A new bill filed by State Sen. Danny Earl Britt, Jr. seeks to improve licensing efficiency for physicians and assistants by modifying North Carolina Medical Board regulations, according to the North Carolina State Senate.
The bill, filed as SB 396 on March 24 during the 2025 regular session, was formally listed with the short title: ‘Medical Board Licensing Efficiency Act.’
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, the bill, titled the Medical Board Licensing Efficiency Act, seeks to modify the laws concerning the North Carolina Medical Board by introducing licensure by endorsement, allowing qualified physicians, physician assistants, and anesthesiologist assistants with active, unrestricted licenses from other U.S. jurisdictions to practice in North Carolina. Applicants must have practiced for a specified period post-training, provide proof of identity, and fulfill several criteria for good standing and legal compliance. The act also adjusts various licensing fees, with new fees for licensure by endorsement not exceeding $825 for physicians, $500 for physician assistants, and $300 for anesthesiologist assistants. Additionally, annual registration and fees for various license categories are updated. The bill authorizes the Medical Board to enforce compliance, investigate, and take action against non-compliant licensees. Temporary rules may be instituted by the board to implement these changes, which take effect Oct. 1, 2025.
A related bill, HB 480, was also filed in the North Carolina House, introduced by Rep. Grant L. Campbell, MD (and one other) on March 20, 2025.
Of the three sponsors of this bill, Amy S. Galey and Benton G. Sawrey proposed the most bills (35) 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.
Britt graduated from University of Oklahoma with a JD.
Britt, a Republican, was elected to the North Carolina State Senate in 2023 to represent the state’s 24th Senate district, replacing previous state senator Amy Galey.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Danny Earl Britt, Jr., Amy S. Galey, and Benton G. Sawrey | SB 396 | 03/24/2025 | Medical Board Licensing Efficiency Act. |
| Danny Earl Britt, Jr., Jay J. Chaudhuri, and Ralph Hise | SB 404 | 03/24/2025 | RIC FLAIR Act. |
| Danny Earl Britt, Jr., Buck Newton, and Warren Daniel | SB 429 | 03/24/2025 | 2025 Public Safety Act. |
| Danny Earl Britt, Jr., Buck Newton, and Warren Daniel | SB 355 | 03/20/2025 | Support the Dept. of Adult Correction.-AB |
| Danny Earl Britt, Jr., Jim Burgin, and W. Ted Alexander | SB 361 | 03/20/2025 | Protecting First Responders Act. |
| Danny Earl Britt, Jr., Brad Overcash, and Michael A. Lazzara | SB 321 | 03/18/2025 | Accounting Workforce Development Act. |
| Danny Earl Britt, Jr. | SB 322 | 03/18/2025 | Utility Worker Protection Act. |
| Danny Earl Britt, Jr., Buck Newton, and Warren Daniel | SB 310 | 03/17/2025 | Religious Property – Tax Exemption. |
| Danny Earl Britt, Jr., Dan Blue, and David W. Craven, Jr. | SB 311 | 03/17/2025 | Utility Worker Protection Act. |
| Danny Earl Britt, Jr., Dana Jones, and David W. Craven, Jr. | SB 312 | 03/17/2025 | The Stars and Stripes Commitment Act. |
| Danny Earl Britt, Jr., Eddie D. Settle, and Todd Johnson | SB 268 | 03/12/2025 | Amend NC PEO Act.-AB |
| Danny Earl Britt, Jr., Eddie D. Settle, and Todd Johnson | SB 269 | 03/12/2025 | Insurance Guaranty Association Act Revisions.-AB |
| Danny Earl Britt, Jr., Eddie D. Settle, and Todd Johnson | SB 270 | 03/12/2025 | Credit Property Insurance Restrictions.-AB |
| Danny Earl Britt, Jr., Eddie D. Settle, and Todd Johnson | SB 271 | 03/12/2025 | Permitted Trade Practices/Insurance Rebates.-AB |
| Danny Earl Britt, Jr., Michael A. Lazzara, and Todd Johnson | SB 265 | 03/11/2025 | Protecting Our Community Act. |
| Danny Earl Britt, Jr., Timothy D. Moffitt, and Warren Daniel | SB 266 | 03/11/2025 | Historic Flood Event Bldg. Code Exemption. |
| Danny Earl Britt, Jr., Buck Newton, and Warren Daniel | SB 254 | 03/10/2025 | Establish Offense for Poss. of Explosive. |
| Danny Earl Britt, Jr., Amy S. Galey, and Vickie Sawyer | SB 250 | 03/06/2025 | Celebrate America’s 250th-Let Freedom Ring!. |
| Danny Earl Britt, Jr., Bill Rabon, and Tom McInnis | SB 220 | 02/27/2025 | Protect Private Property Rights.-AB |
| Danny Earl Britt, Jr. | SB 127 | 02/21/2025 | Lower Taxes for Scotland County. |
| Danny Earl Britt, Jr., Amy S. Galey, and Buck Newton | SB 117 | 02/18/2025 | GSC Uniform Comm. Code/Emerging Technologies. |
| Danny Earl Britt, Jr., Eddie D. Settle, and Warren Daniel | SB 50 | 02/04/2025 | Freedom to Carry NC. |
| Danny Earl Britt, Jr., Eddie D. Settle, and Todd Johnson | SB 51 | 02/04/2025 | Maintain NAIC Accreditation of DOI.-AB |
| Danny Earl Britt, Jr. | SB 52 | 02/04/2025 | 24th Senatorial District Local Act-1. |



