North Carolina 2023-2024 Session Status: Passed House Bipartisan · 6 R · 4 D · 1 I cosponsors

HB 75 — Physician Assistants Team-Based Practice.

Last action — Conf Com Appointed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2023-2024 Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

220 added · 220 removed

Plain-language change summary

The recent amendment to House Bill 75 updates the requirements for physician assistants practicing in team-based settings. It now specifies that, to qualify for this practice model, a physician assistant must have over 4,000 hours of clinical experience, including more than 1,000 hours in a specific medical specialty. This change is significant as it aims to ensure that physician assistants working in collaborative teams have extensive experience, which may enhance patient care and safety.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2023 H 2 HOUSE BILL 75 Committee Substitute Favorable 2/14/23 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2023 H 1 HOUSE BILL 75 Short Title:
Representatives Lambeth, K.
Baker, White, and Sasser (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
February 9, 2023 A BILL TO BE ENTITLED AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN ASSISTANTS AND TO MAKE VARIOUS CHANGES TO THE LICENSURE OF PHYSICIAN ASSISTANTS.
Health, if favorable, Rules, Calendar, and Operations of the House February 9, 2023 A BILL TO BE ENTITLED AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN ASSISTANTS AND TO MAKE VARIOUS CHANGES TO THE LICENSURE OF PHYSICIAN ASSISTANTS.
(3) The applicant is of good moral character.
*H75-v-1* General Assembly Of North Carolina Session 2023 (3) The applicant is of good moral character.
*H75-v-2* General Assembly Of North Carolina Session 2023 (b) Before initiating practice of medical acts, tasks, or functions as a physician assistant, the physician assistant shall provide the Board the name, address, and telephone number of the physician who will supervise the physician assistant in the relevant medical setting.
(b) Before initiating practice of medical acts, tasks, or functions as a physician assistant, the physician assistant shall provide the Board the name, address, and telephone number of the physician who will supervise the physician assistant in the relevant medical setting.
90-9.3 to perform medical acts, tasks, and functions as a physician assistant may use the title "physician assistant" or "PA." Any other person who uses the title in any form or holds out to be a physician assistant or to be so licensed, shall be deemed to be in violation of this Article.
90-9.3 to perform medical acts, tasks, and functions as a physician assistant may use the title "physician assistant" or "PA." Page 2 House Bill 75-First Edition General Assembly Of North Carolina Session 2023 Any other person who uses the title in any form or holds out to be a physician assistant or to be so licensed, shall be deemed to be in violation of this Article.
Page 2 House Bill 75-Second Edition General Assembly Of North Carolina Session 2023 (a1) Physician assistants shall clearlydesignate their credentials as a physician assistant in all clinical settings.
(a1) Physician assistants shall clearlydesignate their credentials as a physician assistant in all clinical settings.
(2) Rules and regulations of the North Carolina Board of Pharmacy and all applicable State and federal laws governing this function compounding and dispensing are complied with.
(2) Rules and regulations of the North Carolina Board of Pharmacy governing this function are complied with.The physician assistant complies with all the applicable State and federal laws and rules governing compounding and dispensing.
(4) The physician assistant registers with the Board of Pharmacy.
(4) The hospital or other health facility has adopted a written policy about ordering medications, tests, and treatments, including procedures for verification of the physician assistants' orders by nurses and other facility House Bill 75-Second Edition Page 3 General Assembly Of North Carolina Session 2023 employees and such other procedures as are in the interest of patient health and safety.
House Bill 75-First Edition Page 3 General Assembly Of North Carolina Session 2023 (4) The hospital or other health facility has adopted a written policy about ordering medications, tests, and treatments, including procedures for verification of the physician assistants' orders by nurses and other facility employees and such other procedures as are in the interest of patient health and safety.
(e1) Anymedicalcertificationcompletedbyaphysicianassistantfora Physicianassistants may authenticate any document, including death certificate shall be deemed to have been authorized by the physician approved by the Board as the supervisor of the physician assistant, andthesupervisingphysicianshallberesponsibleforauthorizingthecompletion certificateswith their signature, certification, stamp, verification, affidavit, or endorsement, if it may be so authenticated by the signature, certification, stamp, verification, affidavit, or endorsement of the medical certification.a physician.
(e1) AnymedicalcertificationcompletedbyaphysicianassistantforaPhysicianassistants may authenticate any document, including death certificate shall be deemed to have been authorized by the physician approved by the Board as the supervisor of the physician assistant, andthesupervisingphysicianshallberesponsibleforauthorizingthecompletion certificateswith their signature, certification, stamp, verification, affidavit, or endorsement, if it may be so authenticated by the signature, certification, stamp, verification, affidavit, or endorsement of the medical certification.a physician.
Notwithstanding any other provision of this Chapter, physician assistants conducting final interpretation of plain film radiographs shall be supervised by a physician.
Notwithstanding anyother provision of this Chapter, physician assistants conducting final interpretation of plain film radiographs shall be supervised by a physician.
a.
Page 4 House Bill 75-First Edition General Assembly Of North Carolina Session 2023 a.
The nurse midwives midwives, physician assistants, and nurse practitioners primarily responsible for the care of a mother and her Page 4 House Bill 75-Second Edition General Assembly Of North Carolina Session 2023 newborn child in accordance with State licensure and certification laws.
The nurse midwives midwives, physician assistants, and nurse practitioners primarily responsible for the care of a mother and her newborn child in accordance with State licensure and certification laws.
Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards.
House Bill 75-First Edition Page 5 General Assembly Of North Carolina Session 2023 Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards.
…." House Bill 75-Second Edition Page 5 General Assembly Of North Carolina Session 2023 SECTION 2.
…." SECTION 2.
Page 6 House Bill 75-Second Edition
Page 6 House Bill 75-First Edition
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Action History

  1. Conf Com Appointed

  2. Withdrawn From Com

  3. Added to Calendar

  4. Fail Concur In S Amend SA1

  5. Withdrawn From Com

  6. Placed on Today's Calendar

  7. Amend Adopted A1

  8. Passed 2nd Reading

  9. Passed 3rd Reading

  10. Special Message Sent To House

  11. Special Message Received For Concurrence in S Amend

  12. Ref To Com On Rules, Calendar, and Operations of the House

  13. Regular Message Received From House

  14. Passed 1st Reading

  15. Ref To Com On Rules and Operations of the Senate

  16. Regular Message Sent To Senate

  17. Passed 2nd Reading

  18. Passed 3rd Reading

  19. Reptd Fav

  20. Cal Pursuant Rule 36(b)

  21. Placed On Cal For 02/22/2023

  22. Reptd Fav Com Substitute

  23. Re-ref Com On Rules, Calendar, and Operations of the House

  24. Passed 1st Reading

  25. Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House

  26. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 12 co-sponsors · 164 not signed on

Sponsors (3)

Co-sponsors (12)

Not signed on (164)

164 members have not signed on to this bill.

Show all 164 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Frequently asked questions

Who sponsors HB 75?
HB 75 is sponsored by Amber M. Baker (Democratic), Donny Lambeth (Republican), Donna McDowell White (Republican), Sasser, William D. Brisson (Republican), Maria Cervania (Democratic), Carla D. Cunningham (U), Gill, Pricey Harrison (Democratic), Carolyn G. Logan (Democratic), Lucas, Ben T. Moss, Jr. (Republican), Reeder, Neal Jackson (Republican), and Mike Clampitt (Republican).
What is the current status of HB 75?
This bill died with 2023-2024 Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 75?
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