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SB 378 · 2025-2026 · Introduced in Senate

Dead (held by House Clerk per adjournment resolution)

Align Medicaid Eligibility with Federal Law.

Misleading 5/5Stowaway

SB 378 started as an HOA reform bill. Bipartisan sponsors, boring subject matter... the kind of thing that passes without anyone paying attention. Then on October 22, the entire bill was gutted and rewritten overnight. New title. New content. The HOA provisions disappeared and in their place... a bill to defund Planned Parenthood by removing them as a Medicaid provider.

The new title, "Align Medicaid Eligibility with Federal Law," makes it sound like a routine paperwork update. Just getting our state rules to match the feds. Nothing to see here. Except "aligning" with federal law in this case means choosing to cut off a specific healthcare provider. The feds gave states the option. NC chose to exercise it. That's a policy decision, not a compliance requirement.

It passed the House 61-47 on a straight party-line vote. The original Democratic sponsors from the HOA version are still listed on the bill. Their names are attached to legislation they almost certainly didn't sign up for.

Status

Dead (held by House Clerk per adjournment resolution)

Sponsors

Sawrey, Johnson, Sawyer, Adcock, Applewhite, Bradley, Brinson, Britt, Galey, Jarvis, Lazzara, Lowe, Mayfield, Moffitt, Murdock, Robinson, Settle, Smith, Theodros, Waddell

Stowaway Provisions

A bill titled 'Align Medicaid Eligibility with Federal Law' was completely replaced to defund Planned Parenthood from Medicaid, then later replaced again with extensive homeowners association regulations.

The bill's stated purpose: Aligning Medicaid eligibility with federal law

What was hidden inside: The House committee substitute completely removed the original Medicaid content and replaced it with provisions requiring disenrollment of Planned Parenthood as Medicaid providers, then was later replaced with comprehensive HOA/condominium association reforms covering contract limitations, fines, liens, mediation requirements, complaint processes, and license plate reader regulations.

Sources

ncleg.gov bill pageNC Political News NC House Passes Legislation to End Medicaid Funding for Planned ParenthoodNC Family Policy Council NC House Passes Bill to Further Defund Planned ParenthoodLaw Firm Carolinas HOA bill gutted and rewritten Oct 22UNC Legislative Reporting Service Original HOA provisions

The Vote

10/22/2025 3:15 PM · Align Medicaid Eligibility with Federal Law. Second Reading · House

House Vote · Passed 61–47

R Yea (61)D Yea (0)D Nay (47)Absent (3)

Passed 61-47

Party Breakdown

R
61/71 (86%)
D
0/49 (0%)

5/7/2025 3:56 PM · HOA Revisions. Second Reading · Senate

Senate Vote · Passed 47–0

R Yea (29)D Yea (18)

Passed 47-0

Party Breakdown

R
29/30 (97%)
D
18/20 (90%)