North Carolina Modifies Marriage and Family Therapy Licensure and Reciprocity Rules

Original title: Limit Medicaid Reimb. for Facility Fees.

Last action · May 12, 2026: Re-ref Com On Rules, Calendar, and Operations of the House (House action)Sponsors: Tim Reeder and 4 others

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

Law

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What This Bill Would Do

North Carolina updates requirements for issuing reciprocal marriage and family therapist licenses, expanding pathways for out-of-state professionals and updating criminal history record check definitions, effective October 1, 2025.

Why it matters

Out-of-state marriage and family therapists seeking licensure in North Carolina face modified experience thresholds and alternative examination recognition.

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

marriage and family therapists

Out-of-state practitioners seeking licensure in North Carolina face modified reciprocity standards and examination requirements.

Directly affected

North Carolina Marriage and Family Therapy Licensure Board

The Board is authorized to issue licenses under new statutory criteria and may adopt rules to implement the provisions.

Key Facts

Reciprocal license applicants must be currently licensed in another state and either pass the Board's jurisprudence examination or have been licensed for two continuous years.
Applicants for reciprocal licenses must maintain an unrestricted license in good standing with no unresolved complaints in any jurisdiction.
Applicants must have passed the National Marriage and Family Therapy examination or the clinical examination required by California's licensing board.
Criminal history record check definitions are expanded to include applicants applying for licensure by reciprocity pursuant to G.S. 90-270.56.

Show all 6 facts

The North Carolina Marriage and Family Therapy Licensure Board is authorized to adopt rules to implement the act.
The act becomes effective October 1, 2025, and applies to applications submitted on or after that date.

Frequently Asked Questions

What are the new examination options for out-of-state therapists seeking a reciprocal license?

Applicants can qualify by passing either the National Marriage and Family Therapy examination or the clinical examination required by the licensing board that regulates marriage and family therapy in California.

When do these licensing changes take effect?

The act takes effect on October 1, 2025, and applies to applications for licensure submitted on or after that date.

What else do you want to know?

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Where This Stands

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

Procedural history

30 actions

May 12, 2026House
Re-ref Com On Rules, Calendar, and Operations of the House
May 12, 2026House
Withdrawn From Cal
May 11, 2026House
Placed On Cal For 05/13/2026
May 11, 2026House
Cal Pursuant 36(b)
May 7, 2026House
Regular Message Received For Concurrence in S Com Sub
May 7, 2026Senate
Regular Message Sent To House

Show 24 earlier actions

May 6, 2026Senate
Passed 3rd Reading
May 6, 2026Senate
Passed 2nd Reading
May 5, 2026Senate
Reptd Fav
Apr 30, 2026Senate
Re-ref Com On Rules and Operations of the Senate
Apr 30, 2026Senate
Com Substitute Adopted
Apr 30, 2026Senate
Reptd Fav Com Substitute
May 19, 2025Senate
Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate
May 19, 2025Senate
Withdrawn From Com
May 7, 2025Senate
Ref To Com On Rules and Operations of the Senate
May 7, 2025Senate
Passed 1st Reading
May 7, 2025Senate
Special Message Received From House
May 7, 2025House
Special Message Sent To Senate
May 7, 2025House
Passed 3rd Reading
May 7, 2025House
Passed 2nd Reading
May 6, 2025House
Placed On Cal For 05/07/2025
May 6, 2025House
Cal Pursuant Rule 36(b)
May 6, 2025House
Reptd Fav
May 6, 2025House
Re-ref Com On Rules, Calendar, and Operations of the House
May 6, 2025House
Reptd Fav
Apr 29, 2025House
Re-ref Com On Regulatory Reform
Apr 29, 2025House
Reptd Fav Com Substitute
Apr 3, 2025House
Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House
Apr 3, 2025House
Passed 1st Reading
Apr 2, 2025HouseIntroduced
Filed

Version history

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