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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.



The fee increase is way overdue and entirely justified. There are costs of doing business. PA’s earn a very good income and they can and should pay the fees.

By Corinne on Dec 10th, 2018 at 12:56pm

We need to support our licensing committee with the appropriate funding- considering other professions pay a lot more and have had increases, we need to support this motion to keep our governing body in step with theirs.

By Richard Blythe on Dec 10th, 2018 at 12:41pm

This is absolutely fair and should increase with Physician fees proportionatley. The PA sees patients and writes prescriptions for most if not all medicines and gives final dispostion to patients. Therefore, the fee increase is way past an proportionate increase. They are compensated well by the physician to be able to dunction in the capacity as above and to occasionally see patients in the hospital when linked with a specialist making rounds, etc.

By Danny E Huntley, MD on Dec 10th, 2018 at 12:23pm

It is the unfortunate fact that fees increase. Everything increases. The proposed increase sounds fair and appropriate, especially figuring in the increase in PA’s salary and general inflation.

By Katie on Dec 10th, 2018 at 11:41am

If the number of physicians has remained stable yet their fees over the last decade have increased twice and the PAs ranks have grown then physicians have been subsidizing PAs and a correction is overdue

By Martha O'Reilly on Dec 10th, 2018 at 11:20am

This is absolutely fair. Considering inflation and the increase in our pay . Other professionals in healthcare pay MUCH more .

By Adrian Jones on Dec 10th, 2018 at 10:43am

I agree with the increase. pA’s make good money some well into the 6 figures. You have already raised the premium on physicians. Please implement the increase. 140$ a year compared to what physicians pay is valid. I also would review every 3-5 years To see if another increase needs to be implemented.

By Michele Glass on Dec 10th, 2018 at 10:11am

The increased fee sounds reasonable, especially since it has been so long since you have raised it.

By Amy on Dec 10th, 2018 at 5:59am

It is completely reasonable to increase rates. It has been over 10 years since any change in fee structure for PAs.

By Katie Notaro on Dec 10th, 2018 at 1:01am

I agree with previous statements in opposition to the proposed large rate increase. It is illogical to use false equivalence to justify the rate increase for PAs “because it’s already been increased for physicians”; the two are not related. Please explain how your cost has increased 40% per PA to justify a rate increase. Seems to me, that as the number of PAs has doubled, so to would your revenue have doubled to cover costs associated with licensing those additional PAs. Without being able to show a credible,corresponding increase in expenses, you can’t justify such a rate increase. Not being able to meet budget is not a sufficient reason. I’m not opposed to a rate increase as we all know that expenses for benefits like health insurance have gone up, but I think 40% is too high.

By Sarah A Saunders on Dec 9th, 2018 at 11:46pm