~~FILED~~ ~~SENATE~~ GENERAL ASSEMBLY OF NORTH CAROLINA ~~Feb~~SESSION ~~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 ~~andnursing~~andnursingservices. ~~services.~~

~~Ordering,performing,supervising,~~Ordering, ~~andinterpretingdiagnosticstudies.~~performing,supervising,andinterpretingdiagnosticstudies.

~~Ordering,performing,supervising,~~Ordering,performing,supervising,andinterpretingdiagnosticstudies. ~~andinterpretingdiagnosticstudies.~~

Page 2 ~~DRS45083-NBf-29~~Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 a.

~~Ordering,performing,supervising,~~Ordering,performing,supervising,andinterpretingdiagnosticstudies. ~~andinterpretingdiagnosticstudies.~~

~~Implementing~~Implementingthe ~~the~~ treatment and pharmaceutical regimen prescribed or ordered by any person authorized by State law to prescribe or order the regimen.

~~DRS45083-NBf-29~~Senate 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,byperforming~~prescribesuchaplan,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 ~~developedby~~developedbyajoint ~~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-29~~Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 d.

"(b) A person shall be deemed to be practicing ~~dentistry~~dentistryin 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 ~~authority~~authorityto to holders of the advanced practice registered nurse license pursuant to G.S.

~~DRS45083-NBf-29~~Senate 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 ~~forexaminationleading~~forexaminationleadingto 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-29~~Senate 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 ~~any~~anylicensed ~~licensed~~ nurse.

~~DRS45083-NBf-29~~Senate 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-29~~Senate 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-29~~Senate Bill 175-First Edition Page 9

Latest

~~FILED~~ ~~SENATE~~ GENERAL ASSEMBLY OF NORTH CAROLINA ~~Feb~~ ~~28,~~ 2023 ~~S.B.~~

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2023 S 1 SENATE BILL 175 Short Title:

~~175 SESSION 2023 PRINCIPAL CLERK S D SENATE BILL DRS45083-NBf-29 Short Title:~~

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*~~ General Assembly Of North Carolina Session 2023 assisting;

*S175-v-1* General Assembly Of North Carolina Session 2023 assisting;

and theadministrationofnursingprograms ~~andnursing~~ ~~services.~~

and theadministrationofnursingprograms andnursingservices.

~~Ordering,performing,supervising,~~ ~~andinterpretingdiagnosticstudies.~~

Ordering, performing,supervising,andinterpretingdiagnosticstudies.

~~Ordering,performing,supervising,~~ ~~andinterpretingdiagnosticstudies.~~

Ordering,performing,supervising,andinterpretingdiagnosticstudies.

Page 2 ~~DRS45083-NBf-29~~ General Assembly Of North Carolina Session 2023 a.

Page 2 Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 a.

~~Ordering,performing,supervising,~~ ~~andinterpretingdiagnosticstudies.~~

Ordering,performing,supervising,andinterpretingdiagnosticstudies.

~~Implementing~~ ~~the~~ treatment and pharmaceutical regimen prescribed or ordered by any person authorized by State law to prescribe or order the regimen.

Implementingthe treatment and pharmaceutical regimen prescribed or ordered by any person authorized by State law to prescribe or order the regimen.

~~DRS45083-NBf-29~~ Page 3 General Assembly Of North Carolina Session 2023 h.

Senate 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,byperforming~~ ~~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.

Participating in implementing the health care plan developed by the registered nurse and/or prescribed by any person authorized by State lawto prescribesuchaplan,byperformingtasksassignedordelegated 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 ~~developedby~~ ~~ajoint~~ subcommitteeofthe North Carolina Medical Board and the Board of Nursing and adopted by both boards.as defined in Article 9A of this Chapter.

… (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 developedbyajoint 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-29~~ General Assembly Of North Carolina Session 2023 d.

… Page 4 Senate Bill 175-First Edition General Assembly Of North Carolina Session 2023 d.

"(b) A person shall be deemed to be practicing ~~dentistry~~ 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:

"(b) A person shall be deemed to be practicing dentistryin 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 ~~authority~~ to holders of the advanced practice registered nurse license pursuant to G.S.

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 authorityto holders of the advanced practice registered nurse license pursuant to G.S.

~~DRS45083-NBf-29~~ Page 5 General Assembly Of North Carolina Session 2023 … (b) The schedule of fees shall not exceed the following rates:

Senate 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 ~~forexaminationleading~~ 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.

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 forexaminationleadingto 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-29~~ 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.

Page 6 Senate 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 ~~any~~ ~~licensed~~ nurse.

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 anylicensed nurse.

~~DRS45083-NBf-29~~ Page 7 General Assembly Of North Carolina Session 2023 (2) Public health departments, physicians' offices, ambulatory care facilities, and rural health clinics." SECTION 10.

Senate 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-29~~ 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.

15-190, 20-37.6(c1), 55B-14(c), 58-3-169, Page 8 Senate 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-29~~ Page 9

Senate Bill 175-First Edition Page 9