This is a listing of N.C. Administrative Code rule change activity within the division and helpful information about rules from the North Carolina Office of Administrative Hearings.

Proposed Rule Changes

Here you will find information and the steps used on proposed rule changes for the rules listed for each program.

Program Rule Citation Public Comment Period Public Hearing Proposed Effective Date
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0102, .0201, .0222, .0301, .0505, .0506, .0904, .1502, .1505 December 1, 2017 - January 30, 2018 December 19, 2017 July 1, 2018
Hospital Facilities Rules 10A NCAC 13B .6003, .6105, .6228 March 15, 2018 - May 14, 2018 April 26, 2018 Pending Legislative Review
Jails Rules 10A NCAC 14J .0101-.0103, .0201, .0203, .0204, .0301-.0303, .0402-.0405, .0501, .0601, .0702, .0705, .0904, .1001, .1002, .1201-.1203, .1207, .1210, .1212-.1215, .1218, .1219, .1225, and .1226 January 16, 2018 - March 19, 2018 March 6, 2018 December 1, 2018
Nursing Home Hearings: Transfers and Discharges Rules 10A NCAC 14A .0301, .0302, .0303 June 15, 2018 - August 14, 2018 August 8, 2018 January 1, 2019

Rules Approved by Rules Review Commission

Here you will find information and the steps used to get Rules Review Commission approval for the rules listed for each program.

Program Rule Citation Approved by Rules Review Commission Effective Date
Adult Care Home and Family Care Home Rules 10A NCAC 13F .1702, .1703, 10A NCAC 13G .1501, .1502, .1503 March 16, 2017 April 1, 2017
Certification of Cardiac Rehabilitation Program Rules 10A NCAC 14F .1203, .1301, .1401, .1802, .1901, .1903, .2101 May 17, 2018 June 1, 2018
Certificate of Need Rules 10A NCAC 14C .1801, .1804, .3101-.3102, .3104 November 17, 2016 March 16, 2017
Certificate of Need Rules 10A NCAC 14C .2101, .2103 January 25, 2018 February 1, 2018
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0101, .0102, .0201, .0209, .0214, .0216, .0219, .0221, .0222, .0223, .0301, .0302, .0403, .0409, .0501, .0502, .0503, .0504, .0506, .0507, .0508, .0510, .0511, .0512, .0513, .0601, .0602, .0603, .0605, .0901, .0902-.0903, .0904, .0905, .1101, .1102, .1401, .1402, .1403, .1405, .1502, .1505, .1507, .1510, .1511 December 15, 2016 January 1, 2017
Emergency Medical Services and Trauma Rule 10A NCAC 13P .0203 March 16, 2017 April 1, 2017
Emergency Medical Services and Trauma Rule 10A NCAC 13P .0204 March 16, 2017 Readoption effective pending legislative review
Emergency Medical Services and Trauma Rules 10A NCAC 13P .0224, .0410 December 14, 2017 January 1, 2018
Home Care Agencies Rules 10A NCAC 13J .0901, .1004, .1007, .1107, .1110, .1202, .1402, .1502 December 14, 2017 Readoption effective pending legislative review and pending delayed effective date
Hospital and Ambulatory Surgical Facility Rules 10A NCAC 13B .2102, 10A NCAC 13C .0206 December 15, 2016 January 31, 2017
Hospital Facilities Rules 10A NCAC 13B .6003, .6105, .6228 November 16, 2017 December 1, 2017
Hospital Facilities Rules 10A NCAC 13B .6001-.6002, .6104, .6201-.6206, .6208-.6227 December 14, 2017 January 1, 2018
Nursing Home Rule 10A NCAC 13D .2111 June 15, 2017 July 1, 2017
Nursing Home Rule 10A NCAC 13D .2201 December 14, 2017 January 1, 2018
Overnight Respite Services Rules 10A NCAC 13E .0101, .0201-.0208, .0301-.0318, .0401-.0404, .0501, .0601, .0602, .0701-.0703, .0801-.0807, .0901 March 16, 2017 April 1, 2017
Overnight Respite in Certified Adult Day Care Programs Rules 10A NCAC 14D .0102, .0201-.0219, .0301-.0303, .0401-.0402, .0501-.0502, .0601-.0603, .0701-.0702, .0801 June 15, 2017 July 1, 2017
Radiation Protection Rules 10A NCAC 15 .0302, .0304, .0305, .0307-.0310, .0316, .0317, .0327 - .0332, .0335, .0337, .0338, .0343, .0344, .0353-.0355, .0357, .0359, .0521, .1004, .1613, .1645, and .1653 February 16, 2017 March 1, 2017
Radiation Protection Rule 10A NCAC 15 .0611 September 21, 2017 October 1, 2017

North Carolina Office of Administrative Hearings

North Carolina Register

The North Carolina Register is issued twice a month by the North Carolina Office of Administrative Hearings (OAH). G.S. 150B requires some rules and notices to be published in the North Carolina Register. You can find the division's rules and notices that are put in the North Carolina Register on the OAH website.

North Carolina Office of Administrative Hearings Proposed Temporary Rules Listing

G.S. 150B-21.1 requires the North Carolina Office of Administrative Hearings (OAH) to post all proposed temporary rules and notices on their website. You can find the division's proposed temporary rules and notices on the OAH website.

North Carolina Office of State Budget and Management

The North Carolina Office of State Budget and Management (OSBM) reviews and approves the fiscal and regulatory impact analysis of permanent rule changes proposed by the division. You can find information on fiscal impact analysis development and the division's approved regulatory impact analyses on the OSBM website.

Substantial Economic Impact
Before a rule is published in the North Carolina Register, G.S. 150B-21.4(b1) requires OSBM to approve the fiscal impact analysis of the proposed text of a permanent rule change that would have an economic impact of at least one million dollars ($1,000,000) in a 12-month period, also called a "Substantial Economic Impact." OSBM must also check the fiscal impact analysis to be sure that G.S. 150B-19.1(a)(2),(5), and (6) were followed. You can find the division's regulatory impact analysis for rules with a substantial economic impact on the OSBM website.