North Carolina 2025 Session Status: Passed Senate 5 R cosponsors

SB 445 — Regulatory Reform Act of 2026.

Last action — Signed by Gov. 8/11/2026

  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.

Odds of enactment

Moderate chance

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

Advancing 40% · moderate confidence

  • Passed Senate

    Current position in the legislative process.

  • 5 sponsors

    0 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 R).

  • Mixed recorded votes

    2 passed, 1 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill aims to reform various regulatory processes.

This legislation seeks to make changes to how regulations are established and enforced. It includes adjustments to streamline and improve regulatory practices.

Bill Text

What changed in the latest version

46 added · 18 removed

Plain-language change summary

In the latest version of Senate Bill 445, the text has been streamlined to improve clarity and readability. Some phrases have been removed or adjusted, which simplifies the language regarding declarations of public health emergencies. This change matters because it makes the bill easier to understand for lawmakers and the public, ensuring that critical information regarding health emergencies is communicated more effectively.

→
Previous
Latest
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 2 SENATE BILL 445 Health Care Committee Substitute Adopted 4/17/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 445 Short Title:
Senator Jarvis (Primary Sponsor).
March 25, 2025 A BILL TO BE ENTITLED AN ACT PROVIDING FOR THE AUTOMATIC ADOPTION OF ANY TEMPORARY WAIVER OR MODIFICATION ISSUED BY THE SECRETARY OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES OR THE CENTERS FOR MEDICARE OR MEDICAID SERVICES UNDER SECTION 1135 OR 1812(F) OF THE SOCIAL SECURITY ACT.
Rules and Operations of the Senate March 25, 2025 A BILL TO BE ENTITLED AN ACT PROVIDING FOR THE AUTOMATIC ADOPTION OF ANY TEMPORARY WAIVER OR MODIFICATION ISSUED BY THE SECRETARY OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES OR THE CENTERS FOR MEDICARE OR MEDICAID SERVICES UNDER SECTION 1135 OR 1812(F) OF THE SOCIAL SECURITY ACT.
… (a2) Notwithstanding any other provision of this section or the General Statutes, in the event theSecretaryofthe UnitedStates Department ofHealthandHumanServices ortheCenters for Medicare and Medicaid Services issues a temporary waiver or modification under section 1135 or 1812(f) of the Social Security Act, the corresponding rule or portion of a rule adopted by the Commission pertaining to hospitals is automatically modified or waived to the extent necessary to allow for consistency with the federal waiver or modification and shall continue in place at least until the federal waiver ormodificationhas expired.
(a) The Division of Health Service Regulation may temporarily waive, during disasters or emergencies declared in accordance with Article 1A of Chapter 166A of the General Statutes, any rules of the Commission pertaining to a hospital to the extent necessary to allow the hospital to provide temporary shelter and temporary services requested by the emergency management agency.
Nothingin this subsectionshall be construed as preventing the Division of Health Service Regulation from further waiving or modifying any rules of the Commission.
The Division may identify, in advance of a declared disaster or emergency, rules that may be waived, and the extent to which the rules may be waived, upon a declaration of disaster or emergency in accordance with Article 1A of Chapter 166A of the General Statutes.
The Division may also waive rules under this subsection during a declared disaster or emergency upon the request of an emergency management agency and may rescind the waiver if, after investigation, the Division determines the waiver poses an unreasonable risk to the health, safety, or welfare of any of the persons occupying the hospital.
The emergency management agency requesting temporary shelter or temporary services shall notify the Division within 72 hours of the time the preapproved waivers are deemed by the emergency management agency to apply.
(a1) In the event of a declaration of a state of emergency by the Governor in accordance with Article 1A of Chapter 166A of the General Statutes, a declaration of a national emergency by the President of the United States, a declaration of a public health emergencyby the Secretary of the United States Department of Health and Human Services;
or to the extent necessary to allow for consistency with any temporary waiver or modification issued by the Secretary of the United States Department of Health and Human Services or the Centers for Medicare and Medicaid Services under section 1135or1812(f)oftheSocialSecurity Act;
orwhenthe Division of Health Service Regulation determines the existence of an emergency that poses a risk to the health or safety of patients, the Division of Health Service Regulation may do either or both of the following:
(1) Temporarily waive any rules of the Commission pertaining to hospitals.
(2) Notwithstanding G.S.
131E-183, allow a hospital to temporarily increase its bed capacity.
*S445-v-1* General Assembly Of North Carolina Session 2025 (a2) Notwithstanding any other provision of this section or the General Statutes, in the event theSecretaryofthe UnitedStates Department ofHealthandHumanServices ortheCenters for Medicare and Medicaid Services issues a temporary waiver or modification under section 1135 or 1812(f) of the Social Security Act, all rules of the Commission pertaining to hospitals are automatically modified or waived to the extent necessary to allow for consistency with the federal waiver or modification and shall continue in place at least until the federal waiver or modificationhasexpired.
NothinginthissubsectionshallbeconstruedaspreventingtheDivision of Health Service Regulation from further waiving or modifying any rules of the Commission while a temporary waiver or modification is in effect under this subsection as long as the waiver or modification by the Division of Health Service Regulation reduces regulatory requirements on hospitals in a manner that is consistent with federal law.
*S445-v-2*
Page 2 Senate Bill 445-First Edition
⬇ Download PDF
View plain text versions (7)

Action History

  1. Conferees Changed

  2. Conf Com Appointed

  3. Conf Com Appointed

  4. Failed Concur In H Com Sub

  5. Withdrawn From Com

  6. Placed On Cal For 06/23/2026

  7. Regular Message Received For Concurrence in H Com Sub

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

  9. Regular Message Sent To Senate

  10. Amend Adopted A1

  11. Amend Failed A2

  12. Amend Failed A3

  13. Amendment Withdrawn A4

  14. Passed 2nd Reading

  15. Passed 3rd Reading

  16. Ordered Engrossed

  17. Reptd Fav Com Sub 2

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

  19. Reptd Fav

  20. Cal Pursuant Rule 36(b)

  21. Added to Calendar

  22. Withdrawn From Cal

  23. Placed On Cal For 06/03/2026

  24. Withdrawn From Com

  25. Re-ref to the Com on Commerce and Economic Development, if favorable, Rules, Calendar, and Operations of the House

  26. Reptd Fav Com Substitute

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

  28. Withdrawn From Com

  29. Re-ref to the Com on Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House

  30. Reptd Fav

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

  32. Withdrawn From Com

  33. Re-ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House

  34. Passed 1st Reading

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

  36. Regular Message Sent To House

  37. Regular Message Received From Senate

  38. Passed 2nd Reading

  39. Passed 3rd Reading

  40. Reptd Fav

  41. Reptd Fav Com Substitute

  42. Com Substitute Adopted

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

  44. Reptd Fav

  45. Re-ref Com On Health Care

  46. Withdrawn From Com

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

  48. Passed 1st Reading

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

  50. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

0 sponsors · 5 co-sponsors · 174 not signed on · 42 voted No

Sponsors (0)

None.

Co-sponsors (5)

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

Votes

Conference Rpt Motion 8 To Adopt

Passed 37 Yea · 0 Nay · 13 Other
Party YeaNayPresentNot Voting
Democratic 11009
Republican 26004
Total 370013
% of votes cast 74%0%0%26%
How each member voted (50)
Member Party Vote
Caleb Theodros Democratic Not Voting
Dan Blue Democratic Not Voting
DeAndrea Salvador Democratic Not Voting
Gale Adcock Democratic Not Voting
Gladys A. Robinson Democratic Not Voting
Haseeb Fatmi Democratic Yea
Jay J. Chaudhuri Democratic Yea
Jonah Garson Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Kandie D. Smith Democratic Not Voting
Lisa Grafstein Democratic Yea
Michael Garrett Democratic Not Voting
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Not Voting
Sydney Batch Democratic Not Voting
Val Applewhite Democratic Yea
Woodson Bradley Democratic Yea
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 Yea
Chris Measmer Republican Yea
Dana Jones Republican Yea
Danny Earl Britt, Jr. Republican Not Voting
David W. Craven, Jr. Republican Yea
Eddie D. Settle Republican Yea
Jim Burgin Republican Not Voting
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 Not Voting
Tom McInnis Republican Yea
Vickie Sawyer Republican Yea
W. Ted Alexander Republican Not Voting
Warren Daniel Republican Yea

Official roll call →

Motion 9 To Concur

Failed 0 Yea · 45 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 01802
Republican 02703
Total 04505
% of votes cast 0%90%0%10%
How each member voted (50)
Member Party Vote
Caleb Theodros Democratic Nay
Dan Blue Democratic Nay
DeAndrea Salvador Democratic Nay
Gale Adcock Democratic Nay
Gladys A. Robinson Democratic Nay
Haseeb Fatmi Democratic Nay
Jay J. Chaudhuri Democratic Nay
Jonah Garson Democratic Nay
Joyce Waddell Democratic Nay
Julie Mayfield Democratic Nay
Kandie D. Smith Democratic Nay
Lisa Grafstein Democratic Nay
Michael Garrett Democratic Nay
Mujtaba A. Mohammed Democratic Nay
Natalie S. Murdock Democratic Nay
Paul A. Lowe, Jr. Democratic Nay
Sophia Chitlik Democratic Not Voting
Sydney Batch Democratic Not Voting
Val Applewhite Democratic Nay
Woodson Bradley Democratic Nay
Amy S. Galey Republican Nay
Benton G. Sawrey Republican Nay
Bill Rabon Republican Nay
Bob Brinson Republican Nay
Bobby Hanig Republican Nay
Brad Overcash Republican Nay
Brent Jackson Republican Nay
Carl Ford Republican Nay
Chris Measmer Republican Nay
Dana Jones Republican Nay
Danny Earl Britt, Jr. Republican Nay
David W. Craven, Jr. Republican Nay
Eddie D. Settle Republican Nay
Jim Burgin Republican Not Voting
Kevin Corbin Republican Nay
Lisa S. Barnes Republican Nay
Mark Hollo Republican Nay
Michael A. Lazzara Republican Nay
Michael V. Lee Republican Nay
Norman W. Sanderson Republican Nay
Paul Newton Republican Nay
Phil Berger Republican Nay
Ralph Hise Republican Nay
Steve Jarvis Republican Nay
Timothy D. Moffitt Republican Not Voting
Todd Johnson Republican Not Voting
Tom McInnis Republican Nay
Vickie Sawyer Republican Nay
W. Ted Alexander Republican Nay
Warren Daniel Republican Nay

Official roll call →

M11 Concur

Passed 104 Yea · 2 Nay · 14 Other
Party YeaNayPresentNot Voting
Democratic 27106
Unaffiliated 23102
U 2000
Republican 52006
Total 1042014
% of votes cast 87%2%0%12%
How each member voted (120)
Member Party Vote
Clemmons — Yea
Gill — Yea
Harris — Yea
Lucas — Yea
Rudow — Yea
CharlesSmith — Yea
Staton-Williams — Yea
vonHaefen — Yea
Wray — Yea
Bradford — Yea
Cleveland — Yea
Crutchfield — Yea
Elmore — Yea
Fontenot — Yea
Lowery — Yea
Mills — Yea
Moore — Yea
Reeder — Yea
Sasser — Yea
CarsonSmith — Yea
Sossamon — Yea
Autry — Nay
Faircloth — Not Voting
Saine — 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 Not Voting
Brandon Lofton Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
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 Nay
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Sarah Crawford Democratic Not Voting
Shelly Willingham Democratic Yea
Terence Everitt Democratic Not Voting
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Not Voting
Vernetta Alston Democratic Not Voting
Ya Liu Democratic Not Voting
Zack Hawkins Democratic Yea
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Yea
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 Not Voting
Dean Arp Republican Not Voting
Dennis Riddell Republican Yea
Destin Hall Republican Yea
Diane Wheatley Republican Yea
Donna McDowell White Republican Yea
Donnie Loftis Republican Yea
Donny Lambeth Republican Not Voting
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
Jerry "Alan" Branson Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Not Voting
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 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 Not Voting
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

public-safety housing environment labor transportation education 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 SB 445?
SB 445 is sponsored by Timothy D. Moffitt (Republican), Tom McInnis (Republican), Ralph Hise (Republican), Amy S. Galey (Republican), and Steve Jarvis (Republican).
What is the current status of SB 445?
This bill has passed the Senate. Introduced March 24, 2025. It now moves to the second chamber.
Where can I track SB 445?
Track SB 445 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 445

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 445

Last checked for changes about 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →