North Carolina regulations
- Department of Labor - Notice of Application for Permanent VarianceJune 1, 2026
Department of Labor permanent variance application notice allows public comment on requests for exemptions from occupational safety and health standards.
- Department of Health and Human Services - Notice of Application for Wastewater SystemJune 1, 2026
Department of Health and Human Services publishes notice of wastewater system application as required by administrative procedures.
- Department of Health and Human Services - Adult Care Home Facilities: Other Mechanical/Electrical/Plumbing - 10A NCAC 13D .3404June 1, 2026
North Carolina Health and Human Services rule requires healthcare facilities to install handgrips at toilets and bathing areas plus handrails on both sides of resident corridors.
- Department of Health and Human Services - Nursing Facilities - Plans and Specifications (10A NCAC 13D .3104)June 1, 2026
North Carolina rule establishing additional requirements for spinal cord injury patients in medical care expired on May 1, 2025.
- Department of Health and Human Services - Adult Care Home Facilities: Heating and Air Conditioning - 10A NCAC 13D .3401June 1, 2026
North Carolina Department of Health and Human Services requires medical care facility sites to obtain prior departmental approval and meet standards for road access, fire services, utilities, local zoning compliance, and environmental safety before …
- Department of Health and Human Services - Nursing Facilities - Suspension of Admission (10A NCAC 13D .2107)June 1, 2026
North Carolina Department of Health and Human Services may suspend new patient admissions at medical facilities with deficiencies under G.S. 131E-109(c) until conditions no longer endanger patient health and safety.
- Department of Health and Human Services - Nursing Facilities - Infection Control (10A NCAC 13D .2209)June 1, 2026
North Carolina requires healthcare facilities to establish infection control programs with disease investigation, CDC isolation precautions, communicable disease testing, and reporting to local health departments per 10A NCAC 13D .2209.
- Department of Health and Human Services - Nursing Facilities - Medication Administration (10A NCAC 13D .2306)June 1, 2026
North Carolina health care facilities must implement medication administration standards requiring licensed personnel, manufacturer compliance, dose appropriateness, antipsychotic documentation, and error-prevention procedures including complete ord…
- Department of Health and Human Services - Nursing Facilities - Private Physician (10A NCAC 13D .2502)June 1, 2026
North Carolina Medical Care Commission rule permits patients to select private physicians in healthcare facilities except those affiliated with teaching programs with written policies requiring patient participation in medical education.
- Department of Health and Human Services - Adult Care Home Facilities: Emergency Electrical Service - 10A NCAC 13D .3402June 1, 2026
North Carolina Department of Health and Human Services requires medical facilities to submit construction or remodeling plans for departmental approval before licensure, with approval expiring one year unless building permits are obtained.
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Professional licensing is the single most-regulated area at the state level
Across the states, the biggest share of activity is deciding who is allowed to work: licenses, boards, and certifications. That is the layer that quietly governs whether your doors can stay open.
State rulemaking
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