North Carolina 2025 Session Status: Passed House Bipartisan · 26 R · 1 D cosponsors

HB 618 — Ivermectin Access Act.

Last action — Amend Failed A1

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

This bill has passed the House. Introduced March 31, 2025. It now moves to the second chamber.

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

Prognosis

Likely to advance 74% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed House

    Current position in the legislative process.

  • 27 sponsors

    3 primary, 24 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (26 R · 1 D) — 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

10 added · 8 removed

Plain-language change summary

The latest version of House Bill 618 has updated the list of sponsors to include Representatives Zenger, N. Jackson, and Rhyne in addition to Representative Almond. It also changed the date of the introduction from March 31 to April 1, 2025, and removed the reference to a previous bill draft number. These updates are important because having more sponsors can indicate broader support for the bill, which may help it advance through the legislative process.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 618 Short Title:
618 Mar 31, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH10290-MG-84 Short Title:
Representative Almond.
Representatives Almond, Zenger, N.
Jackson, and Rhyne (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT DIRECTING THE STATE HEALTH DIRECTOR TO ISSUE A STATEWIDE STANDING ORDER TO ALLOW PHARMACISTS TO DISPENSE IVERMECTIN WITHOUT A PRESCRIPTION;
Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House April 1, 2025 A BILL TO BE ENTITLED AN ACT DIRECTING THE STATE HEALTH DIRECTOR TO ISSUE A STATEWIDE STANDING ORDER TO ALLOW PHARMACISTS TO DISPENSE IVERMECTIN WITHOUT A PRESCRIPTION;
*DRH10290-MG-84*
*H618-v-1*
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View plain text versions (2)

How this bill changes current law

2 changes Share ↗

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

This bill establishes a statewide standing order allowing pharmacists to dispense ivermectin without a prescription and provides immunity from liability for pharmacists and the State Health Director involved in this process.

  • Chapter 130A

    Part 2A. Statewide Standing Order to Control the Spread of Disease. § 130A-158.15. Statewide standing order for the dispensing of ivermectin. (a) The State Health Director shall issue a statewide standing order authorizing a pharmacist licensed under Article 4A of Chapter 90 of the General Statutes to dispense ivermectin suitable for human use without a written prescription or consultation with a healthcare professional. (b) A pharmacist licensed under Article 4A of Chapter 90 of the General Statutes may dispense ivermectin in accordance with the statewide standing order issued pursuant to subsection (a) of this section. (c) All of the following individuals are immune from any civil or criminal liability for actions authorized by this section as follows: (1) The State Health Director acting pursuant to this section. (2) Any pharmacist who dispenses ivermectin pursuant to a statewide standing order issued pursuant to subsection (a) of this section.

    This addition allows the State Health Director to authorize pharmacists to dispense ivermectin without prescriptions and provides legal protection for those involved.

  • G.S. 130A-158.15(a)

    The State Health Director shall issue the statewide standing order authorized by G.S. 130A-158.15(a), as enacted by Section 1 of this act, by October 1, 2025.

    This mandates the issuance of the standing order by a specific date.

Action History

  1. Amend Failed A1

  2. Passed 2nd Reading

  3. Passed 3rd Reading

  4. Special Message Sent To Senate

  5. Special Message Received From House

  6. Passed 1st Reading

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

  8. Reptd Fav

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

  10. Reptd Fav

  11. Cal Pursuant Rule 36(b)

  12. Placed On Cal For 05/07/2025

  13. Withdrawn From Com

  14. Re-ref to the Com on Judiciary 3, if favorable, Rules, Calendar, and Operations of the House

  15. Serial Referral To Judiciary 1 Stricken

  16. Passed 1st Reading

  17. Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House

  18. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

3 sponsors · 24 co-sponsors · 152 not signed on

Sponsors (3)

Co-sponsors (24)

Not signed on (152)

152 members have not signed on to this bill.

Show all 152 →

"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 116 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Democratic 32002
Republican 57000
Unaffiliated 25002
U 2000
Total 116004
% of votes cast 97%0%0%3%
How each member voted (120)
Member Party Vote
Autry — Yea
Clemmons — Yea
Gill — Yea
Harris — Yea
Rudow — Yea
CharlesSmith — Yea
Staton-Williams — Yea
vonHaefen — Yea
Wray — Yea
Bradford — Yea
Cleveland — Yea
Crutchfield — Yea
Elmore — Yea
Faircloth — Yea
Fontenot — Yea
Hardister — Yea
Lowery — Yea
Mills — Yea
Moore — Yea
Reeder — Yea
Saine — Yea
Sasser — Yea
CarsonSmith — Yea
Lucas — Not Voting
Sossamon — Not Voting
F. Jackson — Yea
K. Baker — Yea
Abe Jones Democratic Yea
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Not Voting
Amos L. Quick, III Democratic Yea
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Brandon Lofton Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Joe John Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Yea
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
Terence Everitt Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Vernetta Alston Democratic Yea
Ya Liu Democratic Yea
Zack Hawkins Democratic Not Voting
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Yea
Bill Ward Republican Yea
Brenden H. Jones Republican Yea
Brian Biggs Republican Yea
Celeste C. Cairns Republican Yea
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
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 Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jake Johnson Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John R. Bell, IV Republican Yea
John Sauls 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 Yea
Mitchell S. Setzer Republican Yea
Neal Jackson 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
Tricia Ann Cotham Republican Yea
W. Ted Alexander Republican Yea
William D. Brisson Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Second Reading

Passed 116 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Democratic 32002
Republican 57000
Unaffiliated 25002
U 2000
Total 116004
% of votes cast 97%0%0%3%
How each member voted (120)
Member Party Vote
Autry — Yea
Clemmons — Yea
Gill — Yea
Harris — Yea
Rudow — Yea
CharlesSmith — Yea
Staton-Williams — Yea
vonHaefen — Yea
Wray — Yea
Bradford — Yea
Cleveland — Yea
Crutchfield — Yea
Elmore — Yea
Faircloth — Yea
Fontenot — Yea
Hardister — Yea
Lowery — Yea
Mills — Yea
Moore — Yea
Reeder — Yea
Saine — Yea
Sasser — Yea
CarsonSmith — Yea
Lucas — Not Voting
Sossamon — Not Voting
F. Jackson — Yea
K. Baker — Yea
Abe Jones Democratic Yea
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Not Voting
Amos L. Quick, III Democratic Yea
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Brandon Lofton Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Joe John Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Yea
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
Terence Everitt Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Vernetta Alston Democratic Yea
Ya Liu Democratic Yea
Zack Hawkins Democratic Not Voting
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Yea
Bill Ward Republican Yea
Brenden H. Jones Republican Yea
Brian Biggs Republican Yea
Celeste C. Cairns Republican Yea
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
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 Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jake Johnson Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John R. Bell, IV Republican Yea
John Sauls 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 Yea
Mitchell S. Setzer Republican Yea
Neal Jackson 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
Tricia Ann Cotham 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

public-safety healthcare health-insurance
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Frequently asked questions

Who sponsors HB 618?
HB 618 is sponsored by Mitchell S. Setzer (Republican), Paul Scott (Republican), Stephen M. Ross (Republican), Dennis Riddell (Republican), Ben T. Moss, Jr. (Republican), Jeffrey C. McNeely (Republican), Donnie Loftis (Republican), Keith Kidwell (Republican), Blair Eddins (Republican), Brian Echevarria (Republican), Tricia Ann Cotham (Republican), Celeste C. Cairns (Republican), Jerry "Alan" Branson (Republican), John M. Blust (Republican), Brian Biggs (Republican), Jennifer Balkcom (Republican), Dean Arp (Republican), Heather H. Rhyne (Republican), Neal Jackson (Republican), Jeff Zenger (Republican), Jonathan L. Almond (Republican), David Willis (Republican), Shelly Willingham (Democratic), Harry Warren (Republican), Bill Ward (Republican), Mike Clampitt (Republican), and Jake Johnson (Republican).
What is the current status of HB 618?
This bill has passed the House. Introduced March 31, 2025. It now moves to the second chamber.
Where can I track HB 618?
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