The SAVE Act.
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SB 175 — The SAVE Act.
Last action — Passed 1st Reading
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill died with 2023-2024 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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
26 added · 27 removedPlain-language change summary
In the latest version of Senate Bill 175, some phrases related to the roles and responsibilities of nurses and their authority to perform certain diagnostic studies have been revised for clarity. The wording was adjusted to ensure that the tasks nurses can perform—like ordering and interpreting diagnostic studies—are clearly defined. These changes matter because they aim to enhance the understanding of nursing practices, ensuring that responsibilities are clear for both practitioners and patients, which can ultimately lead to better care.
FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA FebSESSION 28, 2023 S.B.S 1 SENATE BILL 175 Short Title:
175 SESSION 2023 PRINCIPAL CLERK S D SENATE BILL DRS45083-NBf-29 Short Title:
Rules and Operations of the Senate March 1, 2023 A BILL TO BE ENTITLED AN ACT TO DELIVER SAFE, ACCESSIBLE, VALUE-DIRECTED, AND EXCELLENT (SAVE) HEALTH CARE THROUGHOUT NORTH CAROLINA BY MODERNIZING NURSING REGULATIONS.
*DRS45083-NBf-29**S175-v-1* General Assembly Of North Carolina Session 2023 assisting;
and theadministrationofnursingprograms andnursingandnursingservices. services.
Ordering,performing,supervising,Ordering, andinterpretingdiagnosticstudies.performing,supervising,andinterpretingdiagnosticstudies.
Ordering,performing,supervising,Ordering,performing,supervising,andinterpretingdiagnosticstudies. andinterpretingdiagnosticstudies.
Page 2 DRS45083-NBf-29Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 a.
Ordering,performing,supervising,Ordering,performing,supervising,andinterpretingdiagnosticstudies. andinterpretingdiagnosticstudies.
ImplementingImplementingthe the treatment and pharmaceutical regimen prescribed or ordered by any person authorized by State law to prescribe or order the regimen.
DRS45083-NBf-29Senate Bill 175-First Edition Page 3 General Assembly Of North Carolina Session 2023 h.
Participating in implementing the health care plan developed by the registered nurse and/or prescribed by any person authorized by State lawto prescribesuchaplan,byperformingprescribesuchaplan,byperformingtasksassignedordelegated tasksassignedordelegated by and performed under the supervision or under orders or directions of a registered nurse, physician licensed to practice medicine, dentist, or other person authorized by State law to provide the supervision.
… (14) The practice of nursing by a an advanced practice registered nurse engaged in the practice of nursing and the performance of acts otherwise constituting medical practice by a registered nurse when performed in accordance with rules and regulations developedbydevelopedbyajoint ajoint subcommitteeofthe North Carolina Medical Board and the Board of Nursing and adopted by both boards.as defined in Article 9A of this Chapter.
… Page 4 DRS45083-NBf-29Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 d.
"(b) A person shall be deemed to be practicing dentistrydentistryin in this State who does, undertakes or attempts to do, or claims the ability to do any one or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:
The fees and rules developed by this subcommittee shall govern the performance of medical acts by registered nurses and shall become effective when they have been adopted by both Boards.Grant prescribing, ordering, dispensing, and furnishing authorityauthorityto to holders of the advanced practice registered nurse license pursuant to G.S.
DRS45083-NBf-29Senate Bill 175-First Edition Page 5 General Assembly Of North Carolina Session 2023 … (b) The schedule of fees shall not exceed the following rates:
Application for license as advanced practice registered nurse...............................$100.00 Renewal of license to practice as advanced practice registered nurse (two-year period).............................................................................................100.00 Reinstatement of lapsed license to practice as advanced practice registered nurse and renewal fee.....................................................................180.00 Application for examination leading to certificate and license as registered nurse...............................................................................................$75.00 Application for certificate and license as registered nurse by endorsement....................................................................................................150.00 Application for each re-examination leading to certificate and license as registered nurse.................................................................................................75.00 Renewal of license to practice as registered nurse (two-year period)......................100.00 Reinstatement of lapsed license to practice as a registered nurse and renewal fee......................................................................................................180.00 Application forexaminationleadingforexaminationleadingto to certificate and licenseas licensed practical nurse by examination .........................................................................75.00 Application for certificate and license as licensed practical nurse by endorsement....................................................................................................150.00 Application for each re-examination leading to certificate and license as licensed practical nurse.....................................................................................75.00 Renewal of license to practice as a licensed practical nurse (two-year period).............................................................................................................100.00 Reinstatement of lapsed license to practice as a licensed practical nurse and renewal fee...............................................................................................180.00 Application fee for retired registered nurse status or retired licensed practical nurse status.........................................................................................50.00 Reinstatement of retired registered nurse to practice as a registered nurse or a retired licensed practical nurse to practice as a licensed practical nurse (two-year period)....................................................................100.00 Reasonable charge for duplication services and materials.
Page 6 DRS45083-NBf-29Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 (a) An applicant for renewal of an APRN license issued under this Article shall apply for licensure renewal according to the frequency and schedule established by the Board and pay the required fee.
Any person permitted to practice nursing without a license as provided in subdivision (2) (a)(2) or (3) (a)(3) of this section shall be held to the same standard of care as anyanylicensed licensed nurse.
DRS45083-NBf-29Senate Bill 175-First Edition Page 7 General Assembly Of North Carolina Session 2023 (2) Public health departments, physicians' offices, ambulatory care facilities, and rural health clinics." SECTION 10.
15-190, 20-37.6(c1), 55B-14(c), 58-3-169, Page 8 DRS45083-NBf-29Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 58-50-30, 58-51-45, 90-1.1, 90-3, 90-21.17, 90-21.81, 90-171.21, 90-724, 115C-12, 115C-323, 115C-375.2A, 122C-263.1, 122C-465, 130A-115, 130A-440.1, and 131D-4.8.
DRS45083-NBf-29Senate Bill 175-First Edition Page 9
Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.
The bill significantly modernizes nursing regulations in North Carolina by revising definitions related to nursing practice and removing limitations on nurse practitioners.
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G.S. 90-171.20
Definitions.As used in this Article, unless the context requires otherwise:→ Definitions. As used in this Article, unless the context requires otherwise:The header format has been modified for consistent presentation.
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G.S. 90-171.20
(1) Advanced assessment. – The taking by an advanced practice registered nurse of the history, physical, and psychological assessment of a patient's signs, symptoms, pathophysiologic status, and psychosocial variations in the determination of differential diagnoses and treatment.
Introduces a definition for advanced assessment by an advanced practice registered nurse.
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G.S. 90-171.20
(1a) Advanced practice registered nurse or APRN. – An individual licensed by the Board as an advanced practice registered nurse within one of the following four roles: a. Certified nurse practitioner or CNP. b. Certified nurse midwife or CNM. c. Clinical nurse specialist or CNS. d. Certified registered nurse anesthetist or CRNA.
Adds a definition for advanced practice registered nurse (APRN) and specifies the roles they may hold.
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G.S. 90-171.20
means the North Carolina Board of Nursing.→ means the Board. – The North Carolina Board of Nursing.Streamlines the definition of 'Board' without changing its meaning.
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G.S. 90-171.20
the practice of nursing and the performance of acts otherwise constituting medical practice by a registered nurse when performed in accordance with rules and regulations developedbyajoint subcommitteeofthe North Carolina Medical Board and the Board of Nursing and adopted by both boards.as defined in Article 9A of this Chapter.→ the practice of nursing by a licensed practical nurse engaged in the practice of nursing and the performance of acts otherwise constituting medical practice by a registered nurse when performed in accordance with rules and regulations developed by a joint subcommittee of the North Carolina Medical Board and the Board of Nursing and adopted by both boards.Clarifies language concerning the practice of nursing associated with registered nurses and licensed practical nurses.
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G.S. 90-171.20
License means a permit issued by the Board to practice nursing as a registered nurse or as a licensed practical nurse, including a renewal thereof.→ License means a permit issued by the Board to practice nursing as an advanced practice registered nurse, as a registered nurse, or as a licensed practical nurse, including a renewal or reinstatement thereof.Expands the definition of 'License' to include advanced practice registered nurses.
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G.S. 90-18.2
G.S. 90-18.2 is repealed.
Repeals the section that defined limitations on nurse practitioners, removing previous restrictions.
Action History
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Passed 1st Reading
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Ref To Com On Rules and Operations of the Senate
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Filed
Sponsors
- Paul Newton · Cosponsor
- Ralph Hise · Primary
- Krawiec · Primary
- Gale Adcock · Cosponsor
- Val Applewhite · Cosponsor
- Lisa S. Barnes · Cosponsor
- Dan Blue · Cosponsor
- Jr. Danny Earl Britt · Cosponsor
- Jim Burgin · Cosponsor
- Kevin Corbin · Cosponsor
- Warren Daniel · Cosponsor
- Amy S. Galey · Cosponsor
- Michael Garrett · Cosponsor
- Lisa Grafstein · Cosponsor
- Hunt · Cosponsor
- Julie Mayfield · Cosponsor
- Tom McInnis · Cosponsor
- Norman W. Sanderson · Cosponsor
- Joyce Waddell · Cosponsor
- Graig Meyer · Cosponsor
- Brent Jackson · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 19 co-sponsors · 158 not signed on
Sponsors (2)
- Ralph Hise Republican
- Krawiec
Co-sponsors (19)
- Paul Newton Republican
- Gale Adcock Democratic
- Val Applewhite Democratic
- Lisa S. Barnes Republican
- Dan Blue Democratic
- Danny Earl Britt, Jr. Republican
- Jim Burgin Republican
- Kevin Corbin Republican
- Warren Daniel Republican
- Amy S. Galey Republican
- Michael Garrett Democratic
- Lisa Grafstein Democratic
- Hunt
- Julie Mayfield Democratic
- Tom McInnis Republican
- Norman W. Sanderson Republican
- Joyce Waddell Democratic
- Graig Meyer Democratic
- Brent Jackson Republican
Not signed on (158)
158 members have not signed on to this bill.
Show all 158 →"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.
Subjects
Frequently asked questions
- Who sponsors SB 175?
- SB 175 is sponsored by Paul Newton (Republican), Ralph Hise (Republican), Krawiec, Gale Adcock (Democratic), Val Applewhite (Democratic), Lisa S. Barnes (Republican), Dan Blue (Democratic), Danny Earl Britt, Jr. (Republican), Jim Burgin (Republican), Kevin Corbin (Republican), Warren Daniel (Republican), Amy S. Galey (Republican), Michael Garrett (Democratic), Lisa Grafstein (Democratic), Hunt, Julie Mayfield (Democratic), Tom McInnis (Republican), Norman W. Sanderson (Republican), Joyce Waddell (Democratic), Graig Meyer (Democratic), and Brent Jackson (Republican).
- What is the current status of SB 175?
- This bill died with 2023-2024 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 175?
- Track SB 175 free on One Click Politics — get push/email alerts when it moves.
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