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North Carolina directs State Health Director to issue standing order allowing pharmacists to dispense ivermectin without prescription

Original title: Ivermectin Access Act.

Last action · May 7, 2025: Ref To Com On Rules and Operations of the Senate (Senate action)Sponsors: Jonathan Almond and 26 others

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

North Carolina House Bill 618 requires the State Health Director to issue a statewide by October 1, 2025, enabling licensed pharmacists to dispense human-use ivermectin without a prescription or healthcare consultation, while granting civil and criminal immunity to participating health officials and pharmacists.

Why it matters

Changes medication access rules by letting residents obtain ivermectin directly from pharmacies without visiting a doctor for an individual prescription, while protecting dispensing pharmacists and the State Health Director from civil or criminal liability.

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.

Directly affected

State Health Director

Must issue a statewide standing order for ivermectin dispensing by October 1, 2025, and receives civil and criminal immunity for authorized actions.

Directly affected

Pharmacists

Gain the legal authorization to dispense human-use ivermectin without a prescription and receive immunity from civil and criminal liability when acting under the standing order.

Directly affected

Patients seeking ivermectin

Can obtain human-use ivermectin directly from a pharmacist without obtaining a separate written prescription or healthcare professional consultation.

Key Facts

  • The State Health Director must issue a statewide standing order for human-use ivermectin by October 1, 2025.
  • Licensed pharmacists are authorized to dispense ivermectin without a written prescription or consultation with a healthcare professional.
  • The State Health Director and any pharmacist dispensing ivermectin under the standing order receive immunity from civil and criminal liability.
  • The new provisions are codified under a new Part 2A of Article 6 of Chapter 130A of the General Statutes.

Frequently Asked Questions

Do I need a doctor's prescription to get ivermectin under this bill?
No. Once the is issued, licensed pharmacists may dispense human-use ivermectin without a written prescription or consultation with a healthcare professional.
When does the State Health Director have to issue the standing order?
The State Health Director must issue the statewide by October 1, 2025.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

18 actions
  1. May 7, 2025Senate
    Ref To Com On Rules and Operations of the Senate
  2. May 7, 2025Senate
    Passed 1st Reading
  3. May 7, 2025Senate
    Special Message Received From House
  4. May 7, 2025House
    Special Message Sent To Senate
  5. May 7, 2025House
    Passed 3rd Reading
  6. May 7, 2025House
    Passed 2nd Reading
Show 12 earlier actions
  1. May 7, 2025House
    Amend Failed A1
  2. May 6, 2025House
    Placed On Cal For 05/07/2025
  3. May 6, 2025House
    Cal Pursuant Rule 36(b)
  4. May 6, 2025House
    Reptd Fav
  5. May 6, 2025House
    Re-ref Com On Rules, Calendar, and Operations of the House
  6. May 6, 2025House
    Reptd Fav
  7. Apr 29, 2025House
    Re-ref to the Com on Judiciary 3, if favorable, Rules, Calendar, and Operations of the House
  8. Apr 29, 2025House
    Withdrawn From Com
  9. Apr 14, 2025House
    Serial Referral To Judiciary 1 Stricken
  10. Apr 1, 2025House
    Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Rules, Calendar, and Operations of the House
  11. Apr 1, 2025House
    Passed 1st Reading
  12. Mar 31, 2025HouseIntroduced
    Filed

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 →

Voting Record

Outcome not reportedHouse5/7/2025North Carolina LegislatureOfficial roll call ↗

Second Reading

Total

115

Yes
64
No
45
Present
0
Not voting
6
Abstain
0

How they voted (115)

91 more members
Larry StricklandParty not recordedyes
Vernetta AlstonParty not recordedno
James RobersonParty not recordedno
Beth Gardner HelfrichParty not recordedno
Mitchell SetzerParty not recordedyes
Hugh BlackwellParty not recordedno
Laura BuddParty not recordedno
Allen BuansiParty not recordedno
John BlustParty not recordedyes
Jonathan AlmondParty not recordedyes
Heather RhyneParty not recordedyes
Donny LambethParty not recordedyes
Stephen RossParty not recordedyes
Julia HowardParty not recordedyes
von HaefenParty not recordedno
Brian TurnerParty not recordedabsent
Abe JonesParty not recordedno
Ray PickettParty not recordedyes
Shelly WillinghamParty not recordedno
Ray JeffersParty not recordedno
Carson SmithParty not recordedyes
Donnie LoftisParty not recordedyes
Blair EddinsParty not recordedyes
Amos QuickParty not recordedno
Carla CunninghamParty not recordedno
Keith KidwellParty not recordedyes
Phil RubinParty not recordedno
William BrissonParty not recordedyes
Nasif MajeedParty not recordedno
Jay AdamsParty not recordedyes
Marcia MoreyParty not recordedno
Monika Johnson-HostlerParty not recordedno
John TorbettParty not recordedyes
Allison DahleParty not recordedno
Larry PottsParty not recordedyes
Steve TysonParty not recordedyes
Zack HawkinsParty not recordedno
John SaulsParty not recordedyes
Jeff McNeelyParty not recordedyes
Julia GreenfieldParty not recordedno
Todd CarverParty not recordedyes
Celeste CairnsParty not recordedyes
David WillisParty not recordedyes
Aisha DewParty not recordedabsent
Lindsey PratherParty not recordedabsent
Pricey HarrisonParty not recordedyes
John BellParty not recordedyes
Allen ChesserParty not recordedyes
Bill WardParty not recordedyes
Diane WheatleyParty not recordedyes
Donna WhiteParty not recordedyes
Erin ParéParty not recordedyes
Charles SmithParty not recordedno
Paul ScottParty not recordedyes
Ya LiuParty not recordedno
Robert ReivesParty not recordedno
Joe PikeParty not recordedyes
Chris HumphreyParty not recordedyes
Jake JohnsonParty not recordedyes
Dean ArpParty not recordedyes
Ted DavisParty not recordedyes
Dante PittmanParty not recordedno
Mark BrodyParty not recordedyes
Maria CervaniaParty not recordedno
Brandon LoftonParty not recordedno
Kyle HallParty not recordedyes
Grant CampbellParty not recordedabsent
Rodney PierceParty not recordedno
Alan BransonParty not recordedyes
Brenden JonesParty not recordedyes
Ben MossParty not recordedyes
Harry WarrenParty not recordedyes
Phil ShepardParty not recordedyes
Wyatt GableParty not recordedyes
Mary BelkParty not recordedno
Jeff ZengerParty not recordedyes
Frank IlerParty not recordedyes
Cynthia BallParty not recordedno
Terry BrownParty not recordedno
Eric AgerParty not recordedno
Jennifer BalkcomParty not recordedyes
Mark PlessParty not recordedyes
Dudley GreeneParty not recordedyes
Karl GillespieParty not recordedyes
Neal JacksonParty not recordedyes
Reece PyrtleParty not recordedyes
Frances JacksonParty not recordedno
Tricia CothamParty not recordedyes
Cody HuneycuttParty not recordedabsent
Brian BiggsParty not recordedyes
Tim LongestParty not recordedno
Show 1 earlier roll call
Outcome not reportedHouse5/7/2025North Carolina LegislatureOfficial roll call ↗

A1 Clark Second Reading

Total

115

Yes
41
No
66
Present
0
Not voting
8
Abstain
0

How they voted (115)

91 more members
Sarah CrawfordParty not recordedyes
Jeff McNeelyParty not recordedno
Jimmy DixonParty not recordedno
Matthew WinslowParty not recordedno
Grant CampbellParty not recordedabsent
Mark BrodyParty not recordedno
Celeste CairnsParty not recordedno
Larry PottsParty not recordedno
Charles SmithParty not recordedyes
von HaefenParty not recordedyes
Harry WarrenParty not recordedno
Mark PlessParty not recordedno
Charlie MillerParty not recordedno
Shelly WillinghamParty not recordedno
Brandon LoftonParty not recordedabsent
Monika Johnson-HostlerParty not recordedyes
Donny LambethParty not recordedno
Jordan LopezParty not recordedyes
Neal JacksonParty not recordedno
Ben MossParty not recordedno
Stephen RossParty not recordedno
Cody HuneycuttParty not recordedabsent
Erin ParéParty not recordedno
Sam WatfordParty not recordedno
Renée PriceParty not recordedyes
Todd CarverParty not recordedno
Carla CunninghamParty not recordedyes
Carolyn LoganParty not recordedyes
Mitchell SetzerParty not recordedno
Terry BrownParty not recordedyes
Ray PickettParty not recordedno
Jeff ZengerParty not recordedno
Keith KidwellParty not recordedno
Abe JonesParty not recordedyes
Marcia MoreyParty not recordedyes
Bryan CohnParty not recordedyes
Maria CervaniaParty not recordedyes
Ya LiuParty not recordedyes
Beth Gardner HelfrichParty not recordedyes
John BellParty not recordedno
Donna WhiteParty not recordedno
Heather RhyneParty not recordedno
Larry StricklandParty not recordedno
Amos QuickParty not recordedyes
Allen BuansiParty not recordedyes
Phil ShepardParty not recordedno
Jake JohnsonParty not recordedno
Hugh BlackwellParty not recordedno
Allen ChesserParty not recordedno
Aisha DewParty not recordedabsent
Eric AgerParty not recordedyes
Ed GoodwinParty not recordedno
Steve TysonParty not recordedno
Kelly HastingsParty not recordedno
Pricey HarrisonParty not recordedyes
Karl GillespieParty not recordedno
Garland PierceParty not recordedyes
Mike ColvinParty not recordedno
Becky CarneyParty not recordedyes
Julia GreenfieldParty not recordedyes
Allison DahleParty not recordedyes
Rodney PierceParty not recordedyes
Ted DavisParty not recordedno
Reece PyrtleParty not recordedno
Jay AdamsParty not recordedno
Laura BuddParty not recordedyes
Bill WardParty not recordedno
Mike SchietzeltParty not recordedno
David WillisParty not recordedno
John SaulsParty not recordedno
Donnie LoftisParty not recordedno
Lindsey PratherParty not recordedabsent
Brian TurnerParty not recordedabsent
Chris HumphreyParty not recordedno
Frank IlerParty not recordedno
Cynthia BallParty not recordedyes
John TorbettParty not recordedno
Paul ScottParty not recordedno
William BrissonParty not recordedno
Dennis RiddellParty not recordedno
Deb ButlerParty not recordedyes
Jennifer BalkcomParty not recordedno
Wyatt GableParty not recordedno
Robert ReivesParty not recordedyes
Kyle HallParty not recordedno
Gloristine BrownParty not recordedyes
James RobersonParty not recordedyes
Brenden JonesParty not recordedno
Brian EchevarriaParty not recordedno
Ray JeffersParty not recordedyes
John BlustParty not recordedno

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

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Removal of Prescription Requirement for Specific Medication

The legislation establishes a mechanism to bypass individual prescription requirements for human-use ivermectin through a statewide health directive.

Connected Entities

State Health Director, North Carolina
OrganizationState Health Director“Required to issue the statewide standing order for ivermectin dispensing.”Map →
locationNorth Carolina“Jurisdiction enacting the legislation.”Map →

Sources

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz55
    Current news / social attention level

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