Sen. Hollo files bill in North Carolina Senate to revise PA supervisory and licensure rules

A new bill filed by Sen. Hollo seeks to modify supervisory and licensure requirements for physician assistants, emphasizing a team-based practice model in North Carolina, according to the North Carolina State Senate.

The bill, filed as SB 345 on March 19 during the 2025 regular session, was formally listed with the short title: ‘PA Team-Based Practice.’

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, this bill seeks to modify the supervisory arrangements and licensure criteria for physician assistants (PAs) in North Carolina, emphasizing a team-based practice model. It defines team-based settings as those with active participation from licensed physicians in health service design, excluding pain management specialists. For team-based practice, PAs must have over 4,000 hours of clinical experience, with 1,000 in a specific specialty under a physician. PAs are expected to collaborate with health care teams according to patients’ needs. The bill also details the scope of practice for PAs, including prescribing, ordering medical interventions, and authenticating documents within established guidelines. It removes certain supervisory requirements in team-based settings, while maintaining mandatory physician supervision in perioperative contexts. The North Carolina Medical Board is tasked with adopting necessary permanent rules, with implementation effective by June 30, 2026, or when these rules are adopted, whichever is sooner.

Of the three sponsors of this bill, Amy S. Galey proposed the most bills (26) during the 2025 regular session.

Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.

You can read more about the bills and other measures here.

Hollo graduated from Southern Illinois University, Edwardsville in 1980 with a BS.

Hollo, a Republican, was elected to the North Carolina State Senate in 2025 to represent the state’s 45th Senate district, replacing previous state senator H. Dean Proctor.