HB 519 North Carolina House · 2025-2026 Session

Parents' Medical Bill of Rights.

This bill, HB 519, revises laws regarding when minors can consent to medical treatment and parental access to their children's medical records. It restricts the medical services a minor can consent to on their own to primarily pregnancy-related care, removing their ability to consent for venereal diseases, substance abuse, or emotional disturbance treatment. The bill also requires written parental consent for minors to receive vaccines authorized for emergency use but not yet fully FDA approved. Additionally, it grants parents the right to access all their minor child's medical records, including those for care the minor could consent to, with exceptions for suspected abuse or neglect, court orders, or active law enforcement investigations.

Issues: ✗ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Mar 2025

Committee Review

May 2025

House Passage

May 2025

Senate Passage

Governor

Introduced Mar 25, 2025 Last action May 7, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 → Edition 2 · 5 edits

MODERATE

The bill was significantly rewritten to expand the scope of when minors can consent to treatment and when parents can access records. The version replaced the old text with a new structure that includes emergency exceptions for when parents cannot be reached or refuse consent, and it adds a new requirement for parental consent before administering certain vaccines with emergency use authorization.

Scope change

The bill's scope expanded from a limited list of specific conditions to a broader set of circumstances allowing treatment without parental consent, including emergencies where parents refuse or cannot be contacted.

REQUIREMENT

Added a new requirement that parents must provide written consent before a provider administers any vaccine with emergency use authorization to a minor.

Added a requirement for a second physician opinion if a parent objects to a procedure, unless it is a rural emergency.

SCOPE

Expanded the circumstances under which a physician can treat a minor without parental consent to include situations where parents refuse consent, cannot be contacted, or where the condition triggers a mandatory reporting obligation.

Replaced the specific list of conditions (STDs, pregnancy, etc.) where minors can consent with a broader framework focused on emergency necessity and reporting obligations.

DEFINITION

Added a new definition for 'treatment' to explicitly include procedures like X-rays, blood transfusions, and laboratory tests.

Floor votes · House May 6, 2025

How they voted

70–40

Passed · 11 other

Total votes 121

May 6, 2025

D Democratic46

3 Yea 39 Nay 4

84% Nay

I Independent2

1 Yea 1 Nay

50% Nay

R Republican73

66 Yea 7

90% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 7, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

May 6, 2025

Lower · Passed

Passed 3rd Reading

lower

May 5, 2025

Lower · Passed

Reptd Fav

lower

Apr 29, 2025

Committee

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

lower

Apr 29, 2025

Lower · Passed

Reptd Fav Com Substitute

lower

Apr 14, 2025

Committee

Serial Referral To Health Stricken

lower

Mar 27, 2025

Committee

Re-ref to the Com on Judiciary 2, if favorable, Health, if favorable, Rules, Calendar, and Operations of the House

lower

Mar 27, 2025

Committee

Serial Referral To Rules, Calendar, and Operations of the House Stricken

lower

Mar 27, 2025

Committee

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

lower

Mar 25, 2025

Introduced

Filed

lower

3 primary · 30 co-sponsors