North Carolina 2025 Session Status: Passed Senate Bipartisan · 4 R · 1 D cosponsors
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SB 190 — Physician Assistant Licensure Compact.

Last action — Passed 1st Reading

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

This bill has passed the Senate. Introduced February 26, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Prognosis

Likely to advance 82% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed Senate

    Current position in the legislative process.

  • 5 sponsors

    2 primary, 3 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (4 R · 1 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

  • Spreading across states

    Near-identical bills in 5 other states — cross-state momentum.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

43 added · 111 removed

Plain-language change summary

The updates to Senate Bill 190 clarify certain licensing requirements for medical professionals who practice across state lines under a compact agreement. The revisions emphasize the need for license applicants to have a clean disciplinary record and meet any specific legal standards in the state where they wish to provide services. These changes are important because they help ensure that only qualified and responsible professionals are allowed to treat patients, thereby enhancing public safety and confidence in remote medical services.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 2 SENATE BILL 190 Health Care Committee Substitute Adopted 3/26/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 190 Short Title:
Senators Hise, Hollo, and Galey (Primary Sponsors).
February 27, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH A PA LICENSURE COMPACT FOR THE LICENSURE OF PHYSICIAN ASSISTANTS.
Rules and Operations of the Senate February 27, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH A PA LICENSURE COMPACT FOR THE LICENSURE OF PHYSICIAN ASSISTANTS.
*S190-v-2* General Assembly Of North Carolina Session 2025 (3) Conviction.
*S190-v-1* General Assembly Of North Carolina Session 2025 (3) Conviction.
– Investigative Information that a Licensing Board, after an inquiry or investigation that includes notification and an opportunity for the PA to respond if required by State law, has reason Page 2 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 to believe is not groundless and, if proven true, would indicate more than a minor infraction.
– Investigative Information that a Licensing Board, after an inquiry or investigation that includes notification and an opportunity for the PA to respond if required by State law, has reason Page 2 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 to believe is not groundless and, if proven true, would indicate more than a minor infraction.
Senate Bill 190-Second Edition Page 3 General Assembly Of North Carolina Session 2025 (11) Meet anyJurisprudence Requirement of a Remote State in which the Licensee is seeking to practice under the Compact Privilege and payanyfees applicable to satisfying the Jurisprudence Requirement.
Senate Bill 190-First Edition Page 3 General Assembly Of North Carolina Session 2025 (11) Meet anyJurisprudence Requirement of a Remote State in which the Licensee is seeking to practice under the Compact Privilege and payanyfees applicable to satisfying the Jurisprudence Requirement.
The issuing authority shall pay any witness fees, travel expenses, mileage, and other fees Page 4 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 required bythe service statutes of the State in which the witnesses or evidence are located.
The issuing authority shall pay any witness fees, travel expenses, mileage, and other fees Page 4 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 required bythe service statutes of the State in which the witnesses or evidence are located.
Senate Bill 190-Second Edition Page 5 General Assembly Of North Carolina Session 2025 a.
Senate Bill 190-First Edition Page 5 General Assembly Of North Carolina Session 2025 a.
(17) Appoint committees, including standing committees composed of members, State regulators, State legislators or their representatives, and consumer Page 6 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 representatives, and such other interested persons as maybe designated in this Compact and the bylaws;
(17) Appoint committees, including standing committees composed of members, State regulators, State legislators or their representatives, and consumer Page 6 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 representatives, and such other interested persons as maybe designated in this Compact and the bylaws;
(4) If a meeting, or portion of a meeting, is closed pursuant to this provision, the chair of the meeting or the chair's designee shall certify that the meeting or Senate Bill 190-Second Edition Page 7 General Assembly Of North Carolina Session 2025 portion of the meeting may be closed and shall reference each relevant exempting provision.
(4) If a meeting, or portion of a meeting, is closed pursuant to this provision, the chair of the meeting or the chair's designee shall certify that the meeting or Senate Bill 190-First Edition Page 7 General Assembly Of North Carolina Session 2025 portion of the meeting may be closed and shall reference each relevant exempting provision.
and Page 8 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 c.
and Page 8 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 c.
(2) The Commission shall defend any member, officer, executive director, employee, and representative of the Commission in any civil action seeking to impose liability arising out of any actual or alleged act, error, or omission Senate Bill 190-Second Edition Page 9 General Assembly Of North Carolina Session 2025 that occurred within the scope of Commission employment, duties, or responsibilities, or as determined by the Commission that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties, or responsibilities;
(2) The Commission shall defend any member, officer, executive director, employee, and representative of the Commission in any civil action seeking to impose liability arising out of any actual or alleged act, error, or omission Senate Bill 190-First Edition Page 9 General Assembly Of North Carolina Session 2025 that occurred within the scope of Commission employment, duties, or responsibilities, or as determined by the Commission that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties, or responsibilities;
and Page 10 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 (6) Other information that may facilitate the administration of this Compact, as determined by the Rules of the Commission.
and Page 10 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 (6) Other information that may facilitate the administration of this Compact, as determined by the Rules of the Commission.
The Rules of the Commission shall not modify or expand, in any way, the scope of practice of a PA as established by the laws of the Participating State.
Senate Bill 190-Second Edition Page 11 General Assembly Of North Carolina Session 2025 (1) The time, date, and location of the public hearing on the proposed Rule and the proposed time, date, and location of the meeting in which the proposed Rule will be considered and voted upon;
Senate Bill 190-First Edition Page 11 General Assembly Of North Carolina Session 2025 (1) The time, date, and location of the public hearing on the proposed Rule and the proposed time, date, and location of the meeting in which the proposed Rule will be considered and voted upon;
Page 12 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 (m) The Commission or an authorized committee of the Commission maydirect revisions to a previously adopted Commission Rule for purposes of correcting typographical errors, errors in format, errors in consistency, or grammatical errors.
Page 12 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 (m) The Commission or an authorized committee of the Commission maydirect revisions to a previously adopted Commission Rule for purposes of correcting typographical errors, errors in format, errors in consistency, or grammatical errors.
(1) The executive and judicial branches of State government in each Participating StateshallenforcethisCompactandtakeallactionsnecessaryandappropriate to implement the Compact.
(1) The executive and judicial branches of State government in each Participating StateshallenforcethisCompactandtakeall actionsnecessaryand appropriate to implement the Compact.
Senate Bill 190-Second Edition Page 13 General Assembly Of North Carolina Session 2025 (5) The Commission shall not bear any costs related to a State that is found to be in default or that has been terminated from this Compact, unless agreed upon in writing between the Commission and the defaulting State.
Senate Bill 190-First Edition Page 13 General Assembly Of North Carolina Session 2025 (5) The Commission shall not bear any costs related to a State that is found to be in default or that has been terminated from this Compact, unless agreed upon in writing between the Commission and the defaulting State.
Page 14 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 "§ 90-270.210.
Page 14 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 "§ 90-270.210.
Such withdrawing State shall continue to recognize all Senate Bill 190-Second Edition Page 15 General Assembly Of North Carolina Session 2025 Licenses granted pursuant to this Compact for a minimum of 180 days after the date of such notice of withdrawal.
Such withdrawing State shall continue to recognize all Senate Bill 190-First Edition Page 15 General Assembly Of North Carolina Session 2025 Licenses granted pursuant to this Compact for a minimum of 180 days after the date of such notice of withdrawal.
Otherwise, if this Compact shall be held to becontraryto the constitution ofanyParticipatingState, theCompact shall remain in full force and effect as to the remaining Participating States and in full force and effect as to the Participating State affected as to all severable matters.
Otherwise, if this Compact shall be held to becontraryto the constitution ofanyParticipatingState, theCompact shall remainin full force and effect as to the remaining Participating States and in full force and effect as to the Participating State affected as to all severable matters.
Page 16 Senate Bill 190-Second Edition General Assembly Of North Carolina Session 2025 (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.
Page 16 Senate Bill 190-First Edition General Assembly Of North Carolina Session 2025 (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.
90-13.2 reads as rewritten:
90-13.2(a) reads as rewritten:
"§ 90-13.2.
"(a) Every licensee shall register annually with the Board no later than 30 days after the person's birthday.
Registration every year with Board.
Every privilege holder shall register annually with the Board as required by Article 18J of Chapter 90 of the General Statutes and any rules adopted by the PA Licensure Compact Commission." SECTION 2.
(a) Every licensee shall register annually with the Board no later than 30 days after the person's birthday.
This act becomes effective October 1, 2025.
Every privilege holder shall register annually with the Board in accordance with the Physician Assistant Licensure Compact, Article 18J of this Chapter.
Senate Bill 190-First Edition Page 17
… (b1) Physician assistants shall pay an annual registration fee of one hundred forty dollars ($140.00).
A physician assistant who fails to register as required by this section shall pay an additional fee of twenty-five dollars ($25.00) to the Board.
…." SECTION 1.(d) G.S.
90-13.1 is amended by adding a new subsection to read:
"(g) For the initial licensure or privilege of a physician assistant, the Board shall require the payment of two hundred thirty dollars ($230.00)." SECTION 1.(e) G.S.
90-1.1 reads as rewritten:
"§ 90-1.1.
Definitions.
The following definitions apply in this Article:
… (4) License.
– An authorization issued by the Board to a physician, physician assistant, or anesthesiologist assistant to perform medical acts, tasks, or functions.
License shall include any physician assistant compact privilege granted under Article 18J of this Chapter.
(4a) Licensee.
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– Any person issued a license by the Board, whether the license is active or inactive, including an inactive license by means of surrender.
Licensee shall include anycompact privilege issued to a holder of a qualifying license in a participating state pursuant to Article 18J of this Chapter.
…." SECTION 1.(f) G.S.
90-5.1 reads as rewritten:
"§ 90-5.1.
Powers and duties of the Board.
(a) The Board shall have the following powers and duties:
… (11) Implement the Physician Assistant Licensure Compact under Article 18J of this Chapter, including issuing compact privileges.
(12) Appoint a delegate to serve on the Physician Assistant Licensure Compact Commission under G.S.
90-270.206.
The delegate shall be either (i) a current physician assistant, physician, or public member of the Board or (ii) an administrator of the Board.
…." SECTION 1.(g) G.S.
90-11 reads as rewritten:
"§ 90-11.
Criminal background checks.
(a) Repealed by Session Laws 2007-346, s.
11, effective October 1, 2007.
(a1) Repealed by Session Laws 2007-346, s.
9.1, effective October 1, 2007.
(b) The Department of Public Safety may provide a criminal record check to the Board for a person who has applied for a license through the Board.
Board and for purposes of Article 18J of this Chapter.
The Board shall provide to the Department of Public Safety, along with the request, the fingerprints of the applicant, any additional information required by the Department of Public Safety, and a form signed by the applicant consenting to the check of the criminal Senate Bill 190-Second Edition Page 17 General Assembly Of North Carolina Session 2025 record and to the use of the fingerprints and other identifying information required by the State or national repositories.
The applicant's fingerprints shall be forwarded to the State Bureau of Investigation for a search of the State's criminal history record file, and the State Bureau of Investigation shall forward a set of the fingerprints to the Federal Bureau of Investigation for a national criminal history check.
The Board shall keep all information pursuant to this subsection privileged, in accordance with applicable State law and federal guidelines, and the information shall be confidential and shall not be a public record under Chapter 132 of the General Statutes.
The Department of Public Safety may charge each applicant a fee for conducting the checks of criminal history records authorized by this subsection.
The Board has the authority to collect this fee from each applicant and remit it to the Department of Public Safety." SECTION 1.(h) G.S.
90-14 reads as rewritten:
"§ 90-14.
Disciplinary Authority.
(a) The Board shall have the power to place on probation with or without conditions, impose limitations and conditions on, publicly reprimand, assess monetary redress, issue public letters of concern, mandate free medical services, require satisfactory completion of treatment programs or remedial or educational training, fine, deny, annul, suspend, or revoke a license, or other authorityto practice medicine in this State, issued bythe Board to any person who has been found by the Board to have committed any of the following acts or conduct, or for any of the following reasons:
… (18) A violation of Article 18J of this Chapter, consistent with the provisions of that Article for compact privilege holders.
…." SECTION 2.
This act is effective nine months after it becomes law.
Page 18 Senate Bill 190-Second Edition
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How this bill changes current law

7 changes Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

  • G.S. 90-270.206

    § 90-270.206.  (Effective April 1, 2026) Establishment of the PA Licensure Compact Commission.

    The section establishing the PA Licensure Compact Commission is removed, suggesting a shift in how the Compact may be managed or structured.

  • Chapter 90 of the General Statutes is amended by adding a new Article to read: Article 18J. PA Licensure Compact.

    A new article specifically for the PA Licensure Compact is established in Chapter 90.

  • § 90-270.200

    In order to strengthen access to Medical Services, and in recognition of the advances in the delivery of Medical Services, the Participating States of the PA Licensure Compact have allied in common purpose to develop a comprehensive process that complements the existing authority of State Licensing Boards to license and discipline PAs and seeks to enhance the portability of License to practice as a PA while safeguarding the safety of patients.

    Introduces a purpose statement for the PA Licensure Compact emphasizing access to medical services and the role of State Licensing Boards.

  • § 90-270.201

    The following definitions apply in this Compact:... (definitions for terms related to licensing and the Compact are provided).

    Establishes definitions relevant to the PA Licensure Compact, formalizing terminology used within the provisions.

  • § 90-270.202

    To participate in this Compact, a Participating State shall: (1) License PAs. (2) Participate in the Compact Commission's Data System...

    Sets forth the requirements for a state to participate in the Compact, detailing necessary actions and compliance.

  • § 90-270.203

    To exercise the Compact Privilege, a Licensee must: (1) Have graduated from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc., or other programs authorized by Commission Rule...

    Details the conditions under which a Licensee can exercise the Compact Privilege, establishing educational and regulatory standards.

  • § 90-270.204

    Upon a Licensee's application for a Compact Privilege, the Licensee shall identify to the Commission the Participating State from which the Licensee is applying...

    Creates a framework for how Licensees apply for Compact Privileges, including residency and service of process requirements.

Action History

  1. Passed 1st Reading

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

  3. Regular Message Received From Senate

  4. Regular Message Sent To House

  5. Passed 2nd Reading

  6. Passed 3rd Reading

  7. Reptd Fav

  8. Reptd Fav

  9. Re-ref Com On Rules and Operations of the Senate

  10. Reptd Fav Com Substitute

  11. Com Substitute Adopted

  12. Re-ref Com On Finance

  13. Withdrawn From Com

  14. Re-ref to Health Care. If fav, re-ref to Finance. If fav, re-ref to Rules and Operations of the Senate

  15. Passed 1st Reading

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

  17. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 3 co-sponsors · 174 not signed on

Sponsors (2)

Co-sponsors (3)

Not signed on (174)

174 members have not signed on to this bill.

Show all 174 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Second Reading

Passed 48 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democratic 19001
Republican 29001
Total 48002
% of votes cast 96%0%0%4%
How each member voted (50)
Member Party Vote
Caleb Theodros Democratic Yea
Dan Blue Democratic Yea
DeAndrea Salvador Democratic Yea
Gale Adcock Democratic Yea
Gladys A. Robinson Democratic Yea
Graig Meyer Democratic Yea
Jay J. Chaudhuri Democratic Yea
Joyce Waddell Democratic Yea
Julie Mayfield Democratic Yea
Kandie D. Smith Democratic Yea
Lisa Grafstein Democratic Yea
Michael Garrett Democratic Not Voting
Mujtaba A. Mohammed Democratic Yea
Natalie S. Murdock Democratic Yea
Paul A. Lowe, Jr. Democratic Yea
Sophia Chitlik Democratic Yea
Sydney Batch Democratic Yea
Terence Everitt Democratic Yea
Val Applewhite Democratic Yea
Woodson Bradley Democratic Yea
Amy S. Galey Republican Yea
Benton G. Sawrey Republican Yea
Bill Rabon Republican Yea
Bob Brinson Republican Yea
Bobby Hanig Republican Yea
Brad Overcash Republican Yea
Brent Jackson Republican Yea
Carl Ford Republican Not Voting
Chris Measmer Republican Yea
Dana Jones Republican Yea
Danny Earl Britt, Jr. Republican Yea
David W. Craven, Jr. Republican Yea
Eddie D. Settle Republican Yea
Jim Burgin Republican Yea
Kevin Corbin Republican Yea
Lisa S. Barnes Republican Yea
Mark Hollo Republican Yea
Michael A. Lazzara Republican Yea
Michael V. Lee Republican Yea
Norman W. Sanderson Republican Yea
Paul Newton Republican Yea
Phil Berger Republican Yea
Ralph Hise Republican Yea
Steve Jarvis Republican Yea
Timothy D. Moffitt Republican Yea
Todd Johnson Republican Yea
Tom McInnis Republican Yea
Vickie Sawyer Republican Yea
W. Ted Alexander Republican Yea
Warren Daniel Republican Yea

Official roll call →

Subjects

healthcare labor

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Frequently asked questions

Who sponsors SB 190?
SB 190 is sponsored by Bob Brinson (Republican), Gale Adcock (Democratic), Amy S. Galey (Republican), Mark Hollo (Republican), and Ralph Hise (Republican).
What is the current status of SB 190?
This bill has passed the Senate. Introduced February 26, 2025. It now moves to the second chamber.
Where can I track SB 190?
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