North Carolina 2025 Session Status: In Committee Bipartisan · 22 D · 1 R cosponsors

HB 1172 — The Ciji Graham Act.

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 30, 2026. 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

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 23 sponsors

    2 primary, 21 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (22 D · 1 R) — 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

118 added · 118 removed

Plain-language change summary

The latest version of House Bill 1172, known as The Ciji Graham Act, includes a few key modifications. Most notably, the focus has shifted from general patient autonomy to specifically ensuring that the guidance provided by nurse consultants respects patients' informed decision-making about their care. This change is significant as it emphasizes the importance of patient choice in healthcare, particularly for those facing high-risk pregnancies.

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H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 1172 Short Title:
1172 GENERAL ASSEMBLY OF NORTH CAROLINA Apr 30, 2026 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40685-MGa-190 Short Title:The Ciji Graham Act.
The Ciji Graham Act.
Representative Johnson-Hostler.
Representatives Johnson-Hostler, Greenfield, and Clark (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO IMPROVE MATERNAL HEALTH OUTCOMES AND REDUCE MATERNAL HEALTH DISPARITIES IN NORTH CAROLINA THROUGH THE ESTABLISHMENT OF A HIGH-RISK PREGNANCY CARE NAVIGATION PROGRAM, A PREGNANCY CONSULTATION HOTLINE, A CENTRALIZED CLINICAL INFORMATION HUB FOR MANAGING HIGH-RISK PREGNANCIES, AND STANDARDIZED REFERRAL PATHWAYS FOR HIGH-RISK PREGNANCIES;
Appropriations, if favorable, Rules, Calendar, and Operations of the House May 4, 2026 A BILL TO BE ENTITLED AN ACT TO IMPROVE MATERNAL HEALTH OUTCOMES AND REDUCE MATERNAL HEALTH DISPARITIES IN NORTH CAROLINA THROUGH THE ESTABLISHMENT OF A HIGH-RISK PREGNANCY CARE NAVIGATION PROGRAM, A PREGNANCY CONSULTATION HOTLINE, A CENTRALIZED CLINICAL INFORMATION HUB FOR MANAGING HIGH-RISK PREGNANCIES, AND STANDARDIZED REFERRAL PATHWAYS FOR HIGH-RISK PREGNANCIES;
(1) One million three hundred thousand dollars ($1,300,000) to establish 12 full-time, permanent Nurse Consultant positions within the Department of Health and Human Services, Division of Public Health, to be distributed *DRH40685-MGa-190* General Assembly Of North Carolina Session 2025 equally among the six North Carolina Medicaid managed care regions.
(1) One million three hundred thousand dollars ($1,300,000) to establish 12 full-time, permanent Nurse Consultant positions within the Department of *H1172-v-1* General Assembly Of North Carolina Session 2025 Health and Human Services, Division of Public Health, to be distributed equally among the six North Carolina Medicaid managed care regions.
(3) Supporting urgent and emergent decision making.
Page 2 House Bill 1172-First Edition General Assembly Of North Carolina Session 2025 (3) Supporting urgent and emergent decision making.
Page 2 DRH40685-MGa-190 General Assembly Of North Carolina Session 2025 (4) Providing referrals to all of the following:
(4) Providing referrals to all of the following:
(4) The estimated number of avoided emergency department visits resulting from the services provided through the hotline.
(4) The estimated number of avoided emergencydepartment visits resulting from the services provided through the hotline.
(2) For those electing not to continue their pregnancies or when termination of pregnancy is medically indicated, timely referral to qualified providers for pregnancy termination services to the extent permitted by State law.
House Bill 1172-First Edition Page 3 General Assembly Of North Carolina Session 2025 (2) For those electing not to continue their pregnancies or when termination of pregnancy is medically indicated, timely referral to qualified providers for pregnancy termination services to the extent permitted by State law.
DRH40685-MGa-190 Page 3 General Assembly Of North Carolina Session 2025 PART VI.
PART VI.
Page 4 DRH40685-MGa-190
Page 4 House Bill 1172-First Edition
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Action History

  1. Passed 1st Reading

  2. Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 21 co-sponsors · 156 not signed on

Sponsors (2)

Co-sponsors (21)

Not signed on (156)

156 members have not signed on to this bill.

Show all 156 →

"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

public-safety healthcare technology
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 1172?
HB 1172 is sponsored by Phil Rubin (Democratic), Renée A. Price (Democratic), Lindsey Prather (Democratic), Rodney D. Pierce (Democratic), Garland E. Pierce (Democratic), Marcia Morey (Democratic), Jordan Lopez (Democratic), Pricey Harrison (Democratic), Allison A. Dahle (Democratic), Mike Colvin (Democratic), Bryan Cohn (Democratic), Maria Cervania (Democratic), Becky Carney (Democratic), Deb Butler (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Cynthia Ball (Democratic), Eric Ager (Democratic), Tracy Clark (Democratic), Julia Greenfield (Democratic), Monika Johnson-Hostler (Democratic), Neal Jackson (Republican), and Julie von Haefen (Democratic).
What is the current status of HB 1172?
This bill is in committee in the House. Introduced April 30, 2026. It must pass committee before a floor vote.
Where can I track HB 1172?
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