NP Regulatory Reform: Stalled


Raleigh, NC – Our bill, SB-555,  was introduced on April 1 by Senator Ralph Hise and referred to the ‘Committee on Rules and Operations in the Senate’, aka the Rules Committee.

Rules Committee

The Rules Committee is considered by many to be the most powerful committee in each Chamber because the Chair has complete discretion regarding the fate of any bill in its possession. The Senate Rules Chair is Tom Apodaca, a 6-term legislator representing Buncombe, Henderson and Transylvania counties.

NP constituents of the 23 members of the Senate Health Care Committee were alerted as soon as we knew the bill would be filed. These NPs immediately leapt to action and within 72 hours had contacted all committee members, asking for support of our regulatory reform bill when heard in committee.

Instead the bill went to Rules. NP constituents of all 50 Senators were alerted. Again NPs eagerly jumped in, contacted their Senators and asked for their support in the majority caucus meeting to refer the bill to the health care committee. That caucus meeting has yet to be held.

What’s next?

It’s uncertain what will happen next to our bill in the state legislature.

A Senate ad hoc subcommittee could be appointed—or not. SB555 could go to a study committee—or not.

With just over 3 weeks until the mandatory May 16 crossover deadline, it’s unlikely that any bill could make the trek from committee to chamber floor for two final votes in order to stay alive for the 2014 short session.

Stay tuned

The Rules chair and the bill sponsor are visited daily by our lobbyists.

If the bill moves an inch, NPs will be immediately alerted with a strategic action plan. Until the Rules chair makes a decision there is not much logic in contacting other Senators.

However, if you live and/or work in Senate District 48—Senator Apodaca’s district—a call to his legislative office respectfully requesting that the bill be referred to Senate Health Care could not hurt. His office number is 919-733-5745.

In context

Health care may be our epicenter, but it is hardly the biggest draw on Jones Street this session.

This week, long anticipated tax reform legislation will be introduced in the Senate. Last week the Republican caucus devoted two two-hour caucus meetings on this one subject. This is their highest priority right now.

Remember, sometimes when things happen—and sometimes when things don’t happen—it’s not even about us.


Photo by William Warby.

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Help nurse practitioners have a united voice as we move into the long session of the North Carolina General Assembly (NCGA).


Here’s What to Do

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North Carolina Nurse Practitioners
Increasing Access to Care

From NP Advocacy Day to the Nurse of the Day program at NCGA, there are lots of ways to support our cause. Learn about our Issues, including a failing grade in NC for access to NP care. Read about Geographic Scope of Practice, restricting patient access to NP care.


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Spread the word about NP PAC.

Welcome to NP PAC News

Beginning this month and throughout the long session of the NC General Assembly, NP PAC will blog every 2 weeks about legislative happenings, events of interest and info to help you influence policies limiting access to NP care in our state.


NP Advocacy Day – We Need You!

Register now for the first ever NP Advocacy Day on February 12, 2013. We’ll pair you with a veteran NP advocate for legislative visits in Raleigh.

North Carolina House and Senate districts were redrawn in 2011. Find your current representative and senator. See what they’ve sponsored and how they have voted.

Now that you know their name and face, we’ll see you in Raleigh for NP Advocacy Day on Feb 12. Register now.


More NP PAC News

Patrick J. Ballantine has joined Joanne Stevens and the NCNA lobbying team.

An attorney from Wilmington, Ballantine was previously a Republican member of the NC General Assembly, rising to become the Senate Minority Leader and the Republican Party’s nominee for Governor in 2004.

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Pictures in the background to the slide show on the home page are used under a Creative Commons license.


Thanks to the following individuals and organizations for using a Creative Commons license.


Lower Columbia College

Time for Nurses

Walt Stoneburner

JD Lasica


Robert Wallace