A new bill filed by State Rep. Heather H. Rhyne in the North Carolina House seeks to increase access to ivermectin by permitting pharmacists to dispense it without a prescription, according to the North Carolina State House.
The bill, filed as HB 618 on March 31 during the 2025 regular session, was formally listed with the short title: ‘Ivermectin Access Act.’
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, this bill mandates the State Health Director to issue a statewide standing order, permitting pharmacists to dispense ivermectin for human use without requiring a prescription or consultation with a healthcare professional. The legislation ensures that both the State Health Director and pharmacists have immunity from civil or criminal liability for actions taken under the standing order. The order must be issued by Oct. 1, 2025. The bill’s effective date is upon enactment, focusing on enhancing access to ivermectin while legally protecting those involved in its distribution as per the directive.
Of the four sponsors of this bill, Neal Jackson proposed the most bills (26) during the 2025 regular session.
Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.
You can read more about the bills and other measures here.
Rhyne graduated from the University of North Carolina at Chapel Hill in 1998.
Rhyne, a Republican, was elected to the North Carolina State House in 2024 to represent the state’s 97th House district, replacing previous state representative Jason Saine.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Heather H. Rhyne, Jeff Zenger, Jonathan L. Almond, and Neal Jackson | HB 618 | 03/31/2025 | Ivermectin Access Act. |
| Heather H. Rhyne and Timothy Reeder, MD | HB 592 | 03/31/2025 | Toxic-Free Medical Devices Act of 2025. |
| Heather H. Rhyne, Erin Paré, Mike Schietzelt, and Tricia Ann Cotham | HB 611 | 03/31/2025 | Increase APs in Public Schools. |
| Heather H. Rhyne, Allen Chesser, Cody Huneycutt, and Kyle Hall | HB 574 | 03/27/2025 | Workforce Development Pilot Project. |
| Heather H. Rhyne, Allen Chesser, Donny Lambeth, and Grant L. Campbell, MD | HB 536 | 03/26/2025 | Physical Therapy Practice Act Mods. |
| Heather H. Rhyne, Dean Arp, Donny Lambeth, and Erin Paré | HB 542 | 03/26/2025 | Child Care Mental & Behavioral Services/Funds. |
| Heather H. Rhyne, Allen Chesser, Donna McDowell White, and Timothy Reeder, MD | HB 546 | 03/26/2025 | Inmate Medicaid Suspension/Team-Based Care. |
| Heather H. Rhyne, Allen Chesser, Brandon Lofton, and Kyle Hall | HB 517 | 03/25/2025 | Modify Nonprofit Corp. Act/Charitable Org. |
| Heather H. Rhyne, Dennis Riddell, Erin Paré, and Monika Johnson-Hostler | HB 488 | 03/24/2025 | Modify School Performance Grades. |
| Heather H. Rhyne, Donna McDowell White, Donny Lambeth, and Jimmy Dixon | HB 491 | 03/24/2025 | Medicaid Work Requirements. |
| Heather H. Rhyne, Allen Chesser, and Ray Pickett | HB 437 | 03/18/2025 | Establish Drug-Free Homeless Service Zones. |
| Heather H. Rhyne, Dean Arp, Donny Lambeth, and Erin Paré | HB 412 | 03/17/2025 | Child Care Regulatory Reforms. |
| Heather H. Rhyne, Brian Biggs, and David Willis | HB 415 | 03/17/2025 | Modify Math & Social Studies Grad. Req. |
| Heather H. Rhyne, Allen Chesser, Jake Johnson, and Mike Schietzelt | HB 372 | 03/11/2025 | Home-Based Business Fairness Act. |
| Heather H. Rhyne, Allen Chesser, Cody Huneycutt, and Kyle Hall | HB 351 | 03/10/2025 | Recovery-Friendly Workplace Program/Funds. |
| Heather H. Rhyne, A. Reece Pyrtle, Jr., Charles W. Miller, and Cody Huneycutt | HB 330 | 03/06/2025 | Controlled Substances Act – Updates. |
| Heather H. Rhyne, Dean Arp, Donny Lambeth, and Erin Paré | HB 309 | 03/05/2025 | Various Local Provisions VI. |
| Heather H. Rhyne, Howard Penny, Jr., Jonathan L. Almond, and Paul Scott | HB 239 | 02/26/2025 | Change to EC Funding Formula. |
| Heather H. Rhyne and Jeffrey C. McNeely | HB 190 | 02/24/2025 | SchCal Mandatory Winter Break/Date Adjustment. |
| Heather H. Rhyne, Cody Huneycutt, Hugh Blackwell, and Jarrod Lowery | HB 163 | 02/21/2025 | Pharmacy Benefits Manager Provisions. |
| Heather H. Rhyne, Allen Buansi, Grant L. Campbell, MD, and Jarrod Lowery | HB 145 | 02/17/2025 | Funds for Diabetes Research Institute/UNC-CH. |
| Heather H. Rhyne, Allen Chesser, Brenden H. Jones, and Jay Adams | HB 35 | 02/03/2025 | Establish Military Appreciation Month. |
| Heather H. Rhyne | HB 41 | 02/03/2025 | Lincoln/Catawba Common Boundary Line. |
