HB 485 is sponsored by Shelly Willingham (Democratic), Bill Ward (Republican), Phil Rubin (Democratic), Robert T. Reives, II (Democratic), Lindsey Prather (Democratic), Joseph Pike (Republican), Rodney D. Pierce (Democratic), Howard Penny, Jr. (Republican), Ben T. Moss, Jr. (Republican), Marcia Morey (Democratic), Jeffrey C. McNeely (Republican), Tim Longest (Democratic), Carolyn G. Logan (Democratic), Donny Lambeth (Republican), Monika Johnson-Hostler (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Carla D. Cunningham (U), Sarah Crawford (Democratic), Tricia Ann Cotham (Republican), Mike Colvin (Democratic), Maria Cervania (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Larry W. Potts (Republican), John Sauls (Republican), Cecil Brockman (Democratic), and Neal Jackson (Republican).

Where can I track HB 485?

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North Carolina 2025 Session Status: Passed House Bipartisan · 20 D · 10 R · 1 I cosponsors

HB 485 — Adult Care Home Medicaid Personal Care Services Coverage.

Last action May 27, 2025 — Withdrawn From Com

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

This bill has passed the House. Introduced March 24, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · high confidence

Passed House

Current position in the legislative process.
31 sponsors

1 primary, 30 co-sponsors signed on.
Bipartisan support

Sponsored across 3 parties (20 D · 10 R · 1 I) — cross-party backing.
Cleared a recorded vote

Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

11 added · 9 removed

Plain-language change summary

In the updated version of Bill HB 485, the main change is the addition of co-sponsors, with both Representatives Sauls and Potts now listed. This expansion of sponsorship may reflect broader support for the bill, which aims to enhance access to Medicaid services for individuals who are eligible for both Medicare and Medicaid. This increase in backing is significant as it could lead to more attention and resources being devoted to the issue, ultimately benefiting those who rely on these critical services.

Latest

GENERAL ASSEMBLY OF NORTH CAROLINA ~~H.B.~~

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 485 Short Title:

~~485 Mar 24, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30222-NL-73 Short Title:~~

~~Representative~~ ~~Sauls.~~

Representatives Sauls and Potts (Primary Sponsors).

For a complete list of sponsors, refer to the North Carolina General Assembly web site.

A BILL TO BE ENTITLED AN ACT TO REQUIRE A REQUEST FOR FEDERAL APPROVAL TO EXTEND MEDICAID ELIGIBILITY FOR PERSONAL CARE SERVICES TO CERTAIN INDIVIDUALS RESIDING IN ADULT CARE HOMES.

Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House March 25, 2025 A BILL TO BE ENTITLED AN ACT TO REQUIRE A REQUEST FOR FEDERAL APPROVAL TO EXTEND MEDICAID ELIGIBILITY FOR PERSONAL CARE SERVICES TO CERTAIN INDIVIDUALS RESIDING IN ADULT CARE HOMES.

2023-134 fortheDepartment ofHealthandHumanServices, Division ofHealthBenefits (DHB), to ~~explore~~ ~~options~~ availableto increase access to Medicaid services for dual eligibles ~~thatprovide~~ alternatives to nursing home placements, DHB shall consult with stakeholders and shall submit to the Centers for Medicare and Medicaid Services (CMS) a request that meets all of the following goals:

2023-134 fortheDepartment ofHealthandHumanServices, Division ofHealthBenefits (DHB), to exploreoptions availableto increase access to Medicaid services for dual eligibles that provide alternatives to nursing home placements, DHB shall consult with stakeholders and shall submit to the Centers for Medicare and Medicaid Services (CMS) a request that meets all of the following goals:

~~*DRH30222-NL-73*~~

*H485-v-1*

⬇ Download PDF

View plain text versions (2)

Edition 1 View text Current pdf
Introduced Filed pdf

Action History

May 27, 2025
Withdrawn From Com
May 27, 2025
Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate
April 28, 2025
Regular Message Received From House
April 28, 2025
Passed 1st Reading
April 28, 2025
Ref To Com On Rules and Operations of the Senate
April 17, 2025
Regular Message Sent To Senate
April 16, 2025
Passed 2nd Reading
April 16, 2025
Passed 3rd Reading
April 15, 2025
Reptd Fav
April 15, 2025
Re-ref Com On Rules, Calendar, and Operations of the House
April 15, 2025
Reptd Fav
April 15, 2025
Cal Pursuant Rule 36(b)
April 15, 2025
Placed On Cal For 04/16/2025
April 08, 2025
Reptd Fav
April 08, 2025
Re-ref Com On Judiciary 1
March 25, 2025
Passed 1st Reading
March 25, 2025
Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House
March 24, 2025
Filed

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 30 co-sponsors · 148 not signed on

Sponsors (1)

John Sauls Republican

Not signed on (148)

148 members have not signed on to this bill.

Show all 148 →

"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

April 16, 2025

Passed 110 Yea · 1 Nay · 9 Other

Party	Yea	Nay	Present	Not Voting
Democratic	40	1	0	3
U	2	0	0	0
Unaffiliated	6	0	0	0
Republican	62	0	0	6
Total	110	1	0	9
% of votes cast	92%	1%	0%	8%

How each member voted (120)

Member	Party	Vote
CharlesSmith	—	Yea
vonHaefen	—	Yea
Campbell	—	Yea
Reeder	—	Yea
C. Smith	—	Yea
F. Jackson	—	Yea
Abe Jones	Democratic	Yea
Aisha O. Dew	Democratic	Yea
Allen Buansi	Democratic	Yea
Allison A. Dahle	Democratic	Yea
Amber M. Baker	Democratic	Yea
Amos L. Quick, III	Democratic	Yea
B. Ray Jeffers	Democratic	Yea
Becky Carney	Democratic	Yea
Beth Helfrich	Democratic	Yea
Brandon Lofton	Democratic	Not Voting
Brian Turner	Democratic	Yea
Bryan Cohn	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
Garland E. Pierce	Democratic	Yea
Gloristine Brown	Democratic	Yea
James Roberson	Democratic	Yea
Jordan Lopez	Democratic	Yea
Julia Greenfield	Democratic	Yea
Kanika Brown	Democratic	Yea
Laura Budd	Democratic	Yea
Lindsey Prather	Democratic	Not Voting
Marcia Morey	Democratic	Yea
Maria Cervania	Democratic	Yea
Mary Belk	Democratic	Yea
Mike Colvin	Democratic	Yea
Monika Johnson-Hostler	Democratic	Yea
Phil Rubin	Democratic	Yea
Pricey Harrison	Democratic	Nay
Renée A. Price	Democratic	Yea
Robert T. Reives, II	Democratic	Yea
Rodney D. Pierce	Democratic	Yea
Sarah Crawford	Democratic	Yea
Shelly Willingham	Democratic	Not Voting
Terry M. Brown Jr.	Democratic	Yea
Tim Longest	Democratic	Yea
Tracy Clark	Democratic	Yea
Vernetta Alston	Democratic	Yea
Ya Liu	Democratic	Yea
Zack Hawkins	Democratic	Yea
A. Reece Pyrtle, Jr.	Republican	Yea
Allen Chesser	Republican	Yea
Ben T. Moss, Jr.	Republican	Not Voting
Bill Ward	Republican	Yea
Blair Eddins	Republican	Yea
Brenden H. Jones	Republican	Yea
Brian Biggs	Republican	Yea
Brian Echevarria	Republican	Yea
Celeste C. Cairns	Republican	Yea
Charles W. Miller	Republican	Yea
Chris Humphrey	Republican	Yea
Cody Huneycutt	Republican	Not Voting
David Willis	Republican	Yea
Dean Arp	Republican	Yea
Dennis Riddell	Republican	Yea
Destin Hall	Republican	Not Voting
Diane Wheatley	Republican	Yea
Donna McDowell White	Republican	Yea
Donnie Loftis	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	Not Voting
Heather H. Rhyne	Republican	Yea
Howard Penny, Jr.	Republican	Yea
Hugh Blackwell	Republican	Yea
Jarrod Lowery	Republican	Yea
Jay Adams	Republican	Yea
Jeff Zenger	Republican	Yea
Jeffrey C. McNeely	Republican	Yea
Jennifer Balkcom	Republican	Yea
Jerry "Alan" Branson	Republican	Yea
Jimmy Dixon	Republican	Yea
John A. Torbett	Republican	Yea
John M. Blust	Republican	Not Voting
John R. Bell, IV	Republican	Yea
John Sauls	Republican	Yea
Jonathan L. Almond	Republican	Yea
Joseph Pike	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	Not Voting
Mike Schietzelt	Republican	Yea
Mitchell S. Setzer	Republican	Yea
Neal Jackson	Republican	Yea
Paul Scott	Republican	Yea
Phil Shepard	Republican	Yea
Ray Pickett	Republican	Yea
Sam Watford	Republican	Yea
Sarah Stevens	Republican	Yea
Stephen M. Ross	Republican	Yea
Steve Tyson	Republican	Yea
Ted Davis, Jr.	Republican	Yea
Todd Carver	Republican	Yea
Todd Johnson	Republican	Yea
Tricia Ann Cotham	Republican	Yea
William D. Brisson	Republican	Yea
Wyatt Gable	Republican	Yea
Carla D. Cunningham	U	Yea
Nasif Majeed	U	Yea

Official roll call →

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 485?: HB 485 is sponsored by Shelly Willingham (Democratic), Bill Ward (Republican), Phil Rubin (Democratic), Robert T. Reives, II (Democratic), Lindsey Prather (Democratic), Joseph Pike (Republican), Rodney D. Pierce (Democratic), Howard Penny, Jr. (Republican), Ben T. Moss, Jr. (Republican), Marcia Morey (Democratic), Jeffrey C. McNeely (Republican), Tim Longest (Democratic), Carolyn G. Logan (Democratic), Donny Lambeth (Republican), Monika Johnson-Hostler (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Carla D. Cunningham (U), Sarah Crawford (Democratic), Tricia Ann Cotham (Republican), Mike Colvin (Democratic), Maria Cervania (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Larry W. Potts (Republican), John Sauls (Republican), Cecil Brockman (Democratic), and Neal Jackson (Republican).
What is the current status of HB 485?: This bill has passed the House. Introduced March 24, 2025. It now moves to the second chamber.
Where can I track HB 485?: Track HB 485 free on One Click Politics — get push/email alerts when it moves.

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At a glance

Identifier: HB 485
Jurisdiction: North Carolina
Session: 2025 Session
Type: Bill
Introduced: March 24, 2025
Status: Passed House
Prime sponsor: John Sauls

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Last checked for changes 3 months ago · updated continuously

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