Includes whereas clauses. Cites the act as the "Mind Care for All Act". Includes defined terms. Directs the Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS), to establish a Mental Health Voucher System pilot project in five counties selected for the pilot project based on mental health service shortages and rates of untreated mental illness.

Directs DMH/DD/SUS to reallocate $10 million in nonrecurring funds for 2025-26 from single-stream funding currently allocated to the five counties selected. Appropriates $10 million to DMH/DD/SUS for 2025-26 to support the pilot project.  Directs DMH/DD/SUS to use $5 million in nonrecurring funds for 2025-26 from federal mental health block grants to support the pilot project. Specifies that all described funds are to remain available until expended. States legislative intent to create a public-private partnership fund to encourage nonprofit and healthcare industry contributions.

Establishes the qualifications for a mental health voucher to be that the individual earns below 250% of the federal poverty level and demonstrates a mental health need, as determined by a primary care provider or mental health screening. Gives voucher priority to veterans, uninsured individuals, young adults aged 18-26, law enforcement officers, and teachers. Specifies that the vouchers cover therapy sessions, psychiatric evaluations, medication management, and crisis intervention. Allows each recipient to be eligible to receive up to 10 free mental health visits with an approved provider annually, with options for renewal based on clinical need. Defines approved providers to include licensed counselors, therapists, psychiatrists and community mental health centers certified by DHHS. Directs DMH/DD/SUS to recruit, certify, and incentivize mental health providers in pilot counties to accept mental health vouchers. Requires permitting the use of telehealth platforms to connect with approved providers in the pilot program and requires DMH/DD/SUS to provide grants to community health centers to enhance telehealth infrastructure. 

Directs DHHS to collect quarterly reports from participating providers and annually report to the NCGA and the Independent Review Commission on Mental Health Access, established by the act. Details required content of the report. 

Establishes the seven-member Independent Review Commission on Mental Health Access (Commission) to oversee the pilot project. Details Commission membership and appointment. Directs the Commission to conduct a project evaluation based on the annual reports submitted by DHHS. Requires DHHS to submit a plan to extend the voucher system statewide, prioritizing rural and high-need urban areas, within five years if the Commission determines that the pilot project demonstrates positive health outcomes and cost-effectiveness.

Directs DHHS to establish a Statewide Mental Health Access Oversight Panel charged with ensuring transparency and accountability; conducting public hearings and publishing public annual project updates, made available on the DHHS website; and creating a feedback portal for public input on the pilot project.

Directs DHHS to adopt implementing rules.

Provides a severability clause.

Effective July 1, 2025.