Senate committee substitute makes the following changes to the 1st edition.  

Removes the NC Medical Board’s authority to adopt rules pertaining to adequate supervision of internationally-trained physicians under GS 90-12.03. Modifies the requirements for an applicant to qualify for internationally-trained physician employee license in GS 90-12.03, as follows. No longer requires the employing hospital be accredited by the Joint Commission, or that applicant be supervised in a rural area. Now requires that the applicant have completed two years of postgraduate training in a graduate medical education program approved by their country of licensure (was, accredited by an agency with the World Federation for Medical Education Recognition Status after graduation from medical school). Makes technical change. Clarifies that an applicant can apply for an internationally-trained physician employee license before receiving federal work authorization, but cannot begin employment before receiving that approval.  Changes one of the triggering conditions for when an internationally-trained physician employee license becomes inactive to when the physician ceases to be employed at a medical practice located in a rural county or practices if a physician licensed by the State under GS Chapter 90 is not physically practicing on-site at the medical practice (was, ceases to be employed at a medical practice located in a rural county or who practices without supervision by a physician licensed by the State of North Carolina who is physically practicing on-site at the medical practice).

Automatically converts internationally-trained physician employee licenses to a full license to practice medicine in the State after four years of active in North Carolina and if the physician is in good standing. Directs the Board to collect information on the twelve specified matters to evaluate the implementation and success of the pathway to licensure established in GS 90-12.0. Requires the Board to annually report the information to the specified NCGA committee by December 1.

Adds a severability clause.