North Carolina 2025 2025-2026 Regular Session

North Carolina House Bill H553 Introduced / Bill

Filed 03/27/2025

                    GENERAL ASSEMBLY OF NORTH CAROLINA 
SESSION 2025 
H 	D 
HOUSE BILL DRH30228-NJ-3  
 
 
 
Short Title: Ensuring Patient Safety w/Mail Order Meds. 	(Public) 
Sponsors: Representative N. Jackson. 
Referred to:  
 
*DRH30228 -NJ-3* 
A BILL TO BE ENTITLED 1 
AN ACT REVISING ABORTION-INDUCING DRUG LAWS . 2 
The General Assembly of North Carolina enacts: 3 
SECTION 1.(a) G.S. 14-44.1 reads as rewritten: 4 
"§ 14-44.1.  Providing or advertising abortion-inducing drugs to pregnant woman. 5 
(a) Offense. – All of the following are unlawful: 6 
(1) For any individual within the State, individual, including a physician, an 7 
employee or contractor of a physician's office or clinic, or other abortion 8 
provider, or organization within the State, organization, including a 9 
physician's office or clinic or other abortion provider, to mail, provide, or 10 
supply an abortion-inducing drug directly to a pregnant woman in violation of 11 
G.S. 90-21.83A(b)(2)a. Lack of knowledge or intent that the 12 
abortion-inducing drug will be administered outside the physical presence of 13 
a physician shall not be a defense to a violation of this subdivision.unless all 14 
of the following conditions are satisfied: 15 
a. At least 72 hours prior to mailing, providing, or supplying an 16 
abortion-inducing drug, a qualified physician or qualified professional 17 
informs the pregnant woman, in person, of the information contained 18 
in the consent form identified in G.S. 90-21.83A(b). 19 
b. With the exception of G.S. 90-21.83A(b)(2)b., all other informed 20 
consent requirements identified in G.S. 90-21.83A(b) are satisfied. 21 
c. The abortion-inducing drugs being mailed, provided, or supplied are 22 
FDA approved. 23 
(2) For any manufacturer or supplier of an abortion-inducing drug to ship or cause 24 
to be shipped any abortion-inducing drug directly to a pregnant woman in 25 
violation of G.S. 90-21.83A(b)(2)a. Lack of knowledge or intent that the 26 
abortion-inducing drug will be administered outside the physical presence of 27 
a physician shall not be a defense to a violation of this subdivision.unless all 28 
the following conditions are satisfied: 29 
a. At least 72 hours prior to mailing, providing, or supplying an 30 
abortion-inducing drug, a qualified physician or qualified professional 31 
informs the pregnant woman, in person, of the information contained 32 
in the consent form identified in G.S. 90-21.83A(b). 33 
b. With the exception of G.S. 90-21.83A(b)(2)b., all other informed 34 
consent requirements identified in G.S. 90-21.83A(b) are satisfied. 35 
H.B. 553
Mar 27, 2025
HOUSE PRINCIPAL CLERK General Assembly Of North Carolina 	Session 2025 
Page 2  	DRH30228-NJ-3 
c. The abortion-inducing drugs being mailed, provided, or supplied are 1 
FDA approved. 2 
(3) For any individual or organization to purchase or otherwise procure an 3 
advertisement, host or maintain an internet website, or provide an internet 4 
service purposefully directed to a pregnant woman who is a resident of this 5 
State when the individual or organization knows that the purpose of the 6 
advertisement, website, or internet service is solely to promote the sale of an 7 
abortion inducing drug to be administered to a woman in violation of 8 
G.S. 90-21.83A(b)(2)a. 9 
(4) Lack of knowledge or intent that the abortion-inducing drug will be 10 
administered outside the physical presence of a physician shall not be a 11 
defense to a violation of this subsection. 12 
(b) Punishment. – An individual or organization who violates this section commits an 13 
infraction as defined in G.S. 14 3.1 and is subject to a fine of five thousand dollars ($5,000) per 14 
violation.a Class H felony. 15 
(b1) Cause of Action. – Any of the following may bring a civil action for relief in a court 16 
of competent jurisdiction: 17 
(1) A woman who has suffered an injury from an alleged violation of this section. 18 
(2) A parent or guardian of a minor who has suffered an alleged violation of this 19 
section. 20 
(3) The Attorney General if the Attorney General has reason to believe that a 21 
person has violated or is violating this section and the violation affects one or 22 
more residents of this State. 23 
(b2) Statute of Limitations. – A person shall have three years from the date of the alleged 24 
violation or from the date of the initial discovery of an alleged violation. If the woman was a 25 
minor at the time of an alleged violation, then the woman shall have three years from the date 26 
that she attains the age of majority, or if brought by a parent or guardian, within three years of 27 
the date of the alleged violation or from the date of the initial discovery of an alleged violation. 28 
(b3) Civil Remedies. – In addition to any other civil or criminal penalty authorized by law, 29 
any person authorized to institute a civil action for relief under this section may seek and a court 30 
may award any or all of the following types of relief: 31 
(1) An injunction to enjoin continued violation of this section. 32 
(2) Compensatory and punitive damages. 33 
(3) All costs, expenses, and fees related to the civil suit investigation and 34 
proceedings associated with the violation, including attorneys' fees. 35 
(4) Any other remedies deemed appropriate by the court of competent 36 
jurisdiction. 37 
(b4) Additional Injunctive Relief. – A spouse, parent, or guardian of a woman who 38 
suffered an alleged violation of this section may bring an action of injunctive relief against a 39 
supplier or manufacturer of abortion-inducing drugs in violation of subdivision (a)(2) of this 40 
section. 41 
(b5) Frivolous; Bad Faith. – If a court finds that a person's civil action for relief was 42 
frivolous or brought in bad faith, then the court shall tax as part of the costs reasonable attorneys' 43 
fees in favor of the defendant against the plaintiff. 44 
(b6) Certificate of Authority. – Notwithstanding any other provision of law, a foreign 45 
nonprofit or business entity engaged in the shipping, delivering, or procuring of 46 
abortion-inducing drugs to or in this State is deemed to be conducting affairs in this State and 47 
shall apply for and maintain a certificate of authority from the Secretary of State in accordance 48 
with G.S. 55-15-03, 55A-15-03, 55B-16, 57D-2-02, 57D-7-03, 59-91, and 59-902 and any other 49 
law of this State governing the conduct of affairs by foreign entities in this State. A court of 50  General Assembly Of North Carolina 	Session 2025 
DRH30228-NJ-3  	Page 3 
competent jurisdiction in this State may exercise personal jurisdiction over a foreign corporation 1 
maintaining a certificate of authority pursuant to this subsection. 2 
(c) Definitions. – The following definitions apply in this section: 3 
(1) Abortion-inducing drug. – As defined in G.S. 90-21.81(1a). 4 
(2) Organization. – As defined in G.S. 15A-773(c)." 5 
SECTION 1.(b) This section becomes effective December 1, 2025, and applies to 6 
offenses committed on or after that date. 7 
SECTION 2. Except as otherwise provided, this act is effective when it becomes 8 
law. 9