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April 17, 2013 LEGISLATIVE UPDATE Enacted Legislation SL 2013-5 (S 4): No Medicaid Expansion or NC HBE • NC will not implement Medicaid expansion under the ACA • No state involvement with implementation of health benefit exchange • DHHS to ensure that NC FAST may be used to provide Medicaid eligibility determinations SL 2013-23 (S 20): Good Samaritan/Naloxone • Immunity for HCPs who prescribe and individuals who administer opioid antagonist to person experiencing/at risk of overdose • Immunity from prosecution for some drug offenses and for underage alcohol offenses, if evidence discovered as result of seeking emergency medical care Bills & Process • Bill filing deadlines have passed for most bills – 724 Senate Bills – 942 House Bills • Cross-over deadline: Thursday, May 16 PH Organization/Governance S 347 • Study unified public health system S 417 • Establish state public health authority Obesity H 683 •No local regulation of soft drink portion sizes; no food industry liability for obesity or weight gain. Minors Minors’ consent • S 675/H 693: Repeal minor’s consent, require notarized parental consent for sexual health and mental health services Reporting abuse and neglect • H 149: Caylee’s law – includes making failure to report child abuse/neglect a misdemeanor Skin cancer prevention • H 18: Youth tanning ban* Immunizations & Communicable Disease Immunizations • S 500/H 832: Pharmacists’ immunizing authority • S 486: Pertussis education & awareness Communicable disease • H 481: Reduce needlestick injuries • H 850: Limited immunity for telling LEO about needle possesion • H 933: Informed consent for HIV testing Environmental Health Wells • S 254: Funds to restore private well program (appropriations) • H 396: Private well water education (crossed over) Other • S 482: Certified food protection managers • H 792: Allow human consumption of raw milk School Health School health education • S 132: Preterm birth in health curriculum • H 694: Written parental permission for reproductive health education • H 758: Education and screening for eating disorders Other • S 665: Exertional heat Illness in student athletes • S 700/H 824: Epi-pens in schools • H 803: Healthy schools (nutrition, PE, environment, wellness) Smoking/Tobacco New statewide regulation • S 23: Tobacco-free community colleges • H 805: Ban smoking in foster care settings for infants • S 530/H 864: No e-cigarette sales to minors Local regulation preemption • SB 703: Limit local regulation of outdoor smoking Others Controlled Substances Reporting System Methamphetamine/Other manufactured drugs of abuse • S 206, S 222, S 286, H 173 • S 657, S 724/H 685, H 813 Diabetes care coordination Release of medical records • S 336, H 571 • H 798 Ag Right of Entry/Bedding Program Miscellaneous 130A changes • S 388 (has crossed over) • H 398 Eugenics compensation Regulatory Reform • H 7, S 464 • S 612, H 74, H 165 Where to get bills & information • NC General Assembly website: www.ncleg.net • SOG Legislative Reporting Service*: lrs.sog.unc.edu * Subscription required (free for NC state/local government employees).