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North Carolina Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
Aug. 4, 2026 NC SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - House (84 - 26)
July 29, 2026 NC SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - Senate (37 - 0)
July 29, 2026 NC HB 562 Appropriates Certain Funds to the Department of Health and Human Services Conference Report Adopted - Senate (34 - 3)
July 2, 2026 NC HB 328 Prohibits the Sale of Intoxicating Hemp-Derived Products Conference Report Adopted - Senate (37 - 6)
June 30, 2026 NC HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Concurrence Vote Passed - House (73 - 40)
June 24, 2026 NC HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Bill Passed - Senate (26 - 16)
April 28, 2026 NC HB 696 Appropriates Funds and Establishes Provisions for Medicaid Conference Report Adopted - Senate (45 - 3)
April 28, 2026 NC HB 696 Appropriates Funds and Establishes Provisions for Medicaid Conference Report Adopted - House (113 - 2)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Oct. 22, 2025 NC HB 491 Appropriates $190 Million from the Medicaid Contingency Reserve to Partially Fund Medicaid Bill Passed - House (111 - 0)
Sept. 22, 2025 NC HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
Sept. 22, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
Sept. 22, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
Sept. 22, 2025 NC HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
July 29, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - House (74 - 46)
July 29, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - Senate (30 - 18)
June 26, 2025 NC SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Concurrence Vote Passed - Senate (34 - 7)
June 25, 2025 NC SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Bill Passed - House (108 - 6)
June 25, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
June 25, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
June 19, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
June 10, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Bill Passed - House (75 - 36)
April 30, 2025 NC SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
April 30, 2025 NC SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
Feb. 25, 2025 NC HB 47 Appropriates $500 Million for Hurricane Helene Recovery Efforts Bill Passed - House (115 - 0)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Dec. 2, 2024 NC SB 382 Transfers $227 Million from North Carolina's Reserve Fund to the Helene Fund and Rescinds Election Board Appointment Powers from Governor to Auditor Veto Override Passed - Senate (30 - 19)
Nov. 20, 2024 NC SB 382 Transfers $227 Million from North Carolina's Reserve Fund to the Helene Fund and Rescinds Election Board Appointment Powers from Governor to Auditor Conference Report Adopted - House (63 - 46)
Oct. 9, 2024 NC HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - Senate (48 - 0)
Oct. 9, 2024 NC HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - House (113 - 0)
June 27, 2024 NC SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
June 27, 2024 NC SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
June 27, 2024 NC SB 559 Authorizes Charter Schools to Elect to Become Part of the State Health Plan Conference Report Adopted - House (86 - 19)
June 27, 2024 NC HB 250 Requires Autopsies to Remain Public Record Conference Report Adopted - House (85 - 18)
June 26, 2024 NC HB 900 Establishes a Registry for Vape Products Concurrence Vote Passed - House (99 - 15)
June 26, 2024 NC HB 385 Establishes Regulations For Matters Relating To Energy And Environment Bill Passed - Senate (29 - 18)
June 24, 2024 NC HB 563 Establishes Regulations for Medical Marijuana and Other Drugs Bill Passed - Senate (36 - 10)
June 11, 2024 NC HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Conference Report Adopted - House (69 - 43)
May 15, 2024 NC HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Bill Passed - Senate (30 - 15)
May 3, 2024 NC HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Bill Passed - House (93 - 24)
Sept. 19, 2023 NC SB 189 Amends Legal Classification and Penalties for Crimes Related to Fentanyl Distribution Bill Passed - House (81 - 20)
Aug. 16, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - House (74 - 45)
Aug. 16, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
June 28, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Concurrence Vote Passed - House (67 - 46)
June 27, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Bill Passed - Senate (29 - 16)
April 5, 2023 NC HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Bill Passed - Senate (29 - 18)
March 7, 2023 NC HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Bill Passed - House (70 - 43)
March 1, 2023 NC SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
Feb. 16, 2023 NC HB 76 Expands Access to Medicaid Bill Passed - House (92 - 22)
July 1, 2022 NC HB 674 Prohibits Medical Billing of Rape Victims Concurrence Vote Passed - House (107 - 1)
June 30, 2022 NC HB 823 Establishes Law Regarding Child Advocacy Centers Bill Passed - Senate (45 - 2)
June 29, 2022 NC HB 219 Amends Various State Environmental Laws Conference Report Adopted - Senate (41 - 2)
June 28, 2022 NC HB 219 Amends Various State Environmental Laws Conference Report Adopted - House (95 - 18)
June 28, 2022 NC SB 408 Establishes Medicaid Modernization Plan; Expands Workforce Development Programs (102 - 6)
June 8, 2022 NC SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
June 8, 2022 NC SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
June 2, 2022 NC HB 149 Expands Access to Telehealth Healthcare Services Bill Passed - Senate (44 - 1)
March 9, 2022 NC SB 173 Repeals the Mask Mandate for Public Schools Veto Override Failed - Senate (27 - 22)
Feb. 17, 2022 NC SB 173 Repeals the Mask Mandate for Public Schools Conference Report Adopted - House (76 - 42)
June 23, 2021 NC SB 173 Repeals the Mask Mandate for Public Schools Bill Passed - House (66 - 44)
June 15, 2021 NC HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
April 28, 2021 NC SB 115 Authorizes Outdoor College Football Stadiums to Open to 100% Capacity Bill Passed - House (77 - 42)
March 4, 2021 NC HB 196 Appropriates $17 Billion for COVID-19 Relief Concurrence Vote Passed - House (117 - 0)
March 1, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
Feb. 11, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Bill Passed - House (74 - 44)
Feb. 9, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Bill Passed - Senate (29 - 15)
July 8, 2020 NC SB 232 Repeals Anti-Mask Law Concurrence Vote Passed - Senate (43 - 4)
June 16, 2020 NC HB 511 Authorizes Shorter Sentences for Nonviolent Drug Offenders Conference Report Adopted - Senate (48 - 0)
May 28, 2020 NC HB 536 Authorizes the Reopening of Bars and Restaurants During COVID-19 Pandemic Concurrence Vote Passed - House (65 - 53)
May 2, 2020 NC HB 1043 Appropriates Funds from the CARES Act for COVID-19 Relief Concurrence Vote Passed - House (120 - 0)
May 2, 2020 NC SB 704 Establishes the COVID-19 Response Act Bill Passed - House (119 - 0)
April 29, 2020 NC SB 704 Establishes the COVID-19 Response Act Bill Passed - Senate (48 - 0)
Sept. 10, 2019 NC SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - Senate (32 - 14)
Date No. Title Outcome
8/04 SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - House (84 - 26)
7/29 SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - Senate (37 - 0)
7/29 HB 562 Appropriates Certain Funds to the Department of Health and Human Services Conference Report Adopted - Senate (34 - 3)
7/02 HB 328 Prohibits the Sale of Intoxicating Hemp-Derived Products Conference Report Adopted - Senate (37 - 6)
6/30 HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Concurrence Vote Passed - House (73 - 40)
6/24 HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Bill Passed - Senate (26 - 16)
4/28 HB 696 Appropriates Funds and Establishes Provisions for Medicaid Conference Report Adopted - Senate (45 - 3)
4/28 HB 696 Appropriates Funds and Establishes Provisions for Medicaid Conference Report Adopted - House (113 - 2)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
10/22 HB 491 Appropriates $190 Million from the Medicaid Contingency Reserve to Partially Fund Medicaid Bill Passed - House (111 - 0)
9/22 HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
9/22 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
9/22 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
9/22 HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
7/29 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - House (74 - 46)
7/29 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - Senate (30 - 18)
6/26 SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Concurrence Vote Passed - Senate (34 - 7)
6/25 SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Bill Passed - House (108 - 6)
6/25 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
6/25 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
6/19 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
6/10 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Bill Passed - House (75 - 36)
4/30 SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
4/30 SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
2/25 HB 47 Appropriates $500 Million for Hurricane Helene Recovery Efforts Bill Passed - House (115 - 0)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
12/02 SB 382 Transfers $227 Million from North Carolina's Reserve Fund to the Helene Fund and Rescinds Election Board Appointment Powers from Governor to Auditor Veto Override Passed - Senate (30 - 19)
11/20 SB 382 Transfers $227 Million from North Carolina's Reserve Fund to the Helene Fund and Rescinds Election Board Appointment Powers from Governor to Auditor Conference Report Adopted - House (63 - 46)
10/09 HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - Senate (48 - 0)
10/09 HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - House (113 - 0)
6/27 SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
6/27 SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
6/27 SB 559 Authorizes Charter Schools to Elect to Become Part of the State Health Plan Conference Report Adopted - House (86 - 19)
6/27 HB 250 Requires Autopsies to Remain Public Record Conference Report Adopted - House (85 - 18)
6/26 HB 900 Establishes a Registry for Vape Products Concurrence Vote Passed - House (99 - 15)
6/26 HB 385 Establishes Regulations For Matters Relating To Energy And Environment Bill Passed - Senate (29 - 18)
6/24 HB 563 Establishes Regulations for Medical Marijuana and Other Drugs Bill Passed - Senate (36 - 10)
6/11 HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Conference Report Adopted - House (69 - 43)
5/15 HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Bill Passed - Senate (30 - 15)
5/03 HB 237 Authorizes a Health Exemption for Masking in Public and Prohibits Use of Masks During Criminal Activity Bill Passed - House (93 - 24)
9/19 SB 189 Amends Legal Classification and Penalties for Crimes Related to Fentanyl Distribution Bill Passed - House (81 - 20)
8/16 HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - House (74 - 45)
8/16 HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
6/28 HB 808 Prohibits Gender Transition Procedures for Minors Concurrence Vote Passed - House (67 - 46)
6/27 HB 808 Prohibits Gender Transition Procedures for Minors Bill Passed - Senate (29 - 16)
4/05 HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Bill Passed - Senate (29 - 18)
3/07 HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Bill Passed - House (70 - 43)
3/01 SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
2/16 HB 76 Expands Access to Medicaid Bill Passed - House (92 - 22)
7/01 HB 674 Prohibits Medical Billing of Rape Victims Concurrence Vote Passed - House (107 - 1)
6/30 HB 823 Establishes Law Regarding Child Advocacy Centers Bill Passed - Senate (45 - 2)
6/29 HB 219 Amends Various State Environmental Laws Conference Report Adopted - Senate (41 - 2)
6/28 HB 219 Amends Various State Environmental Laws Conference Report Adopted - House (95 - 18)
6/28 SB 408 Establishes Medicaid Modernization Plan; Expands Workforce Development Programs (102 - 6)
6/08 SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
6/08 SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
6/02 HB 149 Expands Access to Telehealth Healthcare Services Bill Passed - Senate (44 - 1)
3/09 SB 173 Repeals the Mask Mandate for Public Schools Veto Override Failed - Senate (27 - 22)
2/17 SB 173 Repeals the Mask Mandate for Public Schools Conference Report Adopted - House (76 - 42)
6/23 SB 173 Repeals the Mask Mandate for Public Schools Bill Passed - House (66 - 44)
6/15 HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
4/28 SB 115 Authorizes Outdoor College Football Stadiums to Open to 100% Capacity Bill Passed - House (77 - 42)
3/04 HB 196 Appropriates $17 Billion for COVID-19 Relief Concurrence Vote Passed - House (117 - 0)
3/01 SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
2/11 SB 37 Requires in Person Learning for K-12 Schools Bill Passed - House (74 - 44)
2/09 SB 37 Requires in Person Learning for K-12 Schools Bill Passed - Senate (29 - 15)
7/08 SB 232 Repeals Anti-Mask Law Concurrence Vote Passed - Senate (43 - 4)
6/16 HB 511 Authorizes Shorter Sentences for Nonviolent Drug Offenders Conference Report Adopted - Senate (48 - 0)
5/28 HB 536 Authorizes the Reopening of Bars and Restaurants During COVID-19 Pandemic Concurrence Vote Passed - House (65 - 53)
5/02 HB 1043 Appropriates Funds from the CARES Act for COVID-19 Relief Concurrence Vote Passed - House (120 - 0)
5/02 SB 704 Establishes the COVID-19 Response Act Bill Passed - House (119 - 0)
4/29 SB 704 Establishes the COVID-19 Response Act Bill Passed - Senate (48 - 0)
9/10 SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - Senate (32 - 14)
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