All Roll Calls
Yes: 311 • No: 2
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: 3 benefits, 0 costs, 2 mixed.
Schools must stock and allow epinephrine
Starting with the 2025–2026 school year, students with prescriptions may carry and use asthma medicine, including epinephrine devices, at school, school events, and during travel. Each school must keep at least two epinephrine delivery systems on site in a secure, unlocked, easy‑to‑reach place for trained staff to use. Principals must name staff for initial and yearly training and get a non‑patient prescription from local health providers. The school’s stock cannot be the only medicine for students who need their own device; those students can carry their own. Charter, regional, and lab schools must follow these rules. The law also updates “epinephrine auto‑injector” to “epinephrine delivery system” to include FDA‑approved nasal sprays and injectors (effective July 3, 2025).
Public places may stock epinephrine
Beginning July 3, 2025, authorized organizations can get a prescription in the group’s name and keep epinephrine on site. They must store it as directed, follow any health department rules, and name staff to oversee it. Named staff must finish anaphylaxis training; approved in‑person or online options are allowed. Trained staff may give epinephrine to anyone they reasonably believe is having anaphylaxis, even without a personal prescription. The law gives good‑faith immunity to entities, staff, prescribers, dispensers, and trainers, but not for willful or wanton acts, and it does not require anyone to stock epinephrine. North Carolina entities also get certain liability protection when they act outside the state, and giving epinephrine under this law is not practicing medicine.
Choose organ donation on tax return
Beginning with tax years that start on January 1, 2027, the state income tax form lets resident taxpayers and spouses elect to be organ and tissue donors. Your choice on the return is a valid legal gift when you file and stays in effect until you revoke it. The Department of Revenue may ask for needed information, and it shares donor elections with the DMV and organ groups to keep the registry current. Revenue and DMV must work together to update the Organ Donor Registry. Registry personal data can be used without extra consent only at or near death to confirm gift status, and to make statistics that help donation advocacy. Revenue must adopt rules by January 1, 2027 to run these changes. Filing the donor section is optional and does not affect filing, payment, or refunds.
Phase out DEHP in IV products
The law limits DEHP in IV products to improve patient safety. Starting January 1, 2030, IV solution containers with intentionally added DEHP cannot be sold or distributed in North Carolina. Starting January 1, 2035, IV tubing with intentionally added DEHP cannot be made, sold, or distributed in the state. Any unintentional DEHP in covered products must stay under 0.1% by weight, and makers cannot switch to other ortho‑phthalates. Certain blood collection and storage bags and apheresis/cell therapy kits with integral tubing are exempt. If a maker notified NC customers by October 1, 2025 that DEHP‑free containers were in development and posted by January 1, 2028 that it would miss the original deadline, it may comply by January 1, 2032. Violations can be fined up to $5,000 per day, and each day counts separately.
School nurse hiring rules and pay
The State Board of Education sets school nurse qualifications and training but cannot require a four‑year degree. A licensed registered nurse with at least two years of hospital or clinic experience must be paid on the certified school nurse pay scale. The Department of Public Instruction must update salary manuals to match these rules. These changes apply to school nurses hired or contracted on or after July 3, 2025.
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
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: 109 • No: 2 • Other: 9
House vote • 6/24/2025
SB 600: Improve Health and Human Services.
Yes: 111 • No: 0 • Other: 9
Senate vote • 4/30/2025
SB 600: Medicaid Agency Omnibus.
Yes: 46 • No: 0 • Other: 4
Actions Timeline
Ch. SL 2025-60
7/3/2025SenateSigned by Gov. 7/3/2025
7/3/2025SenatePres. To Gov. 6/27/2025
6/27/2025SenateRatified
6/26/2025SenateOrdered Enrolled
6/25/2025SenateConcurred In H Com Sub
6/25/2025SenatePlaced on Today's Calendar
6/25/2025SenateWithdrawn From Com
6/25/2025SenateRef To Com On Rules and Operations of the Senate
6/25/2025SenateSpecial Message Received For Concurrence in H Com Sub
6/25/2025SenateSpecial Message Sent To Senate
6/25/2025HouseOrdered Engrossed
6/24/2025HousePassed 3rd Reading
6/24/2025HousePassed 2nd Reading
6/24/2025HouseAmend Adopted A1
6/24/2025HousePlaced On Cal For 06/24/2025
6/18/2025HouseWithdrawn From Cal
6/18/2025HousePlaced On Cal For 06/18/2025
6/17/2025HouseCal Pursuant Rule 36(b)
6/17/2025HouseReptd Fav Com Sub 2
6/17/2025HouseRe-ref Com On Health
6/12/2025HouseWithdrawn From Com
6/12/2025HouseRe-ref Com On Rules, Calendar, and Operations of the House
6/11/2025HouseWithdrawn From Cal
6/11/2025HousePlaced On Cal For 06/11/2025
6/10/2025House
Bill Text
Edition 1
Edition 2
Edition 3
Edition 4
Edition 5
Edition 6
Filed
Latest Edition
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