NC S633

Establishes the Birth Center Licensure Act requiring North Carolina Department of Health and Human Services to license freestanding birth centers for normal, uncomplicated deliveries with low-risk pregnancies.

Creates a seven-member North Carolina Birth Center Commission composed of three physicians from the Obstetrical and Gynecological Society, three certified midwives from the American College of Nurse-Midwives, and one public member appointed by the Governor.

Sets annual license fee at $100.00, valid for one year from issuance, with fees credited to the Department to offset licensing and inspection costs.

Prohibits birth centers from performing abortions, general or conduction anesthesia, and Vaginal Birth After Cesarean (VBAC) or Trial of Labor After Cesarean (TOLAC) procedures.

Requires birth centers to obtain and maintain accreditation with the Commission for the Accreditation of Birth Centers (CABC), recommend second and targeted ultrasounds per American College of Obstetricians and Gynecologists standards, and report unexpected deaths, serious injuries, and adverse outcomes within 15 days.