North Carolina HB 672: Physician Assistants Omnibus/Team-based/Compact.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
H 1
HOUSE BILL 672

Short Title: Physician Assist. Omnibus/Team-based/Compact. (Public)
Sponsors: Representatives Paré, Potts, Lambeth, and Chesser (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
Referred to: Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the
House
April 3, 2025
*H672-v-1*
A BILL TO BE ENTITLED 1
AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN 2
ASSISTANTS AND TO MAKE VARIOUS CHANGES TO THE LICENSURE OF 3
PHYSICIAN ASSISTANTS. 4
The General Assembly of North Carolina enacts: 5
6
PART I. PHYSICIAN ASSISTANT TEAM-BASED PRACTICE 7
SECTION 1.1.(a) G.S. 90-1.1 is amended by adding a new subdivision to read: 8
"(4d) Team-based setting or team-based practice. – Any of the following: 9
a. A medical practice that meets all of the following requirements: 10
1. The majority of the practice is owned collectively by one or 11
more licensed physicians. 12
2. An owner who is a physician licensed under this Chapter has 13
consistent and meaningful participation in the design and 14
implementation of health services to patients, as defined by 15
rules adopted by the Board. 16
3. The physicians and team-based physician assistants who 17
provide services at the medical practice work in the same 18
clinical practice area. 19
b. Hospitals, clinics, nursing homes, and other health facilities with 20
active credentialing and quality programs where physicians have 21
consistent and meaningful participation in the design and 22
implementation of health services to patients, as defined by rules 23
adopted by the Board. 24
c. For the purposes of this Article, the term "team-based setting" or 25
"team-based practice" shall not include a medical practice that 26
specializes in pain management." 27
SECTION 1.1.(b) G.S. 90-9.3 reads as rewritten: 28
"§ 90-9.3. Requirements for licensure as a physician assistant. 29
(a) To be eligible for licensure as a physician assistant, an applicant shall submit proof 30
satisfactory to the Board that the applicant has met all of the following: 31
(1) The applicant has successfully completed an educational program for 32
physician assistants or surgeon assistants accredited by the Accreditation 33

General Assembly Of North Carolina Session 2025
Page 2 House Bill 672-First Edition
Review Commission on Education for the Physician Assistant or its 1
predecessor or successor entities. 2
(2) The applicant has a current or previous certification issued by the National 3
Commission on Certification of Physician Assistants or its successor. 4
(3) The applicant is of good moral character. 5
(b) Before initiating practice of medical acts, tasks, or functions as a physician assistant, 6
the physician assistant shall provide the Board the name, address, and telephone number of the 7
physician who will supervise the physician assistant in the relevant medical setting. This 8
subsection shall not apply to physician assistants who meet the requirements for team-based 9
practice under G.S. 90-9.3A. 10
(c) The Board may, by rule, require an applicant to comply with other requirements or 11
submit additional information the Board deems appropriate." 12
SECTION 1.1.(c) Article 1 of Chapter 90 of the General Statutes is amended by 13
adding a new section to read: 14
"§ 90-9.3A. Requirements for team-based practice as a physician assistant. 15
(a) In order to practice as a team-based physician assistant, a physician assistant shall 16
meet all of the following conditions: 17
(1) Practice in team-based settings, as defined in G.S. 90-1.1(4d). 18
(2) Have more than 4,000 hours of clinical practice experience as a licensed 19
physician assistant and more than 1,000 hours of clinical practice experience 20
within the specific medical specialty of practice with a physician in that 21
specialty. 22
(3) Submit proof as the Board may deem satisfactory by rule that the individual 23
meets the requirements of subdivisions (1) and (2) of this subsection. The 24
Board may, by rule, require the physician assistant to comply with other 25
requirements or submit additional information the Board deems appropriate. 26
(b) Team-based physician assistants shall collaborate and consult with or refer to the 27
appropriate members of the health care team as required by the patient's condition and as 28
indicated by the education, experience, and competencies of the physician assistant and the 29
standard of care. The degree of collaboration must be determined by the practice which may 30
include decisions by the employer, group, hospital service, and the credentialing and privileging 31
systems of a licensed facility. The Board may adopt rules to establish requirements for the 32
determination and enforcement of collaboration, consultation, and referral. Team-based 33
physician assistants are responsible for the care they provide. 34
(c) Notwithstanding any other provision of t