North Carolina 2025 Session Status: In Committee Bipartisan · 8 R · 1 I cosponsors

HB 591 — Electronic Monitoring in Nursing/Adult Care Homes.

Last action — Passed 1st Reading

Track this bill free

No card. One bill, free forever — alerts when it moves.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced March 31, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 9 sponsors

    2 primary, 7 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 R · 1 I) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

82 added · 80 removed

Plain-language change summary

The recent amendment to House Bill 591 clarifies the rights of nursing home residents who wish to install electronic monitoring devices in their rooms. Key changes include a new requirement for nursing homes to make reasonable accommodations for these devices and a stronger emphasis on protecting the privacy of other residents. These updates ensure that residents cannot be denied admission or expelled for requesting a monitoring device, which can enhance their safety and peace of mind. Such provisions are crucial for promoting resident autonomy and safeguarding their rights in care facilities.

→
Previous
Latest
GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 591 Short Title:
591 Mar 31, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH10280-MG-117 Short Title:
Representative Willis.
Representatives Willis, Loftis, and Brody (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT ENACTING THE G.U.A.R.D.
Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House April 1, 2025 A BILL TO BE ENTITLED AN ACT ENACTING THE G.U.A.R.D.
(b) A nursing home or combination home shall permit a resident to monitor the resident's roomthroughtheuseofan electronicmonitoring device.Thenursing home orcombinationhome shall require a resident who exercises this option to post a notice in a conspicuous location on the door of the resident's room stating that the room is being monitored by an electronic monitoring device.
(b) A nursing home or combination home shall permit a resident to monitor the resident's roomthrough theuseofan electronicmonitoringdevice.
Thenursinghome orcombinationhome shall require a resident who exercises this option to post a notice in a conspicuous location on the door of the resident's room stating that the room is being monitored by an electronic monitoring device.
(2) The resident is responsible for all costs associated with the installation, maintenance, and removal of the electronic monitoring device.
*H591-v-1* General Assembly Of North Carolina Session 2025 (2) The resident is responsible for all costs associated with the installation, maintenance, and removal of the electronic monitoring device.
*DRH10280-MG-117* General Assembly Of North Carolina Session 2025 (3) To the greatest extent possible, the resident shall protect the privacy rights of other residents and visitors of the nursing home or combination home.
(3) To the greatest extent possible, the resident shall protect the privacy rights of other residents and visitors of the nursing home or combination home.
(2) Shall make reasonable physical accommodations for a resident's electronic monitoring device by providing access to power sources, access to the internet if readily available, and a reasonably secure place to mount the electronic monitoring device.
(2) Shall make reasonable physical accommodations for a resident's electronic monitoring device byprovidingaccess to power sources, access to the internet if readily available, and a reasonably secure place to mount the electronic monitoring device.
– Apersonresiding in anadult carehomeortheperson's responsible party or legal representative.
– Apersonresidingin anadult carehomeortheperson's responsible party or legal representative.
(2) The resident is responsible for all costs associated with the installation, maintenance, and removal of the electronic monitoring device.
Page 2 House Bill 591-First Edition General Assembly Of North Carolina Session 2025 (2) The resident is responsible for all costs associated with the installation, maintenance, and removal of the electronic monitoring device.
Page 2 DRH10280-MG-117 General Assembly Of North Carolina Session 2025 (3) To the greatest extent possible, the resident shall protect the privacy rights of other residents and visitors of the adult care home.
(3) To the greatest extent possible, the resident shall protect the privacy rights of other residents and visitors of the adult care home.
(2) Shall make reasonable physical accommodations for a resident's electronic monitoring device by providing access to power sources, access to the internet if readily available, and a reasonably secure place to mount the electronic monitoring device.
(2) Shall make reasonable physical accommodations for a resident's electronic monitoring device byprovidingaccess to power sources, access to the internet if readily available, and a reasonably secure place to mount the electronic monitoring device.
DRH10280-MG-117 Page 3
House Bill 591-First Edition Page 3
⬇ Download PDF
View plain text versions (2)

How this bill changes current law

2 changes Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

The bill adds provisions for residents of nursing homes and adult care homes to install electronic monitoring devices in their rooms, ensuring their rights and safety.

  • G.S. 131E-117

    (17) To install or have installed at the resident's own expense an electronic monitoring device in the resident's room pursuant to G.S. 131E-112.10 for the purpose of ensuring the resident's health and safety.

    This addition grants residents the right to install electronic monitoring devices for their health and safety.

  • G.S. 131D-21

    (18) To install or have installed at the resident's own expense an electronic monitoring device in the resident's room pursuant to G.S. 131D-7.10 for the purpose of ensuring the resident's health and safety.

    This addition grants residents the right to install electronic monitoring devices for their health and safety.

Action History

  1. Passed 1st Reading

  2. Ref to the Com on Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House

  3. Serial Referral To Judiciary 2 Stricken

  4. Withdrawn From Com

  5. Re-ref Com On Rules, Calendar, and Operations of the House

  6. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

2 sponsors · 7 co-sponsors · 170 not signed on

Sponsors (2)

Co-sponsors (7)

Not signed on (170)

170 members have not signed on to this bill.

Show all 170 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety civil-rights healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 591?
HB 591 is sponsored by Diane Wheatley (Republican), Bill Ward (Republican), Ben T. Moss, Jr. (Republican), Jeffrey C. McNeely (Republican), Nasif Majeed (U), Mark Brody (Republican), Donnie Loftis (Republican), David Willis (Republican), and Jake Johnson (Republican).
What is the current status of HB 591?
This bill is in committee in the House. Introduced March 31, 2025. It must pass committee before a floor vote.
Where can I track HB 591?
Track HB 591 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 591

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 591

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →