North Carolina 2025 Session Status: In Committee Bipartisan · 5 D · 1 R cosponsors

SB 246 — Create 13,000 Jobs Serving People With I/DD.

Last action — Passed 1st Reading

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

This bill is in committee in the Senate. Introduced March 05, 2025. It must pass committee before a floor vote.

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

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.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 D · 1 R) — 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

12 added · 13 removed

Plain-language change summary

In the latest version of Senate Bill 246, a few lines of text were adjusted for clarity and accuracy. The most significant change is the precise correction of the funding amounts listed, which reflects the state's commitments for the upcoming fiscal year. This matters because accurate funding information is essential for transparency and helps ensure that resources are allocated properly for the programs outlined in the bill, especially those supporting caregivers returning to the workforce.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Mar 5, 2025 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 246 Short Title:
246 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS35111-NLa-34 Short Title:
A BILL TO BE ENTITLED AN ACT TO INCREASE THE AMOUNT OF MEDICAID INNOVATIONS WAIVER SLOTS AVAILABLE FOR THE 2025-2027 FISCAL BIENNIUM.
Rules and Operations of the Senate March 6, 2025 A BILL TO BE ENTITLED AN ACT TO INCREASE THE AMOUNT OF MEDICAID INNOVATIONS WAIVER SLOTS AVAILABLE FOR THE 2025-2027 FISCAL BIENNIUM.
and Whereas, addressing the service needs of individuals on the waiting list has the additional benefit of enabling family orother caregivers to resumeparticipation in theworkforce;
and Whereas, addressing the service needs of individuals on the waiting list has the additional benefit of enablingfamilyorother caregivers to resumeparticipation in theworkforce;
SECTION 1.(a) There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits (DHB), the sum of one hundred thirty-four million dollars ($134,000,000) in recurring funds for the 2025-2026 fiscal year and the sum of three hundred fifty-seven million three hundred forty thousand dollars ($357,340,000) in recurring funds for the 2026-2027 fiscal year to be used to increase the number of North CarolinaInnovationsWaiverslots,asdirectedbythisact.ThesefundsshallprovideaStatematch for two hundred forty-four million seven hundred fifty thousand dollars ($244,750,000) in *DRS35111-NLa-34* General Assembly Of North Carolina Session 2025 recurring federal funds for the 2025-2026 fiscal year and the sum of six hundred fifty-two million six hundred sixty thousand dollars ($652,660,000) in recurring federal funds for the 2026-2027 fiscal year, and those federal funds are appropriated to the Division of Health Benefits for implementation of this act.
SECTION 1.(a) There is appropriated from the General Fund to the Department of Health and Human Services, Division of Health Benefits (DHB), the sum of one hundred thirty-four million dollars ($134,000,000) in recurring funds for the 2025-2026 fiscal year and the sum of three hundred fifty-seven million three hundred fortythousand dollars ($357,340,000) in recurring funds for the 2026-2027 fiscal year to be used to increase the number of North CarolinaInnovationsWaiverslots,asdirectedbythisact.ThesefundsshallprovideaStatematch for two hundred forty-four million seven hundred fifty thousand dollars ($244,750,000) in *S246-v-1* General Assembly Of North Carolina Session 2025 recurringfederal funds for the 2025-2026 fiscal year and the sum of six hundred fifty-two million six hundred sixty thousand dollars ($652,660,000) in recurring federal funds for the 2026-2027 fiscal year, and those federal funds are appropriated to the Division of Health Benefits for implementation of this act.
These 5,000 waiver slots shall be distributed in accordance with subsection (c) of this section and are to be made available October 1, 2025, unless the method of acceptance or rejection of waiver slots detailed in subsection (c) of this section requires approval by the Centers for Medicare and Medicaid Services (CMS).
These 5,000 waiver slots shall be distributed in accordance with subsection (c) of this section and are to be made available October 1, 2025, unless the method of acceptance or rejection of waiver slots detailed in subsection (c) of this section requires approval bythe Centers for Medicare and Medicaid Services (CMS).
Page 2 DRS35111-NLa-34
Page 2 Senate Bill 246-First Edition
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Action History

  1. Passed 1st Reading

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

  3. Withdrawn From Com

  4. Re-ref Com On Appropriations/Base Budget

  5. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 173 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (173)

173 members have not signed on to this bill.

Show all 173 →

"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

public-safety healthcare labor 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 SB 246?
SB 246 is sponsored by Julie Mayfield (Democratic), Sophia Chitlik (Democratic), Val Applewhite (Democratic), Gale Adcock (Democratic), Timothy D. Moffitt (Republican), and Lisa Grafstein (Democratic).
What is the current status of SB 246?
This bill is in committee in the Senate. Introduced March 05, 2025. It must pass committee before a floor vote.
Where can I track SB 246?
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