Senate committee substitute to the 2nd edition makes the following changes.
Changes the numbers given to the new statutes in Part 2, Health Care Practitioner Transparency Act, of Article 37 of GS Chapter 90.
Adds that nothing in GS 90-642 (advertisement and representation requirements) prevents health care practitioners with doctorate-level degrees in their field of practice from holding themselves out or referring to themselves as a doctor.   
Adds the following content and makes conforming changes to the act’s long title.
Amends GS 90-171.20 to define Advanced Practice Registered Nurse or ARPN, as it is used in Article 9A, Nursing Practice Act, as an individual licensed by the North Carolina Board of Nursing (Board) as an advanced practice registered nurse within one of the following four roles: (1) certified nurse practitioner or CNP, (2) certified nurse midwife or CNM, (3) clinical nurse specialist or CNS, or (4) certified registered nurse anesthetist or CRNA. Makes additional organizational changes. Effective October 1, 2025.
Amends GS 90-171.43 to specify that the abbreviations for the APRN designation of a certified nurse midwife, a clinical nurse specialist, a certified registered nurse anesthetist, and a certified nurse practitioner will be APRN, plus the role title. Makes it illegal to use the title ARPN or ARPN plus the role titles, the role title alone, authorized abbreviations, or any other title that would lead a person to believe a person is an APRN, unless it is allowed by this act. Effective October 1, 2025.
Requires the Board to adopt temporary rules by October 1, 2025, to implement the above provisions, which will remain in effect until the permanent rules are adopted.

Statutes affected:
Edition 3: 90-171.20, 90-171.43