North Carolina 2025 Session Status: In Committee 1 R cosponsors

HB 675 — EMT Personnel Credentialing Modifications.

Last action — Withdrawn From Com

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

This bill is in committee in the House. Introduced April 01, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

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

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

Prognosis

Stalled 16% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    0 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

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

98 added · 96 removed

Plain-language change summary

The updated version of House Bill 675 makes it clear that starting January 1, 2026, individuals seeking certification as emergency medical technicians or higher must pass the National Registry of Emergency Medical Technicians examination. This change simplifies the credentialing process by ensuring that only one recognized exam is valid, enhancing standardization across the state. Additionally, those who currently hold other state credentials will have until January 1, 2030, to transition to the National Registry certification, which provides them ample time to meet the new requirements. These changes are significant because they aim to improve the quality and consistency of emergency medical services in North Carolina.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 675 Short Title:
675 Apr 1, 2025 SESSION 2025 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH40407-NB-81 Short Title:EMT Personnel Credentialing Modifications.
EMT Personnel Credentialing Modifications.
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO REQUIRE THE NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS EXAMINATION FOR CREDENTIALINGAS VARIOUS EMERGENCY MEDICAL SERVICES PERSONNEL.
EmergencyManagement andDisasterRecovery,if favorable,RegulatoryReform, if favorable, Rules, Calendar, and Operations of the House April 3, 2025 A BILL TO BE ENTITLED AN ACT TO REQUIRE THE NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS EXAMINATION FOR CREDENTIALINGAS VARIOUS EMERGENCY MEDICAL SERVICES PERSONNEL.
… (17) "Practical examination" means a test that complies with National Registry of Emergency Medical Technicians examination standards where an applicant for credentialing as an emergency medical technician, emergency medical responder,advanced emergency medical technician,or paramedic demonstrates the ability to perform specified emergency medical care skills." SECTION 2.
… (17) "Practical examination" means a test that complies with National Registry of Emergency Medical Technicians examination standards where an applicant for credentialing as an emergency medical technician, emergency medical responder, advanced emergency medical technician,or paramedic demonstrates the ability to perform specified emergency medical care skills." SECTION 2.
(a) Individuals seeking credentials as an emergency medical technician, advanced emergency medical technician, paramedic, emergency medical responder, emergency medical dispatcher, or emergency medical services instructor shall apply to the Department using forms prescribed by that agency.
(a) Individuals seeking credentials as an emergency medical technician, advanced emergency medical technician, paramedic, emergency medical responder, emergency medical dispatcher, or emergency medical services instructor shall apply to the Department using forms prescribed bythat agency.
Emergencymedicaltechnician,emergencymedical responder,emergencymedical dispatcher,advancedemergencymedicaltechnician,paramedic,andemergencymedicalservices instructor credentials shall be valid for a period not to exceed four years and may be renewed if the holder meets the requirements set forth in the rules of the Commission.
Emergencymedicaltechnician,emergencymedical responder,emergencymedical dispatcher,advancedemergencymedicaltechnician,paramedic,and emergencymedicalservices instructor credentials shall be valid for a period not to exceed four years and may be renewed if the holder meets the requirements set forth in the rules of the Commission.
(b1) Beginning January1, 2026, apersonseeking credentialing orrenewal of credentialing under subsection (b) of this section shall only qualify for credentials under this section if the personpassestheNational RegistryofEmergencyMedical Technicians examination forthelevel *DRH40407-NB-81* General Assembly Of North Carolina Session 2025 of certification desired.
*H675-v-1* General Assembly Of North Carolina Session 2025 (b1) BeginningJanuary1, 2026, apersonseekingcredentialingorrenewal of credentialing under subsection (b) of this section shall only qualify for credentials under this section if the personpassestheNational RegistryofEmergencyMedical Technicians examination forthelevel of certification desired.
(c) Individuals currently credentialed as an emergency medical technician, advanced emergency medical technician, paramedic, emergency medical responder, and emergency medical services instructor by the National Registry of Emergency Medical Technicians or by another state where the education/credentialing requirements have been approved for legal recognition by the Department of Health and Human Services, in accordance with rules promulgated by the Medical Care Commission, and who is either currently residing in North Carolinaor affiliated with apermittedEMS provideroffering service within North Carolina,may be eligible for credentialing as an emergency medical technician, advanced emergency medical technician, paramedic, emergency medical responder,and emergency medical services instructor without examination.
(c) Individuals currently credentialed as an emergency medical technician, advanced emergency medical technician, paramedic, emergency medical responder, and emergency medical services instructor by the National Registry of Emergency Medical Technicians or by another state where the education/credentialing requirements have been approved for legal recognition by the Department of Health and Human Services, in accordance with rules promulgated by the Medical Care Commission, and who is either currently residing in North Carolinaor affiliated with a permittedEMS provideroffering service within North Carolina,may be eligible for credentialing as an emergency medical technician, advanced emergency medical technician, paramedic, emergencymedical responder,and emergencymedical services instructor without examination.
(e) Duly authorized representatives of the Department may issue temporary credentials withorwithoutexaminationuponfindingthatthisactionwillbeinthepublicinterest.Temporary credentials shall be valid for a period not exceeding 90 days.
(e) Duly authorized representatives of the Department may issue temporary credentials withorwithoutexaminationuponfindingthatthisactionwill beinthepublicinterest.Temporary credentials shall be valid for a period not exceeding 90 days.
(f) The Department may deny, suspend, amend, or revoke the credentials of an emergency medical responder, emergency medical technician, advanced emergency medical technician, paramedic, emergency medical dispatcher, or emergency medical services instructor in any case in which the Department finds that there has been a substantial failure to comply with Page 2 DRH40407-NB-81 General Assembly Of North Carolina Session 2025 the provisions of this Article or the rules issued under this Article.
Page 2 House Bill 675-First Edition General Assembly Of North Carolina Session 2025 (f) The Department may deny, suspend, amend, or revoke the credentials of an emergency medical responder, emergency medical technician, advanced emergency medical technician, paramedic, emergency medical dispatcher, or emergency medical services instructor in any case in which the Department finds that there has been a substantial failure to complywith the provisions of this Article or the rules issued under this Article.
At the request oftheDepartment, theEmergencyMedical Services DisciplinaryCommittee,established by G.S.
At the request oftheDepartment, theEmergencyMedical Services DisciplinaryCommittee, established by G.S.
(h) A person who is required to register as a sex offender under Article 27A of Chapter 14 of the General Statutes, or who was convicted of an offense which would have required registration if committed at a time when such registration would have been required by law, shall not be granted EMS credentials.
(h) A person who is required to register as a sex offender under Article 27A of Chapter 14 of the General Statutes, or who was convicted of an offense which would have required registration if committed at a time when such registration would have been required bylaw, shall not be granted EMS credentials.
DRH40407-NB-81 Page 3
House Bill 675-First Edition Page 3
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Action History

  1. Withdrawn From Com

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

  3. Reptd Fav

  4. Re-ref Com On Regulatory Reform

  5. Passed 1st Reading

  6. Ref to the Com on Emergency Management and Disaster Recovery, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House

  7. Filed

Sponsors

Sponsorship breakdown

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0 sponsors · 1 co-sponsors · 178 not signed on

Sponsors (0)

None.

Co-sponsors (1)

Not signed on (178)

178 members have not signed on to this bill.

Show all 178 →

"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

public-safety healthcare labor
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 675?
HB 675 is sponsored by Mark Pless (Republican).
What is the current status of HB 675?
This bill is in committee in the House. Introduced April 01, 2025. It must pass committee before a floor vote.
Where can I track HB 675?
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