HB 480 North Carolina House · 2025-2026 Session

Medical Board Licensing Efficiency Act.

HB 480 creates a new pathway for doctors, physician assistants, and anesthesiologist assistants to obtain North Carolina medical licenses by transferring licenses from other states ("licensure by endorsement"). To qualify, applicants must have held an active license in another U.S. jurisdiction for at least five years (with two years of practice post-residency for doctors), have a verified full-time job offer in North Carolina, maintain good standing with no recent disciplinary actions, and meet practice hour requirements. The bill increases application fees for endorsement (e.g., $825 for physicians vs. $400 for standard licensure) and requires additional documentation within 180 days to keep the license active. This directly affects out-of-state medical professionals seeking to practice in North Carolina without retaking exams.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Mar 2025

Committee Review

Jun 2025

House Passage

Jun 2025

Senate Passage

Governor

Introduced Mar 20, 2025 Last action Jun 25, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

Edition 2 → Edition 3 · 5 edits

MODERATE

This bill update modifies licensure fee amounts for physicians, physician assistants, and anesthesiologist assistants applying for licensure by endorsement. The changes adjust specific fee caps and add new fee categories for these professionals, while also updating the bill version number and committee substitute date.

Scope change

The bill's scope remains focused on medical board licensing efficiency, but the specific fee amounts and categories for endorsement applicants have been expanded and modified.

FISCAL

Physician endorsement application fee cap changed from $825 to $500

New fee category added for anesthesiologist assistants with a $250 cap

New fee category added for physician assistants with a $330 cap

Removed previous fee provisions that included different fee amounts and structure

TECHNICAL

Bill version number updated from v-2 to v-3 with new committee substitute date of 6/24/25

Floor votes · House Jun 25, 2025

How they voted

116–0

Passed · 5 other

Total votes 121

Jun 25, 2025

D Democratic46

46 Yea

100% Yea

I Independent2

1 Yea 1

50% Yea

R Republican73

69 Yea 4

94% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 25, 2025

Committee

Ref To Com On Rules and Operations of the Senate

upper

Jun 25, 2025

Lower · Passed

Passed 3rd Reading

lower

Jun 24, 2025

Lower · Passed

Reptd Fav

lower

Jun 24, 2025

Committee

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

lower

Jun 24, 2025

Lower · Passed

Reptd Fav Com Sub 2

lower

Apr 15, 2025

Committee

Re-ref Com On Finance

lower

Apr 15, 2025

Lower · Passed

Reptd Fav Com Substitute

lower

Mar 25, 2025

Committee

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

lower

Mar 20, 2025

Introduced

Filed

lower

1 primary · 39 co-sponsors