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Read. Follow. Verify.North Carolina Establishes Team-Based Practice and Enters Interstate Compact for Physician Assistants
Last action · April 3, 2025: Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House (House action)Sponsors: Erin Paré and 9 others
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What This Bill Would Do
North Carolina authorizes team-based practice arrangements for qualified physician assistants and enters the PA Licensure Compact, allowing out-of-state PAs with s to practice in participating states. The measure sets experience thresholds for independent team-based care, outlines prescription and ordering authorities, and establishes fees for initial licensure and annual registration.
Licensed physician assistants meeting specific clinical hours can practice under team-based arrangements without individual supervisory agreements, and out-of-state practitioners can obtain s to provide care within North Carolina.
- Physician assistants are licensed health professionals who practice medicine under the supervision of licensed physicians, subject to state regulatory boards. context
- Interstate professional licensure compacts allow practitioners holding a qualifying license in one state to obtain expedited authorization to practice in other participating states. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Physician assistants
Physician assistants gain the ability to practice under team-based arrangements upon meeting specific clinical hours and can utilize interstate compact privileges to practice across participating states.
Licensed physicians
Physicians retain supervisory requirements in specific settings such as pain management and perioperative care while participating in team-based ownership and clinical structures.
North Carolina Medical Board
The Board is tasked with adopting permanent rules to implement team-based practice, issuing compact privileges, and participating in the PA Licensure Compact Commission.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What qualifications must a physician assistant meet to engage in team-based practice?
Can physician assistants perform final interpretations of diagnostic imaging studies?
What is the fee for initial licensure or privilege as a physician assistant under the new provisions?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
3 actions- Apr 3, 2025HouseRef to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
- Apr 3, 2025HousePassed 1st Reading
- Apr 1, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Transition to Team-Based Care
The legislation marks a structural shift from mandatory individual supervisory agreements to qualifying-hour-based team practice arrangements for experienced physician assistants.
Connected Entities
Sources
www.ncleg.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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