- OPPOSE: This legislation proposes to not only eliminate the requirement of physician supervision of advanced practice registered nurses but also eliminates the additional patient protection provided by the Joint Subcommittee of the Nursing and Medical Boards. Status – SB 695 referred to Senate Health Committee. HB 807 referred to House Committee on Health. This legislation remains eligible for debate following the 2015 crossover deadline.
- OPPOSE: This legislation would create a new category of physician in North Carolina: Naturopathic Doctor (ND). Unlike other physicians, naturopathic doctors would be licensed by their own board rather than the NC Medical Board. These doctors would have the authority to order tests and manage chronic disease as primary care providers, including the management of chronic disease as well as the diagnosis and treatment of cancer. The bill does not place any limitations on Naturopathic treatment (pediatrics, psychiatric care, etc.). Status – SB 118 referred to the Senate Committee on Healthcare, HB 913 referred to the House Health Committee. This legislation remains eligible for debate following the 2015 crossover deadline.
- Under current law, any physical therapy treatment plan that involves manipulation of the spine must be prescribed by a physician. This bill proposes to eliminate that requirement. Status – HB 135 was passed by the House of Representatives before the 2015 Crossover deadline. It was then referred to the Senate Committee on Rules. SB 190 has been referred to the Senate Committee on Rules. This legislation remains eligible for debate following the 2015 crossover deadline.
SB 543 – HOMEBIRTH FREEDOM ACT
- OPPOSE: By creating a council of Certified Professional Midwives, this bill would allow midwives with no formal education or medical training to deliver babies in North Carolina without physician supervision. Currently, all midwives in North Carolina must have a nursing degree and work under the supervision of a physician. This bill lowers safety standards where they are needed most – during planned home births. Recognizing that serious complications can arise during childbirth, it is important to maintain high standards for maternity care to protect patient safety. Status – referred to the Senate Committee on Rules. This legislation remains eligible for debate following the 2015 crossover deadline.
HB 714 – BEHAVIOR ANALYST LICENSURE
- Creates the NC Bahavior Analyst Board and defines the practice of behavior analysis to include “the empirical identification of functional relations between behavior and environmental factors, known as functional assessment and analysis. Behavior analysis interventions are based on scientific research and the direct observation and measurement of behavior and the environment. In the practice of behavior analysis, behavior analysts utilize contextual factors, motivating operations, antecedent stimuli, positive reinforcement, and other consequences to help people develop new behaviors, increase or decrease existing behaviors, and emit behaviors under specific environmental conditions. The practice of behavior analysis expressly excludes psychological testing, cognitive therapy, sex therapy, psychoanalysis, hypnotherapy, and long‑term counseling as treatment modalities.” Status – referred to the House Committee on Health. This legislation remains eligible for debate following the 2015 crossover deadline.
- SUPPORT – This legislation would prohibit those under the age of 18 from using tanning beds. Current law is 13 years of age. Status – HB 158 was passed by both chambers, becoming law (S.L. 2015-21).
BILLS NO LONGER ELIGIBLE FOR DEBATE DUE TO CROSSOVER DEADLINE:
SB 240 – DEFINE SCOPE OF PRACTICE OF CRNAS
- OPPOSE: This bill proposes to exempt nurse anesthesia from the legal definition of the practice of medicine in North Carolina. In practice this bill would eliminate physician supervision of nurses when providing anesthesia services. Status – referred to the Senate Committee on Rules. This bill failed to meet the crossover deadline and is not eligible for continued debate.
SB 542 – DECRIMINALIZE DIRECT ENTRY MIDWIFERY
- OPPOSE: Not only would this legislation allow midwives with no formal education and little training to deliver babies in North Carolina homes without any rules or regulations – but it would also place all standards for practice under the purview of an out of state, unregulated entity. This legislation poses great risk to both expectant mothers and their children yet to be born. Status – referred to the Senate Committee on Rules. This bill failed to meet the crossover deadline and is not eligible for continued debate.