SB 345 North Carolina Senate · 2025-2026 Session

PA Team-Based Practice.

SB 345 establishes a "team-based practice" model for Physician Assistants (PAs) in North Carolina. It defines specific requirements for medical practices to qualify as team-based settings, including physician ownership and participation in patient care design. PAs must meet extensive clinical experience criteria to practice in these settings, allowing them to operate with a modified supervision arrangement that emphasizes team collaboration rather than a named supervising physician in some contexts. However, physician supervision is still explicitly required for team-based PAs providing surgical or anesthesia services.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
Senate Passage
May 2025
House Passage
Governor
Introduced Mar 19, 2025 Last action May 6, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Edition 1 Edition 2 · 3 edits
MINOR
This bill was amended to expand its scope beyond physician assistants to include nurse practitioners and nurse midwives under the Board of Nursing's regulation. The title and header were updated to reflect this broader regulatory authority, while most substantive text regarding physician assistant licensure and team-based practice requirements remained unchanged.
Scope change
The bill's scope was expanded from regulating only physician assistants to also include nurse practitioners and nurse midwives under the Board of Nursing's jurisdiction.
SCOPE

The bill title was changed from 'AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN ASSISTANTS' to 'AN ACT TO ADJUST THE SUPERVISION ARRANGEMENT OF PHYSICIAN ASSISTANTS AND TO ALLOW NURSE PRACTITIONERS AND NURSE MIDWIVES TO BE REGULATED BY THE BOARD OF NURSING.'

TECHNICAL

The original sponsor names (Senators Sawrey, Galey, and Hollo) and their committee referral information were removed from the header.

The bill version number was updated from 'S345-v-1' to 'S345-v-2' to reflect the amended version.

Floor votes · Senate May 6, 2025

How they voted

450
Passed · 6 other
Total votes 51
May 6, 2025
D Democratic20
16 Yea 4
80% Yea
R Republican31
29 Yea 2
93% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
4
Committee
6
May 6, 2025
Committee
Ref To Com On Rules, Calendar, and Operations of the House
lower
May 6, 2025
Upper · Passed
Passed 3rd Reading
upper
May 5, 2025
Upper · Passed
Reptd Fav
upper
Apr 30, 2025
Committee
Re-ref Com On Rules and Operations of the Senate
upper
Apr 30, 2025
Upper · Passed
Com Substitute Adopted
upper
Apr 30, 2025
Upper · Passed
Reptd Fav Com Substitute
upper
Apr 10, 2025
Committee
Re-ref to Health Care. If fav, re-ref to Rules and Operations of the Senate
upper
Mar 20, 2025
Committee
Ref To Com On Rules and Operations of the Senate
upper
Mar 19, 2025
Introduced
Filed
upper
2 primary · 7 co-sponsors

Sponsors