# North Carolina HB 618: AN ACT DIRECTING THE STATE HEALTH DIRECTOR TO ISSUE A STATEWIDE STANDING ORDER TO ALLOW PHARMACISTS TO DISPENSE IVERMECTIN WITHOUT A PRESCRIPTION; AND PROVIDING IMMUNITY FROM CIVIL OR CRIMINAL LIABILITY FOR THE STATE HEALTH DIRECTOR AND ANY PHARMACIST WHO DISPENSES IVERMECTIN PURSUANT TO THE STATEWIDE STANDING ORDER.

North Carolina HB 618, AN ACT DIRECTING THE STATE HEALTH DIRECTOR TO ISSUE A STATEWIDE STANDING ORDER TO ALLOW PHARMACISTS TO DISPENSE IVERMECTIN WITHOUT A PRESCRIPTION; AND PROVIDING IMMUNITY FROM CIVIL OR CRIMINAL LIABILITY FOR THE STATE HEALTH DIRECTOR AND ANY PHARMACIST WHO DISPENSES IVERMECTIN PURSUANT TO THE STATEWIDE STANDING ORDER., is a 2025-2026 Session House bill sponsored by Jonathan L. Almond (Republican), Neal Jackson (Republican), Heather H. Rhyne (Republican) and 1 others; status passed house, last action 2025-05-07 (Ref To Com On Rules and Operations of the Senate) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB618-2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Carolina HB 618
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT DIRECTING THE STATE HEALTH DIRECTOR TO ISSUE A STATEWIDE STANDING ORDER TO ALLOW PHARMACISTS TO DISPENSE IVERMECTIN WITHOUT A PRESCRIPTION; AND PROVIDING IMMUNITY FROM CIVIL OR CRIMINAL LIABILITY FOR THE STATE HEALTH DIRECTOR AND ANY PHARMACIST WHO DISPENSES IVERMECTIN PURSUANT TO THE STATEWIDE STANDING ORDER.
- Status: passed house
- Chamber: House
- Introduced: 2025-03-31
- Last action: 2025-05-07, Ref To Com On Rules and Operations of the Senate
- Sponsors: Jonathan L. Almond (Republican), Neal Jackson (Republican), Heather H. Rhyne (Republican), Jeff Zenger (Republican)
- Cosponsors: 23
- Subjects: ALTERNATIVE MEDICINE, DHHS, HEALTH SERVICES, OCCUPATIONS, PHARMACEUTICALS, PHARMACISTS & PHARMACIES, PUBLIC, PUBLIC HEALTH, STATE EMPLOYEES, LIABILITY, STATE HEALTH DIRECTOR
- Touches household money: no
- Roll calls: 3 (175 yes, 157 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Jonathan L. Almond (Republican), House
- Sponsor: Neal Jackson (Republican), House
- Sponsor: Heather H. Rhyne (Republican), House
- Sponsor: Jeff Zenger (Republican), House
- Cosponsor: Dean Arp (Republican), House
- Cosponsor: Jennifer Balkcom (Republican), House
- Cosponsor: Brian Biggs (Republican), House
- Cosponsor: John M. Blust (Republican), House
- Cosponsor: Jerry "Alan" Branson (Republican), House
- Cosponsor: Celeste C. Cairns (Republican), House
- Cosponsor: Mike Clampitt (Republican), House
- Cosponsor: Tricia Ann Cotham (Republican), House
- Cosponsor: Brian Echevarria (Republican), House
- Cosponsor: Blair Eddins (Republican), House
- Cosponsor: Jake Johnson (Republican), House
- Cosponsor: Keith Kidwell (Republican), House
- Cosponsor: Donnie Loftis (Republican), House
- Cosponsor: Jeffrey C. McNeely (Republican), House
- Cosponsor: Ben T. Moss, Jr. (Republican), House
- Cosponsor: Dennis Riddell (Republican), House
- Cosponsor: Stephen M. Ross (Republican), House
- Cosponsor: Paul Scott (Republican), House
- Cosponsor: Mitchell S. Setzer (Republican), House
- Cosponsor: Bill Ward (Republican), House
- Cosponsor: Harry Warren (Republican), House
- Cosponsor: Shelly Willingham (Democratic), House
- Cosponsor: David Willis (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-07 | House | HB 618: Ivermectin Access Act. | pass | 66 | 47 | 7 |
| 2025-05-07 | House | HB 618: Ivermectin Access Act. | pass | 67 | 41 | 8 |
| 2025-05-07 | House | HB 618: Ivermectin Access Act. | fail | 42 | 69 | 8 |

## Actions (18)

- 2025-05-07: Ref To Com On Rules and Operations of the Senate (Senate)
- 2025-05-07: Passed 1st Reading (Senate)
- 2025-05-07: Special Message Received From House (Senate)
- 2025-05-07: Special Message Sent To Senate (House)
- 2025-05-07: Passed 3rd Reading (House)
- 2025-05-07: Passed 2nd Reading (House)
- 2025-05-07: Amend Failed A1 (House)
- 2025-05-06: Placed On Cal For 05/07/2025 (House)
- 2025-05-06: Cal Pursuant Rule 36(b) (House)
- 2025-05-06: Reptd Fav (House)
- 2025-05-06: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-05-06: Reptd Fav (House)
- 2025-04-29: Re-ref to the Com on Judiciary 3, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-04-29: Withdrawn From Com (House)
- 2025-04-14: Serial Referral To Judiciary 1 Stricken (House)
- 2025-04-01: Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-04-01: Passed 1st Reading (House)
- 2025-03-31: Filed (House)

## Bill text

- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H618v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H618v1.pdf)

## Related bills

- HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H618v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H618v1.pdf)

## Related
- [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
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Source: PRIA, https://policyrisk.com/state-bill/NC-HB618-2025 (as of 2026-11-01).