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
- Rules Approved by the Rules Review Commission
- Rules Approved by Codifier
- Rules Revised by Codifier
- Archive of Rule Actions
- Periodic Review of Existing Rules
- DHSR Rule-making Interested Parties Listserv
- North Carolina Office of Administrative Hearings
- North Carolina Office of State Budget and Management
Proposed Rule Changes
Here you will find information and the steps used on proposed rule changes for the rules listed for each program.
| Program | Rule Citation | Public Comment Period | Public Hearing | Proposed Effective Date |
|---|---|---|---|---|
| Ambulatory Surgical Facility Rules | 10A NCAC 13C .0202, .0203, .0301, .0501, .0702, .0902 | June 15, 2020 – August 14, 2020 | July 28, 2020 | January 1, 2021 |
| Certificate of Need Rules | 10A NCAC 14C .0202, .0203, .0205, .0303, .2101, .2103, .2201, .2203, .3901, .3903 | July 15, 2020 – September 14, 2020 | August 25, 2020 | January 1, 2021 |
| Certifications of Clinics for Abortion Rules | 10A NCAC 14E .0105, .0312, .0316 | March 16, 2020 – May 15, 2020 | April 2, 2020 | February 1, 2021 |
| Healthcare Personnel Registry Rule | 10A NCAC 13O .0301 | September 15, 2020 – November 16, 2020 | October 20, 2020 | April 1, 2021 |
| Hospice Rules | 10A NCAC 13K .0102, .0401, .0604, .0701, .1104 | June 15, 2020 – August 14, 2020 | July 29, 2020 | January 1, 2021 |
| Nursing Home Rules | 10A NCAC 13D .2001, .2506, .3003 | June 15, 2020 – August 14, 2020 | July 14, 2020 | January 1, 2021 |
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 Date |
|---|---|---|---|
| Adult Care Homes and Family Care Homes Rules | 10A NCAC 13F .0203, .0207, .0214, .1206, 10A NCAC 13G .0207, .0214, .1207 | December 19, 2019 | January 1, 2020 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .0202, .0204, .0208, .0209, .0212; 10A NCAC 13G .0202, .0204, .0208, .0209, .0212, .0213 | May 21, 2020 | June 1, 2020 |
| Ambulatory Surgical Facilities Rules | 10A NCAC 13C .1401, .1402, .1403, 1404, .1405-.1407, .1408-.1409, .1410 | December 19, 2019 | January 1, 2020 |
| Certificate of Need Rule | 10A NCAC .2203 | January 16, 2020 | February 1, 2020 |
| Director, Division of Health Service Regulation Rules | 10A NCAC 14A .0101, .0102, .0103 | June 20, 2019 | July 1, 2019 |
| Exemptions from Prohibitions of Self-Referrals by Health Care Providers for Underserved Areas | 10A NCAC 14G .1010, .0102, .0103-.0104 | October 17, 2019 | November 1, 2019 |
| Healthcare Personnel Registry Rule | 10A NCAC 13O .0301 | June 18, 2020 | June 26, 2020 |
| Hospital Facilities Rules | 10A NCAC 13B .3102, .6101, .6102, .6103, .6207 | March 21, 2019 | April 1, 2019 |
| Hospital Facilities Rules | 10A NCAC 13B .6003, .6105, .6228 | N/A per S.L. 2017-174 | March 21, 2019 |
| Hospital Rules | 10A NCAC 13B .1902, .1915, .1918, .1925, .3001, .3101, .3110, .3204, .3205, .3302, .3303, .5412, .5413 | March 19, 2020 | April 1, 2020 |
| Hospital Rules | 10A NCAC 13B .3501-.3503, .3701-.3708 | June 18, 2020 | July 1, 2020 |
| Jails Rules | 10A NCAC 14J .0101-.0103, .0201, .0203, .0204, .0301-.0303, .0402-.0405, .0501, .0601, .0702, .0705, .0904, .1001, .1002, .1201-.1203, .1207, .1210, .1212-.1215, .1218, .1219, .1225, and .1226 | April 18, 2019 | September 4, 2020 |
| Nursing Home Hearings: Transfers and Discharges Rules | 10A NCAC 14A .0301, .0302, .0303 | December 13, 2018 | January 1, 2019 |
| Radiation Protection Fees Rule | 10A NCAC 15 .1106 | April 18, 2019 | May 1, 2019 |
| Radiation Protection Fees Rule | 10A NCAC 15 .1102, .1106 | June 18, 2020 | July 1, 2020 |
| Radiation Protection Rule | 10A NCAC 15 .1418 | September 17, 2020 | October 1, 2020 |
Rules Approved by Codifier
Here you will find the emergency rules approved by the Codifier of Rules for the rules listed for each program.
| Program | Rule Citation | Effective Date |
|---|---|---|
| Healthcare Personnel Registry Rule | 10A NCAC 13O .0301 | April 20, 2020 |
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.
| Program | Rule Citation | Effective Date |
|---|---|---|
| Stroke Center Designation | 10A NCAC 14L .0201 | August 1, 2019 |
| Certifications of Clinics of Abortion | 10A NCAC 14E .0202, .0315 | August 1, 2019 |
| Licensing of Ambulatory Surgical Facilities | 10A NCAC 13C .0802 | September 1, 2019 |
| Licensing of Overnight Respite Services | 10A NCAC 13E .0201, .0702 | September 1, 2019 |
| Emergency Medical Services and Trauma | 10A NCAC 13P .0102, .0221, .0507, .0508, .0901 | September 1, 2019 |
| Licensing of Hospitals | 10A NCAC 13B .3402, .4509, .4512, .4703, .4905, .5301, .5414 | October 1, 2019 |
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.