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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 understand they have not increased in some time, however 40% seems a bit high! I think half that should be more than enough!

By Michael Sulewski on Dec 9th, 2018 at 4:59pm

A 40% increase—really?!!!

By Jodi Lackey on Dec 9th, 2018 at 4:29pm

To justify increases in annual fees because “fees for physicians have increased twice” is absolutely ludicrous.  When I start getting paid as much as physicians, then and only then, can you make such a ridiculous comparison!  License renewals are not labor intensive, so it makes it clear that you’re merely in it for the money.  I’m beyond disappointed in NC and may stay over on the SC side of the border just on prinicple if that happens.

By Jodi Lackey, PA-C on Dec 9th, 2018 at 4:28pm

This is undue financial burden on providers and practices. Increased regulation will lead to less quality healthcare here in North Carolina, and the cost is ultimately passed on to patients in the end. If you are unable to meet your budget based on current dues, make job cuts within the NC med board.

By Jared Salyards on Dec 9th, 2018 at 4:28pm

Please do not increase fees.

By Stephanie Pritchett on Dec 9th, 2018 at 3:01pm

I am against the rate hike.

As a PA who pays out of pocket for licensing (and more and more places requiring this), this increase is prejudicial.

By Kris Pyle-Sweet on Dec 9th, 2018 at 1:59pm

I realize that there has not been an increase in the renewal fee for a while, but 40% seems excessive.  Does the administrative work entailed in the renewal process warrant that much of an increase?  20-25% seems more reasonable.  Thank you.

By Linda Yaverbaum on Dec 9th, 2018 at 1:37pm

What will the additional revenue go towards? Also, I think almost a 50% raise is steep. I would say a stepwise increase of $10 per year to $140 and then no increase for 10 years.

By Christopher surendra on Dec 9th, 2018 at 1:30pm

The increase in cost for the PA license is steep, especially for a per diem PA who is paying all their license fees and come cost out of pocket.

By Sharon Danello on Dec 9th, 2018 at 1:25pm

I disagree. No good rationale for the increase. Increase it just because you have increased physician fees. How would it make me a better PA????

By Jason McnNeese on Dec 9th, 2018 at 12:59pm