# North Carolina HB 591: AN ACT ENACTING THE G.U.A.R.D. (GUARANTEEING UNINTERRUPTED ACCESS TO RESIDENT DIGNITY) ACT TO PERMIT RESIDENTS OF NURSING HOMES AND ADULT CARE HOMES, AND THEIR FAMILIES, TO MONITOR RESIDENTS THROUGH THE USE OF ELECTRONIC MONITORING DEVICES AT THE EXPENSE OF THE RESIDENTS; TO REQUIRE NURSING HOMES AND ADULT CARE HOMES TO PROVIDE A POWER SOURCE AND MOUNTING SPACE FOR ELECTRONIC MONITORING DEVICES; TO PROHIBIT NURSING HOMES AND ADULT CARE HOMES FROM REFUSING TO ADMIT RESIDENTS BECAUSE OF A REQUEST TO INSTALL AN ELECTRONIC MONITORING DEVICE; TO ALLOW RECORDINGS FROM RESIDENTS' ELECTRONIC MONITORING DEVICES TO BE ADMISSIBLE IN CRIMINAL AND CIVIL ACTIONS, SUBJECT TO THE RULES OF EVIDENCE; AND TO IMPOSE CRIMINAL PENALTIES ON NURSING HOMES AND ADULT CARE HOMES FOR VIOLATIONS OF THE G.U.A.R.D. ACT.

North Carolina HB 591, AN ACT ENACTING THE G.U.A.R.D. (GUARANTEEING UNINTERRUPTED ACCESS TO RESIDENT DIGNITY) ACT TO PERMIT RESIDENTS OF NURSING HOMES AND ADULT CARE HOMES, AND THEIR FAMILIES, TO MONITOR RESIDENTS THROUGH THE USE OF ELECTRONIC MONITORING DEVICES AT THE EXPENSE OF THE RESIDENTS; TO REQUIRE NURSING HOMES AND ADULT CARE HOMES TO PROVIDE A POWER SOURCE AND MOUNTING SPACE FOR ELECTRONIC MONITORING DEVICES; TO PROHIBIT NURSING HOMES AND ADULT CARE HOMES FROM REFUSING TO ADMIT RESIDENTS BECAUSE OF A REQUEST TO INSTALL AN ELECTRONIC MONITORING DEVICE; TO ALLOW RECORDINGS FROM RESIDENTS' ELECTRONIC MONITORING DEVICES TO BE ADMISSIBLE IN CRIMINAL AND CIVIL ACTIONS, SUBJECT TO THE RULES OF EVIDENCE; AND TO IMPOSE CRIMINAL PENALTIES ON NURSING HOMES AND ADULT CARE HOMES FOR VIOLATIONS OF THE G.U.A.R.D. ACT., is a 2025-2026 Session House bill sponsored by Mark Brody (Republican), Donnie Loftis (Republican), David Willis (Republican); status in committee, last action 2025-04-01 (Re-ref Com On Rules, Calendar, and Operations of the House) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB591-2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Carolina HB 591
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT ENACTING THE G.U.A.R.D. (GUARANTEEING UNINTERRUPTED ACCESS TO RESIDENT DIGNITY) ACT TO PERMIT RESIDENTS OF NURSING HOMES AND ADULT CARE HOMES, AND THEIR FAMILIES, TO MONITOR RESIDENTS THROUGH THE USE OF ELECTRONIC MONITORING DEVICES AT THE EXPENSE OF THE RESIDENTS; TO REQUIRE NURSING HOMES AND ADULT CARE HOMES TO PROVIDE A POWER SOURCE AND MOUNTING SPACE FOR ELECTRONIC MONITORING DEVICES; TO PROHIBIT NURSING HOMES AND ADULT CARE HOMES FROM REFUSING TO ADMIT RESIDENTS BECAUSE OF A REQUEST TO INSTALL AN ELECTRONIC MONITORING DEVICE; TO ALLOW RECORDINGS FROM RESIDENTS' ELECTRONIC MONITORING DEVICES TO BE ADMISSIBLE IN CRIMINAL AND CIVIL ACTIONS, SUBJECT TO THE RULES OF EVIDENCE; AND TO IMPOSE CRIMINAL PENALTIES ON NURSING HOMES AND ADULT CARE HOMES FOR VIOLATIONS OF THE G.U.A.R.D. ACT.
- Status: in committee
- Chamber: House
- Introduced: 2025-03-31
- Last action: 2025-04-01, Re-ref Com On Rules, Calendar, and Operations of the House
- Sponsors: Mark Brody (Republican), Donnie Loftis (Republican), David Willis (Republican)
- Cosponsors: 6
- Subjects: COURTS, FINES & PENALTIES, HEALTH SERVICES, PUBLIC, CIVIL ACTIONS, FAMILY ISSUES, MONITORING & SURVEILLANCE SYSTEMS, CONTINUING CARE FACILITIES, PATIENT RIGHTS
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Mark Brody (Republican), House
- Sponsor: Donnie Loftis (Republican), House
- Sponsor: David Willis (Republican), House
- Cosponsor: Jake Johnson (Republican), House
- Cosponsor: Nasif Majeed (Independent), House
- Cosponsor: Jeffrey C. McNeely (Republican), House
- Cosponsor: Ben T. Moss, Jr. (Republican), House
- Cosponsor: Bill Ward (Republican), House
- Cosponsor: Diane Wheatley (Republican), House

## Actions (6)

- 2025-04-01: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-04-01: Withdrawn From Com (House)
- 2025-04-01: Serial Referral To Judiciary 2 Stricken (House)
- 2025-04-01: Ref to the Com on Health, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-04-01: Passed 1st Reading (House)
- 2025-03-31: Filed (House)

## Bill text

- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H591v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H591v1.pdf)

## Related bills

- HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H591v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H591v1.pdf)

## Related
- [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
- [North Carolina bills](https://policyrisk.com/states/north-carolina/bills)
- [North Carolina state hub](https://policyrisk.com/states/north-carolina)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/NC-HB591-2025 (as of 2026-11-01).