North Carolina Commission for Public Health

Codified Rules

This page lists the rules acted upon by the N.C. Commission for Public Health and reviewed by the N.C. Rules Review Commission, and the final disposition of the rules.

Table Column Definitions

• Notice: The date a notice appeared in the North Carolina Register and an announcement was posted to the public.
• Adopted: The date the Commission for Public Health took final action to adopt, amend, or repeal the rule.
• Effective: The date the codified version of the rule took effect.
• Codified: The authoritative version of the rule as published in the North Carolina Administrative code.

Adult Health
Notice	Adopted	Effective	Codified Rule
CDI
Notice	Adopted	Effective	Codified Rule
12/02/2019	02/05/2020	04/01/2020	10A NCAC 41B .0322, .0323 , and .0503 - Forensic Tests for Alcohol: Proposed Amendments
Dental Health
Notice	Adopted	Effective	Codified Rule
Early Intervention
Notice	Adopted	Effective	Codified Rule
03/01/2017	11/08/2017	01/01/2018	10A NCAC 43G .0108, .0110, .0111
Environmental Health
Notice	Adopted	Effective	Codified Rule
9/2/2025	2/4/2026	Pending Legislative Review	Codification pending
6/2/2025	8/6/2025	Pending Legislative Review	Codification pending
12/01/2023	02/07/2024	04/01/2024	15A NCAC 18A Section .1600 - Sanitation of Residential Care Facilities, .1601, .1602, .1603, .1604, .1605, .1606, .1607, .1608, .1609, .1610, .1611, .1612, .1613, .1614, .1615, .1616, .1617, .1618, .1619, .1620, and .1621 - Sanitation of Residential Care Facilities
12/01/2023	02/07/2024	04/01/2024	15A NCAC 18A Section .1000:, .1001, .1002, .1003, .1004, .1006, .1007, .1008, .1009, .1011, .1012, .1017, .1018, .1019, .1020, .1021, .1022, and .1027 - Sanitation of Summer Camps
12/01/2023	02/07/2024	11/01/2024	15A NCAC 18A .2518, and .2539 - Public Swimming Pools
06/01/2023	08/02/2023	10/01/2023	15A NCAC 18A .1511 - Sanitation of Local Confinement Facilities Water Supply
12/01/2022	02/01/2023	04/01/2023	15A NCAC 18A Section .2800:, .2801, .2802, .2803, .2804, .2806, .2807, .2808, .2809, .2810, .2812, .2814, .2815, .2816, .2817, .2818, .2819, .2820, .2821, .2822, .2823, .2824, .2825, .2826, .2827, .2829, .2830, .2831, .2832, .2833, .2834, .2835, and .2836 - Sanitation of Child Care Centers
12/01/2022	02/01/2023	04/01/2023	10A NCAC 41C .1001, .1002, .1003, .1004, .1005, .1006, and .1007 - Lead and Asbestos Inspection Testing Abatement and Remediation in North Carolina Public Schools and Licensed Child Care Facilities (permanent)
06/01/2022	08/03/2022	10/01/2022	15A NCAC 18A .1301, .1302, .1304, .1305, .1306, .1307, .1308, .1309, .1310, .1311, .1312, .1313, .1314, .1315, .1316, .1317, .1318, .1319, .1320, .1321, .1323, .1324, and .1327 - Sanitation of Hospitals Nursing Homes Adult Care Homes and Other Institutions
03/01/2022	05/04/2022	07/01/2022	15A NCAC 18A .2901 - Restaurant and Lodging Fee Collection and Inventory Program
03/01/2022	05/04/2022	07/01/2022	15A NCAC 18A .2508, and .2545 - Display Spa at a Temporary Event (DSTE)
02/02/2022	03/29/2022	04/29/2022	10A NCAC 41C .1001, .1002, .1003, .1004, .1005, .1006, and .1007 - Lead and Asbestos Inspection Testing Abatement and Remediation in North Carolina Public Schools and Licensed Child Care Facilities (temporary)
05/28/2021	08/04/2021	10/01/2021	15A NCAC 18A .2650, .2651,  .2652,  .2653,  .2654,  .2655,  .2661, .2670,and .2674 – The Sanitation of Food Service Establishments
03/01/2021	08/04/2021	01/01/2024	15A NCAC 18E  – Wastewater Treatment and Dispersal Systems
12/01/2020	02/03/2021	04/01/2021	15A NCAC 18A .1724, .3101,  .3105, .3107 and .3802 – Protection of Water Supplies, Childhood Lead Poisoning Prevention Program, Private Drinking Water Well Sampling
09/01/2020	11/04/2020	01/01/2021	10A NCAC 41C .0304, .0601, .0602,  and .0608 - Industrial Hygiene Consultation Program and Asbestos Hazard Management Program
06/01/2020	08/05/2020	10/01/2020	15A NCAC 18A .2508 and .2543 - Artificial Swimming Lagoons (permanent)
09/17/2019	11/06/2019	12/03/2019	15A NCAC 18A .2508 and .2543 - Artificial Swimming Lagoons (temporary)
09/03/2019	11/06/2019	01/01/2020	10A NCAC 41C .0701,  .0702,  .0703 - Occupational Health Surveillance
06/03/2019	08/07/2019	10/01/2019	15A NCAC 18A .2816: Lead Poisoning Hazards in Child Care Centers
05/01/2018	08/01/2018	N/A	15A NCAC 18E - Not codified.
09/01/2017	N/A	N/A	15A NCAC 18E - Not codified.
06/01/2017	08/09/2017	10/01/2017	Adoption: 15A NCAC 18A .1821-.1834 Repeal: 15A NCAC 18A .1801-1815 and .1817-.1818 15A NCAC 18A .2201-2221 15A NCAC 18A .3001-.3016
12/01/2016	02/08/2017	04/01/2017	15A NCAC 18A .1971: Engineered Option Permit
11/15/2016	N/A	N/A	N/A
02/26/2016	05/11/2016	07/01/2016	15A NCAC 18A .1971: Engineered Option Permit
12/03/2012	02/13/2013	04/01/2013	15A NCAC 18A .2544: Special Purpose Therapy Pools
12/03/2012	02/13/2013	04/01/2013	15A NCAC 18A .2508: Swimming Pool Definitions
05/01/2012	08/15/2012	10/01/2012	15A NCAC 18A .2528: Fences
03/15/2012	05/16/2012	09/01/2012	15A NCAC 18A .2650-.2676: Food Protection and Sanitation of Food Establishment
03/15/2012	Repealed	09/01/2012	15A NCAC 18A .2601-.2645: Food Protection and Sanitation of Food Establishment
Epidemiology
Notice	Adopted	Effective	Codified Rule
06/03/2024	08/07/2024	10/01/2024	10A NCAC 41A .0101 - Amendment of Reportable Diseases and Conditions Rule
06/01/2023	08/02/2023	10/01/2023	10A NCAC 41A .0107 - Reporting of COVID-19 Diagnostic Test Results (repeal)
06/01/2022	08/03/2022	10/01/2022	10A NCAC 41A .0107 – Reporting of COVID-19 Diagnostic Test Results (proposed for permanent adoption)
05/28/2021	08/04/2021	10/01/2021	10A NCAC 41A .0107 – Reporting of COVID-19 Diagnostic Test Results
05/28/2021	08/04/2021	10/01/2021	10A NCAC 41A .0212: Handling and Transportation of Bodies
12/01/2020	02/03/2021	04/01/2021	10A NCAC 41A .0101 – Reportable Diseases and Conditions (novel coronavirus - permanent)
09/15/2020	11/04/2020	12/01/2020	10A NCAC 41A .0107 – Reporting of COVID-19 Diagnostic Test Results
09/15/2020	11/04/2020	12/01/2020	10A NCAC 41A .0212 – Handling and Transportation of Bodies
03/02/2020	05/06/2020	07/01/2020	10A NCAC 41A .0101: Reportable Diseases and Conditions
02/05/2020	02/05/2020	04/24/2020	10A NCAC 41A .0101 - Reportable Diseases and Conditions (novel coronavirus - emergency/temporary)
06/01/2018	08/01/2018	10/01/2018	10A NCAC 41A .0101: Reportable Diseases and Conditions
09/01/2017	11/08/2017	01/01/2018	10A NCAC 41A .0202: Control Measures - HIV
08/15/2017	11/08/2017	01/01/2018	10A NCAC 41A .0101: Reportable Diseases and Conditions
01/03/2017	03/07/2016	05/01/2017	10A NCAC 41A .0302: Sale of Turtles Restricted
08/01/2016	10/11/2016	12/01/2016	10A NCAC 41C .0702: Reportable Diseases, Illnesses, and Injuries
06/01/2016	08/11/2016	10/01/2016	10A NCAC 41A .0101: Reportable Diseases and Conditions
02/19/2016	03/01/2016	07/01/2016 (temporary); 03/01/2016 ( emergency)	10A NCAC 41A .0101: Reportable Diseases and Conditions (temporary)
06/01/2015	08/12/2015	10/01/2015	10A NCAC 41A .0101 Reportable Diseases and Conditions
08/22/2014	09/02/2014	12/02/2014 (temporary); 09/02/2014 ( emergency)	10A NCAC 41A .0101: Reportable Diseases and Conditions (temporary)
03/17/2014	05/28/2014	08/01/2014	10A NCAC 41A .0101: Reportable Diseases and Conditions
02/01/2013	05/15/2013	07/01/2013	10A NCAC 41A .0101: Reportable Diseases and Conditions
04/16/2012	08/15/2012	10/01/2012	10A NCAC 41A .0106: Reporting of Health Care-Associated Infections
02/15/2012	04/18/2012	07/01/2012	10A NCAC 41A .0205: Control Measures Tuberculosis
12/01/2011	02/15/2012	04/01/2012	10A NCAC 41A .0214: Control Measures Hepatitis C
General Procedures
Notice	Adopted	Effective	Codified Rule
08/15/2013	10/25/2013	01/01/2014	10A NCAC 45A .0101: General Procedures for Public Health Programs Subchapter 45A Payment Programs
Immunization
Notice	Adopted	Effective	Codified Rule
02/03/2014	05/14/2014	07/01/2015	10A NCAC 41A .0401: Dosage and Age Requirements for Immunization
Information Services
Notice	Adopted	Effective	Codified Rule
Laboratory Services
Notice	Adopted	Effective	Codified Rule
LHD Accreditation
Notice	Adopted	Effective	Codified Rule
06/02/2025	08/06/2025	06/01/2026	10A NCAC 48A and 48B (repeal) 48D and 48C (adoption) - Local Health Department Accreditation
12/01/2014	02/11/2015	04/01/2015	10A NCAC 48B .0103, .1301, .1304, .1305, .1306, .1307, .1308: Local Health Department Accreditation Standards
09/04/2012	11/13/2012	02/01/2013	10A NCAC 48B .0103: Accreditation Requirements
Local Standards
Notice	Adopted	Effective	Codified Rule
09/03/2024	11/06/2024	01/01/2025	10A NCAC 46 .0301 - Minimum Standard Health Department: Staffing
02/16/15	05/03/2015	07/01/2015	Proposed for Amendment: 10A NCAC 46 .0201 - Local Standards; Proposed for Repeal: 10A NCAC .0212 – Grade A Milk Sanitation
Newborn Screening
Notice	Adopted	Effective	Codified Rule
06/01/2020	08/05/2020	01/01/2021	10A NCAC 42B .0102, .0108, and 10A NCAC 43H .0314 - Newborn Screening
12/01/2014	02/11/2015	04/01/2015	10A NCAC 43K .0101, .0102, .0103 – Newborn Screening for Critical Congenital Heart Defects
Nutrition
Notice	Adopted	Effective	Codified Rule
06/02/2025	08/06/2025	04/01/2026	10A NCAC 43D - WIC/Nutrition
09/03/2019	11/06/2019	03/01/2020	10A NCAC 43D .0202, .0408, .0501, .0701, .0702, .0703,  .0704, .0705,  .0706,  .0707, .0708, .0710,  .0908 - WIC/Nutrition
12/15/2017	02/07/2018	07/01/2018	10A NCAC 43D .0708 (Authorized Vendors)
06/01/2017	08/09/2017	10/01/2017	10A NCAC 43D .0202 (Definitions), .0203 (References), .0703 (Use of Food Instruments and Cash-Value Vouchers), .0707 (Vendor Applicants), .0708 (Authorized Vendors)
08/17/2015	N/A	N/A	10A NCAC 43J .0101 (amend) and 41J .0102-.0411 (adopt) - Child and Adult Care Food Program
Other
Notice	Adopted	Effective	Codified Rule
12/16/2014	05/14/2014	07/01/2014	Repeal of Rules 2013 (multiple rules repealed)
Personal Health
Notice	Adopted	Effective	Codified Rule
04/07/2014	05/14/2014	07/25/2014	10A NCAC 43K .0101, .0102, .0103: Newborn Screening for Critical Congenital Heart Defects (Temporary Rules)
10/01/2013	12/04/2013; Rule As Adopted	08/01/2014	10A NCAC 39C .0104: Clarification Of The Definition Of Enclosed Area
08/15/2013	10/25/2013	01/01/2014	10A NCAC 43H .0111: Sickle Cell Medical Services Covered
09/04/2012	11/13/2012	02/01/2013	WIC Program Food Delivery System (Multiple Rules)
Postmortem Medicolegal
Notice	Adopted	Effective	Codified Rule
Archived Announcements
Archived Announcements	Notice	Topic
Public Notice of Meeting	10/19/2018	15A NCAC 18A
Environmental Health	10/23/2018	Request for Acceptance and Review (15A NCAC 18A)
Public Notice of Meeting	10/30/2018	15A NCAC 18A
Public Notice of Meeting	10/31/2018	15A NCAC 18A
Public Notice of Temporary Rulemaking	11/09/2018	15A NCAC 18A
Public Notice of Public Hearing Cancelation	11/28/2018	15A NCAC 18A
Public Notice Special Meeting	12/14/2018	15A NCAC 18A
Public Notice of Periodic Review	12/19/2018	15A NCAC 18A
Public Notice Special Meeting	05/05/2019	15A NCAC 18A
Public Notice Special Meeting	08/22/2019	Session Law 2019-88, Section 2
Public Notice of Periodic Review	10/04/2019	15A NCAC 18A
Public Notice Special Meeting	03/11/2020	10A NCAC 41A .0101
Public Notice	04/02/2020	On-site Wastewater Rules
Public Notice	04/08/2020	On-site Wastewater Rules
Public Notice of Change of Venue	04/29/2020	Change of Venue
Public Notice of Change of Venue	07/29/2020	Change of Venue
Public Notice Special Meeting	08/28/2020	Temporary Order
Public Notice	10/05/2020	Change of Venue
Public Notice	10/27/2020	Change of Venue
Public Notice	12/03/2020	COVID-19 Temporary Rules
Public Notice	12/09/2020	COVID-19 Temporary Rules
Public Notice of Change of Venue	01/26/2021	Change of Venue
Public Notice of Change of Venue	04/27/2021	Change of Venue
Public Notice of Change of Venue	07/28/2021	Change of Venue
Public Notice	07/30/2021	Notice of Petition for Declatory Ruling
Public Notice of Brunswick Regional Water & Sewer H2GO Sanitary District	08/16/2021	Resolution for Brunswick Regional Water & Sewer H2GO
Public Notice	09/03/2021	Petition for Declaratory Ruling Withdrawn
Public Notice	10/07/2021	Meeting Notice