North Carolina SB 190: Project C.A.R.E. for Dementia Funds.

Bill Text

GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 2
SENATE BILL 190
Health Care Committee Substitute Adopted 3/26/25

Short Title: Physician Assistant Licensure Compact. (Public)
Sponsors:
Referred to:
February 27, 2025
*S190-v-2*
A BILL TO BE ENTITLED 1
AN ACT TO ESTABLISH A PA LICENSURE COMPACT FOR THE LICENSURE OF 2
PHYSICIAN ASSISTANTS. 3
The General Assembly of North Carolina enacts: 4
SECTION 1.(a) Chapter 90 of the General Statutes is amended by adding a new 5
Article to read: 6
"Article 18J. 7
"PA Licensure Compact. 8
"§ 90-270.200. Purpose. 9
In order to strengthen access to Medical Services, and in recognition of the advances in the 10
delivery of Medical Services, the Participating States of the PA Licensure Compact have allied 11
in common purpose to develop a comprehensive process that complements the existing authority 12
of State Licensing Boards to license and discipline PAs and seeks to enhance the portability of 13
License to practice as a PA while safeguarding the safety of patients. This Compact allows 14
Medical Services to be provided by PAs, via the mutual recognition of the Licensee's Qualifying 15
License by other Compact Participating States. This Compact also adopts the prevailing standard 16
for PA licensure and affirms that the practice and delivery of Medical Services by the PA occurs 17
where the patient is located at the time of the patient encounter, and therefore requires the PA to 18
be under the jurisdiction of the State Licensing Board where the patient is located. State Licensing 19
Boards that participate in this Compact retain the jurisdiction to impose Adverse Action against 20
a Compact Privilege in that State issued to a PA through the procedures of this Compact. The PA 21
Licensure Compact will alleviate burdens for military families by allowing active duty military 22
personnel and their spouses to obtain a Compact Privilege based on having an unrestricted 23
License in good standing from a Participating State. 24
"§ 90-270.201. Definitions. 25
The following definitions apply in this Compact: 26
(1) Adverse Action. – Any administrative, civil, equitable, or criminal action 27
permitted by a State's laws which is imposed by a Licensing Board or other 28
authority against a PA License or License application or Compact Privilege 29
such as License denial, censure, revocation, suspension, probation, 30
monitoring of the Licensee, or restriction on the Licensee's practice. 31
(2) Compact Privilege. – The authorization granted by a Remote State to allow a 32
Licensee from another Participating State to practice as a PA to provide 33
Medical Services and other licensed activity to a patient located in the Remote 34
State under the Remote State's laws and regulations. 35

General Assembly Of North Carolina Session 2025
Page 2 Senate Bill 190-Second Edition
(3) Conviction. – A finding by a court that an individual is guilty of a felony or 1
misdemeanor offense through adjudication or entry of a plea of guilt or no 2
contest to the charge by the offender. 3
(4) Criminal Background Check. – The submission of fingerprints or other 4
biometric-based information for a License applicant for the purpose of 5
obtaining that applicant's criminal history record information, as defined in 28 6
C.F.R. § 20.3(d), from the State's criminal history record repository, as 7
defined in 28 C.F.R. § 20.3(f). 8
(5) Data System. – The repository of information about Licensees, including, but 9
not limited to, License status and Adverse Actions, which is created and 10
administered under the terms of this Compact. 11
(6) Executive Committee. – A group of directors and ex officio individuals 12
elected or appointed pursuant to G.S. 90-270.206(f)(2). 13
(7) Impaired Practitioner. – A PA whose practice is adversely affected by 14
health-related condition(s) that impact their ability to practice. 15
(8) Investigative Information. – Information, records, or documents received or 16
generated by a Licensing Board pursuant to an investigation. 17
(9) Jurisprudence Requirement. – The assessment of an individual's knowledge 18
of the laws and Rules governing the practice of a PA in a State. 19
(10) License. – Current authorization by a State, other than authorization pursuant 20
to a Compact Privilege, for a PA to provide Medical Services, which would 21
be unlawful without current authorization. 22
(11) Licensee. – An individual who holds a License from a State to provide 23
Medical Services as a PA. 24
(12) Licensing Board. – Any State entity authorized to license and otherwise 25
regulate PAs. 26
(13) Medical Services. – Health care services provided for the diagnosis, 27
prevention, treatment, cure, or relief of a health condition, injury, or disease, 28
as defined by a State's laws and regulations. 29
(14) Model Compact. – The model for the PA Licensure Compact on file with The 30
Council of State Governments or other entity as designated by the 31
Commission. 32
(15) Participating State. – A State