North Carolina 2025 Session Status: In Committee 14 D cosponsors

HB 861 — Taxpayer Accountability/Pregnancy Centers.

Last action — Passed 1st Reading

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

This bill is in committee in the House. Introduced April 09, 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 chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low 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

Stalled 26% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 14 sponsors

    2 primary, 12 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (14 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

173 added · 172 removed

Plain-language change summary

The recent amendment to House Bill 861 added a line identifying the sponsors of the bill, which now includes Representatives Cervania, Crawford, and Greenfield. Additionally, the amendment maintained several specific requirements for health service applicants, such as details about on-site medical services and qualifications of personnel. These changes matter because they enhance transparency and accountability by ensuring that health service providers meet clear standards, thereby protecting the health and safety of the community.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 861 Short Title:
861 Apr 9, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40438-MGa-15B Short Title:
Representative Cervania.
Representatives Cervania, Crawford, and Greenfield (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT ENHANCING TAXPAYER ACCOUNTABILITY BY REQUIRING THE ESTABLISHMENT OF A COMPETITIVE GRANT PROCESS, PERFORMANCE STANDARDS, AND ADDITIONAL REPORTING REQUIREMENTS FOR PREGNANCY CENTERS.
Rules, Calendar, and Operations of the House April 10, 2025 A BILL TO BE ENTITLED AN ACT ENHANCING TAXPAYER ACCOUNTABILITY BY REQUIRING THE ESTABLISHMENT OF A COMPETITIVE GRANT PROCESS, PERFORMANCE STANDARDS, AND ADDITIONAL REPORTING REQUIREMENTS FOR PREGNANCY CENTERS.
Funds appropriated from theGeneral Fund totheDepartment ofHealth and Human Services, Division of Public Health, for each year of the 2025-2027 fiscal biennium for Carolina Pregnancy Care Fellowship (CPCF), a nonprofit corporation, are subject to the following requirements:
Funds appropriatedfrom theGeneral Fund to theDepartment ofHealth and Human Services, Division of Public Health, for each year of the 2025-2027 fiscal biennium for Carolina Pregnancy Care Fellowship (CPCF), a nonprofit corporation, are subject to the following requirements:
Whether licensed health care providers are required to be on-site during operating hours and, if so, an explanation of the requirement and what arrangements are made if the requirement cannot be met.
Whether licensed health care providers are required to be on-site during operating hours and, if so, an *H861-v-1* General Assembly Of North Carolina Session 2025 explanation of the requirement and what arrangements are made if the requirement cannot be met.
*DRH40438-MGa-15B* General Assembly Of North Carolina Session 2025 VII.
VII.
An explanation of the applicant's best practices with respect to the use of medical equipment and the provision of any medical testing, medical procedures, or counseling services.
An explanation of the applicant's best practices with respect to the use of medical equipment and the provision of anymedical testing, medical procedures, or counseling services.
(2) No later than July 1 of each year, beginning July 1, 2026, the CPCF shall announce the recipients of the competitive grant awards and allocate funds to thegrantees fortherespectivegrant periodpursuant to theamounts designated undersubsection(a)ofthissection.Afterawardshavebeengranted,theCPCF shall submit a report to the Department of Health and Human Services, the Joint Legislative Commission on Governmental Operations, the Joint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on the grant awards that includes at least all of the following information:
(2) No later than July 1 of each year, beginning July 1, 2026, the CPCF shall announce the recipients of the competitive grant awards and allocate funds to thegrantees for therespectivegrant periodpursuant to theamounts designated undersubsection(a)ofthissection.Afterawardshavebeengranted,theCPCF shall submit a report to the Department of Health and Human Services, the Joint Legislative Commission on Governmental Operations, the Joint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on the grant awards that includes at least all of the following information:
(5) Annually on July 1, beginning July 1, 2026, the CPCF shall report to the Department of Health and Human Services, the Joint Legislative Commission on Governmental Operations, the Joint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on the use of funds allocated under this section.
(5) Annually on July 1, beginning July 1, 2026, the CPCF shall report to the Department of Health and Human Services, the Joint Legislative Commission on Governmental Operations, the Joint Legislative Oversight Committee on Health and Human Services, and the Fiscal Research Division on the use of Page 2 House Bill 861-First Edition General Assembly Of North Carolina Session 2025 funds allocated under this section.
Page 2 DRH40438-MGa-15B General Assembly Of North Carolina Session 2025 a.
a.
The number of services, supports, and referrals provided to clients for each of the previously defined age categories, broken down by type of service, support, or referral provided, including pregnancy counseling, pregnancy testing, ultrasounds, and testing for sexually transmitted diseases.
The number of services, supports, and referrals provided to clients for each of the previously defined age categories, broken down by type of service, support, or referral provided, including pregnancycounseling, pregnancy testing, ultrasounds, and testing for sexually transmitted diseases.
"§ 131E-269.5.
House Bill 861-First Edition Page 3 General Assembly Of North Carolina Session 2025 "§ 131E-269.5.
DRH40438-MGa-15B Page 3 General Assembly Of North Carolina Session 2025 (a) Asused in this section, theterm "pregnancy center" means any nonprofit organization other than a hospital, ambulatory surgical facility, or clinic that performs abortions, that holds itself out as a facility that provides care for pregnant women, including pregnancy counseling services, pregnancy testing, and other nonmedical pregnancy services.
(a) Asused in this section, theterm "pregnancycenter"means anynonprofit organization other than a hospital, ambulatory surgical facility, or clinic that performs abortions, that holds itself out as a facility that provides care for pregnant women, including pregnancy counseling services, pregnancy testing, and other nonmedical pregnancy services.
The rules shall, at a minimum, establish a monitoring mechanism and reporting requirements to facilitatetheDepartment periodicallyassessing whetherpregnancy centers are adhering to the established performance standards.
The rules shall, at a minimum, establish a monitoring mechanism and reportingrequirements to facilitatetheDepartment periodicallyassessingwhether pregnancy centers are adhering to the established performance standards.
(c) The Department shall take appropriate administrative action to recover any amount of grant funds or State appropriations disbursed to a pregnancy center for any fiscal year in which the Department determines that the pregnancy center is out of compliance with the performance Page 4 DRH40438-MGa-15B General Assembly Of North Carolina Session 2025 standards adopted under this section.
Page 4 House Bill 861-First Edition General Assembly Of North Carolina Session 2025 (c) The Department shall take appropriate administrative action to recover any amount of grant funds or State appropriations disbursed to a pregnancycenter for any fiscal year in which the Department determines that the pregnancy center is out of compliance with the performance standards adopted under this section.
DRH40438-MGa-15B Page 5
House Bill 861-First Edition Page 5
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Action History

  1. Passed 1st Reading

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

  3. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 12 co-sponsors · 165 not signed on

Sponsors (2)

Co-sponsors (12)

Not signed on (165)

165 members have not signed on to this bill.

Show all 165 →

"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

taxation healthcare
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 861?
HB 861 is sponsored by Brian Turner (Democratic), Phil Rubin (Democratic), Renée A. Price (Democratic), Marcia Morey (Democratic), Jordan Lopez (Democratic), Carolyn G. Logan (Democratic), Pricey Harrison (Democratic), Tracy Clark (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Mary Belk (Democratic), Julia Greenfield (Democratic), Sarah Crawford (Democratic), and Maria Cervania (Democratic).
What is the current status of HB 861?
This bill is in committee in the House. Introduced April 09, 2025. It must pass committee before a floor vote.
Where can I track HB 861?
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