North Carolina 2025-2026 Regular Session

North Carolina House Bill H1045

Introduced
4/23/26  

Caption

Fair Wages in Health Care Act/Funds

Impact

If enacted, the bill will amend the existing labor statutes to enforce minimum wages for positions such as home care aides, certified nursing assistants, direct support professionals, psychiatric aides, and licensed practical nurses. The proposed wage rates start from $18.00 for home care aides and direct support professionals, escalating to $24.00 for licensed practical nurses. The legislation is expected to enhance the attractiveness of these jobs, thereby aiding in recruitment and retention efforts while simultaneously improving the overall quality of care provided to residents across the state. This change is critical for ensuring the continuity of care and the welfare of individuals reliant on these services.

Summary

House Bill 1045, titled the Fair Wages in Health Care Act, aims to establish occupational minimum wages for specific direct care and healthcare support workers in North Carolina. The impetus behind the bill is the long-standing issue of low wages in these essential roles, which contribute to workforce shortages, high turnover, and compromised quality of care for vulnerable populations, including the elderly and individuals with disabilities. By creating statewide wage floors, the bill seeks to stabilize the workforce and improve access to care for those who depend on these services.

Sentiment

The sentiment surrounding HB 1045 appears to be largely positive among advocates for health care workers and those concerned about public health in North Carolina. Proponents affirm that the established wage floors will foster better working conditions and service reliability, which are crucial for vulnerable populations. However, there may be concerns from some legislative members regarding the financial implications on state budgets and health care programs. Overall, the bill reflects a growing recognition of the importance of investing in the care workforce as a means of promoting public health.

Contention

Despite its supportive framework, there may be contention regarding the bill's funding and implementation strategies. Opponents might express worries about the potential financial strain on state-funded healthcare programs and the logistics involved in adjusting reimbursement rates for service providers. Advocates argue that adequately compensating the direct care workforce is a necessity to prevent further deterioration of the health system by mitigating turnover and burnout among staff in these essential roles. The debate around funding sources and the expected outcomes of the bill may be points of discussion during legislative proceedings.

Companion Bills

No companion bills found.

Previously Filed As

NC A134

Provides gross income tax deduction for certain wages of qualified health care professionals employed by health care entities.

NC H1059

Fair Minimum Wage Act

NC S332

Health Care Practitioner Transparency Act

NC H1175

Affordability in Healthcare Act

NC S24

Govt Mandates Increase Healthcare Costs

NC H46

Make Healthcare Affordable

NC H1044

Justice in Mental Health Act

NC H1051

Funding for Senior Care/Community Health

NC H494

Mental Health Protection Act

NC S316

Lower Healthcare Costs

Similar Bills

No similar bills found.