Resources & Information


Pending Rule Changes

NC CSRS data sharing
The NCMB has proposed an administrative rule that would allow the NC Controlled Substances Reporting system, the statewide database of all controlled substances dispensed in outpatient pharmacies, to report information about outlier prescribers to the Board for possible investigation. This change would expand the Board’s ability to address potentially unsafe prescribing.

Currently the NCMB relies on complaints received from pharmacies, or from patients and their loved ones and other sources to learn about prescribing issues. The new rule, 21 NCAC 32Y .0101, would allow the NCCSRS to provide the Board with information about the highest volume prescribers of certain controlled substances, as well as information about prescribers who have had two or more patient deaths from opioid poisoning in the preceding 12 months.

The NCMB has submitted the proposed rule to the NC Rules Review Commission.

Physician Assistant CME Rule
The National Commission on Certification of Physician Assistants (NCCPA) has changed the required amount of Category 1 CME for PAs from 40 to 50 hours every two years. To be consistent with the NCCPA requirements, the NCMB has proposed changing the Board’s PA Rules to also require 50 hours of American Academy of Physician Assistants Category 1 CME hours every two years. The North Carolina Academy of Physician Assistants (NCAPA) Board of Directors unanimously supports the proposed rule change.

The Board has filed proposed changes to 21 NCAC 32S.0216 (a) and 21 NCAC 32S.0202 (14) to require 50 hours of accredited Category 1 CME hours every two years with the NC Rules Review Commission. CME must be recognized by the NCCPA.

In addition, the Board has proposed several revisions to clarify the purpose of rules related to physician supervision of PAs.

Public Hearing
The Board will hold a public hearing on the proposed rules at the Board’s offices at 1203 Front Street in Raleigh on March 16 at 10 a.m. Read the full text of all proposed rule changes at

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