North Carolina 2025 Session Status: In Committee 3 D cosponsors

SB 522 — Thrive at Midlife Act.

Last action — Passed 1st Reading

  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 20% · 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.

  • 3 sponsors

    0 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 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

38 added · 39 removed

Plain-language change summary

In the updated version of Senate Bill 522, some language has been clarified regarding healthcare services for midlife individuals, with a focus on improving access and enhancing quality of life. Additionally, there are details about how the allocated funds are to be distributed among Regional Midlife Health Hubs, ensuring that all five hubs receive equal support. These changes are significant as they aim to streamline funding and clarify the objectives of the healthcare initiatives, ultimately aiming to deliver better health services to underserved areas.

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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 522 Short Title:
522 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS45209-MGxfa-73A Short Title:
A BILL TO BE ENTITLED AN ACT EXPANDING ACCESS TO AFFORDABLE, COMPREHENSIVE HEALTHCARE FOR WOMEN IN MIDLIFE THROUGH IMPROVED HEALTH INSURANCE AND MEDICAID COVERAGE;
Rules and Operations of the Senate March 26, 2025 A BILL TO BE ENTITLED AN ACT EXPANDING ACCESS TO AFFORDABLE, COMPREHENSIVE HEALTHCARE FOR WOMEN IN MIDLIFE THROUGH IMPROVED HEALTH INSURANCE AND MEDICAID COVERAGE;
and Whereas, improving access to midlife healthcare services will enhance quality of life, reduce long-term healthcare costs, and promote preventive care for women in North Carolina;
and Whereas, improving access to midlife healthcare services will enhance qualityof life, reduce long-term healthcare costs, and promote preventive care for women in North Carolina;
*DRS45209-MGxfa-73A* General Assembly Of North Carolina Session 2025 2 PART III.
*S522-v-1* General Assembly Of North Carolina Session 2025 2 PART III.
The selection criteria shall take into consideration the availability of other funds available to the grantee and the incidence of poverty in the area served by the grantee.
The selection criteria shall take into consideration the availability of other funds available to the grantee and the incidence of povertyin the area served bythe grantee.
SECTION 3.2.(c) The ORH may use upto five percent (5%) of these allocated funds to pay for administrative costs associated with establishing and administering the Program.
SECTION 3.2.(c) The ORH mayuse up to five percent (5%) of these allocated funds to pay for administrative costs associated with establishing and administering the Program.
Page 2 DRS45209-MGxfa-73A General Assembly Of North Carolina Session 2025 SECTION 3.2.(d) Annually by April 1, beginning April 1, 2027, the ORH shall reportto theJoint LegislativeOversight CommitteeonHealth and Human Services and theFiscal Research Division on the Program authorized by this section.
Page 2 Senate Bill 522-First Edition General Assembly Of North Carolina Session 2025 SECTION 3.2.(d) Annually by April 1, beginning April 1, 2027, the ORH shall reportto theJoint LegislativeOversight Committeeon HealthandHumanServices andtheFiscal Research Division on the Program authorized by this section.
(2) The identity and a brief description of each grantee and the amount of funding awarded to each grantee.
(2) The identityand a brief description of each grantee and the amount of funding awarded to each grantee.
– A taxpayer who has out-of-pocket expenses is allowed a credit against the tax imposed by this Part equal to a percentage of the taxpayer's out-of-pocket expenses listed in DRS45209-MGxfa-73A Page 3 General Assembly Of North Carolina Session 2025 the table below and based upon the taxpayer's filing status and adjusted gross income, as calculated under the Code:
– A taxpayer who has out-of-pocket expenses is allowed a credit against the tax imposed by this Part equal to a percentage of the taxpayer's out-of-pocket expenses listed in Senate Bill 522-First Edition Page 3 General Assembly Of North Carolina Session 2025 the table below and based upon the taxpayer's filing status and adjusted gross income, as calculated under the Code:
– If the credit allowed by this section exceeds the amount of tax imposedbythisPartforthetaxableyearreducedbythesumofallcreditsallowable,theSecretary must refund the excess to the taxpayer.
– If the credit allowed by this section exceeds the amount of tax imposedbythisPartforthetaxable yearreducedbythesumofallcreditsallowable,theSecretary must refund the excess to the taxpayer.
– If the credit allowed by this section exceeds the amount of tax imposedbythisPartforthetaxableyearreducedbythesumofallcreditsallowable,theSecretary must refund the excess to the taxpayer.
– If the credit allowed by this section exceeds the amount of tax imposedbythisPartforthetaxable yearreducedbythesumofallcreditsallowable,theSecretary must refund the excess to the taxpayer.
The Department of Revenue shall provide for the Page 4 DRS45209-MGxfa-73A General Assembly Of North Carolina Session 2025 mannerin which theapplication is to besubmitted and theinformation required in theapplication which shall include, at a minimum, proof of the applicant business's out-of-pocket expenses.
The Department of Revenue shall provide for the Page 4 Senate Bill 522-First Edition General Assembly Of North Carolina Session 2025 mannerin which theapplication is to besubmitted and theinformation required in theapplication which shall include, at a minimum, proof of the applicant business's out-of-pocket expenses.
DRS45209-MGxfa-73A Page 5 General Assembly Of North Carolina Session 2025 d.
Senate Bill 522-First Edition Page 5 General Assembly Of North Carolina Session 2025 d.
– An eligible business must apply to the Department for a grant during the time frame and on a form prescribed by the Department and must includeany supporting documentationrequiredbytheDepartment.
– An eligible business must applyto the Department for a grant during the time frame and on a form prescribed by the Department and must includeanysupportingdocumentationrequiredbytheDepartment.
of this subdivision comply with requirements Page 6 DRS45209-MGxfa-73A General Assembly Of North Carolina Session 2025 necessary for attendees to receive appropriate credit for continuing medical education." SECTION 5.1.(b) No later than July 1, 2026, each school of medicine affiliated with a constituent institution of The University of North Carolina, including the School of Medicine of the University of North Carolina at Chapel Hill and the Brody School of Medicine of East Carolina University, shall establish a midlife health fellowship program in accordance with G.S.
of this subdivision comply with requirements Page 6 Senate Bill 522-First Edition General Assembly Of North Carolina Session 2025 necessary for attendees to receive appropriate credit for continuing medical education." SECTION 5.1.(b) No later than July1, 2026, each school of medicine affiliated with a constituent institution of The University of North Carolina, including the School of Medicine of the University of North Carolina at Chapel Hill and the Brody School of Medicine of East Carolina University, shall establish a midlife health fellowship program in accordance with G.S.
Fundsappropriatedpursuanttothissubsectionshallbeallocated equallyamongthefiveRegional DRS45209-MGxfa-73A Page 7 General Assembly Of North Carolina Session 2025 MidlifeHealth Hubs responsibleforimplementingand administeringthePilot Program onbehalf of the residents of their respective counties.
FundsappropriatedpursuanttothissubsectionshallbeallocatedequallyamongthefiveRegional Senate Bill 522-First Edition Page 7 General Assembly Of North Carolina Session 2025 MidlifeHealth Hubsresponsibleforimplementingand administeringthePilot Program onbehalf of the residents of their respective counties.
SECTION 5.3.(d) By February 1, 2028, the Department of Health and Human Services shall conduct a comprehensive evaluation of the Pilot Program authorized by subsection (a)ofthis section and submit areportofits findings andrecommendations to theJoint Legislative Oversight Committee on Health and Human Services and the Fiscal Research Division.
SECTION 5.3.(d) By February 1, 2028, the Department of Health and Human Services shall conduct a comprehensive evaluation of the Pilot Program authorized bysubsection (a)ofthis section and submit areport ofits findings and recommendations to theJoint Legislative Oversight Committee on Health and Human Services and the Fiscal Research Division.
SECTION 6.2.(b) Annually by April 1, 2027, and April 1, 2028, the ORH shall reportto theJoint LegislativeOversight CommitteeonHealth and Human Services and theFiscal Research Division on use of the funds appropriated by this section.
SECTION 6.2.(b) Annually by April 1, 2027, and April 1, 2028, the ORH shall reportto theJoint LegislativeOversight Committeeon HealthandHumanServices andtheFiscal Research Division on use of the funds appropriated by this section.
(2) The identity and a brief description of each grantee and the amount of funding awarded to each grantee.
(2) The identityand a brief description of each grantee and the amount of funding awarded to each grantee.
DATA COLLECTION & OVERSIGHT Page 8 DRS45209-MGxfa-73A General Assembly Of North Carolina Session 2025 ANNUAL REPORTING SECTION7.1.
DATA COLLECTION & OVERSIGHT Page 8 Senate Bill 522-First Edition General Assembly Of North Carolina Session 2025 ANNUAL REPORTING SECTION7.1.
(1) To make recommendations to the Governor and the Secretary aimed at improving the health status of midlife women, defined as individuals residing in North Carolina who were assigned female at birth or identify as women and who are at least 40 but less than 65 years of age.
(1) To make recommendations to the Governor and the Secretary aimed at improving the health status of midlife women, defined as individuals residing in North Carolina who were assigned female at birth or identifyas women and who are at least 40 but less than 65 years of age.
(2) To identify and examine the limitations and problems associated with existing laws, regulations, programs, and services related to the health status of midlife women.
(2) To identifyand examine the limitations and problems associated with existing laws, regulations, programs, and services related to the health status of midlife women.
(1) Five members shall be appointed by the Governor.
(1) Five members shall be appointed bythe Governor.
Members appointed by the Governor shall be representatives of the following groups:
Members appointed bythe Governor shall be representatives of the following groups:
(3) Two members shall be appointed by the President Pro Tempore of the Senate, one of whom shall be a member of the Senate, and one of whom shall be a public member or a representative of any of the groups specified in subdivision (1) of this subsection.
(3) Two members shall be appointed bythe President Pro Tempore of the Senate, one of whom shall be a member of the Senate, and one of whom shall be a public member or a representative of any of the groups specified in subdivision (1) of this subsection.
Thereafter, nonlegislative members appointed by the Speaker of the House of Representativesshallservetermsoffouryears.Ofthenonlegislativemembers DRS45209-MGxfa-73A Page 9 General Assembly Of North Carolina Session 2025 appointed by the President Pro Tempore of the Senate, one shall serve an initial term of two years.
Thereafter, nonlegislative members appointed by the Speaker of the House of Representativesshallservetermsoffour years.Ofthenonlegislativemembers Senate Bill 522-First Edition Page 9 General Assembly Of North Carolina Session 2025 appointed by the President Pro Tempore of the Senate, one shall serve an initial term of two years.
Thereafter, nonlegislative members appointed by the President Pro Tempore of the Senate shall serve terms of four years.
Thereafter, nonlegislative members appointed bythe President Pro Tempore of the Senate shall serve terms of four years.
Page 10 DRS45209-MGxfa-73A
Page 10 Senate Bill 522-First Edition
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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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0 sponsors · 3 co-sponsors · 176 not signed on

Sponsors (0)

None.

Co-sponsors (3)

Not signed on (176)

176 members have not signed on to this bill.

Show all 176 →

"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

taxation healthcare education 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 SB 522?
SB 522 is sponsored by Joyce Waddell (Democratic), Woodson Bradley (Democratic), and Caleb Theodros (Democratic).
What is the current status of SB 522?
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 522?
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