The SAVE Act.
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SB 966 — The SAVE Act.
Last action — Passed 1st Reading
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill is in committee in the Senate. Introduced April 30, 2026. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the Senate.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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In Committee
Current position in the legislative process.
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6 sponsors
1 primary, 5 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (5 R · 1 D) — cross-party backing.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
26 added · 27 removedPlain-language change summary
The updated version of Senate Bill 966 includes changes that clarify the responsibilities and standards of care for advanced practice registered nurses (APRNs) in North Carolina. Specifically, it emphasizes the authority of APRNs in ordering and supervising diagnostic studies, while maintaining standards of care equivalent to licensed nurses. This matters because it seeks to ensure clear guidelines for APRNs, enhancing the quality of healthcare delivery while allowing these professionals to operate effectively within their scope of practice.
FILED SENATE GENERAL ASSEMBLY OF NORTH CAROLINA AprSESSION 30,2025 2026S S.B.1 SENATE BILL 966 Short Title:
966 SESSION 2025 PRINCIPAL CLERK S D SENATE BILL DRS35424-NBf-182 Short Title:
Rules and Operations of the Senate May 4, 2026 A BILL TO BE ENTITLED AN ACT TO DEFINE THE PRACTICE OF NURSING FOR ADVANCED PRACTICE REGISTERED NURSES:
*DRS35424-NBf-182**S966-v-1* General Assembly Of North Carolina Session 2025 "§ 90-171.20.
and theadministrationofnursingprograms andnursingandnursingservices. services.
Page 2 DRS35424-NBf-182Senate Bill 966-First Edition General Assembly Of North Carolina Session 2025 e.
Ordering,performing,supervising,Ordering,performing,supervising,andinterpretingdiagnosticstudies. andinterpretingdiagnosticstudies.
Ordering,performing,supervising,Ordering,performing,supervising,andinterpretingdiagnosticstudies. andinterpretingdiagnosticstudies.
Ordering,performing,supervising,Ordering,performing,supervising,andinterpretingdiagnostic andinterpretingdiagnosticstudies.studies.
DRS35424-NBf-182Senate Bill 966-First Edition Page 3 General Assembly Of North Carolina Session 2025 b.
ImplementingImplementingthe the treatment and pharmaceutical regimen prescribed or ordered by any person authorized by State law to prescribe or order the regimen.
Participating in implementing the health care plan developed by the registered nurse and/or prescribed by any person authorized by State lawto prescribesuchaplan,byperformingprescribesuchaplan,byperformingtasksassignedordelegated tasksassignedordelegated by and performed under the supervision or under orders or directions of a registered nurse, physician licensed to practice medicine, dentist, or other person authorized by State law to provide the supervision.
Page 4 DRS35424-NBf-182Senate Bill 966-First Edition General Assembly Of North Carolina Session 2025 e.
… (14) The practice of nursing by a an advanced practice registered nurse engaged in the practice of nursing and the performance of acts otherwise constituting medical practice by a registered nurse when performed in accordance with rules and regulations developedbydevelopedbyajoint ajoint subcommitteeofthe North Carolina Medical Board and the Board of Nursing and adopted by both boards.as defined in Article 9A of this Chapter.
"(b) A person shall be deemed to be practicing dentistrydentistryin in this State who does, undertakes or attempts to do, or claims the ability to do any one or more of the following acts or things which, for the purposes of this Article, constitute the practice of dentistry:
DRS35424-NBf-182Senate Bill 966-First Edition Page 5 General Assembly Of North Carolina Session 2025 … (6) Administers an anesthetic of any kind in the treatment of dental or oral diseases or physical conditions, or in preparation for or incident to any operation within the oral cavity;
The fees and rules developed by this subcommittee shall govern the performance of medical acts by registered nurses and shall become effective when they have been adopted by both Boards.Grant prescribing, ordering, dispensing, and furnishing authorityauthorityto to holders of the advanced practice registered nurse license pursuant to G.S.
Page 6 DRS35424-NBf-182Senate Bill 966-First Edition General Assembly Of North Carolina Session 2025 "§ 90-171.36D.
Any person permitted to practice nursing without a license as provided in subdivision (2) (a)(2) or (3) (a)(3) of this section shall be held to the same standard of care as anyanylicensed licensed nurse.
(a) Before hiring an advanced practice registered nurse, a registered nurse nurse, or a licensed practical nurse in North Carolina, a health care facilityfacilityshall shall verify that the applicant has a current, valid license to practice nursing pursuant to G.S.
DRS35424-NBf-182Senate Bill 966-First Edition Page 7 General Assembly Of North Carolina Session 2025 (2) Public health departments, physicians' offices, ambulatory care facilities, and rural health clinics." SECTION 10.
§ 482.52(c) that allows hospitals, ambulatory surgical Page 8 DRS35424-NBf-182Senate Bill 966-First Edition General Assembly Of North Carolina Session 2025 centers, critical access hospitals, and rural hospitals in this State the maximum flexibility to obtain Medicare reimbursement for anesthesia services in a manner that best serves each facility and the patients and communities the facility serves.
DRS35424-NBf-182Senate Bill 966-First Edition Page 9
Action History
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Passed 1st Reading
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Ref To Com On Rules and Operations of the Senate
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Filed
Sponsors
- Norman W. Sanderson · Cosponsor
- Amy S. Galey · Cosponsor
- Carl Ford · Cosponsor
- Gale Adcock · Cosponsor
- Ralph Hise · Cosponsor
- Jim Burgin · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 5 co-sponsors · 173 not signed on
Sponsors (1)
- Jim Burgin Republican
Co-sponsors (5)
- Norman W. Sanderson Republican
- Amy S. Galey Republican
- Carl Ford Republican
- Gale Adcock Democratic
- Ralph Hise Republican
Not signed on (173)
173 members have not signed on to this bill.
Show all 173 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors SB 966?
- SB 966 is sponsored by Norman W. Sanderson (Republican), Amy S. Galey (Republican), Carl Ford (Republican), Gale Adcock (Democratic), Ralph Hise (Republican), and Jim Burgin (Republican).
- What is the current status of SB 966?
- This bill is in committee in the Senate. Introduced April 30, 2026. It must pass committee before a floor vote.
- Where can I track SB 966?
- Track SB 966 free on One Click Politics — get push/email alerts when it moves.
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