GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H D HOUSE BILL DRH10056-NBf-37 Short Title: North Carolina Healing Arts Act. (Public) Sponsors: Representative Warren. Referred to: *DRH10056 -NBf-37* A BILL TO BE ENTITLED 1 AN ACT TO ESTABLISH THE NORTH CAROLINA HEALING ARTS COMMISSION AND 2 TO CREATE LICENSURE PROCESSES FOR REFLEXOLOGISTS AND MUSIC 3 THERAPISTS. 4 The General Assembly of North Carolina enacts: 5 SECTION 1.(a) Chapter 90 of the General Statutes is amended by adding a new 6 Article to read: 7 "Article 44. 8 "Healing Arts. 9 "Part 1. North Carolina Healing Arts Commission. 10 "§ 90-750.1. Title and purpose. 11 (a) This Article shall be known and may be cited as the "North Carolina Healing Arts 12 Act." 13 (b) The North Carolina Healing Arts Act is established to safeguard the public health, 14 safety, and welfare; to protect the public from being harmed by unqualified persons; to assure 15 the highest degree of professional services and conduct on the part of practitioners of the healing 16 arts; to provide for the establishment of licensure requirements; and to ensure the availability of 17 healing arts services of high quality to persons in need of such services. 18 "§ 90-750.2. Definitions. 19 The following definitions apply in this Article: 20 (1) Advisory committee. – A committee charged with supervising the day-to-day 21 regulation of a healing arts profession. Advisory committees shall screen 22 applicants for licensure and conduct all investigations necessary to give 23 recommendations to the Commission. 24 (2) Commission. – The North Carolina Healing Arts Commission, as established 25 pursuant to G.S. 90-750.3. 26 (3) Healing arts. – The use of allopathic, complementary, or alternative 27 approaches to the art and science of medicine for the prevention, 28 identification, and treatment of human physical or mental conditions, diseases, 29 ailments, illnesses, infirmities, pain, defects, or injuries and the promotion and 30 restoration of health and wellness. 31 (4) Healing arts profession. – Any of the professions listed in G.S. 90-750.8. 32 (5) North Carolina Healing Arts License. – A license in a healing arts profession 33 issued pursuant to this Article. 34 "§ 90-750.3. North Carolina Healing Arts Commission; composition; terms; compensation. 35 H.B. 122 Feb 13, 2025 HOUSE PRINCIPAL CLERK General Assembly Of North Carolina Session 2025 Page 2 DRH10056-NBf-37 (a) Establishment. – The North Carolina Healing Arts Commission is hereby created. The 1 Commission shall consist of the following members appointed to three-year terms as follows: 2 (1) One reflexologist appointed by the General Assembly upon the 3 recommendation of the President Pro Tempore of the Senate. 4 (2) One music therapist appointed by the Speaker of the House of 5 Representatives. 6 (3) One reflexologist appointed by the Governor. 7 (4) One music therapist appointed by the Governor. 8 (5) One member of the public appointed by the Governor. 9 (b) Vacancies. – Any vacancies on the Commission shall be filled by the appointing 10 authority as provided in subsection (a) of this section, except that any vacancy in appointments 11 by the General Assembly shall be filled in accordance with G.S. 120-122. Individuals appointed 12 to fill vacancies shall serve until the normal expiration of the term they were appointed to fill. 13 (c) Qualifications. – 14 (1) All members appointed to the Commission shall be citizens of the United 15 States and residents of the State of North Carolina. 16 (2) All members appointed to the Commission, except for the public member 17 appointed by the Governor under subdivision (5) of subsection (a) of this 18 section, shall be required to hold a North Carolina Healing Arts License in 19 their respective profession, and remain in good standing for the duration of 20 their terms. 21 (3) Public members of the Commission shall not be: 22 a. An agent or employee trained or experienced in the practice of healing 23 arts. 24 b. An agent or employee of a person engaged in the practice of healing 25 arts. 26 c. A spouse of an individual licensed pursuant to this Article. 27 d. Any person with significant financial interest in a health service or 28 profession. 29 (d) New Healing Arts Professions. – Any healing arts professions created after January 30 1, 2026, shall have two members on the Commission, both of whom shall serve three-year terms. 31 One of these members shall be appointed by the Governor. The second member shall be 32 appointed by the General Assembly. The Speaker of the House of Representatives shall make a 33 recommendation to be approved by the General Assembly for the first term, and the President 34 Pro Tempore of the Senate shall make a recommendation to be approved by the General 35 Assembly for the second term. The Speaker of the House of Representatives and the President 36 Pro Tempore of the Senate shall thereafter alternate recommendations for subsequent terms. 37 (e) Removal. – The Commission may remove any of its members for neglect of duty, 38 incompetence, or unprofessional conduct. A member subject to disciplinary proceedings as a 39 licensed healing arts professional shall be disqualified from participating in the official business 40 of the Commission until the charges have been resolved. Any member of the Commission may 41 be removed from office by the Governor for good cause shown. 42 (f) Compensation of Members; Meetings. – A Commission member may not receive 43 compensation but may receive reimbursement as provided in G.S. 93B-5. The officers of the 44 Commission shall include a chair, a secretary, and any other officers deemed necessary by the 45 Commission to carry out the purposes of this Article. All officers shall be elected annually by the 46 Commission at its first meeting held after appointments to the Commission are made. The 47 Commission shall hold a meeting within 45 days after the appointment of new Commission 48 members. All officers shall serve one-year terms and shall serve until their successors are elected 49 and qualified. No person shall chair the Commission for more than five consecutive years. The 50 Commission may adopt rules governing the calling, holding, and conducting of regular and 51 General Assembly Of North Carolina Session 2025 DRH10056-NBf-37 Page 3 special meetings. A majority of Commission members present and voting constitutes a quorum, 1 and no action may be taken without a quorum. 2 "§ 90-750.4. Powers of the Commission. 3 The Commission shall have the following powers and duties: 4 (1) Administer, coordinate, and enforce the provisions of this Article. 5 (2) Adopt, amend, or repeal rules necessary to conduct its business, carry out its 6 duties, and administer this Article. 7 (3) Appoint and maintain advisory committees to fulfill the daily regulation of 8 healing arts professions. 9 (4) Issue, renew, deny, suspend, or revoke Healing Arts Licenses, order 10 probation, issue reprimands, and conduct any disciplinary actions authorized 11 by this Article. 12 (5) Authorize expenditures deemed necessary to carry out the provisions of this 13 Article from fees paid to the Commission pursuant to this Article. 14 (6) Remit to advisory committees funds sufficient for those advisory committees 15 to carry out their duties. 16 (7) Conduct investigations for the purpose of discovering violations of this Article 17 or grounds for disciplinary actions. 18 (8) Conduct any administrative hearings necessary for the administration of this 19 Article, including disciplinary hearings to enforce the provisions of this 20 Article. 21 (9) Establish fees as necessary for the administration of this Article. 22 "§ 90-750.5. Expenses and fees. 23 (a) All fees shall be payable to and deposited in the name of the Commission in financial 24 institutions designated by the Commission as official depositories. These fees shall be used to 25 carry out the purposes of this Article. 26 (b) All salaries, compensation, and expenses incurred or allowed to carry out the purposes 27 of this Article shall be paid by the Commission exclusively out of the fees received by the 28 Commission as authorized by this Article or funds received from other sources. In no case shall 29 any salary, expense, or other obligation authorized by this Article be charged against the State 30 treasury. 31 (c) The Commission shall establish fees for healing arts professions not exceeding the 32 following amounts: 33 (1) Issuance of a North Carolina Healing Arts License ........................... $300.00 34 (2) License application and examination. ................................................ $200.00 35 (3) North Carolina Healing Arts License renewal (annually) .................. $350.00 36 (4) Late renewal ....................................................................................... $200.00. 37 "§ 90-750.6. Violations. 38 (a) Except as provided in subsection (b) of this section, any person violating any 39 provision of this Article shall be punished as follows: 40 (1) For the first violation, the individual shall receive a written warning. 41 (2) For the second violation, the individual shall be subject to a civil penalty of 42 no more than two hundred dollars ($200.00). 43 (3) For the third and each subsequent violation, the individual shall be subject to 44 a civil penalty of no more than two hundred dollars ($200.00) for each 45 violation and shall be guilty of a Class 1 misdemeanor. 46 (b) The clear proceeds of a civil penalty assessed under this section shall be remitted to 47 the Civil Penalty and Forfeiture Fund in accordance with G.S. 115C-457.2. 48 "§ 90-750.7. Injunction. 49 General Assembly Of North Carolina Session 2025 Page 4 DRH10056-NBf-37 As an additional remedy, the Commission may proceed in superior court to enjoin and 1 restrain any person from violating the prohibitions of this Article. The Commission shall not be 2 required to post bond when seeking an injunction pursuant to this section. 3 "§ 90-750.8. Healing arts professions. 4 The following are the healing arts professions subject to this Article: 5 (1) Reflexologists. 6 (2) Music therapists. 7 "§ 90-750.9. Third-party reimbursement. 8 Nothing in this Article shall be construed to require direct third-party reimbursement to 9 persons licensed under this Article. 10 "Part 2. Reflexology. 11 "§ 90-750.10. Reflexology as a healing arts profession. 12 It is the policy of this State that the practice of reflexology shall be considered a healing arts 13 profession. 14 "§ 90-750.11. Definitions. 15 The following definitions apply in this Part: 16 (1) Certifying entity. – The American Reflexology Certification Board or its 17 successor. 18 (2) Committee. – The North Carolina Reflexology Advisory Committee. 19 (3) National certification. – A determination by the certifying entity that an 20 individual has passed the certifying entity's national exam and that the 21 individual has an active status with the certifying entity. 22 (4) North Carolina Licensed Reflexologist. – An individual that (i) is certified by 23 the certifying entity as a certified reflexologist and (ii) has been issued a North 24 Carolina Healing Arts License in reflexology by the Commission. 25 (5) Reflexology. – A protocol of manual techniques, including thumb- and 26 finger-walking, hook and backup, and rotating-on-a-point, that are applied to 27 specific reflex areas predominantly on the feet and hands and that stimulate 28 the complex neural pathways linking body systems and support the body's 29 efforts to function optimally. The practice of reflexology is not massage and 30 bodywork therapy as defined in Article 36 of this Chapter. 31 "§ 90-750.12. North Carolina Reflexology Advisory Committee. 32 (a) Establishment. – The North Carolina Reflexology Advisory Committee is created. 33 The Committee consists of three members serving staggered terms. The initial Committee 34 members shall be appointed on or before January 1, 2026, as follows: 35 (1) The Commission shall appoint from a list of names submitted by the North 36 Carolina Reflexology Association or its successor two reflexologists eligible 37 for licensure under this Article. One member shall serve an initial term of three 38 years, and one member shall serve an initial term of two years. 39 (2) The Commission shall appoint one public member who shall serve an initial 40 term of one year. 41 Upon the expiration of the terms of the initial Committee members, each subsequent member 42 shall be appointed for a term of three years. The term of a member shall begin on January 1 of 43 each year. A member shall serve until the member's successor is appointed. No member shall 44 serve on the Committee for more than two consecutive full terms. 45 (b) Qualifications. – The initial reflexologist appointees shall be citizens of the United 46 States and North Carolina residents for at least two years prior to appointment, certified by the 47 certifying entity as a reflexologist, and eligible to obtain a North Carolina Healing Arts License 48 in reflexology under G.S. 90-750.14. Upon appointment, each initial reflexologist appointee shall 49 immediately seek to obtain a North Carolina Healing Arts License in reflexology under this 50 Article and shall remain in good standing with the Committee during the appointee's term. 51 General Assembly Of North Carolina Session 2025 DRH10056-NBf-37 Page 5 Subsequent reflexologist appointees shall be citizens of the United States, residents of North 1 Carolina, North Carolina Licensed Reflexologists, and appointed by the Commission from a list 2 of names supplied by the North Carolina Reflexology Association or its successor. Public 3 members of the Committee shall not be: 4 (1) An agent or employee trained or experienced in the practice of reflexology. 5 (2) An agent or employee of a person engaged in the practice of reflexology. 6 (3) A member of a healing arts profession or a person enrolled in a program to 7 become a member of a healing arts profession. 8 (4) A spouse of an individual licensed under this Article. 9 (5) Any person with significant financial interest in a health service or profession. 10 (c) Meetings. – The Committee shall elect annually a chair and other officers as it deems 11 necessary to carry out the purposes of this Article. The Committee may hold additional meetings 12 upon the call of the chair or any two Committee members. A majority of the Committee shall 13 constitute a quorum. 14 (d) Compensation of Members; Expenses; Employees. – Members of the Committee 15 shall receive no compensation for their services but shall receive per diem and necessary travel 16 and subsistence expenses as provided in G.S. 138-5 and G.S. 138-6. In no event shall the State 17 of North Carolina be liable for expenses incurred by the Committee in excess of the income 18 derived from this Article. 19 "§ 90-750.13. Powers and duties of Committee. 20 The Committee shall have the following powers and duties: 21 (1) Administer and coordinate the provisions of this Part. 22 (2) Make recommendations to the Commission to adopt, amend, or repeal rules 23 to administer and enforce this Part. 24 (3) Establish and determine qualification and fitness of applicants for a North 25 Carolina Healing Arts License in reflexology under this Part. 26 (4) Make recommendations to the Commission to issue, renew, deny, suspend, 27 revoke, or refuse to issue or renew a North Carolina Healing Arts License in 28 reflexology under this Article. 29 (5) Make recommendations to the Commission to discipline North Carolina 30 Licensed Reflexologists. 31 (6) Advise the Commission to seek civil and criminal penalties against 32 nonlicensed individuals engaged in the practice of reflexology. 33 (7) Provide all North Carolina Licensed Reflexologists with a wallet-sized card 34 identifying the bearer as a North Carolina Licensed Reflexologist. 35 (8) Maintain a list of all individuals in the State who hold a North Carolina 36 Healing Arts License in reflexology. 37 "§ 90-750.14. Healing arts licensure in reflexology application and requirements. 38 Each individual desiring to obtain a North Carolina Healing Arts License in reflexology under 39 this Article shall apply to the Committee in accordance with the procedures and rules prescribed 40 by the Commission. The Committee shall recommend that the Commission issue a North 41 Carolina Healing Arts License in reflexology to any applicant who furnishes evidence 42 satisfactory to the Committee that the applicant meets all of the following criteria: 43 (1) The applicant is at least 18 years of age. 44 (2) The applicant is of good moral character as determined by the Committee. 45 (3) The applicant holds a national certification issued by the certifying entity. 46 (4) The applicant has paid all applicable fees to the Commission as specified in 47 G.S. 90-750.5. 48 "§ 90-750.15. License renewal. 49 Every North Carolina Healing Arts License in reflexology issued by the Commission shall 50 be renewed on or before January 1 every year. The Committee shall recommend that the 51 General Assembly Of North Carolina Session 2025 Page 6 DRH10056-NBf-37 Commission renew the North Carolina Healing Arts License in reflexology of any individual 1 who files a renewal application with the committee and who meets the criteria set forth in 2 G.S. 90-750.14. 3 "§ 90-750.16. Compensation for reflexology services; prohibited acts. 4 (a) Compensation may be received for reflexology services only when those services are 5 performed by an individual holding a North Carolina Healing Arts License in reflexology. 6 Nonlicensed individuals who provide reflexology services or who engage in the practice of 7 reflexology are subject to the penalties in G.S. 90-750.6 or an injunction under G.S. 90-750.7 8 unless any of the following applies: 9 (1) The individual is a reflexology student working to obtain a certification of 10 completion from a nationally recognized reflexology education program. 11 (2) The individual holds a certification of completion from a nationally 12 recognized reflexology education program, and that program was completed 13 no more than six months prior to that individual receiving compensation for 14 reflexology services. 15 (b) Unless all reflexology services are performed by individuals holding a North Carolina 16 Healing Arts License in reflexology, a place of business where reflexology services are offered 17 for compensation shall be subject to a civil penalty of no more than five hundred dollars 18 ($500.00) for each violation and a suspension of any license to operate the business for no more 19 than 90 days. The clear proceeds of the civil penalty assessed under this section shall be remitted 20 to the Civil Penalty and Forfeiture Fund in accordance with G.S. 115C-457.2. The Commission 21 shall enforce the provisions of this subsection. 22 "§ 90-750.17. License to be displayed; advertising. 23 (a) At all places of business in which compensated reflexology services are offered, a 24 valid and up-to-date license for all individuals offering compensated reflexology services shall 25 be displayed in a prominent place. 26 (b) All public advertising designed to attract clients for reflexology services shall identify 27 that the services will be performed by an individual holding a North Carolina Healing Arts 28 License in reflexology. 29 (c) No individual shall use the title "North Carolina Licensed Reflexologist" unless that 30 individual holds a valid North Carolina Healing Arts License in reflexology issued by the 31 Commission. Individuals holding themselves out as North Carolina Licensed Reflexologists shall 32 carry the identification card described in G.S. 90-750.13(7) at all times when providing 33 reflexology services. Individuals in violation of this subsection are subject to the penalties in 34 G.S. 90-750.6 or an injunction under G.S. 90-750.7. 35 "§ 90-750.18. Reciprocity. 36 The Committee may recommend that the Commission grant, upon application and payment 37 of proper fees, a North Carolina Healing Arts License in reflexology to a person who has been 38 licensed or certified to practice reflexology in another state or territory of the United States whose 39 standards of competency are substantially equivalent to the requirements for licensure provided 40 in this Article. 41 "§ 90-750.19. Exemptions. 42 This Part shall not apply to an individual who may apply pressure to the reflex areas on the 43 hands, feet, and outer ears in the regular course of that individual's work, so long as (i) the 44 individual is licensed by this State as a massage and bodywork therapist, physician, chiropractor, 45 acupuncturist, physical therapist, cosmetologist, registered nurse, or as a member of other 46 professions licensed by the State and (ii) this application of pressure to the reflex areas on the 47 hands, feet, and outer ears accounts for no more than twenty-five percent (25%) of that 48 individual's work. 49 "Part 3. Music Therapy. 50 "§ 90-750.20. Music therapy as a healing arts profession. 51 General Assembly Of North Carolina Session 2025 DRH10056-NBf-37 Page 7 It is the policy of this State that the practice of music therapy shall be considered a healing 1 arts profession. 2 "§ 90-750.21. Definitions. 3 The following definitions apply in this Part: 4 (1) Certifying entity. – The Certification Board for Music Therapists or its 5 successor. 6 (2) Committee. – The North Carolina Music Therapy Advisory Committee. 7 (3) Music therapy. – The clinical and evidence-based use of music interventions 8 to accomplish individualized goals within a therapeutic relationship by a 9 credentialed professional who has completed an approved music therapy 10 program, including (i) assessment of a client's emotional, physical, and 11 spiritual health; social functioning; communication abilities; and cognitive 12 skills through the client's history and observation and interaction of the client 13 in music and nonmusic settings, (ii) development and implementation of 14 treatment plans, based on a client's assessed needs, using music interventions, 15 including music improvisation, receptive music listening, song writing, lyric 16 discussion, music and imagery, music performance, learning through music, 17 and movement to music, and (iii) evaluation and documentation of the client's 18 response to treatment. 19 (4) Music therapy services. – The provision of services to accomplish music 20 therapy goals, including (i) conducting an individualized assessment for the 21 purpose of collecting systematic, comprehensive, and accurate data necessary 22 to determine the course of action subsequent to the individualized treatment 23 plan, (ii) planning and developing the individualized music therapy treatment 24 plan that identifies an individual's goals, objectives, and potential treatment 25 intervention strategies, (iii) implementing the individualized music therapy 26 treatment plan consistent with the individual's overall treatment program, (iv) 27 systematically evaluating and comparing the individual's response to the 28 individualized music therapy treatment plan and suggesting modifications, as 29 appropriate, (v) developing a discharge plan in collaboration with the 30 individual, the individual's family, treatment team, and other identified 31 support networks, when appropriate, (vi) minimizing the impact of 32 environmental constraints as a barrier to participation in least restrictive 33 environments for individuals engaging in music therapy, (vii) collaborating 34 with and educating the individual, family, caregiver, and others to foster an 35 environment responsive to the developmental needs of the individual as 36 addressed in music therapy, and (viii) consulting with groups, programs, 37 organizations, or communities to improve accessibility to music therapy 38 services. 39 (5) National certification. – A determination by the certifying entity that an 40 individual has satisfied the certifying entity's requirements and that the 41 individual has an active status with the certifying entity. 42 (6) North Carolina Licensed Music Therapist. – An individual who has been 43 issued a North Carolina Healing Arts License in music therapy by the 44 Commission. 45 "§ 90-750.22. North Carolina Music Therapy Advisory Committee. 46 (a) Establishment. – The North Carolina Music Therapy Advisory Committee is created. 47 The Committee consists of three members serving staggered terms. The initial Committee 48 members shall be appointed on or before January 1, 2026, as follows: 49 (1) The Commission shall appoint from a list of names submitted by the Music 50 Therapy Association of North Carolina or its successor two music therapists 51 General Assembly Of North Carolina Session 2025 Page 8 DRH10056-NBf-37 eligible to obtain a North Carolina Healing Arts License in music therapy 1 under this Article. One member shall serve an initial term of three years, and 2 one member shall serve an initial term of two years. 3 (2) The Commission shall appoint one public member who shall serve an initial 4 term of one year. 5 Upon the expiration of the terms of the initial Committee members, each subsequent member 6 shall be appointed for a term of three years. The term of a member shall begin on January 1 of 7 each year. A member shall serve until the member's successor is appointed. No member shall 8 serve on the Committee for more than two consecutive full terms. 9 (b) Qualifications. – The initial music therapist appointees shall be citizens of the United 10 States and North Carolina residents for at least two years prior to appointment, certified by the 11 certifying entity as a music therapist, and eligible to obtain a North Carolina Healing Arts License 12 in music therapy under G.S. 90-750.24. Upon appointment, each initial music therapist appointee 13 shall immediately seek to obtain a North Carolina Healing Arts License in music therapy under 14 this Article and shall remain in good standing with the Committee during the appointee's term. 15 Subsequent music therapist appointees shall be citizens of the United States, residents of North 16 Carolina, North Carolina Licensed Music Therapists, and appointed by the Commission from a 17 list of names supplied by the Music Therapy Association of North Carolina or its successor. 18 Public members of the Committee shall not be: 19 (1) An agent or employee trained or experienced in the practice of music therapy. 20 (2) An agent or employee of a person engaged in the practice of music therapy. 21 (3) A member of a healing arts profession or a person enrolled in a program to 22 become a member of a healing arts profession. 23 (4) A spouse of an individual licensed under this Article. 24 (5) Any person with significant financial interest in a health service or profession. 25 (c) Meetings. – The Committee shall elect annually a chair and other officers as it deems 26 necessary to carry out the purposes of this Article. The Committee may hold additional meetings 27 upon the call of the chair or any two Committee members. A majority of the Committee shall 28 constitute a quorum. 29 (d) Compensation of Members; Expenses; Employees. – Members of the Committee 30 shall receive no compensation for their services but shall receive per diem and necessary travel 31 and subsistence expenses as provided in G.S. 138-5 and G.S. 138-6. In no event shall the State 32 of North Carolina be liable for expenses incurred by the Committee in excess of the income 33 derived from this Article. 34 "§ 90-750.23. Powers and duties of Committee. 35 The Committee shall have the following powers and duties: 36 (1) Administer and coordinate the provisions of this Part. 37 (2) Make recommendations to the Commission to adopt, amend, or repeal rules 38 to administer and enforce this Part. 39 (3) Establish and determine qualification and fitness of applicants for a North 40 Carolina Healing Arts License in music therapy under this Part. 41 (4) Make recommendations to the Commission to issue, renew, deny, suspend, 42 revoke, or refuse to issue or renew a North Carolina Healing Arts License in 43 music therapy under this Article. 44 (5) Make recommendations to the Commission to discipline North Carolina 45 Licensed Music Therapists. 46 (6) Advise the Commission to seek civil and criminal penalties against 47 nonlicensed individuals engaged in the practice of music therapy. 48 (7) Provide all North Carolina Licensed Music Therapists with a wallet-sized card 49 identifying the bearer as a North Carolina Licensed Music Therapist. 50 General Assembly Of North Carolina Session 2025 DRH10056-NBf-37 Page 9 (8) Maintain a list of all individuals in the State who hold a North Carolina 1 Healing Arts License in music therapy. 2 "§ 90-750.24. North Carolina Healing Arts License in music therapy requirements. 3 Each individual desiring to obtain a North Carolina Healing Arts License in music therapy 4 under this Article shall apply to the Committee in accordance with the procedures and rules 5 prescribed by the Commission. The Committee shall recommend that the Commission issue a 6 North Carolina Healing Arts License in music therapy to any applicant who furnishes evidence 7 satisfactory to the Committee that the applicant meets all of the following criteria: 8 (1) Is 18 years of age or older. 9 (2) Is of good moral character as determined by the Committee. 10 (3) Has successfully completed an academic program accredited by the American 11 Music Therapy Association (AMTA) with at least a bachelor's degree 12 majoring in music therapy from an accredited college or university. 13 (4) Has successfully completed the certification examination offered by the 14 certifying entity to become a Music Therapist-Board Certified (MT-BC). 15 (5) Has successfully completed a minimum of 1,200 hours of clinical training 16 with at least 180 hours in preinternship experiences and at least 900 hours in 17 internship experiences. For purposes of this subdivision, the internship may 18 be approved by an academic institution, the AMTA, or both. 19 (6) Has paid all applicable fees to the Commission as specified under 20 G.S. 90-750.5. 21 "§ 90-750.25. License renewal. 22 Every North Carolina Healing Arts License in music therapy issued by the Commission shall 23 be renewed on or before January 1 every five years. The Committee shall recommend that the 24 Commission renew the license of any individual who files a renewal application with the 25 Committee and who meets the licensure criteria set forth in G.S. 90-750.24. 26 "§ 90-750.26. Compensation for music therapy services; prohibited acts. 27 Compensation may be received for music therapy services only when those services are 28 performed by an individual holding a North Carolina Healing Arts License in music therapy. 29 Nonlicensed individuals who provide music therapy services or who engage in the practice of 30 music therapy are subject to the penalties in G.S. 90-750.6 or an injunction under G.S. 90-750.7. 31 "§ 90-750.27. North Carolina Licensed Music Therapist. 32 No individual shall use the title "North Carolina Licensed Music Therapist" unless that 33 individual holds a valid North Carolina Healing Arts License in music therapy issued by the 34 Commission. Individuals holding themselves out as North Carolina Licensed Music Therapists 35 shall carry the identification card described in G.S. 90-750.23(7) at all times when providing 36 music therapy. Individuals in violation of this section are subject to the penalties in G.S. 90-750.6 37 or an injunction under G.S. 90-750.7. 38 "§ 90-750.28. Reciprocity. 39 The Committee may recommend that the Commission grant, upon application and payment 40 of proper fees, a North Carolina Healing Arts License in music therapy to a person who has been 41 licensed or certified to practice music therapy in another state or territory of the United States 42 whose standards of competency are substantially equivalent to the requirements for licensure 43 provided in this Article." 44 SECTION 1.(b) G.S. 90-624 is amended by adding a new subdivision to read: 45 "(9) A licensed reflexologist engaged in the practice of reflexology, as defined in 46 G.S. 90-750.11." 47 SECTION 2.(a) Notwithstanding G.S. 90-750.3, as enacted by Section 1(a) of this 48 act, the North Carolina Healing Arts Commission shall be appointed as follows: 49 General Assembly Of North Carolina Session 2025 Page 10 DRH10056-NBf-37 (1) The General Assembly, upon the recommendation of the President Pro 1 Tempore of the Senate, shall appoint one reflexologist to serve an initial term 2 of three years. 3 (2) The General Assembly, upon the recommendation of the Speaker of the House 4 of Representatives, shall appoint one music therapist to serve an initial term 5 of two years. 6 (3) The Governor shall appoint one reflexologist to serve an initial term of three 7 years. 8 (4) The Governor shall appoint one music therapist to serve an initial term of two 9 years. 10 (5) The Governor shall appoint one member of the public who shall serve an 11 initial term of three years. 12 SECTION 2.(b) The reflexologists appointed to the Commission pursuant to 13 subsection (a) of this section shall have been North Carolina residents for at least two years prior 14 to appointment, certified by a national entity that certifies reflexologists, and eligible for licensure 15 under G.S. 90-750.14, as enacted by Section 1(a) of this act. Upon appointment, the reflexologist 16 appointees shall seek to obtain a North Carolina Healing Arts License in reflexology as soon as 17 the first application period begins and shall remain in good standing with the Commission. 18 SECTION 2.(c) The music therapists appointed to the Commission pursuant to 19 subsection (a) of this section shall have been North Carolina residents for at least two years prior 20 to appointment, certified by a national entity that certifies music therapists, and eligible for 21 licensure under G.S. 90-750.24, as enacted pursuant to Section 1(a) of this act. Upon 22 appointment, the initial music therapist appointees shall seek to obtain a North Carolina Healing 23 Arts License in music therapy as soon as the first application period begins and shall remain in 24 good standing with the Commission. 25 SECTION 2.(d) The appointments required by this section shall be made on or 26 before December 1, 2025, and the initial terms of the appointees shall begin on January 1, 2026. 27 Once these initial terms expire, all vacancies shall be filled according to the provisions of 28 G.S. 90-750.3, as enacted in Section 1(a) of this act. 29 SECTION 2.(e) G.S. 90-750.6 and G.S. 90-750.7, as enacted by Section 1(a) of this 30 act, become effective on the date that is the first day of a month that begins 180 days after the 31 Chair of the Healing Arts Commission certifies to the Revisor of Statutes that the Commission 32 has begun accepting applications for Healing Arts Licenses and apply to acts committed on or 33 after that date. This section and the remainder of Section 1 of this act are effective when they 34 become law. 35 SECTION 3. This act becomes effective January 1, 2026. 36