State Rep. Grant L. Campbell, MD has introduced legislation targeting revisions to wastewater treatment system rules, specifically allowing more flexible calculations of design flow rates, according to the North Carolina State House.
Filed on April 30 as HB 1156 during the 2025 regular session, the measure appears on the docket under the short title: ‘Wastewater Design Flow Modifications.’
Below is our summary, referencing the actual bill text, with clarification added for understanding its main components.
Essentially, the legislation modifies how design flow rates are determined for new permitted wastewater treatment systems in North Carolina. The bill maintains the 75 gallons per day per bedroom standard, but permit holders can seek Department of Environmental Quality approval to use a lower rate if supported by actual average flow data from the prior calendar year, provided the lower rate poses no harm to health or the environment. The rate cannot drop below 55 gallons per day per bedroom. An appropriation of $10,000 in nonrecurring funds is set aside for DEQ to review proposed flow rates for fiscal 2026-27. If passed, the law would go into effect on July 1, 2026.
Campbell is one of three sponsors on this bill, having introduced 66 bills in the 2025 regular session—more than either of the other sponsors.
The legislative process in North Carolina follows a series of steps before becoming law. A legislator begins by filing a bill, after which it is assigned to a committee. Each chamber must read the bill three times. If amendments are made in one chamber, both must approve the final language. Once both chambers pass the same version, it moves to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or allow it to take effect without signature.
The latest bills and related actions can be found here.
Campbell earned his BS from the University of North Carolina at Chapel Hill in 1993.
Campbell, a Republican, won election to the North Carolina State House in 2025, serving the 83rd House district and succeeding former state representative Kevin Crutchfield.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 1156 | 04/30/2026 | Wastewater Design Flow Modifications. |
| Grant L. Campbell, MD, Allen Chesser, Heather H. Rhyne, and Mike Schietzelt | HB 1200 | 04/30/2026 | Tax-Free Family Essentials Act. |
| Grant L. Campbell, MD, David Willis, James Roberson, and Robert T. Reives, II | HB 1097 | 04/29/2026 | Government Website Access Act. |
| Grant L. Campbell, MD, Allen Chesser, Donnie Loftis, and Eric Ager | HB 1111 | 04/29/2026 | Military Service Buyback Reduction: Teachers. |
| Grant L. Campbell, MD, Allen Chesser, Erin Paré, and Timothy Reeder, MD | HB 1074 | 04/28/2026 | Prescription Drug Expenses Tax Deduction. |
| Grant L. Campbell, MD, Allen Chesser, Celeste C. Cairns, and Timothy Reeder, MD | HB 1081 | 04/28/2026 | Funds for Veterans/HBOT. |
| Grant L. Campbell, MD and Monika Johnson-Hostler | HB 1001 | 04/10/2025 | Reports Related to Sexual Assault Exams. |
| Grant L. Campbell, MD, Donna McDowell White, John R. Bell, IV, and Robert T. Reives, II | HB 906 | 04/10/2025 | Reagan’s Law. |
| Grant L. Campbell, MD, Blair Eddins, David Willis, and Diane Wheatley | HB 956 | 04/10/2025 | Enhance Financial Protections/Older Adults. |
| Grant L. Campbell, MD, Brian Echevarria, David Willis, and Mike Schietzelt | HB 846 | 04/09/2025 | Teacher Retention and Recruitment. |
| Grant L. Campbell, MD, Cody Huneycutt, and Paul Scott | HB 893 | 04/09/2025 | Chiropractic Investigatory Costs. |
| Grant L. Campbell, MD, Heather H. Rhyne, Sarah Crawford, and Timothy Reeder, MD | HB 820 | 04/08/2025 | Prescription Eye Drop Early Refill Coverage. |
| Grant L. Campbell, MD, Carla D. Cunningham, Diane Wheatley, and Hugh Blackwell | HB 832 | 04/08/2025 | Revise School Safety Grant Program. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Erin Paré | HB 794 | 04/07/2025 | Study Highway Patrol Staffing/Salary Scale. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Erin Paré | HB 800 | 04/07/2025 | Review Effectiveness & Delivery of Child Care. |
| Grant L. Campbell, MD, Allen Buansi, Carla D. Cunningham, and Donnie Loftis | HB 790 | 04/03/2025 | Prohibit Vape/Tobacco Shops Near Schools. |
| Grant L. Campbell, MD, Julia Greenfield, and Mike Clampitt | HB 692 | 04/02/2025 | AEDs and CPR in Schools. |
| Grant L. Campbell, MD, Larry W. Potts, and Timothy Reeder, MD | HB 696 | 04/02/2025 | Health Care Practitioner Transparency Act. |
| Grant L. Campbell, MD, Larry W. Potts, Maria Cervania, and Timothy Reeder, MD | HB 697 | 04/02/2025 | NC Genetic Counselors Workforce Act. |
| Grant L. Campbell, MD, Mike Schietzelt, and Tricia Ann Cotham | HB 744 | 04/02/2025 | Fertility Preservation Pilot Program. |
| Grant L. Campbell, MD, Cody Huneycutt, Jarrod Lowery, and Jonathan L. Almond | HB 658 | 04/01/2025 | Optometrists Telehealth Services. |
| Grant L. Campbell, MD, Diane Wheatley, Garland E. Pierce, and Phil Shepard | HB 663 | 04/01/2025 | Living Donor Protection Act. |
| Grant L. Campbell, MD | HB 664 | 04/01/2025 | Eliminate PET Scanners from CON Review. |
| Grant L. Campbell, MD, David Willis, Mike Schietzelt, and Ray Pickett | HB 670 | 04/01/2025 | Workforce Credential Grant Program/CCP. |
| Grant L. Campbell, MD, Allen Chesser, and Sarah Crawford | HB 682 | 04/01/2025 | Public Safety Through Food Access Act. |
| Grant L. Campbell, MD, Jennifer Balkcom, Larry W. Potts, and Neal Jackson | HB 553 | 03/27/2025 | Ensuring Patient Safety w/Mail Order Meds. |
| Grant L. Campbell, MD, Cody Huneycutt, Donny Lambeth, and Larry W. Potts | HB 562 | 03/27/2025 | Com. Coll. Behav. Health Workforce Enhan. Act. |
| Grant L. Campbell, MD, Ben T. Moss, Jr., Diane Wheatley, and Howard Penny, Jr. | HB 567 | 03/27/2025 | Ensure Access to Biomarker Testing. |
| Grant L. Campbell, MD, Allen Chesser, Erin Paré, and Timothy Reeder, MD | HB 571 | 03/27/2025 | Funds for PTSD Treatment for Police Officers. |
| Grant L. Campbell, MD, Allen Chesser, Brenden H. Jones, and David Willis | HB 572 | 03/27/2025 | Veterans/eTMS Pilot Program. |
| Grant L. Campbell, MD and Monika Johnson-Hostler | HB 534 | 03/26/2025 | Funds for Sexual Assault Nurse Programs. |
| Grant L. Campbell, MD, Allen Chesser, Donny Lambeth, and Heather H. Rhyne | HB 536 | 03/26/2025 | Physical Therapy Practice Act Mods. |
| Grant L. Campbell, MD, John A. Torbett, Mike Clampitt, and Steve Tyson | HB 516 | 03/25/2025 | Motorcycle Road Guard Safety Act. |
| Grant L. Campbell, MD, Charles Smith, Diane Wheatley, and Mike Colvin | HB 486 | 03/24/2025 | Funds for Blue Star Families, Inc. |
| Grant L. Campbell, MD, Allen Chesser, Jeffrey C. McNeely, and Tricia Ann Cotham | HB 468 | 03/20/2025 | Regulate Kratom Products. |
| Grant L. Campbell, MD and Timothy Reeder, MD | HB 480 | 03/20/2025 | Medical Board Licensing Efficiency Act. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Stephen M. Ross | HB 430 | 03/18/2025 | Protect Youth From Harms of Vaping & Nicotine. |
| Grant L. Campbell, MD, John R. Bell, IV, Timothy Reeder, MD, and Tricia Ann Cotham | HB 434 | 03/18/2025 | Lower Healthcare Costs. |
| Grant L. Campbell, MD, Dean Arp, Dennis Riddell, and Mitchell S. Setzer | HB 435 | 03/18/2025 | Mod. Bd. of Eng’ers & Surveyors. |
| Grant L. Campbell, MD, Charles Smith, Donnie Loftis, and Edward C. Goodwin | HB 422 | 03/17/2025 | Beyond The Choice Act. |
| Grant L. Campbell, MD, David Willis, Donnie Loftis, and Stephen M. Ross | HB 425 | 03/17/2025 | Protect Youth From Harms of Vaping & Nicotine. |
| Grant L. Campbell, MD and Mike Clampitt | HB 400 | 03/13/2025 | Bentley’s Law. |
| Grant L. Campbell, MD, Donnie Loftis, Mike Schietzelt, and Wyatt Gable | HB 384 | 03/12/2025 | Nat. Guard Tax Deduction for Fed. Pay. |
| Grant L. Campbell, MD, David Willis, James Roberson, and Robert T. Reives, II | HB 365 | 03/11/2025 | Workforce Education Act. |
| Grant L. Campbell, MD, Allen Chesser, David Willis, and Ray Pickett | HB 373 | 03/11/2025 | UNC Tuition Discounts for Certain Students. |
| Grant L. Campbell, MD, Carla D. Cunningham, Cody Huneycutt, and Larry W. Potts | HB 349 | 03/10/2025 | Reqs HC POA/Adv Direct/IEP Nurse Choice. |
| Grant L. Campbell, MD and Todd Carver | HB 250 | 02/27/2025 | Annual Rep’t Due Date/Deployed Servicemembers. |
| Grant L. Campbell, MD, Donna McDowell White, Larry W. Potts, and Timothy Reeder, MD | HB 229 | 02/26/2025 | Medicaid Rates/Ambulatory Surgical Centers. |
| Grant L. Campbell, MD, Hugh Blackwell, Larry W. Potts, and Timothy Reeder, MD | HB 231 | 02/26/2025 | Social Work Interstate Licensure Compact. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 204 | 02/25/2025 | Restore Down-Zoning Auth./Cabarrus Co. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 205 | 02/25/2025 | SchCalFlex/Cabarrus/Open Cal. |
| Grant L. Campbell, MD, Carson Smith, Jennifer Balkcom, and Sarah Stevens | HB 164 | 02/21/2025 | Parental Consent to Release Child Autopsies. |
| Grant L. Campbell, MD | HB 176 | 02/21/2025 | SchCalFlex/Kannapolis/Open Cal. |
| Grant L. Campbell, MD and Harry Warren | HB 136 | 02/17/2025 | Town of Faith/Even-Yr. Elect./Four-Yr.Terms. |
| Grant L. Campbell, MD, Allen Buansi, Heather H. Rhyne, and Jarrod Lowery | HB 145 | 02/17/2025 | Funds for Diabetes Research Institute/UNC-CH. |
| Grant L. Campbell, MD and Jarrod Lowery | HB 146 | 02/17/2025 | Remote License Renewal/Active Duty Military. |
| Grant L. Campbell, MD, Allen Chesser, Donnie Loftis, and Mike Schietzelt | HB 118 | 02/13/2025 | Disabled Veterans Tax Relief Bill. |
| Grant L. Campbell, MD, Mark Brody, Rodney D. Pierce, and Timothy Reeder, MD | HB 128 | 02/13/2025 | Establish Prostate Cancer Control Program. |
| Grant L. Campbell, MD, Blair Eddins, Keith Kidwell, and Wyatt Gable | HB 98 | 02/11/2025 | Patriotism Expression Act. |
| Grant L. Campbell, MD, Donnie Loftis, and Harry Warren | HB 75 | 02/10/2025 | Pharmaceutical Full Disclosure Act. |
| Grant L. Campbell, MD, Erin Paré, Mike Schietzelt, and Tricia Ann Cotham | HB 76 | 02/10/2025 | Protect Access to In Vitro Fertilization. |
| Grant L. Campbell, MD, Allen Chesser, Dante Pittman, and Kelly E. Hastings | HB 69 | 02/06/2025 | Military and Veterans Educational Promise Act. |
| Grant L. Campbell, MD, Donny Lambeth, Larry W. Potts, and Timothy Reeder, MD | HB 67 | 02/05/2025 | Healthcare Workforce Reforms. |
| Grant L. Campbell, MD, Donny Lambeth, Kelly E. Hastings, and Timothy Reeder, MD | HB 49 | 02/04/2025 | Filial Debt Fairness Act. |
| Grant L. Campbell, MD | HB 32 | 02/03/2025 | China Grove Even Year Elections. |
| Grant L. Campbell, MD, David Willis, Harry Warren, and John R. Bell, IV | HB 12 | 01/29/2025 | Observe Standard Time All Year. |
