North Carolina 2025 Session Status: In Committee Bipartisan · 19 D · 2 R · 1 I cosponsors

HB 933 — Intellectual and Developmental Disabilities Omnibus.

Last action — Passed 1st Reading

  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 April 10, 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.

  • 22 sponsors

    2 primary, 20 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (19 D · 2 R · 1 I) — 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

478 added · 476 removed

Plain-language change summary

The recent changes in House Bill 933 clarify how providers and facilities must use any rate increases granted to them for health services. Specifically, it now requires better documentation to prove that the increased funds are benefiting direct care workers. This matters because it ensures that the additional resources intended for improving care are being properly tracked and utilized, ultimately aiming to enhance the quality of services provided to those in need.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 933 Short Title:
933 Apr 10, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40467-NLa-61C Short Title:
Representative Hawkins.
Representatives Hawkins, Crawford, and White (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 IMPLEMENT VARIOUS CHANGES RECOMMENDED BY THE LEGISLATIVE JOINT CAUCUS FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TO POSITIVELY IMPACT THE LIVES OF NORTH CAROLINA CITIZENS WITH INTELLECTUAL OR OTHER DEVELOPMENTAL DISABILITIES.
Appropriations, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House April 14, 2025 A BILL TO BE ENTITLED AN ACT TO IMPLEMENT VARIOUS CHANGES RECOMMENDED BY THE LEGISLATIVE JOINT CAUCUS FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TO POSITIVELY IMPACT THE LIVES OF NORTH CAROLINA CITIZENS WITH INTELLECTUAL OR OTHER DEVELOPMENTAL DISABILITIES.
SECTION 1.(b) DHB, working with a workgroup of providers, shall determine the definition of direct care worker to be applied and the amount of the rate increases to be implemented under this section.
SECTION 1.(b) DHB, working with a workgroup of providers, shall determine the definition of direct care worker to be applied and the amount of the rate increases to be *H933-v-1* General Assembly Of North Carolina Session 2025 implemented under this section.
DHB shall further determine the manner in which a provider or facility shall utilize the increased rate and demonstrate compliance with those utilization *DRH40467-NLa-61C* General Assembly Of North Carolina Session 2025 requirements, including the documentation required to be kept by the provider or facility.
DHB shall further determine the manner in which a provider or facility shall utilize the increased rate and demonstrate compliance with those utilization requirements, including the documentation required to be kept by the provider or facility.
SECTION 1.(d) In addition to other allowable reasons for recoupment of funds, if DHB or an LME/MCO determines any funds related to a rate increase required under this section were not used to the benefit of direct care workers, then DHB or the LME/MCOs shall recoup part or all of those funds.
SECTION 1.(d) In addition to other allowable reasons for recoupment of funds, if DHB or an LME/MCO determines anyfunds related to a rate increase required under this section were not used to the benefit of direct care workers, then DHB or the LME/MCOs shall recoup part or all of those funds.
UPDATE TO NC MEDICAID BUY-IN PROGRAM SECTION 3.(a) No later than 90 days after this act becomes law, the Department of Health and Human Services, Division of Health Benefits, shall submit the necessary documentation to theCenters for Medicare andMedicaid Services (CMS)forapproval to remove Page 2 DRH40467-NLa-61C General Assembly Of North Carolina Session 2025 the unearned income limit and the resource limit from the eligibility requirements for the Health Coverage for Workers with Disabilities Medicaid eligibility category.
UPDATE TO NC MEDICAID BUY-IN PROGRAM Page 2 House Bill 933-First Edition General Assembly Of North Carolina Session 2025 SECTION 3.(a) No later than 90 days after this act becomes law, the Department of Health and Human Services, Division of Health Benefits, shall submit the necessary documentation to theCenters for Medicare andMedicaid Services (CMS)forapproval to remove the unearned income limit and the resource limit from the eligibility requirements for the Health Coverage for Workers with Disabilities Medicaid eligibility category.
(2) The individual either meets Social Security Disability criteria, criteria or the individual has been enrolled in HCWD and then becomes medically improved improved, as defined in Ticket to Work and as further specified by the Department.
(2) The individual either meets Social Security Disability criteria, criteria or the individual has been enrolled in HCWD and then becomes medicallyimproved improved, as defined in Ticket to Work and as further specified by the Department.
(c1) Additional Earnings Requirements.
House Bill 933-First Edition Page 3 General Assembly Of North Carolina Session 2025 (c1) Additional Earnings Requirements.
DRH40467-NLa-61C Page 3 General Assembly Of North Carolina Session 2025 (c2) Involuntary Unemployment.
(c2) Involuntary Unemployment.
SECTION 3.(d) 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 one hundred sixty-five thousand dollars ($165,000) in recurring funds for each year of the 2025-2027 fiscal biennium.
SECTION 3.(d) Effective July1, 2025, there is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits, the sum of one hundred sixty-five thousand dollars ($165,000) in recurring funds for each year of the 2025-2027 fiscal biennium.
MEDICAID COMMUNITY ACTIVITIES AND EMPLOYMENT TRANSITIONS SERVICES SECTION 4.(a) The Department of Health and Human Services, Division of Health Benefits (DHB),shall study thefeasibility ofaddingcoverageof anewMedicaid service, entitled "Community Activities and Employment Transitions" (CAET), that provides individualized services and supports for individuals age 16 or older with intellectual or other developmental disabilities and that meets the criteria established in this subsection.
MEDICAID COMMUNITY ACTIVITIES AND EMPLOYMENT TRANSITIONS SERVICES SECTION 4.(a) The Department of Health and Human Services, Division of Health Benefits (DHB),shall studythe feasibilityof addingcoverageof anewMedicaid service, entitled "Community Activities and Employment Transitions" (CAET), that provides individualized services and supports for individuals age 16 or older with intellectual or other developmental disabilities and that meets the criteria established in this subsection.
(1) The new service shall be modeled after (i) the nonresidential components of the service, entitled "Long-Term Community Supports," currently provided by Vaya Health and (ii) similar services provided by Alliance Behavioral Healthcare that support a meaningful week when used either separately or with other available services.
(1) The new service shall be modeled after (i) the nonresidential components of the service, entitled "Long-Term Community Supports," currently provided Page 4 House Bill 933-First Edition General Assembly Of North Carolina Session 2025 by Vaya Health and (ii) similar services provided by Alliance Behavioral Healthcare that support a meaningful week when used either separately or with other available services.
Page 4 DRH40467-NLa-61C General Assembly Of North Carolina Session 2025 (2) The CAET service shall not include any residential component.
(2) The CAET service shall not include any residential component.
The Commission may amend any relevant rules and, if necessary, may adopt additional rules to account for the numerous community-based activities and employment services that may be provided to Medicaid beneficiaries as part of a new CAET service.
The Commission mayamend any relevant rules and, if necessary, may adopt additional rules to account for the numerous community-based activities and employment services that may be provided to Medicaid beneficiaries as part of a new CAET service.
108A-54(e), DHB may submit any State Plan amendments or waivers, or request other approval from the Centers forMedicare and Medicaid Services, necessary for theimplementation of anynew CAETservice determined to be feasible under subsection (a) of this section.
108A-54(e), DHB may submit any State Plan amendments or waivers, or request other approval from the Centers forMedicare and Medicaid Services, necessaryfor theimplementation of anynew CAETservice determined to be feasible under subsection (a) of this section.
STATE RENTAL ASSISTANCE PROGRAM (SRAP) FOR I/DD HOUSING SECTION 5.(a) The Department of Health and Human Services, Division of Mental Health, Development Disabilities, and Substance Use Services, shall develop a State Rental Assistance Program to provide vouchers to assist individuals with intellectual and developmental disabilities to transition to integrated housing as required by the 2024 consent order entered in Samantha R., et al.
STATE RENTAL ASSISTANCE PROGRAM (SRAP) FOR I/DD HOUSING SECTION 5.(a) The Department of Health and Human Services, Division of Mental Health, Development Disabilities, and Substance Use Services, shall develop a State Rental Assistance Program to provide vouchers to assist individuals with intellectual and developmental disabilities to transition to integrated housing as required by the 2024 consent order entered in House Bill 933-First Edition Page 5 General Assembly Of North Carolina Session 2025 Samantha R., et al.
DRH40467-NLa-61C Page 5 General Assembly Of North Carolina Session 2025 SECTION 5.(b) Effective July 1, 2025, there is appropriated to the Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Use Services, the sum of one hundred thousand dollars ($100,000) in recurring funds foreachyearofthe2025-2027fiscalbienniumtobeusedtosupporttheprogramcreatedpursuant to subsection (a) of this section.
SECTION 5.(b) Effective July 1, 2025, there is appropriated to the Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Use Services, the sum of one hundred thousand dollars ($100,000) in recurring funds foreach yearofthe2025-2027fiscalbienniumtobeusedtosupporttheprogramcreatedpursuant to subsection (a) of this section.
These fundsshallprovideaStatematchforthreemillionsixhundredseventy-sixthousandninehundred fifty-nine dollars ($3,676,959) in recurring federal funds, and those federal funds are appropriated to DSB for the same purpose.
These fundsshallprovideaStatematchforthreemillionsix hundredseventy-six thousandninehundred fifty-nine dollars ($3,676,959) in recurring federal funds, and those federal funds are appropriated to DSB for the same purpose.
… (c) Physical Restraint:
… Page 6 House Bill 933-First Edition General Assembly Of North Carolina Session 2025 (c) Physical Restraint:
… Page 6 DRH40467-NLa-61C General Assembly Of North Carolina Session 2025 (5) Physically restraining a student in a prone position is prohibited.
… (5) Physically restraining a student in a prone position is prohibited.
The data shall be reported in a disaggregated manner, reflecting the local school administrative unit, race, gender, grade level, ethnicity, and disability status of each affected student.
The data shall be reported in a disaggregated manner, reflecting the local school House Bill 933-First Edition Page 7 General Assembly Of North Carolina Session 2025 administrative unit, race, gender, grade level, ethnicity, and disability status of each affected student.
DRH40467-NLa-61C Page 7 General Assembly Of North Carolina Session 2025 public via an electronic dashboard established and maintained by the State Board.
public via an electronic dashboard established and maintained by the State Board.
9 PART IX.
PART IX.
Fiscal Year Appropriation … 2027-2028 $77,643,166$102,643,166 2028-2029 $78,643,166$103,643,166 2029-2030 $79,643,166$104,643,166 2030-2031 $80,643,166$105,643,166 2031-2032 $81,643,166$106,643,166 2032-2033 and each subsequent fiscal year therea$82,643,166$107,643,166 When developing the basebudget, as defined by G.S.
Fiscal Year Appropriation … 2027-2028 $77,643,166$102,643,166 2028-2029 $78,643,166$103,643,166 2029-2030 $79,643,166$104,643,166 2030-2031 $80,643,166$105,643,166 2031-2032 $81,643,166$106,643,166 2032-2033 and each subsequent fiscal year thereaft$82,643,166$107,643,166 When developingthe basebudget, as defined byG.S.
SUPPORT FOR STUDENTS WITH DISABILITIES SECTION10.(a) ProgramEstablished.–Beginningwiththe2025-2026schoolyear, the Department of Public Instruction shall establish a grant program for local school administrative units to apply for funds from the Special State Reserve Fund (SSRF) for children with disabilities for the purpose of covering the extraordinary costs of certain students with disabilities, including costs associated with the placement of students in private schools with approved nonpublic education programs providing special education in accordance with a student's individualized education program (IEP).
SUPPORT FOR STUDENTS WITH DISABILITIES SECTION10.(a) ProgramEstablished.–Beginningwiththe2025-2026school year, the Department of Public Instruction shall establish a grant program for local school administrative units to apply for funds from the Special State Reserve Fund (SSRF) for children with disabilities for the purpose of covering the extraordinary costs of certain students with disabilities, including costs associated with the placement of students in private schools with approved nonpublic education programs providing special education in accordance with a student's individualized education program (IEP).
The grant program established by this act shall be administered separately from the grant program funded from the SSRF available to local school administrative units for high costs related to emergency situations for children with disabilities in a school year.
The grant program established by this act shall be administered separately from the grant program funded from the SSRF available to local school administrative units for high costs related to emergencysituations for children with disabilities in a school year.
Funds administered pursuant to this act shall be to supplement and not supplant existing federal, State, and local funding for children with disabilities.
Funds administered pursuant to this act shall be to Page 8 House Bill 933-First Edition General Assembly Of North Carolina Session 2025 supplement and not supplant existing federal, State, and local funding for children with disabilities.
Page 8 DRH40467-NLa-61C General Assembly Of North Carolina Session 2025 SECTION 10.(b) Applications.
SECTION 10.(b) Applications.
For the purposes of this act, extraordinary costs shall only include costs directly attributable to providing the special education services on the student's IEP, such as salary of educationalpersonnel;salaryofrelatedservicespersonnel;costsforspecializedbooks, materials, or equipment;
For the purposes of this act, extraordinary costs shall only include costs directly attributable to providing the special education services on the student's IEP, such as salary of educationalpersonnel;salaryofrelatedservicespersonnel;costsforspecializedbooks,materials, or equipment;
– The Department of Public Instruction shall ensure that, if a student who is covered by grant funds is placed in a private school that has an approved nonpublic education program providing special education in accordance with a student's individualized education program (IEP), the school is approved by the Department as adhering to State and federal laws governing education services for students with disabilities and State and federal laws governing seclusion and restraint of students.
– The Department of Public Instruction shall ensure that, if a student who is covered by grant funds is placed in a private school that has an approved nonpublic education program providing special education in accordance with a student's individualized education program (IEP), the school is approved by the Department as adhering to State and federal laws governingeducation services for students with disabilities and State and federal laws governing seclusion and restraint of students.
The student's local school administrative unit shall remain legally responsible for ensuring the student is receiving a free appropriate public education (FAPE) in the least restrictive environment (LRE) while the student is placed in the private school, as required by State and federal laws governing education services for students with disabilities, and the unit shall conduct an annual review of the student's IEP and any interim reviews requested by the student's parent or legal guardian for purposes of educational decision making in accordance with federal and State laws.
The student's local school administrative unit shall remain legally responsible for ensuring the student is receiving a free appropriate public education (FAPE) in the least restrictive environment (LRE) while the student is placed in the private school, as required byState and federal laws governingeducation services for students with disabilities, and the unit shall conduct an annual review of the student's IEP and any interim reviews requested by the student's parent or legal guardian for purposes of educational decision making in accordance with federal and State laws.
SECTION 10.(f) G.S.
House Bill 933-First Edition Page 9 General Assembly Of North Carolina Session 2025 SECTION 10.(f) G.S.
DRH40467-NLa-61C Page 9 General Assembly Of North Carolina Session 2025 The State Board shall report no later than October 15 of each year to the Joint Legislative Education Oversight Committee on the implementation of this Article and the educational performance of children with disabilities.
The State Board shall report no later than October 15 of each year to the Joint Legislative Education Oversight Committee on the implementation of this Article and the educational performance of children with disabilities.
DEVELOP AN OFFICE FOR ACCESSIBLE TRANSPORTATION SECTION 11.(a) The Secretaryofthe Department ofTransportationshall createand administer an office within the Department of Transportation to be known as the Office of Accessible Transportation and Mobility.
DEVELOP AN OFFICE FOR ACCESSIBLE TRANSPORTATION SECTION11.(a) The Secretaryofthe Department ofTransportation shall createand administer an office within the Department of Transportation to be known as the Office of Accessible Transportation and Mobility.
SECTION 11.(e) NolaterthanMarch31, 2026,theDepartment shall submit areport containing the following information to the House Appropriations Committee on Transportation, the Senate Appropriations Committee on Department of Transportation, and the Fiscal Research Division:
SECTION11.(e) NolaterthanMarch31, 2026,theDepartment shall submit areport containing the following information to the House Appropriations Committee on Transportation, the Senate Appropriations Committee on Department of Transportation, and the Fiscal Research Division:
(2) A five-year strategic plan to guide the Office's work.
Page 10 House Bill 933-First Edition General Assembly Of North Carolina Session 2025 (2) A five-year strategic plan to guide the Office's work.
Page 10 DRH40467-NLa-61C General Assembly Of North Carolina Session 2025 PART XII.
PART XII.
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DRH40467-NLa-61C Page 11
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Action History

  1. Passed 1st Reading

  2. Ref to the Com on Appropriations, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 20 co-sponsors · 157 not signed on

Sponsors (2)

Co-sponsors (20)

Not signed on (157)

157 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

housing healthcare labor education
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Frequently asked questions

Who sponsors HB 933?
HB 933 is sponsored by Brian Turner (Democratic), Phil Rubin (Democratic), Renée A. Price (Democratic), Lindsey Prather (Democratic), Dante Pittman (Democratic), Rodney D. Pierce (Democratic), Garland E. Pierce (Democratic), Marcia Morey (Democratic), Jordan Lopez (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Carla D. Cunningham (U), Maria Cervania (Democratic), Laura Budd (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Amber M. Baker (Democratic), Vernetta Alston (Democratic), Donna McDowell White (Republican), Sarah Crawford (Democratic), Zack Hawkins (Democratic), and Neal Jackson (Republican).
What is the current status of HB 933?
This bill is in committee in the House. Introduced April 10, 2025. It must pass committee before a floor vote.
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