SB 302 – Update ACH/Board of Nursing

Primary Sponsors: Sen. Dan Bishop (R-Mecklenburg), Sen. Joyce Kraweic (R-Forsyth), Sen. Ralph Hise (R-Madison)

Bill Summary

Adult Care Homes (ACH)

This bill authorizes Adult Care Homes to use service plans as result of a Medicaid personal care service assessment to fulfill the daily living portion of required service plans. The bill also amends the assisted living administrator certification standards.

Nursing Board Changes

This bill makes technical changes to the NC Board of Nursing. The bill includes addressing procedural efficiencies and fee ceiling increases.

Board Compensation

The bill clarifies that the per diem compensation for Board members shall not exceed $200 per member.

Mental Health Examination

The bill states that the Board is empowered to request a mental health exam by a licensed mental health professional. The results of the examination would be required to be presented to the Board.


The bill gives NCBN the authority to subpoena records and documents concerning matters to be heard by the board. This must be done in accordance with laws regarding the patient/provider relationship, records, and documents.


The bill increases the licensure application from $75 to $100.

A two year renewal would increase from $100 to $200.

A reinstatement of a retired nurse would increase from $100 to $200.

Disciplinary Authority

The bill adds language to increase it’s disciplinary authority for excessive use of alcohol, drugs, and unprofessional conduct.


The bill allows licensees to appeal a public disciplinary action made by the board within 30 days.


Bill Movement


Filed – March 19, 2019

Committee Referrals:

  • Health Care
    • Committee substitute passed on April 17, 2019.
  • Rules
    • Passed April 18, 2019.

This bill passed the Senate on April 30, 2019.


Committee Referrals:

  • Health
    • Committee substitute passed on July 9, 2019.
    • This Committee substitute added the Nursing Board changes to this bill. This language was included in another filed bill.
  • Rules
    • Passed July 10, 2019

This bill passed the House on July 11, 2019, and will now be sent to Governor Cooper.