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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 agree. Physicians bear the burden of everyone else getting a discount. It’s not fair. They go to school longer and rack up more debt to then cover discounts for providers that didn’t sacrifice the same time and costs for their education.

By Chris on Dec 9th, 2018 at 8:36pm

I think the rate increase is okay. It is only 11 cents per day more and a total of 38 cents a day for licensure.

By Tracy on Dec 9th, 2018 at 8:31pm

I think this is a totally acceptable increase as everyone’s fees increases over time. It is only increasing by $40. At least it is not the physician fee.

By Heather on Dec 9th, 2018 at 8:31pm

I think this is reasonable and an increase of $40 a year is really not that much…

By June on Dec 9th, 2018 at 8:29pm

So freeze physician fees for 5 years and gradually increase PA fee over same time period.  Fairness to both groups is needed as the beaurocracy needed to service the growing ranks of PAa has been subsidized by increasing physician fees twice while PA fees have remained the same…..

By Martha O'Reilly on Dec 9th, 2018 at 8:26pm

I think it is reasonable increase,
As cost of doing business. Most of the fees are paid for by employers anyways. Just make it a two year renewal cycle.

By Toby Vizsla on Dec 9th, 2018 at 8:25pm

The increase seems reasonable.  No increase for 14 years….

By Christina on Dec 9th, 2018 at 8:23pm

I agree with this pay increase

By Leslie on Dec 9th, 2018 at 8:22pm

I agree with the increase. It has been 13 years. Besides some PAs make as much as some physcians and should be supporting the medical board.

By Robert stone on Dec 9th, 2018 at 8:22pm

Anonymous comment.  All MLP rates need to be increased by 50%.  The burden isn’t on physicians alone.  Many of the comments and arguments given already and be voiced by physicians the same - all need to pay equally under the eyes of the board.  This is the only fair measure.

By Anony on Dec 9th, 2018 at 8:21pm