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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.



This is a very reasonable increase. A very small fee to ensure the reasources needed to protect NC citizens are available.

By Robby on Dec 9th, 2018 at 9:10pm

Agree with the increase which hasn’t happened in some time.

By T Howell on Dec 9th, 2018 at 9:05pm

40% rate hike? It is a professional license and it hasn’t gone up in 13 years. If you annualize that increase, it is easy to see that the increase doesn’t even keep pace with inflation.

There are costs associated with maintaining the database of license holders. Those so licenses should bear that expense.

Please try not to cry poverty. PAs are well compensated, earning 3-4 times the median income in most cases. No one likes to spend money, but I am embarrassed for those who make it seem as though this is an unbearable expense. Get over yourselves. This is a cost of doing business.

By Nick on Dec 9th, 2018 at 8:59pm

I support the increase. The medical board should charge all “providers” the same.

By Jess on Dec 9th, 2018 at 8:56pm

With no rate increase for some time, it seems appropriate to increase and ensure continued ability for NCBM to continue to function at the highest level.

By Susan Brown on Dec 9th, 2018 at 8:48pm

PA licensing fees should be increased every time you increase physician licensing fees, at the same rate for each.  Increasing PA from $100 to $140 after 13 years of a flat rate is correct.  Moving forward, both should increase simultaneously.

By Kathy Grey on Dec 9th, 2018 at 8:47pm

Agree with increase. It is time.

By Claire on Dec 9th, 2018 at 8:45pm

I agree with the increase.

By Gaz Far on Dec 9th, 2018 at 8:44pm

When PAs spend ten years in school losing ten years of income and taking on 100k worth of debt they can complain about physician income.  I too pay my own licensing fees.  And CME.  And everything else I need to practice medicine including malpractice. 

I would suggest bring down the physician fees.

By Laura Haines on Dec 9th, 2018 at 8:44pm

I see no reason for not increasing PA licensing fees from $100 to $140.  They haven’t increased since 2005 and the average midlevel salary definitely has.  Additionally, broadening scope of practice for non physician medical care providers means more administrative costs for monitoring and quality assurance. Many midlevel salaries are now on par with family practices physicians.

By Jenna Lenney on Dec 9th, 2018 at 8:37pm