Limit Use of AI Medicaid/Commercial Insurance.
HB 565 ("Check Yes, Save Lives") allows North Carolina taxpayers to register as organ donors by checking a box on their state income tax return, starting with tax returns for 2026 and later. This directly affects all North Carolina taxpayers who file income tax returns, providing a simple, automatic way to enroll in the organ donation program during annual tax filing. The bill amends tax and organ donation statutes to add income tax return enrollment as a valid method for making an anatomical gift (under Section 130A-412.7(1a)), while keeping existing options like driver's license or wills. It requires coordination between the Department of Revenue and Motor Vehicles to update the Organ Donor Registry, ensuring the tax-based enrollment is properly recorded. The policy change streamlines donor registration without altering the existing organ donation process or eligibility.
Bill status
passed both
4 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Jun 2026
House Passage
Apr 2025
Senate Passage
Jun 2026
Governor
Introduced Mar 27, 2025
Last action Jun 23, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
Edition 4
→
Edition 5
·
2 edits
MINOR
The bill was updated from Edition 4 to Edition 5 to add a new committee adoption notice and restrict who can file lawsuits against AI billing violations. Previously, any private individual could sue for unfair trade practices related to AI upcoding; now, only the Attorney General is authorized to bring such actions.
Scope change
The enforcement scope was narrowed by removing the ability for private citizens to file lawsuits regarding AI compliance violations, limiting legal action to the state Attorney General.
ENFORCEMENT
Added a provision stating that only the Attorney General may bring legal actions for violations of the AI billing restrictions, explicitly barring private individuals from suing.
TECHNICAL
Added a Senate Judiciary Committee adoption notice dated 6/23/26 to the header, indicating the bill passed an additional legislative review.
Floor votes · House Apr 30, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
25
Key actions
8
Committee
13
Jun 23, 2026
Committee
Re-ref Com On Rules and Operations of the Senate
upper
Jun 23, 2026
Upper · Passed
Com Substitute Adopted
upper
Jun 23, 2026
Upper · Passed
Reptd Fav Com Substitute
upper
Jun 3, 2026
Committee
Re-ref Com On Judiciary
upper
Jun 3, 2026
Upper · Passed
Com Substitute Adopted
upper
Jun 3, 2026
Upper · Passed
Reptd Fav Com Substitute
upper
Jun 2, 2026
Committee
Sequential Referral To Judiciary Added After Health Care
upper
Jun 9, 2025
Committee
Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate
upper
May 1, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Apr 30, 2025
Lower · Passed
Passed 3rd Reading
lower
Apr 29, 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 Sub 2
lower
Apr 8, 2025
Committee
Re-ref Com On State and Local Government
lower
Apr 8, 2025
Lower · Passed
Reptd Fav Com Substitute
lower
Mar 31, 2025
Committee
Ref to the Com on Health, if favorable, State and Local Government, if favorable, Rules, Calendar, and Operations of the House
lower
Mar 27, 2025
Introduced
Filed
lower
3 primary · 18 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Larry Potts
RRepublican
P
Phil Shepard
RRepublican
P
Tim Reeder
RRepublican
Co
Ben Moss
RRepublican
Co
Celeste Cairns
RRepublican
Co
Cody Huneycutt
RRepublican
Co
Eric Ager
DDemocratic
Co
Gloristine Brown
DDemocratic
Co
Grant Campbell
RRepublican
Co
Heather Rhyne
RRepublican
Co
Jeff McNeely
RRepublican
Co
Julia Greenfield
DDemocratic
Co
Kanika Brown
DDemocratic
Ask Maddy
·
AI policy assistant
Ask Maddy about HB 565
Scope: NC
Hi! I can help you understand HB 565. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline