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 for Periodic Review
- Rules Approved by the Rules Review Commission
- 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 .0206, .0301, .0302, .0304-.0307, .0309-.0311, .0801, .0802, .01304, .1501, .1601-.1605. 10A NCAC 13G .0206, .0301, .0302, .0305-.0309, .0312, .0313, .0315-.0318, .0801, .0802, and .1601-.1605 | September 16, 2024 - November 15, 2024 | October 22, 2024 |
Group A: April 1, 2025 Group B: June 1, 2025 Group C: August 1, 2025 |
| Radiation Protection Rules | 10A NCAC 15 .1801 | August 1, 2024 - September 30, 2024 | September 25, 2024 | March 24, 2025 |
| Radiation Protection Rules | 10A NCAC 15 .0201 - .0213 | May 15, 2024 - July 14, 2025 | June 2, 2025 | October 1, 2025 |
| Radiation Protection Rules | 10A NCAC 15 .0501, .0608-.0609, .0802-.0803, .0901-.0910, .1001, .1601, .1901-.1911, .2001-.2011 | April 1, 2025 - June 2, 2025 | May 1, 2025 | October 1, 2025 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .1604 and 10A NCAC 13G .1604 | April 15, 2025 - June 16, 2025 | May 14, 2025 | August 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 |
| Radiation Protection Rules | 10A NCAC 15.0101-.0112, .0114-.0118, .0311, .0313, .0316, .0345, .0346, .1001, .1601 | April 24, 2025 | May 1, 2025 |
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.