North Carolina 2025 Session Status: Passed House Bipartisan · 7 R · 2 D cosponsors

HB 71 — Respiratory Care Modernization Act.

Last action — Regular Message Received From House

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

This bill has passed the House. Introduced February 06, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · high confidence

  • Passed House

    Current position in the legislative process.

  • 10 sponsors

    1 primary, 9 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

288 added · 287 removed

Plain-language change summary

The recent changes to Bill HB 71 include the addition of more specific definitions and clarifications regarding respiratory care practices. Notably, terms like "endorsement" for advanced procedures and "medical director" roles have been defined to establish clear guidelines on who can perform certain tests and oversee care. These changes are important as they enhance the regulatory framework, ensuring that only qualified individuals conduct sensitive respiratory procedures, ultimately aiming to improve patient safety and care quality.

→
Previous
Latest
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 71 Committee Substitute Favorable 3/11/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 71 Short Title:
Representatives Moss and Huneycutt (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
February 11, 2025 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.
Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House February 11, 2025 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.
– Cardiopulmonary procedures and tests performed on the written order of a physician licensed under Article 1 of this Chapter that provide information to the physician to formulate a diagnosis of the patient's condition.
– Cardiopulmonary procedures and tests performed on the written order of a physician licensed under Article 1 of this Chapter that provide information to the physician to formulate a diagnosis of the patient's *H71-v-1* General Assembly Of North Carolina Session 2025 condition.
*H71-v-2* General Assembly Of North Carolina Session 2025 (3) Direct supervision.
(3) Direct supervision.
and (vii) unless a physician is physically present to supervise the advanced practice respiratory care therapist or the procedure is provided pursuant to subdivision (10) of this section, the ordering or performance of diagnostic and therapeutic procedures that are more than minimally invasive and have known complications that involve serious injury and death.
and (vii) ordering or performing diagnostic and therapeutic procedures that are more than minimally invasive and have known complications that involve serious injury and death, unless a physician is physically present to supervise the advanced practice respiratory care therapist or the procedure is provided pursuant to subdivision (10) of this section.
The advanced respiratory care practitioner may perform acts, tasks, or functions in any health care setting for which the physician is responsible, and which are as follows:
The advanced respiratory care practitioner mayperform acts, tasks, or functions in any health care setting for which the physician is responsible, and which are as follows:
– As defined by the written order of a physician licensed under Article 1 of this Chapter, Chapter for respiratory care practitioners, the observing and monitoring of signs and symptoms, general behavior, and general physical response to respiratory care treatment and diagnostic testing, including the determination of whether such signs, symptoms, reactions, behavior, or general response exhibit abnormal characteristics, and the performance of diagnostic testing and therapeutic application of:
– As defined by the written order of a physician licensed under Article 1 of this Chapter, Chapter for respiratory care practitioners, the observing and monitoring of signs and symptoms, general behavior, and general physical response to respiratory care treatment and diagnostic testing, including the determination of whether such signs, symptoms, reactions, behavior, or general response exhibit abnormal Page 2 House Bill 71-First Edition General Assembly Of North Carolina Session 2025 characteristics, and the performance of diagnostic testing and therapeutic application of:
Page 2 House Bill 71-Second Edition General Assembly Of North Carolina Session 2025 a.
a.
… "§ 90-650.
… House Bill 71-First Edition Page 3 General Assembly Of North Carolina Session 2025 "§ 90-650.
House Bill 71-Second Edition Page 3 General Assembly Of North Carolina Session 2025 … (7) The North Carolina Association of Atlantic Coast Medical Equipment Services Association shall appoint the member described in G.S.
… (7) The North Carolina Association of Atlantic Coast Medical Equipment Services Association shall appoint the member described in G.S.
(4) Submit to the Board written evidence, verified by oath, that the applicant has successfully completed the minimal requirements for Basic Cardiac Life Page 4 House Bill 71-Second Edition General Assembly Of North Carolina Session 2025 Support as recognized by the American Heart Association, the American Red Cross, or the American Safety and Health Institute.
Page 4 House Bill 71-First Edition General Assembly Of North Carolina Session 2025 (4) Submit to the Board written evidence, verified by oath, that the applicant has successfully completed the minimal requirements for Basic Cardiac Life Support as recognized by the American Heart Association, the American Red Cross, or the American Safety and Health Institute.
… "§ 90-661.
… House Bill 71-First Edition Page 5 General Assembly Of North Carolina Session 2025 "§ 90-661.
House Bill 71-Second Edition Page 5 General Assembly Of North Carolina Session 2025 (1) Engage in the practice of respiratory care.
(1) Engage in the practice of respiratory care.
(e) All licensees shall self-reportto the Board anyofthefollowing within30days oftheir arrest or indictment:
(e) All licensees shall self-reportto the Board anyofthefollowing within 30 days oftheir arrest or indictment:
If the Board releases this confidential information, the Board shall notify and provide a summary of the information to the licensee within 60 days after the information is transmitted.
If the Board releases this confidential information, the Board shall notify and provide Page 6 House Bill 71-First Edition General Assembly Of North Carolina Session 2025 a summary of the information to the licensee within 60 days after the information is transmitted.
The licensee may make a written request that the Board provide the licensee a copy of all Page 6 House Bill 71-Second Edition General Assembly Of North Carolina Session 2025 information transmitted within 30 days of receivingnotice of the initial transmittance.
The licensee may make a written request that the Board provide the licensee a copy of all information transmitted within 30 days of receivingnotice of the initial transmittance.
House Bill 71-Second Edition Page 7
House Bill 71-First Edition Page 7
⬇ Download PDF
View plain text versions (3)

Action History

  1. Regular Message Received From House

  2. Passed 1st Reading

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

  4. Regular Message Sent To Senate

  5. Passed 2nd Reading

  6. Passed 3rd Reading

  7. Reptd Fav

  8. Cal Pursuant Rule 36(b)

  9. Placed On Cal For 04/01/2025

  10. Reptd Fav

  11. Re-ref Com On Rules, Calendar, and Operations of the House

  12. Reptd Fav Com Substitute

  13. Re-ref Com On Regulatory Reform

  14. Passed 1st Reading

  15. Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House

  16. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 9 co-sponsors · 169 not signed on · 4 voted No

Sponsors (1)

Co-sponsors (9)

Not signed on (169)

169 members have not signed on to this bill.

Show all 169 →

"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

Votes

Second Reading

Passed 113 Yea · 4 Nay · 3 Other
Party YeaNayPresentNot Voting
Democratic 39401
U 2000
Unaffiliated 6000
Republican 66002
Total 113403
% of votes cast 94%3%0%3%
How each member voted (120)
Member Party Vote
CharlesSmith — Yea
vonHaefen — Yea
Campbell — Yea
Reeder — Yea
C. Smith — Yea
F. Jackson — Yea
Abe Jones Democratic Yea
Aisha O. Dew Democratic Not Voting
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Yea
Amos L. Quick, III Democratic Yea
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Beth Helfrich Democratic Yea
Brandon Lofton Democratic Yea
Brian Turner Democratic Yea
Bryan Cohn Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Jordan Lopez Democratic Yea
Julia Greenfield Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Yea
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Mike Colvin Democratic Yea
Monika Johnson-Hostler Democratic Nay
Phil Rubin Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Rodney D. Pierce Democratic Nay
Sarah Crawford Democratic Nay
Shelly Willingham Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Tracy Clark Democratic Yea
Vernetta Alston Democratic Nay
Ya Liu Democratic Yea
Zack Hawkins Democratic Yea
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Yea
Bill Ward Republican Yea
Blair Eddins Republican Yea
Brenden H. Jones Republican Yea
Brian Biggs Republican Yea
Brian Echevarria Republican Yea
Celeste C. Cairns Republican Yea
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
Cody Huneycutt Republican Yea
David Willis Republican Yea
Dean Arp Republican Yea
Dennis Riddell Republican Yea
Destin Hall Republican Yea
Diane Wheatley Republican Yea
Donna McDowell White Republican Yea
Donnie Loftis Republican Yea
Donny Lambeth Republican Yea
Dudley Greene Republican Yea
Edward C. Goodwin Republican Yea
Erin Paré Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Heather H. Rhyne Republican Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jarrod Lowery Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jerry "Alan" Branson Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John M. Blust Republican Yea
John R. Bell, IV Republican Yea
John Sauls Republican Not Voting
Jonathan L. Almond Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Yea
Kyle Hall Republican Not Voting
Larry C. Strickland Republican Yea
Larry W. Potts Republican Yea
Mark Brody Republican Yea
Mark Pless Republican Yea
Matthew Winslow Republican Yea
Mike Clampitt Republican Yea
Mike Schietzelt Republican Yea
Mitchell S. Setzer Republican Yea
Neal Jackson Republican Yea
Paul Scott Republican Yea
Phil Shepard Republican Yea
Ray Pickett Republican Yea
Sam Watford Republican Yea
Sarah Stevens Republican Yea
Stephen M. Ross Republican Yea
Steve Tyson Republican Yea
Ted Davis, Jr. Republican Yea
Todd Carver Republican Yea
Todd Johnson Republican Yea
Tricia Ann Cotham Republican Yea
William D. Brisson Republican Yea
Wyatt Gable Republican Yea
Carla D. Cunningham U Yea
Nasif Majeed U Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 71?
HB 71 is sponsored by Shelly Willingham (Democratic), Bill Ward (Republican), Reeder, Jeffrey C. McNeely (Republican), Keith Kidwell (Republican), Pricey Harrison (Democratic), Cody Huneycutt (Republican), Ben T. Moss, Jr. (Republican), Mike Clampitt (Republican), and Jake Johnson (Republican).
What is the current status of HB 71?
This bill has passed the House. Introduced February 06, 2025. It now moves to the second chamber.
Where can I track HB 71?
Track HB 71 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 71

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 71

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →