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---
type: "Bill"
title: "Mental Health System Reform."
description: "Mental Health System Reform."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2001"
identifier: "HB 381"
citation: "North Carolina HB 381 (2001)"
classification: ["bill"]
subjects: ["APPROPRIATIONS", "AUTHORITIES", "BOARDS", "BUDGETING", "COUNTIES", "COUNTY COMMISSIONERS", "DHHS", "DWI", "FEES", "FISCAL NOTES", "FUNDING", "HEALTH SERVICES", "HOSPITALS", "INSURANCE", "INSURANCE", "HEALTH", "JUVENILE JUSTICE DEPT.", "LOCAL GOVERNMENT", "MEDICAID", "MEMBERSHIP", "MENTAL HEALTH", "MHDDSAS COMN.", "MHDDSAS OVERSIGHT COMN.", "MINORS", "NOTIFICATION", "PRESENTED", "PUBLIC", "PUBLIC MEETINGS", "RATIFIED", "REPORTS", "SOCIAL SERVICES", "STUDIES", "REP. INSKO", "SUBSTANCE ABUSE", "BUTNER", "CHAPTERED"]
status: "enacted"
primary_sponsors: []
version_count: 8
action_count: 47
vote_count: 2
first_action: "2001-02-28"
last_action: "2001-10-15"
source: "openstates"
source_identifier: "ocd-bill/0efe6862-7a0e-470b-9dfc-763d9d0a21f0"
source_url: "http://www.ncleg.net/gascripts/BillLookUp/BillLookUp.pl?Session=2001&BillID=H381&votesToView=all"
source_hash: "54c07cfcde0ee3b3c3be9e7b2c1e853a03c95b944f7029688590a8f71de719c6"
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 381 (2001) — Mental Health System Reform.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Edition 1** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v1.pdf)
2. **Edition 2** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v2.pdf)
3. **Edition 3** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v3.pdf)
4. **Edition 4** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v4.pdf)
5. **Edition 5** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v5.pdf)
6. **Edition 6** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v6.pdf)
7. **Ratified** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v7.pdf)
8. **SL 2001-437** (committee substitute) — [source](http://www.ncleg.net/Sessions/2001/Bills/House/PDF/H381v8.pdf)
## Votes
- Conference Rpt\Motion 7\To Adopt — **450** (pass) · upper
- C Rpt Adopt — **7912** (pass) · lower
## Sponsors
- Alexander — cosponsor (person)
- Barefoot — cosponsor (person)
- Crawford, J. — cosponsor (person)
- Hackney — cosponsor (person)
- Insko — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2001-10-15** Ch. SL 2001-437 `became-law`
- **2001-10-15** Signed By Gov. 10/15/2001 `executive-signature`
- **2001-10-05** Pres. To Gov. 10/5/2001 `executive-receipt`
- **2001-10-04** Ratified
- **2001-10-02** Conf Report Adopted
- **2001-10-01** Conf Report Adopted
- **2001-10-01** Placed On Cal For 10/2/2001
- **2001-10-01** Withdrawn From Cal
- **2001-09-27** Placed On Cal For 10/1/2001
- **2001-09-27** Conf Com Reported
- **2001-09-27** Placed On Cal For 10/1/2001
- **2001-09-27** Conf Com Reported
- **2001-09-19** Conf Com Appointed
- **2001-09-18** Conf Com Appointed
- **2001-09-18** Conf Com Appointed
- **2001-09-12** Failed Concur In Com Sub
- **2001-09-11** Placed On Cal For 9/12/2001
- **2001-09-06** Cal Pursuant Rule 36(b)
- **2001-09-06** Rec To Concur S Com Sub
- **2001-09-04** Passed 3rd Reading `passage, reading-3`
- **2001-09-04** Amend Adopted #3 `amendment-passage`
- **2001-08-28** Passed 2nd Reading `reading-2`
- **2001-08-28** Amend Adopted #2 `amendment-passage`
- **2001-08-28** Amend Adopted #1 `amendment-passage`
- **2001-08-23** Placed On Cal For 8/28/2001
- **2001-08-23** Withdrawn From Cal
- **2001-08-21** Placed On Cal For 8/23/2001
- **2001-08-21** Withdrawn From Cal
- **2001-08-16** Placed On Cal For 8/21/2001
- **2001-08-16** Com Substitute Adopted
- **2001-08-16** Reptd Fav Com Substitute `committee-passage-favorable`
- **2001-07-30** Ref To Com On Children & Human Resources `referral-committee`
- **2001-07-30** Rec From House
- **2001-07-26** Passed 3rd Reading `passage, reading-3`
- **2001-07-26** Amend Adopted #7,#8 `amendment-passage`
- **2001-07-24** Passed 2nd Reading `reading-2`
- **2001-07-24** Amend Adopted #1,#2,#3,#4,#5,#6 `amendment-passage`
- **2001-07-23** Postponed To 7/24/2001
- **2001-07-19** Placed On Cal For 7/23/2001
- **2001-07-19** Cal Pursuant Rule 36(b)
- **2001-07-19** Reptd Fav Com Substitute `committee-passage-favorable`
- **2001-07-11** Re-ref Com On Mental Health `referral-committee`
- **2001-07-11** Withdrawn From Comm
- **2001-07-11** Re-ref Com On Appropriations `referral-committee`
- **2001-07-11** Reptd Fav Com Substitute `committee-passage-favorable`
- **2001-03-01** Ref To Com On Mental Health `referral-committee`
- **2001-02-28** Filed `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0efe6862-7a0e-470b-9dfc-763d9d0a21f0`. Confidence: reported (aggregated from official North Carolina legislature records).