HB 514 North Carolina House · 2025-2026 Session

Advanced Practice Registered Nurses Definitions.

HB 514 defines the scope of practice for Advanced Practice Registered Nurses (APRNs) in North Carolina, including nurse practitioners (NPs), certified nurse midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). The bill explicitly outlines the specific responsibilities for each role - such as CNMs managing reproductive health care, NPs diagnosing and treating illnesses, and CRNAs administering anesthesia - removing ambiguity in current law. It directly affects over 20,000 APRNs in North Carolina who currently face restrictions due to undefined practice parameters. The legislation aims to align North Carolina with 36 other states that have clarified APRN authority without compromising patient safety, as supported by research cited in the bill. This statutory definition is intended to improve healthcare access and reduce costs by enabling APRNs to practice to the full extent of their training.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 25, 2025 Last action Mar 26, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Filed Edition 1 · 2 edits
MINOR
The bill text was reformatted and updated with additional sponsor information and a new bill identifier. The substantive content of the APRN definitions remains unchanged from the filed version to Edition 1, with no new policy provisions, definitions, or requirements added.
TECHNICAL

Header formatting was updated to include additional sponsors (Representatives Lambeth, Setzer, and Cunningham) and a new bill identifier (H514-v-1) in place of the original draft identifier.

Page numbering and section headers were reorganized to reflect the official bill edition format, though the actual legislative text content remains identical.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 26, 2025
Committee
Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
lower
Mar 25, 2025
Introduced
Filed
lower
3 primary · 36 co-sponsors

Sponsors