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The public may provide comments for each rule, which will be sent electronically to the administrators at the agency responsible for collecting the comments for each subchapter.

To submit a comment regarding a rule, do the following:

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"Public comment" is defined by G.S. 150B-21.3A(a)(5) as a written objection to all or part of a rule. Additionally, pursuant to G.S. 150B-21.3A(c)(2), in order for the Rules Review Commission to determine whether the public comment has merit, the public comment must address the specific substance of the rule and address any of the standards of Commission review, as set forth in G.S. 150B-21.9(a).


G.S. 150B-21.3A Report for 10A NCAC 13C, LICENSING OF AMBULATORY SURGICAL FACILITIES | Division of Health Service Regulation and Medical Care Commission, Rulemaking and Hearings: Licensing of Ambulatory Surgical Facilities

Periodic Review of Rules

Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, the Medical Care Commission and the Division of Health Service Regulation have posted Initial Determination Reports for the rules in 10A NCAC Subchapter 13C of the North Carolina Administrative Code.  Public comment means written comments objecting to the rule, in whole or in part, or objecting to an agency's determination of the rule as necessary or unnecessary; the comment must address the content of the rule to be considered by the Rules Review Commission.  An unnecessary rule is defined as a rule that the agency determines to be obsolete, redundant, or otherwise not needed.  A necessary rule is defined as any rule other than an unnecessary rule.

Public Comment Period:  February 14 through April 15, 2025.

Direct Comments to the following:
Shanah Black
2701 Mail Service Center
Raleigh, NC 27699-2701
E-Mail:  [email protected]

Rule Section Rule Citation Rule Name Date and Last Agency Action on the Rule Agency Determination
[150B-21.3A(c)(1)a]		 Implements or Conforms to Federal Regulation [150B-21.3A(d1)] Federal Citation Comment
SECTION .0100 - GENERAL 10A NCAC 13C .0103 DEFINITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR §416.2 Subpart A
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0201 APPLICATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR §416.2 Subpart A
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0202 REQUIREMENTS FOR ISSUANCE OF LICENSE Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR §416.2 Subpart A
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0203 SUSPENSION OR REVOCATION: AMBULATORY SURGICAL FACILITY Link goes outside of NC DHHS Amended Eff. January 1, 2021 Necessary No
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0204 TYPE OF FACILITY DEEMED TO BE LICENSED Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary No
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0205 ITEMIZED CHARGES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.50
SECTION .0200 ‑ LICENSING PROCEDURES 10A NCAC 13C .0206 REPORTING REQUIREMENTS Link goes outside of NC DHHS Amended Eff. January 31, 2017 Necessary No
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0301 GOVERNING AUTHORITY Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR Part §416.41
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0302 CHIEF EXECUTIVE OFFICER OR ADMINISTRATOR Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0303 ADMINISTRATIVE RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0304 SURGICAL PROCEDURES PERFORMED Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0305 PERSONNEL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41
SECTION .0300 - GOVERNING AUTHORITY MANAGEMENT 10A NCAC 13C .0306 QUALITY ASSURANCE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41 42 CFR Part §416.43
SECTION .0400 ‑ MEDICAL AND SURGICAL SERVICES 10A NCAC 13C .0401 MEDICAL SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.42 42 CFR Part §416.45 42 CFR Part §416.52
SECTION .0400 ‑ MEDICAL AND SURGICAL SERVICES 10A NCAC 13C .0402 SURGICAL SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.42 42 CFR Part §416.45
SECTION .0400 ‑ MEDICAL AND SURGICAL SERVICES 10A NCAC 13C .0403 EMERGENCY CASES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41(b)
SECTION .0500 ‑ ANESTHESIA SERVICES 10A NCAC 13C .0501 PROVIDING ANESTHESIA SERVICES Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR Part §416.41 42 CFR Part §416.42
SECTION .0500 ‑ ANESTHESIA SERVICES 10A NCAC 13C .0502 EQUIPMENT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.42 42 CFR Part §416.51
SECTION .0500 ‑ ANESTHESIA SERVICES 10A NCAC 13C .0503 POST ANESTHESIA NOTE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.42
SECTION .0500 ‑ ANESTHESIA SERVICES 10A NCAC 13C .0504 REQUIREMENT OF PERSON TRAINED IN CPR Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44(d)
SECTION .0600 ‑ PATHOLOGY SERVICES 10A NCAC 13C .0601 PROVISION FOR LABORATORY TESTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.49
SECTION .0600 ‑ PATHOLOGY SERVICES 10A NCAC 13C .0602 DISPOSAL OF WASTE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .0700 ‑ RADIOLOGY SERVICES 10A NCAC 13C .0701 PROVISION FOR RADIOLOGY SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.49 42 42 CFR Part §482.26(b)
SECTION .0700 ‑ RADIOLOGY SERVICES 10A NCAC 13C .0702 REGULATIONS FOR PERFORMED SERVICES Link goes outside of NC DHHS Amended Eff. January 1, 2021 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.49
SECTION .0800 ‑ PHARMACEUTICAL SERVICES 10A NCAC 13C .0801 DRUG DISPENSING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.48
SECTION .0800 ‑ PHARMACEUTICAL SERVICES 10A NCAC 13C .0802 REGULATIONS FOR DISPENSING Link goes outside of NC DHHS Amended Eff. September 1, 2019 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.48
SECTION .0900 ‑ NURSING SERVICES 10A NCAC 13C .0901 NURSING ADMINISTRATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.46
SECTION .0900 ‑ NURSING SERVICES 10A NCAC 13C .0902 NURSING PERSONNEL Link goes outside of NC DHHS Readopted Eff. January 1, 2021 Necessary Yes 42 CFR Part §416.46
SECTION .1000 ‑ MEDICAL RECORDS SERVICES 10A NCAC 13C .1001 MEDICAL RECORD SYSTEM Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.47
SECTION .1000 ‑ MEDICAL RECORDS SERVICES 10A NCAC 13C .1002 INDIVIDUAL PATIENT RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.47
SECTION .1100 ‑ SURGICAL FACILITIES AND EQUIPMENT 10A NCAC 13C .1101 OPERATING SUITE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44
SECTION .1100 ‑ SURGICAL FACILITIES AND EQUIPMENT 10A NCAC 13C .1102 CARE OF OPERATING SUITE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .1200 ‑ FUNCTIONAL SAFETY 10A NCAC 13C .1201 GENERAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.41 42 CFR Part §416.44
SECTION .1200 ‑ FUNCTIONAL SAFETY 10A NCAC 13C .1202 PREVENTIVE MAINTENANCE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.43 42 CFR Part §416.44
SECTION .1300 ‑ CONTROL AND SANITATION 10A NCAC 13C .1301 GENERAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.43 42 CFR Part §416.51
SECTION .1300 ‑ CONTROL AND SANITATION 10A NCAC 13C .1302 STERILIZATION PROCEDURES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .1300 ‑ CONTROL AND SANITATION 10A NCAC 13C .1303 HOUSEKEEPING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .1300 ‑ CONTROL AND SANITATION 10A NCAC 13C .1304 LINEN AND LAUNDRY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .1300 ‑ CONTROL AND SANITATION 10A NCAC 13C .1305 SANITATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary Yes 42 CFR Part §416.44 42 CFR Part §416.51
SECTION .1400 ‑ PHYSICAL PLANT CONSTRUCTION 10A NCAC 13C .1401 DEFINITIONS Link goes outside of NC DHHS Amended Eff. January 1, 2020 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.44
SECTION .1400 ‑ PHYSICAL PLANT CONSTRUCTION 10A NCAC 13C .1402 LIST OF REFERENCED GUIDELINES, CODES, STANDARDS, AND REGULATION Link goes outside of NC DHHS Amended Eff. January 1, 2020 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.44
SECTION .1400 ‑ PHYSICAL PLANT CONSTRUCTION 10A NCAC 13C .1403 GENERAL AND EMERGENCY PREPAREDNESS Link goes outside of NC DHHS Amended Eff. January 1, 2020 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.44
SECTION .1400 ‑ PHYSICAL PLANT CONSTRUCTION 10A NCAC 13C .1404 EQUIVALENCY AND CONFLICTS WITH REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. January 1, 2020 Necessary Yes 42 CFR Part §416.40 42 CFR Part §416.44
SECTION .1400 ‑ PHYSICAL PLANT CONSTRUCTION 10A NCAC 13C .1411 ACCESS AND SAFETY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 23, 2017 Necessary No
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