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
- SB 711 (2021–22) bill history
- SB 3 (2023–24) bill history
- HB 563 (2024 short session) bill history
- HB 1011 (2025–26) bill history
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