Senate committee substitute to the 1st edition adds the following content. Makes conforming changes to act’s long title.
Section 3.
Repeals GS 90-8.2(a) (requiring the NC Medical Board [Board] to appoint and maintain a subcommittee to work jointly with a subcommittee of the Board of Nursing [NB] to develop rules to govern the performance of medical acts by registered nurses). Makes conforming changes to GS 90-18 (practice without a license), GS 90-18.2 (limitations on nurse practitioners), GS 90-171.23(b) (powers and duties of the NB), GS 90-18.8 (limits on nurse-midwives), GS 90-178.3 (regulation of midwifery), GS 90-178.4 (administration of article pertaining to certified nurse midwives), GS 90-178.5 (qualifications for approval as a certified nurse midwife), GS 90-178.6 (denial, revocation, or suspension of approval-midwifery licensure), and GS 90-178.7 (enforcement).
Amends GS 90-171.23 by authorizing the NB to grant prescribing, ordering, dispensing, and furnishing authority to nurse practitioners. Gives the NB sole authority to adopt rules and enforce regulations governing the practice of nurse practitioners, nurse midwives, and the practice and conduct of nurse midwifery (including the authority to adopt rules to implement and enforce the provisions of Article 10A, governing the practice of midwifery, of GS Chapter 90).
Repeals GS 90-171.37(b) (requiring the NB’s discipline of a registered nurse to not interfere with the Board’s authority to enforce rules and regulations governing the performance of medical acts by a registered nurse).
Modifies the NB’s reporting requirements under GS 90-178.4 so that it no longer must annually report all receipts of every kind and nature, as well as the compensation paid the members of the joint subcommittee and the necessary expenses incurred by them in the performance of their duties to the State Treasurer. Removes provisions providing compensation to members of the NB who are not officers or employees of the State and for reimbursement of travel and subsistence expenses of State employee members at the statutory rate.  
Section 4.
Removes the nurse practitioner member of the Board in GS 90-2 and increases the number of physician assistants on the Board from one member to two. Makes conforming changes. Makes conforming changes to GS 90-3 (review panel recommendations for certain Board members).
Section 5.
Directs the NB to adopt rules to implement Section 3 of the act.
Section 6.
Directs that Section 3 is effective when the NB adopts the permanent rules required, or June 30, 2026, whichever occurs first. Instructs the NB to notify the Revisor of Statutes when such rules are adopted.

Statutes affected:
Filed: 90-1.1, 90-9.3, 90-12.4, 90-12.4B, 90-18.1, 90-21.81, 110-91
Edition 1: 90-1.1, 90-9.3, 90-12.4, 90-12.4B, 90-18.1, 90-21.81, 110-91
Edition 2: 90-1.1, 90-9.3, 90-12.4, 90-12.4B, 90-18.1, 90-21.81, 110-91, 90-8.2, 90-18, 90-18.2, 90-171.23, 90-171.37, 90-18.8, 90-178.3, 90-178.4, 90-178.5, 90-178.6, 90-178.7, 90-2, 90-3