for enforcement of this 31
section." 32
SECTION 2.4.(b) This section is effective when it becomes law and applies to 33
Medicaid claims brought by medical assistance beneficiaries against third parties on or after that 34
date. 35
36
PART III. LAWS PERTAINING TO THE DIVISION OF HEALTH SERVICE 37
REGULATION 38
39
ALIGN CAPACITY OF MEDICAL FOSTER HOMES OPERATING IN THE STATE 40
UNDER THE SUPERVISION OF THE UNITED STATES DEPARTMENT OF 41
VETERANS AFFAIRS WITH FEDERAL REGULATIONS 42
SECTION 3.1. G.S. 131D-2.3 reads as rewritten: 43
"§ 131D-2.3. Exemptions from licensure. 44
The following are excluded from this Article and are not required to be registered or obtain 45
licensure under this Article: 46
(1) Facilities licensed under Chapter 122C or Chapter 131E of the General 47
Statutes. 48
(2) Persons subject to rules of the Division of Employment and Independence for 49
People with Disabilities. 50 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 7
(3) Facilities that care for no more than four three persons, all of whom are under 1
the supervision of the United States Veterans Administration. 2
(4) Facilities that make no charges for housing, amenities, or personal care 3
service, either directly or indirectly. 4
(5) Institutions that are maintained or operated by a unit of government and that 5
were established, maintained, or operated by a unit of government and exempt 6
from licensure by the Department on September 30, 1995." 7
8
AUTHORIZE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO 9
INSPECT RESIDENCES OR FACILITIES BELIEVED TO BE OPERATING AS 10
ADULT CARE HOMES WITHOUT A LICENSE AND INCREASE PENALTIES FOR 11
UNLAWFUL ADULT CARE HOME OPERATIONS 12
SECTION 3.2.(a) G.S. 131D-2.5(b) reads as rewritten: 13
"(b) The Department shall charge each registered multiunit assisted housing with services 14
program a nonrefundable annual registration fee of three hundred fifty dollars ($350.00). Any 15
individual or corporation that establishes, conducts, manages, or operates a multiunit housing 16
with services program, subject to registration under this section, that fails to register is guilty of 17
a Class 3 misdemeanor and, upon conviction shall be punishable only by a fine of not more than 18
fifty dollars ($50.00) for the first offense and not more than five hundred dollars ($500.00) for 19
each subsequent offense. Class H felony, including a fine of one thousand dollars ($1,000) per 20
day for each day the facility is in operation in violation of this Article. Each day of a continuing 21
violation after conviction shall be considered a separate offense." 22
SECTION 3.2.(b) G.S. 131D-2.6 reads as rewritten: 23
"§ 131D-2.6. Legal action by Department. 24
(a) Notwithstanding the existence or pursuit of any other remedy, the Department may, 25
in the manner provided by law, maintain an action in the name of the State for injunction or other 26
process against any person to restrain or prevent the establishment, conduct, management, or 27
operation of an adult care home without a license. Such action shall be instituted in the superior 28
court of the county in which any unlicensed activity has occurred or is occurring. 29
(a1) The Department and county departments of social services may inspect any of the 30
following as authorized by law: 31
(1) A residence or facility the Department believes to be operating as an assisted 32
living residence without an appropriate license or registration. 33
(2) A registered multiunit assisted housing with services facility to determine if it 34
is operating as a licensable adult care home facility without a license. 35
(b) Any individual or corporation that establishes, conducts, manages, or operates a 36
facility subject to licensure under this section without a license is guilty of a Class 3 misdemeanor 37
and, upon conviction, shall be punishable only by a fine of not more than fifty dollars ($50.00) 38
for the first offense and not more than five hundred dollars ($500.00) for each subsequent offense. 39
an assisted living facility without a license or registration, as required under this Article, is guilty 40
of a Class H felony, including a fine of one thousand dollars ($1,000) per day for each day the 41
facility is in operation in violation of this Article. Each day of a continuing violation after 42
conviction shall be considered a separate offense. 43
(c) If any person shall hinder the proper performance of duty of the Secretary or the 44
Secretary's representative in carrying out this section, the Secretary may institute an action in the 45
superior court of the county in which the hindrance has occurred for injunctive relief against the 46
continued hindrance, irrespective of all other remedies at law. 47
(d) Actions under this section shall be in accordance with Article 37 of Chapter 1 of the 48
General Statutes and Rule 65 of the Rules of Civil Procedure." 49
SECTION 3.2.(c) This section becomes effective December 1, 2025, and applies to 50
offenses committed on or after that date. 51 General Assembly Of North Carolina Session 2025
Page 8 DRH40327-MGf-92A
1
ALIGN HOSPITAL REPORTING REQUIREMENTS UNDER THE HOSPITAL 2
VIOLENCE PROTECTION ACT WITH THE HOSPITAL LICENSE RENEWAL 3
APPLICATION PROCESS 4
SECTION 3.3.(a) G.S. 131E-76 is amended by adding a new subdivision to read: 5
"(1c) Division of Health Service Regulation. – The Division of Health Service 6
Regulation within the Department of Health and Human Services." 7
SECTION 3.3.(b) G.S. 131E-88.2 reads as rewritten: 8
"§ 131E-88.2. Reports. 9
(a) Annually by October 1, the Department of Health and Human Services, February 28, 10
each hospital shall report to the Division of Health Service Regulation, shall collect in a manner 11
and format requested by the Department, the following data from hospitals for the preceding 12
calendar year: for the prior federal fiscal year ending September 30: (i) the number of assaults 13
occurring in the hospital or on hospital grounds that required the involvement of law 14
enforcement, whether the assaults involved hospital personnel, and how those assaults were 15
pursued by the hospital and processed by the judicial system, (ii) the number and impact of 16
incidences where patient behavioral health and substance use issues resulted in violence in the 17
hospital and the number that occurred specifically in the emergency department, and (iii) the 18
number of workplace violence incidences occurring at the hospital that were reported as required 19
by accrediting agencies, the Occupational Safety and Health Administration, and other entities. 20
(b) The Department of Health and Human Services shall compile the information 21
required by subsection (a) of this section and shall share that data with the North Carolina 22
Sheriffs' Association, the North Carolina Association of Chiefs of Police, and the North Carolina 23
Emergency Management Association. The Department shall request these organizations examine 24
the data and make recommendations to the Department to decrease the incidences of violence in 25
hospitals and to decrease assaults on hospital personnel. 26
(c) The Department shall compile the information required by subsections (a) and (b) of 27
this section and report findings and recommendations to the Joint Legislative Oversight 28
Committee on Health and Human Services annually by December 1.May 1." 29
30
REPEAL NC NEW ORGANIZATIONAL VISION AWARD PROGRAM 31
SECTION 3.4. Part 6 of Article 6 of Chapter 131E of the General Statutes is 32
repealed. 33
34
DESIGNATE THE NC OFFICE OF EMERGENCY MEDICAL SERVICES AS THE 35
ENTITY RESPONSIBLE FOR APPROVING INDIVIDUALS TO ADMINISTER 36
EPINEPHRINE 37
SECTION 3.5. G.S. 143-509 reads as rewritten: 38
"§ 143-509. Powers and duties of Secretary. 39
The Secretary of the Department of Health and Human Services has full responsibilities for 40
supervision and direction of the emergency medical services program and, to that end, shall 41
accomplish all of the following: 42
… 43
(9) Promote a means of training individuals to administer life-saving treatment to 44
persons who suffer a severe adverse reaction to agents that might cause 45
anaphylaxis. Individuals, upon successful completion of this training 46
program, may be approved by the North Carolina Medical Care Commission 47
Office of Emergency Medical Services to administer epinephrine to these 48
persons, in the absence of the availability of physicians or other practitioners 49
who are authorized to administer the treatment. This training may also be 50
offered as part of the emergency medical services training program. 51 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 9
…." 1
2
PART IV. LAWS PERTAINING TO THE DIVISION OF PUBLIC HEALTH 3
4
REVISE THE COMPOSITION OF LOCAL CHILD FATALITY REVIEW TEAMS TO 5
SUPPORT GREATER EFFICIENCY 6
SECTION 4.1. G.S. 7B-1407 reads as rewritten: 7
"§ 7B-1407. Local Teams; composition and leadership. 8
… 9
(b) Each Local Team shall consist of the following persons: 10
(1) The director of the county department of social services or the director of the 11
consolidated human services agency and a member of the director's 12
staff.agency, or the director's designee, who shall be a member of senior 13
management. 14
(1a) A staff member of the county department of social services or of the 15
consolidated human services agency, appointed by the county department of 16
social services or the consolidated human services agency. 17
(2) A local law enforcement officer, appointed by the board of county 18
commissioners. 19
(3) An attorney from the district attorney's office, appointed by the district 20
attorney. 21
(4) The executive director of the local community action agency, as defined by 22
the Department of Health and Human Services, or the executive director's 23
designee. 24
(5) The superintendent of each local school administrative unit located in the 25
county, or the superintendent's designee. 26
(6) A member of the county board of social services, appointed by the chair of 27
that board. 28
(7) A local mental health professional, appointed by the director of the area 29
authority established under Chapter 122C of the General Statutes. 30
(8) The local guardian ad litem coordinator, or the coordinator's designee. 31
(9) The director of the local department of public health.health, or the director's 32
designee, who shall be a member of senior management. 33
(10) A local health care provider, appointed by the local board of health. 34
(11) An emergency medical services provider or firefighter, appointed by the board 35
of county commissioners. 36
(12) A district court judge, appointed by the chief district court judge in that 37
district. 38
(13) A county medical examiner, appointed by the Chief Medical Examiner. 39
(14) A representative of a local child care facility or Head Start program, appointed 40
by the director of the county department of social services. 41
(15) A parent of a child who died before reaching the child's eighteenth birthday, 42
to be appointed by the board of county commissioners. 43
(c) The chair of the Local Team may invite a maximum of five additional individuals to 44
participate on the Local Team on an ad hoc basis for a specific review if the chair believes the 45
individual's subject matter expertise or position within an organization will enhance the ability 46
of the Local Team to conduct an effective review. The chair may select ad hoc members from 47
outside of the county or counties served by the Local Team. As a condition of participating in a 48
specific review, each ad hoc member is required to sign the same confidentiality statement signed 49
by a Local Team member and is subject to the provisions of G.S. 7B-1413. 50
…." 51 General Assembly Of North Carolina Session 2025
Page 10 DRH40327-MGf-92A
1
REMOVE ERRONEOUS REFERENCES TO THE COMMISSION FOR PUBLIC 2
HEALTH FROM STATUTES GOVERNING THE STATEWIDE CHEMICAL 3
ALCOHOL TESTING PROGRAM ADMINISTERED BY THE FORENSIC TESTS FOR 4
ALCOHOL BRANCH 5
SECTION 4.2.(a) G.S. 15A-534.2(d) reads as rewritten: 6
"(d) In making his a determination about whether a defendant detained under this section 7
remains impaired, the judicial official may request that the defendant submit to periodic tests to 8
determine his the defendant's alcohol concentration. Instruments acceptable for making 9
preliminary breath tests under G.S. 20-16.3 may be used for this purpose as well as instruments 10
for making evidentiary chemical analyses. Unless there is evidence that the defendant is still 11
impaired from a combination of alcohol and some other impairing substance or condition, a 12
judicial official must is required to determine that a defendant with an alcohol concentration less 13
than 0.05 is no longer impaired. The results of any periodic test to determine alcohol 14
concentration may not be introduced in evidence:into evidence in either of the following 15
circumstances: 16
(1) Against the defendant by the State in any criminal, civil, or administrative 17
proceeding arising out of an offense involving impaired driving; ordriving. 18
(2) For any purpose in any proceeding if the test was not performed by a method 19
approved by the Commission for Public Health Department of Health and 20
Human Services under G.S. 20-139.1 and by a person licensed to administer 21
the test by the Department of Health and Human Services. 22
The fact that a defendant refused to comply with a judicial official's request that he submit to a 23
chemical analysis may not be admitted into evidence in any criminal action, administrative 24
proceeding, or a civil action to review a decision reached by an administrative agency in which 25
the defendant is a party." 26
SECTION 4.2.(b) G.S. 20-138.7(d) reads as rewritten: 27
"(d) Alcohol Screening Test. – Notwithstanding any other provision of law, an alcohol 28
screening test may be administered to a driver suspected of violating subsection (a) of this 29
section, and the results of an alcohol screening test or the driver's refusal to submit may be used 30
by a law enforcement officer, a court, or an administrative agency in determining if alcohol was 31
present in the driver's body. No alcohol screening tests are valid under this section unless the 32
device used is one approved by the Commission for Public Health, Department of Health and 33
Human Services, and the screening test is conducted in accordance with the applicable 34
regulations of the Commission rules adopted by the Department of Health and Human Services 35
as to the manner of its use." 36
37
REMOVE REFERENCES TO THE NORTH CAROLINA MEDICAL SOCIETY 'S 38
DEFUNCT CANCER COMMITTEE 39
SECTION 4.3.(a) G.S. 130A-33.50 reads as rewritten: 40
"§ 130A-33.50. Advisory Committee on Cancer Coordination and Control established; 41
membership, compensation. 42
… 43
(b) The Committee shall have consist of up to 34 members, including the Secretary of the 44
Department or the Secretary's designee. The members of the Committee shall elect a chair and 45
vice-chair from among the Committee membership. The Committee shall meet not more than 46
twice a year at the call of the chair. Six of the members shall be legislators, three of whom shall 47
be appointed by the Speaker of the House of Representatives, and three of whom shall be 48
appointed by the President Pro Tempore of the Senate. Four of the members shall be cancer 49
survivors, two of whom shall be appointed by the Speaker of the House of Representatives, and 50 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 11
two of whom shall be appointed by the President Pro Tempore of the Senate. The remainder of 1
the members shall be appointed by the Governor as follows: 2
(1) One member from the Department of Environmental Quality;Quality. 3
(2) Three members, one from each of the following: the Department, the 4
Department of Public Instruction, and the North Carolina Community College 5
System;System. 6
(3) Four members representing the cancer control programs at North Carolina 7
medical schools, one from each of the following: the University of North 8
Carolina at Chapel Hill School of Medicine, the Bowman Gray School of 9
Medicine, the Duke University School of Medicine, and the East Carolina 10
University School of Medicine;Medicine. 11
(4) One member who is an oncology nurse representing the North Carolina 12
Nurses Association;Association. 13
(5) One member representing the Cancer Committee of the North Carolina 14
Medical Society;Society. 15
(6) One member representing the Old North State Medical Society;Society. 16
(7) One member representing the American Cancer Society, North Carolina 17
Division, Inc.;Division, Inc. 18
(8) One member representing the North Carolina Hospital 19
Association;Association. 20
(9) One member representing the North Carolina Association of Local Health 21
Directors;Directors. 22
(10) One member who is a primary care physician licensed to practice medicine in 23
North Carolina;North Carolina. 24
(11) One member representing the American College of Surgeons;Surgeons. 25
(12) One member representing the North Carolina Oncology Society;Society. 26
(13) One member representing the Association of North Carolina Cancer 27
Registrars;Registrars. 28
(14) One member representing the Medical Directors of the North Carolina 29
Association of Health Plans; andPlans. 30
(15) Up to four additional members at large. 31
Except for the Secretary, the members shall be appointed for staggered four-year terms and 32
until their successors are appointed and qualify. The Governor may remove any member of the 33
Committee from office in accordance with the provisions of G.S. 143B-13. Members may 34
succeed themselves for one term and may be appointed again after being off the Committee for 35
one term. 36
…." 37
SECTION 4.3.(b) G.S. 130A-213 reads as rewritten: 38
"§ 130A-213. Cancer Committee of the North Carolina Medical Society.Consultation with 39
the Advisory Committee on Cancer Coordination and Control. 40
In implementing this Part, the Department shall consult with the Cancer Committee of the 41
North Carolina Medical Society. The Committee shall consist of at least one physician from each 42
congressional district. Advisory Committee on Cancer Coordination and Control established by 43
G.S. 130A-33.50. Any proposed rules or reports affecting the operation of the cancer control 44
program shall be reviewed by the Committee for comment prior to adoption." 45
46
AUTHORIZE LOCAL REGISTRARS AT LOCAL HEALTH DEPARTMENTS TO 47
REMOVE OUTDATED REFERENCES TO PAPER FORMAT VITAL RECORDS 48
SECTION 4.4. G.S. 130A-97 reads as rewritten: 49
"§ 130A-97. Duties of local registrars. 50
The local registrar shall:shall do all of the following: 51 General Assembly Of North Carolina Session 2025
Page 12 DRH40327-MGf-92A
(1) Administer and enforce provisions of this Article and the rules, and 1
immediately report any violation to the State Registrar;Registrar. 2
(2) Furnish certificate forms and instructions supplied by the State Registrar to 3
persons who require them;them. 4
(3) Examine each certificate when submitted to determine if it has been completed 5
in accordance with the provisions of this Article and the rules. If a certificate 6
is incomplete or unsatisfactory, the responsible person shall be notified and 7
required to furnish the necessary information. All birth and death certificates 8
shall be typed or written legibly prepared in permanent black, blue-black, or 9
blue ink;black ink. 10
(4) Enter the date on which a certificate is received and sign Sign and date as local 11
registrar;registrar using the registration method prescribed by the State 12
Registrar. 13
(5) Transmit Using the registration method prescribed by the State Registrar, 14
transmit to the register of deeds of the county a copy of each certificate 15
registered within seven days of after receipt of a birth or death certificate. The 16
copy transmitted transmittal shall include the race of the father and mother if 17
that information is contained on the State copy of in the State Record of the 18
certificate of live birth. Copies transmitted may be on blanks furnished by the 19
State Registrar or may be photocopies made in a manner approved by the 20
register of deeds. The local registrar may also keep a copy of each certificate 21
for no more than two years;years. 22
(6) On the fifth day of each month or more often, if requested, send to the State 23
Registrar all original certificates registered during the preceding month; 24
andmonth. 25
(7) Maintain records, make reports and perform other duties required by the State 26
Registrar." 27
28
ALIGN STATE LAW WITH UPDATED FEDERAL GUIDELINES CONCERNING THE 29
COMMUNICATION OF MAMMOGRAPHIC INFORMATION TO PATIENTS 30
SECTION 4.5. G.S. 130A-215.5 reads as rewritten: 31
"§ 130A-215.5. Communication of mammographic breast density information to patients. 32
(a) All health care facilities that perform mammography examinations shall include in 33
the summary of the mammography report, required by federal law to be provided to a patient, 34
information that identifies the patient's individual breast density classification based on the Breast 35
Imaging Reporting and Data System established by the American College of Radiology. If the 36
facility determines that a patient has heterogeneously or extremely dense breasts, the summary 37
of the mammography report shall include the following notice: 38
"Your mammogram indicates that you may have dense breast tissue. Dense breast tissue is 39
relatively common and is found in more than forty percent (40%) of women. The presence of 40
dense tissue may make it more difficult to detect abnormalities in the breast and may be 41
associated with an increased risk of breast cancer. We are providing this information to raise your 42
awareness of this important factor and to encourage you to talk with your physician about this 43
and other breast cancer risk factors. Together, you can decide which screening options are right 44
for you. A report of your results was sent to your physician.provide each patient with a summary 45
of the mammography report in language understandable by a layperson that includes an 46
assessment of the patient's breast density. 47
(a1) Each health care facility that provides a mammography report to a patient following 48
a mammography examination shall include in the report information about breast density based 49
on the patient's mammogram that is consistent with the federal regulations issued by the United 50
States Food and Drug Administration pursuant to the Mammography Quality Standards Act, 42 51 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 13
U.S.C. § 263b, et seq., as from time to time amended. If a health care facility determines that a 1
patient has heterogeneously or extremely dense breasts, the report provided to the patient shall 2
communicate all of the following information: 3
(1) Breast tissue can be either dense or not dense. 4
(2) Dense breast tissue makes it harder to find breast cancer on a mammogram 5
and also increases the risk of developing breast cancer. 6
(3) In some people with dense breast tissue, other imaging tests in addition to a 7
mammogram may help find cancers. 8
(4) Patients with dense breast tissue should talk to their healthcare provider about 9
breast density, risks for breast cancer, and their individual situation. 10
(b) Patients Health care facilities may direct patients who receive diagnostic or screening 11
mammograms may be directed to informative material about breast density. This informative 12
material may include the American College of Radiology's most current brochure on the subject 13
of breast density." 14
15
EXTEND THE OPTION FOR NORTH CAROLINIANS TO DONATE A PORTION OF 16
THEIR TAX REFUNDS TO THE BREAST AND CERVICAL CANCER CONTROL 17
PROGRAM 18
SECTION 4.6. G.S. 105-269.8 reads as rewritten: 19
"§ 105-269.8. Contribution by individual for early detection of breast and cervical cancer. 20
(a) Contribution. – An individual entitled to a refund of income taxes under Part 2 of 21
Article 4 of this Chapter may elect to contribute all or part of the refund to be used for early 22
detection of breast and cervical cancer at the Cancer Prevention and Control Branch of the 23
Division of Public Health of the Department of Health and Human Services. The Secretary shall 24
provide appropriate language and space on the individual income tax form in which to make the 25
election. The Secretary shall include in the income tax instructions an explanation that the 26
contributions will be used for early detection of breast and cervical cancer only. The election 27
becomes irrevocable upon filing the individual's income tax return for the taxable year. 28
(b) Distribution. – The Secretary shall transmit the contributions made pursuant to this 29
section to the State Treasurer to be distributed for early detection of breast and cervical cancer. 30
The State Treasurer shall distribute the contributions to the Cancer Prevention and Control 31
Branch of the Division of Public Health of the Department of Health and Human Services. Funds 32
distributed pursuant to this section shall be used only for early detection of breast and cervical 33
cancer and shall be used in accordance with North Carolina's Breast and Cervical Cancer Control 34
Program's policies and procedures. 35
(c) Sunset. – This section expires for taxable years beginning on or after January 1, 36
2026.January 1, 2030." 37
38
PART V. LAWS PERTAINING TO THE DIVISION OF SOCIAL SERVICES 39
40
AUTHORIZE MAGISTRATES TO ACCEPT FOR FILING PETITIONS FOR ADULT 41
PROTECTIVE SERVICES EMERGENCY ORDERS AFTER BUSINESS HOURS AND 42
TO HEAR EX PARTE MOTIONS REGARDING THESE PETITIONS WHEN A 43
DISTRICT COURT JUDGE IS UNAVAILABLE 44
SECTION 5.1. Article 6 of Chapter 108A of the General Statutes is amended by 45
adding the following new sections to read: 46
"§ 108A-106.1. Immediate need for petition for emergency services when clerk's office is 47
closed. 48
(a) When the office of the clerk is closed, a magistrate shall accept for filing a petition 49
for an order authorizing the provision of emergency services to a disabled adult and shall note 50
the date of the filing. 51 General Assembly Of North Carolina Session 2025
Page 14 DRH40327-MGf-92A
(b) The authority of the magistrate under this section is limited to emergency situations 1
in which a petition is filed under G.S. 108A-106 seeking an order ex parte for the provision of 2
emergency services to a disabled adult. Any magistrate who accepts a petition for filing under 3
this section shall deliver the petition to the clerk's office for filing as soon as that office is open 4
for business. 5
"§ 108A-106.2. Ex parte emergency orders authorized outside of the clerk's regular 6
business hours. 7
(a) The chief district court judge may authorize one or more magistrates to hear ex parte 8
motions for the provision of emergency services to disabled adults. A magistrate may proceed 9
with hearing a motion ex parte under this subsection only if, prior to the hearing, the magistrate 10
determines that at the time the party is seeking emergency services ex parte the district court is 11
not in session and a district court judge is not and will not be available to hear the motion. 12
(b) Notwithstanding the requirements of Rule 58 of the North Carolina Rules of Civil 13
Procedure, an order for emergency services issued ex parte is effective and enforceable when 14
reduced to writing and signed by a district court judge or a magistrate authorized in accordance 15
with subsection (a) of this section to issue the order. A district court judge or an authorized 16
magistrate that issues an ex parte order under this section shall deliver the signed order to the 17
clerk's office for filing as soon as that office is open for business. 18
(c) All communications, notices, authorizations, orders, and requests under this section 19
may be made by telephone when other means of communication are impractical. A copy of the 20
petition for the order shall be provided to the district court judge or the authorized magistrate by 21
any appropriate, secure method, including hand delivery, facsimile, or encrypted electronic 22
means. All written orders pursuant to telephonic communication shall bear the name and the title 23
of the director, the name and the title of the district court judge or authorized magistrate 24
approving the ex parte order, the hour and date of the magistrate's authorization under subsection 25
(a) of this section to hear ex parte motions for the provision of emergency services to disabled 26
adults, and the signature and the title of the magistrate who accepted the petition for filing, as 27
permitted under G.S. 108A-106.1." 28
29
ALIGN STATE LAW WITH THE FEDERAL PROHIBITION ON CONDITIONAL 30
EMPLOYMENT OF APPLICANTS OF CHILD CARE INSTITUTIONS PRIOR TO 31
OBTAINING CRIMINAL HISTORY RECORD CHECK RESULTS 32
SECTION 5.2. G.S. 108A-150(g) reads as rewritten: 33
"(g) Conditional Employment. – A child care institution may shall not employ an applicant 34
conditionally prior to obtaining the results of a criminal history record check regarding the 35
applicant if both of the following requirements are met:applicant. 36
(1) The child care institution shall not employ an applicant prior to obtaining the 37
applicant's consent for a criminal history record check as required in 38
subsection (b) of this section or the completed fingerprint cards as required in 39
G.S. 143B-1209.53. 40
(2) The child care institution shall submit the request for a criminal history record 41
check not later than five business days after the individual begins conditional 42
employment." 43
44
ALIGN DISSEMINATION OF BACKGROUND CHECK INFORMATION FOR 45
PROSPECTIVE ADOPTIVE AND FOSTER CARE PARENTS WITH FEDERAL 46
POLICY, LAW, AND STANDARDS 47
SECTION 5.3.(a) G.S. 48-3-309(e) reads as rewritten: 48
"(e) The Department shall notify the prospective adoptive parent's supervising county 49
department of social services of the results of the criminal history check. In accordance with the 50
federal and State law regulating the dissemination of the contents of the criminal history file, the 51 General Assembly Of North Carolina Session 2025
DRH40327-MGf-92A Page 15
Department shall not release or disclose any portion of an individual's criminal history to the 1
prospective adoptive parent or any other individual required to be checked. the Department may 2
provide the prospective adoptive parent or any other individual required to submit to a criminal 3
history record check pursuant to subsection (a) of this section a copy of that applicant's criminal 4
history information for the purpose of reviewing or challenging the accuracy of the criminal 5
history. The Department, however, Department shall ensure that the prospective adoptive parent 6
or any other individual required to be checked pursuant to subsection (a) of this section is notified 7
of the individual's right to review the criminal history information, the procedure for completing 8
or challenging the accuracy of the criminal history, and the prospective adoptive parent's right to 9
contest the preplacement assessment of the county department of social services. Public child 10
placing agencies, including supervising county departments of social services, are required to 11
have an employee on staff that is trained and certified to receive criminal history record 12
information to the extent required by federal policy, law, and standards. 13
A prospective adoptive parent who disagrees with the preplacement assessment of the county 14
department of social services may request a review of the assessment pursuant to 15
G.S. 48-3-308(a)." 16
SECTION 5.3.(b) G.S. 131D-10.3A(f) reads as rewritten: 17
"(f) The Department shall notify in writing the foster parent and any person applying to 18
be licensed as a foster parent, and that individual's supervising agency parent of the determination 19
by the Department of whether the foster parent or prospective foster parent is qualified to provide 20
foster care based on the criminal history of all individuals required to be checked. In accordance 21
with the law regulating the dissemination of the contents of the criminal history file furnished by 22
the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of 23
an individual's criminal history to the foster parent or any other individual required to be checked. 24
checked pursuant to subsection (a) of this section. The Department may provide the foster parent, 25
prospective foster parent, or any other individual required to be checked pursuant to subsection 26
(a) of this section with a copy of that applicant's criminal history information for the purpose of 27
reviewing or challenging the accuracy of the criminal history. The Department shall also notify 28
the each individual required to be checked pursuant to subsection (a) of this section of the 29
individual's right to review the criminal history information, the procedure for completing or 30
challenging the accuracy of the criminal history, and the foster parent's or prospective foster 31
parent's right to contest the Department's determination. Public child placing agencies, including 32
supervising county departments of social services, are required to have an employee on staff that 33
is trained and certified to receive criminal history record information to the extent required by 34
federal policy, law and standards. 35
A foster parent or prospective foster parent who disagrees with the Department's decision 36
may request a hearing pursuant to Chapter 150B of the General Statutes, the Administrative 37
Procedure Act." 38
39
PART VI. LAWS PERTAINING TO THE DIVISION OF STATE -OPERATED 40
HEALTHCARE FACILITIES 41
42
SUPPORT IMPLEMENTATION OF CAPACITY RESTORATION PILOT PROGRAMS 43
SECTION 6.1. Part 6 of Article 5 of Chapter 122C of the General Statutes is 44
amended by adding a new section to read: 45
"§ 122C-256. Capacity restoration pilot programs. 46
(a) The following definitions apply in this section: 47
(1) CBCRP. – Community-based capacity restoration program. 48
(2) DCCRP. – Detention center capacity restoration program. 49
(b) Community-Based Capacity Restoration Program. – The Department or an 50
LME/MCO may contract for three or more CBCRPs. CBCRPs may be county-based or 51 General Assembly Of North Carolina Session 2025
Page 16 DRH40327-MGf-92A
regionally based. If regionally based, a CBCRP shall align with the State-operated psychiatric 1
hospital within closest proximity. The Department may consult with one or more LME/MCOs 2
for the purposes of contracting for CBCRPs under this subsection. 3
(c) Detention Center Capacity Restoration Program. – The Department or an LME/MCO, 4
in consultation and with the consent of relevant sheriffs, may contract for up to three DCCRPs. 5
DCCRPs may be county-based or regionally based, provided, however, that no DCCRP may be 6
regionally based without the express consent of the sheriff of every county comprising that 7
prospective DCCRP. A regionally based DCCRP shall align with the State-operated psychiatric 8
hospital within closest proximity. The Department may consult with one or more LME/MCOs 9
for the purposes of contracting for DCCRPs under this subsection. 10
(d) Judicial Discretion. – A court may order capacity restoration to be completed at a 11
CBCRP or DCCRP as an alternative to a State-operated psychiatric hospital for individuals 12
recommended for participation in CBCRP or DCCRP by a forensic evaluator." 13
14
PART VII. EFFECTIVE DATE 15
SECTION 7.1. Except as otherwise provided, this act is effective when it becomes 16
law. 17