House committee substitute to the 1st edition adds the following content.

Amends GS 90-13.1 by adding a $230 fee for the initial licensure or privilege of a physician assistant.

Amends GS 90-13.2 to also require privilege holders, in addition to licensees, to register with the North Carolina Medical Board annually, no later than 30 days after the person's birthday. Adds a $140 annual registration fee for physician assistants and requires those who fail to register to pay an additional $25 fee.