North Carolina 2025 Session Status: Passed House Bipartisan · 7 D · 5 R · 1 I cosponsors

HB 349 — Modify Health Care Powers of Attorney/Advance Directives.

Last action — Ref To Com On Rules, Calendar, and Operations of the House

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

This bill has passed the House. Introduced March 10, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · high confidence
  • Passed House

    Current position in the legislative process.

  • 15 sponsors

    3 primary, 12 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (7 D · 5 R · 1 I) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill modifies rules regarding Health Care Powers of Attorney and Advance Directives.

This legislation updates how Health Care Powers of Attorney and Advance Directives are managed. It aims to clarify and improve the processes related to these important health care documents.

Bill Text

What changed in the latest version

217 added · 226 removed

Plain-language change summary

In the latest version of House Bill 349, several lines have been added to clarify the responsibilities and powers granted to a designated health care agent under a health care power of attorney. This is important because it emphasizes that while the agent can make important health decisions on your behalf, they are not required to act unless you have outlined specific instructions. These changes are designed to ensure that individuals better understand their rights and the flexibility of their health care directives.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 349 Committee Substitute Favorable 3/25/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 349 Short Title:
Representatives Huneycutt, Potts, Cunningham, and Campbell (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
March 11, 2025 A BILL TO BE ENTITLED AN ACT UPDATING REQUIREMENTS FOR HEALTH CARE POWERS OF ATTORNEY AND ADVANCE HEALTH CARE DIRECTIVES;
Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House March 11, 2025 A BILL TO BE ENTITLED AN ACT UPDATING REQUIREMENTS FOR HEALTH CARE POWERS OF ATTORNEY AND ADVANCE HEALTH CARE DIRECTIVES;
EXPLANATION:
*H349-v-1* General Assembly Of North Carolina Session 2025 EXPLANATION:
However, you are not required to use this form, and North Carolina law allows the use of other forms that meet *H349-v-2* General Assembly Of North Carolina Session 2025 certain requirements.
However, you are not required to use this form, and North Carolina law allows the use of other forms that meet certain requirements.
4 This document gives the person you designate as your health care agent broad powers to make healthcaredecisionsforyouwhenyoucannotmakethedecisionyourselfor cannotcommunicate your decision to other people.
8 This document gives the person you designate as your health care agent broad powers to make healthcaredecisionsforyouwhenyoucannotmakethedecisionyourselfor cannotcommunicate your decision to other people.
Box #1 If you elect to have your declaration witnessed, complete the following section:
Page 2 House Bill 349-First Edition General Assembly Of North Carolina Session 2025 2 Box #1 If you elect to have your declaration witnessed, complete the following section:
Page 2 House Bill 349-Second Edition General Assembly Of North Carolina Session 2025 Date:
5 Date:
___________________________ (Signature of witness) 4 _________________________ (type/print name of witness) Date:
___________________________ 7 Date:
___________________________ (Signature of witness) 9 _________________________ (type/print name of witness) Box #2 If you elect to have your declaration notarized, have the following section completed by a qualified notary public:
___________________________ 9 ________________COUNTY, _________________STATE Sworn to (or affirmed) and subscribed before me this day by _____________________ (type/print name of signer) ______________________ (type/print name of witness) ______________________ (type/print name of witness) Box #2 If you elect to have your declaration notarized, have the following section completed by a qualified notary public:
________________COUNTY, _________________STATE Sworn to (or affirmed) and subscribed before me this day by _____________________ (type/print name of signer) ______________________ (type/print name of witness) ______________________ (type/print name of witness) Date:
Date:
House Bill 349-Second Edition Page 3 General Assembly Of North Carolina Session 2025 "(1a) Declaration.
"(1a) Declaration.
"(d1) The following form is specifically determined to meet the requirements of subsection (c) of this section:
House Bill 349-First Edition Page 3 General Assembly Of North Carolina Session 2025 "(d1) The following form is specifically determined to meet the requirements of subsection (c) of this section:
8 ADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL") NOTE:
4 ADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL") 6 NOTE:
YOU SHOULD USE THIS DOCUMENT TO GIVE YOUR HEALTH CARE PROVIDERS INSTRUCTIONS TO WITHHOLD OR WITHDRAW LIFE-PROLONGING MEASURES IN CERTAIN SITUATIONS.THERE IS NOLEGAL REQUIREMENT THAT ANYONE EXECUTE A LIVING WILL.
YOU SHOULD USE THIS DOCUMENT TO GIVE YOUR HEALTH CARE PROVIDERS INSTRUCTIONS TO WITHHOLD OR WITHDRAW LIFE-PROLONGING MEASURES IN CERTAIN SITUATIONS.
THERE IS NO LEGAL REQUIREMENT THAT ANYONE EXECUTE A LIVING WILL.
… I hereby state that the declarant, ______________________, being of sound mind, signed (or directed another to sign on declarant's behalf) the foregoing Advance Directive for a Natural Death in mypresence, and that Iam not relatedto thedeclarant bybloodor marriage, and Iwould not be entitled to any portion of the estate of the declarant under any existing will or codicil of the declarant or as an heir under the Intestate Succession Act, if the declarant died on this date without a will.
… I hereby state that the declarant, ______________________, being of sound mind, signed (or directed another to sign on declarant's behalf) the foregoing Advance Directive for a Natural Death in mypresence, and that Iam not relatedto thedeclarant byblood or marriage, and Iwould not be entitled to any portion of the estate of the declarant under any existing will or codicil of the declarant or as an heir under the Intestate Succession Act, if the declarant died on this date without a will.
I also state that I am not the declarant's attending physician, nor a licensed health care provider who is (1) an employee of the declarant's attending physician, (2) nor an employee of the health facility in which the declarant is a patient, or (3) an employee of a nursing home or Page 4 House Bill 349-Second Edition General Assembly Of North Carolina Session 2025 any adult care home where the declarant resides.
I also state that I am not the declarant's attending physician, nor a licensed health care provider who is (1) an employee of the declarant's attending physician, (2) nor an employee of the health facility in which the declarant is a patient, or (3) an employee of a nursing home or any adult care home where the declarant resides.
4 Box #1 If you elect to have your declaration witnessed, complete the following section:
Box #1 Page 4 House Bill 349-First Edition General Assembly Of North Carolina Session 2025 If you elect to have your declaration witnessed, complete the following section:
7 Date:
3 Date:
___________________________ (Signature of witness) _________________________ (type/print name of witness) Date:
___________________________ 5 Date:
___________________________ (Signature of witness) _________________________ (type/print name of witness) Box #2 If you elect to have your declaration notarized, have the following section completed by a qualified notary public:
___________________________ 7 ________________COUNTY, _________________STATE 9 Sworn to (or affirmed) and subscribed before me this day by _____________________ (type/print name of declarant) ________________________ (type/print name of witness) ________________________ (type/print name of witness) Box #2 If you elect to have your declaration notarized, have the following section completed by a qualified notary public:
________________COUNTY, _________________STATE Sworn to (or affirmed) and subscribed before me this day by _____________________ (type/print name of declarant) ________________________ (type/print name of witness) ________________________ (type/print name of witness) Date ___________________________ ______________________________ (Official Seal) Signature of Notary Public __________________, Notary Public Printed or typed name My commission expires:
Date ___________________________ ______________________________ (Official Seal) Signature of Notary Public __________________, Notary Public Printed or typed name My commission expires:
House Bill 349-Second Edition Page 5 General Assembly Of North Carolina Session 2025 (2) A declaration of a desire for a natural death under Article 23 of Chapter 90 of the General Statutes.
(2) A declaration of a desire for a natural death under Article 23 of Chapter 90 of the General Statutes.
(c) The document may be submitted for filing only by the person who executed the document.
House Bill 349-First Edition Page 5 General Assembly Of North Carolina Session 2025 (c) The document may be submitted for filing only by the person who executed the document.
(c) When the Secretary of State receives a revocation of a document that is filed with the registry and that document's file number and password, or a request to remove that document from theregistrywithout its revocation,theSecretaryshall deletethatdocumentfrom theregistry database.
(c) When the Secretary of State receives a revocation of a document that is filed with the registry and that document's file number and password, or a request to remove that document from theregistrywithout its revocation,the Secretaryshall deletethat document from theregistry database.
Page 6 House Bill 349-Second Edition
Page 6 House Bill 349-First Edition
View plain text versions (5)

Action History

  1. Ref To Com On Rules, Calendar, and Operations of the House

  2. Regular Message Sent To House

  3. Regular Message Received For Concurrence in S Com Sub

  4. Passed 2nd Reading

  5. Passed 3rd Reading

  6. Reptd Fav

  7. Reptd Fav Com Substitute

  8. Com Substitute Adopted

  9. Re-ref Com On Rules and Operations of the Senate

  10. Reptd Fav Com Substitute

  11. Com Substitute Adopted

  12. Re-ref Com On Judiciary

  13. Withdrawn From Com

  14. Re-ref to Health Care. If fav, re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate

  15. Regular Message Sent To Senate

  16. Regular Message Received From House

  17. Passed 1st Reading

  18. Ref To Com On Rules and Operations of the Senate

  19. Passed 2nd Reading

  20. Passed 3rd Reading

  21. Reptd Fav

  22. Cal Pursuant Rule 36(b)

  23. Placed On Cal For 04/15/2025

  24. Reptd Fav

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

  26. Reptd Fav Com Substitute

  27. Re-ref Com On Judiciary 2

  28. Passed 1st Reading

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

  30. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 12 co-sponsors · 164 not signed on

Sponsors (3)

Co-sponsors (12)

Not signed on (164)

164 members have not signed on to this bill.

Show all 164 →

"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

Votes

Second Reading

Passed 45 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 18002
Republican 27003
Total 45005
% of votes cast 90%0%0%10%
How each member voted (50)
Member Party Vote
Caleb Theodros Democratic Yea
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Yea
Gale Adcock Democratic Yea
Gladys A. Robinson Democratic Yea
Haseeb Fatmi Democratic Yea
Jay J. Chaudhuri Democratic Yea
Jonah Garson Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Kandie D. Smith Democratic Yea
Lisa Grafstein Democratic Yea
Michael Garrett Democratic Yea
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Not Voting
Sydney Batch Democratic Not Voting
Val Applewhite Democratic Yea
Woodson Bradley Democratic Yea
Amy S. Galey Republican Yea
Benton G. Sawrey Republican Yea
Bill Rabon Republican Yea
Bob Brinson Republican Yea
Bobby Hanig Republican Yea
Brad Overcash Republican Yea
Brent Jackson Republican Yea
Carl Ford Republican Yea
Chris Measmer Republican Yea
Dana Jones Republican Yea
Danny Earl Britt, Jr. Republican Yea
David W. Craven, Jr. Republican Yea
Eddie D. Settle Republican Yea
Jim Burgin Republican Not Voting
Kevin Corbin Republican Yea
Lisa S. Barnes Republican Yea
Mark Hollo Republican Yea
Michael A. Lazzara Republican Yea
Michael V. Lee Republican Yea
Norman W. Sanderson Republican Yea
Paul Newton Republican Yea
Phil Berger Republican Yea
Ralph Hise Republican Yea
Steve Jarvis Republican Yea
Timothy D. Moffitt Republican Not Voting
Todd Johnson Republican Not Voting
Tom McInnis Republican Yea
Vickie Sawyer Republican Yea
W. Ted Alexander Republican Yea
Warren Daniel Republican Yea

Official roll call →

Second Reading

Passed 112 Yea · 0 Nay · 8 Other
Party YeaNayPresentNot Voting
Democratic 40004
U 2000
Unaffiliated 6000
Republican 64004
Total 112008
% of votes cast 93%0%0%7%
How each member voted (120)
Member Party Vote
CharlesSmith — Yea
vonHaefen — Yea
Campbell — Yea
Reeder — Yea
C. Smith — Yea
F. Jackson — Yea
Abe Jones Democratic Yea
Aisha O. Dew Democratic Not Voting
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Yea
Amos L. Quick, III Democratic Yea
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Beth Helfrich Democratic Yea
Brandon Lofton Democratic Not Voting
Brian Turner Democratic Yea
Bryan Cohn Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Jordan Lopez Democratic Yea
Julia Greenfield Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Not Voting
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Mike Colvin Democratic Yea
Monika Johnson-Hostler Democratic Yea
Phil Rubin Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Rodney D. Pierce Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Not Voting
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Tracy Clark Democratic Yea
Vernetta Alston Democratic Yea
Ya Liu Democratic Yea
Zack Hawkins Democratic Yea
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Yea
Bill Ward Republican Yea
Blair Eddins Republican Yea
Brenden H. Jones Republican Yea
Brian Biggs Republican Yea
Brian Echevarria Republican Yea
Celeste C. Cairns Republican Yea
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
Cody Huneycutt Republican Yea
David Willis Republican Yea
Dean Arp Republican Yea
Dennis Riddell Republican Yea
Destin Hall Republican Not Voting
Diane Wheatley Republican Yea
Donna McDowell White Republican Yea
Donnie Loftis Republican Yea
Donny Lambeth Republican Yea
Dudley Greene Republican Yea
Edward C. Goodwin Republican Yea
Erin Paré Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Heather H. Rhyne Republican Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jarrod Lowery Republican Not Voting
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jerry "Alan" Branson Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John M. Blust Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Yea
Jonathan L. Almond Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Yea
Kyle Hall Republican Yea
Larry C. Strickland Republican Yea
Larry W. Potts Republican Yea
Mark Brody Republican Yea
Mark Pless Republican Not Voting
Matthew Winslow Republican Yea
Mike Clampitt Republican Not Voting
Mike Schietzelt Republican Yea
Mitchell S. Setzer Republican Yea
Neal Jackson Republican Yea
Paul Scott Republican Yea
Phil Shepard Republican Yea
Ray Pickett Republican Yea
Sam Watford Republican Yea
Sarah Stevens Republican Yea
Stephen M. Ross Republican Yea
Steve Tyson Republican Yea
Ted Davis, Jr. Republican Yea
Todd Carver Republican Yea
Todd Johnson Republican Yea
Tricia Ann Cotham Republican Yea
William D. Brisson Republican Yea
Wyatt Gable Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors HB 349?
HB 349 is sponsored by Shelly Willingham (Democratic), Reeder, Garland E. Pierce (Democratic), Ray Pickett (Republican), Jeffrey C. McNeely (Republican), Pricey Harrison (Democratic), Mike Colvin (Democratic), Tracy Clark (Democratic), Allen Buansi (Democratic), Gloristine Brown (Democratic), Campbell, Carla D. Cunningham (U), Larry W. Potts (Republican), Cody Huneycutt (Republican), and Neal Jackson (Republican).
What is the current status of HB 349?
This bill has passed the House. Introduced March 10, 2025. It now moves to the second chamber.
Where can I track HB 349?
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