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.


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Date State Bill No. Title Outcome
Sept. 19, 2023 NC SB 189 Amends Legal Classification and Penalties for Crimes Related to Fentanyl Distribution Bill Passed - House (81 - 20)
Aug. 16, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - House (74 - 45)
Aug. 16, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
June 28, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Concurrence Vote Passed - House (67 - 46)
June 27, 2023 NC HB 808 Prohibits Gender Transition Procedures for Minors Bill Passed - Senate (29 - 16)
March 1, 2023 NC SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
Feb. 16, 2023 NC HB 76 Expands Access to Medicaid Bill Passed - House (92 - 22)
July 1, 2022 NC HB 674 Prohibits Medical Billing of Rape Victims Concurrence Vote Passed - House (107 - 1)
June 30, 2022 NC HB 823 Establishes Law Regarding Child Advocacy Centers Bill Passed - Senate (45 - 2)
June 29, 2022 NC HB 219 Amends Various State Environmental Laws Conference Report Adopted - Senate (41 - 2)
June 28, 2022 NC HB 219 Amends Various State Environmental Laws Conference Report Adopted - House (95 - 18)
June 28, 2022 NC SB 408 Establishes Medicaid Modernization Plan; Expands Workforce Development Programs (102 - 6)
June 8, 2022 NC SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
June 8, 2022 NC SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
June 2, 2022 NC HB 149 Expands Access to Telehealth Healthcare Services Bill Passed - Senate (44 - 1)
March 9, 2022 NC SB 173 Repeals the Mask Mandate for Public Schools Veto Override Failed - Senate (27 - 22)
Feb. 17, 2022 NC SB 173 Repeals the Mask Mandate for Public Schools Conference Report Adopted - House (76 - 42)
June 23, 2021 NC SB 173 Repeals the Mask Mandate for Public Schools Bill Passed - House (66 - 44)
June 15, 2021 NC HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
April 28, 2021 NC SB 115 Authorizes Outdoor College Football Stadiums to Open to 100% Capacity Bill Passed - House (77 - 42)
March 4, 2021 NC HB 196 Appropriates $17 Billion for COVID-19 Relief Concurrence Vote Passed - House (117 - 0)
March 1, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
Feb. 11, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Bill Passed - House (74 - 44)
Feb. 9, 2021 NC SB 37 Requires in Person Learning for K-12 Schools Bill Passed - Senate (29 - 15)
July 8, 2020 NC SB 232 Repeals Anti-Mask Law Concurrence Vote Passed - Senate (43 - 4)
June 16, 2020 NC HB 511 Authorizes Shorter Sentences for Nonviolent Drug Offenders Conference Report Adopted - Senate (48 - 0)
May 28, 2020 NC HB 536 Authorizes the Reopening of Bars and Restaurants During COVID-19 Pandemic Concurrence Vote Passed - House (65 - 53)
May 2, 2020 NC HB 1043 Appropriates Funds from the CARES Act for COVID-19 Relief Concurrence Vote Passed - House (120 - 0)
May 2, 2020 NC SB 704 Establishes the COVID-19 Response Act Bill Passed - House (119 - 0)
April 29, 2020 NC SB 704 Establishes the COVID-19 Response Act Bill Passed - Senate (48 - 0)
Sept. 10, 2019 NC SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - Senate (32 - 14)
Aug. 29, 2019 NC SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - House (78 - 31)
Aug. 13, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
Aug. 7, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
Aug. 7, 2019 NC SB 681 Appropriates Funding to Rural Hospitals Bill Passed - House (81 - 31)
April 26, 2019 NC HB 511 Amends Criminal Sentencing Laws for Low-Level Nonviolent Drug Offenders Bill Passed - House (100 - 0)
June 13, 2018 NC SB 616 Establishes Heroin And Opioid Prevention and Enforcement Act Bill Passed - House (87 - 25)
May 23, 2018 NC SB 470 Amends Asbestos Claim Filing Procedures Bill Passed - House (78 - 30)
Oct. 4, 2017 NC H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - House (70 - 44)
Oct. 4, 2017 NC H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - Senate (30 - 9)
April 24, 2017 NC SB 434 Amends Local Riparian Buffer Requirements Bill Passed - Senate (48 - 31)
July 21, 2015 NC HB 169 Repeals Motor Vehicle Emissions Inspections in Certain Counties Bill Passed - House (72 - 35)
March 11, 2015 NC HB 157 Authorizes the Environmental Management Commission to Use Existing State and Federal Hydraulic Fracturing Air Emission Regulations Bill Passed - House (76 - 40)
July 30, 2014 NC HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - Senate (39 - 10)
July 28, 2014 NC HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
July 28, 2014 NC HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
July 25, 2014 NC HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - House (61 - 35)
July 25, 2013 NC HB 938 Amends Wetland Permit Laws Bill Passed - Senate (27 - 15)
July 24, 2013 NC HB 392 Authorizes Drug Testing for Work First Program Applicants Conference Report Adopted - House (92 - 21)
July 2, 2013 NC SB 132 Requires Certain Reproductive Health and Safety Education for Schools Concurrence Vote Passed - Senate (32 - 12)
Date No. Title Outcome
9/19 SB 189 Amends Legal Classification and Penalties for Crimes Related to Fentanyl Distribution Bill Passed - House (81 - 20)
8/16 HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - House (74 - 45)
8/16 HB 808 Prohibits Gender Transition Procedures for Minors Veto Override Passed - Senate (27 - 18)
6/28 HB 808 Prohibits Gender Transition Procedures for Minors Concurrence Vote Passed - House (67 - 46)
6/27 HB 808 Prohibits Gender Transition Procedures for Minors Bill Passed - Senate (29 - 16)
3/01 SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
2/16 HB 76 Expands Access to Medicaid Bill Passed - House (92 - 22)
7/01 HB 674 Prohibits Medical Billing of Rape Victims Concurrence Vote Passed - House (107 - 1)
6/30 HB 823 Establishes Law Regarding Child Advocacy Centers Bill Passed - Senate (45 - 2)
6/29 HB 219 Amends Various State Environmental Laws Conference Report Adopted - Senate (41 - 2)
6/28 HB 219 Amends Various State Environmental Laws Conference Report Adopted - House (95 - 18)
6/28 SB 408 Establishes Medicaid Modernization Plan; Expands Workforce Development Programs (102 - 6)
6/08 SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
6/08 SB 448 Reduces Restrictions on Prescribed Controlled Substances, Cannabis Bill Passed - House (92 - 9)
6/02 HB 149 Expands Access to Telehealth Healthcare Services Bill Passed - Senate (44 - 1)
3/09 SB 173 Repeals the Mask Mandate for Public Schools Veto Override Failed - Senate (27 - 22)
2/17 SB 173 Repeals the Mask Mandate for Public Schools Conference Report Adopted - House (76 - 42)
6/23 SB 173 Repeals the Mask Mandate for Public Schools Bill Passed - House (66 - 44)
6/15 HB 642 Prohibits Organ Transplant Discrimination on the Basis of Down Syndrome Bill Passed - Senate (50 - 0)
4/28 SB 115 Authorizes Outdoor College Football Stadiums to Open to 100% Capacity Bill Passed - House (77 - 42)
3/04 HB 196 Appropriates $17 Billion for COVID-19 Relief Concurrence Vote Passed - House (117 - 0)
3/01 SB 37 Requires in Person Learning for K-12 Schools Veto Override Failed - Senate (29 - 20)
2/11 SB 37 Requires in Person Learning for K-12 Schools Bill Passed - House (74 - 44)
2/09 SB 37 Requires in Person Learning for K-12 Schools Bill Passed - Senate (29 - 15)
7/08 SB 232 Repeals Anti-Mask Law Concurrence Vote Passed - Senate (43 - 4)
6/16 HB 511 Authorizes Shorter Sentences for Nonviolent Drug Offenders Conference Report Adopted - Senate (48 - 0)
5/28 HB 536 Authorizes the Reopening of Bars and Restaurants During COVID-19 Pandemic Concurrence Vote Passed - House (65 - 53)
5/02 HB 1043 Appropriates Funds from the CARES Act for COVID-19 Relief Concurrence Vote Passed - House (120 - 0)
5/02 SB 704 Establishes the COVID-19 Response Act Bill Passed - House (119 - 0)
4/29 SB 704 Establishes the COVID-19 Response Act Bill Passed - Senate (48 - 0)
9/10 SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - Senate (32 - 14)
8/29 SB 553 Establishes the Regulatory Reform Act of 2019 Conference Report Adopted - House (78 - 31)
8/13 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
8/07 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
8/07 SB 681 Appropriates Funding to Rural Hospitals Bill Passed - House (81 - 31)
4/26 HB 511 Amends Criminal Sentencing Laws for Low-Level Nonviolent Drug Offenders Bill Passed - House (100 - 0)
6/13 SB 616 Establishes Heroin And Opioid Prevention and Enforcement Act Bill Passed - House (87 - 25)
5/23 SB 470 Amends Asbestos Claim Filing Procedures Bill Passed - House (78 - 30)
10/04 H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - House (70 - 44)
10/04 H 56 Transfers Funds for Cape Fear River Cleanup Veto Override Passed - Senate (30 - 9)
4/24 SB 434 Amends Local Riparian Buffer Requirements Bill Passed - Senate (48 - 31)
7/21 HB 169 Repeals Motor Vehicle Emissions Inspections in Certain Counties Bill Passed - House (72 - 35)
3/11 HB 157 Authorizes the Environmental Management Commission to Use Existing State and Federal Hydraulic Fracturing Air Emission Regulations Bill Passed - House (76 - 40)
7/30 HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - Senate (39 - 10)
7/28 HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
7/28 HB 1181 Establishes Commercial Managed Care for Medicaid Recipients Bill Passed - Senate (29 - 17)
7/25 HB 1133 Amends Technical Language in Education, Firearm, and Economic Statutes Bill Passed - House (61 - 35)
7/25 HB 938 Amends Wetland Permit Laws Bill Passed - Senate (27 - 15)
7/24 HB 392 Authorizes Drug Testing for Work First Program Applicants Conference Report Adopted - House (92 - 21)
7/02 SB 132 Requires Certain Reproductive Health and Safety Education for Schools Concurrence Vote Passed - Senate (32 - 12)

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