---
type: "Bill"
title: "Down Syndrome Organ Transplant Nondiscrimination Act."
description: "Down Syndrome Organ Transplant Nondiscrimination Act."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2021"
identifier: "HB 642"
citation: "North Carolina HB 642 (2021)"
classification: ["bill"]
subjects: ["CHAPTERED", "DEVELOPMENTAL DISABILITIES", "DISABLED PERSONS", "DISCRIMINATION", "HEALTH", "HEALTH SERVICES", "HUMAN BLOOD & ORGANS", "INSURANCE", "INSURANCE", "MENTAL HEALTH", "ORGAN DONATIONS", "PRESENTED", "PUBLIC", "PUBLIC HEALTH", "RATIFIED"]
status: "enacted"
primary_sponsors: ["Bradford", "Lambeth", "Wray"]
version_count: 6
action_count: 36
vote_count: 2
first_action: "2021-04-21"
last_action: "2021-07-01"
source: "openstates"
source_identifier: "ocd-bill/58783607-c002-4007-821f-c898a1b13ce6"
source_url: "https://www.ncleg.gov/BillLookUp/2021/H642"
source_hash: "170ed9c7f20008ca110dd86c6e651ce03276d2900b843373abc405bb4643ff57"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nc"]
---

# North Carolina HB 642 (2021) — Down Syndrome Organ Transplant Nondiscrimination Act.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Filed** (filed) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v0.pdf)
2. **Edition 1** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v1.pdf)
3. **Edition 2** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v2.pdf)
4. **Edition 3** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v3.pdf)
5. **Ratified** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v4.pdf)
6. **SL 2021-64** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H642v5.pdf)

## Votes

- M11 Concur — **110–0** (pass) · lower
- Second Reading — **50–0** (pass) · upper

## Sponsors

- Bradford — primary (person)
- Lambeth — primary (person)
- Wray — primary (person)
- Autry — cosponsor (person)
- Ball — cosponsor (person)
- Belk — cosponsor (person)
- Brockman — cosponsor (person)
- Brown — cosponsor (person)
- Butler — cosponsor (person)
- Carney — cosponsor (person)
- Clampitt — cosponsor (person)
- Cleveland — cosponsor (person)
- Cunningham — cosponsor (person)
- Faircloth — cosponsor (person)
- Fisher — cosponsor (person)
- Gill — cosponsor (person)
- Graham — cosponsor (person)
- Harris — cosponsor (person)
- Harrison — cosponsor (person)
- Hawkins — cosponsor (person)
- Hunter — cosponsor (person)
- Insko — cosponsor (person)
- K. Baker — cosponsor (person)
- Logan — cosponsor (person)
- Lucas — cosponsor (person)
- McElraft — cosponsor (person)
- Moffitt — cosponsor (person)
- Moss — cosponsor (person)
- Pierce — cosponsor (person)
- Pittman — cosponsor (person)
- Pless — cosponsor (person)
- Quick — cosponsor (person)
- R. Smith — cosponsor (person)
- Riddell — cosponsor (person)
- Strickland — cosponsor (person)
- White — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-07-01** Ch. SL 2021-64 `became-law`
- **2021-07-01** Signed by Gov. 7/1/2021 `executive-signature`
- **2021-06-24** Pres. To Gov. 6/24/2021 `executive-receipt`
- **2021-06-23** Ratified
- **2021-06-22** Ordered Enrolled
- **2021-06-22** Concurred In S Com Sub `amendment-passage`
- **2021-06-21** Placed On Cal For 06/22/2021
- **2021-06-21** Cal Pursuant 36(b)
- **2021-06-17** Regular Message Received For Concurrence in S Com Sub
- **2021-06-17** Regular Message Sent To House
- **2021-06-15** Passed 3rd Reading `passage, reading-3`
- **2021-06-15** Passed 2nd Reading `reading-2`
- **2021-06-14** Reptd Fav `committee-passage-favorable`
- **2021-06-09** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2021-06-09** Com Substitute Adopted
- **2021-06-09** Reptd Fav Com Substitute `committee-passage-favorable`
- **2021-06-02** Re-ref Com On Judiciary `referral-committee`
- **2021-06-02** Reptd Fav `committee-passage-favorable`
- **2021-06-01** Re-ref to Health Care. If fav, re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2021-06-01** Withdrawn From Com
- **2021-05-27** Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2021-05-27** Withdrawn From Com
- **2021-05-12** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2021-05-12** Passed 1st Reading `reading-1`
- **2021-05-12** Regular Message Received From House
- **2021-05-12** Regular Message Sent To Senate
- **2021-05-11** Passed 3rd Reading `passage, reading-3`
- **2021-05-11** Passed 2nd Reading `reading-2`
- **2021-05-11** Added to Calendar
- **2021-05-11** Cal Pursuant Rule 36(b)
- **2021-05-11** Reptd Fav `committee-passage-favorable`
- **2021-05-11** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2021-05-11** Reptd Fav Com Substitute `committee-passage-favorable`
- **2021-04-26** Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2021-04-26** Passed 1st Reading `reading-1`
- **2021-04-21** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/58783607-c002-4007-821f-c898a1b13ce6`. Confidence: reported (aggregated from official North Carolina legislature records).