HB 1011 — NC Compassionate Care Act.
Last action — Passed 1st Reading
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill is in committee in the House. Introduced April 15, 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 chanceBased on the sponsor, cosponsors, and committee posture, this bill has a low 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
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In Committee
Current position in the legislative process.
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4 sponsors
2 primary, 2 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (3 D · 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
191 added · 190 removedPlain-language change summary
The recent amendment to Bill HB 1011 streamlines the definition of a "bona fide physician-patient relationship" by removing the requirement for physicians to check a patient's prescription history in the Controlled Substances Reporting System. This change may make it easier for physicians to establish treatment relationships with patients who qualify for medical cannabis. It is important because it potentially increases access to medical cannabis for those who need it, simplifying the process for both patients and doctors.
GENERAL ASSEMBLY OF NORTH CAROLINA H.B.SESSION 2025 H 1 HOUSE BILL 1011 Short Title:
1011 Apr 15, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH10449-NLa-82 Short Title:
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Rules, Calendar, and Operations of the House April 16, 2025 A BILL TO BE ENTITLED AN ACT ENACTING THE NORTH CAROLINA COMPASSIONATE CARE ACT.
Chapter 90 of the General Statutes is amended bybyadding adding a new Article to read:
(3) This Article is intended to make onlyonlythose those changes to existing North Carolina laws that are necessary to protect patients and their doctors from criminal and civil penalties and is not intended to change current civil and criminal laws governing the use of cannabis for nonmedical purposes.
(4) The General AssemblyAssemblyenacts enacts this Article pursuant to its police power to enact legislation for the protection of the health of its citizens, as reserved to the State in the Tenth Amendment of the United States Constitution.
*H1011-v-1* General Assembly Of North Carolina Session 2025 The following definitions apply in this Article:
*DRH10449-NLa-82* General Assembly Of North Carolina Session 2025 (1) Adequate supply.
– A product infused with cannabis that is intended for use or consumption other than bybyinhalation, inhalation, smoking, or vaping.
Page 2 House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 n.
Page 2 DRH10449-NLa-82 General Assembly Of North Carolina Session 2025 o.
DRH10449-NLa-82House Bill 1011-First Edition Page 3 General Assembly Of North Carolina Session 2025 (19a) Supplier identification cardholder.
Page 4 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (3) Two members appointed by the General Assembly upon recommendation of the President Pro Tempore of the Senate in accordance with G.S.
– The AdvisoryAdvisoryBoard Board shall meet at least two times per year for the purpose of reviewing petitions to add debilitating medical conditions.
A physician shall complete a three-hour supplemental continuingcontinuingmedical medical education coursethereafterin anyyearinanyyear whichthephysicianin issueswhich thephysicianissues awritten certification.
(d) PhysicalLocationinState.–AphysicianshallhaveaphysicalofficelocationinNorthPhysical LocationinState.–AphysicianshallhaveaphysicalofficelocationinNorth Carolina in which to conduct in-person examinations.
– A physician shall reevaluate a patient for whom the physician has issued a written certification as frequently as necessary to determine the DRH10449-NLa-82House Bill 1011-First Edition Page 5 General Assembly Of North Carolina Session 2025 efficacy of the use of cannabis as a treatment for the patient's particular medical condition, the appropriateness of the delivery method and dosage included in the written certification, and any adverse side effects.
Page 6 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (b) Qualified Patients Under Age 18.
– The Department maymaynot not issue or renew a registry identification cardto aqualified patient under18yearsofageunlessunder18 eachofthefollowingyearsofageunlesseach criteriaofthefollowingcriteria is met:
– The Department shall verify the information contained in a registryregistryidentification identification card application or renewal application submitted pursuant to this section and shall approve or deny an application or renewal application within 45 days after receipt.
(2) A designated caregiver shall notify the Department of any change in name or address and submit a fifty dollar ($50.00) fee to the Department within 15 DRH10449-NLa-82House Bill 1011-First Edition Page 7 General Assembly Of North Carolina Session 2025 days after the change occurs.
(3) When a qualified patient or designated caregiver notifies the Department of any change, as required by this subsection, the Department shall issue the qualified patient and each designated caregiver a new registry identification cardwithin 10 days after receivingtheupdatedinformation and thefiftythefiftydollar dollar ($50.00) fee.
– If the Department determines that a qualified patient or designated caregiver has violated any provision of this Article, the Department shall suspend orrevokethequalifiedpatient'sordesignatedcaregiver'sregistryidentificationcard.Suspensionsorrevokethequalifiedpatient'sordesignatedcaregiver's registryidentificationcard.Suspensions or revocations may be appealed by filing a contested case petition under Article 3 of Chapter 150B of the General Statutes.
Law Page 8 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 enforcement agencies may contact the Department to confirm a registry identification cardholder's identity if the law enforcement agency is unable to verify the registry identification cardholder by using the medical cannabis verification system established by G.S.
(c) PenaltyPenaltyfor for Confidentiality Breaches.
– AnyAnyperson, person, including an employee or official of the Department or another State agencyagencyor or local government, who breaches the confidentiality of information obtained pursuant to this section is guilty of a Class 2 misdemeanor;
DRH10449-NLa-82House Bill 1011-First Edition Page 9 General Assembly Of North Carolina Session 2025 (9) A member appointed by the General Assembly upon recommendation of the President Pro Tempore of the Senate in accordance with G.S.
The terms of members designated by subdivisions (a)(1), (a)(2), and (a)(4) of this section shall expire on June 30 of anyanyyear yearevenlydivisible evenlybyfour. divisible by four.
The terms of the remainingremainingmembers members shall expire on June 30 of any year that follows by two years a year evenly divisible by four.
For the purposes ofthis section, "Tier1 county"county"shall shall mean the2023Countythe2023 TierDesignationsCountyTierDesignations published by the North Carolina Department of Commerce pursuant to G.S.
Page 10 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (k) Rules.
– The Commission shall establish, maintain, and control a computer software tracking system that traces cannabis from seed to sale and allows DRH10449-NLa-82House Bill 1011-First Edition Page 11 General Assembly Of North Carolina Session 2025 real-time, 24-hour access by the Department, the Commission, and any State or local law enforcement agency in North Carolina to data from all production facilities, medical cannabis centers, and testing laboratories.
The tracking system must allow for integration of other seed-to-sale systems and, at a minimum, include notification of when cannabis seeds are planted, when cannabis plants are harvested anddestroyed, andandwhen when cannabis is transported,transported,sold, sold, stolen, diverted, or lost.
Page 12 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 b.
The applicant may include nonresident partners with demonstrated ownership and operation experience in the cultivation, production, extraction, product development, quality control, and inventory management of cannabis products in a state-licensed medical or adult use cannabis operation and shall provide proof of state residencyresidencyfor for any nonresident partner of the applicant.
DRH10449-NLa-82House Bill 1011-First Edition Page 13 General Assembly Of North Carolina Session 2025 (f) Supplier Registry Identification Cards and Fees.
The supplier registryregistryidentification identification card issued pursuant to this subsection must be issued no later than 30 days after a supplier has been granted a license pursuant to this Article.
Each supplier registryidentification cardholdershall carrythesupplierregistryidentificationcardtogetherwithcarrythesupplier registryidentificationcardtogetherwith a valid identification whenever the supplier registry identification cardholder is possessing cannabis or cannabis-infused products as provided in this Article.
When requested by the Department, the North Carolina Department of Public Safety may provide to the Department a person's criminal historyhistoryfrom from the State RepositoryRepositoryof of Criminal Histories.
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For national checks, the Department shall provide to the North Carolina Department of Public Safety the fingerprints of the person to be checked, any additional information required by the Department of Public Safety, and a form signed by the person to be checked consenting to thecheck of thecriminal record andto theuseof fingerprints andandother other identifyinginformation required by the State or National Repositories.
The fingerprints of the individual shall be forwarded to the State Bureau of Investigation for a search of the State criminal history record file, and theStateBureautheState Bureau of Investigationshall forwarda set offingerprints to theFederal Bureau of Investigation for a national criminal history record check.
The Department of Public Safety shall charge a reasonable fee for conducting the checks of the criminal history Page 14 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 records authorized bybythis this section.
anyanyfelonyunderArticle14(Burglaryand felony underArticle14(Burglary and OtherHousebreakings) of Chapter 14 of the General Statutes;
A medical cannabis center shall not sell cannabis or DRH10449-NLa-82House Bill 1011-First Edition Page 15 General Assembly Of North Carolina Session 2025 cannabis-infused products in an amount that exceeds an adequate supply to any qualified patient or designated caregiver.
– Each supplier licensed under this Article shall submit monthly reports to the Department on all financial transactions, including, but not limited to, production, sales and purchases of cannabis and cannabis-infused products, and transfers of cannabis and cannabis-infused products for no consideration with respect to each medical cannabis center and production facilityfacilityoperated operatedbythe by the supplier.
(10) Violating a lawful order of the Department or an agencyagencyof of the State, or failing to comply with a lawfully issued subpoena of the Department or an agency of the State.
Page 16 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 "§ 90-113.123.
(c) Nothing in this section shall be construed to extend the protections of this section to anyperson,includinganyperson,includingasupplier,orasupplier'semployee,agent,orprincipal,toallowthatperson asupplier,orasupplier'semployee,agent,orprincipal,toallowthatperson to acquire, possess, manufacture, produce, use, sell, distribute, dispense, or transport cannabis in a manner that is not consistent with this Article.
(a) A registry identification cardholder shall not be subject to arrest, prosecution, or penaltypenaltyin inanymanner any manner for the possession or purchase of cannabis for medical use bybythe the qualified patient if the quantity of usable cannabis possessed or purchased does not exceed an adequate supply, as determined by the qualified patient's physician, and the cannabis or cannabis-infused product is contained in packaging bearing the label required by G.S.
(b) If usable cannabis is infused or added as an ingredient to an edible cannabis product, salve, tincture, or anyanyother other preparation to be consumed or used by a qualified patient, the weight of the other ingredients that are not usable cannabis shall not be included for the purpose of determining whether a qualified patient is in possession of an amount of cannabis that exceeds the qualified patient's adequate supply.
DRH10449-NLa-82House Bill 1011-First Edition Page 17 General Assembly Of North Carolina Session 2025 (3) In a vehicle.
(6) In or within 1,000 linear feet of the propertypropertyline line of a public school unit or any nonpublic school as defined in Part 1 or Part 2 of Article 39 of Chapter 115C of the General Statutes, unless the medical use occurs within a private residence.
90-95(h)(1), and it is found that the offense was committed at a medical cannabis center or production facility or with cannabis from a medical cannabis center or production facility, then the person shall be sentenced at a felony class level one class higher than the principal felony for which the person was convicted, and an additional 12 months willbeadded to themandatoryminimumthe sentence.Nomandatoryminimum defendantsentence. sentenced pursuant to this section shall be sentenced at a level higher than a Class C felony.
No defendant sentenced pursuant to this section shall be sentenced at a level higher than a Class C felony.
Page 18 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (g1) Closed Containers.
– Before cannabis or cannabis-infused products may be dispensed to a registryregistryidentificationcardholder, identificationcardholder, a medical cannabis center employeeshallemployee shall access the verification system and determine that:
DRH10449-NLa-82House Bill 1011-First Edition Page 19 General Assembly Of North Carolina Session 2025 a.
A production facility may only be accessed by a supplier or a supplier's employee or agent, authorized Department personnel, law enforcement personnel, emergencyemergencypersonnel, personnel, and adults who are 21 years of age and older who are accompanied by a supplier or supplier's agents or principals.
(4) A communitycommunitycollege college or the facilities of The UniversityUniversityof of North Carolina and the grounds of those facilities as defined in G.S.
(c) LimitedEntry.–Entryto medicalcannabiscenters shallbestrictlylimitedtoqualifiedshallbestrictlylimitedto qualified patients, designated caregivers, and persons whose job duties require their presence in the medical cannabis center, including employees and contractors of the medical cannabis center and State employees with an inspection or regulatoryregulatoryrole. role.
The Commission maymayset set other limitations as necessary to protect the public.
Page 20 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (e) Consumption Prohibited.–Consumptionofcannabis orcannabis-infused products on the site of a medical cannabis center is prohibited.
(g) VisibilityVisibilityRestriction. Restriction.
An independent testing laboratory shall analyze a representative sample of all cannabis or cannabis-infused products beforethe sale ortransferto a medical cannabis centerbycenterbya a production facility.
(1) Standardsfortestingcannabisandcannabis-infusedproducts,includingStandardsfortestingcannabisandcannabis-infusedproducts,includingactive active ingredient analyses, potency analyses, homogeneity requirements, and specifying prohibited concentrations of heavy metals, pesticides, residual solvents, microbiological contaminants, mycotoxins, and other contaminants that are injurious to human health.
(a) TheproductionfacilityormedicalTheproductionfacilityor medical cannabis centerlogo,signage,andadvertisingshallcenterlogo,signage, andadvertisingshall be tasteful, respectful, and medically focused and shall not appeal to minors or contain cartoon-like figures or attempts at humor.
DRH10449-NLa-82House Bill 1011-First Edition Page 21 General Assembly Of North Carolina Session 2025 (b) Notwithstanding any municipal or county ordinance prohibiting signage, the medical cannabis center shall only use signage that includes the medical cannabis center's name, logo, and hours of operation.
(d) The Commission may take action against a licensee or designated retailer who engages in nonconformingnonconformingsignageor signageoradvertising,includingspecifying advertising,including specifying aperiod oftimebyoftimebywhich which the licensee or designated retailer shall cease or remove the noncompliant signage or advertising or risk a fine, suspension of the license, or both.
(f) All production facilities and medical cannabis centers owned and operated by a supplier shall maintain a discreet, professional appearance that is compatible with existing commercialstructures orlanduseswithintheimmediatearea,includingorlanduseswithintheimmediatearea,includingrequirements requirementstomaintaintomaintain the production facility or medical cannabis center in a manner to prevent blight, deterioration, diminishment, or impairment of property values within the vicinity.
– A package that is designed or constructed to be significantlydifficultforchildrenunder5yearsofagetoopenandnotdifficultsignificantlydifficultforchildrenunder5 yearsofagetoopenandnotdifficult for normal adults to use properly, substantially similar to those defined by 16 C.F.R.
Page 22 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (2) Exit packaging.
Labels shall not include strain names but maymayinclude include cannabinoid and terpene profiles for identification.
FOR MEDICALUSE ONLY.KEEP OUTOFTHEREACHOFCHILDRENOUTOFTHEREACHOF CHILDREN AND ANIMALS.".
(1) Establish requirements and procedures for the safe, uniform, appropriate, and accurate packaging and labeling of cannabis and cannabis-infused products for human consumption, including prohibiting the use of anyanyimages images designed or likely to appeal to minors, including cartoons, toys, animals, or children, any other likeness to images, characters, or phrases that are popularly used to advertise to children, or any imitation of candy packaging or labeling.
(2) Establish requirements to ensure that cannabis and cannabis-infused products for human consumption are designed, marketed, and packaged in a manner that is appropriate for a medicinal product and that does not resemble commerciallycommerciallysold sold candies or other food that is typicallytypicallymarketed marketed to children.
(3) Establish restrictions on the forms and appearance of edible cannabis-infused products in order to reducetheirappeal to minors,includingprohibitingminors,includingprohibitingedible edible cannabis products in the shapes of cartoons, toys, animals, or people.
The medical cannabis center shall retain documentation of the destruction and disposal for a period DRH10449-NLa-82House Bill 1011-First Edition Page 23 General Assembly Of North Carolina Session 2025 of not less than one year.
and analysis of genetic and healing properties of the many varied strains of cannabis to determine which strains maymaybe be best suited for a particular condition or treatment.
Page 24 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 (1) The number of registry identification card applications submitted, approved, and renewed.
(4) Thenatureofthedebilitatingmedical conditions ofthequalifyingpatientsof thequalifyingpatients and a breakdown of qualifying patients by age group.
(6) The new debilitating medical conditions added bybythe the Advisory Board, if any.
(c) TheDepartment maymaydevelop develop methodologicallyvalidsurveys to be taken bybyqualified qualified patients to determine the effects of the use of medical cannabis.
(1) Allow for a violation of anyanylaw law other than for conduct in compliance with the provisions of this Article.
DRH10449-NLa-82House Bill 1011-First Edition Page 25 General Assembly Of North Carolina Session 2025 (10) Impair the ability of a community association to prohibit or limit smoking or vaping of cannabis in a common area through the community association's declaration or bylaws.
Within 270 days of the first meeting, the Commission must adopt rules, as required bybyG.S. G.S.
andanimals, except for cannabis or cannabis-infused products, as defined in Page 26 DRH10449-NLa-82House Bill 1011-First Edition General Assembly Of North Carolina Session 2025 G.S.
and every compound, manufacture, salt, derivative, mixture, or preparation of such plant, its seeds or resin, but shall not include the mature stalks of such plant, fiber produced from such stalks, oil, or cake made from DRH10449-NLa-82House Bill 1011-First Edition Page 27 General Assembly Of North Carolina Session 2025 the seeds of such plant, any other compound, manufacture, salt, derivative, mixture, or preparation of such mature stalks (except the resin extracted therefrom), fiber, oil, or cake, or the sterilized seed of such plant which is incapable of germination.
Page 28 DRH10449-NLa-82House Bill 1011-First Edition
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Action History
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Passed 1st Reading
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Ref To Com On Rules, Calendar, and Operations of the House
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Filed
Sponsors
- Nasif Majeed · Cosponsor
- Zack Hawkins · Cosponsor
- Pricey Harrison · Primary
- Aisha O. Dew · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 2 co-sponsors · 175 not signed on
Sponsors (2)
- Pricey Harrison Democratic
- Aisha O. Dew Democratic
Co-sponsors (2)
- Nasif Majeed U
- Zack Hawkins Democratic
Not signed on (175)
175 members have not signed on to this bill.
Show all 175 →"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.
Subjects
Frequently asked questions
- Who sponsors HB 1011?
- HB 1011 is sponsored by Nasif Majeed (U), Zack Hawkins (Democratic), Pricey Harrison (Democratic), and Aisha O. Dew (Democratic).
- What is the current status of HB 1011?
- This bill is in committee in the House. Introduced April 15, 2025. It must pass committee before a floor vote.
- Where can I track HB 1011?
- Track HB 1011 free on One Click Politics — get push/email alerts when it moves.
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