Compassionate Care Act — Session-by-Session Timeline

SB 711 (2021–22) → SB 3 (2023–24) → HB 563 (2024 short session) → HB 1011 (2025–26). Five sessions, three Senate wins, zero House floor votes. Below: the bills, sponsors, vote tallies, and procedural choke points, drawn from NCGA bill history.

Last verified: April 2026

The Vehicles, In Order

Each session has had a primary Senate vehicle for the NC Compassionate Care Act. The 2024 short session is the procedural outlier — the Senate folded the entire CCA into a hemp/kratom House bill (HB 563) rather than running its own measure. The 2025–26 session is the first where Sen. Bill Rabon did not refile.

SB 711 (2021–22)

  • Filed: April 7, 2021.
  • Primary sponsors: Sen. Bill Rabon (R-Brunswick, Dist. 8), Sen. Michael Lee (R-New Hanover, Dist. 7), Sen. Paul Lowe (D-Forsyth, Dist. 32).
  • Senate 2nd reading: 35–10 (June 2, 2022).
  • Senate 3rd reading: 36–7 (June 6, 2022).
  • House: Died — never received a House floor vote.

Vote-tally note: NCGA bill-history records show 35–10 on second reading and 36–7 on third reading; some secondary sources cite the third reading as 36–10. The reconciliation is 35–10 / 36–7 from the NCGA roll calls.

SB 3 (2023–24)

  • Filed: January 25, 2023.
  • Senate 2nd reading: 36–10 (February 28, 2023).
  • Senate 3rd reading: 36–10 (March 1, 2023).
  • House Health Committee: Heard May 30, 2023 — the hearing at which Sen. Rabon publicly disclosed his own cannabis use during chemotherapy — but no committee vote was taken.
  • House: Died without a floor vote.

HB 563 (2024 short session) — the Senate-amended vehicle

HB 563 began as a House hemp and kratom bill. In the 2024 short session the Senate amended it to fold in the entire Compassionate Care Act, plus two other significant additions:

  • Expanded the Medical Cannabis Production Commission from 11 to 13 members.
  • Pre-emptively added language declaring that any future federal rescheduling would not automatically trigger NC reclassification.
  • Prohibited future recreational/adult-use sales.

The Senate-amended version passed the Senate 33–9 and 36–10 in late June 2024. The House did not bring it to a floor vote, and it died at adjournment. Sen. Norm Sanderson urged colleagues to “stand firm” against passage; Speaker Tim Moore stated he personally supported medical cannabis but adhered to the “majority of the majority” rule. Note: the 2024 vehicle was a hemp/kratom bill, not a casino bill — a common misconception.

HB 1011 + Companion Bills (2025–26)

  • HB 1011 — filed April 15, 2025. Primary sponsors: Reps. Aisha Dew (D-107), Pricey Harrison (D-61), and Zack Hawkins (D-31) — all Democrats; no Republican co-sponsors.
  • HB 984 — research-only authorization.
  • HB 413 / S 350 — full adult-use legalization.
  • Sen. Rabon did not refile the Compassionate Care Act in the 2025 session — a meaningful break in his championship.

Vote-Tally Reconciliation Table

Session Bill Senate 2nd Reading Senate 3rd Reading House Action
2021–22 SB 711 35–10 (June 2, 2022) 36–7 (June 6, 2022) Died — no floor vote
2023–24 SB 3 36–10 (Feb 28, 2023) 36–10 (Mar 1, 2023) House Health heard 5/30/23, no vote; died
2024 short HB 563 (Senate-amended) 33–9 (late June 2024) 36–10 (late June 2024) No House floor vote; died at adjournment
2025–26 HB 1011 + HB 984 + HB 413 / S 350 Pending Pending Pending in House Rules

NC Compassionate Care Act bill history: SB 711 second reading 35-10 June 2 2022; third reading 36-7 June 6 2022. SB 3 second and third readings 36-10 February 28 and March 1 2023. HB 563 Senate-amended vehicle passed Senate 33-9 and 36-10 in late June 2024. None received a House floor vote.

North Carolina General Assembly bill history

The Common Thread

Across five sessions the same pattern recurs: Senate passage on bipartisan margins, House inaction. The constraint isn’t the chamber; it’s the GOP caucus. See the overview for the “majority of the majority” explanation, and Sen. Rabon’s story for the human anchor of the Senate side.

Official Sources