summary
Introduced
03/10/2025
03/10/2025
In Committee
05/22/2025
05/22/2025
Crossed Over
04/16/2025
04/16/2025
Passed
Dead
Introduced Session
2025-2026 Session
Bill Summary
AN ACT UPDATING REQUIREMENTS FOR HEALTH CARE POWERS OF ATTORNEY AND ADVANCE HEALTH CARE DIRECTIVES, AUTHORIZING THE SECRETARY OF STATE TO RECEIVE ELECTRONIC FILINGS OF ADVANCE HEALTH CARE DIRECTIVES, AND ALLOWING PARENT CHOICE IN NURSING SERVICE PROVIDERS REQUIRED BY AN INDIVIDUALIZED EDUCATION PROGRAM.
AI Summary
This bill updates requirements for health care powers of attorney (HCPOA) and advance health care directives, modifies electronic filing procedures for these documents with the North Carolina Secretary of State, and establishes new parent rights regarding nursing services in individualized education programs (IEPs). Specifically, the bill allows individuals creating health care power of attorney or advance directive documents to have their signature either witnessed by two qualified witnesses or notarized, providing more flexibility in document execution. The bill also expands the Secretary of State's Advance Health Care Directive Registry to accept electronic filings and adds HIPAA waivers to the types of documents that can be filed. Additionally, the bill introduces a provision allowing parents to choose a specific nurse to provide nursing services in their child's IEP if that nurse previously provided care to the child and meets certain employment and contractual requirements. The changes aim to simplify document preparation, provide more filing options, and give parents more control over their children's medical care in school settings. Most provisions will become effective on October 1, 2025, with the parent choice in nursing services taking effect immediately and applying to the 2025-2026 school year.
Committee Categories
Government Affairs, Health and Social Services, Justice
Sponsors (15)
Grant Campbell (R)*,
Carla Cunningham (D)*,
Cody Huneycutt (R)*,
Larry Potts (R)*,
Gloristine Brown (D),
Allen Buansi (D),
Tracy Clark (D),
Mike Colvin (D),
Pricey Harrison (D),
Frances Jackson (D),
Jeff McNeely (R),
Ray Pickett (R),
Garland Pierce (D),
Tim Reeder (R),
Shelly Willingham (D),
Last Action
Re-ref Com On Judiciary (on 05/22/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ncleg.gov/BillLookUp/2025/H349 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H349v3.pdf |
| Analysis - Summary H349-SMCI-78(CSCI-32)-v-2 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H349-SMCI-78(CSCI-32)-v-2 |
| Analysis - Summary H349-SMCI-29(e2)-v-2 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H349-SMCI-29(e2)-v-2 |
| Analysis - Summary H349-SMCI-20(e2)-v-3 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H349-SMCI-20(e2)-v-3 |
| Analysis - Summary H349-SMCI-16(CSCI-8)-v-2 | https://dashboard.ncleg.gov/api/Services/BillSummary/2025/H349-SMCI-16(CSCI-8)-v-2 |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H349v2.pdf |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H349v1.pdf |
| BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H349v0.pdf |
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