North Carolina 2025 Session Status: In Committee 5 D cosponsors

SB 908 — Janell Green Smith Maternal Health Acc. Act.

Last action — Passed 1st Reading

  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 April 29, 2026. It must pass committee before a floor vote.

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

Odds of enactment

Low chance

Based 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

Stalled 24% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 5 sponsors

    2 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 D).

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

28 added · 29 removed

Plain-language change summary

The revised version of Senate Bill 908 includes language that clarifies the role of perinatal healthcare providers in birthing rooms as part of the care team. This change aims to improve the integration of licensed midwives and other healthcare professionals in various birth settings, which can enhance the quality of care for mothers and newborns. This matters because it supports a more collaborative approach to childbirth, potentially leading to better health outcomes for families.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Apr 29, 2026 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 908 Short Title:
908 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS45471-NBf-176 Short Title:
A BILL TO BE ENTITLED AN ACT TO RECOGNIZE MATERNAL HEALTH INITIATIVES AND TO SUPPORT AND EXPAND LICENSURE AND RECOGNITION OF MIDWIVES.
Rules and Operations of the Senate April 30, 2026 A BILL TO BE ENTITLED AN ACT TO RECOGNIZE MATERNAL HEALTH INITIATIVES AND TO SUPPORT AND EXPAND LICENSURE AND RECOGNITION OF MIDWIVES.
(3) National clinical standards and peer-reviewed evidence demonstrate that midwifery care, when licensed, regulated, and integrated across birth settings, improves continuity of care, patient satisfaction, and maternal and neonatal outcomes.
(3) National clinical standards and peer-reviewed evidence demonstrate that midwiferycare, when licensed, regulated, and integrated across birth settings, improves continuity of care, patient satisfaction, and maternal and neonatal outcomes.
(5) Virginia law expressly provides for autonomous midwifery practice and reimbursement parity for licensed midwives, while South Carolina law *DRS45471-NBf-176* General Assembly Of North Carolina Session 2025 requires the integration of midwives and community birth into statewide perinatal care planning, without restricting scope of practice or requiring hospital privileges.
(5) Virginia law expressly provides for autonomous midwifery practice and reimbursement parity for licensed midwives, while South Carolina law *S908-v-1* General Assembly Of North Carolina Session 2025 requires the integration of midwives and community birth into statewide perinatal care planning, without restricting scope of practice or requiring hospital privileges.
(6) Perinatalhealthcareprovider.– AlicenseeunderthisArticleandArticles10A and 10C of this Chapter.
(6) Perinatalhealthcareprovider.–AlicenseeunderthisArticleandArticles10A and 10C of this Chapter.
Page 2 DRS45471-NBf-176 General Assembly Of North Carolina Session 2025 (6) Allowperinatalhealthcareprovidersinbirthingroomsaspartofthecareteam and not counted as a member of the family, including in the event that a birth moves from home care to hospital care.
Page 2 Senate Bill 908-First Edition General Assembly Of North Carolina Session 2025 (6) Allowperinatalhealthcareprovidersinbirthingroomsaspartof thecareteam and not counted as a member of the family, including in the event that a birth moves from home care to hospital care.
DRS45471-NBf-176 Page 3 General Assembly Of North Carolina Session 2025 (2) Scholarships and stipends for perinatal health care providers.
Senate Bill 908-First Edition Page 3 General Assembly Of North Carolina Session 2025 (2) Scholarships and stipends for perinatal health care providers.
Chapter 90 of the General Statutes is amended by adding a new Article to read:
Chapter 90 of the General Statutes is amended byadding a new Article to read:
Page 4 DRS45471-NBf-176 General Assembly Of North Carolina Session 2025 (7) Department.
Page 4 Senate Bill 908-First Edition General Assembly Of North Carolina Session 2025 (7) Department.
No member may serve more than two consecutive terms.
No member mayserve more than two consecutive terms.
DRS45471-NBf-176 Page 5 General Assembly Of North Carolina Session 2025 (c) Vacancies.
Senate Bill 908-First Edition Page 5 General Assembly Of North Carolina Session 2025 (c) Vacancies.
If a Council member is absent from three consecutive Council meetings without excuse, that member shall be removed from office and a new member shall beappointed by theSecretaryof theDepartment ofHealthandHumanServices.
If a Council member is absent from three consecutive Council meetings without excuse, that member shall be removed from office and a new member shall beappointed bythe Secretaryof theDepartment of HealthandHumanServices.
A member subject to disciplinary proceedings in the member's capacity as a health care provider shall be disqualified from participating in the official business of the Council until the charges have been resolved.
A member subject to disciplinary proceedings in the member's capacityas a health care provider shall be disqualified from participating in the official business of the Council until the charges have been resolved.
Page 6 DRS45471-NBf-176 General Assembly Of North Carolina Session 2025 (8) Address problems and concerns of Certified Professional Midwives or Certified Midwives in order to promote safety for the citizens of this State.
Page 6 Senate Bill 908-First Edition General Assembly Of North Carolina Session 2025 (8) Address problems and concerns of Certified Professional Midwives or Certified Midwives in order to promote safety for the citizens of this State.
(2) Has completed all required educational and clinical training, including education in emergency skills for pregnancy, birth, and newborn care and other midwifery topics addressing all ICM Core Competencies, as determined by NACPM or NARM, and has earned the national Certified Professional Midwifecertification credential awarded by anational midwifery certification agency accredited by the National Commission on Certifying Agencies (NCCA), the accrediting body of the Institute of Credentialing Excellence.
(2) Has completed all required educational and clinical training, including education in emergency skills for pregnancy, birth, and newborn care and other midwiferytopics addressing all ICM Core Competencies, as determined by NACPM or NARM, and has earned the national Certified Professional Midwifecertification credential awarded byanational midwiferycertification agency accredited by the National Commission on Certifying Agencies (NCCA), the accrediting body of the Institute of Credentialing Excellence.
(a) A Certified Professional Midwife or Certified Midwife licensed under this Article shall practice according to the National Association of Certified Professional Midwives (NACPM) Standards of Practice or the standards of practice adopted by the Council for Certified Midwives, as applicable, and shall have the following responsibilities:
(a) A Certified Professional Midwife or Certified Midwife licensed under this Article shall practice according to the National Association of Certified Professional Midwives (NACPM) Standards of Practice or the standards of practice adopted bythe Council for Certified Midwives, as applicable, and shall have the following responsibilities:
DRS45471-NBf-176 Page 7 General Assembly Of North Carolina Session 2025 (9) Practice in compliance with the requirements of this Article and any rules adopted pursuant to this Article.
Senate Bill 908-First Edition Page 7 General Assembly Of North Carolina Session 2025 (9) Practice in compliance with the requirements of this Article and any rules adopted pursuant to this Article.
All applications for renewal shall be filed with the Council and shall be accompanied by the renewal fee in accordance with G.S.
All applications for renewal shall be filed with the Council and shall be accompanied bythe renewal fee in accordance with G.S.
All fees payable to the Council shall be deposited in the name of the Council in financial institutions designated by the Council as official depositories and shall be used to pay all expenses incurred in carrying out the purposes of this Article.
All fees payable to the Council shall be deposited in the name of the Council in financial institutions designated bythe Council as official depositories and shall be used to pay all expenses incurred in carrying out the purposes of this Article.
Page 8 DRS45471-NBf-176 General Assembly Of North Carolina Session 2025 (2) Gives false information or withholds material information from the Council during the course of an investigation conducted by the Council.
Page 8 Senate Bill 908-First Edition General Assembly Of North Carolina Session 2025 (2) Gives false information or withholds material information from the Council during the course of an investigation conducted by the Council.
(4) Has a habitual substance abuse problem or mental impairment that interferes with his or her ability to provide appropriate care as established by this Article or rules adopted by the Council.
(4) Has a habitual substance abuse problem or mental impairment that interferes with his or her abilityto provide appropriate care as established bythis Article or rules adopted by the Council.
DRS45471-NBf-176 Page 9
Senate Bill 908-First Edition Page 9
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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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2 sponsors · 3 co-sponsors · 174 not signed on

Sponsors (2)

Co-sponsors (3)

Not signed on (174)

174 members have not signed on to this bill.

Show all 174 →

"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 SB 908?
SB 908 is sponsored by Caleb Theodros (Democratic), Joyce Waddell (Democratic), DeAndrea Salvador (Democratic), Natalie S. Murdock (Democratic), and Kandie D. Smith (Democratic).
What is the current status of SB 908?
This bill is in committee in the Senate. Introduced April 29, 2026. It must pass committee before a floor vote.
Where can I track SB 908?
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