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North Carolina House Bill 565 allows taxpayers to enroll in the organ donor registry via state income tax returns starting in 2026

Original title: Limit Use of AI Medicaid/Commercial Insurance.

Last action · June 23, 2026: Re-ref Com On Rules and Operations of the Senate (Senate action)Sponsors: Tim Reeder and 20 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

North Carolina taxpayers will be allowed to enroll as organ donors directly through their income tax return forms starting with taxable years beginning on or after January 1, 2026. The legislation requires the Department of Revenue and the Department of Transportation's Division of Motor Vehicles to coordinate to continuously update the Organ Donor Registry. Taxpayer organ donor elections made on tax returns remain valid until revoked in the manner prescribed by the Secretary of Revenue.

Why it matters

Tax filers gain a new mechanism to register as anatomical donors without visiting a driver's license office, expanding the state's potential donor pool while requiring state revenue and motor vehicle agencies to integrate registry data systems.

Background
  • North Carolina maintains an Organ Donor Registry managed through coordination between state transportation and health authorities. context
  • State income tax return forms in North Carolina are administered and furnished by the Department of Revenue. 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

North Carolina taxpayers

Tax filers are provided a new option to register as organ donors when completing their state income tax returns.

Directly affected

Department of Revenue

The department must modify income tax return forms to include organ donor election and informational text, and prescribe revocation methods.

Directly affected

Division of Motor Vehicles

The division must coordinate with the Department of Revenue to continuously update the Organ Donor Registry.

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

How can I register as an organ donor under this bill?
You can elect to become an organ donor directly through a designated section on your state income tax return form.
Can I donate my entire body through my tax return form?
No, s made via the income tax return method explicitly exclude a donation of the donor's body.
How long does an organ donor election made on a tax return remain valid?
The election remains valid until the donor revokes their consent in the manner prescribed by the Secretary of Revenue.

What else do you want to know?

News Coverage

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

Where This Stands

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

Procedural history

25 actions
  1. Jun 23, 2026Senate
    Re-ref Com On Rules and Operations of the Senate
  2. Jun 23, 2026Senate
    Com Substitute Adopted
  3. Jun 23, 2026Senate
    Reptd Fav Com Substitute
  4. Jun 3, 2026Senate
    Re-ref Com On Judiciary
  5. Jun 3, 2026Senate
    Com Substitute Adopted
  6. Jun 3, 2026Senate
    Reptd Fav Com Substitute
Show 19 earlier actions
  1. Jun 2, 2026Senate
    Sequential Referral To Judiciary Added After Health Care
  2. Jun 9, 2025Senate
    Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate
  3. Jun 9, 2025Senate
    Withdrawn From Com
  4. May 1, 2025Senate
    Ref To Com On Rules and Operations of the Senate
  5. May 1, 2025Senate
    Passed 1st Reading
  6. May 1, 2025Senate
    Regular Message Received From House
  7. May 1, 2025House
    Regular Message Sent To Senate
  8. Apr 30, 2025House
    Passed 3rd Reading
  9. Apr 30, 2025House
    Passed 2nd Reading
  10. Apr 29, 2025House
    Placed On Cal For 04/30/2025
  11. Apr 29, 2025House
    Cal Pursuant Rule 36(b)
  12. Apr 29, 2025House
    Reptd Fav
  13. Apr 29, 2025House
    Re-ref Com On Rules, Calendar, and Operations of the House
  14. Apr 29, 2025House
    Reptd Fav Com Sub 2
  15. Apr 8, 2025House
    Re-ref Com On State and Local Government
  16. Apr 8, 2025House
    Reptd Fav Com Substitute
  17. Mar 31, 2025House
    Ref to the Com on Health, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House
  18. Mar 31, 2025House
    Passed 1st Reading
  19. Mar 27, 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 reportedHouse4/30/2025North Carolina LegislatureOfficial roll call ↗

Second Reading

Total

115

Yes
105
No
1
Present
0
Not voting
9
Abstain
0

How they voted (115)

91 more members
John SaulsParty not recordedyes
Gloristine BrownParty not recordedyes
William BrissonParty not recordedyes
Beth Gardner HelfrichParty not recordedyes
Heather RhyneParty not recordedyes
Amos QuickParty not recordedabsent
Robert ReivesParty not recordedyes
David WillisParty not recordedyes
Joe PikeParty not recordedyes
Jennifer BalkcomParty not recordedyes
Monika Johnson-HostlerParty not recordedyes
John BlustParty not recordedyes
Wyatt GableParty not recordedabsent
Jonathan AlmondParty not recordedyes
Tricia CothamParty not recordedyes
Karl GillespieParty not recordedyes
Blair EddinsParty not recordedyes
Kanika BrownParty not recordedabsent
Erin ParéParty not recordedyes
Jeff McNeelyParty not recordedyes
Brian TurnerParty not recordedyes
Maria CervaniaParty not recordedyes
Garland PierceParty not recordedabsent
Ben MossParty not recordedyes
Allen ChesserParty not recordednot voting
Steve TysonParty not recordedyes
Frank IlerParty not recordedyes
James RobersonParty not recordedyes
Tim ReederParty not recordedyes
Celeste CairnsParty not recordedyes
Carson SmithParty not recordedyes
Ed GoodwinParty not recordedyes
Allison DahleParty not recordedyes
Mitchell SetzerParty not recordedyes
Mary BelkParty not recordedyes
Jake JohnsonParty not recordedyes
Tim LongestParty not recordedyes
Ya LiuParty not recordedyes
Donnie LoftisParty not recordedyes
Abe JonesParty not recordedyes
Zack HawkinsParty not recordedyes
Mark BrodyParty not recordedyes
Harry WarrenParty not recordedyes
Vernetta AlstonParty not recordedyes
Jimmy DixonParty not recordedyes
Sam WatfordParty not recordedyes
Shelly WillinghamParty not recordedyes
Dean ArpParty not recordedyes
Charlie MillerParty not recordedyes
Paul ScottParty not recordedyes
Neal JacksonParty not recordedyes
Nasif MajeedParty not recordedyes
Larry PottsParty not recordedyes
Stephen RossParty not recordedabsent
Frances JacksonParty not recordedyes
Brandon LoftonParty not recordedyes
Todd CarverParty not recordedyes
Mark PlessParty not recordedyes
Phil ShepardParty not recordedyes
Mike SchietzeltParty not recordedyes
Alan BransonParty not recordedyes
Kyle HallParty not recordedyes
Ray PickettParty not recordedyes
Cody HuneycuttParty not recordedyes
Marcia MoreyParty not recordedyes
Brian EchevarriaParty not recordedyes
Matthew WinslowParty not recordedyes
Diane WheatleyParty not recordedyes
Ray JeffersParty not recordedyes
Grant CampbellParty not recordedyes
Mike ColvinParty not recordedyes
Bryan CohnParty not recordedyes
Dante PittmanParty not recordedyes
Howard PennyParty not recordedyes
Terry BrownParty not recordedyes
Becky CarneyParty not recordedyes
Bill WardParty not recordedyes
Rodney PierceParty not recordedyes
Carla CunninghamParty not recordedyes
Deb ButlerParty not recordedabsent
Eric AgerParty not recordedyes
Renée PriceParty not recordedyes
Amber BakerParty not recordedno
Allen BuansiParty not recordedyes
Laura BuddParty not recordedyes
Kelly HastingsParty not recordedyes
Cynthia BallParty not recordedyes
John TorbettParty not recordedyes
Keith KidwellParty not recordedyes
Donny LambethParty not recordedyes
Dennis RiddellParty not recordedyes

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 shift95% confidence

Expansion of Organ Donor Registration Channels

The state is expanding donor registry enrollment channels beyond driver's license offices and wills by integrating the process directly into state tax filing documents.

Connected Entities

Department of Revenue, Division of Motor Vehicles, Department of Transportation and 1 more
OrganizationDepartment of Revenue“State agency required to furnish income tax returns with organ donor election op”Map →
OrganizationDivision of Motor Vehicles“Division required to coordinate with the Department of Revenue to continuously u”Map →
OrganizationDepartment of Transportation“State department housing the Division of Motor Vehicles”Map →
OrganizationGeneral Assembly of North Carolina“Legislative body enacting the bill”Map →

Sources

Analysis Score

0–100
  • Significance45
    How much this matters to a regular citizen
  • Controversy5
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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