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SB 422 modifies North Carolina's licensure rules for marriage and family therapists, primarily affecting out-of-state therapists seeking to practice in the state. It requires applicants from other states to have held an unrestricted license for five continuous years, pass a North Carolina law exam, and have no unresolved complaints. The bill also adds a new requirement for criminal history background checks for all licensure applicants. These changes apply to new applications starting October 1, 2025, and aim to standardize licensing across jurisdictions.