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North Carolina creates advanced respiratory care practitioner license and updates Board requirements under HB 71

Original title: Respiratory Care Modernization Act.

Last action · April 3, 2025: Ref To Com On Rules and Operations of the Senate (Senate action)Sponsors: Ben Moss and 9 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

House Bill 71 establishes a new advanced respiratory care practitioner license, reorganizes the North Carolina Respiratory Care Board, and mandates criminal history checks for applicants starting October 1, 2025. The legislation sets educational prerequisites, examination rules, and fee caps while making certain investigative files confidential.

Why it matters

Respiratory care professionals face new postgraduate education, examination, and criminal background check mandates to obtain or renew licenses, while the governing Board gains explicit authority to discipline members and inspect records.

Background
  • House Bill 71 revises North Carolina's statutory framework governing respiratory therapy professionals in response to healthcare demands highlighted by the COVID-19 pandemic. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Respiratory care practitioners

Practitioners must meet updated educational, credentialing, and fingerprint-based background check requirements to obtain or maintain licensure.

Directly affected

Advanced respiratory care practitioners

A new licensing category is established, allowing qualified practitioners to perform advanced procedures under physician supervision.

Directly affected

North Carolina Respiratory Care Board

The Board is restructured to 10 members, gains authority to adopt rules, conduct background checks, and manage confidential investigative records.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What new licensing category does House Bill 71 create?
The bill creates an license for individuals who have completed postgraduate advanced practice respiratory therapy programs and received specialized training.
Are licensing applicants subject to criminal background checks?
Yes. Applicants must submit fingerprints for state and national criminal history checks conducted by the State Bureau of Investigation and Federal Bureau of Investigation.
When must licensees report arrests to the Board?
Licensees must self-report any felony arrest or indictment, DUI/DWI arrest, or controlled substance arrest within 30 days of the arrest or indictment.
When do the new licensing provisions take effect?
The primary provisions governing practice standards and licensing in Section 1 take effect on October 1, 2025.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

16 actions
  1. Apr 3, 2025Senate
    Ref To Com On Rules and Operations of the Senate
  2. Apr 3, 2025Senate
    Passed 1st Reading
  3. Apr 3, 2025Senate
    Regular Message Received From House
  4. Apr 2, 2025House
    Regular Message Sent To Senate
  5. Apr 1, 2025House
    Passed 3rd Reading
  6. Apr 1, 2025House
    Passed 2nd Reading
Show 10 earlier actions
  1. Mar 31, 2025House
    Placed On Cal For 04/01/2025
  2. Mar 31, 2025House
    Cal Pursuant Rule 36(b)
  3. Mar 31, 2025House
    Reptd Fav
  4. Mar 18, 2025House
    Re-ref Com On Rules, Calendar, and Operations of the House
  5. Mar 18, 2025House
    Reptd Fav
  6. Mar 11, 2025House
    Re-ref Com On Regulatory Reform
  7. Mar 11, 2025House
    Reptd Fav Com Substitute
  8. Feb 11, 2025House
    Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House
  9. Feb 11, 2025House
    Passed 1st Reading
  10. Feb 6, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Tim Reeder, North Carolina Respiratory Care Board, Bill Ward and 18 more
PersonTim Reeder“Cosponsor of the bill.”Map →
OrganizationNorth Carolina Respiratory Care Board“The state board responsible for licensing and regulating respiratory care practi”Map →
PersonBill Ward“Cosponsor of the bill.”Map →
OrganizationFederal Bureau of Investigation“Federal agency performing national criminal history checks.”Map →
OrganizationState Bureau of Investigation“State agency tasked with conducting criminal record checks using applicant finge”Map →
OrganizationNorth Carolina Hospital Association“Organization represented on the North Carolina Respiratory Care Board.”Map →
PersonJeff McNeely“Cosponsor of the bill.”Map →
PersonPricey Harrison“Cosponsor of the bill.”Map →
OrganizationAmerican Red Cross“Recognized provider of Basic Cardiac Life Support certification.”Map →
OrganizationAmerican Association of Respiratory Care“Establishes training and practice guidelines for new and innovative respiratory ”Map →
PersonShelly Willingham“Cosponsor of the bill.”Map →
OrganizationNational Board for Respiratory Care, Inc.“Organization providing certification examinations for respiratory care practitio”Map →
PersonBen Moss“Primary sponsor of House Bill 71.”Map →
PersonKeith Kidwell“Cosponsor of the bill.”Map →
PersonClampitt“Cosponsor of the bill.”Map →
PersonCody Huneycutt“Sponsor of House Bill 71.”Map →
OrganizationCommission on Accreditation for Respiratory Care“Accreditation body for advanced respiratory care education programs.”Map →
OrganizationNorth Carolina Association of Atlantic Coast Medical Equipment Services Association“Organization represented on and appointing a member to the Board.”Map →
PersonJake Johnson“Cosponsor of the bill.”Map →
OrganizationAmerican Safety and Health Institute“Recognized provider of Basic Cardiac Life Support certification.”Map →
OrganizationAmerican Heart Association“Recognized provider of Basic Cardiac Life Support certification.”Map →

Sources

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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