North Carolina 2025 Session Status: In Committee 4 D cosponsors

SB 674 — Lic. Mental Health Reciprocity/Recognition.

Last action — Passed 1st Reading

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

This bill is in committee in the Senate. Introduced March 25, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 22% · 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.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 D).

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

10 added · 11 removed

Plain-language change summary

The latest version of Senate Bill 674 has updated its reference in the title of a new article being added to Chapter 90 of the General Statutes. The change emphasizes the focus on "Mental Health Licensure Recognition," which aims to streamline the process of recognizing mental health professionals' licenses from other states. This matters because it can help improve access to mental health care for individuals in North Carolina by allowing licensed professionals from elsewhere to practice more easily in the state.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Mar 25, 2025 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 674 Short Title:
674 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS35202-NB-105 Short Title:
A BILL TO BE ENTITLED AN ACT TO INCREASE ACCESS TO LICENSED MENTAL HEALTH PROFESSIONALS FOR CITIZENS IN NORTH CAROLINA THROUGH RECIPROCITY AGREEMENTS FOR CERTAIN OCCUPATIONAL LICENSING BOARDS.
Rules and Operations of the Senate March 26, 2025 A BILL TO BE ENTITLED AN ACT TO INCREASE ACCESS TO LICENSED MENTAL HEALTH PROFESSIONALS FOR CITIZENS IN NORTH CAROLINA THROUGH RECIPROCITY AGREEMENTS FOR CERTAIN OCCUPATIONAL LICENSING BOARDS.
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:
This Article shall be known as and may be cited as the "Mental Health Licensure Recognition Act." The purpose of this Article is to improve access to mental health care professionals for the citizens of North Carolina through reciprocity with other states.
This Article shall be known as and maybe cited as the "Mental Health Licensure Recognition Act." The purpose of this Article is to improve access to mental health care professionals for the citizens of North Carolina through reciprocity with other states.
*DRS35202-NB-105* General Assembly Of North Carolina Session 2025 (3) Comply with any application requirements under Chapter 93B of the General Statutes.
*S674-v-1* General Assembly Of North Carolina Session 2025 (3) Comply with any application requirements under Chapter 93B of the General Statutes.
Page 2 DRS35202-NB-105
Page 2 Senate Bill 674-First Edition
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How this bill changes current law

12 changes Share ↗

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

This bill establishes reciprocity agreements for licensed mental health professionals in North Carolina to improve access to mental health care.

  • Chapter 90

    Article 18J. Mental Health Professionals Licensure Reciprocity.

    A new Article on mental health licensure reciprocity is created.

  • § 90-270.201

    (1) Licensed clinical mental health counselor associate. – As defined in G.S. 90-330.

    Defines 'Licensed clinical mental health counselor associate' as per existing law.

  • § 90-270.201

    (2) Licensed clinical mental health counselor supervisor. – As defined in G.S. 90-330.

    Defines 'Licensed clinical mental health counselor supervisor' as per existing law.

  • § 90-270.201

    (3) Licensed marriage and family therapist. – As defined in G.S. 90-270.47.

    Defines 'Licensed marriage and family therapist' as per existing law.

  • § 90-270.201

    (4) Licensed marriage and family therapy associate. – As defined in G.S. 90-270.47.

    Defines 'Licensed marriage and family therapy associate' as per existing law.

  • § 90-270.201

    (5) Licensed mental health professional. – A licensed clinical mental health counselor associate, licensed clinical mental health counselor supervisor, licensed marriage and family therapy associate, licensed marriage and family therapist, psychologist, or psychiatrist.

    Defines 'Licensed mental health professional' to include various licensed mental health practitioners.

  • § 90-270.201

    (6) Psychiatrist. – Licensed in accordance with Article 1 of this Chapter.

    Defines 'Psychiatrist' as per existing legal definition.

  • § 90-270.201

    (7) Psychologist. – As defined in G.S. 90-270.136.

    Defines 'Psychologist' as per existing law.

  • § 90-270.202

    (a) A licensed mental health professional licensed or certified in another State shall be able to practice in their respective scopes of licensure in this State under the appropriate licensing board in accordance with this Article.

    Allows licensed mental health professionals from other states to practice in North Carolina under certain conditions.

  • § 90-270.202

    (b) No later than 60 days after receipt of an application from a licensed mental health professional under this Article, an occupational licensing board shall either issue a license or certification or notify the applicant when the applicant does not qualify under this Article for licensure or certification.

    Sets a time frame for occupational licensing boards to process applications from mental health professionals.

  • § 90-270.202

    (c) Nothing in this Article shall be construed to supersede or invalidate any existing interstate compact or reciprocity agreement, including Articles 24A and 18H of this Chapter, entered into by the State or an occupational licensing board that licenses or certifies applicants pursuant to this Article.

    Clarifies that this Article does not affect existing interstate compacts or agreements.

  • SECTION 2

    The Board of Licensed Clinical Mental Health Counselors, North Carolina Psychology Board, North Carolina Marriage and Family Therapy Licensure Board, and the North Carolina Medical Board shall adopt rules to implement the provisions of this act.

    Mandates specific boards to create rules for implementing the new reciprocity provisions.

Action History

  1. Passed 1st Reading

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

  3. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 175 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (175)

175 members have not signed on to this bill.

Show all 175 →

"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 labor
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 SB 674?
SB 674 is sponsored by Joyce Waddell (Democratic), Woodson Bradley (Democratic), Lisa Grafstein (Democratic), and Kandie D. Smith (Democratic).
What is the current status of SB 674?
This bill is in committee in the Senate. Introduced March 25, 2025. It must pass committee before a floor vote.
Where can I track SB 674?
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