2025 North Carolina Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.


results per page:
Date State Bill No. Title Outcome
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Oct. 22, 2025 NC HB 491 Appropriates $190 Million from the Medicaid Contingency Reserve to Partially Fund Medicaid Bill Passed - House (111 - 0)
Sept. 22, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
Sept. 22, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
Sept. 22, 2025 NC HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
Sept. 22, 2025 NC HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
July 29, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - House (74 - 46)
July 29, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - Senate (30 - 18)
June 26, 2025 NC SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Concurrence Vote Passed - Senate (34 - 7)
June 25, 2025 NC SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Bill Passed - House (108 - 6)
June 25, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
June 25, 2025 NC HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
June 19, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
June 10, 2025 NC SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Bill Passed - House (75 - 36)
April 30, 2025 NC SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
April 30, 2025 NC SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
Feb. 25, 2025 NC HB 47 Appropriates $500 Million for Hurricane Helene Recovery Efforts Bill Passed - House (115 - 0)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Date No. Title Outcome
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
10/22 HB 491 Appropriates $190 Million from the Medicaid Contingency Reserve to Partially Fund Medicaid Bill Passed - House (111 - 0)
9/22 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
9/22 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - Senate (28 - 20)
9/22 HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
9/22 HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
7/29 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - House (74 - 46)
7/29 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Veto Override Passed - Senate (30 - 18)
6/26 SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Concurrence Vote Passed - Senate (34 - 7)
6/25 SB 429 Amends Domestic Violence, Drug Trafficking and Exposing Children to Controlled Substances Bill Passed - House (108 - 6)
6/25 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
6/25 HB 192 Requires the state Department of Health and Human Services to Disenroll Planned Parenthood as a Medicaid Provider Bill Passed - House (96 - 17)
6/19 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Concurrence Vote Passed - Senate (29 - 11)
6/10 SB 266 Repeals North Carolina's Interim 2030 Carbon-Reduction Mandate Bill Passed - House (75 - 36)
4/30 SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
4/30 SB 405 Increases Funding to the Department of Health and Human Services for Medicaid Bill Passed - Senate (35 - 11)
2/25 HB 47 Appropriates $500 Million for Hurricane Helene Recovery Efforts Bill Passed - House (115 - 0)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)

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