North Carolina General Assembly · 2025–2026 session
Showing 865–888 of 2,338 bills
Introduced by John Bell
Reagan's Law requires health insurance plans in North Carolina to cover prosthetic and orthotic devices (artificial limbs and braces) based on Medicare's coverage standards. The law ensures coverage includes all necessary materials, instruction, repairs, and replacement devices, including multiple devices for different activities, with no limits based on device lifespan or continuous use.
Healthcare
Introduced by Diane Wheatley
This bill allows the Division of Motor Vehicles to issue Military Veteran special registration plates with personalized backgrounds, and it modifies the plate design to place the branch of service insignia on the left side instead of across the top. The bill exempts these plates from certain application requirements that normally apply to other special plates.
Other / General Government
Introduced by Robert Reives
This bill creates a new Agricultural Manufacturing Investment Grant Account within North Carolina's economic development fund to provide competitive grants up to $500,000 total to agricultural manufacturers. Eligible companies must invest at least $5 million in private funds, maintain at least 25 employees at competitive wages, and may receive up to $100,000 per year for up to five years.
Business & Labor
Introduced by Vernetta Alston
This bill requires local governments across North Carolina to allow at least one accessory dwelling unit (a smaller residential unit on the same property as a single-family home) in residential areas zoned for single-family homes. The bill sets minimum standards for these units—such as a maximum size of at least 800 square feet and prohibits excessive fees or parking requirements—while allowing some local flexibility in placement and design. Local governments must adopt regulations implementing these requirements by January 1, 2027, or accessory dwelling units will be allowed without limitations.
Housing
Introduced by Keith Kidwell
Sam's Law requires all North Carolina public schools to develop and implement Medical Condition Action Plans for students diagnosed by doctors as at risk for medical emergencies, and Medical Emergency Plans for all schools to address medical crises. The law also clarifies that school employees authorized to provide emergency medical care are protected from civil liability unless their actions constitute gross negligence or intentional wrongdoing.
Education
Introduced by Becky Carney
This bill requires health insurance plans in North Carolina to cover supplemental and diagnostic breast imaging (such as MRI and ultrasound) with the same cost-sharing as standard mammograms. It also prevents out-of-network providers from billing patients above insurance-approved rates for these breast cancer prevention services.
Introduced by David Willis
This bill authorizes North Carolina's Department of Military and Veterans Affairs to select a provider to run a statewide pilot program offering eTMS (electroencephalogram combined transcranial magnetic stimulation) treatment to veterans, first responders, and their immediate family members who have conditions like PTSD, substance use disorders, traumatic brain injuries, and sleep disorders. The program must include peer support networks, counseling, and outcome reporting by September 2026.
Introduced by Jim Burgin
This bill creates an Interstate Medical Licensure Compact allowing doctors to obtain expedited licenses in multiple states through a streamlined process, and establishes a new "internationally-trained physician employee license" for foreign-trained doctors to work at North Carolina hospitals or rural medical practices. The compact requires doctors to meet strict eligibility standards and allows state medical boards to share disciplinary information and coordinate enforcement.
Introduced by Jennifer Balkcom
This bill limits the liability of private contractors providing children's services under state agencies like DHHS. Contractors can be sued for their own negligence but not for negligence by the government agency they work with, and they would face the same monetary damage caps as public agencies—unless they commit abuse.
Social Services & Welfare
Introduced by James Adams
This bill allows federally licensed firearms dealers to obtain permits exempting them from standard building code door lock requirements during nonbusiness hours when closed to the public. The exemption applies only to dealers with retail sales space of 15,000 square feet or less on a single floor who meet specific safety requirements including alarm systems, employee training, and warning signage.
Criminal Justice & Public Safety
Introduced by John Blust
This bill changes North Carolina condemnation law so that the Department of Transportation does not have to serve or include spouses of property owners in condemnation actions when the spouse's only interest in the property is a potential future right (called an 'election' under state law). It also clarifies that surviving spouses cannot claim a life estate in property that was already taken by the DOT before the owner's death.
Transportation & Infrastructure
This bill allows Career and College Promise students to earn high school graduation credit for specific community college courses in English, math, science, and history. It also removes Math III as a mandatory graduation requirement, allowing students to take math courses aligned with their career development plans instead.
Introduced by Brian Biggs
This bill revises North Carolina law regarding when minors can consent to medical treatment without parental approval and when parents can access their minor child's medical records. It restricts minors' ability to independently consent to certain treatments (like venereal disease treatment and pregnancy-related care), requires parental consent for emergency-use vaccines, and limits parental access to medical records only in specific circumstances such as abuse investigations or reportable conditions.
Introduced by Erin Pare
This bill allows disabled veterans and their surviving spouses to prequalify for North Carolina's disabled veteran property tax homestead exclusion before they purchase a home. Currently, veterans must already own a permanent residence to apply for the tax benefit. The prequalification process lets veterans determine in advance whether they qualify for the tax relief, which can help with mortgage calculations and lending decisions.
Taxes & Budget
Introduced by Mike Clampitt
This bill establishes the Transylvania Rural Development Authority, an independent organization to promote economic development in Transylvania County. The Authority will be governed by a nine-member board appointed by the Transylvania Economic Alliance and will have the powers granted to rural development authorities under state law.
Local Government
Introduced by Jonathan Almond
This bill makes two main changes: First, it extends the statute of limitations for malpractice lawsuits related to gender transition services to 10 years after a patient turns 18, and prohibits medical professionals from having patients waive liability for such services. Second, it restricts the use of state funds for gender transition procedures, puberty-blocking drugs, and cross-sex hormones for minors and prisoners, with an exception for treating medical complications from previously performed procedures.
Introduced by John Torbett
This bill directs the North Carolina Collaboratory to study whether the Classic Learning Test (CLT) should be accepted by UNC schools for undergraduate admission and scholarship awards alongside the SAT and ACT. The study will examine whether CLT scores predict college success, can be used interchangeably with SAT/ACT scores, and what costs would be involved for universities and the state to offer this test to middle and high school students.
Introduced by Allen Chesser
This bill directs North Carolina's mental health and substance use services commission to update rules for outpatient opioid treatment programs to better align with federal regulations. The updates include removing certain eligibility barriers for take-home medication, allowing more flexible counseling schedules, reducing required drug testing frequency, and permitting programs to treat patients from other facilities in certain situations.
This bill modifies how North Carolina calculates unit pricing costs for transportation goods used in highway maintenance and construction. It changes the baseline calculation from using only 2015-2016 fiscal year data to using a rolling average of the three previous fiscal years, and adjusts the enforcement and reporting procedures for Highway Divisions that exceed the 10% variance threshold.
Introduced by Sarah Stevens
This bill creates new criminal penalties for title fraud and requires registers of deeds to verify identity before recording deeds from non-professionals. It also establishes a court process for property owners to quickly challenge fraudulent recordings, requires deeds to show their source of title, and directs a study on creating a statewide fraud alert system.
Introduced by Jake Johnson
This bill modifies North Carolina's Megasites and Selectsites economic development programs by expanding the number of selectsites from 15 to 20, adding due diligence funding, including disaster recovery areas (Tropical Storm Helene counties), and consolidating program management under EDPNC. It also clarifies grant limitations, requiring local governments to complete basic due diligence before receiving acquisition funds.
Introduced by Carson Smith
This bill requires the North Carolina Collaboratory to conduct a comprehensive study on shellfish aquaculture leasing regulations, including the effectiveness of current rules, the history of existing moratoriums, best practices from other states, and potential conflicts between shellfish farming and other coastal uses. The study must be completed by May 1, 2026, with an interim report by December 1, 2025.
Agriculture
This bill establishes a State Infrastructure Bank Board to provide loans and financial assistance for transportation, water, sewer, and other infrastructure projects in North Carolina. The Board will manage federal, state, and private funds, offer flexible lending terms including below-market interest rates, and use blended financing to attract private investment in infrastructure.
Introduced by Donnie Loftis
This bill requires insurance companies and agents to notify customers in writing and get their written consent before collecting or using vehicle telematics data (driving habit information from tracking devices or apps). Customers can revoke their consent at any time, and companies must stop using the data within 24 hours of revocation. Violations are treated as unfair or deceptive trade practices.
Technology & Privacy