This is a listing of N.C. Administrative Code rule change activity within the division and helpful information about rules from the North Carolina Office of Administrative Hearings.

Proposed Rule Changes

Here you will find information and the steps used on proposed rule changes for the rules listed for each program.

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Program Rule Citation Public Comment Period Public Hearing Proposed Effective Date
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0102, .0402, .0404, .408, .0601, .0602, .0603, .0604, .0605, .0606, .0607, .0608, .0609; 10A NCAC 13G .0102, .0404, .0601 December 16, 2023 - January 30, 2024 January 24, 2024 September 1, 2024
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0101, .0102, .0201, .0207, .0216, .0217, .0218, .0221, .0224, .0301, .0401, .0402, .0403, .0404, .0407, .0410, .0502, .0503, .0512, .0601, .0602, .0904, .0905, .1505, .1507 September 15, 2023 - November 14, 2023 November 8, 2023 April 1, 2024
MCC Executive Committee Rules 10A NCAC 13A .0101, .0201, .0202, .0203 February 8, 2024 - April 8, 2024 N/A- Periodic Review Determination N/A- Periodic Review Determination
Nursing Pool Licensure Rules 10A NCAC 13L .0301, .0302 September 15, 2023 - November 14, 2023 November 9, 2023 April 1, 2024
Radiation Protection Rules10A NCAC 15 .0501-.0517, .0519-.0525 September 1, 2023 - October 31, 2023 October 25, 2023 May 1, 2024
Radiation Protection Rules 10A NCAC 15 .0301-.0305, .0307-.0310, .0312. .0314-.0315, .0317-.0322, .0324, .0327-.0335, .0337-.0344, .0348, .0351-.0365, .0701-.0702 October 15, 2023- December 15, 2023 December 6, 2023 May 1, 2024
Radiation Protection Rules 10A NCAC 15 .1801 November 27, 2023- December 18, 2023 December 4, 2023 February 23, 2024

Rules Approved by Rules Review Commission

Here you will find information and the steps used to get Rules Review Commission approval for the rules listed for each program.

Program Rule Citation Approved by Rules Review Commission Effective
Adult Care Home and Family Care Home Rules 10A NCAC 13F .1801, .1802; 10A NCAC 13G .1701, .1702 November 18, 2021 August 23, 2022
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0405, .0509, .1213; 10A NCAC 13G .0509, .1214 December 16, 2021 and January 20, 2022 January 1, 2022 and February 1, 2022
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0404, .0407, .0501, .0502, .0503, .0504, .0508, .0905, .1006, .1008, .1010, .1207; 10A NCAC 13G .0404, .0406, .0501, .0502, .0503, .0504, .0507, .0508, .0903, .0905, .1005, .1006, .1208 September 15, 2022 October 1, 2022
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0904; 10A NCAC 13G .0904 February 16, 2023 March 1, 2023
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0702, .1307; 10A NCAC 13G .0504, .0705, .1301 March 15, 2023 - May 15, 2023 April 27, 2023
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0703, .0704, .1103, .1104, .1106; 10A NCAC 13G .0702, .0703, .0704, .1102, .1103, .1106 January 31, 2024 June 7, 2024
Certificate of Need Rules 10A NCAC 14C .1601, .1603, .1701, .1703, .1901, .1903, .2301, .2303, .2401, .2403, .2501, .2503, .2601, .2603, .2701, .2703, .3701, .3703 December 16, 2021 and January 20, 2022 January 1, 2022 and February 1, 2022
Certificate of Need Rules 10A NCAC 14C .1403, .2703 January 19, 2023 January 27, 2023
Certificate of Need Rules 10A NCAC 14C .1401, .1403, .2703 December 14, 2023 January 1, 2024
Hospital Rules 10A NCAC 13B .3801, .3903, .4103, .4104, .4106, .4305, .4603, .4801, .4805, .5102, .5105, .5406, .5408, .5411 July 20, 2023 August 1, 2023
Jails, Local Confinement Facilities Rule 10A NCAC 14J .1307 RRC objection March 16, 2023 Rule not effective in the NCAC
N.C. Medical Care Commission Rule 10A NCAC 13A .0201 September 21, 2023 October 1, 2023
Radiation Protection Rules 10A NCAC 15 .1301-.1327 September 15, 2022 October 1, 2022
Radiation Protection Rules 10A NCAC 15 .0113, .0323, .0349, .1201-.1231, .1233-.1242, .1501-.1517, .1650-.1652, .1701 April 20, 2023 May 1, 2023
Radiation Protection Rules 10A NCAC 15 .1001-.1008, .1601-.1649, .1653 September 21, 2023 October 1, 2023

Rules Revised by Codifier

Session Law 2019-140 granted authority to the Codifier of Rules to revise rules with technical changes. Here you will find the rules revised by the Codifier for each program.

Licensing of Adult Care Homes of Seven or More Beds 10A NCAC 13F .0508, .0704 April 1, 2022
Licensing of Family Care Homes 10A NCAC 13G .0508, .0703, .1501 April 1, 2022
Certificate of Need 10A NCAC 14C .0102 February 1, 2022

Rules for Codifier Approval

This is a listing of emergency rules within the Division for approval by the Codifier of Rules.

Program Rule Citation Effective Date
Licensure of Suitable Facilities for the Performance of Surgical Abortions Rules 10A NCAC 14E .0101, .0102, .0104, .0106, .0107, .0108, .0109, .0110, .0111, .0112, .0201, .0202, .0207, .0315 June 30, 2023
Licensure of Suitable Facilities for the Performance of Surgical Abortions Rules 10A NCAC 14E .0113, .0114, .0209, .0210, .0211, .0212, .0213, .0317, .0318, .0319, .0320, .0321, .0322, .0323, .0324, .0325, .0326, .0327, .0328, .0329, .0330, .0331, .0403, .0404 July 18, 2023

North Carolina Office of Administrative Hearings

North Carolina Register

The North Carolina Register is issued twice a month by the North Carolina Office of Administrative Hearings (OAH). G.S. 150B requires some rules and notices to be published in the North Carolina Register. You can find the division's rules and notices that are put in the North Carolina Register on the OAH website.

North Carolina Office of Administrative Hearings Proposed Temporary Rules Listing

G.S. 150B-21.1 requires the North Carolina Office of Administrative Hearings (OAH) to post all proposed temporary rules and notices on their website. You can find the division's proposed temporary rules and notices on the OAH website.

North Carolina Office of State Budget and Management

The North Carolina Office of State Budget and Management (OSBM) reviews and approves the fiscal and regulatory impact analysis of permanent rule changes proposed by the division. You can find information on fiscal impact analysis development and the division's approved regulatory impact analyses on the OSBM website.

Substantial Economic Impact
Before a rule is published in the North Carolina Register, G.S. 150B-21.4(b1) requires OSBM to approve the fiscal impact analysis of the proposed text of a permanent rule change that would have an economic impact of at least one million dollars ($1,000,000) in a 12-month period, also called a "Substantial Economic Impact." OSBM must also check the fiscal impact analysis to be sure that G.S. 150B-19.1(a)(2),(5), and (6) were followed. You can find the division's regulatory impact analysis for rules with a substantial economic impact on the OSBM website.