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Read. Follow. Verify.North Carolina Bill Appropriates Funds to Expand Sickle Cell Programs and Medical Center Services
Last action · April 2, 2025: Ref to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House (House action)Sponsors: Terry Brown and 20 others
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What This Bill Would Do
House Bill 633 appropriates millions in recurring and for the 2025-2027 fiscal biennium to the Department of Health and Human Services, Division of Public Health, to expand statewide sickle cell disease programs, medical center care, transition coordination, and community grants beginning July 1, 2025.
Increases state financial support for medical care, support services, and personnel dedicated to the approximately 7,000 North Carolinians currently living with sickle cell disease.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Individuals with sickle cell disease
Individuals with sickle cell disease experience expanded statewide medical center services, transition coordination for adult care, and enhanced emergency department care.
Comprehensive sickle cell medical centers
Comprehensive sickle cell medical centers receive annual funding allocations and are required to establish a full-time permanent Transition Coordinator position.
Community-based nonprofit organizations
Community-based nonprofit organizations are eligible to receive directed grants to provide comprehensive services in underserved counties.
Department of Health and Human Services, Division of Public Health
The Department of Health and Human Services, Division of Public Health, administers the appropriated funds, awards nonprofit grants, and supports program operations.
Key Facts
- Appropriates $1,678,400 in recurring funds and $629,873 in nonrecurring funds for the 2025-2026 fiscal year, and $1,678,400 in recurring funds and $613,250 in nonrecurring funds for the 2026-2027 fiscal year.
- Allocates $1,316,364 in recurring funds each year of the biennium to six comprehensive sickle cell medical centers for multifaceted needs and transition assistance.
- Distributes medical center funds annually as follows: Atrium Health ($203,713), Duke University Medical Center ($244,999), East Carolina University School of Medicine ($235,536), Mission Hospitals ($137,601), UNC Chapel Hill School of Medicine ($281,031), and Wake Forest University Baptist Medical Center ($213,484).
- Requires each comprehensive medical center to use $75,000 of its allocation in recurring funds each year to create one full-time, permanent Transition Coordinator position.
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- Allocates $353,250 in nonrecurring funds each year for directed grants to nonprofit, community-based organizations prioritizing underserved counties.
- Allocates $362,036 in recurring funds annually to create new permanent positions for the North Carolina Sickle Cell Syndrome Program.
- Allocates $16,623 in nonrecurring funds for the 2025-2026 fiscal year to purchase office equipment and furniture for new program positions.
- Allocates $260,000 in nonrecurring funds each year to disseminate and implement an evidence-based sickle cell disease toolkit in emergency departments.
- Establishes an effective date of July 1, 2025.
Frequently Asked Questions
How much total funding does HB 633 provide?
Which medical centers receive annual funding under this measure?
What is the purpose of the Transition Coordinator positions?
How are community-based organizations selected for grants?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
3 actions- Apr 2, 2025HouseRef to the Com on Appropriations, if favorable, Rules, Calendar, and Operations of the House
- Apr 2, 2025HousePassed 1st Reading
- Mar 31, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Show 16 more sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Targeted Care Transition Funding
The bill mandates dedicated funding for Transition Coordinator positions at every designated medical center to formalize support for patients moving from pediatric to adult care.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz35Current news / social attention level
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