Identical to H 480, filed 3/20/25.

Enacts GS 90-12.2B, permitting licensure by endorsement of a physician, physician assistant, or anesthesiologist assistant in the State so long as they submit an application that demonstrates the four described requirements including verification of acceptance of a full-time offer of employment in the State and holding an active, full, and unrestricted license in at least one other United States jurisdiction, including any state, territory, or district, for at least five years (with physicians having to have practiced for at least two years of those five years after completing residency training after graduation from medical school as described). Provides for an attestation by the applicant that they meet the six listed criteria, including having had no felony or misdemeanor convictions in the five years preceding the application and is not the subject of adverse action taken by any agency or regulatory board overseeing their licensure in the last five years prior to the application. Provides for submission of additional information to the Medical Board (Board) within 120 days after licensure as described. Specifies that a license issued under GS 90-12.2B becomes inactive after 180 days unless the supplemental information is received (if needed). Directs that Board has authority to investigate and take appropriate action against an applicant or licensee who applied for or received licensure by endorsement and that it retains jurisdiction over an inactive license. Provides for licensing and criminal background check fees. 

Increases the application fee for a medical/surgical license from a cap of $400 to a cap of $550. Caps the application fee for licensure by endorsement at $825. Increases the fee cap for a limited license to practice in a medical education program from $100 to $125.  Increases the fee cap for the initial and annual licensure of an anesthesiologist assistant from $150 to $200.  Directs for the initial licensure fee for a physician assistant to be capped at $325. Sets the following fee caps for these applicants for licensure by endorsement: $300 for anesthesiologist assistants and $500 for physician assistants.

Increases the cap for annual registration fees under GS 90-13.2 from $250 to $350, and from $125 to $150 for those licensed to practice in a medical education program. Specifies that the cap for annual registration fees for physician assistants is $200. Instructs that failure to register by a physician assistant as required incurs an additional $25 fee. Increases the licensure application and renewal fee caps for a perfusionist under GS 90-689 by $50. Increases the provisional license fee cap by $25.

Authorizes the Medical Board to adopt temporary rules to implement the act.

Effective October 1, 2025.