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Rule changes to increase PA license renewal and application fees

Discussion Ended on 12/14/2018

PA license application and renewal fees have not increased since 2005, despite rapid growth in the PA population. During the 13-year interval since the last fee increase for PAs, NCMB has twice increased license application and renewal fees for physicians. Fees generate virtually all of NCMB’s operating budget. The number of PAs licensed by NCMB has more than doubled since 2005, to more than 7,000.  

NCMB proposes increasing the annual license renewal fee for PAs to $140, from $100. This increases the cost of maintaining an active PA license by 11 cents a day. Renewals completed more than 30 days after the PA’s renewal date will carry a fee of $165. The Board proposes changing the initial license application fee for PAs to $230, from $200.

NCMB will hold a public hearing on Tuesday, Dec. 11, at 10 a.m. at its offices in Raleigh to gather feedback. The Board is also accepting feedback on the proposed increases below.



Physician Assistants should pay the same fee as physicians. The medical board invests just as much time in the process of them! Unlike doctors, physician’s assistants spend just 2 years before they make huge salaries. Doctors sacrifice so much more and spend many years making basically minimum wage while providing a service to the public. Those assistants don’t do that. They should pay the same as doctors!!

By Kathryn on Dec 14th, 2018 at 4:08am

I support the fee increase. They should pay the same fee as physicians. The board should spend the money to closely monitor the PAs due to their lack of years spent on education and training can out patients lives at danger.

By S sik on Dec 14th, 2018 at 3:50am

To increase fees for other degrees and not for PAs seems discriminatory.  I cannot think of one valid reason that fees should be increased for other degrees and not for PAs.  If this fee does not increase, there is most certainly a case for not increasing any fees until PAs fees increase.

By Suzanne on Dec 12th, 2018 at 11:23pm

Support the increase.

By Vj on Dec 12th, 2018 at 10:52am

The fees should be the same as the physician fees for license.  The effort of ensuring the public safety should be the same as level of effort the medical licensing boards puts forth for physicians.  We need to allow the boards the ability to ensure the public safety.

By Allan on Dec 11th, 2018 at 8:20pm

I support this increase in fees. It is pretty reasonable and the fee has stayed the same for so long. Noone likes to pay more but it likely takes more time and dollars to keep track of PA licensing now then it used to. For the safety of our public- this is important.

By Michelle R. on Dec 11th, 2018 at 5:58pm

I’m curious as to why people are supportive of this increase and if they are in fact PAs.
If you have no dog in the fight, you should have no say. Just because the physicians fees increased, does not mean others have to increase.

What is the reasoning behind the increase? Is it the supervision requirement?
Increase should be tied to passing of optimal team practice.

By Kris on Dec 11th, 2018 at 5:11pm

Excellent change, Physicians Assistant salaries have increased exponentially over the last 10 years. Anyone complaining is putting their self-interest over patient care. Medical boards need money to operate.

By Joe Wilson on Dec 11th, 2018 at 9:58am

I support this increase. The increase in physician fees has doubled. There is no reason this fee should also not increase.

By Julie on Dec 11th, 2018 at 8:41am

I support the increase. Seems appropriate and in line with rising costs everywhere. Not to mention the increased work by the board given the increasing numbers of PAs.

By Michelle on Dec 11th, 2018 at 8:37am