NC S190

Establishes North Carolina's participation in the PA Licensure Compact, allowing physician assistants with a qualifying license in one participating state to practice in other participating states through a "Compact Privilege" without obtaining additional full licenses

Requires PAs seeking Compact Privilege to graduate from an accredited PA program, hold current NCCPA certification, have no felony or misdemeanor convictions, and have no license revocations or controlled substance license suspensions

Creates the PA Licensure Compact Commission as a joint government agency with one delegate per participating state to administer the compact, promulgate rules, maintain a data system for licensure information and adverse actions, and enforce compliance

Sets initial PA licensure/privilege fee at $230 and annual registration fee at $140, with the NC Medical Board authorized to implement the compact and appoint a delegate to the Commission

Takes effect nine months after becoming law, with the compact becoming operational once seven states have enacted it