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High Impact

North Carolina prohibits insurance discrimination against living organ donors, offers tax credits, and grants state employees paid donation leave

Original title: Living Donor Protection Act.

Last action · April 30, 2025: Re-ref Com On Finance (House action)Sponsors: Phil Shepard and 22 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Living organ and bone marrow donors in North Carolina gain protection from life, health, and disability insurance discrimination, a tax credit of up to $5,000 for unreimbursed donation expenses, and up to 30 days of paid leave for state employees starting in 2025.

Why it matters

Living donors face potential coverage denials or premium hikes and out-of-pocket expenses for lost wages and travel; this measure caps tax credits at $5,000 and requires insurers to disregard donor status while giving state workers up to a month of paid recovery time.

Background
  • Living donor protection laws have been enacted in numerous U.S. states to prevent life and health insurers from charging higher premiums or denying coverage to individuals who have donated organs. context
  • North Carolina state employees operate under personnel policies set by the State Human Resources Commission and governed by Chapter 126 of the General Statutes. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Living organ donors

Living donors gain insurance protections against coverage denial or premium increases, qualify for a tax credit up to $5,000 for unreimbursed expenses, and state-employed donors receive paid leave.

Directly affected

Insurance companies

Insurers are prohibited from refusing coverage, altering pricing, or limiting health, life, disability, or long-term care policies based solely on an individual's status as a living organ donor.

Directly affected

State employees and public school personnel

Eligible state, public school, and community college employees receive up to 30 days of paid leave for organ donation and seven days for bone marrow donation without exhausting sick or vacation time.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does living donor insurance protection apply to health, life, and disability policies?
Yes. The restriction applies to health benefit plans as well as life, accident and health, disability, disability income, and long-term care insurance policies.
What expenses are covered under the new live organ donation tax credit?
The credit covers unreimbursed expenses directly related to the donation procedure, evaluation, recovery, follow-up visits, or rehospitalization, specifically including lost wages, transportation, lodging, and meals.
Are part-time state employees eligible for paid organ donation leave?
Yes. Permanent part-time state employees who have been continuously employed for at least 12 months are eligible for a prorated amount of paid leave for organ and bone marrow donations.
Do state employees have to use their sick or vacation leave before taking organ donation leave?
No. Paid leave for organ or bone marrow donation is available without exhausting the employee's sick and vacation leave.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

5 actions
  1. Apr 30, 2025House
    Re-ref Com On Finance
  2. Apr 30, 2025House
    Reptd Fav
  3. Apr 3, 2025House
    Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
  4. Apr 3, 2025House
    Passed 1st Reading
  5. Apr 1, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Comprehensive Donor Support Across Multiple Domains

The bill coordinates protections across three distinct areas of state law: insurance regulation, individual income tax credits, and public sector employment benefits.

Connected Entities

State Human Resources Commission, State Board of Community Colleges, Diane Wheatley and 5 more
OrganizationState Human Resources Commission“Tasked with adopting rules and policies for state employee organ donation leave ”Map →
OrganizationState Board of Community Colleges“Required to report annually on the paid organ donation leave program”Map →
PersonDiane Wheatley“Sponsor of House Bill 663”Map →
PersonGrant Campbell“Sponsor of House Bill 663”Map →
PersonPhil Shepard“Primary sponsor of House Bill 663”Map →
OrganizationState Board of Education“Required to report annually on the paid organ donation leave program”Map →
OrganizationOffice of State Human Resources“Receives annual reports from agencies on the paid organ donation leave program”Map →
PersonGarland Pierce“Sponsor of House Bill 663”Map →

Sources

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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