SB 432 – Birth Center and PBM Licensure

SB 432 – Birth Center and PBM Licensure

Primary Sponsor: Sen. Deanna Ballard (R-Watauga)

Bill Summary

Birth Center Licensure

This bill establishes a licensure process and annual license fees for birth centers.

The bill allows DHHS to make inspections of birth centers as necessary to investigate unexpected occurrences involving death or serious physical injury. The bill allows information received by the Commission and the Department through filed reports, license applications, or inspections to be displayed publicly.

The bill creates the NC Birth Center Commission. The Commission would have the ability to do the following:

  • Adopt rules establishing the standards for licensure, operation, and regulation of birth centers.
  • Review and make recommendations to DHHS about approval of birth center applications

The Commission will consist of 7 members including the following:

  • NC OBGYN shall elect 3 members who are licensed physicians with at least 2 years of experience working with birth centers
  • NC Affiliate of the American College of Nurse Midwives shall elect 3 members with at least 2 years of experience working with birth centers
  • Governor shall appoint one public member

The Commission shall be responsible for rule setting.

Pharmacy Benefit Manager (PBM) Licensure

This bill language would require all PBMs to be licensed in North Carolina. Currently, there is no state licensure process for PBMs.


Bill Movement


House – Passed – 96-8

House Rules – Passed Committee Substitute – October 22, 2019

House Finance – Passed Committee Substitute – September 11, 2019

House Health – Passed Committee Substitute – August 18, 2019


Senate Vote – Passed 36-1

Senate Rules – Passed – April 17, 2019

Senate Finance – Passed – April 15, 2019

Senate Transportation Committee – Passed – April 10, 2019

Filed – March 28, 2019


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