Resources & Information

Jul 2 2025

‘Healthcare Workforce Reforms’ bill will impact physician, PA licensure, create new pathways to practice

Gov. Josh Stein recently signed Session Law 2025-37/HB 67, Healthcare Workforce Reforms, into law.

The new law paves the way for new licensure pathways for physicians and PAs and authorizes “team-based practice” for experienced PAs. Most changes authorized by Session Law 2025-37 (SL 2025-37) will not be in effect until 2026.

Provisions that impact licensure and practice requirements include:

  • Allowing the state of North Carolina to join both the Interstate Medical Licensure Compact and the Physician Assistant Interstate Licensure Compact, providing a pathway for physicians and PAs licensed in other Compact states to practice in our state. For general information about the IMLC as well as eligibility requirements, click here.
  • Creation of a new licensure pathway for internationally trained physicians who have an offer of full-time employment at an NC licensed hospital or a medical practice in certain rural counties where an NC licensed physician is physically practicing on-site. See FAQs here.
  • Authorizing “team-based practice” for experienced PAs.
  • Setting practice criteria for Clinical Pharmacist Practitioners, including the requirement to practice under the supervision of a licensed physician.

Find detailed summaries of these provisions in NCMB’s summary of SL 2025-37.