NC S163

Requires physicians to notify at least one parent or legal guardian before issuing a do not resuscitate (DNR) order for an unemancipated minor patient with a terminal condition, with notification provided orally and in writing unless urgent circumstances require oral-only notification.

Mandates physicians make reasonable attempts to inform the other parent if contact information is available and that parent has custodial or visitation rights.

Prohibits physicians from issuing DNR orders if either parent or legal guardian objects, unless the objecting parent withdraws their objection or a court permits the order.

Requires physicians to contemporaneously document all communications, attempted communications, and objections in the patient's medical record, including participants, dates, times, and method of notification.

Allows either parent or legal guardian to petition district court to resolve disputes when parents cannot agree on DNR orders, with DNR orders prohibited until the court makes a final determination.

Becomes effective October 1, 2019.