HB88, known as the Modernize Nursing Practice Act, is under consideration with the North Carolina House Health Committee. The bill would allow Certified Registered Nurse Anesthetists to select, order and administer anesthesia without a supervision agreement with a physician. Julie George, director of the North Carolina Board of Nursing, has indicated support of the bill and noted that studies about nurses administering anesthesia have shown no reduction in patient outcomes.
The Enact Enhanced Access to Eye Care Act would remove the term "surgery" as outside the scope of practice of optometry, to allow the expansion of optometrist scope of practice to include in-office laser procedures that do not require general anesthesia. In North Carolina, optometrists have office locations in 98 out of 100 counties, while ophthalmologists have practice locations in only 60 of 100 counties. Supporters of the bill note that it would increase access to eye care. If the bill is enacted, the North Carolina Board of Optometry could establish a credentialing process, such as a proctoring process by practitioners experienced in the procedures. The credentialing process would only be required for optometrists who want to perform the procedures in their practice.