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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
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 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)
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)
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 - 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 19, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
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. 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)
Oct. 9, 2024 NC HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - Senate (48 - 0)
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)
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)
Aug. 16, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
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 1, 2023 NC SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
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 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)
June 15, 2021 NC HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
March 1, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
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)
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)
Aug. 13, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
Oct. 4, 2017 NC H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - Senate (30 - 9)
April 24, 2017 NC SB 434 Amends Local Riparian Buffer Requirements Bill Passed - Senate (48 - 31)
July 30, 2014 NC HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - Senate (39 - 10)
July 28, 2014 NC HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
July 28, 2014 NC HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
July 25, 2013 NC HB 938 Amends Wetland Permit Laws Bill Passed - Senate (27 - 15)
July 2, 2013 NC SB 132 Requires Certain Reproductive Health and Safety Education for Schools Concurrence Vote Passed - Senate (32 - 12)
May 2, 2013 NC SB 612 Amends Environmental Regulations Bill Passed - Senate (36 - 11)
Feb. 26, 2013 NC SB 4 Prohibits Medicaid Expansion Conference Report Adopted - Senate (31 - 16)
June 12, 2012 NC HB 819 Requirements for Calculating Sea Level Rise Bill Passed - Senate (35 - 12)
May 18, 2011 NC HB 578 State Health Plan Amendments Bill Passed - Senate (33 - 16)
April 14, 2011 NC SB 265 Health Plan for Teachers and State Employees Veto Override Passed - Senate (30 - 17)
March 28, 2011 NC SB 265 Health Plan for Teachers and State Employees Bill Passed - Senate (29 - 16)
Date No. Title Outcome
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)
6/24 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)
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)
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 - Senate (30 - 18)
6/26 SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Concurrence Vote Passed - Senate (34 - 7)
6/19 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
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)
2/12 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)
10/09 HB 149 Appropriates Emergency Funding for the Disaster Recovery Act Part I Conference Report Adopted - Senate (48 - 0)
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)
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)
8/16 HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
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)
3/01 SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
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)
6/02 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)
6/15 HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
3/01 SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
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)
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)
8/13 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
10/04 H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - Senate (30 - 9)
4/24 SB 434 Amends Local Riparian Buffer Requirements Bill Passed - Senate (48 - 31)
7/30 HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - Senate (39 - 10)
7/28 HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
7/28 HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
7/25 HB 938 Amends Wetland Permit Laws Bill Passed - Senate (27 - 15)
7/02 SB 132 Requires Certain Reproductive Health and Safety Education for Schools Concurrence Vote Passed - Senate (32 - 12)
5/02 SB 612 Amends Environmental Regulations Bill Passed - Senate (36 - 11)
2/26 SB 4 Prohibits Medicaid Expansion Conference Report Adopted - Senate (31 - 16)
6/12 HB 819 Requirements for Calculating Sea Level Rise Bill Passed - Senate (35 - 12)
5/18 HB 578 State Health Plan Amendments Bill Passed - Senate (33 - 16)
4/14 SB 265 Health Plan for Teachers and State Employees Veto Override Passed - Senate (30 - 17)
3/28 SB 265 Health Plan for Teachers and State Employees Bill Passed - Senate (29 - 16)
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