North Carolina 2025 Session Status: Passed Senate Bipartisan · 22 R · 2 D cosponsors

SB 24 — Govt Mandates Increase Healthcare Costs.

Last action — Passed 1st Reading

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

This bill has passed the Senate. Introduced January 29, 2025. It now moves to the second chamber.

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

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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 58% · high confidence

  • Passed Senate

    Current position in the legislative process.

  • 24 sponsors

    2 primary, 22 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (22 R · 2 D) — cross-party backing.

  • Mixed recorded votes

    1 passed, 1 failed in recorded votes 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

39 added · 45 removed

Plain-language change summary

The revised version of Senate Bill 24 clarifies certain text related to healthcare coverage, specifically removing a reference to a draft title. This change is important because it helps streamline the bill and avoid confusion about its purpose. By simplifying the language, the bill aims to ensure that the intended provisions regarding healthcare services are clear and easier to understand for those who will be impacted.

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Latest
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 2 SENATE BILL 24 Second Edition Engrossed 2/12/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 24 Short Title:
b.
*S24-v-1* General Assembly Of North Carolina Session 2025 b.
Requires that a health benefit plan or the State Health Plan include coverageforanyhealthcareserviceortreatmentbyaprovideror group *S24-v-2* General Assembly Of North Carolina Session 2025 of providers other than an individual licensed under Article 1 of Chapter 90, Article 4A of Chapter 90, or Article 9A of Chapter 90 of the General Statutes.
Requires that a health benefit plan or the State Health Plan include coverageforanyhealthcareserviceortreatmentbyaprovideror group of providers other than a physician licensed in this State.
If any repeal of an existing health benefit mandate required to be contained in the legislation under subsection (b) of this section results in cost-savings to the State, then that cost-savings shall have no impact on the amount required to be appropriated under this subsection.
If any repeal of an existing health benefit mandate required to be contained in the legislation under subsection (b) of this section results in cost-savings to the State, then that cost-savings shall have no impact on the amount required to be appropriated under this subsection." PART II.
(d) Exception.
– If an actuarial note required under G.S.
120-114 indicates there would be a decrease in cost as a result of the health benefit mandates in a piece of legislation, then the provisions of subsections (b) and (c) shall not apply." PART II.
Page 2 Senate Bill 24-Second Edition General Assembly Of North Carolina Session 2025 (4) G.S.
(4) G.S.
(7) G.S.
Page 2 Senate Bill 24-First Edition General Assembly Of North Carolina Session 2025 (7) G.S.
Senate Bill 24-Second Edition Page 3
Senate Bill 24-First Edition Page 3
⬇ Download PDF
View plain text versions (4)

Action History

  1. Passed 1st Reading

  2. Ref To Com On Rules, Calendar, and Operations of the House

  3. Regular Message Sent To House

  4. Regular Message Received From Senate

  5. Amend Adopted A1

  6. Amend Failed A2

  7. Passed 2nd Reading

  8. Passed 3rd Reading

  9. Engrossed

  10. Reptd Fav

  11. Reptd Fav

  12. Re-ref Com On Pensions and Retirement and Aging

  13. Reptd Fav

  14. Re-ref Com On Rules and Operations of the Senate

  15. Passed 1st Reading

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

  17. Withdrawn From Com

  18. Re-ref to Health Care. If fav, re-ref to Pensions and Retirement and Aging. If fav, re-ref to Rules and Operations of the Senate

  19. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 22 co-sponsors · 155 not signed on · 23 voted No

Sponsors (2)

Co-sponsors (22)

Not signed on (155)

155 members have not signed on to this bill.

Show all 155 →

"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 30 Yea · 15 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 31502
Republican 26003
Unaffiliated 1000
Total 301505
% of votes cast 60%30%0%10%
How each member voted (50)
Member Party Vote
P. Newton — Yea
Caleb Theodros Democratic Nay
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Not Voting
Gale Adcock Democratic Nay
Gladys A. Robinson Democratic Yea
Graig Meyer Democratic Nay
Jay J. Chaudhuri Democratic Nay
Joyce Waddell Democratic Nay
Julie Mayfield Democratic Nay
Kandie D. Smith Democratic Nay
Lisa Grafstein Democratic Nay
Michael Garrett Democratic Not Voting
Mujtaba A. Mohammed Democratic Nay
Natalie S. Murdock Democratic Nay
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Nay
Sydney Batch Democratic Nay
Terence Everitt Democratic Nay
Val Applewhite Democratic Nay
Woodson Bradley Democratic Nay
Amy S. Galey Republican Yea
Benton G. Sawrey Republican Yea
Bill Rabon Republican Yea
Bob Brinson Republican Yea
Bobby Hanig Republican Yea
Brad Overcash Republican Yea
Brent Jackson Republican Yea
Carl Ford Republican Yea
Dana Jones Republican Yea
Danny Earl Britt, Jr. Republican Not Voting
David W. Craven, Jr. Republican Yea
Eddie D. Settle Republican Yea
Jim Burgin Republican Yea
Kevin Corbin Republican Yea
Lisa S. Barnes Republican Yea
Mark Hollo Republican Yea
Michael A. Lazzara Republican Yea
Michael V. Lee Republican Yea
Norman W. Sanderson Republican Not Voting
Paul Newton Republican Not Voting
Phil Berger Republican Yea
Ralph Hise Republican Yea
Steve Jarvis Republican Yea
Timothy D. Moffitt Republican Yea
Todd Johnson Republican Yea
Tom McInnis Republican Yea
Vickie Sawyer Republican Yea
W. Ted Alexander Republican Yea
Warren Daniel Republican Yea

Official roll call →

Amendment 2

Failed 18 Yea · 27 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 18002
Republican 02603
Unaffiliated 0100
Total 182705
% of votes cast 36%54%0%10%
How each member voted (50)
Member Party Vote
P. Newton — Nay
Caleb Theodros Democratic Yea
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Not Voting
Gale Adcock Democratic Yea
Gladys A. Robinson Democratic Yea
Graig Meyer Democratic Yea
Jay J. Chaudhuri Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Kandie D. Smith Democratic Yea
Lisa Grafstein Democratic Yea
Michael Garrett Democratic Not Voting
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Yea
Sydney Batch Democratic Yea
Terence Everitt Democratic Yea
Val Applewhite Democratic Yea
Woodson Bradley Democratic Yea
Amy S. Galey Republican Nay
Benton G. Sawrey Republican Nay
Bill Rabon Republican Nay
Bob Brinson Republican Nay
Bobby Hanig Republican Nay
Brad Overcash Republican Nay
Brent Jackson Republican Nay
Carl Ford Republican Nay
Dana Jones Republican Nay
Danny Earl Britt, Jr. Republican Not Voting
David W. Craven, Jr. Republican Nay
Eddie D. Settle Republican Nay
Jim Burgin Republican Nay
Kevin Corbin Republican Nay
Lisa S. Barnes Republican Nay
Mark Hollo Republican Nay
Michael A. Lazzara Republican Nay
Michael V. Lee Republican Nay
Norman W. Sanderson Republican Not Voting
Paul Newton Republican Not Voting
Phil Berger Republican Nay
Ralph Hise Republican Nay
Steve Jarvis Republican Nay
Timothy D. Moffitt Republican Nay
Todd Johnson Republican Nay
Tom McInnis Republican Nay
Vickie Sawyer Republican Nay
W. Ted Alexander Republican Nay
Warren Daniel Republican Nay

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 SB 24?
SB 24 is sponsored by Eddie D. Settle (Republican), Bill Rabon (Republican), Brad Overcash (Republican), Paul Newton (Republican), Timothy D. Moffitt (Republican), Tom McInnis (Republican), Paul A. Lowe, Jr. (Democratic), Steve Jarvis (Republican), Mark Hollo (Republican), Ralph Hise (Republican), Bobby Hanig (Republican), Carl Ford (Republican), Warren Daniel (Republican), Kevin Corbin (Republican), Danny Earl Britt, Jr. (Republican), Bob Brinson (Republican), Dan Blue (Democratic), Lisa S. Barnes (Republican), W. Ted Alexander (Republican), Benton G. Sawrey (Republican), Amy S. Galey (Republican), Jim Burgin (Republican), and Dana Jones (Republican).
What is the current status of SB 24?
This bill has passed the Senate. Introduced January 29, 2025. It now moves to the second chamber.
Where can I track SB 24?
Track SB 24 free on One Click Politics — get push/email alerts when it moves.

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