North Carolina 2025 Session Status: In Committee Bipartisan · 3 R · 3 D · 1 I cosponsors

HB 122 — North Carolina Board of Integrative Therapies.

Last action — Reptd Fav Com Substitute

  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 February 13, 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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Prognosis

Advancing 42% · moderate confidence
  • In Committee

    Current position in the legislative process.

  • 7 sponsors

    1 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (3 R · 3 D · 1 I) — cross-party backing.

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

486 added · 518 removed

Plain-language change summary

The latest version of HB 122 has added additional sponsors to the bill, specifically Representatives Warren and Riddell, which reflects broader support for the legislation. This version also establishes the North Carolina Healing Arts Commission, which will consist of various appointments from the General Assembly and the Governor, ensuring that professionals such as reflexologists and music therapists are represented. This change is important because it aims to create a formal oversight body for healing arts in North Carolina, promoting regulation and support for these practices.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 122 Committee Substitute Favorable 5/13/26 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 122 Short Title:
North Carolina Board of Integrative Therapies.
North Carolina Healing Arts Act.
Representatives Warren and Riddell (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
February 17, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH THE NORTH CAROLINA BOARD OF INTEGRATIVE THERAPIES AND TO CREATE LICENSURE PROCESSES FOR ART THERAPISTS AND MUSIC THERAPISTS.
Health, if favorable, RegulatoryReform, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House February 17, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH THE NORTH CAROLINA HEALING ARTS COMMISSION AND TO CREATE LICENSURE PROCESSES FOR REFLEXOLOGISTS AND MUSIC THERAPISTS.
SECTION 1.
SECTION 1.(a) Chapter 90 of the General Statutes is amended by adding a new Article to read:
Chapter 90 of the General Statutes is amended byadding a new Article to read:
"Integrative Therapies.
"Healing Arts.
North Carolina Board of Integrative Therapies.
North Carolina Healing Arts Commission.
(a) This Article shall be known and may be cited as the "North Carolina Integrative Therapies Act." (b) The North Carolina Integrative Therapies Act is established to safeguard the public health, safety, and welfare;
(a) This Article shall be known and may be cited as the "North Carolina Healing Arts Act." (b) The North Carolina Healing Arts Act is established to safeguard the public health, safety, and welfare;
to assure the highest degree of professional services and conduct on the part of practitioners of the integrative therapies;
to assure the highest degree of professional services and conduct on the part of practitioners of the healing arts;
and to ensure the availability of integrative therapies services of high quality to persons in need of such services.
and to ensure the availability of healing arts services of high quality to persons in need of such services.
– A committee charged with supervising the day-to-day regulation of an integrative therapy profession.
– A committee charged with supervising the day-to-day regulation of a healing arts profession.
Advisory committees shall screen applicants forlicensureand conduct all investigations necessaryto give recommendations to the Board.
Advisory committees shall screen applicants for licensure and conduct all investigations necessary to give recommendations to the Commission.
(2) Board.
(2) Commission.
– The North Carolina Board of Integrative Therapies, as established pursuant to G.S.
– The North Carolina Healing Arts Commission, as established pursuant to G.S.
(3) Integrative therapies.
(3) Healing arts.
– The use of allopathic, complementary, or integrative approaches to the art and science of medicine for the prevention, identification,andtreatmentofhumanphysicalor mentalconditions,diseases, ailments, illnesses, infirmities,pain, defects, orinjuries and thepromotionand restoration of health and wellness.
– The use of allopathic, complementary, or alternative approaches to the art and science of medicine for the prevention, identification,andtreatmentofhumanphysicalormentalconditions,diseases, ailments, illnesses, infirmities,pain, defects, orinjuries and thepromotionand restoration of health and wellness.
(4) Integrative therapies profession.
(4) Healing arts profession.
(5) North Carolina Integrative Therapies License.
(5) North Carolina Healing Arts License.
– A license in an integrative therapy profession issued pursuant to this Article.
– A license in a healing arts profession issued pursuant to this Article.
*H122-v-2* General Assembly Of North Carolina Session 2025 "§ 90-750.3.
*H122-v-1* General Assembly Of North Carolina Session 2025 "§ 90-750.3.
North Carolina Board of Integrative Therapies;
North Carolina Healing Arts Commission;
(a) Establishment.–TheNorthCarolinaBoardofIntegrativeTherapiesisherebycreated.
(a) Establishment.–TheNorthCarolinaHealingArts Commissionisherebycreated.The Commission shall consist of the following members appointed to three-year terms as follows:
The Board shall consist of the following members appointed to three-year terms as follows:
(1) One reflexologist appointed by the General Assembly upon the recommendation of the President Pro Tempore of the Senate.
(1) One art therapist appointed by the General Assembly upon the recommendation of the President Pro Tempore of the Senate.
(3) One art therapist appointed by the Governor.
(3) One reflexologist appointed by the Governor.
(5) Two physicians licensed under Article 1 of this Chapter who have experience with integrative therapies appointed by the Governor.
(5) One member of the public appointed by the Governor.
(6) One member of the public appointed by the Governor.
– Any vacancies on the Board shall be filled by the appointing authority as provided in subsection (a) of this section, except that any vacancy in appointments by the General Assembly shall be filled in accordance with G.S.
– Any vacancies on the Commission shall be filled by the appointing authority as provided in subsection (a) of this section, except that any vacancy in appointments by the General Assembly shall be filled in accordance with G.S.
– (1) All members appointed to the Board shall be citizens of the United States and residents of the State of North Carolina.
– (1) All members appointed to the Commission shall be citizens of the United States and residents of the State of North Carolina.
(2) All members appointed to the Board, except for the physicians appointed by the Governor under subdivision (5) of subsection (a) of this section and the publicmemberappointed bytheGovernorundersubdivision (6)ofsubsection (a) of this section, shall be required to hold a North Carolina Integrative Therapies License in their respective profession and remain in good standing for the duration of their terms.
(2) All members appointed to the Commission, except for the public member appointed by the Governor under subdivision (5) of subsection (a) of this section, shall be required to hold a North Carolina Healing Arts License in their respective profession, and remain in good standing for the duration of their terms.
(3) Public members of the Board shall not be:
(3) Public members of the Commission shall not be:
An agent or employee trained or experienced in the practice of integrative therapies.
An agent or employee trained or experienced in the practice of healing arts.
An agent or employee of a person engaged in the practice of integrative therapies.
An agent or employee of a person engaged in the practice of healing arts.
(d) New Integrative Therapies Professions.
(d) New Healing Arts Professions.
– Any integrative therapies professions created after July 1, 2026, shall have two members on the Board, both of whom shall serve three-year terms.
– Any healing arts professions created after January 1, 2026, shall have two members on the Commission, both of whom shall serve three-year terms.
One of these members shall be appointed bythe Governor.
One of these members shall be appointed by the Governor.
The Speaker of the House of Representatives shall make a recommendation to be approved by the General Assembly for the first term, and the PresidentProTemporeoftheSenateshallmakearecommendationtobeapprovedbytheGeneral Assembly for the second term.
The Speaker of the House of Representatives shall make a recommendation to be approved by the General Assembly for the first term, and the President Pro Tempore of the Senate shall make a recommendation to be approved by the General Assembly for the second term.
– The Board may remove any of its members for neglect of duty, incompetence, or unprofessional conduct.
– The Commission may remove any of its members for neglect of duty, incompetence, or unprofessional conduct.
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A member subject to disciplinary proceedings as a licensed integrative therapies professional shall be disqualified from participating in the official business of the Board until the charges have been resolved.
A member subject to disciplinary proceedings as a licensed healing arts professional shall be disqualified from participating in the official business of the Commission until the charges have been resolved.
Any member of the Board may be removed from office by the Governor for good cause shown.
Any member of the Commission may be removed from office by the Governor for good cause shown.
– A Board member may not receive compensation but may receive reimbursement as provided in G.S.
– A Commission member may not receive compensation but may receive reimbursement as provided in G.S.
The officers of the Board shall include a chair, a secretary, and any other officers deemed necessary by the Board to carry out the purposes of this Article.
The officers of the Commission shall include a chair, a secretary, and any other officers deemed necessary by the Commission to carryout the purposes of this Article.
All officers shall be elected annually by the Board at its Page 2 House Bill 122-Second Edition General Assembly Of North Carolina Session 2025 first meeting held after appointments to the Board are made.
All officers shall be elected annually bythe Commission at its first meeting held after appointments to the Commission are made.
The Board shall hold a meeting within 45 days after the appointment of new Board members.
The Commission shall hold a meeting within 45 days after the appointment of new Commission members.
No person shall chair the Board for more than five consecutive years.
No person shall chair the Commission for more than five consecutive years.
The Board may adopt rules governing the calling, holding, and conducting of regular and special meetings.
The Page 2 House Bill 122-First Edition General Assembly Of North Carolina Session 2025 Commission may adopt rules governing the calling, holding, and conducting of regular and special meetings.
A majority of Board members present and voting constitutes a quorum, and no action may be taken without a quorum.
A majority of Commission members present and voting constitutes a quorum, and no action may be taken without a quorum.
Powers of the Board.
Powers of the Commission.
The Board shall have the following powers and duties:
The Commission shall have the following powers and duties:
(3) Appoint and maintain advisory committees to fulfill the daily regulation of integrative therapies professions.
(3) Appoint and maintain advisory committees to fulfill the daily regulation of healing arts professions.
(4) Issue, renew, deny, suspend, or revoke Integrative Therapies Licenses, order probation, issue reprimands, and conduct any disciplinary actions authorized by this Article.
(4) Issue, renew, deny, suspend, or revoke Healing Arts Licenses, order probation, issue reprimands, and conduct any disciplinary actions authorized by this Article.
(5) Authorize expenditures deemed necessary to carry out the provisions of this Article from fees paid to the Board pursuant to this Article.
(5) Authorize expenditures deemed necessary to carry out the provisions of this Article from fees paid to the Commission pursuant to this Article.
(7) ConductinvestigationsforthepurposeofdiscoveringviolationsofthisArticle or grounds for disciplinary actions.
(7) Conductinvestigationsforthepurposeofdiscoveringviolationsofthis Article or grounds for disciplinary actions.
(a) All fees shall be payable to and deposited in the name of the Board in financial institutions designated by the Board as official depositories.
(a) All fees shall be payable to and deposited in the name of the Commission in financial institutions designated by the Commission as official depositories.
These fees shall be used to carryout the purposes of this Article.
These fees shall be used to carry out the purposes of this Article.
(b) Allsalaries,compensation,andexpensesincurredorallowedto carryoutthepurposes of this Article shall be paid by the Board exclusively out of the fees received by the Board as authorized by this Article or funds received from other sources.
(b) Allsalaries,compensation,andexpensesincurredorallowedto carryoutthepurposes of this Article shall be paid by the Commission exclusively out of the fees received by the Commission as authorized by this Article or funds received from other sources.
(c) The Board shall establish fees for integrative therapies professions not exceeding the following amounts:
(c) The Commission shall establish fees for healing arts professions not exceeding the following amounts:
(1) Issuance of a North Carolina Integrative Therapies License.............$300.00 (2) License application and examination.................................................$200.00 (3) North Carolina Integrative Therapies License renewal (annually)....$350.00 (4) Late renewal.......................................................................................$200.00.
(1) Issuance of a North Carolina Healing Arts License...........................
$300.00 (2) License application and examination.................................................$200.00 (3) North Carolina Healing Arts License renewal (annually)..................$350.00 (4) Late renewal.......................................................................................$200.00.
House Bill 122-Second Edition Page 3 General Assembly Of North Carolina Session 2025 "§ 90-750.7.
"§ 90-750.7.
As an additional remedy, the Board may proceed in superior court to enjoin and restrain any person from violating the prohibitions of this Article.
House Bill 122-First Edition Page 3 General Assembly Of North Carolina Session 2025 As an additional remedy, the Commission may proceed in superior court to enjoin and restrain any person from violating the prohibitions of this Article.
The Board shall not be required to post bond when seeking an injunction pursuant to this section.
The Commission shall not be required to post bond when seeking an injunction pursuant to this section.
Integrative therapies professions.
Healing arts professions.
The following are the integrative therapies professions subject to this Article:
The following are the healing arts professions subject to this Article:
(1) Art therapists.
(1) Reflexologists.
Art Therapy.
Reflexology.
Art therapy as an integrative therapy profession.
Reflexology as a healing arts profession.
It is the policy of this State that the practice of art therapy shall be considered an integrative therapy profession.
It is the policy of this State that the practice of reflexology shall be considered a healing arts profession.
(1) Art therapy.
(1) Certifying entity.
– A therapeutic profession that enriches the lives of individuals, families, and communities through active art-making, creative process, applied psychological theory, and human experience within a therapeutic relationship with the goal of restoring a client's functioning or sense of personal well-being.
– The American Reflexology Certification Board or its successor.
(2) Certifying entity.
(2) Committee.
– The Art Therapy Credentials Board or its successor.
– The North Carolina Reflexology Advisory Committee.
(3) Committee.
(3) National certification.
– The North Carolina Art Therapy Advisory Committee.
(4) National certification.
(5) North Carolina Licensed Art Therapist.
(4) North Carolina Licensed Reflexologist.
– An individual that (i) is registered by the certifying entity as a registered art therapist and (ii) has been issued a North Carolina Integrative Therapies License in art therapy by the Board.
– An individual that (i) is certified by the certifying entityas a certified reflexologist and (ii) has been issued a North Carolina Healing Arts License in reflexology by the Commission.
(5) Reflexology.
– A protocol of manual techniques, including thumb- and finger-walking, hook and backup, and rotating-on-a-point, that are applied to specific reflex areas predominantly on the feet and hands and that stimulate the complex neural pathways linking body systems and support the body's efforts to function optimally.
The practice of reflexology is not massage and bodywork therapy as defined in Article 36 of this Chapter.
North Carolina Art Therapy Advisory Committee.
North Carolina Reflexology Advisory Committee.
– The North Carolina Art Therapy Advisory Committee is created.
– The North Carolina Reflexology Advisory Committee is created.
The initial Committee members shall be appointed on or before January 1, 2027, as follows:
The initial Committee members shall be appointed on or before January 1, 2026, as follows:
(1) The Board shall appoint from a list of names submitted by the North Carolina Art Therapy Association or its successor two art therapists eligible for licensure under this Article.
(1) The Commission shall appoint from a list of names submitted by the North Carolina Reflexology Association or its successor two reflexologists eligible forlicensureunderthisArticle.Onemembershallserveaninitialtermofthree years, and one member shall serve an initial term of two years.
One member shall serve an initial term of three years, and one member shall serve an initial term of two years.
(2) The Commission shall appoint one public member who shall serve an initial term of one year.
(2) The Board shall appoint one public member who shall serve an initial term of one year.
– The initial art therapist appointees shall be citizens of the United States and North Carolina residents for at least two years prior to appointment, certified by the certifying entity as an art therapist, and eligible to obtain a North Carolina Integrative Therapies License in art therapy under G.S.
– The initial reflexologist appointees shall be citizens of the United States and North Carolina residents for at least two years prior to appointment, certified by the certifying entity as a reflexologist, and eligible to obtain a North Carolina Healing Arts License inreflexologyunderG.S.
90-750.14.
90-750.14.Uponappointment,eachinitialreflexologistappointeeshall immediately seek to obtain a North Carolina Healing Arts License in reflexology under this Article and shall remain in good standing with the Committee during the appointee's term.
Upon appointment, each initial art therapist appointee shall immediately seek to obtain a North Carolina Integrative Therapies License in art therapy under this Article and shall remain in good standing with the Committee during the appointee's term.
Page 4 House Bill 122-First Edition General Assembly Of North Carolina Session 2025 Subsequent reflexologist appointees shall be citizens of the United States, residents of North Carolina, North Carolina Licensed Reflexologists, and appointed by the Commission from a list of names supplied by the North Carolina Reflexology Association or its successor.
Subsequent art therapy appointees shall be citizens of the United States, Page 4 House Bill 122-Second Edition General Assembly Of North Carolina Session 2025 residents of North Carolina, North Carolina Licensed Art Therapists, and appointed bythe Board from a list of names supplied by the North Carolina Art Therapy Association or its successor.
(1) An agent or employee trained or experienced in the practice of art therapy.
(1) An agent or employee trained or experienced in the practice of reflexology.
(2) An agent or employee of a person engaged in the practice of art therapy.
(2) An agent or employee of a person engaged in the practice of reflexology.
(3) A member of an integrative therapies profession or a person enrolled in a program to become a member of an integrative therapies profession.
(3) A member of a healing arts profession or a person enrolled in a program to become a member of a healing arts profession.
(2) Make recommendations to the Board to adopt, amend, or repeal rules to administer and enforce this Part.
(2) Make recommendations to the Commission to adopt, amend, or repeal rules to administer and enforce this Part.
(3) Establish and determine qualification and fitness of applicants for a North Carolina Integrative Therapies License in art therapy under this Part.
(3) Establish and determine qualification and fitness of applicants for a North Carolina Healing Arts License in reflexology under this Part.
(4) Make recommendations to the Board to issue, renew, deny, suspend, revoke, or refuse to issue or renew a North Carolina Integrative Therapies License in art therapy under this Article.
(4) Make recommendations to the Commission to issue, renew, deny, suspend, revoke, or refuse to issue or renew a North Carolina Healing Arts License in reflexology under this Article.
(5) Make recommendations to the Board to discipline North Carolina Licensed Art Therapists.
(5) Make recommendations to the Commission to discipline North Carolina Licensed Reflexologists.
(6) Advise the Board to seek civil and criminal penalties against unlicensed individuals engaged in the practice of art therapy.
(6) Advise the Commission to seek civil and criminal penalties against nonlicensed individuals engaged in the practice of reflexology.
(7) Provide all North Carolina Licensed Art Therapists with a wallet-sized card identifying the bearer as a North Carolina Licensed Art Therapist.
(7) Provide all North Carolina Licensed Reflexologists with a wallet-sized card identifying the bearer as a North Carolina Licensed Reflexologist.
(8) Maintain a list of all individuals in the State who hold a North Carolina Integrative Therapies License in art therapy.
(8) Maintain a list of all individuals in the State who hold a North Carolina Healing Arts License in reflexology.
Integrative therapy licensure in art therapy application and requirements.
Healing arts licensure in reflexology application and requirements.
Each individual desiring to obtain a North Carolina Integrative Therapies License in art therapy under this Article shall apply to the Committee in accordance with the procedures and rules prescribed by the Board.
EachindividualdesiringtoobtainaNorthCarolinaHealingArts Licenseinreflexologyunder this Article shall apply to the Committee in accordance with the procedures and rules prescribed by the Commission.
The Committee shall recommend that the Board issue a North Carolina Integrative Therapies License in art therapy to any applicant who furnishes evidence satisfactory to the Committee that the applicant meets all of the following criteria:
The Committee shall recommend that the Commission issue a North Carolina Healing Arts License in reflexology to any applicant who furnishes evidence satisfactory to the Committee that the applicant meets all of the following criteria:
(4) The applicant has paid all applicable fees to the Board as specified in G.S.
(4) The applicant has paid all applicable fees to the Commission as specified in G.S.
Every North Carolina Integrative Therapies License in art therapy issued by the Board shall be renewed annually on a date established by rule.
Every North Carolina Healing Arts License in reflexology issued by the Commission shall be renewed on or before January 1 every year.
The Committee shall recommend that the Board renew the North Carolina Integrative Therapies License in art therapy of any individual House Bill 122-Second Edition Page 5 General Assembly Of North Carolina Session 2025 who files a renewal application with the Committee and who meets the criteria set forth in G.S.
The Committee shall recommend that the House Bill 122-First Edition Page 5 General Assembly Of North Carolina Session 2025 Commission renew the North Carolina Healing Arts License in reflexology of any individual who files a renewal application with the committee and who meets the criteria set forth in G.S.
Compensation for art therapy services;
Compensation for reflexology services;
Compensation may be received for art therapy services only when those services are performedbyanindividualholdingaNorthCarolina IntegrativeTherapies Licensein arttherapy.
(a) Compensation may be received for reflexology services only when those services are performed by an individual holding a North Carolina Healing Arts License in reflexology.
Nonlicensed individuals who provide art therapy services or who engage in the practice of art therapy are subject to the penalties in G.S.
Nonlicensed individuals who provide reflexology services or who engage in the practice of reflexology are subject to the penalties in G.S.
90-750.7 unless the individual is an art therapy student working to obtain a certification of completion from a nationally recognized art therapy education program.
90-750.7 unless any of the following applies:
(1) The individual is a reflexology student working to obtain a certification of completion from a nationally recognized reflexology education program.
(2) The individual holds a certification of completion from a nationally recognized reflexology education program, and that program was completed no more than six months prior to that individual receiving compensation for reflexology services.
(b) Unless all reflexologyservices areperformedbyindividuals holdinga North Carolina Healing Arts License in reflexology, a place of business where reflexology services are offered for compensation shall be subject to a civil penalty of no more than five hundred dollars ($500.00) for each violation and a suspension of any license to operate the business for no more than 90 days.
The clear proceeds of the civil penalty assessed under this section shall be remitted to the Civil Penalty and Forfeiture Fund in accordance with G.S.
115C-457.2.
The Commission shall enforce the provisions of this subsection.
(a) At all places of business in which compensated art therapy services are offered, a valid and up-to-date license for all individuals offering compensated art therapy services shall be displayed in a prominent place.
(a) At all places of business in which compensated reflexology services are offered, a valid and up-to-date license for all individuals offering compensated reflexology services shall be displayed in a prominent place.
(b) All public advertising designed to attract clients for art therapy services shall identify that the services will be performed by an individual holding a North Carolina Integrative Therapies License in art therapy.
(b) All publicadvertisingdesigned to attract clients for reflexologyservices shall identify that the services will be performed by an individual holding a North Carolina Healing Arts License in reflexology.
(c) No individual shall use the title "North Carolina Licensed Art Therapist" unless that individual holds a valid North Carolina Integrative Therapies License in art therapy issued bythe Board.
(c) No individual shall use the title "North Carolina Licensed Reflexologist" unless that individual holds a valid North Carolina Healing Arts License in reflexology issued by the Commission.Individuals holdingthemselvesoutasNorthCarolina Licensed Reflexologistsshall carry the identification card described in G.S.
Individuals holding themselves out as North Carolina Licensed Art Therapists shall carry the identification card described in G.S.
90-750.13(7) at all times when providing reflexology services.
90-750.13(7) at all times when providing art therapy services.
The Committee may recommend that the Board grant, upon application and payment of proper fees, a North Carolina Integrative Therapies License in art therapy to a person who has been licensed or certified to practice art therapy in another state or territory of the United States whose standards of competency are substantially equivalent to the requirements for licensure provided in this Article.
The Committee may recommend that the Commission grant, upon application and payment of proper fees, a North Carolina Healing Arts License in reflexology to a person who has been licensed orcertified to practice reflexologyin anotherstateorterritoryoftheUnitedStates whose standards of competency are substantially equivalent to the requirements for licensure provided in this Article.
"§ 90-750.19.
Exemptions.
This Part shall not apply to an individual who may apply pressure to the reflex areas on the hands, feet, and outer ears in the regular course of that individual's work, so long as (i) the individual is licensed bythis State as a massage and bodywork therapist, physician, chiropractor, acupuncturist, physical therapist, cosmetologist, registered nurse, or as a member of other professions licensed by the State and (ii) this application of pressure to the reflex areas on the hands, feet, and outer ears accounts for no more than twenty-five percent (25%) of that individual's work.
Music therapy as an integrative therapies profession.
Music therapy as a healing arts profession.
It is the policy of this State that the practice of music therapy shall be considered an integrative therapies profession.
Page 6 House Bill 122-First Edition General Assembly Of North Carolina Session 2025 It is the policy of this State that the practice of music therapy shall be considered a healing arts profession.
– The clinical and evidence-based use of music interventions to accomplish individualized goals for people of all ages and ability levels within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program, including (i) assessment of a client's emotional, physical, and spiritual health;
– The clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program, including (i) assessment of a client's emotional, physical, and spiritual health;
and cognitive skills through the client's history and observation and interaction of the client in music and nonmusic settings, (ii) development and implementation of treatment plans, based on a client's assessed needs, using music interventions, including music improvisation, receptive music listening, song writing, lyric discussion, music and imagery, singing, music performance, learning through music, music combined with other arts, music-assisted relaxation, music-based patient education, electronic music technology, adapted music intervention, and movement to Page 6 House Bill 122-Second Edition General Assembly Of North Carolina Session 2025 music, and (iii) evaluation and documentation of the client's response to treatment.
and cognitive skills through the client's history and observation and interaction of the client in music and nonmusic settings, (ii) development and implementation of treatment plans, based on a client's assessed needs, using music interventions, including music improvisation, receptive music listening, song writing, lyric discussion, music and imagery, music performance, learning through music, and movement to music, and (iii) evaluation and documentation of the client's response to treatment.
– The provision of services to accomplish music therapy goals, including (i) conducting an individualized assessment for the purpose of collecting systematic, comprehensive, and accurate data necessary to determine the course of action subsequent to the individualized treatment plan, (ii) planning and developing the individualized music therapy treatment plan that identifies an individual's goals, objectives, and potential treatment intervention strategies, (iii) implementing the individualized music therapy treatment plan consistent with the individual's overall treatment program, (iv) systematically evaluating and comparing the individual's response to the individualized music therapy treatment plan, documenting progress, and suggesting modifications, as appropriate, (v) developing a discharge plan in collaboration with the individual, the individual's family, treatment team, and other identified support networks, when appropriate, (vi) minimizing the impact of environmental constraints as a barrier to participation in least restrictive environments for individuals engaging in music therapy, (vii) collaborating with and educating the individual, family, caregiver, and others to foster an environment responsive to the developmental needs of the individual as addressed in music therapy, and (viii) consulting with groups, programs, organizations, or communities to improve accessibility to music therapy services.
– The provision of services to accomplish music therapy goals, including (i) conducting an individualized assessment for the purpose of collecting systematic, comprehensive, and accurate data necessary to determine the course of action subsequent to the individualized treatment plan, (ii) planning and developing the individualized music therapy treatment plan that identifies an individual's goals, objectives, and potential treatment intervention strategies, (iii) implementing the individualized music therapy treatment plan consistent with the individual's overall treatment program, (iv) systematically evaluating and comparing the individual's response to the individualized music therapy treatment plan and suggesting modifications, as appropriate, (v) developing a discharge plan in collaboration with the individual, the individual's family, treatment team, and other identified support networks, when appropriate, (vi) minimizing the impact of environmental constraints as a barrier to participation in least restrictive environments for individuals engaging in music therapy, (vii) collaborating with and educating the individual, family, caregiver, and others to foster an environment responsive to the developmental needs of the individual as addressed in music therapy, and (viii) consulting with groups, programs, organizations, or communities to improve accessibility to music therapy services.
– An individual who has been issued a North Carolina Integrative Therapies License in music therapybythe Board.
– An individual who has been issued a North Carolina Healing Arts License in music therapy by the Commission.
The initial Committee members shall be appointed on or before January 1, 2027, as follows:
The initial Committee members shall be appointed on or before January 1, 2026, as follows:
(1) The Board shall appoint from a list of names submitted by the Music Therapy Association of North Carolina or its successor two music therapists eligible to obtain a North Carolina Integrative Therapies License in music therapy under this Article.
(1) The Commission shall appoint from a list of names submitted by the Music Therapy Association of North Carolina or its successor two music therapists House Bill 122-First Edition Page 7 General Assembly Of North Carolina Session 2025 eligible to obtain a North Carolina Healing Arts License in music therapy under this Article.
(2) The Board shall appoint one public member who shall serve an initial term of one year.
(2) The Commission shall appoint one public member who shall serve an initial term of one year.
– The initial music therapist appointees shall be citizens of the United States and North Carolina residents for at least two years prior to appointment, certified by the certifyingentityasamusictherapist,andeligibleto obtainaNorthCarolina IntegrativeTherapies License in music therapy under G.S.
– The initial music therapist appointees shall be citizens of the United States and North Carolina residents for at least two years prior to appointment, certified by the certifyingentityas a musictherapist,andeligibleto obtain aNorth CarolinaHealingArts License in musictherapyunder G.S.
90-750.24.
90-750.24.Uponappointment,eachinitial musictherapist appointee shall immediately seek to obtain a North Carolina Healing Arts License in music therapy under this Article and shall remain in good standing with the Committee during the appointee's term.
Upon appointment, each initial music therapist appointee shall immediately seek to obtain a North Carolina Integrative Therapies License in music therapy under this Article and shall remain in good standing with the Committee during theappointee's term.Subsequent musictherapist appointees shall becitizens oftheUnitedStates, residents of North Carolina, North Carolina Licensed Music Therapists, and appointed by the House Bill 122-Second Edition Page 7 General Assembly Of North Carolina Session 2025 Board from a list of names supplied by the Music Therapy Association of North Carolina or its successor.
Subsequent music therapist appointees shall be citizens of the United States, residents of North Carolina, North Carolina Licensed Music Therapists, and appointed by the Commission from a list of names supplied by the Music Therapy Association of North Carolina or its successor.
(3) A member of an integrative therapies profession or a person enrolled in a program to become a member of an integrative therapies profession.
(3) A member of a healing arts profession or a person enrolled in a program to become a member of a healing arts profession.
(2) Make recommendations to the Board to adopt, amend, or repeal rules to administer and enforce this Part.
(2) Make recommendations to the Commission to adopt, amend, or repeal rules to administer and enforce this Part.
(3) Establish and determine qualification and fitness of applicants for a North Carolina Integrative Therapies License in music therapy under this Part.
(3) Establish and determine qualification and fitness of applicants for a North Carolina Healing Arts License in music therapy under this Part.
(4) Make recommendations to the Board to issue, renew, deny, suspend, revoke, or refuse to issue or renew a North Carolina Integrative Therapies License in music therapy under this Article.
(4) Make recommendations to the Commission to issue, renew, deny, suspend, revoke, or refuse to issue or renew a North Carolina Healing Arts License in music therapy under this Article.
(5) Make recommendations to the Board to discipline North Carolina Licensed Music Therapists.
(5) Make recommendations to the Commission to discipline North Carolina Licensed Music Therapists.
(6) Advise the Board to seek civil and criminal penalties against nonlicensed individuals engaged in the practice of music therapy.
(6) Advise the Commission to seek civil and criminal penalties against nonlicensed individuals engaged in the practice of music therapy.
(8) Maintain a list of all individuals in the State who hold a North Carolina Integrative Therapies License in music therapy.
Page 8 House Bill 122-First Edition General Assembly Of North Carolina Session 2025 (8) Maintain a list of all individuals in the State who hold a North Carolina Healing Arts License in music therapy.
North Carolina Integrative Therapies License in music therapy requirements.
North Carolina Healing Arts License in music therapy requirements.
Each individual desiring to obtain a North Carolina Integrative Therapies License in music therapy under this Article shall apply to the Committee in accordance with the procedures and rules prescribed by the Board.
Each individual desiring to obtain a North Carolina Healing Arts License in music therapy under this Article shall apply to the Committee in accordance with the procedures and rules prescribed by the Commission.
The Committee shall recommend that the Board issue a North Carolina Integrative Therapies License in music therapy to any applicant who furnishes evidence satisfactory to the Committee that the applicant meets all of the following criteria:
The Committee shall recommend that the Commission issue a North Carolina Healing Arts License in music therapy to any applicant who furnishes evidence satisfactory to the Committee that the applicant meets all of the following criteria:
(3) Provides proof of one of the following:
(3) Has successfullycompleted an academic program accredited bythe American Music Therapy Association (AMTA) with at least a bachelor's degree majoring in music therapy from an accredited college or university.
a.
(4) Has successfully completed the certification examination offered by the certifying entity to become a Music Therapist-Board Certified (MT-BC).
Passing the examination for board certification offered by the Certification Board for Music Therapists or its successor organizations.
(5) Has successfully completed a minimum of 1,200 hours of clinical training with at least 180 hours in preinternship experiences and at least 900 hours in internship experiences.
b.
For purposes of this subdivision, the internship may be approved by an academic institution, the AMTA, or both.
Being transitioned into board certification by the Certification Board for Music Therapists or its successor organizations and currently holding the MT-BC credential as a board-certified music therapist.
(6) Has paid all applicable fees to the Commission as specified under G.S.
Page 8 House Bill 122-Second Edition General Assembly Of North Carolina Session 2025 (4) Has paid all applicable fees to the Board as specified under G.S.
Every North Carolina Integrative Therapies License in music therapy issued by the Board shall be renewed annually on a date established by rule.
Every North Carolina Healing Arts License in music therapy issued bythe Commission shall be renewed on or before January 1 every five years.
The Committee shall recommend that theBoardrenewthe licenseofanyindividualwho files arenewal application with the Committee and who meets the licensure criteria set forth in G.S.
The Committee shall recommend that the Commission renew the license of any individual who files a renewal application with the Committee and who meets the licensure criteria set forth in G.S.
Compensation may be received for music therapy services only when those services are performed by an individual holding a North Carolina Integrative Therapies License in music therapy.
Compensation may be received for music therapy services only when those services are performed by an individual holding a North Carolina Healing Arts License in music therapy.
(a) No individual without a North Carolina Integrative Therapies License in music therapy shall use the title "music therapist," "licensed professional music therapist," or similar title or practice music therapy.
No individual shall use the title "North Carolina Licensed Music Therapist" unless that individual holds a valid North Carolina Healing Arts License in music therapy issued by the Commission.
(b) Nothing in this Chapter may be construed to prohibit or restrict the practice, services, or activities of the following:
Individuals holding themselves out as North Carolina Licensed Music Therapists shall carry the identification card described in G.S.
(1) Any individual licensed, certified, or regulated under the laws of this State in another profession or occupation, including physicians, psychologists, psychoanalysts, registered nurses, marriage and family therapists, social workers, occupational therapists, professional or rehabilitation counselors, speech-language pathologists or audiologists, or personnel supervised by a licensed professional, performing work, including the use of music, incidental to the practice of his or her licensed, certified, or regulated profession or occupation, if that person does not represent himself or herself as a music therapist.
90-750.23(7) at all times when providing musictherapy.
(2) Any individual whose training and national certification attests to the individual's preparation and ability to practice his or her certified profession or occupation, if that person does not represent himself or herself as a music therapist.
Individuals in violationofthis sectionaresubject to thepenalties in G.S.
(3) Any practice of music therapy as an integral part of a program of study for students enrolled in an accredited music therapy program, if the student does not represent himself or herself as a music therapist.
90-750.6 or an injunction under G.S.
(c) An individual who is not a licensed professional music therapist may provide music therapyunderthesupervision ofalicensedprofessional musictherapist fora periodnot to exceed 180 days from the start of practice if the individual's application to obtain board certification is pending and the individual meets the remaining requirements for a North Carolina Integrative Therapies License in music therapy listed in G.S.
90-750.7.
90-750.24.
The Committee may recommend that the Board grant, upon application and payment of proper fees, a North Carolina Integrative Therapies License in music therapy to a person who has been licensed or certified to practice music therapy in another state or territory of the United States whose standards of competency are substantially equivalent to the requirements for licensure provided in this Article.
The Committee may recommend that the Commission grant, upon application and payment of proper fees, a North Carolina Healing Arts License in music therapy to a person who has been licensed or certified to practice music therapy in another state or territory of the United States whose standards of competency are substantially equivalent to the requirements for licensure provided in this Article." SECTION 1.(b) G.S.
"§ 90-750.29.
90-624 is amended by adding a new subdivision to read:
Collaboration.
"(9) A licensed reflexologist engaged in the practice of reflexology, as defined in G.S.
(a) Before an individual with a North Carolina Integrative Therapies License in music therapy provides music therapy services to a client for an identified clinical or developmental need, the individual shall review the client's diagnosis, treatment needs, and treatment plan with the health care providers involved in the client's care.
90-750.11." SECTION 2.(a) Notwithstanding G.S.
Before an individual with a North Carolina Integrative Therapies License in music therapy provides music therapy services to a student for House Bill 122-Second Edition Page 9 General Assembly Of North Carolina Session 2025 an identified educational need in a special education setting, the individual shall review with the individualized family service plan or individualized education program team the student's diagnosis, treatment needs, and treatment plan.
90-750.3, as enacted by Section 1(a) of this act, the North Carolina Healing Arts Commission shall be appointed as follows:
(b) During the provision of music therapy services to a client, an individual with a North Carolina Integrative Therapies License in music therapy shall collaborate, as applicable, with the client's treatment team, including the client's physician, psychologist, licensed clinical social worker, or other mental health professional.
House Bill 122-First Edition Page 9 General Assembly Of North Carolina Session 2025 (1) The General Assembly, upon the recommendation of the President Pro Tempore of the Senate, shall appoint one reflexologist to serve an initial term of three years.
During the provision of music therapy services to a client with a communication disorder, an individual with a North Carolina Integrative Therapies License in music therapy shall collaborate and discuss the music therapy treatment plan with the client's audiologist or speech-language pathologist so that the music therapist may work with the client and address communication skills.
(2) TheGeneralAssembly,upontherecommendationoftheSpeakerof theHouse of Representatives, shall appoint one music therapist to serve an initial term of two years.
(c) When providing educational or health care services, an individual with a North Carolina Integrative Therapies License in music therapy may not replace the services provided by an audiologist or a speech-language pathologist.
(3) The Governor shall appoint one reflexologist to serve an initial term of three years.
Unless authorized to practice speech-language pathology, music therapists may not evaluate, examine, instruct, or counsel on speech, language, communication, and swallowing disorders and conditions.
(4) The Governor shall appoint one music therapist to serve an initial term of two years.
An individual with a North Carolina Integrative Therapies License in music therapy may not represent to the public that the individual is authorized to treat a communication disorder.
(5) The Governor shall appoint one member of the public who shall serve an initial term of three years.
This does not prohibit an individual with a North Carolina Integrative Therapies License in music therapy from representing to the public that the individual may work with clients who have a communication disorder and address communication skills." SECTION 2.(a) Notwithstanding G.S.
SECTION 2.(b) The reflexologists appointed to the Commission pursuant to subsection (a) of this section shall have been North Carolina residents for at least two years prior toappointment,certified byanationalentitythatcertifiesreflexologists,andeligibleforlicensure under G.S.
90-750.3, as enacted by Section 1 of this act, the initial members of the North Carolina Board of Integrative Therapies shall be appointed as follows:
90-750.14, as enacted bySection 1(a) of this act.
(1) The General Assembly, upon the recommendation of the President Pro Tempore of the Senate, shall appoint one art therapist to serve an initial term of three years.
Upon appointment, the reflexologist appointees shall seek to obtain a North Carolina Healing Arts License in reflexology as soon as the first application period begins and shall remain in good standing with the Commission.
(2) TheGeneralAssembly,upontherecommendationoftheSpeakeroftheHouse of Representatives, shall appoint one music therapist to serve an initial term of two years.
SECTION 2.(c) The music therapists appointed to the Commission pursuant to subsection (a) of this section shall have been North Carolina residents for at least two years prior to appointment, certified by a national entity that certifies music therapists, and eligible for licensure under G.S.
(3) The Governor shall appoint one art therapist to serve an initial term of two years.
90-750.24, as enacted pursuant to Section 1(a) of this act.
(4) TheGovernorshallappointonemusictherapisttoserveaninitialterm ofthree years.
Upon appointment, the initial music therapist appointees shall seek to obtain a North Carolina Healing Arts License in music therapy as soon as the first application period begins and shall remain in good standing with the Commission.
(5) The Governor shall appoint one physician to serve an initial term of two years and one physician to serve an initial term of one year.
SECTION 2.(d) The appointments required by this section shall be made on or before December 1, 2025, and the initial terms of the appointees shall begin on January 1, 2026.
(6) The Governor shall appoint one member of the public who shall serve an initial term of three years.
SECTION 2.(b) The art therapists appointed to the Board pursuant to subsection (a) of this section shall have been North Carolina residents for at least two years prior to appointment, certified by a national entity that certifies art therapists, and eligible for licensure under G.S.
90-750.14, as enacted by Section 1 of this act.
Upon appointment, the art therapist appointees shall seek to obtain a North Carolina Integrative Therapies License in art therapy as soon as the first application period begins and shall remain in good standing with the Board.
SECTION 2.(c) The music therapists appointed to the Board pursuant to subsection (a) of this section shall have been North Carolina residents for at least two years prior to appointment,certifiedbyanationalentitythatcertifiesmusictherapists,and eligibleforlicensure under G.S.
90-750.24, as enacted pursuant to Section 1 of this act.
Upon appointment, the initial music therapist appointees shall seek to obtain a North Carolina Integrative Therapies License in music therapy as soon as the first application period begins and shall remain in good standing with the Board.
Page 10 House Bill 122-Second Edition General Assembly Of North Carolina Session 2025 SECTION 2.(d) The appointments required by this section shall be made on or before December 1, 2026, and the initial terms of the appointees shall begin on January 1, 2027.
90-750.3, as enacted in Section 1 of this act.
90-750.3, as enacted in Section 1(a) of this act.
90-750.6, 90-750.7, 90-750.16, 90-750.17, 90-750.26, and 90-750.27, as enacted by Section 1 of this act, become effective on the date that is the first day of a month that begins 180 days after the chair of the North Carolina Board of Integrative Therapies certifies to the Revisor of Statutes that the Board has begun accepting applications for Integrative Therapies Licenses and applyto acts committed on or after that date.
90-750.6 and G.S.
90-750.7, as enacted by Section 1(a) of this act, become effective on the date that is the first day of a month that begins 180 days after the Chair of the Healing Arts Commission certifies to the Revisor of Statutes that the Commission has begun accepting applications for Healing Arts Licenses and apply to acts committed on or after that date.
Except as otherwise provided, this act is effective when it becomes law.
This act becomes effective January 1, 2026.
House Bill 122-Second Edition Page 11
Page 10 House Bill 122-First Edition
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Action History

  1. Reptd Fav Com Substitute

  2. Serial Referral To Finance Stricken

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

  4. Withdrawn From Com

  5. Re-ref to the Com on Regulatory Reform, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House

  6. Passed 1st Reading

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

  8. Filed

Sponsors

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1 sponsors · 6 co-sponsors · 172 not signed on

Sponsors (1)

Co-sponsors (6)

Not signed on (172)

172 members have not signed on to this bill.

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Frequently asked questions

Who sponsors HB 122?
HB 122 is sponsored by Renée A. Price (Democratic), Nasif Majeed (U), Pricey Harrison (Democratic), Deb Butler (Democratic), Jonathan L. Almond (Republican), Dennis Riddell (Republican), and Harry Warren (Republican).
What is the current status of HB 122?
This bill is in committee in the House. Introduced February 13, 2025. It must pass committee before a floor vote.
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