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.

Program Rule Citation Public Comment Period Public Hearing Proposed Effective Date
Adult Care Home and Family Care Home Rules 10A NCAC 13F .0206, .0301, .0302, .0304-.0307, .0309-.0311, .0801, .0802, .01304, .1501, .1601-.1605. 10A NCAC 13G .0206, .0301, .0302, .0305-.0309, .0312, .0315-.0318, .0801, .0802, and .1601-.1605 September 16, 2024 - November 15, 2024 October 22, 2024 Group A: February 1, 2025
Group B: May 1, 2025
Group C: August 1, 2025
Radiation Protection Rules 10A NCAC 15 .1801 August 1, 2024 - September 30, 2024 September 25, 2024 Effective Pending Legislative Approval
Radiation Protection Rules 10A NCAC 15.0101-.0112, .0114-.0118, .0311, .0313, .0316, .0345, .0346, .1001, .1601 September3, 2024 - November 4, 2024 October 23, 2024 May 1, 2025

Rules for Periodic Review

Here you will find information on the rules for periodic review: NC DHHS: Rules Review

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 .0703, .0704, .1103, .1104, .1106; 10A NCAC 13G .0702, .0703, .0704, .1102, .1103, .1106 January 31, 2024 June 1, 2024
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 June 26, 2024 September 1, 2024
Certificate of Need Rules 10A NCAC 14C .1401, .1403, .2703 December 14, 2023 January 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 March 27, 2024 April 1, 2024
Jails, Local Confinement Facilities Rule 10A NCAC 14J .1307 RRC objection March 16, 2023 Rule not effective in the NCAC
Nursing Pool Licensure Rules 10A NCAC 13L .0301, .0302 March 27, 2024 April 1, 2024
Radiation Protection Rules 10A NCAC 15 .0501-.0517, .0519-.0525 April 30, 2024 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 April 30, 2024 May 1, 2024
Radiation Protection Rules 10A NCAC 15 .1801 Session Law 2023-91, Section 2( c) exempts rules adopted by the Department from RRC review. February 14, 2024
Radiation Protection Rules 10A NCAC 15 .0801-.0808 October 30, 2024 November 1, 2024
Licensure of Suitable Facilities for the Performance of Surgical Abortions Rules 10A NCAC 14E .0101, .0106, .0107, .0109, .0111 August 28, 2024 September 1, 2024
Licensure of Suitable Facilities for the Performance of Surgical Abortions Rules 10A NCAC 13S .0101, .0104, .0201, .0207, .0212 and .0318-.0331 July 24, 2024 October 1, 2024

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.