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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.



I do not agree to raising fees. It does not help the medical profession to constantly make providers pay more fees just for the sake of paying fees. We already have enough fees we have to pay in order to provide care and have spent enough getting an education. There is enough government involvement and spending at all levels and it needs to be controlled. Do not raise the fees!

By Sandra on Dec 9th, 2018 at 11:38pm

Please do increase the fee.  These providers want to practice to the fullest extent of their license and want to be paid significantly out of proportion to their education.  The fee increase is reasonable.

By A Former NC Resident Physician on Dec 9th, 2018 at 11:33pm

Physicians fees have doubled. Renewal fees for PAs should also increase. What’s good for the goose is good for the gander

By Anna on Dec 9th, 2018 at 11:32pm

The renewal process is entirely electronic with very little staff oversight required. I would like an increase to $150 for a two year time period. Many other states do a two year licensing.

By Stevan M Clifton on Dec 9th, 2018 at 10:34pm

The increase seems reasonable to me. I wouldn’t have expected the licensing fee to remain the same for nearly 15 years when everything else has increased in price.

By Jamie Anderson on Dec 9th, 2018 at 10:27pm

No increase in 13 years?  Forty dollars is reasonable considering the entire few is only 100.00 now (proposed will be 140.00).

By Tam nottlof on Dec 9th, 2018 at 10:26pm

The fee increase is reasonable because it is so overdue. The Medical Board that manages all the Physician Assistants’ (PAs’) applications has seen its own costs go up, because there are so many more PA applicants than there used to be. In order to process the applications and verify the PA applicants are safe and ready to see patients under the supervision of physicians, it takes staff to do this.

By Rosa K. on Dec 9th, 2018 at 9:59pm

Completely reasonable increase. A 40% increase after 13 years makes sense, especially given compensation increases.

By Christin on Dec 9th, 2018 at 9:59pm

Fees have not increased since 2005 yet the number of NC PA’s have more than doubled. By virtue of the sheer numbers, you are making a lot more money on all of us. So please don’t increase the fee.
Also, you try to compare PA’s to MD’s by saying their fee has gone up twice. When I start making the money my MD makes, then I’d be agreeable to this increase. As it is now, please don’t increase the yearly fee.
I could almost agree to a $10 increase making the fee $110, but going right to $140 is ridiculous.

By Rob Fazio on Dec 9th, 2018 at 9:59pm

So most states use 50% of physician license fees for the STATE GENERAL FUND. It is an income tax.
Physician Assistants make plenty of money to be able to tolerate a minuscule increase in fee every few years.

By MKG on Dec 9th, 2018 at 9:53pm