HB 349 — Modify Health Care Powers of Attorney/Advance Directives.
Last action — Ref To Com On Rules, Calendar, and Operations of the House
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✓Introduced
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✓In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
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 chanceBased 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
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Passed House
Current position in the legislative process.
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15 sponsors
3 primary, 12 co-sponsors signed on.
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Bipartisan support
Sponsored across 3 parties (7 D · 5 R · 1 I) — cross-party backing.
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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 removedPlain-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.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 21 HOUSE BILL 349 Committee Substitute Favorable 3/25/25 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.
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;
*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.
48 This document gives the person you designate as your health care agent broad powers to make healthcaredecisionsforyouwhenyoucannotmakethedecisionyourselfor cannotcommunicate your decision to other people.
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:
Page5 2 House Bill 349-Second Edition General Assembly Of North Carolina Session 2025 Date:
___________________________ (Signature7 of witness) 4 _________________________ (type/print name of witness) Date:
___________________________ (Signature9 ________________COUNTY, _________________STATE Sworn to (or affirmed) and subscribed before me this day by _____________________ (type/print name of witness)signer) 9______________________ _________________________(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:
House Bill 349-Second Edition Page 3 General Assembly Of North Carolina Session 2025 "(1a) Declaration.
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:
84 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.THERESITUATIONS. IS NOLEGAL REQUIREMENT THAT ANYONE EXECUTE A LIVING WILL.
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 bybloodorbyblood 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.
4 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:
73 Date:
___________________________ (Signature5 of witness) _________________________ (type/print name of witness) Date:
___________________________ (Signature7 ________________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:
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.
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,theSecretaryshallrevocation,the deletethatdocumentfromSecretaryshall deletethat document from theregistry database.
Page 6 House Bill 349-Second349-First Edition
Action History
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Ref To Com On Rules, Calendar, and Operations of the House
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Regular Message Sent To House
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Regular Message Received For Concurrence in S Com Sub
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Passed 2nd Reading
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Passed 3rd Reading
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Reptd Fav
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Reptd Fav Com Substitute
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Com Substitute Adopted
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Re-ref Com On Rules and Operations of the Senate
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Reptd Fav Com Substitute
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Com Substitute Adopted
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Re-ref Com On Judiciary
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Withdrawn From Com
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Re-ref to Health Care. If fav, re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate
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Regular Message Sent To Senate
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Regular Message Received From House
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Passed 1st Reading
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Ref To Com On Rules and Operations of the Senate
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Passed 2nd Reading
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Passed 3rd Reading
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Reptd Fav
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Cal Pursuant Rule 36(b)
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Placed On Cal For 04/15/2025
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Reptd Fav
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Re-ref Com On Rules, Calendar, and Operations of the House
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Reptd Fav Com Substitute
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Re-ref Com On Judiciary 2
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Passed 1st Reading
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Ref to the Com on Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House
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Filed
Sponsors
- Shelly Willingham · Cosponsor
- Reeder · Cosponsor
- Garland E. Pierce · Cosponsor
- Ray Pickett · Cosponsor
- Jeffrey C. McNeely · Cosponsor
- Pricey Harrison · Cosponsor
- Mike Colvin · Cosponsor
- Tracy Clark · Cosponsor
- Allen Buansi · Cosponsor
- Gloristine Brown · Cosponsor
- Campbell · Cosponsor
- Carla D. Cunningham · Primary
- Larry W. Potts · Primary
- Cody Huneycutt · Primary
- Neal Jackson · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 12 co-sponsors · 164 not signed on
Sponsors (3)
- Carla D. Cunningham U
- Larry W. Potts Republican
- Cody Huneycutt Republican
Co-sponsors (12)
- 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
- Neal Jackson Republican
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 18 | 0 | 0 | 2 |
| Republican | 27 | 0 | 0 | 3 |
| Total | 45 | 0 | 0 | 5 |
| % 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 40 | 0 | 0 | 4 |
| U | 2 | 0 | 0 | 0 |
| Unaffiliated | 6 | 0 | 0 | 0 |
| Republican | 64 | 0 | 0 | 4 |
| Total | 112 | 0 | 0 | 8 |
| % 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 |
Subjects
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?
- Track HB 349 free on One Click Politics — get push/email alerts when it moves.
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