SB 570 prohibits shared ownership between medical practices (professional corporations) and management services organizations (MSOs) that provide non-clinical services. It requires that if a medical practice contracts with an MSO, the MSO must be owned entirely by licensed medical professionals - preventing physicians from being stakeholders in such MSOs. The bill also mandates that physicians retain full control over patient care decisions without interference from non-licensed individuals, MSO stakeholders, or out-of-state medical professionals. This directly affects medical practices using MSOs for administrative services and aims to ensure clinical decision-making remains under physician control. The law applies to contracts entered into on or after its effective date, with related rules required by October 2026.
SB 414 allows licensed pharmacists (specifically clinical pharmacist practitioners) to test for and treat certain conditions like influenza, COVID-19, and strep throat using FDA-approved CLIA-waived tests, without requiring a physician referral. It mandates that health insurers cover these pharmacist-provided services at the same level as services from other healthcare providers, if performed within the pharmacist’s scope of practice. The bill prohibits pharmacists from treating conditions with controlled substances (Schedules I-IV) and requires statewide protocols for implementation by October 1, 2025. This directly affects pharmacists, patients seeking these specific services, and health insurers across North Carolina.
SB 537 defines the scope of practice for Advanced Practice Registered Nurses (APRNs) in North Carolina, specifically for nurse practitioners (NPs), certified nurse midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). The bill provides statutory definitions for each role, detailing permitted activities like diagnosing conditions, prescribing medications, ordering diagnostic tests, and managing patient care within their specialized focus areas. By codifying these definitions in state law, the bill removes longstanding ambiguity about APRN practice that has persisted for decades, as noted by North Carolina courts and the executive branch. This change directly affects over 20,000 APRNs in the state by legally clarifying their scope of practice.
HB 514 defines the scope of practice for Advanced Practice Registered Nurses (APRNs) in North Carolina, including nurse practitioners (NPs), certified nurse midwives (CNMs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). The bill explicitly outlines the specific responsibilities for each role - such as CNMs managing reproductive health care, NPs diagnosing and treating illnesses, and CRNAs administering anesthesia - removing ambiguity in current law. It directly affects over 20,000 APRNs in North Carolina who currently face restrictions due to undefined practice parameters. The legislation aims to align North Carolina with 36 other states that have clarified APRN authority without compromising patient safety, as supported by research cited in the bill. This statutory definition is intended to improve healthcare access and reduce costs by enabling APRNs to practice to the full extent of their training.
HB 672 creates a new "team-based practice" model for physician assistants (PAs) in North Carolina, allowing them to practice without direct physician oversight under specific conditions. To qualify, PAs must have over 4,000 hours of clinical experience (including 1,000+ hours in their specialty) and work in practices meeting defined criteria, such as physician ownership and collaborative care structures. The bill revises licensing rules to remove the requirement for PAs in these settings to provide a supervising physician’s contact information, while maintaining supervision requirements for perioperative services. This directly affects PAs seeking to work in team-based medical practices, including hospitals and clinics meeting the new standards.
This bill establishes the Physician Assistant (PA) Licensure Compact, a multi-state agreement designed to enhance the ability of PAs to practice in multiple participating states. It allows PAs who hold a qualifying license and meet national standards, including specific education and certification requirements, to obtain a "Compact Privilege" to practice in other member states. The Compact aims to improve access to medical services and ease licensing burdens for PAs, including military spouses. It also maintains patient safety through shared regulatory oversight and a central data system for tracking licenses and disciplinary actions across participating states.
SB 357 expands and modernizes collaborative practice agreements between physicians and pharmacists. It allows licensed pharmacists, designated as "clinical pharmacist practitioners," to provide a broader range of "health care services" under a physician's supervision, including modifying drug dosages, ordering tests, and managing drug therapy for patients. These services must be conducted under specific, written collaborative practice agreements and adhere to rules set by the North Carolina Medical Board and Board of Pharmacy. The bill also permits therapeutic drug substitutions by pharmacists with physician authorization and allows for multi-provider collaborative agreements in institutional settings.
SB 336 establishes the Interstate Medical Licensure Compact, creating a streamlined pathway for qualified physicians to obtain licenses in multiple participating states. This compact aims to enhance the portability of medical licenses and improve patient access to healthcare by allowing eligible physicians to apply for an "expedited license." To qualify, physicians must meet specific criteria, including holding an unrestricted license in a member state, passing medical exams, completing graduate medical education, and maintaining a clean disciplinary and criminal record. The bill also defines how physicians designate a 'state of principal license' and outlines the role of an Interstate Commission in managing the compact.
HB 696, the Health Care Practitioner Transparency Act, requires health care providers in North Carolina to clearly state their license type, certification, or registration in all advertisements and public representations. It prohibits deceptive claims about qualifications and bans unlicensed individuals from using medical titles like "doctor," "surgeon," or specialty terms (e.g., "cardiologist") to mislead patients. The law applies to licensed professionals (doctors, nurses, dentists, etc.) who advertise services, but exempts those in non-patient settings without direct care interactions. Violations could lead to disciplinary action by their licensing board, with daily noncompliance treated as separate offenses. The bill takes effect October 1, 2025.
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.
