North Carolina 2021-2022 Session Status: In Committee 1 R cosponsors

SB 520 — Respiratory Care Modernization Act.

Last action — Withdrawn From Com

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2021-2022 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

25 added · 26 removed

Plain-language change summary

The amendments to SB 520 include the addition of specific language regarding the responsibilities and authority of advanced respiratory care practitioners. The bill now clarifies the types of medications and treatments these practitioners can order under the supervision of a physician. This change is significant because it aims to enhance the efficiency of healthcare delivery by clearly defining the roles of these healthcare professionals, ultimately benefiting patient care.

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FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA Apr 5, 2021 S.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 S 1 SENATE BILL 520 Short Title:
520 SESSION 2021 PRINCIPAL CLERK S D SENATE BILL DRS45246-NB-128 Short Title:
A BILL TO BE ENTITLED AN ACT TO UPDATE THE GENERAL STATUTES OF NORTH CAROLINA GOVERNING THE PRACTICE OF RESPIRATORY CARE TO BETTER REFLECT THE CHANGES IN EDUCATION, EXPERIENCE, AND PRACTICE OF THE PROFESSION IN ORDER TO ENHANCE THE HEALTH AND WELFARE OF NORTH CAROLINA CITIZENS.
Rules and Operations of the Senate April 6, 2021 A BILL TO BE ENTITLED AN ACT TO UPDATE THE GENERAL STATUTES OF NORTH CAROLINA GOVERNING THE PRACTICE OF RESPIRATORY CARE TO BETTER REFLECT THE CHANGES IN EDUCATION, EXPERIENCE, AND PRACTICE OF THE PROFESSION IN ORDER TO ENHANCE THE HEALTH AND WELFARE OF NORTH CAROLINA CITIZENS.
*DRS45246-NB-128* General Assembly Of North Carolina Session 2021 (3) Direct supervision.
*S520-v-1* General Assembly Of North Carolina Session 2021 (3) Direct supervision.
– A certificate issued by the Board recognizing the person named therein as having met the requirements to practice respiratory care as defined in this Article.Article as a respiratory care practitioner or advanced respiratory care practitioner.
– A certificate issued by the Board recognizing the person named therein as having met the requirements to practice respiratory care as defined in this Article.Article as a respiratorycare practitioner or advanced respiratory care practitioner.
Page 2 DRS45246-NB-128 General Assembly Of North Carolina Session 2021 b.
Page 2 Senate Bill 520-First Edition General Assembly Of North Carolina Session 2021 b.
Pharmacologic agents related to respiratory care procedures, including those agents necessary to perform hemodynamic monitoring.
Pharmacologic agents related to respiratorycare procedures, including those agents necessary to perform hemodynamic monitoring.
… DRS45246-NB-128 Page 3 General Assembly Of North Carolina Session 2021 (7) The North Carolina Association of Atlantic Coast Medical Equipment Services Association shall appoint the member described in G.S.
… Senate Bill 520-First Edition Page 3 General Assembly Of North Carolina Session 2021 (7) The North Carolina Association of Atlantic Coast Medical Equipment Services Association shall appoint the member described in G.S.
The applicant's fingerprints shall be forwarded to the State Bureau of Investigation for a search of the State's criminal history record file, and the State Bureau of Investigation shall forward a set of the fingerprints to the Federal Bureau of Investigation for a national criminal history check.
The applicant's fingerprints shall be forwarded to the State Bureau of Investigation for a search of the State's criminal history record file, and the State Bureau of Investigation shall forward a set of the fingerprints to the Federal Bureau of Investigation for a national criminal historycheck.
(3) Submit to the Board written evidence, verified by oath, that the applicant has successfully completed the minimal entry-level degree requirements of a respiratory care education program as approved by the Commission for Accreditation of Allied Health Educational Programs, or the Canadian Page 4 DRS45246-NB-128 General Assembly Of North Carolina Session 2021 Council on on Accreditation for Respiratory Therapy Education.Care (CoARC) or its successor by arranging for the applicant's respiratory care education program to submit an official transcript confirming successful completion of the respiratory care education program directly to the Board.
(3) Submit to the Board written evidence, verified by oath, that the applicant has successfully completed the minimal entry-level degree requirements of a respiratory care education program as approved by the Commission for Accreditation of Allied Health Educational Programs, or the Canadian Page 4 Senate Bill 520-First Edition General Assembly Of North Carolina Session 2021 Council on on Accreditation for Respiratory Therapy Education.Care (CoARC) or its successor by arranging for the applicant's respiratory care education program to submit an official transcript confirming successful completion of the respiratory care education program directly to the Board.
DRS45246-NB-128 Page 5 General Assembly Of North Carolina Session 2021 … "§ 90-660.
Senate Bill 520-First Edition Page 5 General Assembly Of North Carolina Session 2021 … "§ 90-660.
… (6) For a license with a provisional or temporary endorsement, a fee not to exceed fifty dollars ($50.00).
… (6) For a license with a provisional or temporaryendorsement, a fee not to exceed fifty dollars ($50.00).
(4) Imply orally orin writing orindicatein anywaythat thepersonis arespiratory care practitioner practitioner, advanced respiratory care practitioner, or is otherwise licensed under this Article.
(4) Implyorallyorin writing orindicatein anywaythat thepersonis arespiratory care practitioner practitioner, advanced respiratory care practitioner, or is otherwise licensed under this Article.
"(15) Appoint and maintain a subcommittee of the Board consisting of four licensed advanced respiratory care practitioners to work jointly with the subcommittee of the North Carolina Medical Board to develop rules to govern the performance of medical acts by advanced respiratory care practitioners.
"(15) Appoint and maintain a subcommittee of the Board consistingof four licensed advanced respiratory care practitioners to work jointly with the subcommittee of the North Carolina Medical Board to develop rules to govern the performance of medical acts by advanced respiratory care practitioners.
Rules recommended by the subcommittee shall be adopted in accordance with Chapter 150B of the General Statutes by both the North Carolina Medical Board and the North Carolina Respiratory Care Board and shall be effective when they have been adopted by both Boards." SECTION 1.(c) Article 1 of Chapter 90 is amended by adding a new section to read:
Rules recommended bythe subcommittee shall be adopted in accordance with Chapter 150B of the General Statutes by both the North Carolina Medical Board and the North Carolina Respiratory Care Board and shall be effective when they have been adopted by both Boards." SECTION 1.(c) Article 1 of Chapter 90 is amended by adding a new section to read:
90-648(9a) to perform medical acts, tasks, and functions may use the title "advanced respiratory care practitioner." Any other person who uses the title in any form or holds himself or herself out to be an advanced respiratory care practitioner or to be so licensed, shall be deemed to be in violation of this Article and Article 38 of this Chapter.
90-648(9a) to perform medical acts, tasks, and functions may use the title "advanced respiratory care practitioner." Any other person who uses the title in any form or holds himself or herself out to be an advanced respiratorycare practitioner or to be so licensed, shall be deemed to be in violation of this Article and Article 38 of this Chapter.
Page 6 DRS45246-NB-128 General Assembly Of North Carolina Session 2021 (b) Advanced respiratory care practitioners are authorized to practice advanced respiratory care, as defined in G.S.
Page 6 Senate Bill 520-First Edition General Assembly Of North Carolina Session 2021 (b) Advanced respiratory care practitioners are authorized to practice advanced respiratory care, as defined in G.S.
90-648(10a),may ordermedications, tests, andtreatments under the following conditions:
90-648(10a),mayordermedications, tests, andtreatments under the following conditions:
(3) The supervising physician has provided to the advanced respiratory care practitionerwritteninstructions forordering, procuring,dispensing,changing, or substituting drugs, or ordering tests with provision for review of the order by the physician within a reasonable time, as determined by the Boards, after the medication or tests are ordered.
(3) The supervising physician has provided to the advanced respiratory care practitionerwritteninstructions forordering, procuring, dispensing, changing, or substituting drugs, or ordering tests with provision for review of the order by the physician within a reasonable time, as determined by the Boards, after the medication or tests are ordered.
(d) Any prescription written by an advanced respiratory care practitioner or order given by an advanced respiratory care practitioner shall be deemed to have been authorized by the physician approved by the Boards as the supervisor of the advanced respiratory care practitioner, and that supervising physician shall be responsible for authorizing that prescription or order.
(d) Any prescription written by an advanced respiratory care practitioner or order given by an advanced respiratory care practitioner shall be deemed to have been authorized by the physician approved bythe Boards as the supervisor of the advanced respiratory care practitioner, and that supervising physician shall be responsible for authorizing that prescription or order.
90-652(15) as enacted in Section 1(b) of this act, the initial appointees to the joint subcommittee from the North Carolina DRS45246-NB-128 Page 7 General Assembly Of North Carolina Session 2021 Respiratory Care Board shall be licensed health care providers currently serving on that Board.
90-652(15) as enacted in Section 1(b) of this act, the initial appointees to the joint subcommittee from the North Carolina Senate Bill 520-First Edition Page 7 General Assembly Of North Carolina Session 2021 Respiratory Care Board shall be licensed health care providers currently serving on that Board.
Page 8 DRS45246-NB-128
Page 8 Senate Bill 520-First Edition
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Action History

  1. Withdrawn From Com

  2. Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate

  3. Passed 1st Reading

  4. Ref To Com On Rules and Operations of the Senate

  5. Filed

Sponsors

  • Perry · Primary
  • Krawiec · Primary
  • Jim Burgin · Cosponsor

Sponsorship breakdown

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2 sponsors · 1 co-sponsors · 176 not signed on

Sponsors (2)

  • Perry
  • Krawiec

Co-sponsors (1)

Not signed on (176)

176 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare education
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Frequently asked questions

Who sponsors SB 520?
SB 520 is sponsored by Perry, Krawiec, and Jim Burgin (Republican).
What is the current status of SB 520?
This bill died with 2021-2022 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 520?
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