---
type: "Bill"
title: "The No Patient Left Alone Act."
description: "The No Patient Left Alone Act."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2021"
identifier: "SB 191"
citation: "North Carolina SB 191 (2021)"
classification: ["bill"]
subjects: ["CHAPTERED", "CLINICS", "CONTINUING CARE FACILITIES", "DEATH & DYING", "DHHS", "DISASTERS & EMERGENCIES", "DISEASES & HEALTH DISORDERS", "FAMILY ISSUES", "HEALTH EDUCATION", "HEALTH SERVICES", "HOSPICES", "HOSPITALS", "PATIENT RIGHTS", "PRESENTED", "PUBLIC", "PUBLIC HEALTH", "PUBLIC HEALTH EMERGENCY", "RATIFIED"]
status: "enacted"
primary_sponsors: ["Daniel", "Krawiec"]
version_count: 8
action_count: 48
vote_count: 2
first_action: "2021-03-08"
last_action: "2021-10-15"
source: "openstates"
source_identifier: "ocd-bill/f0d12b85-4526-4a81-968b-a1082ccd5676"
source_url: "https://www.ncleg.gov/BillLookUp/2021/S191"
source_hash: "245df8b30dfd8abe62a3a7f62f13774d7982ff0ebb2578110355f551be6e9b0a"
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 SB 191 (2021) — The No Patient Left Alone 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/Senate/PDF/S191v0.pdf)
2. **A1: ASH-51-V-1** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2021/52736/0/S191-ASH-51-V-1)
3. **A1: Scanned Document** (committee substitute) — [source](https://webservices.ncleg.gov/ViewBillDocument/2021/51369/0/S191-A-NBC-8938)
4. **Edition 1** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/Senate/PDF/S191v1.pdf)
5. **Edition 2** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/Senate/PDF/S191v2.pdf)
6. **Edition 3** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/Senate/PDF/S191v3.pdf)
7. **Ratified** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/Senate/PDF/S191v4.pdf)
8. **SL 2021-171** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/Senate/PDF/S191v5.pdf)

## Votes

- C RPT Adoption — **79–19** (pass) · lower
- Conference Rpt Motion 8 To Adopt — **49–0** (pass) · upper

## Sponsors

- Daniel — primary (person)
- Krawiec — primary (person)
- Alexander — cosponsor (person)
- Britt — cosponsor (person)
- Burgin — cosponsor (person)
- Galey — cosponsor (person)
- Hise — cosponsor (person)
- Johnson — cosponsor (person)
- Lee — cosponsor (person)
- McInnis — cosponsor (person)
- Newton — cosponsor (person)
- Steinburg — cosponsor (person)

## Timeline

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

- **2021-10-15** Ch. SL 2021-171 `became-law`
- **2021-10-15** Signed by Gov. 10/15/2021 `executive-signature`
- **2021-10-08** Pres. To Gov. 10/8/2021 `executive-receipt`
- **2021-10-07** Ratified
- **2021-10-06** Ordered Enrolled
- **2021-10-06** Conf Report Adopted
- **2021-10-05** Placed On Cal For 10/06/2021
- **2021-10-05** Withdrawn From Com
- **2021-09-27** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2021-09-27** Conf Com Reported
- **2021-09-23** Conf Report Adopted
- **2021-09-23** Added to Calendar
- **2021-09-23** Conf Com Reported
- **2021-08-31** Conf Com Appointed
- **2021-08-30** Conf Com Appointed
- **2021-08-24** Fail Concur In H Amend S191v3
- **2021-08-23** Placed On Cal For 08/24/2021
- **2021-08-23** Regular Message Received For Concurrence in H Amend
- **2021-08-19** Regular Message Sent To Senate
- **2021-08-18** Passed 3rd Reading `passage, reading-3`
- **2021-08-18** Passed 2nd Reading `reading-2`
- **2021-08-18** Amend Adopted A1 `amendment-passage`
- **2021-08-18** Added to Calendar
- **2021-08-18** Cal Pursuant Rule 36(b)
- **2021-08-18** Serial Referral To Rules, Calendar, and Operations of the House Stricken
- **2021-08-18** Reptd Fav `committee-passage-favorable`
- **2021-08-04** Re-ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2021-08-04** Withdrawn From Com
- **2021-05-10** Ref To Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2021-05-10** Passed 1st Reading `reading-1`
- **2021-05-06** Regular Message Received From Senate
- **2021-05-06** Regular Message Sent To House
- **2021-05-05** Engrossed
- **2021-05-05** Passed 3rd Reading `passage, reading-3`
- **2021-05-05** Passed 2nd Reading `reading-2`
- **2021-05-05** Amend Adopted A1 `amendment-passage`
- **2021-05-04** Placed On Cal For 05/05/2021
- **2021-05-04** Withdrawn From Cal
- **2021-04-29** Placed On Cal For 05/04/2021
- **2021-04-29** Reptd Fav `committee-passage-favorable`
- **2021-04-28** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2021-04-28** Com Substitute Adopted
- **2021-04-28** Reptd Fav Com Substitute `committee-passage-favorable`
- **2021-03-25** Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2021-03-25** Withdrawn From Com
- **2021-03-09** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2021-03-09** Passed 1st Reading `reading-1`
- **2021-03-08** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f0d12b85-4526-4a81-968b-a1082ccd5676`. Confidence: reported (aggregated from official North Carolina legislature records).