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To display the the official rule documentation, click on the Rule Name Link goes outside of NC DHHS in the table below.

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 13P, EMERGENCY MEDICAL SERVICES AND TRAUMA RULES | Emergency Medical Services and Trauma Rules, Agency – DHHS - Medical Care Commission

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 13P 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 - DEFINITIONS 10A NCAC 13P .0101 ABBREVIATIONS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0100 - DEFINITIONS 10A NCAC 13P .0102 DEFINITIONS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0201 EMS SYSTEM REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0203 SPECIAL SITUATIONS Link goes outside of NC DHHS Readopted Eff. April 1, 2017 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0204 EMS PROVIDER LICENSE REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. June 1, 2018 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0205 EMS PROVIDER LICENSE CONDITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0206 TERM OF EMS PROVIDER LICENSE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0207 GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0208 CONVALESCENT AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0209 AIR MEDICAL AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Amended Eff. January 1, 2017 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0210 WATER AMBULANCE: WATERCRAFT AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0211 AMBULANCE PERMIT CONDITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0212 TERM OF AMBULANCE PERMIT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0213 EMS NONTRANSPORTING VEHICLE REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0214 EMS NON-TRANSPORTING VEHICLE PERMIT CONDITIONS Link goes outside of NC DHHS Amended Eff. January 1, 2017 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0215 TERM OF EMS NONTRANSPORTING VEHICLE PERMIT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0216 WEAPONS AND EXPLOSIVES FORBIDDEN Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0217 MEDICAL AMBULANCE/EVACUATION BUS: VEHICLE AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0218 PEDIATRIC SPECIALTY CARE GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0219 STAFFING FOR MEDICAL AMBULANCE/EVACUATION BUS VEHICLES Link goes outside of NC DHHS Readopted Eff. January 1, 2017 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0220 STAFFING FOR PEDIATRIC SPECIALTY CARE GROUND AMBULANCES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0221 PATIENT TRANSPORTATION BETWEEN HOSPITALS Link goes outside of NC DHHS Amended Eff. April 1, 2024 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0222 TRANSPORT OF STRETCHER BOUND PATIENTS Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0223 REQUIRED DISCLOSURE AND REPORTING INFORMATION Link goes outside of NC DHHS Eff. January 1, 2017 Necessary No
SECTION .0200 - EMS SYSTEMS 10A NCAC 13P .0224 GROUND AMBULANCE VEHICLE MANUFACTURING STANDARDS Link goes outside of NC DHHS Amended Eff. July 1, 2024 Necessary No
SECTION .0300 - SPECIALTY CARE TRANSPORT PROGRAMS 10A NCAC 13P .0301 SPECIALTY CARE TRANSPORT PROGRAM CRITERIA Link goes outside of NC DHHS Amended Eff. July 1, 2024 Necessary No
SECTION .0300 - SPECIALTY CARE TRANSPORT PROGRAMS 10A NCAC 13P .0302 AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA FOR LICENSED EMS PROVIDERS USING ROTARY-WING AIRCRAFT Link goes outside of NC DHHS Readopted Eff. January 1, 2017 Necessary No
SECTION .0300 - SPECIALTY CARE TRANSPORT PROGRAMS 10A NCAC 13P .0305 AIR MEDICAL SPECIALTY CARE TRANSPORT PROGRAM CRITERIA FOR LICENSED EMS PROVIDERS USING FIXED-WING AIRCRAFT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0401 COMPONENTS OF MEDICAL OVERSIGHT FOR EMS SYSTEMS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0402 COMPONENTS OF MEDICAL OVERSIGHT FOR SPECIALTY CARE TRANSPORT PROGRAMS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0403 RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR EMS SYSTEMS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0404 RESPONSIBILITIES OF THE MEDICAL DIRECTOR FOR SPECIALTY CARE TRANSPORT PROGRAMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0405 REQUIREMENTS FOR ADULT AND PEDIATRIC TREATMENT PROTOCOLS FOR EMS SYSTEMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0406 REQUIREMENTS FOR ADULT AND PEDIATRIC TREATMENT PROTOCOLS FOR SPECIALTY CARE TRANSPORT PROGRAMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0407 REQUIREMENTS FOR EMERGENCY MEDICAL DISPATCH PRIORITY REFERENCE SYSTEM Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0408 EMS PEER REVIEW COMMITTEE FOR EMS SYSTEMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0409 EMS PEER REVIEW COMMITTEE FOR SPECIALTY CARE TRANSPORT PROGRAMS Link goes outside of NC DHHS Amended Eff. January 1, 2017 Necessary No
SECTION .0400 - MEDICAL OVERSIGHT 10A NCAC 13P .0410 COMPONENTS OF MEDICAL OVERSIGHT FOR AIR MEDICAL PROGRAMS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0501 EDUCATIONAL PROGRAMS Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0502 INITIAL CREDENTIALING REQUIREMENTS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0503 TERM OF CREDENTIALS FOR EMS PERSONNEL Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0504 RENEWAL OF CREDENTIALS FOR EMR, EMT, AEMT, PARAMEDIC, AND EMD Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0505 SCOPE OF PRACTICE FOR EMS PERSONNEL Link goes outside of NC DHHS Amended Eff. July 1, 2018 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0506 PRACTICE SETTINGS FOR EMS PERSONNEL Link goes outside of NC DHHS Amended Eff. July 1, 2018 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0507 INITIAL CREDENTIALING REQUIREMENTS FOR LEVEL I EMS INSTRUCTORS Link goes outside of NC DHHS Amended Eff. January 1, 2022 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0508 INITIAL CREDENTIALING REQUIREMENTS FOR LEVEL II EMS INSTRUCTORS Link goes outside of NC DHHS Amended Eff. January 1, 2022 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0509 CREDENTIALING OF INDIVIDUALS TO ADMINISTER LIFESAVING TREATMENT TO PERSONS SUFFERING AN ADVERSE REACTION TO AGENTS THAT MIGHT CAUSE ANAPHYLAXIS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0510 RENEWAL OF CREDENTIALS FOR LEVEL I AND LEVEL II EMS INSTRUCTORS Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0511 CRIMINAL HISTORIES Link goes outside of NC DHHS Amended Eff. January 1, 2017 Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0512 REINSTATEMENT OF LAPSED EMS CREDENTIAL Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0500 - EMS PERSONNEL 10A NCAC 13P .0513 REFRESHER COURSES Link goes outside of NC DHHS Eff. January 1, 2017 Necessary No
SECTION .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS 10A NCAC 13P .0601 CONTINUING EDUCATION EMS EDUCATIONAL PROGRAM REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS 10A NCAC 13P .0602 BASIC AND ADVANCED EMS EDUCATIONAL INSTITUTION REQUIREMENTS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0600 - EMS EDUCATIONAL INSTITUTIONS AND PROGRAMS 10A NCAC 13P .0605 ACCREDITED EMS EDUCATIONAL INSTITUTION REQUIREMENTS Link goes outside of NC DHHS Eff. January 1, 2017 Necessary No
SECTION .0900 - TRAUMA CENTER STANDARDS AND APPROVAL 10A NCAC 13P .0901 TRAUMA CENTER CRITERIA Link goes outside of NC DHHS Amended Eff. September 1, 2019 Necessary No
SECTION .0900 - TRAUMA CENTER STANDARDS AND APPROVAL 10A NCAC 13P .0904 INITIAL DESIGNATION PROCESS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .0900 - TRAUMA CENTER STANDARDS AND APPROVAL 10A NCAC 13P .0905 RENEWAL DESIGNATION PROCESS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .1000 - TRAUMA CENTER DESIGNATION ENFORCEMENT 10A NCAC 13P .1003 MISREPRESENTATION OF DESIGNATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1100 - TRAUMA SYSTEM DESIGN 10A NCAC 13P .1101 STATE TRAUMA SYSTEM Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .1100 - TRAUMA SYSTEM DESIGN 10A NCAC 13P .1102 REGIONAL TRAUMA SYSTEM PLAN Link goes outside of NC DHHS Amended Eff. January 1, 2017 Necessary No
SECTION .1100 - TRAUMA SYSTEM DESIGN 10A NCAC 13P .1103 REGIONAL TRAUMA SYSTEM POLICY DEVELOPMENT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1401 CHEMICAL ADDICTION OR ABUSE RECOVERY PROGRAM REQUIREMENTS Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1402 PROVISIONS FOR PARTICIPATION IN THE CHEMICAL ADDICTION OR ABUSE RECOVERY PROGRAM Link goes outside of NC DHHS Readopted Eff. January 1, 2017 Necessary No
SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1403 CONDITIONS FOR RESTRICTED PRACTICE WITH LIMITED PRIVILEGES Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1404 REINSTATEMENT OF AN UNENCUMBERED EMS CREDENTIAL Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .1400 - RECOVERY AND REHABILITATION OF CHEMICALLY DEPENDENT EMS PERSONNEL 10A NCAC 13P .1405 FAILURE TO COMPLETE THE CHEMICAL ADDICTION OR ABUSE RECOVERY PROGRAM Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1501 ENFORCEMENT DEFINITIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1502 LICENSED EMS PROVIDERS Link goes outside of NC DHHS Amended Eff. July 1, 2018 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1503 SPECIALTY CARE TRANSPORT PROGRAMS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1504 TRAUMA CENTERS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1505 EMS EDUCATIONAL INSTITUTIONS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1506 EMS VEHICLE PERMITS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1507 EMS PERSONNEL CREDENTIALS Link goes outside of NC DHHS Amended Eff. April 1, 2024. Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1508 SUMMARY SUSPENSION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1509 PROCEDURES FOR DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. February 2, 2016 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1510 PROCEDURES FOR THE VOLUNTARY SURRENDER OR MODIFICATION OF THE LEVEL OF AN EMS CREDENTIAL Link goes outside of NC DHHS Eff. January 1, 2017 Necessary No
SECTION .1500 - DENIAL, SUSPENSION, AMENDMENT, OR REVOCATION 10A NCAC 13P .1511 PROCEDURES FOR QUALIFYING FOR AN EMS CREDENTIAL FOLLOWING ENFORCEMENT ACTION Link goes outside of NC DHHS Amended Eff. July 1, 2021 Necessary No
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