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Illinois and North Carolina: health record laws compared
Illinois and North Carolina, side by side on the seven questions, with the laws read October 3, 2026. They give different answers on getting a copy, genetic records, breach notice and AI in care, and the same answer on everything else.
The seven questions, side by side
"Differs" marks a question where the answers are not the same; "same" marks one where they are. "Can't compare" means at least one answer was not checked; a not-checked answer is not a no. Where a question has a map, the small square shows the color each column has on it. Each citation opens that state's page, with the law quoted, dated and linked. There is no total and no rank: the questions are on different scales, and some have no best answer.
| Question | Illinois | North Carolina |
|---|---|---|
| Health data outside HIPAADo apps and wearables need your OK before sharing health data?same | No law foundWe searched the official code and found none.How we searched | No law foundWe searched the official code and found none.How we searched |
| Getting a copyDo you get a copy faster or free in some cases?differs | Free copy in some casesIn one way: a free copy in at least one case.Another law is signed and takes effect January 1, 2027.735 ILCS 5/8-2001(h); 735 ILCS 5/8-2001(e) | NeitherNo. A law is in force, but it adds nothing to HIPAA's terms.N.C. Gen. Stat. 90-411 |
| Health information exchangeCan you say no to sharing through a health information exchange (a network that passes records between doctors)?same | Opt-outOpt-out. Your records go through the exchange unless you say no, and there is a published way to say no.Another law is signed and takes effect July 1, 2027.410 ILCS 50/3; 740 ILCS 110/9.6 | Opt-outOpt-out. Your records go through the exchange unless you say no, and there is a published way to say no.N.C. Gen. Stat. 90-414.10; N.C. Gen. Stat. 90-414.11(a)(2) |
| Are some sensitive records, like mental health or HIV, given extra rules? These answers record whether a rule exists and what it says. They say nothing about whether any care is legal or available. | ||
| Reproductive health recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.Another law is signed and takes effect July 1, 2027.735 ILCS 35/3.5; 735 ILCS 40/28-10 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.N.C. Gen. Stat. 90-21.93(g) |
| Mental health recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.740 ILCS 110/5 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.N.C. Gen. Stat. 122C-52(c) |
| HIV recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.410 ILCS 305/9 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.N.C. Gen. Stat. 130A-143; 10A NCAC 41A .0101(b) |
| Genetic recordsdiffers | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.Another law is signed and takes effect January 1, 2027.410 ILCS 513/15(a); 410 ILCS 513/15(a), as amended by P.A. 104-642 | No law foundWe searched the official code and found none.How we searched |
| Right to sueCan you sue if your records are misused?same | Narrow case onlyOnly in a narrow case, such as a data breach or one kind of record. The laws below say which.Another law is signed and takes effect July 1, 2027.410 ILCS 513/40; 410 ILCS 305/13 | Narrow case onlyOnly in a narrow case, such as a data breach or one kind of record. The laws below say which.N.C. Gen. Stat. 75-65(i); N.C. Gen. Stat. 75-16 |
| Breach noticeMust you be told if health data leaks in a breach?differs | Medical and insurance dataYes. The breach notice law covers both medical information and health insurance information.815 ILCS 530/5; 815 ILCS 530/10 | NeitherNo. The breach notice law covers neither medical nor health insurance information.N.C. Gen. Stat. 75-61(10); N.C. Gen. Stat. 14-113.20(b) |
| AI in careAre there rules for AI used in your care?differs | 2 of 3 rulesTwo of the three rules are in force. You must be told when AI is used in your care. A licensed clinician decides, not AI alone.225 ILCS 155/15(b); 225 ILCS 155/20(b)(3) | No law foundWe searched the official code and found none.How we searched |
Not legal advice. This records what each law said on the date we read it. Laws and court orders change. State laws add to the federal floor. The United States score in the world index rates only federal law and national systems, so these state profiles do not change it.
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Health Record Rights Index by SuperTruth. Research tool, not legal advice. Our own words are CC BY 4.0; quoted law and source titles stay with their owners.