North Carolina 2025 Session Status: In Committee Bipartisan · 34 D · 1 R cosponsors

HB 473 — Right to In Vitro Fertilization.

Last action — Passed 1st Reading

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

This bill is in committee in the House. Introduced March 20, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 35 sponsors

    3 primary, 32 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (34 D · 1 R) — cross-party backing.

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

42 added · 41 removed

Plain-language change summary

The amended version of House Bill 473 explicitly states that the state cannot interfere with a patient’s right to access assisted reproductive technology or with healthcare providers' ability to offer information and services related to it. It clarifies that fertilized human eggs or embryos outside of a uterus cannot be legally regarded as human beings under state law. This change is significant because it provides clearer protections for reproductive rights and healthcare practices, ensuring that patients and providers can access and offer reproductive services without undue government restrictions.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 473 Short Title:
473 Mar 20, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30082-MGa-68 Short Title:
Representative Helfrich.
Representatives Helfrich, Cohn, Pittman, and Prather (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT PROTECTING THE RIGHT TO ACCESS ASSISTED REPRODUCTIVE TECHNOLOGY;
Rules, Calendar, and Operations of the House March 24, 2025 A BILL TO BE ENTITLED AN ACT PROTECTING THE RIGHT TO ACCESS ASSISTED REPRODUCTIVE TECHNOLOGY;
Chapter 90 of the General Statutes is amended by adding a new Article to read:
Chapter 90 of the General Statutes is amended byadding a new Article to read:
"§ 90-21.162.
*H473-v-1* General Assembly Of North Carolina Session 2025 "§ 90-21.162.
*DRH30082-MGa-68* General Assembly Of North Carolina Session 2025 Neither the State nor any of its political subdivisions shall prohibit, unreasonably limit, or interfere with any of the following:
Neither the State nor any of its political subdivisions shall prohibit, unreasonably limit, or interfere with any of the following:
Page 2 DRH30082-MGa-68
Page 2 House Bill 473-First Edition
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How this bill changes current law

4 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill establishes the right to access assisted reproductive technology and increases funding for Medicaid maternal support services.

  • Chapter 90

    Article 10. Assisted Reproductive Technology. § 90-21.160. Definitions. The following definitions apply in this Article: (1) Assisted reproductive technology. – All treatments or procedures that include the handling of human oocytes or human embryos, including in vitro fertilization, gamete intrafallopian transfer, and zygote intrafallopian transfer. (2) Health care provider. – Either of the following: a. An individual who is licensed, certified, or otherwise authorized under this Chapter to provide health care services in the ordinary course of business or practice of a profession or in an approved education or training program. b. A health care facility licensed under Chapter 131E of the General Statutes to provide health care services to patients. The term "health care provider" includes (i) an agent or employee of a health care facility that is licensed, certified, or otherwise authorized to provide health care services, (ii) the officers and directors of a health care facility, and (iii) an agent or employee of a health care provider who is licensed, certified, or otherwise authorized to provide health care services. (3) Health care service. – A health or medical procedure or service rendered by a health care provider that meets either of the following criteria: a. Provides testing, diagnosis, or treatment of a health condition, illness, injury, or disease. b. Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a health condition, illness, injury, or disease.

    This addition defines assisted reproductive technology and related terms, providing a statutory framework for access to these services.

  • § 90-21.162

    Right to access assisted reproductive technology. Neither the State nor any of its political subdivisions shall prohibit, unreasonably limit, or interfere with any of the following: (1) The right of a patient to access assisted reproductive technology. (2) The right of a health care provider to provide or assist with the provision of evidence-based information related to assisted reproductive technology. (3) The right of a health care provider to perform or assist with the performance of assisted reproductive technology.

    This section guarantees the right to access assisted reproductive technology and protects the rights of healthcare providers to offer related services.

  • § 90-21.164

    Fertilized human egg or human embryo not a human being. A fertilized human egg or human embryo that exists in any form outside of the uterus of a human body shall not, under any circumstance, be considered an unborn fetus, an unborn child, a minor child, a natural person, or any other term that connotes a human being for any purpose under State law.

    This provision clarifies that fertilized eggs or embryos outside the uterus are not considered persons under state law.

  • Effective July 1, 2025, there is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits, the sum of five hundred thousand dollars ($500,000) in recurring funds for each year of the 2025-2027 fiscal biennium to be used to increase funding for Medicaid maternal support services, also known as the Baby Love Program.

    This provision appropriates funds to expand Medicaid maternal support services.

Action History

  1. Passed 1st Reading

  2. Ref To Com On Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 32 co-sponsors · 144 not signed on

Sponsors (3)

Co-sponsors (32)

Not signed on (144)

144 members have not signed on to this bill.

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"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

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 473?
HB 473 is sponsored by Brian Turner (Democratic), Phil Rubin (Democratic), Amos L. Quick, III (Democratic), Renée A. Price (Democratic), Rodney D. Pierce (Democratic), Marcia Morey (Democratic), Jordan Lopez (Democratic), Tim Longest (Democratic), Ya Liu (Democratic), Monika Johnson-Hostler (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Aisha O. Dew (Democratic), Allison A. Dahle (Democratic), Sarah Crawford (Democratic), Mike Colvin (Democratic), Tracy Clark (Democratic), Maria Cervania (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Allen Buansi (Democratic), Terry M. Brown Jr. (Democratic), Kanika Brown (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Cynthia Ball (Democratic), Amber M. Baker (Democratic), Vernetta Alston (Democratic), Lindsey Prather (Democratic), Dante Pittman (Democratic), Bryan Cohn (Democratic), Beth Helfrich (Democratic), Neal Jackson (Republican), and Julie von Haefen (Democratic).
What is the current status of HB 473?
This bill is in committee in the House. Introduced March 20, 2025. It must pass committee before a floor vote.
Where can I track HB 473?
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