North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S974

Introduced
4/30/26  
Refer
5/4/26  

Caption

Behavior Analysis Reforms

Impact

This legislation, if enacted, will significantly alter the framework of behavior analyst practices in the state. It mandates that registered behavior technicians must operate under defined supervisory criteria, specifically stating that they cannot have individual contact with clients until they have completed 80 hours of supervised practice. Additionally, it places telehealth restrictions based on population density, which is intended to protect patient care standards in less populated areas. This could help improve safety and professional accountability in the field.

Summary

Senate Bill 974, titled 'Behavior Analysis Reforms,' aims to modernize and regulate the practice of behavior analysis in North Carolina. The bill establishes new standards for registered behavior technicians, requiring certain supervisory conditions and limiting their practice scope, particularly concerning telehealth services with minors. The intent of the bill is to enhance service quality by ensuring that technicians work under direct supervision for a percentage of their services and are adequately trained before having individual patient contact.

Sentiment

The general sentiment around SB 974 appears to be cautiously optimistic among supporters who believe that these reforms will enhance the integrity of behavior analysis services. Critics, on the other hand, may be concerned about the limitations placed on telehealth practices and the potential implications for accessibility in underserved areas. The discussions surrounding this bill suggest a recognition of the need for regulatory oversight while balancing the demand for flexible service delivery options in behavioral health care.

Contention

Notable points of contention involve the restrictions on telehealth practices and the supervision requirements for registered behavior technicians. Proponents argue that close supervision ensures better outcomes and accountability, while opponents may argue that the restrictions hinder the ability to provide timely services through telehealth means, particularly for vulnerable populations, thus making access to care more challenging. This reflects an ongoing debate in the mental health field about maintaining high standards of care while ensuring access to services.

Companion Bills

No companion bills found.

Previously Filed As

NC HB1102

Applied behavioral analysis therapy services.

NC HB1261

Behavior analysis.

NC HB1425

Applied Behavior Analysis Services

NC HB2027

Behavior analysts; regulatory board

NC A08479

Extends provisions of law relating to applied behavioral analysis.

NC S08362

Extends provisions of law relating to applied behavioral analysis.

NC HB2023

Relating to applied behavior analysis.

NC H5635

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

NC S0790

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

NC H4353

Relative to applied behavioral analysis reimbursement rates

Similar Bills

RI H5635

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

RI S0790

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

MO HB1964

Modifies provisions relating to the practice of applied behavior analysis

MI SB0928

Health: licensing; behavioral health transportation licensing requirements; provide for. Amends 1974 PA 258 (MCL 330.1001 - 330.2106) by adding ch. 9B. TIE BAR WITH: SB 0927'26

MI HB5291

Health occupations: health professionals; limited license for certain individuals engaging in the practice of applied behavior analysis; provide for. Amends secs. 16343a, 18253 & 18257 of 1978 PA 368 (MCL 333.16343a et seq.).

AZ HB2348

Behavioral health services; insurance coverage

AZ HB2559

Behavioral health services; insurance coverage

OR HB5025

Relating to the financial administration of the Oregon Health Authority; and declaring an emergency.