HB 71 North Carolina House · 2025-2026 Session

Respiratory Care Modernization Act.

HB 71, the Respiratory Care Modernization Act, updates North Carolina's laws governing respiratory care practice. It creates a new "Advanced respiratory care practitioner" (ARCP) category for licensed professionals with postgraduate training, requiring Board-endorsed competency for advanced procedures. The bill clarifies that ARCPs cannot diagnose, prescribe, or perform invasive procedures without physician supervision, while defining their scope to include cardiopulmonary care and tasks delegated by physicians. This directly affects respiratory care practitioners and patients by standardizing advanced practice rules and ensuring procedures align with current professional standards. The changes aim to reflect modern respiratory care practices without altering basic licensing requirements.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Feb 6, 2025 Last action Apr 3, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 Edition 2 · 4 edits
MODERATE
This bill update clarifies the definition of 'practice of advanced practice respiratory therapy' by reorganizing prohibited activities and removing a redundant reference to physician supervision. The changes streamline how advanced respiratory care practitioners are defined and what they can or cannot do under physician oversight.
Scope change
The scope of practice for advanced respiratory care practitioners remains largely the same, but the language describing prohibited activities has been restructured for clarity.
DEFINITION

The definition of 'practice of advanced practice respiratory therapy' was reorganized. The list of prohibited activities (medical diagnosis, prescribing, surgery, etc.) was moved to appear before the supervision clause, making it clearer that these activities are excluded regardless of supervision status.

A specific exception was added to the supervision requirement. Procedures that are more than minimally invasive and carry serious risks are now prohibited unless a physician is physically present to supervise OR the procedure is provided pursuant to subdivision (10) of the section.

The definition of 'practice of respiratory care' was expanded to include more specific language about monitoring patient responses, such as determining whether signs or symptoms exhibit abnormal characteristics.

TECHNICAL

Formatting and header information were updated, including the removal of sponsor names and committee references from the header section, and version numbers were updated from v-1 to v-2.

Floor votes · House Apr 1, 2025

How they voted

1144
Passed · 3 other
Total votes 121
Apr 1, 2025
D Democratic46
41 Yea 4 Nay 1
89% Yea
I Independent2
2 Yea
100% Yea
R Republican73
71 Yea 2
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
4
Committee
7
Apr 3, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Apr 1, 2025
Lower · Passed
Passed 3rd Reading
lower
Mar 31, 2025
Lower · Passed
Reptd Fav
lower
Mar 18, 2025
Committee
Re-ref Com On Rules, Calendar, and Operations of the House
lower
Mar 18, 2025
Lower · Passed
Reptd Fav
lower
Mar 11, 2025
Committee
Re-ref Com On Regulatory Reform
lower
Mar 11, 2025
Lower · Passed
Reptd Fav Com Substitute
lower
Feb 11, 2025
Committee
Ref to the Com on Health, if favorable, Regulatory Reform, if favorable, Rules, Calendar, and Operations of the House
lower
Feb 6, 2025
Introduced
Filed
lower
1 primary · 9 co-sponsors

Sponsors