HEALTH CARE PRACTITIONER TRANSPARENCY ACT.

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View NCGA Bill Details(link is external)2025-2026 Session
House Bill 696 (Public) Filed Wednesday, April 2, 2025
AN ACT TO PROMOTE HEALTH CARE PRACTITIONER TRANSPARENCY THROUGH ADVERTISEMENT REQUIREMENTS AND TO DEFINE THE PRACTICE OF NURSING FOR ADVANCED PRACTICE REGISTERED NURSES: NURSE PRACTITIONERS (NP), CERTIFIED NURSE MIDWIVES (CNM), CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND CLINICAL NURSE SPECIALISTS (CNS).
Intro. by Potts, Reeder, Campbell.

Status: Conf Com Appointed (Senate action) (Jun 25 2025)

SOG comments (1):

Long title change

Previous title was AN ACT TO PROMOTE HEALTH CARE PRACTITIONER TRANSPARENCY THROUGH ADVERTISEMENT REQUIREMENTS.

Bill History:

H 696

Bill Summaries:

  • Summary date: Jun 17 2025 - View Summary

    Senate committee substitute to the 2nd edition makes the following changes.

    Changes the numbers given to the new statutes in Part 2, Health Care Practitioner Transparency Act, of Article 37 of GS Chapter 90.

    Adds that nothing in GS 90-642 (advertisement and representation requirements) prevents health care practitioners with doctorate-level degrees in their field of practice from holding themselves out or referring to themselves as a doctor.   

    Adds the following content and makes conforming changes to the act’s long title.

    Amends GS 90-171.20 to define Advanced Practice Registered Nurse or ARPN, as it is used in Article 9A, Nursing Practice Act, as an individual licensed by the North Carolina Board of Nursing (Board) as an advanced practice registered nurse within one of the following four roles: (1) certified nurse practitioner or CNP, (2) certified nurse midwife or CNM, (3) clinical nurse specialist or CNS, or (4) certified registered nurse anesthetist or CRNA. Makes additional organizational changes. Effective October 1, 2025.

    Amends GS 90-171.43 to specify that the abbreviations for the APRN designation of a certified nurse midwife, a clinical nurse specialist, a certified registered nurse anesthetist, and a certified nurse practitioner will be APRN, plus the role title. Makes it illegal to use the title ARPN or ARPN plus the role titles, the role title alone, authorized abbreviations, or any other title that would lead a person to believe a person is an APRN, unless it is allowed by this act. Effective October 1, 2025.

    Requires the Board to adopt temporary rules by October 1, 2025, to implement the above provisions, which will remain in effect until the permanent rules are adopted.


  • Summary date: Apr 30 2025 - View Summary

    House committee substitute to the 1st edition makes the following changes.

    Section 1

    Amends proposed GS 90-647 to also prohibit an individual not licensed to practice medicine from using a title related to family medicine or family physician with the intent to represent that the individual practices medicine. 


  • Summary date: Apr 3 2025 - View Summary

    Identical to S 332, and filed on 3/19/25.

    Section 1

    Makes organizational changes to Article 37 of GS Chapter 90. Adds new Part 2, Health Care Practitioner Transparency Act, providing as follows.

    Requires an advertisement for health care services (including medicine, nursing, dentistry, pharmacy, and related occupations involving providing health care directly to patients) that names a health care practitioner to identify their license, certification, or registration; prohibits the advertisement from containing deceptive or misleading information. Prohibits a health care practitioner from making a deceptive or misleading representation about their license, certification, or registration. Prohibits unlicensed individuals from holding themselves out as a physician or any of the listed medical titles, with the intent to represent that they practice medicine.

    Makes it a violation for a health care practitioner to (1) knowingly aid, assist, procure, employ, or advise an unlicensed individual or entity in practicing or engaging in acts outside of the scope of the health care practitioner's degree of licensure; (2) knowingly delegate or contract the performance of health care services to a health care practitioner that is unqualified to perform those health care services; and (3) fail to comply with any provision of this Article. Violators are guilty of unprofessional conduct and may be subject to disciplinary action. Exempts from the Article health care practitioners who work in non-patient settings and do not have direct patient health care interactions.

    Section 2

    Requires the 15 listed boards to adopt temporary rules to implement this act and requires the rules to remain in effect until permanent rules are adopted.

    Section 3

    Effective October 1, 2025.