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North Carolina restricts minor self-consent for certain medical treatments and establishes parental access to medical records

Original title: Parents' Medical Bill of Rights.

Last action · May 7, 2025: Ref To Com On Rules and Operations of the Senate (Senate action)Sponsors: Jennifer Balkcom and 32 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

North Carolina House Bill 519 revises minor medical consent laws by removing emotional disturbance and pregnancy from the list of services minors can independently authorize, requiring written parental consent for emergency use authorized vaccines, and guaranteeing parental access to minor medical records with specific exceptions effective October 1, 2025.

Why it matters

Parents gain legal rights to review all medical records of their minor children except in cases involving suspected abuse, court orders, or active criminal investigations against the parent, while minors lose the ability to independently seek treatment for pregnancy without parental involvement.

Background
  • North Carolina law previously permitted minors to independently give effective consent for medical treatment related to pregnancy and emotional disturbance without parental notification or approval. context
  • Emergency use authorizations are granted by the U.S. Food and Drug Administration during public health emergencies to allow access to medical countermeasures before standard full approval processes conclude. 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

Minors

Directly affected

Parents and legal guardians

Parents gain explicit rights to review all medical records of their minor children and must provide written consent for emergency use authorized vaccines.

Directly affected

Physicians and health care providers

Providers must alter consent protocols for minor patients regarding pregnancy and emergency-authorized vaccines and must adhere to new guidelines for disclosing or withholding medical records from parents.

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

Can minors still independently consent to any medical treatments under this bill?
Yes, minors can still give effective consent for the prevention, diagnosis, and treatment of venereal disease and other reportable diseases, and for the abuse of controlled substances or alcohol. However, pregnancy and emotional disturbance have been removed from this list.
Do parents have access to all of their minor child's medical records?
Parents have the right to access all medical records with three exceptions: records related to examinations for suspected abuse or neglect, records restricted by a valid court order, and records withheld at the request of law enforcement when the parent is under investigation for a crime against the child.

What else do you want to know?

News Coverage

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

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

18 actions
  1. May 7, 2025Senate
    Ref To Com On Rules and Operations of the Senate
  2. May 7, 2025Senate
    Passed 1st Reading
  3. May 7, 2025Senate
    Regular Message Received From House
  4. May 7, 2025House
    Regular Message Sent To Senate
  5. May 6, 2025House
    Passed 3rd Reading
  6. May 6, 2025House
    Passed 2nd Reading
Show 12 earlier actions
  1. May 5, 2025House
    Placed On Cal For 05/06/2025
  2. May 5, 2025House
    Cal Pursuant Rule 36(b)
  3. May 5, 2025House
    Reptd Fav
  4. Apr 29, 2025House
    Re-ref Com On Rules, Calendar, and Operations of the House
  5. Apr 29, 2025House
    Reptd Fav Com Substitute
  6. Apr 14, 2025House
    Serial Referral To Health Stricken
  7. Mar 27, 2025House
    Re-ref to the Com on Judiciary 2, if favorable, Health, if favorable, Rules, Calendar, and Operations of the House
  8. Mar 27, 2025House
    Withdrawn From Com
  9. Mar 27, 2025House
    Serial Referral To Rules, Calendar, and Operations of the House Stricken
  10. Mar 27, 2025House
    Ref to the Com on Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House
  11. Mar 27, 2025House
    Passed 1st Reading
  12. Mar 25, 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 →

Voting Record

Outcome not reportedHouse5/6/2025North Carolina LegislatureOfficial roll call ↗

Second Reading

Total

115

Yes
64
No
40
Present
0
Not voting
11
Abstain
0

How they voted (115)

91 more members
Alan BransonParty not recordedyes
Celeste CairnsParty not recordedyes
Mary BelkParty not recordedno
Frances JacksonParty not recordedno
Amber BakerParty not recordedabsent
Garland PierceParty not recordedyes
Kelly HastingsParty not recordedabsent
Maria CervaniaParty not recordedno
Allison DahleParty not recordedno
John SaulsParty not recordedyes
Allen ChesserParty not recordednot voting
John TorbettParty not recordedyes
Carson SmithParty not recordedyes
Carolyn LoganParty not recordedno
Dennis RiddellParty not recordedyes
Matthew WinslowParty not recordedyes
Harry WarrenParty not recordedyes
Brenden JonesParty not recordedyes
Amos QuickParty not recordedyes
Ben MossParty not recordedyes
Jordan LopezParty not recordedno
John BellParty not recordedyes
Donny LambethParty not recordedyes
Carla CunninghamParty not recordedyes
Stephen RossParty not recordedyes
Frank IlerParty not recordedyes
Cynthia BallParty not recordedno
Dante PittmanParty not recordedno
Dudley GreeneParty not recordedyes
Brian TurnerParty not recordedabsent
Sam WatfordParty not recordedyes
Becky CarneyParty not recordedno
Charles SmithParty not recordedno
Tracy ClarkParty not recordedno
Todd CarverParty not recordedyes
Cody HuneycuttParty not recordedyes
David WillisParty not recordedyes
John BlustParty not recordedyes
Renée PriceParty not recordedno
Jennifer BalkcomParty not recordedyes
Eric AgerParty not recordedno
Larry PottsParty not recordedyes
Beth Gardner HelfrichParty not recordedno
Brandon LoftonParty not recordedno
Chris HumphreyParty not recordedyes
Abe JonesParty not recordedyes
Mark BrodyParty not recordedyes
Heather RhyneParty not recordedyes
Ed GoodwinParty not recordedyes
Donnie LoftisParty not recordedyes
Julia HowardParty not recordedyes
Jimmy DixonParty not recordedabsent
Brian BiggsParty not recordedyes
Keith KidwellParty not recordedyes
Ray JeffersParty not recordedno
Kyle HallParty not recordedabsent
Howard PennyParty not recordedyes
Terry BrownParty not recordedno
Rodney PierceParty not recordedno
Charlie MillerParty not recordedyes
Bill WardParty not recordedyes
William BrissonParty not recordedyes
Mike SchietzeltParty not recordedyes
Bryan CohnParty not recordedno
Jeff McNeelyParty not recordednot voting
Tricia CothamParty not recordedyes
Jake JohnsonParty not recordedyes
Ted DavisParty not recordedyes
Kanika BrownParty not recordedno
Allen BuansiParty not recordedno
Zack HawkinsParty not recordedno
Jay AdamsParty not recordedyes
Phil ShepardParty not recordedyes
Pricey HarrisonParty not recordedno
Brian EchevarriaParty not recordedyes
Tim LongestParty not recordedno
Ya LiuParty not recordedno
Tim ReederParty not recordednot voting
Deb ButlerParty not recordedno
Nasif MajeedParty not recordedno
Gloristine BrownParty not recordedno
Wyatt GableParty not recordedyes
Hugh BlackwellParty not recordedyes
Mitchell SetzerParty not recordedyes
Paul ScottParty not recordedyes
Diane WheatleyParty not recordedyes
Julia GreenfieldParty not recordedno
Steve TysonParty not recordedyes
Ray PickettParty not recordednot voting
Blair EddinsParty not recordedyes
James RobersonParty not recordedabsent

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

Show 28 more sponsors

Discoveries

1 pattern noticed across the record

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

policy shift95% confidence

Rollback of Minor Autonomy

The bill shifts legal boundaries by removing pregnancy and emotional health services from independent minor consent while introducing strict parental oversight on emergency-authorized vaccines.

Connected Entities

Larry Potts, Brian Biggs, Jennifer Balkcom and 2 more
PersonLarry Potts“Sponsor of House Bill 519.”Map →
PersonBrian Biggs“Sponsor of House Bill 519.”Map →
PersonJennifer Balkcom“Primary sponsor of House Bill 519.”Map →
OrganizationUnited States Food and Drug Administration“Federal agency responsible for full approval of vaccines.”Map →
PersonDonnie Loftis“Sponsor of House Bill 519.”Map →

Sources

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy80
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz65
    Current news / social attention level

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