North Carolina 2025-2026 Session Status: Introduced

SB 378 — Align Medicaid Eligibility with Federal Law.

Last action — Held by House Clerk (House action)

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

This bill has been introduced in the Senate. Introduced October 23, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

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.

Summary

Align Medicaid Eligibility with Federal Law.

Bill Text

We don't have the full text on file for this bill yet.

Read SB 378 on the official North Carolina source →

Action History

  1. Held by House Clerk (House action)

Sponsorship breakdown

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0 sponsors · 0 co-sponsors · 179 not signed on · 104 voted No

Sponsors (0)

None.

Co-sponsors (0)

None.

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"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 61 Yea · 47 Nay · 12 Other
Party YeaNayPresentNot Voting
Republican 580010
Unaffiliated 3100
Democratic 04501
U 0101
Total 6147012
% of votes cast 51%39%0%10%
How each member voted (120)
Member Party Vote
Campbell — Yea
Johnson — Yea
Reeder — Yea
F. Jackson — Nay
Abe Jones Democratic Nay
Aisha O. Dew Democratic Nay
Allen Buansi Democratic Nay
Allison A. Dahle Democratic Nay
Amber M. Baker Democratic Nay
Amos L. Quick, III Democratic Nay
B. Ray Jeffers Democratic Nay
Becky Carney Democratic Nay
Beth Helfrich Democratic Nay
Brandon Lofton Democratic Nay
Brian Turner Democratic Nay
Bryan Cohn Democratic Nay
Carolyn G. Logan Democratic Nay
Cecil Brockman Democratic Not Voting
Charles Smith Democratic Nay
Cynthia Ball Democratic Nay
Dante Pittman Democratic Nay
Deb Butler Democratic Nay
Eric Ager Democratic Nay
Garland E. Pierce Democratic Nay
Gloristine Brown Democratic Nay
James Roberson Democratic Nay
Jordan Lopez Democratic Nay
Julia Greenfield Democratic Nay
Julie von Haefen Democratic Nay
Kanika Brown Democratic Nay
Laura Budd Democratic Nay
Lindsey Prather Democratic Nay
Marcia Morey Democratic Nay
Maria Cervania Democratic Nay
Mary Belk Democratic Nay
Mike Colvin Democratic Nay
Monika Johnson-Hostler Democratic Nay
Phil Rubin Democratic Nay
Pricey Harrison Democratic Nay
Renée A. Price Democratic Nay
Robert T. Reives, II Democratic Nay
Rodney D. Pierce Democratic Nay
Sarah Crawford Democratic Nay
Shelly Willingham Democratic Nay
Terry M. Brown Jr. Democratic Nay
Tim Longest Democratic Nay
Tracy Clark Democratic Nay
Vernetta Alston Democratic Nay
Ya Liu Democratic Nay
Zack Hawkins Democratic Nay
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
Carson Smith 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 L. Lowery Republican Not Voting
John M. Blust Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Not Voting
Jonathan L. Almond Republican Yea
Joseph Pike Republican Not Voting
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
Tricia Ann Cotham Republican Yea
William D. Brisson Republican Yea
Wyatt Gable Republican Yea
Carla D. Cunningham U Not Voting
Nasif Majeed U Nay

Official roll call →

  Second Reading Motion 12/Appeal Ruling of Chair

Failed 47 Yea · 62 Nay · 11 Other
Party YeaNayPresentNot Voting
Democratic 44101
U 2000
Unaffiliated 1300
Republican 058010
Total 4762011
% of votes cast 39%52%0%9%
How each member voted (120)
Member Party Vote
F. Jackson — Yea
Campbell — Nay
Johnson — Nay
Reeder — Nay
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
Charles Smith Democratic Yea
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
Julie von Haefen 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 Nay
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 Nay
Allen Chesser Republican Nay
Ben T. Moss, Jr. Republican Nay
Bill Ward Republican Nay
Blair Eddins Republican Nay
Brenden H. Jones Republican Not Voting
Brian Biggs Republican Nay
Brian Echevarria Republican Nay
Carson Smith Republican Nay
Celeste C. Cairns Republican Nay
Charles W. Miller Republican Nay
Chris Humphrey Republican Nay
Cody Huneycutt Republican Not Voting
David Willis Republican Nay
Dean Arp Republican Nay
Dennis Riddell Republican Nay
Destin Hall Republican Nay
Diane Wheatley Republican Nay
Donna McDowell White Republican Nay
Donnie Loftis Republican Nay
Donny Lambeth Republican Nay
Dudley Greene Republican Nay
Edward C. Goodwin Republican Not Voting
Erin Paré Republican Nay
Frank Iler Republican Nay
Harry Warren Republican Nay
Heather H. Rhyne Republican Nay
Howard Penny, Jr. Republican Nay
Hugh Blackwell Republican Nay
Jay Adams Republican Nay
Jeff Zenger Republican Nay
Jeffrey C. McNeely Republican Nay
Jennifer Balkcom Republican Nay
Jerry "Alan" Branson Republican Nay
Jimmy Dixon Republican Nay
John A. Torbett Republican Nay
John L. Lowery Republican Not Voting
John M. Blust Republican Nay
John R. Bell, IV Republican Nay
John Sauls Republican Not Voting
Jonathan L. Almond Republican Nay
Joseph Pike Republican Not Voting
Julia C. Howard Republican Nay
Karl E. Gillespie Republican Nay
Keith Kidwell Republican Nay
Kelly E. Hastings Republican Nay
Kyle Hall Republican Nay
Larry C. Strickland Republican Nay
Larry W. Potts Republican Not Voting
Mark Brody Republican Nay
Mark Pless Republican Nay
Matthew Winslow Republican Nay
Mike Clampitt Republican Nay
Mike Schietzelt Republican Nay
Mitchell S. Setzer Republican Nay
Neal Jackson Republican Nay
Paul Scott Republican Not Voting
Phil Shepard Republican Nay
Ray Pickett Republican Nay
Sam Watford Republican Not Voting
Sarah Stevens Republican Not Voting
Stephen M. Ross Republican Nay
Steve Tyson Republican Nay
Ted Davis, Jr. Republican Nay
Todd Carver Republican Nay
Tricia Ann Cotham Republican Nay
William D. Brisson Republican Nay
Wyatt Gable Republican Nay
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

  Second Reading

Passed 47 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democratic 18001
Republican 26001
Unaffiliated 3001
Total 47003
% of votes cast 94%0%0%6%
How each member voted (50)
Member Party Vote
Jackson — Yea
Johnson — Yea
Jones — Yea
Smith — Not Voting
Caleb Theodros Democratic Not Voting
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Yea
Gale Adcock Democratic Yea
Gladys A. Robinson Democratic Yea
Graig Meyer Democratic Yea
Jay J. Chaudhuri Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Lisa Grafstein Democratic Yea
Michael Garrett Democratic Yea
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Yea
Sydney Batch Democratic Yea
Terence Everitt Democratic Yea
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
Buck Newton Republican Yea
Carl Ford Republican Yea
Chris Measmer 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 Not Voting
Mark Hollo Republican Yea
Michael A. Lazzara Republican Yea
Michael V. Lee Republican Yea
Norman W. Sanderson Republican Yea
Phil Berger Republican Yea
Ralph Hise Republican Yea
Steve Jarvis Republican Yea
Timothy D. Moffitt 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
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Frequently asked questions

What does SB 378 do?
Align Medicaid Eligibility with Federal Law.
What is the current status of SB 378?
This bill has been introduced in the Senate. Introduced October 23, 2025. It must pass committee before a floor vote.
Where can I track SB 378?
Track SB 378 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 4 months ago · updated continuously

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