# North Carolina HB 514: AN ACT TO DEFINE THE PRACTICE OF NURSING FOR ADVANCED PRACTICE REGISTERED NURSES: NURSE PRACTITIONERS (NP), CERTIFIED NURSE MIDWIVES (CNM), CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND CLINICAL NURSE SPECIALISTS (CNS).

North Carolina HB 514, AN ACT TO DEFINE THE PRACTICE OF NURSING FOR ADVANCED PRACTICE REGISTERED NURSES: NURSE PRACTITIONERS (NP), CERTIFIED NURSE MIDWIVES (CNM), CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND CLINICAL NURSE SPECIALISTS (CNS)., is a 2025-2026 Session House bill sponsored by Carla D. Cunningham (Independent), Donny Lambeth (Republican), Mitchell S. Setzer (Republican) and 1 others; status in committee, last action 2025-03-26 (Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB514-2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Carolina HB 514
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT TO DEFINE THE PRACTICE OF NURSING FOR ADVANCED PRACTICE REGISTERED NURSES: NURSE PRACTITIONERS (NP), CERTIFIED NURSE MIDWIVES (CNM), CERTIFIED REGISTERED NURSE ANESTHETISTS (CRNA), AND CLINICAL NURSE SPECIALISTS (CNS).
- Status: in committee
- Chamber: House
- Introduced: 2025-03-25
- Last action: 2025-03-26, Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
- Sponsors: Carla D. Cunningham (Independent), Donny Lambeth (Republican), Mitchell S. Setzer (Republican), Donna McDowell White (Republican)
- Cosponsors: 35
- Subjects: ADMINISTRATIVE CODE, ADMINISTRATIVE RULES, ANESTHESIOLOGY, BOARDS, DEFINITIONS, DENTAL BOARD, DENTISTS & DENTISTRY, HEALTH SERVICES, LICENSING & CERTIFICATION, MEDICAL BOARD, MIDWIFERY, NURSES & NURSING, NURSING BOARD, OCCUPATIONS, PERSONNEL, PHYSICIANS, PREGNANCY, PUBLIC, WOMEN
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Carla D. Cunningham (Independent), House
- Sponsor: Donny Lambeth (Republican), House
- Sponsor: Mitchell S. Setzer (Republican), House
- Sponsor: Donna McDowell White (Republican), House
- Cosponsor: Jay Adams (Republican), House
- Cosponsor: Eric Ager (Democratic), House
- Cosponsor: Vernetta Alston (Democratic), House
- Cosponsor: Mary Belk (Democratic), House
- Cosponsor: Hugh Blackwell (Republican), House
- Cosponsor: Carson Smith (Republican), House
- Cosponsor: Mike Clampitt (Republican), House
- Cosponsor: Bryan Cohn (Democratic), House
- Cosponsor: Allison A. Dahle (Democratic), House
- Cosponsor: Brian Echevarria (Republican), House
- Cosponsor: Gloristine Brown (Democratic), House
- Cosponsor: Garland E. Pierce (Democratic), House
- Cosponsor: Dudley Greene (Republican), House
- Cosponsor: Julia Greenfield (Democratic), House
- Cosponsor: Pricey Harrison (Democratic), House
- Cosponsor: Julia C. Howard (Republican), House
- Cosponsor: Cody Huneycutt (Republican), House
- Cosponsor: B. Ray Jeffers (Democratic), House
- Cosponsor: Monika Johnson-Hostler (Democratic), House
- Cosponsor: Kanika Brown (Democratic), House
- Cosponsor: Carolyn G. Logan (Democratic), House
- Cosponsor: Jordan Lopez (Democratic), House
- Cosponsor: Nasif Majeed (Independent), House
- Cosponsor: Dante Pittman (Democratic), House
- Cosponsor: Lindsey Prather (Democratic), House
- Cosponsor: Renée A. Price (Democratic), House
- Cosponsor: Amos L. Quick, III (Democratic), House
- Cosponsor: Dennis Riddell (Republican), House
- Cosponsor: James Roberson (Democratic), House
- Cosponsor: Stephen M. Ross (Republican), House
- Cosponsor: Terry M. Brown Jr. (Democratic), House
- Cosponsor: Brian Turner (Democratic), House
- Cosponsor: Diane Wheatley (Republican), House
- Cosponsor: Shelly Willingham (Democratic), House
- Cosponsor: Julie von Haefen (Democratic), House

## Actions (3)

- 2025-03-26: Ref to the Com on Health, if favorable, Judiciary 1, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-03-26: Passed 1st Reading (House)
- 2025-03-25: Filed (House)

## Bill text

- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H514v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H514v1.pdf)

## Related bills

- HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H514v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H514v1.pdf)

## Related
- [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
- [North Carolina bills](https://policyrisk.com/states/north-carolina/bills)
- [North Carolina state hub](https://policyrisk.com/states/north-carolina)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/NC-HB514-2025 (as of 2026-11-01).