This is a listing of N.C. Administrative Code rule change activity within the division and helpful information about rules from the North Carolina Office of Administrative Hearings.
- Proposed Rule Changes
- Rules for Periodic Review
- Rules Approved by the Rules Review Commission
- Rules Revised by Codifier
- Archive of Rule Actions
- Periodic Review of Existing Rules
- DHSR Rule-making Interested Parties Listserv
- North Carolina Office of Administrative Hearings
- North Carolina Office of State Budget and Management
Proposed Rule Changes
Here you will find information and the steps used on proposed rule changes for the rules listed for each program.
| Program | Rule Citation | Public Comment Period | Public Hearing | Proposed Effective Date |
|---|---|---|---|---|
| Radiation Protection Rules | 10A NCAC 15 .0601 - .0608, .0610-.0611 | August 15, 2025 - October 14, 2025 | October 2, 2025 | |
| Rules For Nursing Pool Licensure | 10A NCAC 13L .0101, .0201-.0204, .0301-.0303 | March 16, 2026-May 15, 2026 | April 15, 2026 | October 1, 2026 |
| Rules For Mammogram and Pap Smear Certification | 10A NCAC 13M .0101, .0201 | March 16, 2026-May 15, 2026 | April 16, 2026 | October 1, 2026 |
| Amendment of Radiation Protection Rules Sections .0100 and .0300 | 10A NCAC 15 .0103, .0104, .0301, .0302, .0304-.0311, .0313, .1203, .1301, .1601., .1701 | April 1, 2026 - June 1, 2026 | May 4, 2026 | October 1, 2026 |
| Amendment of Radiation Protection Rules Sections .0200 | 10A NCAC 15 .0201-.0207, .0211, .0212, .0214 | April 1, 2026 - June 1, 2026 | April 28, 2026 | October 1, 2026 |
| Rules for Healthcare Personnel Registry | 10A NCAC 13O .0101, .0102, .0201, .0202, .0301 | June 1, 2026 - July 31, 2026 | July 22, 2026 | October 1, 2026 |
| Rules for Director, Division of Health Service Regulation | 10A NCAC 14A .0101, .0103, .0301 - .0303 | June 1, 2026 - July 31, 2026 | July 23, 2026 | October 1, 2026 |
Rules for Periodic Review
Here you will find information on the rules for periodic review: NC DHHS: Rules Review
Rules Approved by Rules Review Commission
Here you will find information and the steps used to get Rules Review Commission approval for the rules listed for each program.
| Program | Rule Citation | Approved by Rules Review Commission | Effective |
|---|---|---|---|
| Radiation Protection Rules | 10A NCAC 15.0101-.0112, .0114-.0118, .0311, .0313, .0316, .0345, .0346, .1001, .1601 | April 24, 2025 | May 1, 2025 |
| Radiation Protection Rules | 10A NCAC 15 .0201 - .0213 | September 25, 2025 | October 1, 2025 |
| Radiation Protection Rules | 10A NCAC 15 .0501, .0608-.0609, .0802-.0803, .0901-.0910, .1001, .1601, .1901-.1911, .2001-.2011 | September 25, 2025 | October 1, 2025 |
| Adult Care Home and Family Care Home Rules | 10A NCAC 13F .0206, .0301, .0302, .0304-.0307, .0309-.0311, .0801, .0802, .01304, .1501, .1601-.1605. 10A NCAC 13G .0206, .0301, .0302, .0305-.0309, .0312, .0313, .0315-.0318, .0801, .0802, .1601-.1605 |
January 30, 2025 |
Group A: April 1, 2025 Group B: June 1, 2025 Group C: August 1, 2025 |
| Medical Care Commission Executive Committee Rules | 10A NCAC 13A .0101, .0201 - .0203 | April 28, 2026 | August 1, 2026 |
| Rules For the Licensing of Nursing Homes | 10A NCAC 13D .2001, .2101 - .2109, .2201 - .2212, .2301 - .2309, .2401, .2402, .2501 - .2504, .2601 - .2607, .2701, .2801, .2802, .2901, .2902, .3003, .3101 - .3104, .3201, .3202, .3401 - .3404 | April 28, 2026 | August 1, 2026 |
Rules Revised by Codifier
Session Law 2019-140 granted authority to the Codifier of Rules to revise rules with technical changes. Here you will find the rules revised by the Codifier for each program.
| Declaratory Rulings | 10A NCAC 14A .0103 | April 1, 2026 |
North Carolina Office of Administrative Hearings
North Carolina Register
The North Carolina Register is issued twice a month by the North Carolina Office of Administrative Hearings (OAH). G.S. 150B requires some rules and notices to be published in the North Carolina Register. You can find the division's rules and notices that are put in the North Carolina Register on the OAH website.
North Carolina Office of Administrative Hearings Proposed Temporary Rules Listing
G.S. 150B-21.1 requires the North Carolina Office of Administrative Hearings (OAH) to post all proposed temporary rules and notices on their website. You can find the division's proposed temporary rules and notices on the OAH website.
North Carolina Office of State Budget and Management
The North Carolina Office of State Budget and Management (OSBM) reviews and approves the fiscal and
regulatory impact analysis of permanent rule changes proposed by the division. You can find information
on fiscal impact analysis development and the
division's
approved regulatory
impact analyses
on the OSBM website.
Substantial Economic Impact
Before a rule is published in the North Carolina Register,
G.S.
150B-21.4(b1)
requires OSBM to approve the fiscal impact analysis of the proposed text of a
permanent rule change that would have an economic impact of at least one million dollars ($1,000,000) in
a 12-month period, also called a "Substantial Economic Impact." OSBM must also check the
fiscal impact analysis to be sure that
G.S.
150B-19.1(a)(2),(5), and (6)
were followed. You can find the division's
regulatory impact analysis for
rules with a substantial economic impact
on the OSBM website.