North Carolina 2025 Session Status: Passed House Bipartisan · 20 R · 5 D cosponsors

HB 4 — Sam's Law.

Last action — Passed 2nd Reading

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  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 January 29, 2025. It now moves to the second chamber.

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

Prognosis

Likely to advance 74% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed House

    Current position in the legislative process.

  • 26 sponsors

    3 primary, 23 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (20 R · 5 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

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.

In plain language

The bill requires public schools to create medical action and emergency plans for at-risk students.

This legislation mandates that every public school unit develop and implement medical condition action plans for students diagnosed with medical emergencies. Additionally, it requires the establishment of medical emergency plans for handling emergencies when not covered by the action plans.

What this means for you
  • Workers: School employees will have guidelines for administering medical care and emergency responses.
  • Families: Families of students with medical conditions will benefit from structured plans to manage emergencies.

Bill Text

What changed in the latest version

50 added · 51 removed

Plain-language change summary

The amendment to House Bill 4 adds language to clarify the training requirements for school staff who will administer seizure medication to students. It specifies that each school must have at least one trained employee and establishes that training guidelines will align with standards set by the Epilepsy Foundation. This change is important because it aims to ensure that students with seizure disorders receive timely and appropriate care during school hours, promoting their safety and well-being.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 4 Committee Substitute Favorable 4/1/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 4 Short Title:
Representatives Kidwell, Cairns, Biggs, and Paré (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
January 30, 2025 A BILL TO BE ENTITLED AN ACT TO PROVIDE TRAINING TO STUDENTS AND SCHOOL PERSONNEL ON RECOGNIZING AND RESPONDING WHEN A PERSON IS EXPERIENCING A SEIZURE.
Rules, Calendar, and Operations of the House January 30, 2025 A BILL TO BE ENTITLED AN ACT TO PROVIDE TRAINING TO STUDENTS AND SCHOOL PERSONNEL ON RECOGNIZING AND RESPONDING WHEN A PERSON IS EXPERIENCING A SEIZURE.
– A written, individualized health plan developed between a public school unit and the parent of a student enrolled in the public school unit who is diagnosed with a seizure disorder.
– A written, individualized health plan developed between a school unit and the parent of a student enrolled in the unit who is diagnosed with a seizure disorder.
The public school unit shall keep each Seizure Action Plan on file in the office of a school administrator or school nurse employed by the unit and make the Plan available to any school personnel and, with the permission of the student's parent, any volunteer responsible for the supervision of the student.
The school unit shall keep each Seizure Action Plan on file in the office of a school administrator or school nurse employed by the unit and make the Plan available to any school personnel and, with the permission of the student's parent, any volunteer responsible for the supervision of the student.
– The parent of a student diagnosed with a seizure disorder may petition the public school unit for the development of a Seizure Action Plan.
– The parent of a student diagnosed with a seizure disorder may petition the student's school unit for the development of a Seizure Action Plan.
The parent and school unit shall develop the Plan in accordance with the procedures developed bythe governing body of the public school unit.
The parent and school unit shall develop the Plan in accordance with the procedures developed bythe governing body of the school unit.
This permission shall be renewed in each subsequent school year the student attends a school in the public school unit.
This permission shall be renewed in each subsequent school year the student attends a school in the school unit.
(3) If school personnel or volunteers who meet the training requirements of this section are authorized by the parent to administer seizure medication to a student, the parent shall provide the school with at least one unopened dosage *H4-v-2* General Assembly Of North Carolina Session 2025 of the medication with an intact pharmaceutical label.
(3) If school personnel or volunteers who meet the training requirements of this section are authorized by the parent to administer seizure medication to a *H4-v-1* General Assembly Of North Carolina Session 2025 student, the parent shall provide the school with at least one unopened dosage of the medication with an intact pharmaceutical label.
– Each public school unit shall ensure that at least one employee in each school in the unit is trained to administer or assist with the self-administration of any seizure medication provided to the school pursuant to subsection (b) of this section.
– Each school unit shall ensure that at least one employee in each school in the unit is trained to administer or assist with the self-administration of any seizure medication provided to the school pursuant to subsection (b) of this section.
The governing body of the public school unit shall adopt minimum training requirements for these employees, which shall be consistent with training guidelines established by the Epilepsy Foundation of America, Inc., or its successor.
The governing body of each school unit shall adopt minimum training requirements for these employees, which shall be consistent with training guidelines established by the Epilepsy Foundation of America, Inc., or its successor.
– The governing body of the public school unit shall adopt a policy outlining the requirements of a seizure education program for all school personnel having direct contact with students in grades kindergarten through 12.
– The governing body of each public school unit shall adopt a policy outlining the requirements of a seizure education program for all school personnel having direct contact with students in grades kindergarten through 12.
– The governing body of the public school unit shall adopt a policy requiring all principals, school counselors, and teachers in the public school unit to complete at least one hour of self-study review of seizure disorder materials each school year.
– The governing body of each school unit shall adopt a policy requiring all principals, school counselors, and teachers in the unit to complete at least one hour of self-study review of seizure disorder materials each school year.
The governing body of the public school unit shall select the materials for study in accordance with current practices and standards.
The governing body of the unit shall select the materials for study in accordance with current practices and standards.
– The governing bodyof the public school unit shall ensure that an informational display on seizure first aid is posted in at least one visible, high-traffic area in each school in the public school unit." SECTION 3.(a) G.S.
– The governing body of each school unit shall ensure that an informational displayon seizure first aid is posted in at least one visible, high-traffic area in each school in the unit." SECTION 3.(a) G.S.
115C-375.7 for all school units, as defined in that section, operated under the control of the Board of Governors." Page 2 House Bill 4-Second Edition General Assembly Of North Carolina Session 2025 SECTION 4.
115C-375.7 for all school units, as defined in that section, operated under the control of the Board of Governors." Page 2 House Bill 4-First Edition General Assembly Of North Carolina Session 2025 SECTION 4.
There is appropriated from the General Fund to the Department of Public Instruction the sum of fifty thousand dollars ($50,000) in nonrecurring funds to assist the StateBoardofEducation with thedevelopment ofits seizurerules andwith othercosts associated with the implementation of this act.
There is appropriated from the General Fund to the Department of Public Instruction the sum of fifty thousand dollars ($50,000) in nonrecurring funds to assist the State Board of Education with the development of its seizure policy and with other costs associated with the implementation of this act.
The State Board of Education may share any materials or rule language it develops pursuant to Section 3(a) of this act with the Board of Governors of The University of North Carolina and the Division of Non-Public Education to facilitate the development of other seizure policies that are consistent with this act.
The State Board of Education may share any materials or rule language it develops pursuant to Section 3(a) of this act with the Board of Governors of The University of North Carolina and the Division of Nonpublic Schools to facilitate the development of other seizure policies that are consistent with this act.
House Bill 4-Second Edition Page 3
House Bill 4-First Edition Page 3
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View plain text versions (4)

How this bill changes current law

8 changes Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

This bill establishes requirements for medical condition action plans and emergency plans in public schools for students at risk of medical emergencies.

  • G.S. 115C-12

    (50) Medical Condition Action Plan. – The State Board of Education shall adopt a rule establishing a medical condition action plan as provided in G.S. 115C-375.1 to be implemented by each public school unit for each student at risk for a medical emergency as diagnosed by a doctor.

    Introduces a requirement for a medical condition action plan for students at risk of medical emergencies.

  • G.S. 115C-12

    (51) Medical Emergency Plan. – The State Board of Education, in consultation with the Department of Public Instruction and the Department of Health and Human Services, shall adopt a rule establishing the required response of public school unit employees when a student has a medical emergency not otherwise covered by a medical condition action plan.

    Creates a requirement for a medical emergency plan to be established by the State Board of Education.

  • G.S. 115C-375.1

    To provide some medical care to students. → To provide some medical care to students.students and implement medical condition action plans.

    Changes the title to include responsibilities for implementing medical condition action plans.

  • G.S. 115C-375.1

    to administer any drugs or medication prescribed by a doctor upon written request of the parents, → to administer any drugs or medication prescribed by a doctor upon written request of the parents, or as described in the medical condition action plan required by subsection (b) of this section,

    Allows administration of medication as per the new medical condition action plan.

  • G.S. 115C-375.1

    At least one public school unit employee per school shall be trained in first aid and lifesaving techniques, including seizure recognition.

    Mandates training for at least one staff member in first aid and lifesaving techniques.

  • G.S. 115C-375.1

    Each governing body of a public school unit shall implement the medical condition action plan adopted by the State Board of Education pursuant to G.S. 115C-12(50) for each student at risk of a medical emergency as diagnosed by a doctor.

    Requires public school units to implement the medical condition action plan for at-risk students.

  • G.S. 115C-375.1

    The medical condition action plan adopted by the State Board of Education shall include all of the following: (1) A standard medical condition action plan form.

    Specifies that the medical condition action plan must include a standard form.

  • G.S. 115C-375.1

    The Department of Public Instruction shall provide each public school unit with a copy of the rule, and each public school unit shall implement the rule.

    Ensures that public schools receive and implement the new medical action plans and emergency procedures.

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

  9. Reptd Fav

  10. Cal Pursuant Rule 36(b)

  11. Placed On Cal For 05/07/2025

  12. Reptd Fav Com Sub 2

  13. Re-ref Com On Appropriations

  14. Serial Referral To Rules, Calendar, and Operations of the House Stricken

  15. Serial Referral To Appropriations Added

  16. Serial Referral To Rules, Calendar, and Operations of the House Added

  17. Reptd Fav Com Substitute

  18. Re-ref Com On Health

  19. Withdrawn From Com

  20. Re-ref to the Com on Education - K-12, if favorable, Health, if favorable, Rules, Calendar, and Operations of the House

  21. Passed 1st Reading

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

  23. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 23 co-sponsors · 153 not signed on

Sponsors (3)

Co-sponsors (23)

Not signed on (153)

153 members have not signed on to this bill.

Show all 153 →

"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 113 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Democratic 33001
Unaffiliated 25002
U 2000
Republican 53004
Total 113007
% of votes cast 94%0%0%6%
How each member voted (120)
Member Party Vote
Autry — Yea
Clemmons — Yea
Gill — Yea
Harris — Yea
Rudow — Yea
CharlesSmith — Yea
Staton-Williams — Yea
vonHaefen — Yea
Wray — Yea
Bradford — Yea
Cleveland — Yea
Crutchfield — Yea
Elmore — Yea
Faircloth — Yea
Fontenot — Yea
Hardister — Yea
Lowery — Yea
Mills — Yea
Moore — Yea
Saine — Yea
Sasser — Yea
CarsonSmith — Yea
Sossamon — Yea
Lucas — Not Voting
Reeder — Not Voting
F. Jackson — Yea
K. Baker — Yea
Abe Jones Democratic Yea
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Yea
Amos L. Quick, III Democratic Yea
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Brandon Lofton Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Not Voting
Cynthia Ball Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Joe John Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Yea
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
Terence Everitt Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest 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 Not Voting
Bill Ward Republican Yea
Brenden H. Jones Republican Yea
Brian Biggs Republican Yea
Celeste C. Cairns Republican Yea
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
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
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jake Johnson Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jimmy Dixon Republican Not Voting
John A. Torbett Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Not Voting
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 Yea
Mitchell S. Setzer Republican Yea
Neal Jackson 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
Tricia Ann Cotham Republican Yea
W. Ted Alexander Republican Not Voting
William D. Brisson Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Subjects

healthcare education
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 4?
HB 4 is sponsored by Jeff Zenger (Republican), David Willis (Republican), Donna McDowell White (Republican), Mitchell S. Setzer (Republican), Dennis Riddell (Republican), Reeder, A. Reece Pyrtle, Jr. (Republican), Larry W. Potts (Republican), Ben T. Moss, Jr. (Republican), Jeffrey C. McNeely (Republican), Ya Liu (Democratic), Neal Jackson (Republican), Pricey Harrison (Democratic), Dudley Greene (Republican), Brian Echevarria (Republican), Tricia Ann Cotham (Republican), Bryan Cohn (Democratic), Jennifer Balkcom (Republican), Amber M. Baker (Democratic), Jonathan L. Almond (Republican), Erin Paré (Republican), Brian Biggs (Republican), Celeste C. Cairns (Republican), Keith Kidwell (Republican), Mike Clampitt (Republican), and Charles Smith (Democratic).
What is the current status of HB 4?
This bill has passed the House. Introduced January 29, 2025. It now moves to the second chamber.
Where can I track HB 4?
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