The North Carolina Medical Board raised its physician assistant fees effective 1 October: the application from 50 to 25, and renewal from 40 to 00.
How it happened
Through the state budget rather than through board rulemaking. That matters for anyone trying to track these figures, because a fee set in administrative code changes on a predictable, published cycle with notice. A fee authorized through appropriations can move whenever the legislature moves it.
The size of it
Thirty percent on the application and roughly forty-three on renewal, in one step. For a single applicant that is 5 and an annoyance. For a practice licensing several PAs a year, or a locum carrying multiple licenses, it compounds.
The general lesson
This is why every fee figure on this site carries the date we verified it. A number without a date is a number that was true once.
The rule that applies almost everywhere: the fee you owe is the one in force when the board receives your application, not the one published when you planned. If you budgeted in September and filed in November, you paid the new amount.
North Carolina’s position
It is a compact member state, and it renews annually rather than biennially — so the 00 is a yearly carrying cost, not a two-year one. Worth factoring if you are holding the license between assignments rather than working there continuously.
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