North Carolina 2025 Session Status: In Committee Bipartisan · 11 D · 7 R · 1 I cosponsors

HB 451 — Diabetes Education for Parents.

Last action — Reptd Fav Com Substitute

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  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 March 18, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 19 sponsors

    3 primary, 16 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (11 D · 7 R · 1 I) — cross-party backing.

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 provide diabetes information to parents annually.

This bill mandates that public school units in North Carolina give parents and guardians information about Type 1 and Type 2 diabetes at the start of each school year. The information will include descriptions of the diseases, risk factors, warning signs, and recommendations for consulting healthcare providers.

What this means for you
  • Families: This means that parents will receive vital information about diabetes to help them monitor and support their children's health.

Bill Text

What changed in the latest version

39 added · 94 removed

Plain-language change summary

In the latest version of House Bill 451, the sponsors were expanded to include additional representatives, enhancing the bill's support and possibly its chances of passing. Additionally, all references to the bill's draft number and its earlier version have been removed, streamlining the document. These changes matter because having more sponsors can indicate broader bipartisan support, potentially impacting the bill's effectiveness in addressing public school needs in North Carolina.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 451 Committee Substitute Favorable 5/19/26 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 451 Short Title:
Representatives Cotham, Arp, Cunningham, and Kidwell (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
March 20, 2025 A BILL TO BE ENTITLED AN ACT TO REQUIRE PUBLIC SCHOOL UNITS TO PROVIDE INFORMATION ABOUT DIABETES TO PARENTS AND LEGAL GUARDIANS.
Education - K-12, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House March 20, 2025 A BILL TO BE ENTITLED AN ACT TO REQUIRE PUBLIC SCHOOL UNITS TO PROVIDE INFORMATION ABOUT DIABETES TO PARENTS AND LEGAL GUARDIANS.
Guidelines to support and assist students with diabetes.Diabetes support and awareness.
Guidelines to support and assist students with diabetes.
In particular, the boards governing bodies shall require the implementation of the procedures set forth in those guidelines for the development and implementation of individual diabetes care plans.
In particular, the boards shall require the implementation of the procedures set forth in those guidelines for the development and implementation of individual diabetes care plans.
The boards governing bodies also shall make available necessary information and staff development to teachers and school personnel in order to appropriately support and assist students with diabetes in accordance with their individual diabetes care plans.
The boards also shall make available necessary information and staff development to teachers and school personnel in order to appropriately support and assist students with diabetes in accordance with their individual diabetes care plans.
(b) Governingbodies ofpublicschool units shall ensurethat each school provides parents and legal guardians with information about Type 1 and Type 2 diabetes at the beginning of every school year.
(b) Governingbodies ofpublicschool units shall ensurethat each school provides parents and legal guardians with information about type 1 and type 2 diabetes at the beginning of every school year.
(1) A description of Type 1 and Type 2 diabetes.
(1) A description of type 1 and type 2 diabetes.
(2) A description of the risk factors and warning signs associated with Type 1 and Type 2 diabetes.
(2) A description of the risk factors and warning signs associated with type 1 and type 2 diabetes.
(6) Notification that the school is required to assist students with diabetes in accordance with the guidelines adopted by the State Board of Education pursuant to G.S.
(6) Notification that the school is required to assist students with diabetes in accordance with the rules adopted by the State Board of Education pursuant to G.S.
115C-12(31)." SECTION 2.(a) G.S.
115C-12(31)." SECTION 2.
115C-150.12C(15) reads as rewritten:
There is appropriated from the General Fund to the Department of Public Instruction the sum of ten thousand dollars ($10,000) in nonrecurring funds for the *H451-v-1* General Assembly Of North Carolina Session 2025 2025-2026 fiscal year to assist the Department in developing and distributing guidance to public school units on implementing the provisions of this act.
"(15) Health and safety.
SECTION 3.
– The board of trustees shall require that the school meet the same health and safety standards required of a local school administrative *H451-v-2* General Assembly Of North Carolina Session 2025 unit.
This act becomes effective July 1, 2025, and applies beginning with the 2025-2026 school year.
The board shall comply with the requirements of Article 25A of this Chapter, including the following:
Page 2 House Bill 451-First Edition
a.
The board shall ensure that the school provides parents with information about cervical cancer, cervical dysplasia, human papillomavirus, and the vaccines available to prevent these diseases.
This information shall be provided at the beginning of the school year to parents of children entering grades five through 12.
This information shall include the causes and symptoms of these diseases, how they are transmitted, how they may be prevented by vaccination, including the benefits and possible side effects of vaccination, and places parents may obtain additional information and vaccinations for their children.
b.
The board shall adopt policies to ensure that students in grades nine through 12 receive information annually on the manner in which a parent may lawfully abandon a newborn baby with a responsible person, in accordance with G.S.
7B-500.
c.
Theboard shall ensurethat theschool complies with G.S.
115C-375.3, including the guidelines for individual diabetes care plans adopted by the State Board of Education for assisting and supporting students enrolled in the school with diabetes and the annual notification requirements related to Type 1 and Type 2 diabetes awareness." SECTION 2.(b) G.S.
115C-238.66(7) reads as rewritten:
"(7) Health and safety.
– The board of directors shall require that the regional school meet the same health and safety standards required of a local school administrative unit.unit, including the following:
a.
The Department of Public Instruction shall ensure that regional schools comply with G.S.
115C-375.2A.
The board of directors of a regional school shall provide the school with a supply of emergency epinephrine delivery systems necessary to carry out the provisions of G.S.
115C-375.2A.
b.
The board of directors shall ensure that the regional school complies with G.S.
115C-375.3, including the guidelines for individual diabetes care plans adopted by the State Board of Education for assisting and supporting students enrolled in the school with diabetes and the annual notification requirements related to Type 1 and Type 2 diabetes awareness." SECTION 2.(c) G.S.
116-239.8(b)(9) reads as rewritten:
"(9) Health and safety.
– The chancellor shall require that the laboratory school meet the same health and safety standards required of a local school administrative unit.unit, including the following:
Show all 52 changed rows (12 more)
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a.
The Department of Public Instruction shall ensure that laboratory schools comply Chancellor shall ensure that the laboratory school complies with G.S.
115C-375.2A.
The chancellor shall provide the laboratory school with a supply of emergency epinephrine delivery systems necessary to carry out the provisions of G.S.
115C-375.2A.
b.
The Chancellor shall ensure that the laboratory school complies with G.S.
115C-375.3, including the guidelines for individual diabetes care plans adopted by the State Board of Education for assisting and supporting students enrolled in the school with diabetes and the annual notification requirements related to Type 1 and Type 2 diabetes awareness." Page 2 House Bill 451-Second Edition General Assembly Of North Carolina Session 2025 SECTION 3.
There is appropriated from the General Fund to the Department of Public Instruction the sum of ten thousand dollars ($10,000) in nonrecurring funds for the 2026-2027 fiscal year to assist the Department in developing and distributing guidance to public school units on implementing the provisions of this act.
SECTION 4.
This act becomes effective July 1, 2026, and applies beginning with the 2026-2027 school year.
House Bill 451-Second Edition Page 3
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Action History

  1. Reptd Fav Com Substitute

  2. Re-ref Com On Appropriations

  3. Passed 1st Reading

  4. Ref to the Com on Education - K-12, if favorable, Appropriations, if favorable, Rules, Calendar, and Operations of the House

  5. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 16 co-sponsors · 160 not signed on

Sponsors (3)

Co-sponsors (16)

Not signed on (160)

160 members have not signed on to this bill.

Show all 160 →

"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

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 451?
HB 451 is sponsored by Garland E. Pierce (Democratic), Howard Penny, Jr. (Republican), Jarrod Lowery (Republican), Carolyn G. Logan (Democratic), Zack Hawkins (Democratic), Pricey Harrison (Democratic), Aisha O. Dew (Democratic), Sarah Crawford (Democratic), Maria Cervania (Democratic), Becky Carney (Democratic), Allen Buansi (Democratic), Gloristine Brown (Democratic), Mary Belk (Democratic), Keith Kidwell (Republican), Carla D. Cunningham (U), Dean Arp (Republican), Tricia Ann Cotham (Republican), Neal Jackson (Republican), and Jake Johnson (Republican).
What is the current status of HB 451?
This bill is in committee in the House. Introduced March 18, 2025. It must pass committee before a floor vote.
Where can I track HB 451?
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