---
type: "Bill"
title: "Medicaid Modernization."
description: "Medicaid Modernization."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2025"
identifier: "HB 546"
citation: "North Carolina HB 546 (2025)"
classification: ["bill"]
subjects: ["CHILD CUSTODY; CONTRACTS; CORRECTIONAL INSTITUTIONS; DEFINITIONS; DHHS; FOSTER CARE; HEALTH SERVICES; HOSPITALS; INSURANCE", "HEALTH; MEDICAID; MENTAL HEALTH; MINORS; POVERTY; PREGNANCY; PRESENTED; INMATES; PUBLIC; PUBLIC HEALTH; RATIFIED; SESSION LAWS; SOCIAL SERVICES; TITLE CHANGE; WOMEN; SUBSTANCE ABUSE; CHAPTERED; FAMILY ISSUES; ADULT CORRECTION DEPT."]
status: "enacted"
primary_sponsors: ["Chesser", "Reeder", "White"]
version_count: 7
action_count: 43
vote_count: 2
first_action: "2025-03-26"
last_action: "2025-07-07"
source: "openstates"
source_identifier: "ocd-bill/73d764ff-d0a1-4556-af9c-4458a008b537"
source_url: "https://www.ncleg.gov/BillLookUp/2025/H546"
source_hash: "5a47dcdd6b2f43b1533c91b5d763ec2e7bf718c2bcc17d750e61d3ee40cd131d"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nc"]
---

# North Carolina HB 546 (2025) — Medicaid Modernization.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Filed** (filed) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v0.pdf)
2. **Edition 1** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v1.pdf)
3. **Edition 2** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v2.pdf)
4. **Edition 3** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v3.pdf)
5. **Edition 4** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v4.pdf)
6. **Ratified** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v5.pdf)
7. **SL 2025-64** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H546v6.pdf)

## Votes

- R2 Ruled Mat'l M11 Concur — **111–0** (pass) · lower
- R3 Ruled Mat'l M11 Concur — **112–0** (pass) · lower

## Sponsors

- Chesser — primary (person)
- Reeder — primary (person)
- White — primary (person)
- Almond — cosponsor (person)
- Campbell — cosponsor (person)
- Carney — cosponsor (person)
- Carver — cosponsor (person)
- Cervania — cosponsor (person)
- Charles Smith — cosponsor (person)
- Crawford — cosponsor (person)
- F. Jackson — cosponsor (person)
- Greenfield — cosponsor (person)
- Harrison — cosponsor (person)
- Loftis — cosponsor (person)
- McNeely — cosponsor (person)
- Potts — cosponsor (person)
- Price — cosponsor (person)
- Pyrtle — cosponsor (person)
- Rhyne — cosponsor (person)
- Rubin — cosponsor (person)
- Ward — cosponsor (person)
- Willingham — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-07-07** Ch. SL 2025-64 `became-law`
- **2025-07-07** Signed by Gov. 7/7/2025 `executive-signature`
- **2025-06-27** Pres. To Gov. 6/27/2025 `executive-receipt`
- **2025-06-26** Ratified
- **2025-06-25** Ordered Enrolled
- **2025-06-25** Concurred On 3rd Reading
- **2025-06-24** Concurred On 2nd Reading
- **2025-06-23** Placed On Cal For 06/24/2025
- **2025-06-19** Cal Pursuant 36(b)
- **2025-06-19** Ruled Material
- **2025-06-19** Special Message Received For Concurrence in S Com Sub
- **2025-06-19** Special Message Sent To House
- **2025-06-19** Passed 3rd Reading `passage, reading-3`
- **2025-06-18** Placed On Cal For 06/19/2025
- **2025-06-18** Withdrawn From Cal
- **2025-06-17** Passed 2nd Reading `reading-2`
- **2025-06-16** Reptd Fav `committee-passage-favorable`
- **2025-06-10** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2025-06-10** Com Substitute Adopted
- **2025-06-10** Reptd Fav Com Substitute `committee-passage-favorable`
- **2025-06-05** Re-ref Com On Finance `referral-committee`
- **2025-06-05** Com Substitute Adopted
- **2025-06-05** Reptd Fav Com Substitute `committee-passage-favorable`
- **2025-05-29** Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2025-05-29** Withdrawn From Com
- **2025-05-07** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2025-05-07** Passed 1st Reading `reading-1`
- **2025-05-07** Regular Message Received From House
- **2025-05-07** Regular Message Sent To Senate
- **2025-05-06** Passed 3rd Reading `passage, reading-3`
- **2025-05-06** Passed 2nd Reading `reading-2`
- **2025-05-05** Placed On Cal For 05/06/2025
- **2025-05-05** Cal Pursuant Rule 36(b)
- **2025-05-05** Reptd Fav `committee-passage-favorable`
- **2025-04-17** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2025-04-17** Withdrawn From Com
- **2025-04-16** Re-ref Com On Finance `referral-committee`
- **2025-04-16** Reptd Fav `committee-passage-favorable`
- **2025-04-15** Re-ref Com On Insurance `referral-committee`
- **2025-04-15** Reptd Fav Com Substitute `committee-passage-favorable`
- **2025-03-31** Ref to the Com on Health, if favorable, Insurance, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2025-03-31** Passed 1st Reading `reading-1`
- **2025-03-26** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/73d764ff-d0a1-4556-af9c-4458a008b537`. Confidence: reported (aggregated from official North Carolina legislature records).