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 .0904; 10A NCAC 13G .0904 June 15, 2022 - August 15, 2022 July 19, 2022 January 1, 2023
Certificate of Need Rules 10A NCAC 14C .1102, .2001, .2003, .2801, .2803, .3801, .3803, .4001, .4003 July 15, 2022 - September 13, 2022 September 6, 2022 January 1, 2023
Certificate of Need Rules 10A NCAC 14C .1403, .2703 November 16, 2022 - December 9, 2022 November 28, 2022 January 27, 2023
Hospital Rules 10A NCAC 13B .3801, .3903, .4103, .4104, .4106, .4305, .4603, .4801, .4805, .5102, .5105, .5406, .5408, .5411 December 15, 2021 - February 14, 2022 January 5, 2022 July 1, 2022
Jails, Local Confinement Facilities Rule 10A NCAC 14J .1307 September 28, 2022 - October 19, 2022 October 13, 2022 February 24, 2023
Radiation Protection Rules 10A NCAC 15 .0113, .0323, .0349, .1201-.1231, .1233-.1242, .1501-.1517, .1650-.1652, .1701 October 17, 2022 - December 16, 2022 November 30, 2022 May 1, 2023

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 .0403, .0406; 10A NCAC 13G .0402, .0403, .0405 July 17, 2021 July 1, 2021
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
Ambulatory Surgical Facility Rules 10A NCAC 13C .0202, .0203, .0301, .0501, .0702, .0902 December 17, 2020 January 1, 2021
Certificate of Need Rules 10A NCAC 14C .0202, .0203, .0205, .0303, .2101, .2103, .2201, .2203, .3901, .3903 December 17, 2020 January 1, 2021
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
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 March 18, 2021 April 1, 2021
Hospice Rules 10A NCAC 13K .0102, .0401, .0604, .0701, .1104 December 17, 2020 January 1, 2021
Hospice Facilities Rules 10A NCAC 13K .1109, .1112, .1113, .1114, .1115, .1116, .1201, .1204, .1205, .1206, .1207, .1208, .1209, .1210, .1211, .1212 September 16, 2021 October 1, 2021
Nursing Home Rules 10A NCAC 13D .2001, .2506, .3003 December 17, 2020 January 1, 2021
Nursing Home Rule 10A NCAC 13D .2001 September 16, 2021 October 1, 2021
Radiation Protection Rules 10A NCAC 15 .1301-.1327 September 15, 2022 October 1, 2022

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.

Emergency Medical Services and Trauma 10A NCAC 13P .1402 July 1, 2021
Licensing of Adult Care Homes of Seven or More Beds 10A NCAC 13F .0504, .0903 July 1, 2021
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

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.