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North CarolinaSB 6002025-2026 SessionSenateWALLET

AN ACT MAKING TECHNICAL, CONFORMING, AND OTHER MODIFICATIONS TO LAWS PERTAINING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF HEALTH BENEFITS.

Sponsored By: Jim Burgin (Republican), Amy S. Galey (Republican), Benton G. Sawrey (Republican)

Signed by Governor

BOARDSCHARTER SCHOOLSCJE & TRAINING STANDARDS COMN

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Schools must stock and use epinephrine

Beginning June 26, 2025, each public school keeps at least two emergency epinephrine auto‑injectors in a secure but unlocked, easy‑to‑reach place. Principals assign trained staff who use a non‑patient‑specific prescription and follow storage, training, and emergency action steps. Starting with the 2025–26 school year, students with asthma or risk of anaphylaxis may carry and use their prescribed inhalers and epinephrine at school, at events, and in transit as the local policy allows. Also beginning with the 2025–26 school year, charter, regional, and laboratory schools must meet the same emergency epinephrine rules.

Statewide rules and pay for school nurses

Beginning June 26, 2025, the State Board of Education sets qualifications and training for certified school nurses and may use temporary rules. The Board cannot require a four‑year degree to be hired. A registered nurse licensed in North Carolina with at least two years of hospital or clinic experience must be paid on the certified school nurse pay scale when hired or contracted on or after that date.

Businesses can stock epinephrine with immunity

Beginning June 26, 2025, a health care provider may prescribe epinephrine in the name of an authorized non‑school group so it can buy and stock a supply. Designated workers who complete initial and yearly training may give epinephrine in good faith to someone they believe is having anaphylaxis. The entity, the trained worker, the prescriber, the dispenser, and the trainer are immune from criminal and civil claims for good‑faith actions, except for willful or wanton conduct. Prescriptions to an entity last no more than two years.

Tighter DEHP rules for IV equipment

Effective June 26, 2025, IV containers and tubing may not have unintentionally added DEHP at or above 0.1% by weight. Makers also may not swap in other ortho‑phthalates as substitutes. Selling IV solution containers with intentionally added DEHP is banned starting January 1, 2030, and IV tubing with intentionally added DEHP is banned starting January 1, 2035. Some blood collection and apheresis/cell therapy bags and kits are exempt. A company can delay the IV container deadline to January 1, 2032 if it told North Carolina customers by October 1, 2025 it began DEHP‑free development and posted by January 1, 2028 that it will miss 2030. The Secretary can fine up to $5,000 for each day a violation continues.

Organ donor choice on tax return

Beginning January 1, 2027, the state income tax form lets you choose organ and tissue donation for you and your spouse. Your choice is legal when you file and stays in place until you revoke it. The form explains that this is optional and how to change your choice. The Department of Revenue shares donor choices with the DMV and organ donation groups. Personal data use is limited to checking donor status at or near death and approved statistics. By January 1, 2027, the Department adopts rules and works with the DMV to keep the donor registry up to date.

Sponsors & Cosponsors

Sponsors

  • Jim Burgin

    Republican • Senate

  • Amy S. Galey

    Republican • Senate

  • Benton G. Sawrey

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 311 • No: 2

Senate vote • 6/25/2025

SB 600: Improve Health and Human Services.

Yes: 45 • No: 0 • Other: 5

House vote • 6/24/2025

SB 600: Improve Health and Human Services.

Yes: 111 • No: 0 • Other: 9

House vote • 6/24/2025

SB 600: Improve Health and Human Services.

Yes: 109 • No: 2 • Other: 9

Senate vote • 4/30/2025

SB 600: Medicaid Agency Omnibus.

Yes: 46 • No: 0 • Other: 4

Actions Timeline

  1. Ch. SL 2025-60

    7/3/2025Senate

  2. Signed by Gov. 7/3/2025

    7/3/2025Senate

  3. Pres. To Gov. 6/27/2025

    6/27/2025Senate

  4. Ratified

    6/26/2025Senate

  5. Ordered Enrolled

    6/25/2025Senate

  6. Concurred In H Com Sub

    6/25/2025Senate

  7. Placed on Today's Calendar

    6/25/2025Senate

  8. Withdrawn From Com

    6/25/2025Senate

  9. Ref To Com On Rules and Operations of the Senate

    6/25/2025Senate

  10. Special Message Received For Concurrence in H Com Sub

    6/25/2025Senate

  11. Special Message Sent To Senate

    6/25/2025House

  12. Ordered Engrossed

    6/24/2025House

  13. Passed 3rd Reading

    6/24/2025House

  14. Passed 2nd Reading

    6/24/2025House

  15. Amend Adopted A1

    6/24/2025House

  16. Placed On Cal For 06/24/2025

    6/18/2025House

  17. Withdrawn From Cal

    6/18/2025House

  18. Placed On Cal For 06/18/2025

    6/17/2025House

  19. Cal Pursuant Rule 36(b)

    6/17/2025House

  20. Reptd Fav Com Sub 2

    6/17/2025House

  21. Re-ref Com On Health

    6/12/2025House

  22. Withdrawn From Com

    6/12/2025House

  23. Re-ref Com On Rules, Calendar, and Operations of the House

    6/11/2025House

  24. Withdrawn From Cal

    6/11/2025House

  25. Placed On Cal For 06/11/2025

    6/10/2025House

Bill Text

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