North Carolina 2025 Session Status: Passed House Bipartisan · 26 D · 8 R · 2 I cosponsors

HB 297 — Breast Cancer Prevention Imaging Parity.

Last action — Passed 2nd Reading

  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 05, 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.

  • 37 sponsors

    3 primary, 34 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (26 D · 8 R · 2 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

146 added · 146 removed

Plain-language change summary

In the latest version of HB 297, additional provisions were added to clarify definitions related to breast and cervical cancer screenings. Specifically, the bill now explicitly includes methods for detecting cervical cancer, like the HPV test, which is crucial for early detection. This change matters because it ensures that women have access to comprehensive and updated diagnostic options, potentially improving early cancer detection and treatment outcomes.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 297 Committee Substitute Favorable 4/3/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 297 Short Title:
Representatives Belk, Carney, White, and Lambeth (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
March 6, 2025 A BILL TO BE ENTITLED AN ACT TO PROVIDE HEALTH COVERAGE PARITY FOR SUPPLEMENTAL AND DIAGNOSTIC BREAST IMAGING.
Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House March 6, 2025 A BILL TO BE ENTITLED AN ACT TO PROVIDE HEALTH COVERAGE PARITY FOR SUPPLEMENTAL AND DIAGNOSTIC BREAST IMAGING.
(6) Low-dose mammography.
*H297-v-1* General Assembly Of North Carolina Session 2025 (6) Low-dose mammography.
*H297-v-2* General Assembly Of North Carolina Session 2025 (7) Screening examination for breast cancer.
(7) Screening examination for breast cancer.
– An examination for breast cancer that is determined by the healthcare provider treating the patient to be medically necessary and appropriate and that may include breast magnetic resonance imaging or breast ultrasound to screen for cancer when there is no abnormality seen or suspected if the patient meets either of the following criteria:
– An examination for breast cancer that is determined by the healthcare provider treating the patient to be medically necessary and appropriate and that may include breast magnetic resonance imaging or breast ultrasound to screen for cancer if the patient meets either of the following criteria:
58-50-56, thatis issued,renewed, oramended on orafterJanuary1,1992, health benefit plan offered by an insurer in this State shall provide coverage for examinations and laboratory tests for the screening for the early detection of cervical cancer and for low-dose screening mammography.
58-50-56, thatis issued,renewed,oramendedonorafterJanuary1,1992, health benefit plan offered by an insurer in this State shall provide coverage for examinations and laboratory tests for the screening for the early detection of cervical cancer and for low-dose screening mammography.
(3) Breast ultrasound.
Page 2 House Bill 297-First Edition General Assembly Of North Carolina Session 2025 (3) Breast ultrasound.
Page 2 House Bill 297-Second Edition General Assembly Of North Carolina Session 2025 (c) Coverage for low-dose screening mammography shall be provided as follows:
(c) Coverage for low-dose screening mammography shall be provided as follows:
(1) One or more mammograms a year, as recommended by a physician, for any woman who is at risk for breast cancer.
(1) One or more mammograms a year, as recommended by a physician, for any woman individual who is at risk for breast cancer.
For purposes of this subdivision, a woman is at risk for breast cancer if any one or more of the following is true:
For purposes of this subdivision, a woman an individual is at risk for breast cancer if any one or more of the following is true:
The woman has a personal history of breast cancer;cancer.
The woman individual has a personal history of breast cancer;cancer.
The woman has a personal history of biopsy-proven benign breast disease;disease.
The woman individual has a personal history of biopsy-proven benign breast disease;disease.
The woman's mother, sister, or daughter has or has had breast cancer;
The woman's individual's mother, sister, or daughter has or has had breast cancer;
(e) Coverage for the screening for the early detection of cervical cancer shall be in accordance with the most recently published American Cancer Society American College of Obstetricians and Gynecologists' guidelines or guidelines adopted by the North Carolina Advisory Committee on Cancer Coordination and Control.
(e) Coverage for the screening for the early detection of cervical cancer shall be in accordance with the most recently published American Cancer Society guidelines or guidelines adopted by the North Carolina Advisory Committee on Cancer Coordination and Control.
SECTION 2.1.(b) Article 41 of Chapter 90 of the General Statutes, as amended by subsection (a) of this section, reads as rewritten:
House Bill 297-First Edition Page 3 General Assembly Of North Carolina Session 2025 SECTION 2.1.(b) Article 41 of Chapter 90 of the General Statutes, as amended by subsection (a) of this section, reads as rewritten:
House Bill 297-Second Edition Page 3 General Assembly Of North Carolina Session 2025 "Article 41.
"Article 41.
Page 4 House Bill 297-Second Edition
Page 4 House Bill 297-First Edition
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Action History

  1. Passed 2nd Reading

  2. Passed 3rd Reading

  3. Special Message Sent To Senate

  4. Special Message Received From House

  5. Passed 1st Reading

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

  7. Withdrawn From Com

  8. Placed On Cal For 05/07/2025

  9. Withdrawn From Cal

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

  11. Reptd Fav

  12. Cal Pursuant Rule 36(b)

  13. Reptd Fav Com Substitute

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

  15. Reptd Fav

  16. Re-ref Com On Insurance

  17. Passed 1st Reading

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

  19. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 34 co-sponsors · 142 not signed on · 1 voted No

Sponsors (3)

Co-sponsors (34)

Not signed on (142)

142 members have not signed on to this bill.

Show all 142 →

"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 111 Yea · 1 Nay · 8 Other
Party YeaNayPresentNot Voting
Democratic 39005
U 2000
Unaffiliated 5001
Republican 65102
Total 111108
% of votes cast 93%1%0%7%
How each member voted (120)
Member Party Vote
CharlesSmith — Yea
vonHaefen — Yea
Reeder — Yea
Campbell — Not Voting
C. Smith — Yea
F. Jackson — Yea
Abe Jones Democratic Yea
Aisha O. Dew Democratic Not Voting
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
Beth Helfrich Democratic Yea
Brandon Lofton Democratic Not Voting
Brian Turner Democratic Not Voting
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 Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Rodney D. Pierce Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
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 Yea
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 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
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 Yea
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 Nay
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 297?
HB 297 is sponsored by Mitchell S. Setzer (Republican), Phil Rubin (Democratic), Stephen M. Ross (Republican), Reeder, Amos L. Quick, III (Democratic), Renée A. Price (Democratic), Lindsey Prather (Democratic), Rodney D. Pierce (Democratic), Garland E. Pierce (Democratic), Nasif Majeed (U), Tim Longest (Democratic), B. Ray Jeffers (Democratic), Cody Huneycutt (Republican), Julia C. Howard (Republican), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Aisha O. Dew (Democratic), Allison A. Dahle (Democratic), Carla D. Cunningham (U), Sarah Crawford (Democratic), Bryan Cohn (Democratic), Tracy Clark (Democratic), Maria Cervania (Democratic), Deb Butler (Democratic), Laura Budd (Democratic), Allen Buansi (Democratic), Terry M. Brown Jr. (Democratic), Gloristine Brown (Democratic), William D. Brisson (Republican), Cynthia Ball (Democratic), Amber M. Baker (Democratic), Donny Lambeth (Republican), Donna McDowell White (Republican), Becky Carney (Democratic), Mary Belk (Democratic), Julie von Haefen (Democratic), and Neal Jackson (Republican).
What is the current status of HB 297?
This bill has passed the House. Introduced March 05, 2025. It now moves to the second chamber.
Where can I track HB 297?
Track HB 297 free on One Click Politics — get push/email alerts when it moves.

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