North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S422

Introduced
3/24/25  

Caption

Marriage/Family Therapy Mods

Summary

Senate Bill 422 would revise North Carolina’s laws governing licensure of marriage and family therapists and marriage and family therapy associates. The bill changes the Board’s reciprocity process so that, instead of allowing discretionary reciprocal licensure, the Board must issue a license to qualified applicants from other states who meet specified conditions. Those conditions include being licensed for two continuous years, holding an unrestricted license in good standing, having no unresolved complaints, and passing either the North Carolina jurisprudence exam or the National Marriage and Family Therapy exam, with an additional pathway for applicants who passed California’s clinical exam. The bill also updates the criminal history record check statute to clarify that applicants for licensure under the reciprocity provision are included in the background-check framework. It authorizes the North Carolina Marriage and Family Therapy Licensure Board to adopt rules to implement the act, and it applies only to licensure applications submitted on or after October 1, 2025.

Impact

The bill would amend G.S. 90-270.56 and G.S. 90-270.63, affecting the licensing standards administered by the North Carolina Marriage and Family Therapy Licensure Board. It would make reciprocity more structured and mandatory for eligible out-of-state applicants, potentially easing interstate mobility for licensed therapists while preserving state oversight through jurisprudence testing, good-standing requirements, complaint screening, and criminal background checks. The practical effect is to broaden and standardize the pathway for qualified marriage and family therapy professionals to become licensed in North Carolina.

Sentiment

No committee transcripts or recorded votes were provided, so there is no direct evidence of debate or formal support/opposition in the available materials. Based on the bill text alone, the measure appears administrative and professional-regulatory in nature, with an apparent goal of streamlining licensure while maintaining safeguards. The absence of recorded controversy suggests the bill may be relatively nonpartisan or technical, but that cannot be confirmed from the available record.

Contention

The main policy issue is the balance between easing licensure reciprocity and preserving regulatory control. Supporters would likely favor the reduced waiting period and clearer reciprocity standards as a way to address workforce access and reduce barriers for licensed professionals moving into North Carolina. Potential concerns could come from regulators or stakeholders worried that mandatory reciprocity may limit the Board’s discretion, though the bill retains safeguards through exam, good-standing, complaint, and background-check requirements. No specific opposing viewpoints are documented in the provided materials.

Companion Bills

No companion bills found.

Previously Filed As

NC H727

Limit Medicaid Reimb. for Facility Fees

NC SB222

AN ACT relating to marriage and family therapists.

NC HB49

AN ACT relating to marriage and family therapists.

NC S3741

Modifies requirements for licensure in marriage and family therapy.

NC A5116

Modifies requirements for licensure in marriage and family therapy.

NC S3026

Changes the direct client contact hour requirements for applicants for licensure of marriage and family therapist associate and applicants for licensure of marriage and family therapist.

NC H7064

Changes the direct client contact hour requirements for applicants for licensure of marriage and family therapist associate and applicants for licensure of marriage and family therapist.

NC SB221

AN ACT relating to marriage and family therapists.

NC HR1123

Marriage and Family Therapy Day at the Capitol; 02/11/26; commending the marriage and family therapists of Georgia; recognize

NC HB07081

An Act Concerning Licensure Portability For Marriage And Family Therapists.

Similar Bills

No similar bills found.