About the Board

Rule Change Tracker

Use this resource to follow changes to the NCMB’s administrative rules. The table below displays proposed rules and proposed amendments to existing rules.

Rules typically go through numerous revisions before they are finally approved by the NC Rules Review Commission (RRC). The NCMB will periodically update the text posted to reflect revisions. The final text of the rule will be posted pending approval by RRC.

REVIEW/APPROVAL PROCESS:

  • The first step in the rules process is publication of the text of the proposed rule in the NC Register (Status = Published)
  • The next step is a public hearing to receive written or oral comments on the proposed rule (Status = Public Hearing)
  • Once comments are received and reviewed, the NCMB may make revisions to the rule based on feedback. The rule is then submitted to the NC Rules Review Commission for final approval (Status = Submitted to RRC)
  • If the rule is approved by RRC, the status will be updated to indicate “Approved.” COMMENTS: If you would like to comment on any of the proposed rules or amendments, you may send written comments via regular mail to Rules Coordinator, NC Medical Board, PO Box 20007, Raleigh, NC 27619 or you may .(JavaScript must be enabled to view this email address) your comments. HEARING LOCATION/TIME: Unless otherwise noted, all public hearings on proposed rules are held at 10 a.m. in the Board Room at the NCMB’s offices at 3127 Smoketree Court, Raleigh, 27604.
Recent Rule Changes
Rule Name Status Explanation and Reason
21 NCAC 32R .0102  APPROVED CATEGORIES OF CME Public Hearing
11/15/21
10:00 a.m.		 The proposed rule amendments are to raise licensee awareness of implicit bias and its negative impact on patient care. Public Hearing will be held via teleconference: 1-919-518-9840; Conference ID: 636 675 632#
21 NCAC 32S .0216  CONTINUING MEDICAL EDUCATION Public Hearing
11/15/21
10:00 a.m.		 The proposed rule amendments are to raise licensee awareness of implicit bias and its negative impact on patient care. Public Hearing will be held via teleconference: 1-919-518-9840; Conference ID: 636 675 632#
21 NCAC 32M .0109  PRESCRIBING AUTHORITY Approved
8/1/21		 In addition to technical changes related to wording, amendments to 21 NCAC 32 M .0109 remove the requirements of listing the supervising physician’s name and the NP’s approval number on prescriptions issued by the nurse practitioner.
21 NCAC 32M .0119  COVID-19 DRUG PRESERVATION RULE Approved
4/1/21		 Removes two drugs from the list of restricted medications. The State Health Director has determined that the state is unlikely to suffer future shortages of two of the drugs previously listed in the temporary and emergency rule.
21 NCAC 32B .1708  COVID-19 DRUG PRESERVATION RULE Approved
4/1/21		 Removes two drugs from the list of restricted medications. The State Health Director has determined that the state is unlikely to suffer future shortages of two of the drugs previously listed in the temporary and emergency rule.
21 NCAC 32S .0212  Prescriptive Authority (PAs) Approved
4/1/21		 Removes physician assistant’s license number and requirement that supervising physician's name and phone number is included on the physician assistant's prescription in accordance with G.S. 90-18.1.
21 NCAC 32M .0117  REPORTING CRITERIA Public Hearing
 To add SOPI Report C to assist with identifying problematic prescribing practices.
21 NCAC 32M .0101  DEFINITIONS Approved
6/1/21		 Modernization of language and processes.
21 NCAC 32M .0102  SCOPE OF PRACTICE Approved
6/1/21		 Modernization of language and processes.
21 NCAC 32M .0103  NURSE PRACTITIONER REGISTRATION Approved
6/1/21		 Modernization of language and processes.
21 NCAC 32M .0104  PROCESS FOR APPROVAL TO PRACTICE Public Hearing
 Modernization of language and processes.
21 NCAC 32M .0105  EDUCATION AND CERTIFICATION REQUIREMENTS FOR REGISTRATION AND APPROVAL AS A NURSE PRACTITIONER Approved
6/1/21		 Modernization of language and processes.
21 NCAC 32M .0106  ANNUAL RENEWAL Approved
6/1/21		 Modernization of language and processes.
21 NCAC 32M .0107  CONTINUING EDUCATION (CE) Approved
6/1/21		 Adds CE requirement for nurse practitioners who prescribe controlled substances.
21 NCAC 32M .0108  INACTIVE STATUS Approved
8/1/21		 Modernization of language and processes.
21 NCAC 32M .0109  PRESCRIBING AUTHORITY Approved
8/1/21		 Language amended to ensure nurse practitioners understand they may not prescribe controlled substances to a patient he or she is having a physical, sexual, or intimate emotional relationship.
21 NCAC 32M .0110  QUALITY ASSURANCE STANDARDS FOR A COLLABORATIVE PRACTICE AGREEMENT Approved
6/1/21		 Modernization of language and processes.