North Carolina 2025 Session Status: In Committee Bipartisan · 5 R · 1 D cosponsors

SB 336 — Interstate Med.l Lic. Comp./Intern'l Phys.

Last action — Reptd Fav Com Substitute

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

This bill is in committee in the Senate. Introduced March 19, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 6 sponsors

    2 primary, 4 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 1 D) — cross-party backing.

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

97 added · 136 removed

Plain-language change summary

In the revised version of Senate Bill 336, some text has been updated to clarify the regulations around physician licensing and discipline. Most notably, the bill emphasizes the protection of public interests through regulated licensure practices. This change is significant as it aims to enhance accountability and standards for physicians, ensuring that only qualified individuals are allowed to practice medicine, which ultimately benefits patient care and safety.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 2 SENATE BILL 336 Health Care Committee Substitute Adopted 4/10/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 S 1 SENATE BILL 336 Short Title:
Senators Sawrey, Galey, and Burgin (Primary Sponsors).
March 20, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH AN INTERSTATE COMPACT FOR THE LICENSURE OF THE PRACTICE OF MEDICINE AND TO CREATE A PROCESS FOR INTERNATIONAL PHYSICIAN EMPLOYEE LICENSE.
Rules and Operations of the Senate March 20, 2025 A BILL TO BE ENTITLED AN ACT TO ESTABLISH AN INTERSTATE COMPACT FOR THE LICENSURE OF THE PRACTICE OF MEDICINE AND TO CREATE A PROCESS FOR INTERNATIONAL PHYSICIAN EMPLOYEE LICENSE.
Evidence of an entry of a conviction of a criminal *S336-v-2* General Assembly Of North Carolina Session 2025 offense by a court shall be considered final for purposes of disciplinary action by a member board.
Evidence of an entry of a conviction of a criminal *S336-v-1* General Assembly Of North Carolina Session 2025 offense by a court shall be considered final for purposes of disciplinary action by a member board.
Page 2 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 (13) Rule.
Page 2 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 (13) Rule.
Senate Bill 336-Second Edition Page 3 General Assembly Of North Carolina Session 2025 (e) Appeal on the determination of eligibility to the member state shall be made to the member state where the application was filed and shall be subject to the laws of that state.
Senate Bill 336-First Edition Page 3 General Assembly Of North Carolina Session 2025 (e) Appeal on the determination of eligibility to the member state shall be made to the member state where the application was filed and shall be subject to the laws of that state.
Page 4 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 (b) Notwithstanding any other provision of law, member boards shall report to the Interstate Commission any public action or complaints against a licensed physician who has applied or received an expedited license through the Compact.
Page 4 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 (b) Notwithstanding any other provision of law, member boards shall report to the Interstate Commission any public action or complaints against a licensed physician who has applied or received an expedited license through the Compact.
A member board may terminate the automatic suspension of the license Senate Bill 336-Second Edition Page 5 General Assembly Of North Carolina Session 2025 it issued prior to the completion of the 90-day suspension period in a manner consistent with the medical practice act of that state.
A member board may terminate the automatic suspension of the license Senate Bill 336-First Edition Page 5 General Assembly Of North Carolina Session 2025 it issued prior to the completion of the 90-day suspension period in a manner consistent with the medical practice act of that state.
Page 6 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 (i) The Interstate Commission shall keep minutes which shall fully describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, including record of any roll call votes.
Page 6 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 (i) The Interstate Commission shall keep minutes which shall fully describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, including record of any roll call votes.
(17) Report annually to the legislatures and governors of the member states concerning the activities of the Interstate Commission during the preceding Senate Bill 336-Second Edition Page 7 General Assembly Of North Carolina Session 2025 year.
(17) Report annually to the legislatures and governors of the member states concerning the activities of the Interstate Commission during the preceding Senate Bill 336-First Edition Page 7 General Assembly Of North Carolina Session 2025 year.
(f) The Interstate Commission shall defend the executive director, its employees, and subject to the approval of the attorney general or other appropriate legal counsel of the member Page 8 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 state represented by an Interstate Commission representative, shall defend such Interstate Commission representative in any civil action seeking to impose liability arising out of an actual or alleged act, error, or omission that occurred within the scope of Interstate Commission employment, duties, or responsibilities, or that the defendant had a reasonable basis for believing occurred within the scope of Interstate Commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such person.
(f) The Interstate Commission shall defend the executive director, its employees, and subject to the approval of the attorney general or other appropriate legal counsel of the member Page 8 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 state represented by an Interstate Commission representative, shall defend such Interstate Commission representative in any civil action seeking to impose liability arising out of an actual or alleged act, error, or omission that occurred within the scope of Interstate Commission employment, duties, or responsibilities, or that the defendant had a reasonable basis for believing occurred within the scope of Interstate Commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such person.
(b) The InterstateCommission may,bymajorityvote oftheCommissioners, initiatelegal action in the United States District Court for the District of Columbia, or, at the discretion of the Interstate Commission, in the federal district where the Interstate Commission has its principal Senate Bill 336-Second Edition Page 9 General Assembly Of North Carolina Session 2025 offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and bylaws, against a member state in default.
(b) The InterstateCommission may,bymajorityvote oftheCommissioners, initiatelegal action in the United States District Court for the District of Columbia, or, at the discretion of the Interstate Commission, in the federal district where the Interstate Commission has its principal Senate Bill 336-First Edition Page 9 General Assembly Of North Carolina Session 2025 offices, to enforce compliance with the provisions of the Compact, and its promulgated rules and bylaws, against a member state in default.
Page 10 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 (b) The Compact shall become effective and binding upon legislative enactment of the Compact into law by no less than seven states.
Page 10 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 (b) The Compact shall become effective and binding upon legislative enactment of the Compact into law by no less than seven states.
Senate Bill 336-Second Edition Page 11 General Assembly Of North Carolina Session 2025 (c) All lawful actions of the Interstate Commission, including all rules and bylaws promulgated by the Commission, are binding upon the member states.
Senate Bill 336-First Edition Page 11 General Assembly Of North Carolina Session 2025 (c) All lawful actions of the Interstate Commission, including all rules and bylaws promulgated by the Commission, are binding upon the member states.
Page 12 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 …." SECTION 2.(e) G.S.
Page 12 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 …." SECTION 2.(e) G.S.
(1) The applicant has been offered employment as a physician in a full-time capacity at (i) a hospital that is located in North Carolina and licensed by the State of North Carolina or (ii) a medical practice located in a rural countywith a population of less than 500 people per square mile, in North Carolina, where a physician fully licensed by the State under this Chapter is physically practicing on-site at the rural medical practice.
(1) The applicant has been offered employment as a physician in a full-time capacityat (i) a hospital that is located in North Carolina, licensed bythe State of North Carolina, and accredited by the Joint Commission or (ii) a medical practice located in a rural countywith a population of less than 500 people per square mile, in North Carolina, and will be supervised by a physician licensed by the State of North Carolina and who is physically practicing on-site at the rural medical practice.
The Board shall adopt rules pertaining to adequate supervision of internationally-trained physicians.
a.
Senate Bill 336-First Edition Page 13 General Assembly Of North Carolina Session 2025 a.
The applicant has completed two years of postgraduate training in a graduate medical education program approved by the applicant's country of licensure.
The applicant has completed two years of postgraduate training in a medical education program accredited by an agency with the World Federation for Medical Education Recognition Status after graduation from medical school.
Senate Bill 336-Second Edition Page 13 General Assembly Of North Carolina Session 2025 b.
b.
(4) Theapplicant has demonstratedcompetencyto practicemedicinein oneof the following ways:
(4) The applicant has demonstrated competency to practice medicine in at least one of the following ways:
Successfully passing each part of a nationally recognized standard medical licensing examination from a country that is a member of the International Association of Medical Regulatory Authorities that meets all of the following requirements:
Successfully passing each part of a nationally recognized standard medical licensing examination from a country that is a member of the International Association of Medical Regulatory Authorities, that meets all of the following requirements:
(6) The applicant does not have any convictions in any court involving moral turpitude, or the violation of a law involving the practice of medicine, or a convictionofalawsubstantiallyequivalenttoafelony.Theapplicantshallsubmit to,andtheBoardmustreceive,abackgroundscreeningfromthecountryinwhich theyare licensed.
(6) The applicant does not have any convictions in any court involving moral turpitude, or the violation of a law involving the practice of medicine, or a convictionofalawsubstantiallyequivalenttoafelony.Theapplicantshallsubmit Page 14 Senate Bill 336-First Edition General Assembly Of North Carolina Session 2025 to,andtheBoardmustreceive,abackgroundscreeningfromthecountryinwhich theyare licensed.
Page 14 Senate Bill 336-Second Edition General Assembly Of North Carolina Session 2025 (9) The applicant is legally authorized to work in the United States.
(9) The applicant is legally authorized to work in the United States.
An applicant may apply for an internationally-trained physician employee license before receiving federal work authorization but may not begin employment with the North Carolina hospital or rural medical practice until receiving legal work authorization from the relevant federal agency.
(2) Ceases to be employed at a medical practice located in a rural county or practices if a physician licensed by the State under this Chapter is not physically practicing on-site at the medical practice.
(2) 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.
The Board shall retain jurisdiction over the holder of the inactive license.
The Board shall retain jurisdiction over the holder of the inactive license." SECTION 4.
(d) A physician with an internationally-trained physician employee license in good standing shall automatically convert into a full license to practice medicine in North Carolina after four years of active practice in North Carolina.
(e) The Board, in consultation with partner organizations as needed, shall collect information necessary to evaluate the implementation and success of the pathway to licensure established in this section, including at least the following:
(1) The number and types of inquiries from potential applicants.
(2) The number of applicants for provisional licensure.
(3) The applicant's licensing country or country where they were authorized to practice medicine and, if different, country of education and training.
(4) The number of provisional licenses granted under this section.
(5) The number of provisional licenses denied under this section.
(6) The number of full and unrestricted licenses granted to applicants who completed the pathway to licensure established in this section.
(7) The number of full and unrestricted license applications denied to applicants who completed the pathway to licensure established in this section.
(8) The reasons for denial of applications for provisional and full unrestricted licenses under this section.
(9) The number of complaints received regarding holders of a provisional license issued under this section and the disciplinary actions taken, if any.
(10) The practice setting and specialty of applicants in their licensing country or country of origin and as employed during their provisional and limited licensure.
(11) The geographic area or rural/urban designation of where licensees practice during provisional licensure and after the period of provisional licensure.
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(12) The practice setting and specialty of internationally-trained physicians who completed the pathway to licensure upon receiving a full and unrestricted license.
Senate Bill 336-Second Edition Page 15 General Assembly Of North Carolina Session 2025 (f) Annually on or before December 1, the Board shall report the information collected pursuant to subsection (e) of this section for the previous calendar year to the Joint Legislative Oversight Committee on Health and Human Services." SECTION 4.
It is the intention of the General Assembly that the provisions of this act shall be severable.
If any provision of this act or its application to anyperson or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected, including, but not limited to, the applicability of this act to the provisions of future agreements subject to this act.
SECTION 6.
Page 16 Senate Bill 336-Second Edition
Senate Bill 336-First Edition Page 15
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How this bill changes current law

2 changes Share ↗

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

The bill establishes a new Article in Chapter 90 for the Interstate Medical Licensure Compact, providing a framework for expedited licensure for physicians across member states and introducing eligibility and application processes.

  • G.S. 90-21.171

    § 90-21.161. Purpose. (a) The purpose of this Article is to strengthen access to health care, and, in recognition of the advances in the delivery of health care, the member states of the Interstate Medical Licensure Compact (Compact) have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state medical boards and to provide a streamlined process that allows physicians to become licensed in multiple states, thereby enhancing the portability of a medical license and ensuring the safety of patients. (b) The Interstate Medical Licensure Compact creates another pathway for licensure and does not otherwise change a state's existing medical practice act or provisions. The Compact adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter and, therefore, requires the physician to be under the jurisdiction of the state medical board where the patient is located. State medical boards that participate in the Compact retain the jurisdiction to impose an adverse action against a license to practice medicine in that state issued to a physician through the procedures of the Compact.

    This specifies the purpose and mechanics of the Interstate Medical Licensure Compact and clarifies its relationship to state licensing laws.

  • G.S. 90-21.172

    § 90-21.162. Definitions. The following definitions apply in this Article: (1) Bylaws. – Bylaws established by the Interstate Commission pursuant to G.S. 90-21.171. (2) Commissioner. – The voting representative appointed by each member board pursuant to G.S. 90-21.171. (3) Conviction. – A finding by a court that an individual is guilty of a criminal offense through adjudication, or entry of a plea of guilty or no contest to the charge by the offender. Evidence of an entry of a conviction of a criminal offense by a court shall be considered final for purposes of disciplinary action by a member board. (4) Expedited license. – A full and unrestricted medical license granted by a member state to an eligible physician through the process set forth in the Compact. (5) Interstate Commission. – The Interstate Medical Licensure Compact Commission created pursuant to G.S. 90-21.171.

    This introduces new definitions necessary for implementing the Interstate Medical Licensure Compact.

Action History

  1. Reptd Fav Com Substitute

  2. Com Substitute Adopted

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

  4. Reptd Fav Com Substitute

  5. Com Substitute Adopted

  6. Re-ref Com On Finance

  7. Passed 1st Reading

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

  9. Withdrawn From Com

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

  11. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 4 co-sponsors · 173 not signed on

Sponsors (2)

Co-sponsors (4)

Not signed on (173)

173 members have not signed on to this bill.

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"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

Subjects

healthcare labor
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Frequently asked questions

Who sponsors SB 336?
SB 336 is sponsored by Brad Overcash (Republican), Mujtaba A. Mohammed (Democratic), Timothy D. Moffitt (Republican), Jim Burgin (Republican), Amy S. Galey (Republican), and Benton G. Sawrey (Republican).
What is the current status of SB 336?
This bill is in committee in the Senate. Introduced March 19, 2025. It must pass committee before a floor vote.
Where can I track SB 336?
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