North Carolina 2025 Session Status: Passed Senate 3 R cosponsors

SB 405 — Healthcare Investment Act.

Last action — Regular Message Sent To Senate

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  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 March 24, 2025. It now moves to the second chamber.

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

Prognosis

Advancing 52% · moderate confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed Senate

    Current position in the legislative process.

  • 3 sponsors

    2 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 R).

  • Cleared a recorded vote

    Passed 2 recorded votes 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.

Bill Text

What changed in the latest version

7 added · 9 removed

Plain-language change summary

In the latest version of Senate Bill 405, some clarifications have been made regarding the qualifications needed for chiropractors in North Carolina. Specifically, the wording has been adjusted to ensure that only those practicing doctors of chiropractic who are residents of the state and have completed accredited chiropractic education are considered. These changes matter because they help to clearly define the eligibility criteria for practitioners, ensuring that only qualified individuals are licensed to provide chiropractic care in the state, which can ultimately benefit patients seeking treatment.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 2 SENATE BILL 405 Health Care Committee Substitute Adopted 4/16/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 405 Short Title:
Senators Hise, Sawrey, and Burgin (Primary Sponsors).
March 25, 2025 A BILL TO BE ENTITLED AN ACT TO MAKE VARIOUS CHANGES TO THE LAWS GOVERNING THE PRACTICE OF CHIROPRACTIC.
Rules and Operations of the Senate March 25, 2025 A BILL TO BE ENTITLED AN ACT TO MAKE VARIOUS CHANGES TO THE LAWS GOVERNING THE PRACTICE OF CHIROPRACTIC.
For the purposes *S405-v-2* General Assembly Of North Carolina Session 2025 of this section, "direct supervision" means that the supervising licensed chiropractor must be within the immediate patient treatment area and available to the student at all times.
For the purposes *S405-v-1* General Assembly Of North Carolina Session 2025 of this section, "direct supervision" means that the supervising licensed chiropractor must be within the immediate patient treatment area and available to the student at all times.
Page 2 Senate Bill 405-Second Edition General Assembly Of North Carolina Session 2025 "§ 90-154.3.
Page 2 Senate Bill 405-First Edition General Assembly Of North Carolina Session 2025 "§ 90-154.3.
SECTION3.
SECTION 3.
This act becomeseffectiveOctober 1,2025, and applies to applications for licensure on or after that date.
This act becomes effective October 1, 2025.
Senate Bill 405-Second Edition Page 3
Senate Bill 405-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.

The bill modifies existing appropriations and administrative processes related to Medicaid funding and local management entities/managed care organizations in North Carolina.

  • Section 2B.10 of S.L. 2025-89

    six hundred million dollars ($600,000,000) → six hundred ninety million dollars ($690,000,000)

    Increases the Medicaid funding appropriation from $600 million to $690 million.

  • Section 2B.5 of S.L. 2025-89

    eighteen million five hundred sixty-two thousand six hundred forty-five dollars ($18,562,645) → thirty million dollars ($30,000,000)

    Increases the reduction of funds appropriated for single-stream funding from $18.5 million to $30 million.

  • Section 1.2(a)

    eighteen million twenty-eight thousand two hundred seventeen dollars ($18,028,217)

    Establishes a mandatory intergovernmental transfer amount from local management entities/managed care organizations to the Department of Health and Human Services.

  • Section 1.4(c)

    The Prescription Digital Therapeutics Pilot Program authorized by Section 9F.2 of S.L. 2022-74 is repealed.

    Repeals the Prescription Digital Therapeutics Pilot Program, affecting funding allocations.

  • Section 1.5(d)

    the sum of thirty-three million nine hundred eighty-six thousand five hundred thirty dollars ($33,986,530)

    Reduces appropriated funds for DHHS by approximately $33.9 million for the biennium.

  • Section 1.6

    one hundred thousand dollars ($100,000)

    Reduces appropriated funds for the Whole Child Health Section by $100,000.

  • Section 1.7

    one hundred ten thousand dollars ($110,000)

    Reduces appropriated funds for the Medical Eye Care Program by $110,000.

  • Section 1.8

    improved alignment of prepaid health plan contract incentives and prepaid health plan cost containment efforts through full risk-sharing, value-based arrangements, and appropriate oversight of delegated care management entities.

    Directs DHHS to develop a plan for Medicaid with a focus on cost-saving and efficiency measures.

Action History

  1. Regular Message Sent To Senate

  2. Not received; ineligible pursuant to Res. 2025-11

  3. Message Refused by Senate

  4. Held by House Clerk

  5. Reptd Fav Com Substitute

  6. Cal Pursuant Rule 36(b)

  7. Added to Calendar

  8. Passed 2nd Reading

  9. Passed 3rd Reading

  10. Passed 1st Reading

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

  12. Regular Message Sent To House

  13. Regular Message Received From Senate

  14. Passed 2nd Reading

  15. Passed 3rd Reading

  16. Reptd Fav

  17. Reptd Fav Com Substitute

  18. Com Substitute Adopted

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

  20. Withdrawn From Com

  21. Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  22. Passed 1st Reading

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

  24. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 1 co-sponsors · 176 not signed on · 11 voted No

Sponsors (2)

Co-sponsors (1)

Not signed on (176)

176 members have not signed on to this bill.

Show all 176 →

"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 110 Yea · 0 Nay · 10 Other
Party YeaNayPresentNot Voting
Democratic 43001
U 2000
Unaffiliated 6001
Republican 59008
Total 1100010
% of votes cast 92%0%0%8%
How each member voted (120)
Member Party Vote
CharlesSmith — Yea
vonHaefen — Yea
Campbell — Yea
Reeder — Yea
JohnLowery — Not Voting
C. Smith — Yea
F. Jackson — Yea
Abe Jones Democratic Yea
Aisha O. Dew 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
Beth Helfrich Democratic Yea
Brandon Lofton Democratic Yea
Brian Turner Democratic Yea
Bryan Cohn Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Not Voting
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Jordan Lopez Democratic Yea
Julia Greenfield 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
Mike Colvin Democratic Yea
Monika Johnson-Hostler Democratic Yea
Phil Rubin Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Rodney D. Pierce Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Tracy Clark 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 Yea
Bill Ward Republican Yea
Blair Eddins Republican Yea
Brenden H. Jones Republican Not Voting
Brian Biggs Republican Yea
Brian Echevarria Republican Yea
Celeste C. Cairns Republican Yea
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
Cody Huneycutt Republican Not Voting
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 Not Voting
Erin Paré Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Heather H. Rhyne Republican Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jerry "Alan" Branson Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John M. Blust Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Not Voting
Jonathan L. Almond Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Yea
Kyle Hall Republican Yea
Larry C. Strickland Republican Yea
Larry W. Potts Republican Not Voting
Mark Brody Republican Yea
Mark Pless Republican Yea
Matthew Winslow Republican Yea
Mike Clampitt Republican Yea
Mike Schietzelt Republican Yea
Mitchell S. Setzer Republican Yea
Neal Jackson Republican Yea
Paul Scott Republican Not Voting
Phil Shepard Republican Yea
Ray Pickett Republican Yea
Sam Watford Republican Not Voting
Sarah Stevens Republican Not Voting
Stephen M. Ross Republican Yea
Steve Tyson Republican Yea
Ted Davis, Jr. Republican Yea
Todd Carver Republican Yea
Todd Johnson Republican Yea
Tricia Ann Cotham Republican Yea
William D. Brisson Republican Yea
Wyatt Gable Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Second Reading

Passed 35 Yea · 11 Nay · 4 Other
Party YeaNayPresentNot Voting
Democratic 61103
Republican 29001
Total 351104
% of votes cast 70%22%0%8%
How each member voted (50)
Member Party Vote
Caleb Theodros Democratic Nay
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Nay
Gale Adcock Democratic Not Voting
Gladys A. Robinson Democratic Not Voting
Graig Meyer Democratic Yea
Jay J. Chaudhuri Democratic Nay
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Not Voting
Kandie D. Smith Democratic Nay
Lisa Grafstein Democratic Nay
Michael Garrett Democratic Nay
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
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 Not Voting
Chris Measmer Republican Yea
Dana Jones Republican Yea
Danny Earl Britt, Jr. Republican Yea
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 Yea
Paul Newton Republican Yea
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 →

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 405?
SB 405 is sponsored by Jim Burgin (Republican), Benton G. Sawrey (Republican), and Ralph Hise (Republican).
What is the current status of SB 405?
This bill has passed the Senate. Introduced March 24, 2025. It now moves to the second chamber.
Where can I track SB 405?
Track SB 405 free on One Click Politics — get push/email alerts when it moves.

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