A new bill filed by State Rep. Campbell seeks to modernize health care powers of attorney and advance directive processes, including electronic filing and registry management improvements, according to the North Carolina State House.
The bill, filed as HB 349 on March 10 during the 2025 regular session, was formally listed with the short title: ‘Reqs HC POA/Adv Direct/IEP Nurse Choice.’
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, this bill updates requirements for health care powers of attorney and advance health care directives in North Carolina and authorizes the Secretary of State to receive electronic filings of these directives. It amends the definitions and forms related to health care powers of attorney, emphasizing the need for signatures to be witnessed by two qualified witnesses or acknowledged by a notary public. The bill permits electronic or hard copy submission of health care documents for filing in the Advance Health Care Directive Registry and specifies the procedures for notarization, submission, and storage of documents. Additionally, it clarifies the Secretary of State’s responsibilities in managing these documents within the registry, including the removal of records upon notified death of the registrant. This legislation takes effect on Oct. 1, 2025.
Of the four sponsors of this bill, Campbell proposed the most bills (21) during the 2025 regular session.
Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.
You can read more about the bills and other measures here.
Campbell graduated from the University of North Carolina at Chapel Hill in 1993 with a BS.
Campbell, a Republican, was elected to the North Carolina State House in 2025 to represent the state’s 83rd House district, replacing previous state representative Kevin Crutchfield.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Grant L. Campbell, MD, Carla D. Cunningham, Cody Huneycutt, and Larry W. Potts | HB 349 | 03/10/2025 | Reqs HC POA/Adv Direct/IEP Nurse Choice. |
| Grant L. Campbell, MD and Todd Carver | HB 250 | 02/27/2025 | Annual Rep’t Due Date/Deployed Servicemembers. |
| Grant L. Campbell, MD, Donna McDowell White, Larry W. Potts, and Timothy Reeder, MD | HB 229 | 02/26/2025 | Medicaid Rates/Ambulatory Surgical Centers. |
| Grant L. Campbell, MD, Hugh Blackwell, Larry W. Potts, and Timothy Reeder, MD | HB 231 | 02/26/2025 | Social Work Interstate Licensure Compact. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 204 | 02/25/2025 | Restore Down-Zoning Auth./Cabarrus Co. |
| Grant L. Campbell, MD, Brian Echevarria, and Jonathan L. Almond | HB 205 | 02/25/2025 | SchCalFlex/Cabarrus/Open Cal. |
| Grant L. Campbell, MD, Carson Smith, Jennifer Balkcom, and Sarah Stevens | HB 164 | 02/21/2025 | Parental Consent to Release Child Autopsies. |
| Grant L. Campbell, MD | HB 176 | 02/21/2025 | SchCalFlex/Kannapolis/Open Cal. |
| Grant L. Campbell, MD and Harry Warren | HB 136 | 02/17/2025 | Town of Faith/Even-Yr. Elect./Four-Yr.Terms. |
| Grant L. Campbell, MD, Allen Buansi, Heather H. Rhyne, and Jarrod Lowery | HB 145 | 02/17/2025 | Funds for Diabetes Research Institute/UNC-CH. |
| Grant L. Campbell, MD and Jarrod Lowery | HB 146 | 02/17/2025 | Remote License Renewal/Active Duty Military. |
| Grant L. Campbell, MD, Allen Chesser, Donnie Loftis, and Mike Schietzelt | HB 118 | 02/13/2025 | Disabled Veterans Tax Relief Bill. |
| Grant L. Campbell, MD, Mark Brody, Rodney D. Pierce, and Timothy Reeder, MD | HB 128 | 02/13/2025 | Establish Prostate Cancer Control Program. |
| Grant L. Campbell, MD, Blair Eddins, Keith Kidwell, and Wyatt Gable | HB 98 | 02/11/2025 | Patriotism Expression Act. |
| Grant L. Campbell, MD, Donnie Loftis, and Harry Warren | HB 75 | 02/10/2025 | Pharmaceutical Full Disclosure Act. |
| Grant L. Campbell, MD, Erin Paré, Mike Schietzelt, and Tricia Ann Cotham | HB 76 | 02/10/2025 | Protect Access to In Vitro Fertilization. |
| Grant L. Campbell, MD, Allen Chesser, Dante Pittman, and Kelly E. Hastings | HB 69 | 02/06/2025 | Military and Veterans Educational Promise Act. |
| Grant L. Campbell, MD, Donny Lambeth, Larry W. Potts, and Timothy Reeder, MD | HB 67 | 02/05/2025 | Healthcare Workforce Reforms. |
| Grant L. Campbell, MD, Donny Lambeth, Kelly E. Hastings, and Timothy Reeder, MD | HB 49 | 02/04/2025 | Filial Debt Fairness Act. |
| Grant L. Campbell, MD | HB 32 | 02/03/2025 | China Grove Even Year Elections. |
| Grant L. Campbell, MD, David Willis, Harry Warren, and John R. Bell, IV | HB 12 | 01/29/2025 | Observe Standard Time All Year. |



