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 .0202, .0204, .0208, .0209, .0212; 10A NCAC 13G .0202, .0204, .0208, .0209, .0212, .0213 September 16, 2019 – November 15, 2019 October 30, 2019 April 1, 2020
Adult Care Homes and Family Care Homes Rules 10A NCAC 13F .0203, .0207, .0214, .1206, 10A NCAC 13G .0207, .0214, .1207 June 17, 2019 - August 16, 2019 August 7, 2019 January 1, 2020
Ambulatory Surgical Facilities Rules 10A NCAC 13C .1401, .1402, .1403, 1404, .1405-.1407, .1408-.1409, .14010 June 17, 2019 - August 16, 2019 July 25, 2019 January 1, 2020
Exemptions from Prohibitions of Self-Referrals by Health Care Providers for Underserved Areas 10A NCAC 14G .1010, .0102, .0103-.0104 July 1, 2019 - August 30, 2019 August 8, 2019 November 1, 2019
Hospital Rules 10A NCAC 13B .1902, .1915, .1918, .1925, .3001, .3101, .3110, .3204, .3205, .3302, .3303, .5412, .5413 September 16, 2019 – November 15, 2019 October 1, 2019 April 1, 2020
Radiation Protection Fees Rule 10A NCAC 15 .1102, .1106 October 1, 2019 – December 2, 2019 November 13, 2019 March 1, 2020

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
Certification of Cardiac Rehabilitation Program Rules 10A NCAC 14F .1203, .1301, .1401, .1802, .1901, .1903, .2101 May 17, 2018 June 1, 2018
Certificate of Need Rules 10A NCAC 14C .2101, .2103 January 25, 2018 February 1, 2018
Certificate of Need Rules 10A NCAC 14C .2101, .2103 November 15, 2018 December 1, 2018
Director, Division of Health Service Regulation Rules 10A NCAC 14A .0101, .0102, .0103 June 20, 2019 July 1, 2019
Emergency Medical Services and Trauma Rule 10A NCAC 13P .0204 March 16, 2017 June 1, 2018
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0224, .0410 December 14, 2017 January 1, 2018
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0102, .0201, .0222, .0301, .0505, .0506, .0904, .1502, .1505 June 14, 2018 July 1, 2018
Home Care Agencies Rules 10A NCAC 13J .0901, .1004, .1007, .1107, .1110, .1202, .1402, .1502 December 14, 2017 June 1, 2018
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 Facilities Rules 10A NCAC 13B .6001-.6002, .6104, .6201-.6206, .6208-.6227 December 14, 2017 January 1, 2018
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 Readoption effective pending legislative review
Nursing Home Hearings: Transfers and Discharges Rules 10A NCAC 14A .0301, .0302, .0303 December 13, 2018 January 1, 2019
Nursing Home Rule 10A NCAC 13D .2201 December 14, 2017 January 1, 2018
Radiation Protection Fees Rule 10A NCAC 15 .1106 April 18, 2019 May 1, 2019

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.