North Carolina SB 600: Improve Health and Human Services.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025

SESSION LAW 2025-60
SENATE BILL 600

*S600-v-7*
AN ACT TO IMPROVE HEALTH AND HUMAN SERVICES FOR THE STATE OF NORTH
CAROLINA.

The General Assembly of North Carolina enacts:

PART II. ALLOW RESIDENT TAXPAYERS TO ENROLL IN THE ORGAN AND
TISSUE DONATION PROGRAM VIA THEIR INCOME TAX RETURN
SECTION 2.(a) Article 4 of Chapter 105 of the General Statutes is amended by
adding a new section to read:
"§ 105-153.8A. Organ and tissue donor election on income tax returns.
(a) The income tax return form furnished by the Secretary under G.S. 105-153.8 shall
include a section titled Organ and Tissue Donation Election, that allows a resident taxpayer to
elect to become a donor in accordance with Part 3A of Chapter 130A of the General Statutes.
The organ and tissue donation section must:
(1) Provide the following options:
a. A fillable check box followed by the statement "Check here if resident
taxpayer authorizes an organ and tissue donation in the event of death.
Resident taxpayer's date of birth (mm-dd-yyyy)__-__-____"
b. A fillable check box followed by the statement "Check here if spouse
authorizes an organ and tissue donation in the event of death. Spouse's
date of birth (mm-dd-yyyy) __-__-____"
(2) Explain the resident taxpayer and spouse, if applicable, is authorizing an
anatomical gift of his or her organs, eyes, and tissue to take effect after the
donor's death.
(3) Explain the resident taxpayer is not required to record a response to the organ
and tissue donation election section to file an income tax return, pay taxes, or
receive a refund.
(4) Describe the process for amending or revoking the resident taxpayer's or
spouse's election to become an organ and tissue donor.
(b) The Secretary is authorized to request any information necessary from a resident
taxpayer or spouse within the organ and tissue donation election section of the income tax return
form to facilitate a resident taxpayer's or spouse's election as an organ and tissue donor in
accordance with Part 3A of Chapter 130A of the General Statutes."
SECTION 2.(b) G.S. 105-259(b) is amended by adding the following new
subdivisions to read:
"(56) To furnish the Department of Transportation, Division of Motor Vehicles,
with the information of an individual who has elected to become an organ and
tissue donor under G.S. 105-153.8A for purposes of making an anatomical
gift in accordance with Part 3A of Chapter 130A of the General Statutes.
(57) To furnish any organ procurement organization and any organization
responsible for maintaining a list of individuals who have authorized an
anatomical gift with the information of an individual who has elected to

Page 2 Session Law 2025-60 Senate Bill 600
become an organ and tissue donor under G.S. 105-153.8A for purposes of
making an anatomical gift in accordance with Part 3A of Chapter 130A of the
General Statutes."
SECTION 2.(c) G.S. 130A-412.7 reads as rewritten:
"§ 130A-412.7. Manner of making anatomical gift before donor's death.
(a) A donor may make an anatomical gift by any of the following methods:
(1) By authorizing that a statement or symbol be imprinted on the donor's drivers
license or identification card indicating that the donor has made an anatomical
gift. A donor who originally became a donor in another jurisdiction by this
method and applies for a drivers license or identification card in this State is
required to authorize that a statement or symbol be imprinted on the donor's
drivers license or identification card issued in this State in order for the
anatomical gift to be valid under this subdivision. Anatomical gifts made by
this method shall not include a donation of the donor's body.
(1a) By making an election on an income tax return in accordance with
G.S. 105-153.8A. Anatomical gifts made by this method shall not include a
donation of the donor's body.
(2) In a will.
(3) During a terminal illness or injury of the donor, by any form of
communication addressed to at least two adults, at least one of whom is a
disinterested witness.
(4) As provided in subsection (b) of this section.
...
(c3) An election on an income tax return indicating that a donor has made an anatomical
gift is valid upon the filing of the return and shall remain valid until the donor revokes such
consent in the manner prescribed by G.S. 130A-412.8.
...."
SECTION 2.(d) G.S. 20-43.2(c) reads as rewritten:
"(c) Personally identifiable information on a donor registry about a donor or prospective
donor may not be used or disclosed without the express consent of the donor, prospective donor,
or person that made the anatomical gift for any purpose other than to determine, at or near death
of the donor or prospective donor, whether the donor or prospective donor has made, amended,
or revoked an anatomical gift.gift, or to determine the statistical and demographic makeup of
individuals who have and have not authorized an anatomical gift so organ procurement
organizations may advocate for d