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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:

  1. Find the rule in the table below.
  2. Click on the button in the row for that rule.
  3. A form will be displayed, where you can enter and submit your comment.
  4. To comment on rules in another subchapter, click on "Return to the main Rules Review page" link.

"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 46, LOCAL STANDARDS | Agency - Commission for Public Health

Periodic Review of Rules

Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, the Commission for Public Health has posted an Initial Determinations Report for the rules in 10A NCAC 46 of the North Carolina Administrative Code for public comment.

G.S. 150B-21.3A(a)(5) defines “public comment” as a written objection to all or part of a rule or the agency’s determination of the rule as necessary or unnecessary. If a public comment relates to a rule that the agency determined to be unnecessary, the Rules Review Commission shall determine whether it has merit and, if so, designate it as necessary. 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 Rules Review Commission review, as set forth in G.S. 150B-21.9(a). 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 12 through April 22, 2025.

Direct Comments to the following:
Virginia Niehaus, CPH Rulemaking Coordinator
1931 Mail Service Center
Raleigh, NC 27699-1931
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 .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0201 MANDATED SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0203 QUALITY ASSURANCE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0204 CHILD HEALTH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0205 MATERNAL HEALTH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0206 FAMILY PLANNING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0207 DENTAL PUBLIC HEALTH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0208 HOME HEALTH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0209 ADULT HEALTH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0210 INDIVIDUAL (ON‑SITE) WATER SUPPLY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0211 SANITARY SEWAGE COLLECTION, TREATMENT AND DISPOSAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0213 FOOD, LODGING/INST SANITATION/PUBLIC SWIMMING POOLS/SPAS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0214 COMMUNICABLE DISEASE CONTROL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0215 VITAL RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0200 - STANDARDS FOR LOCAL HEALTH DEPARTMENTS 10A NCAC 46 .0216 LABORATORY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0300 ‑ LOCAL HEALTH DEPARTMENT STAFF 10A NCAC 46 .0301 MINIMUM STANDARD HEALTH DEPARTMENT: STAFFING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
SECTION .0300 ‑ LOCAL HEALTH DEPARTMENT STAFF 10A NCAC 46 .0302 MEDICAL CONSULTANTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 5, 2016 Necessary No
Comments submitted to this website may be considered public record and may be disclosed to parties requesting such records, including the identifiable information that you provide in your comment. You may submit your comment without providing any identifiable information. Voluntarily providing identifiable information does not mean that you will be contacted about your comment.

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