FILED SENATE
                                                                                         Mar 29, 2023
                          GENERAL ASSEMBLY OF NORTH CAROLINA
                                                                 S.B. 426
                                      SESSION 2023           PRINCIPAL CLERK
     S                                                                    D
                               SENATE BILL DRS15192-MU-21
     Short Title:   State Auditor/Access to Medical Board Records.                              (Public)
     Sponsors:      Senators Krawiec, Hise, and Adcock (Primary Sponsors).
     Referred to:
 1                                      A BILL TO BE ENTITLED
 2   AN ACT TO GIVE THE STATE AUDITOR ACCESS TO THE MEDICAL BOARD'S
 3       RECORDS.
 4   The General Assembly of North Carolina enacts:
 5                SECTION 1. G.S. 90-16 reads as rewritten:
 6   "§ 90-16. Self-reporting requirements; confidentiality of Board investigative information;
 7                cooperation with law enforcement; patient protection; Board to keep public
 8                records.
 9       (a)      The North Carolina Medical Board shall keep a regular record of its proceedings with
10   the names of the members of the Board present and other information as to its actions. The North
11   Carolina Medical Board shall publish the names of those licensed within 30 days after granting
12   the license.
13       (b)      The Board may in a closed session receive evidence involving or concerning the
14   treatment of a patient who has not expressly or impliedly consented to the public disclosure of
15   such the treatment as may be necessary for the protection of the rights of such the patient or of
16   the accused physician and the full presentation of relevant evidence.
17       (c)      All records, papers, investigative files, investigative reports, other investigative
18   information information, and other documents containing information in the possession of or
19   received or gathered by the Board, or its members or employees members, employees, or
20   consultants as a result of investigations, inquiries, assessments, or interviews conducted in
21   connection with a licensing, complaint, assessment, potential impairment matter, disciplinary
22   matter, or report of professional liability insurance awards or settlements pursuant to
23   G.S. 90-14.13, shall not be considered G.S. 90-14.13 are not public records within the meaning
24   of Chapter 132 of the General Statutes and are privileged, confidential, and not subject to
25   discovery, subpoena, or other means of legal compulsion for release to any person other than the
26   Board, its employees employees, or consultants involved in the application for license,
27   impairment assessment, or discipline of a license holder, licensee, except as provided in
28   subsection subsections (c1) and (e1) of this section. For purposes of this subsection, investigative
29   information includes information relating to the identity of, and a report made by, a physician or
30   other person performing an expert review for the Board and transcripts of any deposition taken
31   by Board counsel in preparation for or anticipation of a hearing held pursuant to this Article but
32   not admitted into evidence at the hearing.
33       (c1) To ensure compliance with audits authorized by G.S. 147-64.6, the Board shall make
34   available for review by the State Auditor all documents described in subsection (c) of this section.
35   These documents shall be available for review at the offices of the Board or at any other
36   reasonable place designated by the Board.
                                    *DRS15192-MU-21*
     General Assembly Of North Carolina                                                     Session 2023
 1       (d)      Repealed by Session Laws 2016-117, s. 2(o), effective October 1, 2016.
 2       (e)      Information furnished to a licensee or applicant, or counsel for a licensee or applicant,
 3   under G.S. 90-14.2(c) shall be is subject to discovery or subpoena between and among the parties
 4   in a civil case in which the licensee is a party.
 5       (e1) When the Board receives a complaint regarding the care of a patient, the Board shall
 6   provide the licensee with a copy of the complaint as soon as practical and inform the complainant
 7   of the disposition of the Board's inquiry into the complaint and the Board's basis for that
 8   disposition. If providing a copy of the complaint identifies an anonymous complainant or
 9   compromises the integrity of an investigation, the Board shall provide the licensee with a
10   summary of all substantial elements of the complaint. Upon written request of a patient, the Board
11   may provide the patient a licensee's written response to a complaint filed by the patient with the
12   Board regarding the patient's care. Upon written request of a complainant, complainant who is
13   not the patient but is authorized by State and federal law to receive protected health information
14   about the patient, the Board may provide the complainant a licensee's written response to a
15   complaint filed with the Board regarding the patient's care. Any information furnished to the
16   patient or complainant pursuant to this subsection shall be is inadmissible in evidence in any civil
17   proceeding. However, information, documents, or records otherwise available are not immune
18   from discovery or use in a civil action merely because they were included in the Board's review
19   or were the subject of information furnished to the patient or complainant pursuant to this
20   subsection.
21       (f)      Any notice or statement of charges against any licensee, licensee or any notice to any
22   licensee of a hearing in any proceeding shall be is a public record within the meaning of Chapter
23   132 of the General Statutes, notwithstanding that it may contain information collected and
24   compiled as a result of any such an investigation, inquiry inquiry, or interview; and provided,
25   further, that if any such record, paper paper, or other document containing information
26   theretofore collected and compiled by the Board, as hereinbefore provided, Board is received and
27   admitted in evidence in any hearing before the Board, it shall thereupon be is a public record
28   within the meaning of Chapter 132 of the General Statutes.
29       (g)      In any proceeding before the Board, in any record of any hearing before the Board,
30   and in the notice of the charges against any licensee (notwithstanding any provision herein in this
31   section to the contrary) contrary), the Board may withhold from public disclosure the identity of
32   a patient who has not expressly or impliedly consented to the public disclosure of treatment by
33   the accused physician.
34       …
35       (i)      The Board shall cooperate with and assist a law enforcement agency, the North
36   Carolina Department of Justice, the United States Department of Justice, the United States
37   Attorney, or the district attorney conducting a criminal investigation or prosecution of a licensee
38   by providing information that is relevant to the criminal investigation or prosecution to the
39   agency or attorney as required by this subsection. Information disclosed by the Board to an
40   investigative agency or attorney pursuant to this subsection or subsection (h) of this section
41   remains confidential and may shall not be disclosed by the investigating agency except as
42   necessary to further the investigation or prosecution.
43       …."
44                SECTION 2. This act is effective when it becomes law.
     Page 2                                                                           DRS15192-MU-21
Statutes affected: Filed: 90-16
Edition 1: 90-16