Updates to the North Carolina Nursing Practice Act (NPA) became effective October 1^st, 2019. Self-reports regarding arrests or indictments should now be made to the North Carolina Board of Nursing within 30 days for any of the following: (1) any felony arrest or indictment; (2) any arrest for driving while impaired or driving under the influence; and (3) any arrest or indictment for the possession, use, or sale of any controlled substance. It is also important to note that failure to respond to the Board’s inquiries in a reasonable manner or time regarding any matter affecting the license to practice nursing is reason for disciplinary action by the Board (North Carolina Session Law 2019-180, 2019 - PART II). These changes are among several updates to the NPA outlined in legislation passed by the North Carolina General Assembly and signed into law by Governor Cooper. Updates to the NPA are made to reflect the current practice of nursing in an ever-changing health care environment and to ensure that the laws governing the regulation of nursing practice in North Carolina facilitate the work of the Board in its legislated mandate to protect the safety of the public.