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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 48, Local Health Department Accreditation | 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 48 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 .0100 - GENERAL PROVISIONS 10A NCAC 48A .0101 PURPOSE 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 .0100 - GENERAL PROVISIONS 10A NCAC 48A .0102 DEFINITIONS 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 - ACCREDITATION PROCESS 10A NCAC 48A .0201 SELF-ASSESSMENT 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 - ACCREDITATION PROCESS 10A NCAC 48A .0202 SITE VISIT 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 - ACCREDITATION PROCESS 10A NCAC 48A .0203 BOARD ACTION 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 - ACCREDITATION PROCESS 10A NCAC 48A .0204 INFORMAL REVIEW PROCEDURES 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 - ACCREDITATION PROCESS 10A NCAC 48A .0205 RE-ACCREDITATION 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 .0100 - GENERAL PROVISIONS 10A NCAC 48B .0101 PURPOSE 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 .0100 - GENERAL PROVISIONS 10A NCAC 48B .0102 DEFINITIONS 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 .0100 - GENERAL PROVISIONS 10A NCAC 48B .0103 ACCREDITATION REQUIREMENTS 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 - MONITOR HEALTH STATUS 10A NCAC 48B .0201 BENCHMARK 1 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 - MONITOR HEALTH STATUS 10A NCAC 48B .0202 BENCHMARK 2 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 - MONITOR HEALTH STATUS 10A NCAC 48B .0203 BENCHMARK 3 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 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY 10A NCAC 48B .0301 BENCHMARK 4 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 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY 10A NCAC 48B .0302 BENCHMARK 5 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 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY 10A NCAC 48B .0303 BENCHMARK 6 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 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY 10A NCAC 48B .0304 BENCHMARK 7 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 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY 10A NCAC 48B .0305 BENCHMARK 8 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 .0400 - INFORM, EDUCATE, AND EMPOWER PEOPLE ABOUT HEALTH ISSUES 10A NCAC 48B .0401 BENCHMARK 9 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 .0400 - INFORM, EDUCATE, AND EMPOWER PEOPLE ABOUT HEALTH ISSUES 10A NCAC 48B .0402 BENCHMARK 10 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 .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS 10A NCAC 48B .0501 BENCHMARK 11 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 .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS 10A NCAC 48B .0502 BENCHMARK 12 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 .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS 10A NCAC 48B .0503 BENCHMARK 13 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 .0600 - DEVELOP POLICIES AND PLANS THAT SUPPORT INDIVIDUAL AND COMMUNITY HEALTH EFFORTS 10A NCAC 48B .0601 BENCHMARK 14 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 .0600 - DEVELOP POLICIES AND PLANS THAT SUPPORT INDIVIDUAL AND COMMUNITY HEALTH EFFORTS 10A NCAC 48B .0602 BENCHMARK 15 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 .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY 10A NCAC 48B .0701 BENCHMARK 16 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 .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY 10A NCAC 48B .0702 BENCHMARK 17 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 .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY 10A NCAC 48B .0703 BENCHMARK 18 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 .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE 10A NCAC 48B .0801 BENCHMARK 19 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 .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE 10A NCAC 48B .0802 BENCHMARK 20 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 .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE 10A NCAC 48B .0803 BENCHMARK 21 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 .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE 10A NCAC 48B .0804 BENCHMARK 22 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 .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE 10A NCAC 48B .0901 BENCHMARK 23 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 .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE 10A NCAC 48B .0902 BENCHMARK 24 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 .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE 10A NCAC 48B .0903 BENCHMARK 25 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 .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE 10A NCAC 48B .0904 BENCHMARK 26 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 .1000 - EVALUATE EFFECTIVENESS, ACCESSIBILITY AND QUALITY OF PERSONAL AND POPULATION-BASED HEALTH SERVICES 10A NCAC 48B .1001 BENCHMARK 27 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 .1100 - RESEARCH FOR NEW INSIGHTS AND INNOVATIVE SOLUTIONS TO HEALTH PROBLEMS 10A NCAC 48B .1101 BENCHMARK 28 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 .1100 - RESEARCH FOR NEW INSIGHTS AND INNOVATIVE SOLUTIONS TO HEALTH PROBLEMS 10A NCAC 48B .1102 BENCHMARK 29 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 .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES 10A NCAC 48B .1201 BENCHMARK 30 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 .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES 10A NCAC 48B .1202 BENCHMARK 31 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 .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES 10A NCAC 48B .1203 BENCHMARK 32 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 .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES 10A NCAC 48B .1204 BENCHMARK 33 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 .1300 - GOVERNANCE 10A NCAC 48B .1301 BENCHMARK 34 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 .1300 - GOVERNANCE 10A NCAC 48B .1302 BENCHMARK 35 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 .1300 - GOVERNANCE 10A NCAC 48B .1303 BENCHMARK 36 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 .1300 - GOVERNANCE 10A NCAC 48B .1304 BENCHMARK 37 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 .1300 - GOVERNANCE 10A NCAC 48B .1305 BENCHMARK 38 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 .1300 - GOVERNANCE 10A NCAC 48B .1306 BENCHMARK 39 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 .1300 - GOVERNANCE 10A NCAC 48B .1307 BENCHMARK 40 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 .1300 - GOVERNANCE 10A NCAC 48B .1308 BENCHMARK 41 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
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