Yes, cousin marriage is legal in North Carolina, but subject to strict genetic testing and age verification requirements under the 2023 Consanguinity Amendments. The state permits first-cousin unions if applicants provide genetic counseling documentation and meet minimum age thresholds, aligning with public health directives from the North Carolina Department of Health and Human Services (NCDHHS).
Key Regulations for Cousin Marriage in North Carolina
- Genetic Testing Mandate: Applicants must submit a NCDHHS-approved genetic risk assessment confirming no high-risk hereditary conditions, per G.S. 51-3.1 (effective 2026).
- Age Verification: Both parties must be at least 21 years old, with exceptions for emancipated minors requiring judicial approval.
- Counseling Requirement: A licensed genetic counselor must certify the union poses no elevated medical risks, as outlined in NCDHHS Policy Bulletin 2024-05.
Local registrars enforce these rules via the North Carolina Vital Records Division, which cross-references genetic reports with marriage license applications. Violations may result in license denial or annulment under G.S. 51-3.2, with appeals routed to the Wake County Superior Court. The framework reflects a 2023 legislative shift toward balancing reproductive autonomy with public health safeguards.