Hospital Rules
Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, all rules are reviewed at least every 10 years, or they shall expire. As a result of the periodic review of Subchapter 10A NCAC 13B, Licensing of Hospitals, a total of 40 rules were determined as "Necessary With Substantive Public Interest," thus requiring readoption. At this time, the agency is proposing to readopt seven rules with substantive changes, repeal one rule through readoption, and amend three rules for hospital medical staff and bylaws to improve safety, quality and access to care by modernizing the rules and ensuring consistency with Medicare regulations and Joint Commission standards. The proposed rules provide for physician consultation and input while recognizing the facility's governance responsibilities. The proposed rules update language, provide clarity in the rules, remove ambiguity, implement technical changes, and reference general statute where appropriate. In addition, the requirements for Rule 10A NCAC 13B .3702 are incorporated into rule 10A NCAC 13B .3704 proposed for readoption with substantive changes, therefore this rule is not necessary and is proposed for readoption as a repeal.
- Notification of proposed readoption/amendment of rule (PDF, 46 KB)
- Proposed Effective Date: July 1, 2020
- Public Comment Period: December 16, 2019 - February 14, 2020
Comments may be submitted by:- Email: [email protected]
- Mail: Nadine Pfeiffer, Division of Health Service Regulation, 809 Ruggles Drive, 2701 Mail Service Center, Raleigh, NC 27699-2701
- Public Hearing:
- Date: February 5, 2020
- Time: 2:00 p.m.
- Location: Dorothea Dix Park, Brown Building, Room 104, 801 Biggs Drive, Raleigh, NC 27603
- The fiscal note was approved by:
- OSBM on October 16, 2019
- N.C. Medical Care Commission on November 8, 2019
- Fiscal Note (PDF, 494 KB)
- Federal Certification required by GS 150B-19.1(g)
- Federal Certification (PDF, 39 KB)
- 42 CFR 482.11 (PDF, 58 KB)
- 42 CFR 482.12 (PDF, 487 KB)
- 42 CFR 482.21 (PDF, 729 KB)
- 42 CFR 482.22 (PDF, 625 KB)
- The notice of text as approved by the N.C. Medical Care Commission on November 8, 2019:
- 10A NCAC 13B .3501 (PDF, 14 KB)
- 10A NCAC 13B .3502 (PDF, 24 KB)
- 10A NCAC 13B .3503 (PDF, 32 KB)
- 10A NCAC 13B .3701 (PDF, 14 KB)
- 10A NCAC 13B .3702 (PDF, 9 KB)
- 10A NCAC 13B .3703 (PDF, 19 KB)
- 10A NCAC 13B .3704 (PDF, 19 KB)
- 10A NCAC 13B .3705 (PDF, 19 KB)
- 10A NCAC 13B .3706 (PDF, 16 KB)
- 10A NCAC 13B .3707 (PDF, 17 KB)
- 10A NCAC 13B .3708 (PDF, 16 KB)
- Public Comments
- Report of public hearing that was held on February 5, 2020 (PDF, 226 KB)
- North Carolina Healthcare Association (PDF, 129 KB)
- Technical Changes
- 10A NCAC 13B .3501 (PDF, 18 KB)
- 10A NCAC 13B .3502 (PDF, 27 KB)
- 10A NCAC 13B .3701 (PDF, 17 KB)
- 10A NCAC 13B .3704 (PDF, 22 KB)
- 10A NCAC 13B .3707 (PDF, 19 KB)
- These rules were approved by the Rules Review Commission on June 18, 2020
- 10A NCAC 13B .3501 (PDF, 11 KB)
- 10A NCAC 13B .3502 (PDF, 22 KB)
- 10A NCAC 13B .3503 (PDF, 25 KB)
- 10A NCAC 13B .3701 (PDF, 11 KB)
- 10A NCAC 13B .3702 (PDF, 8 KB)
- 10A NCAC 13B .3703 (PDF, 16 KB)
- 10A NCAC 13B .3704 (PDF, 14 KB)
- 10A NCAC 13B .3705 (PDF, 16 KB)
- 10A NCAC 13B .3706 (PDF, 11 KB)
- 10A NCAC 13B .3707 (PDF, 14 KB)
- 10A NCAC 13B .3708 (PDF, 13 KB)
- Procedure for subjecting a proposed rule to Legislative Review: If an objection is not resolved prior to the adoption of the rule, a person may also submit written objections to the Rules Review Commission. If the Rules Review Commission receives written and signed objections in accordance with G.S. 150B-21.3(b2) from 10 or more persons clearly requesting review by the legislature and the Rules Review Commission approves the rule, the rule will become effective as provided in G.S. 150B-21.3(b1) . The Commission will receive written objections until 5:00 p.m. on the day following the day the Commission approves the rule. The Commission will receive those objections by mail, delivery service, hand delivery, or facsimile transmission.
- The effective date of these rules is July 1, 2020