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 |
|---|---|---|---|---|
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .1801, .1802; 10A NCAC 13G .1701, .1702 | April 1, 2021 – June 1, 2021 | May 11, 2021 | October 1, 2021 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .0405, .0509, .1213; 10A NCAC 13G .0509, .1214 | June 15, 2021 – August 16, 2021 | August 4, 2021 | January 1, 2022 |
| 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 | July 15, 2021 – September 13, 2021 | August 31, 2021 | January 1, 2022 |
| Hospice Facilities Rules | 10A NCAC 13K .1109, .1112, .1113, .1114, .1115, .1116, .1201, .1204, .1205, .1206, .1207, .1208, .1209, .1210, .1211, .1212 | March 15, 2021 – May 14, 2021 | April 28, 2021 | October 1, 2021 |
| Nursing Home Rule | 10A NCAC 13D .2001 | March 15, 2021 – May 14, 2021 | April 28, 2021 | October 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 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .1801, .1802; 10A NCAC 13G .1701, .1702 | December 17, 2020 | December 30, 2020 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .0403, .0406; 10A NCAC 13G .0402, .0403, .0405 | July 17, 2021 | July 1, 2021 |
| Ambulatory Surgical Facilities Rules | 10A NCAC 13C .1401, .1402, .1403, 1404, .1405-.1407, .1408-.1409, .1410 | December 19, 2019 | January 1, 2020 |
| Ambulatory Surgical Facility Rules | 10A NCAC 13C .0202, .0203, .0301, .0501, .0702, .0902 | December 17, 2020 | January 1, 2021 |
| Certificate of Need Rule | 10A NCAC .2203 | January 16, 2020 | February 1, 2020 |
| Certificate of Need Rules | 10A NCAC 14C .0202, .0203, .0205, .0303, .2101, .2103, .2201, .2203, .3901, .3903 | December 17, 2020 | January 1, 2021 |
| Certifications of Clinics for Abortion Rules | 10A NCAC 14E .0105, .0312, .0316 | January 21, 2021 | February 1, 2021 |
| Emergency Medical Services and Trauma Rules | 10A NCAC 13P .0101, .0102, .0222, .0501, .0502, .0504, .0507, .0508, .0510, .0512, .0601, .0602, .0905, .1101, .1401, .1403, .1404, .1405, .1505, .1507, .1511 | June 17, 2021 | July 1, 2021 and January 1, 2022 |
| Healthcare Personnel Registry Rule | 10A NCAC 13O .0301 | June 18, 2020 | June 26, 2020 |
| Healthcare Personnel Registry Rule | 10A NCAC 13O .0301 | March 18, 2021 | April 1, 2021 |
| Hospice Rules | 10A NCAC 13K .0102, .0401, .0604, .0701, .1104 | December 17, 2020 | January 1, 2021 |
| 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 Rules | 10A NCAC 13D .2001, .2506, .3003 | December 17, 2020 | January 1, 2021 |
| 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 |
|---|---|---|
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .1801, .1802; 10A NCAC 13G .1701, .1702 | October 23, 2020 |
| 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 |
| Emergency Medical Services and Trauma | 10A NCAC 13P .1402 | July 1, 2021 |
| Licensing of Hospitals | 10A NCAC 13B .3402, .4509, .4512, .4703, .4905, .5301, .5414 | October 1, 2019 |
| Licensing of Adult Care Homes of Seven or More Beds | 10A NCAC 13F .0504, .0903 | July 1, 2021 |
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.