House committee substitute to the 1st edition rewrites the act so that it now provides as follows.

Enacts GS 14-401.28, concerning the willful destruction, alteration, or falsification of, or willful omission of information from medical records, as follows. Makes the following criminal offenses as described, unless the conduct is covered under some other provision of law providing greater punishment:

• A Class H felony when any health care provider knowingly and willfully destroys, alters, falsifies, or omits (collectively, “tamper with” or “tampering”)  information from a medical record, directs any individual to tamper with information from a medical record, or conspires with one or more health care providers to tamper with information from a medical record for the purpose of concealing  the commission of a medical error, or abuse or neglect of a patient, by a health care provider in providing medical services that caused serious injury to or the death of a patient.
• A Class A1 misdemeanor when any health care provider knowingly and willfully tampers with information from a medical record, directs any individual to tamper with information from a medical record, or conspires with one or more health care providers to tamper with information from a medical record for the purpose of concealing any material fact not covered under those acts constituting a Class H felony above, relating to any potential claim  or cause of action arising from a health care provider providing medical services.
• A Class I felony when any health care provider or other individual offers or receives money or any other thing of value in exchange for the destruction of, alteration of, falsification of, or omission of information from a medical record for either purpose identified above.

Specifies that nothing in the statute affects any civil remedies for actions punishable under the statute. Defines health care provider and medical record.  Applies to offenses committed on or after December 1, 2025. 

Changes the act's long title.