North Carolina 2025-2026 Regular Session

North Carolina Senate Bill S336

Introduced
3/19/25  
Refer
3/20/25  
Refer
3/20/25  
Report Pass
4/10/25  
Refer
4/10/25  
Report Pass
5/7/25  

Caption

Interstate Med.l Lic. Comp./Intern'l Phys

Impact

The enactment of SB 336 would amend Chapter 90 of the General Statutes, adding a new article dedicated to the Interstate Medical Licensure Compact, which would allow participating states to create uniform standards for health care licensure. By adopting this compact, North Carolina aims to expand medical service availability, especially in underserved areas, while maintaining the authority of state medical boards to enforce regulations and impose disciplinary actions as necessary. The law would not override existing medical practice acts but would provide an alternative licensing pathway to streamline the process.

Summary

Senate Bill 336, also known as the Interstate Medical Licensure Compact Act, seeks to establish a framework for the licensure of medical professionals across state lines, thereby facilitating easier access to healthcare. The bill proposes a streamlined process for physicians to practice in multiple states, enhancing the portability of their medical licenses while ensuring patient safety standards remain intact. Additionally, the bill includes provisions for the licensure of internationally-trained physicians, supporting an avenue for them to work in North Carolina under regulated conditions.

Sentiment

Overall, the sentiment regarding SB 336 appears to be largely supportive among healthcare providers who see the value in expediting the licensure process and potentially increasing the healthcare workforce. Advocates argue that it represents a significant step toward overcoming barriers in medical practice across state lines. However, there are also concerns regarding the adequacy of oversight and standards maintained through this compact, particularly in relation to international physicians gaining licensure in North Carolina.

Contention

Opponents of SB 336 worry about the impacts of allowing easier licensure for international physicians, voicing concerns about differing educational and practice standards. They advocate for stringent checks to ensure that patient care quality remains high. Additionally, as the compact progresses, some states may find themselves facing challenges related to reciprocity and the implications of disciplinary actions taken in one state impacting licensure in another. Therefore, ongoing discussions will likely focus on balancing accessibility with robust regulatory frameworks.

Companion Bills

No companion bills found.

Previously Filed As

NC HB1295

Physician Assistant Licensure Compact; enter into an interstate compact

NC HB10

Physician Assistant Interstate Compact

NC A1391

Enters New Jersey into Interstate Physician Assistant Licensure Compact.

NC HB243

Interstate Medical Licensure Compact

NC SB1

Interstate Medical Licensure Compact Act

NC HB156

Physician Assistants; interstate licensure compact, established

NC SB46

Interstate Medical Licensure Compact

NC HB5455

Health occupations: physicians; interstate medical licensure compact; update. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 16189.

NC S1608

Relative to physician assistant interstate compact

NC H2531

Relative to physician assistant interstate compact

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