Enacts GS 58-3-257 to require a health benefit plan providing coverage for hemodialysis or peritoneal dialysis to provides service coverage in all settings, specifically including home dialysis. Requires coverage of staff-assisted home dialysis provided by trained professionals for individuals who are blind or visually impaired, have a cognitive or neurological impairment, or any illness or injury that reduces mobility. Applies to insurance contracts issued, renewed, or amended on or after October 1, 2026. 

Amends GS 135-48.51, making the State Health Plan subject to new GS 58-3-257. Effective October 1, 2026, an applies as of the start of the next plan year following that date.

Appropriates $100,000 in recurring funds from the General Fund to the State Treasurer to implement the required coverage beginning with the 2026-27 fiscal year.