# North Carolina SB 378: Align Medicaid Eligibility with Federal Law.

North Carolina SB 378, Align Medicaid Eligibility with Federal Law., is a 2025-2026 Session Senate bill sponsored by Todd Johnson (Republican), Benton G. Sawrey (Republican), Vickie Sawyer (Republican); status passed house, last action 2025-10-23 (Held by House Clerk) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-SB378-2025
- 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 SB 378
- State: North Carolina
- Session: 2025-2026 Session
- Title: Align Medicaid Eligibility with Federal Law.
- Status: passed house
- Chamber: Senate
- Introduced: 2025-03-20
- Last action: 2025-10-23, Held by House Clerk
- Sponsors: Todd Johnson (Republican), Benton G. Sawrey (Republican), Vickie Sawyer (Republican)
- Cosponsors: 17
- Subjects: COMMERCE, CONSUMER PROTECTION, CONTRACTS, CORPORATIONS, NONPROFIT, DEBTOR & CREDITOR, DHHS, FINES & PENALTIES, HEALTH SERVICES, HOUSING, INSURANCE, HEALTH, JUSTICE DEPT
- Touches household money: no
- Roll calls: 3 (155 yes, 109 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: Todd Johnson (Republican), Senate
- Sponsor: Benton G. Sawrey (Republican), Senate
- Sponsor: Vickie Sawyer (Republican), Senate
- Cosponsor: Gale Adcock (Democratic), Senate
- Cosponsor: Val Applewhite (Democratic), Senate
- Cosponsor: Woodson Bradley (Democratic), Senate
- Cosponsor: Bob Brinson (Republican), Senate
- Cosponsor: Danny Earl Britt, Jr. (Republican), Senate
- Cosponsor: Amy S. Galey (Republican), Senate
- Cosponsor: Steve Jarvis (Republican), Senate
- Cosponsor: Michael A. Lazzara (Republican), Senate
- Cosponsor: Paul A. Lowe, Jr. (Democratic), Senate
- Cosponsor: Julie Mayfield (Democratic), Senate
- Cosponsor: Timothy D. Moffitt (Republican), Senate
- Cosponsor: Natalie S. Murdock (Democratic), Senate
- Cosponsor: Gladys A. Robinson (Democratic), Senate
- Cosponsor: Eddie D. Settle (Republican), Senate
- Cosponsor: Kandie D. Smith (Democratic), Senate
- Cosponsor: Caleb Theodros (Democratic), Senate
- Cosponsor: Joyce Waddell (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-10-22 | House | SB 378: Align Medicaid Eligibility with Federal Law. | fail | 47 | 62 | 9 |
| 2025-10-22 | House | SB 378: Align Medicaid Eligibility with Federal Law. | pass | 61 | 47 | 10 |
| 2025-05-07 | Senate | SB 378: HOA Revisions. | pass | 47 | 0 | 3 |

## Actions (23)

- 2025-10-23: Held by House Clerk (House)
- 2025-10-23: Message Refused by Senate (House)
- 2025-10-23: Not received; ineligible pursuant to Res. 2025-11 (Senate)
- 2025-10-23: Regular Message Sent To Senate (House)
- 2025-10-22: Passed 3rd Reading (House)
- 2025-10-22: Passed 2nd Reading (House)
- 2025-10-22: Added to Calendar (House)
- 2025-10-22: Cal Pursuant Rule 36(b) (House)
- 2025-10-22: Reptd Fav Com Substitute (House)
- 2025-05-08: Ref To Com On Rules, Calendar, and Operations of the House (House)
- 2025-05-08: Passed 1st Reading (House)
- 2025-05-07: Special Message Received From Senate (House)
- 2025-05-07: Special Message Sent To House (Senate)
- 2025-05-07: Passed 3rd Reading (Senate)
- 2025-05-07: Passed 2nd Reading (Senate)
- 2025-05-06: Reptd Fav (Senate)
- 2025-05-06: Re-ref Com On Rules and Operations of the Senate (Senate)
- 2025-05-06: Reptd Fav (Senate)
- 2025-04-14: Re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate (Senate)
- 2025-04-14: Withdrawn From Com (Senate)
- 2025-03-24: Ref To Com On Rules and Operations of the Senate (Senate)
- 2025-03-24: Passed 1st Reading (Senate)
- 2025-03-20: Filed (Senate)

## Bill text

- Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v1.pdf)
- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v2.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 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- SB 403: AN ACT TO PROVIDE FOR THE EXPEDIENT IMPLEMENTATION OF MEDICAID WORK REQUIREMENTS. (passed house)

## Sources
- [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v1.pdf)
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/Senate/PDF/S378v2.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 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [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)
- [SB 403: AN ACT TO PROVIDE FOR THE EXPEDIENT IMPLEMENTATION OF MEDICAID WORK REQUIREMENT…](https://policyrisk.com/state-bill/NC-SB403-2025)
- [North Carolina bills](https://policyrisk.com/states/north-carolina/bills)
- [North Carolina state hub](https://policyrisk.com/states/north-carolina)
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Source: PRIA, https://policyrisk.com/state-bill/NC-SB378-2025 (as of 2026-11-01).