North Carolina

House Bill 357 has passed! Most of the bill becomes effective July 1st. Read below to see whether your background qualifies you to practice. Please note bills and amendments can be introduced at any time, so check the Actively Engaged area below to see what bills we're actively monitoring in this state. If action on a specific bill is needed, additional materials will be posted to this page.

Please note that requirements below are from current law and have not been updated to reflect changes made by H 357. Check back soon for updated information there and check out our FAQs for now:


FAQs:

1. I’m a CNS or other master’s or doctoral level nutritionist who will likely qualify for licensure under the new Licensed Nutritionist pathway. I have not yet completed my supervised practice hours. What are the laws governing the completion of these hours?

*The current statute that governs exemptions (G.S. § 90-368 Persons and practices not affected) changes effective July 1st, allowing “a student or trainee” who works “under the direct supervision of” a CNS, DACBN, RD, LDN, LN, or a state-licensed health care practitioner whose licensed scope of practice includes dietetics or nutrition, to complete the supervised practice hours required for licensure. See pages 7-8 and 11 of the Ratified Version of H 357 for more detail on supervised practice hours and allowable supervisors.


2. I’m a CNS or other master’s or doctoral level nutritionist who will likely qualify for licensure under the new Licensed Nutritionist (LN) pathway. When can I submit my application for licensure? What does this application entail? Can I practice before then? If so, what services can I provide?

*The North Carolina Board of Dietetics/Nutrition (“Board”) will license LNs. The Board must fulfill its regulatory function of promulgating regulations which implement the statute that H 357 has created and/or updated. Currently, it is anticipated that the Board will begin promulgating these rules and accepting applications soon. Master’s or doctoral level nutritionists can anticipate the need to submit transcripts, proof of supervised practice experience, and proof of passage of either the CNS or DACBN exam. Please note that you do not need to take any state exam for licensure. See pages 7-8 of the Ratified Version of H 357 for more detail on who may qualify for licensure as an LN.


3. I’m a Nutritional Therapy Practitioner, Health Coach, or other professional who will be providing unlicensed services through the exemption(s) provided for in H 357. When can I start to work? What services can I provide?

*The statute that provides for exemptions to licensure (G.S. § 90-368. Persons and practices not affected), takes effect July 1st. As of July 1, 2018 aspects of the practice of dietetics/nutrition that are not medical nutrition therapy may be provided by non-licensees within their own professional scopes of practice. See pages 11-12 (Section 12) of the Ratified Version of H 357 for more detail on exemptions. Changes to the statute that restricts title use by non-licensees (G.S. 90-365. Requirement of license) will be effective on October 1st. See page 10 (Section 12) of the Ratified Version of H 357 for more detail on that Section of the law.

Active Bills

H 357 will create a licensure path for non-dietitian nutritionists. It also contains an exemption for those doing health and lifestyle coaching which allows providing education and advice that is not targeted to a medical condition.

 
 
 

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CURRENT LAW

Summary: 

This law is an Exclusive Scope of Practice Licensure law. This law has requirements that effectively licenses Registered Dietitians (RDs) only. Only a licensed dietitian can provide nutrition care including: assessment, goal setting, counseling, or advice. There is no licensure pathway for non-RD’s. This law also extends to electronic means of providing nutrition care.

Disclaimer: This information does not constitute legal advice. This is a preliminary interpretation of language of state statutes, and cannot substitute for legal counsel.

Nutrition care in other Health Professions

Currently, there is no state specific information available for this profession.
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Currenlty health coaches are not licensed in any states in the United States. If there is an exclusive scope of practice nutrition licensing law (red or orange on the map) in a state, then it is illegal for health coaches to provide nutrition counseling unless they obtain a nutrition license, or fall under an explicit exemption, which is rare. Practicing health coaches MUST review the scope of the nutrition law in their state including all exceptions and exemptions to assess whether they are legally able to use nutrition tools in their practice. Seeking legal advice may help to determine whether laws governing nutrition care would be violated by the use of nutrition tools in a coaching practice.

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Currenlty herbalists are not licensed in any states in the United States. If there is an exclusive scope of practice nutrition licensing law (red or orange on the map) in a state, then it is illegal for herbalists to provide nutrition counseling unless they obtain a nutrition license, or fall under an explicit exemption, which is rare. Practicing herbalists MUST review the scope of the nutrition law in their state including all exceptions and exemptions to assess whether they are legally able to use nutrition tools in their practice. Seeking legal advice may help to determine whether laws governing nutrition care would be violated by the use of nutrition tools in an herbalist practice.

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Currently, there is no state specific information available for this profession.
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Currently, there is no state specific information available for this profession.
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Currently, there is no state specific information available for this profession.
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Currenlty personal trainers are not licensed in any states in the United States. If there is an exclusive scope of practice nutrition licensing law (red or orange on the map) in a state, then it is illegal for personal trainers to provide nutrition counseling unless they obtain a nutrition license, or fall under an explicit exemption, which is rare. Practicing personal trainers MUST review the scope of the nutrition law in their state including all exceptions and exemptions to assess whether they are legally able to use nutrition tools in their practice. Seeking legal advice may help to determine whether laws governing nutrition care would be violated by the use of nutrition tools in a personal trainer practice.

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Currently, there is no state specific information available for this profession.
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Currenlty retailers are not licensed in any states in the United States. If there is an exclusive scope of practice nutrition licensing law (red or orange on the map) in a state, then it is illegal for retailers to provide nutrition counseling unless they obtain a nutrition license, or fall under an explicit exemption, which is rare. Retailers MUST review the scope of the nutrition law in their state including all exceptions and exemptions to assess whether they are legally able to use nutrition tools in their work. Seeking legal advice may help to determine whether laws governing nutrition care would be violated by the use of nutrition tools at a retail location.

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Currenlty weight loss specialists are not licensed in any states in the United States. If there is an exclusive scope of practice nutrition licensing law (red or orange on the map) in a state, then it is illegal for weight loss specialists to provide nutrition counseling unless they obtain a nutrition license, or fall under an explicit exemption, which is rare. Practicing weight loss specialists MUST review the scope of the nutrition law in their state including all exceptions and exemptions to assess whether they are legally able to use nutrition tools in their practice. Seeking legal advice may help to determine whether laws governing nutrition care would be violated by the use of nutrition tools in a specialists practice.

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