Medical Board Licensing Efficiency Act.

SB 396 creates a new pathway for physicians, physician assistants, and anesthesiologist assistants to obtain a North Carolina medical license through "endorsement," allowing them to practice in the state if they hold an active license in another U.S. jurisdiction for at least five years (with two years of post-residency practice for physicians). Applicants must provide employer verification of a full-time job offer in North Carolina, proof of good standing with no recent disciplinary actions, and documentation of active practice (averaging 20+ hours weekly). The bill also establishes higher application fees for endorsement pathways (e.g., $825 for physicians vs. $400 for standard applications) and requires licensees to submit additional documentation within 120 days to keep their endorsement license active. This bill directly affects out-of-state medical professionals seeking to practice in North Carolina.