NC H88

Establishes four advanced practice registered nurse (APRN) roles: nurse practitioner, certified nurse midwife, clinical nurse specialist, and certified registered nurse anesthetist, with detailed scope of practice definitions for each.

Expands the North Carolina Board of Nursing to include one APRN board member (previously had positions for individual APRN types) and adds stricter qualification requirements including no disciplinary history in past 10 years and no felony convictions.

Grants APRNs prescriptive and dispensing authority through Board approval and establishes new licensure requirements including graduate education, national certification, and specific eligibility criteria.

Modernizes licensing procedures by removing requirements for twice-yearly exams, updating renewal processes, and adding provisions for mental/physical competency exams and confidentiality protections for Board investigative records.

Allows Board to impose various disciplinary measures beyond revocation, including probation, limitations, fines, and remedial training; establishes automatic license revocation for felony convictions unless a hearing is requested within 60 days.