Bill > H672

This bill introduces two major changes for physician assistants (PAs) in North Carolina: first, it establishes a new framework for team-based practice that allows PAs with significant clinical experience to operate with more autonomy, and second, it creates a Physician Assistant Licensure Compact that will enable PAs to more easily practice across participating states. For team-based practice, PAs must have over 4,000 hours of clinical experience, including 1,000 hours in their specific medical specialty, and work in settings where physicians have meaningful participation in patient care design. The Licensure Compact would allow PAs licensed in one participating state to obtain a "compact privilege" to practice in other member states, streamlining the process of practicing across state lines. The bill also includes provisions for maintaining professional standards, such as requiring PAs to clearly designate their credentials, prohibiting final interpretations of diagnostic imaging studies, and establishing mechanisms for investigation and discipline. Additionally, the bill updates various administrative requirements, including registration fees and criminal background check procedures, and grants the North Carolina Medical Board new responsibilities in implementing and overseeing these changes. The implementation of these provisions will be phased, with some sections becoming effective immediately and others taking effect after the Medical Board adopts specific rules or by a certain date.

Health and Social Services

https://www.ncleg.gov/BillLookUp/2025/H672