North Carolina 2021-2022 Session Status: Enacted Bipartisan · 13 D · 12 R · 2 I cosponsors

HB 224 — Occupational Therapy Interstate Compact.

Last action — Signed by Gov. 6/11/2021

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 03, 2021. Enacted.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 44 sponsors

    3 primary, 41 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (13 D · 12 R · 2 I) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

717 added · 708 removed

Plain-language change summary

The updated version of House Bill 224 clarifies the definition of "continuing competence/education" by specifying it includes evidence of participation in educational and professional activities relevant to an occupational therapist's or assistant’s practice area. Additionally, the language was adjusted to enhance readability and precision. These changes matter because they aim to ensure that professionals maintain relevant skills, thus improving the quality of care provided to patients.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 HOUSE BILL 224 RATIFIED BILL AN ACT TO ESTABLISH AND ENTER INTO AN INTERSTATE COMPACT FOR THE PRACTICE OF OCCUPATIONAL THERAPY.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 H 1 HOUSE BILL 224* Short Title:
Occupational Therapy Interstate Compact.
(Public) Sponsors:
Representatives Potts, K.
Baker, Humphrey, and Hurley (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Referred to:
Health, if favorable, Rules, Calendar, and Operations of the House March 8, 2021 A BILL TO BE ENTITLED AN ACT TO ESTABLISH AND ENTER INTO AN INTERSTATE COMPACT FOR THE PRACTICE OF OCCUPATIONAL THERAPY.
(2) Adverse action.
*H224-v-1* General Assembly Of North Carolina Session 2021 (2) Adverse action.
*H224-v-2* (3) Alternative program.
(3) Alternative program.
(19) Occupational Therapy Compact Commission or Commission.
Page 2 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 (19) Occupational Therapy Compact Commission or Commission.
– The national administrativebodywhosemembershipconsists ofall states that have enacted the Compact.
– The national administrativebodywhosemembershipconsists ofall states thathave enacted the Compact.
Page 2 House Bill 224-Ratified (21) Primarystate of residence.
(21) Primarystate of residence.
The member state shall, within a time frame established by the Commission, require a criminal background check for a licensee seeking or applying for a Compact privilege whose primary state of residence is that member state, by receiving the results of the Federal Bureau of Investigation criminal record search, and shall use the results in making licensure decisions.
The member state shall, within a time frame established by the Commission, require a criminal background check for a licensee seeking or applying for a Compact privilege whose primary state of residence is that member state, by receiving the results of the Federal House Bill 224*-First Edition Page 3 General Assembly Of North Carolina Session 2021 Bureau of Investigation criminal record search, and shall use the results in making licensure decisions.
All communication between a member state, the Commission, and among member states regarding the verification of eligibility for licensure through the Compact shall not include any information received from the Federal Bureau of Investigation relating to a federal House Bill 224-Ratified Page 3 criminal records check performed by a member state under P.L.
All communication between a member state, the Commission, and among member states regarding the verification of eligibility for licensure through the Compact shall not include any information received from the Federal Bureau of Investigation relating to a federal criminal records check performed by a member state under P.L.
(c) A licensee providing occupational therapy in a remote state under the Compact privilege shall function within the laws and regulations of the remote state.
Page 4 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 (c) A licensee providing occupational therapy in a remote state under the Compact privilege shall function within the laws and regulations of the remote state.
A remote state may, in accordance with due process and that state's laws, remove a licensee's Compact privilege in the remote state for a specific period of time, impose Page 4 House Bill 224-Ratified fines, and take any other necessary actions to protect the health and safety of its citizens.
A remote state may, in accordance with due process and that state's laws, remove a licensee's Compact privilege in the remote state for a specific period of time, impose fines, and take any other necessary actions to protect the health and safety of its citizens.
The licensee maybe ineligible for a Compact privilege in anystate until the specific time for removal has passed and all fines are paid.
The licensee maybe ineligible for a Compact privilege in any state until the specific time for removal has passed and all fines are paid.
(2) Other criminal background checks, as required by the new home state.
House Bill 224*-First Edition Page 5 General Assembly Of North Carolina Session 2021 (2) Other criminal background checks, as required by the new home state.
House Bill 224-Ratified Page 5 (e) Notwithstanding any other provision of this Compact, if the occupational therapist or occupational therapy assistant cannot meet the criteria in G.S.
(e) Notwithstanding any other provision of this Compact, if the occupational therapist or occupational therapy assistant cannot meet the criteria in G.S.
(d) Thehomestateshall completeanypendinginvestigations ofanoccupational therapist or occupational therapyassistant who changes primary state of residence during the course of the investigations.
(d) Thehomestateshall completeanypendinginvestigations ofan occupational therapist or occupational therapyassistant who changes primary state of residence during the course of the investigations.
The home state, where the investigations were initiated, shall also have the authority to take appropriate action and shall promptly report the conclusions of the investigations to the data system.
The home state, where the investigations were initiated, shall also have the authority to take appropriate action and shall promptly report the conclusions of the Page 6 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 investigations to the data system.
Page 6 House Bill 224-Ratified (f) A member state may take adverse action based on the factual findings of the remote state, provided that the member state follows its own procedures for taking the adverse action.
(f) A member state may take adverse action based on the factual findings of the remote state, provided that the member state follows its own procedures for taking the adverse action.
(2) Establish the fiscal year of the Commission.
House Bill 224*-First Edition Page 7 General Assembly Of North Carolina Session 2021 (2) Establish the fiscal year of the Commission.
House Bill 224-Ratified Page 7 (6) Promulgate uniform rules to facilitate and coordinate implementation and administration of this Compact.
(6) Promulgate uniform rules to facilitate and coordinate implementation and administration of this Compact.
(3) The Commission may remove any member of the Executive Committee as provided in bylaws.
Page 8 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 (3) The Commission may remove any member of the Executive Committee as provided in bylaws.
Recommend to the entire Commission changes to the rules or bylaws, changes to this Compact legislation, fees paid by Compact member Page 8 House Bill 224-Ratified states such as annual dues, and any Commission Compact fee charged to licensees for the Compact privilege.
Recommend to the entire Commission changes to the rules or bylaws, changes to this Compact legislation, fees paid by Compact member states such as annual dues, and any Commission Compact fee charged to licensees for the Compact privilege.
– All meetings shall be open to the public, and public noticeofmeetings shall be givenin thesamemanneras required undertherulemaking provisions in G.S.
– All meetings shall be open to the public, and public noticeofmeetings shall be givenin thesamemanneras required undertherulemakingprovisions in G.S.
The Commission shall keep minutes that fully and clearlydescribe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, and the reasons therefor, including a description of the views expressed.
The Commission shall keep minutes that fully and clearlydescribe all matters discussed in a meeting and shall provide a full and accurate summaryof actions taken, and the reasons therefor, including a description of the views expressed.
The Commission may accept any and all appropriate revenue sources, donations, and grants of money, equipment, supplies, materials, and services.
House Bill 224*-First Edition Page 9 General Assembly Of North Carolina Session 2021 The Commission may accept any and all appropriate revenue sources, donations, and grants of money, equipment, supplies, materials, and services.
The aggregate annual assessment amount shall be allocated based upon a formula to be determined by the House Bill 224-Ratified Page 9 Commission, which shall promulgate a rule binding upon all member states.
The aggregate annual assessment amount shall be allocated based upon a formula to be determined by the Commission, which shall promulgate a rule binding upon all member states.
– The members, officers, executive director, employees, and representatives of the Commission shall be immune from suit and liability, either personally or in their official capacity, for any claim for damage to or loss of propertyor personal injury or other civil liabilitycaused byor arising out of anyactual or alleged act, error, or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties, or responsibilities, provided that nothing in this paragraph shall be construed to protect any such person from suit or liability for any damage, loss, injury, or liability caused by the intentional or willful or wanton misconduct of that person.
– The members, officers, executive director, employees, and representatives of the Commission shall be immune from suit and liability, either personally or in their official capacity, for any claim for damage to or loss of propertyor personal injury or other civil liabilitycaused byor arising out of any actual or alleged act, error, or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties, or responsibilities, provided that nothing in this paragraph shall be construed to protect any such person from suit or liability for any damage, loss, injury, or liability caused by the intentional or willful or wanton misconduct of that person.
(5) Any denial of application for licensure and the reasons for such denial.
Page 10 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 (5) Any denial of application for licensure and the reasons for such denial.
Page 10 House Bill 224-Ratified (d) The Commission shall promptly notify all member states of any adverse action taken against a licensee or an individual applying for a license.
(d) The Commission shall promptly notify all member states of any adverse action taken against a licensee or an individual applying for a license.
(h) The Commission shall grant an opportunity for a public hearingbefore it adopts a rule or amendment if a hearing is requested by any of the following:
(h) The Commission shall grant an opportunityfor a public hearing before it adopts a rule or amendment if a hearing is requested by any of the following:
If the hearing is held via electronic means, the Commission shall publish the mechanism for access to the electronic hearing.
If the hearing is held via electronic House Bill 224*-First Edition Page 11 General Assembly Of North Carolina Session 2021 means, the Commission shall publish the mechanism for access to the electronic hearing.
House Bill 224-Ratified Page 11 (2) Hearings shall be conducted in a manner providing each person who wishes to comment a fair and reasonable opportunityto comment orallyor in writing.
(2) Hearings shall be conducted in a manner providing each person who wishes to comment a fair and reasonable opportunityto comment orallyor in writing.
(m) Upon determination that an emergency exists, the Commission may consider and adopt an emergencyrule without priornotice, opportunityfor comment, or hearing,providedthat the usual rulemaking procedures provided in the Compact and in this section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule.
(m) Upon determination that an emergency exists, the Commission may consider and adopt an emergencyrule without priornotice, opportunityfor comment, or hearing, providedthat the usual rulemaking procedures provided in the Compact and in this section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule.
Failure to provide service of process to the Commission shall render a judgment or order void as to the Commission, this Compact, or promulgated rules.
Failure to provide service Page 12 House Bill 224*-First Edition General Assembly Of North Carolina Session 2021 of process to the Commission shall render a judgment or order void as to the Commission, this Compact, or promulgated rules.
Page 12 House Bill 224-Ratified (1) Provide written notice to the defaulting state and other member states of the nature of default, the proposed means of curing the default, and any other action to be taken by the Commission.
(1) Provide written notice to the defaulting state and other member states of the nature of default, the proposed means of curing the default, and any other action to be taken by the Commission.
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(b) Any state that joins the Compact subsequent to the Commission's initial adoption of the rules shall be subject to the rules as they exist on the date on which the Compact becomes law in that state.
(b) Any state that joins the Compact subsequent to the Commission's initial adoption of the rules shall be subject to the rules as they exist on the date on which the Compact becomes House Bill 224*-First Edition Page 13 General Assembly Of North Carolina Session 2021 law in that state.
Withdrawal shall not affect the continuing requirement of the withdrawing House Bill 224-Ratified Page 13 state's occupational therapy licensing board to comply with the investigative and adverse action reporting requirements of this act prior to the effective date of withdrawal.
Withdrawal shall not affect the continuing requirement of the withdrawing state's occupational therapy licensing board to comply with the investigative and adverse action reporting requirements of this act prior to the effective date of withdrawal.
(f) In the event any provision of the Compact exceeds the constitutional limits imposed on the legislature of any member state, the provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state." Page 14 House Bill 224-Ratified SECTION 2.
(f) In the event any provision of the Compact exceeds the constitutional limits imposed on the legislature of any member state, the provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state." SECTION 2.
In the General Assembly read three times and ratified this the 7 day of June, 2021.
Page 14 House Bill 224*-First Edition
s/ Phil Berger President Pro Tempore of the Senate s/ Mike Clampitt Presiding Officer of the House of Representatives ___________________________________________ Roy Cooper Governor Approved __________.m.
this ______________ day of ___________________, 2021 House Bill 224-Ratified Page 15
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How this bill changes current law

1 change Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

The bill adds a new article to establish an interstate compact for occupational therapy, outlining state participation requirements and definitions relevant to the compact.

  • § 90-270.182

    § 90-270.183. Compact privilege. (a) To exercise the Compact privilege under the terms and provisions of the Compact, the licensee shall meet all of the following requirements: (1) Hold a license in the home state. (2) Have a valid United States social security number or National Practitioner Identification number. (3) Have no encumbrance on any state license. (4) Be eligible for a Compact privilege in any member state in accordance with subsections (d) through (h) of this section. (5) Have paid all fines and completed all requirements resulting from any adverse action against any license or Compact privilege, and two years have elapsed from the date of such completion. (6) Notify the Commission that the licensee is seeking the Compact privilege within a remote state. (7) Pay any applicable, including any state, fee for the Compact privilege. (8) Complete a criminal background check in accordance with G.S. 90-270.182(a)(5), and pay any fee associated with the completion of the criminal background check. (9) Meet any jurisprudence requirements established by the remote state in which the licensee is seeking a Compact privilege. (10) Report to the Commission adverse action taken by any nonmember state within 30 days from the date the adverse action is taken. (b) The Compact privilege is valid until the expiration date of the home state license. The licensee must comply with the requirements of subsection (a) of this section to maintain the Compact privilege in the remote state. (c) A licensee providing occupational therapy in a remote state under the Compact privilege shall function within the laws and regulations of the remote state. (d) Occupational therapy assistants practicing in a remote state shall be supervised by an occupational therapist licensed or holding a Compact privilege in that remote.

    This new section establishes specific requirements for licensees to exercise Compact privileges, facilitating practice across member states.

Action History

  1. Signed by Gov. 6/11/2021

  2. Ch. SL 2021-31

  3. Pres. To Gov. 6/8/2021

  4. Ratified

  5. Passed 2nd Reading

  6. Passed 3rd Reading

  7. Ordered Enrolled

  8. Reptd Fav

  9. Placed On Cal For 06/03/2021

  10. Reptd Fav

  11. Re-ref Com On Rules and Operations of the Senate

  12. Withdrawn From Com

  13. Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  14. Regular Message Sent To Senate

  15. Regular Message Received From House

  16. Passed 1st Reading

  17. Ref To Com On Rules and Operations of the Senate

  18. Passed 2nd Reading

  19. Passed 3rd Reading

  20. Reptd Fav

  21. Cal Pursuant Rule 36(b)

  22. Added to Calendar

  23. Withdrawn From Cal

  24. Placed On Cal For 03/24/2021

  25. Reptd Fav

  26. Re-ref Com On Rules, Calendar, and Operations of the House

  27. Passed 1st Reading

  28. Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House

  29. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 41 co-sponsors · 135 not signed on

Sponsors (3)

Co-sponsors (41)

Not signed on (135)

135 members have not signed on to this bill.

Show all 135 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Second Reading

Passed 46 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Democratic 12001
Unaffiliated 16002
Republican 18001
Total 46004
% of votes cast 92%0%0%8%
How each member voted (50)
Member Party Vote
deViere — Yea
Fitch — Yea
Foushee — Yea
Marcus — Yea
Nickel — Yea
Woodard — Yea
Ballard — Yea
Edwards — Yea
Johnson — Yea
Krawiec — Yea
Perry — Yea
Proctor — Yea
Steinburg — Yea
Bazemore — Not Voting
Harrington — Not Voting
D. Davis — Yea
J. Jackson — Yea
P. Newton — Yea
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Yea
Gladys A. Robinson Democratic Not Voting
Jay J. Chaudhuri Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Michael Garrett Democratic Yea
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sarah Crawford Democratic Yea
Sydney Batch Democratic Yea
Tracy Clark Democratic Yea
Amy S. Galey Republican Yea
Bill Rabon Republican Not Voting
Brent Jackson Republican Yea
Carl Ford Republican Yea
Danny Earl Britt, Jr. Republican Yea
David W. Craven, Jr. Republican Yea
Jim Burgin Republican Yea
Kevin Corbin Republican Yea
Lisa S. Barnes Republican Yea
Michael A. Lazzara Republican Yea
Michael V. Lee Republican Yea
Norman W. Sanderson Republican Yea
Phil Berger Republican Yea
Ralph Hise Republican Yea
Steve Jarvis Republican Yea
Tom McInnis Republican Yea
Vickie Sawyer Republican Yea
W. Ted Alexander Republican Yea
Warren Daniel Republican Yea

Official roll call →

Second Reading

Passed 119 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democratic 27000
Republican 45001
Unaffiliated 45000
U 2000
Total 119001
% of votes cast 99%0%0%1%
How each member voted (120)
Member Party Vote
Autry — Yea
Clemmons — Yea
Cooper-Suggs — Yea
Farkas — Yea
Fisher — Yea
Gailliard — Yea
Garrison — Yea
Gill — Yea
Graham — Yea
Harris — Yea
Hunt — Yea
Hunter — Yea
Hurtado — Yea
Insko — Yea
Lucas — Yea
Martin — Yea
Richardson — Yea
Terry — Yea
vonHaefen — Yea
Wray — Yea
Boles — Yea
Bradford — Yea
Bumgardner — Yea
Carter — Yea
Cleveland — Yea
Davis — Yea
Elmore — Yea
Faircloth — Yea
Hardister — Yea
Hurley — Yea
Johnson — Yea
McElraft — Yea
McNeill — Yea
Mills — Yea
Moore — Yea
Rogers — Yea
Saine — Yea
Sasser — Yea
Szoka — Yea
Yarborough — Yea
Zachary — Yea
C. Smith — Yea
K. Baker — Yea
K. Smith — Yea
R. Smith — Yea
Abe Jones Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Yea
Amos L. Quick, III Democratic Yea
Becky Carney Democratic Yea
Brandon Lofton Democratic Yea
Brian Turner Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Gale Adcock Democratic Yea
Garland E. Pierce Democratic Yea
Graig Meyer Democratic Yea
James Roberson Democratic Yea
Joe John Democratic Yea
Marcia Morey Democratic Yea
Mary Belk Democratic Yea
Pricey Harrison Democratic Yea
Robert T. Reives, II Democratic Yea
Shelly Willingham Democratic Yea
Terence Everitt Democratic Yea
Terry M. Brown Jr. Democratic Yea
Vernetta Alston Democratic Yea
Zack Hawkins Democratic Yea
Ben T. Moss, Jr. Republican Yea
Bobby Hanig Republican Yea
Brenden H. Jones Republican Not Voting
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
David Willis Republican Yea
Dean Arp Republican Yea
Dennis Riddell Republican Yea
Destin Hall Republican Yea
Diane Wheatley Republican Yea
Donna McDowell White Republican Yea
Donny Lambeth Republican Yea
Dudley Greene Republican Yea
Edward C. Goodwin Republican Yea
Erin Paré Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Yea
Kyle Hall Republican Yea
Larry C. Strickland Republican Yea
Larry W. Potts Republican Yea
Mark Brody Republican Yea
Mark Pless Republican Yea
Matthew Winslow Republican Yea
Mike Clampitt Republican Yea
Mitchell S. Setzer Republican Yea
Phil Shepard Republican Yea
Ray Pickett Republican Yea
Sam Watford Republican Yea
Sarah Stevens Republican Yea
Steve Tyson Republican Yea
Timothy D. Moffitt Republican Yea
W. Ted Alexander Republican Yea
William D. Brisson Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Subjects

healthcare labor
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Frequently asked questions

Who sponsors HB 224?
HB 224 is sponsored by Ben T. Moss, Jr. (Republican), Joe John (Democratic), Mike Clampitt (Republican), R. Smith, Larry W. Potts (Republican), Chris Humphrey (Republican), Hurley, Adcock, Autry, Amber M. Baker (Democratic), Cynthia Ball (Democratic), Mary Belk (Democratic), Hugh Blackwell (Republican), Bradford, William D. Brisson (Republican), Terry M. Brown Jr. (Democratic), Deb Butler (Democratic), Becky Carney (Democratic), Cleveland, Carla D. Cunningham (U), Faircloth, Farkas, Fisher, Gailliard, Gill, Pricey Harrison (Democratic), Zack Hawkins (Democratic), Insko, Carolyn G. Logan (Democratic), Lucas, Nasif Majeed (U), Jeffrey C. McNeely (Republican), Timothy D. Moffitt (Republican), Marcia Morey (Democratic), Amos L. Quick, III (Democratic), Richardson, Dennis Riddell (Republican), Sasser, Phil Shepard (Republican), Szoka, Donna McDowell White (Republican), David Willis (Republican), and Wray.
What is the current status of HB 224?
This bill has been enacted into law. Introduced March 03, 2021. Enacted.
Where can I track HB 224?
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