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

HB 635 — Increase Access to Fertility Treatment.

Last action — Serial Referral To Finance Stricken

  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 March 31, 2025. It must pass committee before a floor vote.

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

Odds of enactment

Low chance

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

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

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 22 sponsors

    3 primary, 19 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (19 D · 2 R · 1 I) — cross-party backing.

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

21 added · 18 removed

Plain-language change summary

The updated version of House Bill 635 has added additional sponsors to the bill, reflecting broader support among lawmakers. Additionally, the wording in the bill has been clarified but does not alter the main content regarding eligibility for insurance coverage of fertility procedures. These changes are important as they may signal increased legislative collaboration, potentially making it easier for the bill to gain approval. The effective date for this bill remains the same, set for October 1, 2025, which will apply to new and renewed insurance contracts from that date.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 635 Short Title:
635 Mar 31, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30224-MR-57 Short Title:
Representative T.
Representatives T.
Brown.
Brown, Cotham, Helfrich, and Charles Smith (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 PROVIDE ACCESS TO FERTILITY DIAGNOSTIC CARE, TREATMENT, AND PRESERVATION SERVICES UNDER CERTAIN LARGE GROUP HEALTH BENEFIT PLANS.
Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House April 2, 2025 A BILL TO BE ENTITLED AN ACT TO PROVIDE ACCESS TO FERTILITY DIAGNOSTIC CARE, TREATMENT, AND PRESERVATION SERVICES UNDER CERTAIN LARGE GROUP HEALTH BENEFIT PLANS.
(d) In order to be eligible for coverage under this section, a procedure is required to be performed at a licensed healthcare facility and conform to guidelines published by the American Society of Reproductive Medicine, or its successor.
*H635-v-1* General Assembly Of North Carolina Session 2025 (d) In order to be eligible for coverage under this section, a procedure is required to be performed at a licensed healthcare facility and conform to guidelines published by the American Society of Reproductive Medicine, or its successor.
(e) Nothing in this section shall be construed to require coverage for any of the following under a health benefit plan:
(e) Nothing in this section shall be construed to require coverage for anyof the following under a health benefit plan:
*DRH30224-MR-57* General Assembly Of North Carolina Session 2025 (1) Experimental fertility procedures.
(1) Experimental fertility procedures.
(2) Nonmedical costs related to donor gametes, donor embryos, or surrogacy." SECTION 2.
(2) Nonmedical costs related to donor gametes, donor embryos, or surrogacy." SECTION2.
Page 2 DRH30224-MR-57
Page 2 House Bill 635-First Edition
⬇ Download PDF
View plain text versions (2)

Action History

  1. Serial Referral To Finance Stricken

  2. Passed 1st Reading

  3. Ref to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House

  4. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 19 co-sponsors · 157 not signed on

Sponsors (3)

Co-sponsors (19)

Not signed on (157)

157 members have not signed on to this bill.

Show all 157 →

"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 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 635?
HB 635 is sponsored by James Roberson (Democratic), Tim Longest (Democratic), Carolyn G. Logan (Democratic), Ya Liu (Democratic), Monika Johnson-Hostler (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Julia Greenfield (Democratic), Allison A. Dahle (Democratic), Carla D. Cunningham (U), Tracy Clark (Democratic), Maria Cervania (Democratic), Deb Butler (Democratic), Allen Buansi (Democratic), Mary Belk (Democratic), Vernetta Alston (Democratic), Eric Ager (Democratic), Tricia Ann Cotham (Republican), Terry M. Brown Jr. (Democratic), Beth Helfrich (Democratic), Charles Smith (Democratic), and Neal Jackson (Republican).
What is the current status of HB 635?
This bill is in committee in the House. Introduced March 31, 2025. It must pass committee before a floor vote.
Where can I track HB 635?
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Last checked for changes 3 months ago · updated continuously

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