North Carolina General Assembly · 2025–2026 session
Showing 193–216 of 2,338 bills
Introduced by Timothy Reeder
This bill directs North Carolina's Medicaid program to stop reimbursing facility fees charged by hospitals and health care providers, except when services are provided on a hospital's main campus, at facilities with emergency departments, or at ambulatory surgical centers. The bill defines key terms like facility fees, campus boundaries, and related facilities, and includes a sunset provision allowing the changes to expire after June 30, 2027, unless the state chooses to continue them.
Healthcare
Introduced by Donny Lambeth
This bill moves the Advisory Council on Rare Diseases from the University of North Carolina at Chapel Hill to the Department of Health and Human Services, expands the council's membership from 15 to 19 members to include more patients and caregivers, and provides $250,000 in annual state funding to support the council's operations.
Introduced by Dean Arp
This bill establishes free training academies to help people become child care lead teachers, provides $15 million for mental and behavioral health services in child care settings, allows child care centers to share administrative credentials between two staff members, funds a study on liability insurance for child care providers, and updates bidding requirements for Smart Start contracts.
Social Services & Welfare
Introduced by Eddie Settle
This bill increases the criminal penalty for stealing from temporary housing (like tents, trailers, or mobile homes) during a declared state of emergency. Theft from temporary housing becomes a Class F felony instead of a Class H felony, while theft of other property during emergencies remains a Class H felony. The bill also allows victims to sue for triple damages plus court costs and attorney fees.
Criminal Justice & Public Safety
Introduced by Sarah Stevens
This bill restructures the North Carolina Board of Dental Examiners by changing it from an elected board to an appointed board with 11 members instead of the previous structure. It adds new consumer protections, voting restrictions, training requirements for board members, and establishes new rules for how occupational licensing boards operate, including requirements for rulemaking, complaint processes, and enforcement procedures.
Business & Labor
Introduced by Karl Gillespie
This bill allows North Carolina to reclassify and reallocate remaining State Fiscal Recovery Funds (federal COVID-19 relief money) to different eligible government services and projects, permits the state to use interest earned on certain pandemic relief funds for operations, and extends the North Carolina Pandemic Recovery Office's operations deadline from June 30, 2026, to May 1, 2027.
Taxes & Budget
Introduced by Allen Chesser
This bill allows North Carolina taxpayers to deduct up to $5,000 per year in out-of-pocket prescription drug expenses from their state income taxes, starting in 2026. The deduction covers unreimbursed medication costs and pharmacy co-pays, but excludes amounts already covered by tax-advantaged accounts like Health Savings Accounts or Flexible Spending Accounts.
Introduced by Shelly Willingham
This bill changes the voting rules for the Mayor of Conetoe by allowing the mayor to vote on all matters that come before the town board, rather than only voting to break ties. The change modifies the town's charter, which is the document that outlines how the town's government operates.
Local Government
Introduced by John Torbett
This bill amends the Town of Stanley's charter to clarify that the Town Manager has the authority to hire, suspend, and remove town employees, with the exception of the Town Attorney. The bill also updates charter language to use gender-neutral pronouns and modernizes references throughout the document.
Introduced by Mary Harrison
This bill proposes a constitutional amendment that would prohibit corporations and other non-human entities from spending money to influence elections in North Carolina, with exceptions for political committees and media companies owned by political parties or candidates. If approved by voters in November 2026, violations would void the corporate action and result in the state withdrawing legal benefits like corporate status and the right to do business in North Carolina.
Elections & Voting
Introduced by Beth Helfrich
This bill authorizes the Town of Davidson to adopt local ordinances that regulate the demolition of historic structures within historic districts. It amends existing state law to explicitly include Davidson among the municipalities permitted to create rules controlling how historic buildings can be demolished.
Introduced by Gale Adcock
This bill appropriates $319 million in annual recurring funds from the General Fund to the Department of Health and Human Services for Medicaid, beginning in the 2025-2027 fiscal biennium. The funds are designated to cover projected increases in Medicaid enrollment, changes in the mix of enrollees, service costs, capitation costs, and shifts in federal matching funds.
Introduced by Jay Chaudhuri
This bill creates a state program to contribute $1,000 to Trump Accounts (a new federal retirement savings account) for eligible North Carolina children born between January 1, 2025 and December 31, 2028 whose families earn up to 300% of the federal poverty line. It also redirects $192 million from the Opportunity Scholarship Grant Fund Reserve to finance this program and changes the priority order for awarding remaining opportunity scholarships in 2026-2027.
Introduced by Brandon Lofton
This bill changes North Carolina law to specify that designating a historic district in Mecklenburg County is not considered 'down-zoning.' Under current state law, down-zoning requires written consent from all affected property owners; this bill exempts historic district designations from that requirement in Mecklenburg County.
Introduced by Ralph Hise
This bill establishes the North Carolina Economic Forecasting Initiative at UNC-Chapel Hill's Kenan-Flagler Business School and appropriates $3 million annually starting in fiscal year 2026-2027. The Initiative will collect and provide county-level economic data and forecasts to state policymakers, businesses, and economic developers to support economic growth and development across North Carolina.
Introduced by Benton Sawrey
This bill removes specific parcels of land from the city limits of Southport, Kannapolis, and the town of Yadkinville, and removes one parcel from Sunset Beach's extraterritorial jurisdiction. It also allows East Spencer to annex noncontiguous land without the normal 10% size limit. Property owners in removed areas will no longer pay municipal taxes starting July 1, 2026, though existing tax liens remain collectible.
Introduced by Mujtaba Mohammed
This bill removes a funding cap that limited state investment in light rail projects to 10% of regional distribution allocations or project costs. It also appropriates $1 million for safety and security improvements on the CATS Blue Lynx rail line in Charlotte.
Transportation & Infrastructure
Introduced by Erin Pare
This bill makes three main changes: (1) it modifies how electric utilities recover fuel costs by requiring them to share 80% of fuel cost increases with customers while absorbing 20% of increases themselves, and share 20% of fuel cost savings with shareholders while crediting 80% to customers; (2) it creates a voluntary "Bring Your Own Generation" program allowing large businesses to install their own power generation on-site, connect it to the grid, and potentially sell excess power back; and (3) it appropriates $35 million to the Workforce Housing Loan Program.
Environment & Energy
Introduced by William Jackson
This is a local bill that applies only to North Carolina's 9th Senatorial District. The bill text does not specify what changes or policies it establishes—it only states that the act relates to the district and takes effect when signed into law.
This bill changes how North Carolina punishes child care facility licensing violations. First-time violations become Class A1 misdemeanors instead of Class I felonies, while prosecutors gain discretion to charge repeat violations or those posing substantial risk of harm as felonies based on specific factors.
Introduced by Amy Galey
This bill makes four changes related to college sports at North Carolina universities: it keeps revenue-sharing payment details confidential from public records, allows graduate student-athletes with full scholarships to be counted as North Carolina residents for tuition, permits alcohol sales at university sports venues if approved by the Board of Trustees, and removes restrictions on raffles conducted by universities and their affiliated nonprofits.
Education
This bill increases healthcare price transparency and protects consumers from unexpected medical bills by requiring hospitals to publicly disclose pricing for common procedures, mandating advance notice of out-of-network providers, limiting facility fees, and establishing good-faith cost estimates for scheduled procedures. It also strengthens insurance appeals processes and removes requirements for certificate-of-need approval for rehabilitation facilities.
Introduced by Terence Everitt
This bill requires the salaries of North Carolina General Assembly members to be held in escrow (set aside) if the legislature does not pass a budget for fiscal year 2026-2027 by June 30, 2026. The withheld pay would be released once a budget is ratified or the legislative session ends.
Introduced by Jim Burgin
This bill increases funding for child welfare, foster care, and child care services in North Carolina by redirecting $104 million annually from sports wagering and lottery revenues. It also establishes a $250,000 secure communication platform for child welfare cases and requires a study on implementing statewide child care subsidy rates.