Senate Bill 804 was signed in the fall of 2005 creating and funding North Carolina Local Health Department Accreditation, an act to improve the public health infrastructure by establishing an accreditation system for local health departments, as recommended by the public health task force 2004. The legislation outlines the membership of a governing board to be established within the North Carolina Institute for Public Health.

View the legislation


The Commission for Health Services, as required by the accreditation legislation, met summer 2006 to consider adopting changes to the local health department accreditation rules. They approved the rules and forwarded the proposed rules to the Rules Commission for their consideration.

The Rules Commission met on September 21, 2006 and adopted permanent Accreditation Rules, which were effective October 1, 2006. These Rules have been incorporated into a new Health Department Self Assessment Instrument (HDSAI) which will serve as the guide for all accreditation site visits occurring after January 1, 2007.

View the Accreditation Rules (pdf) Updated June 1, 2015


Last updated March 30, 2017