North Carolina SB 909: Conditions to Stay in SE Compact.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 1
SENATE BILL 909

Short Title: The BUMP Act. (Public)
Sponsors: Senators Murdock, Salvador, and Chitlik (Primary Sponsors).
Referred to: Rules and Operations of the Senate
April 30, 2026
*S909-v-1*
A BILL TO BE ENTITLED 1
AN ACT DIRECTING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO 2
PROVIDE FREE EDUCATIONAL INFORMATION AND TRAINING ON STILLBIRTH 3
PREVENTION; AND APPROPRIATING FUNDS TO THE DEPARTMENT OF HEALTH 4
AND HUMAN SERVICES, DIVISION OF PUBLIC HEALTH, TO LAUNCH A 5
STATEWIDE "COUNT THE KICKS" PROGRAM. 6
The General Assembly of North Carolina enacts: 7
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PART I. TITLE 9
SECTION 1. This act shall be known and may be cited as "The Building 10
Understanding of Movement in Pregnancy Act" or "The BUMP Act." 11
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PART II. STILLBIRTH PREVENTION EDUCATIONAL INFORMATION AND 13
TRAINING 14
SECTION 2.1. Article 5 of Chapter 130A of the General Statutes is amended by 15
adding a new section to read: 16
"§ 130A-128.10. Department to provide free educational information and training on 17
stillbirth prevention. 18
(a) Definitions. – The following definitions apply in this section: 19
(1) Evidence-based stillbirth prevention education. – Education grounded in 20
current clinical guidance and peer-reviewed evidence regarding modifiable 21
stillbirth risk factors, including, but not limited to, fetal movement education, 22
infection screening, hypertensive disorders, diabetes, smoking and substance 23
exposure, placental insufficiency, and umbilical cord complications. 24
(2) Fetal movement education. – Standardized counseling beginning no later than 25
28 weeks of gestation on the importance of monitoring fetal movement and 26
the steps to take if movement decreases or changes, including same-day 27
clinical evaluation. 28
(3) High-disparity area. – Any county, region, or zip code identified by the 29
Department as having stillbirth rates above the statewide average, including 30
disproportionate impact on minority populations and other underrepresented 31
groups. 32
(4) Stillbirth or fetal death. – The death of a fetus at or after 20 weeks of gestation, 33
excluding an induced termination of pregnancy. 34
(b) Educational Materials for Pregnant Patients. – The Department shall provide all 35
pregnant patients in North Carolina with standardized, evidence-based educational materials on 36

General Assembly Of North Carolina Session 2025
Page 2 Senate Bill 909-First Edition
stillbirth prevention and urgent maternal and fetal warning signs during prenatal care. The 1
Department shall provide these educational materials statewide in English and Spanish, plus 2
other languages as community needs require. At a minimum, these educational materials shall 3
include all of the following: 4
(1) Guidance on fetal movement education and when to seek urgent evaluation 5
for decreased fetal movement. 6
(2) Information on maternal warning signs that require immediate care, including, 7
but not limited to, severe headache, vision changes, chest pain, shortness of 8
breath, heavy bleeding, fever, and severe abdominal pain. 9
(3) Information on stillbirth risk factors and prevention strategies, including the 10
role of infections, hypertension, diabetes, sleep position, smoking, and 11
substance exposure. 12
(4) Clear instructions for how to contact the prenatal care team after hours and 13
how to access urgent evaluation. 14
(5) Materials in English and Spanish statewide, with additional languages as 15
needed based on community need. 16
The Department may satisfy this requirement through contracts or partnerships with qualified 17
organizations, including community-based organizations, with demonstrated expertise in 18
conducting statewide stillbirth prevention education and multilingual outreach. 19
(c) Required Provider Training. – The Department shall develop or procure 20
evidence-based training for prenatal care providers on stillbirth prevention protocols. The 21
training shall include, at a minimum, all of the following: 22
(1) Standardized fetal movement education and documentation requirements 23
beginning no later than 28 weeks. 24
(2) Clinical response protocols for decreased fetal movement, including same-day 25
assessment and escalation pathways. 26
(3) Recognition and management of infection-related stillbirth risks, including 27
screening and treatment guidance for syphilis and other infections consistent 28
with clinical standards. 29
(4) Recognition of placental and umbilical cord-related risk factors and when to 30
increase surveillance in the third trimester. 31
The Department shall make this training available in both virtual and in-person formats and 32
may satisfy this requirement through contracts or partnerships with qualified organizations 33
capable of conducting statewide training that meets the requirements of this section." 34
SECTION 2.2. There is appropriated from the General Fund to the Department of 35
Health and Human Services, Division of Publi