North Carolina 2023-2024 Regular Session

North Carolina Senate Bill S147

Introduced
2/22/23  

Caption

Update Reqs./Advance Health Care Directives

Impact

The implementation of SB 147 is expected to streamline the process of creating and filing advance directives and health care powers of attorney. By permitting electronic submissions, the bill alleviates the burden of physical documentation, especially beneficial for individuals who may find it difficult to manage paper forms. Furthermore, the legislation clarifies the validity of health care directives regardless of where they are presented, promoting consistent application across jurisdictions. This is particularly relevant for patients receiving care in multiple facilities or locations.

Summary

Senate Bill 147, titled 'Update Reqs./Advance Health Care Directives', aims to modernize the requirements surrounding health care powers of attorney and advance health care directives in North Carolina. Key provisions include allowing electronic filings with the Secretary of State and updating witness and notarization requirements for documents related to health care decisions. This bill reflects a shift towards incorporating digital solutions in managing legal health care documents, which may enhance accessibility for patients and their families.

Sentiment

The sentiment around SB 147 has been generally positive among legal and health care professionals. Proponents argue that these updates reflect the evolving nature of technology and its role in personal affairs, particularly concerning sensitive topics such as health care decisions. Supporters believe that such modernization fosters greater autonomy in health care, allowing individuals more control over their treatment choices while ensuring their wishes are respected accurately. However, concerns about the security and privacy of electronic documents persist among some constituents.

Contention

While the bill enjoys broad support, there are noteworthy concerns regarding the potential implications of electronic filings. Critics worry that the digitalization of sensitive health documents could expose individuals to privacy risks or unauthorized access. There are also discussions about the adequacy of notarization when performed electronically and whether it sufficiently safeguards against fraud or misrepresentation. This tension reflects larger debates about balancing innovation in health care management with protecting patients' rights and confidentiality.

Companion Bills

NC H739

Same As Update Reqs./Advance Health Care Directives

Previously Filed As

NC H1115

GSC Advance Health Care Planning Documents

NC HB1687

Advance health care directives; creating the Uniform Health Care Decisions Act of 2026; establishing requirements for certain health care directives; effective date.

NC HB0006

Advance health care directives-dementia.

NC HB1687

Advance health care directives; Uniform Health Care Decisions Act of 2025; definitions; capacity; presumption of capacity; overcoming presumption; notice; judicial review; power of attorney; advance mental health care directive; conflicting health care directives; default surrogate; disqualification; revocation; validity; conflict of law; duties; powers; coagents; responsibilities; immunity; conduct; damages; judicial relief; effective date.

NC H349

Reqs HC POA/Adv Direct/IEP Nurse Choice

NC HB1161

Relating to an advance directive and do-not-resuscitate order of a pregnant woman and information provided for an advance directive.

NC SB360

Relating to an advance directive and do-not-resuscitate order of a pregnant woman and information provided for an advance directive.

NC S0714

Nonopioid Advance Directives

NC HB737

Public Health - Nonopioid Advance Directives

NC HB1059

Relating to the presumption of validity for an advance directive and permissible forms of a medical power of attorney.

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