Advocacy

Legislative Updates

Stay informed with the latest legislative updates from NCNA and see how advocacy is shaping nursing in North Carolina.
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2025

May 20, 2025
By Patrick Ballantine; NCNA Lobbyist
Note: Updated on June 17

The NC legislature has been in session for more than five months now. May was what is known as “crossover,” a deadline for which all bills that don’t have a fiscal impact on the state budget must pass one chamber of the legislature to be eligible for the remainder of the biennium. Several dozen bills...

April 1, 2025
By Patrick Ballantine and Alex Miller; NCNA Lobbyists

Note: Updated on May 7

Budget Plans
The Senate has passed its proposed $66 billion two-year state budget, initiating what could be an extended negotiation process with the House. The plan features...

February 19, 2025
By Alex Miller; NCNA Lobbyist

The 2025-2026 legislative session is in full swing, with bills being filed and committees beginning to meet. The session begins with...

February 11, 2025

By Patrick Ballantine; NCNA Lobbyist

Trigger Language Putting Medicaid Expansion at Risk
In 2023, North Carolina enacted House Bill 76, known as the “Access to Healthcare Options” act, which expanded Medicaid coverage to include more low-income adults. Governor Roy Cooper signed...

2024

December 20, 2024
By Alex Miller; NCNA Lobbyist

Gov. Stein's Cabinet Picks
Governor-elect Josh Stein has unveiled his cabinet appointments, featuring historic firsts with nominees poised to become the first Latino and Indian-American cabinet secretaries in the state...

December 13, 2024
By Patrick Ballantine; NCNA Lobbyist

Wrapping Up 2024 and Looking Ahead
Election Recap

The 2023-24 biennial session of the North Carolina General Assembly wrapped up in mid-December, just in time for the rest of us to wrap presents this holiday season. The 2025-26 biennium...

November 20, 2024
By Alex Miller, NCNA Lobbyist

HOUSE CAUCUS ELECTIONS  
As expected, the House Republican Caucus elected Rules Chairman Destin Hall as the next Speaker of the House on Tuesday, November 20. Hall, 37, will replace Speaker Tim Moore, who has been elected to Congress...

November 6, 2024

By Alix John, NCNA Manager of Political Engagement; and Alex Miller, NCNA Lobbyist

Note: Updated on November 20, 2024

2024 Election Results
The results are in. After the state’s post-election canvass, in which election officials certify all valid ballots (including provisional and mail-in ballots), results...

July 3, 2024

By Alex Miller, NCNA Lobbyist, and Chris Cowperthwaite, NCNA Director of Communications and Outreach

The 2024 "short" legislative session seemingly came to a relatively abrupt end last week, after the chambers could not agree on an update to the biennium budget passed last year. The House passed...

June 4, 2024

By Alex Miller; NCNA Lobbyist

We are six weeks into the “short” legislative session, and with no end date set for sessions it remains unclear how much longer the General Assembly will stay in Raleigh before members return home to their districts, with the November general election looming...

April 24, 2024

By Patrick Ballantine; NCNA Lobbyist

What to Expect for 2024
The North Carolina General Assembly starts its “Short Session” today, April 24th. The legislature convenes...

March 6, 2024

By Alex Miller; NCNA Lobbyist

Primary Election Results
The 2024 primary election was notable for a number of upsets, as several incumbent members appear to have lost their seats in challenges from the flanks of their respective parties. State Reps. Michael Wray...

2023

December 20, 2023

By Alex Miller; NCNA Lobbyist

Legislative Landscape Shifting After Filing Period
The legislative long session may be over, but campaign season is just getting started. Between now and the general election...

October 20, 2023

By Alex Miller; NCNA Lobbyist

The legislature released their highly anticipated redistricting plan earlier this week. Once passed - and assuming the redraw holds up against legal challenges - these maps...

October 3, 2023

By Alex Miller; NCNA Lobbyist

Months after the start of this fiscal year on July 1, the General Assembly has passed a spending plan for this biennium on nearly party lines. This came on the heels of...

September 20, 2023

By Alex Miller, NCNA Lobbyist, and Chris Cowperthwaite, NCNA Director of Communications and Outreach

As a reporter told NCNA just this morning: this legislative session has been weird, “even relative to other weird years.” Legislators essentially shut down the General Assembly for weeks...

July 31, 2023

By Patrick Ballantine; NCNA Lobbyist

The “Long Session” of the 2023 NC General Assembly may be drawing to a close in the coming weeks. Sen. Phil Berger and Rep. Tim Moore have signaled recently that they...

June 21, 2023

By Alex Miller; NCNA Lobbyist

Upon the successful override of the Governor’s veto of Senate Bill 20 on May 16th, the provisions removing the state’s 40-year-old requirement for physician supervision of Certified Nurse Midwives officially became law. While the removal of physical supervision for CNMs is an important step...

May 17, 2023

By Alex Miller; NCNA Lobbyist

The past few weeks have seen a number of dramatic developments at the General Assembly, with Democratic Rep. Tricia Cotham switching parties to give the Republicans veto-proof supermajorities in both chambers, to the passage of...

April 19, 2023

By Patrick Ballantine; NCNA Lobbyist

As most of readers of THN know, there was a bill signing ceremony at the Governor’s Mansion for HB 76, the Medicaid Expansion bill. This is one of the biggest stories in the state, as North Carolina became...

March 31, 2023

By Patrick Ballantine; NCNA Lobbyist

There has been a bevy of bills relating to health care and nursing that we will summarize here...

March 6, 2023

By Alex Miller; NCNA Lobbyist

MEDICAID EXPANSION & THE SAVE ACT DECOUPLED
A decade-long stalemate over Medicaid expansion appears to be coming to an end. In early March, House and Senate Republican leaders announced that they...

February 15, 2023

By Alex Miller; NCNA Lobbyist

The 2023-2024 biennium session of the General Assembly is officially underway! Committee assignments have been made, bills are being filed, and Committees...

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