Senate committee substitute to the 2nd edition makes the following changes.

Section 3.

Adds submission of the application fee as one of the requirements an applicant must meet for the NC Medical Board (Board) to issue an internationally-trained physician license (License) under GS 90-12.03. Removes provisions automatically converting a License in good standing into a full license to practice medicine in the State after four years of practice in the State. Instead, authorizes a physician with a License in good standing meeting the four-year practice to apply for a full medical license. Directs the Board to grant the application if the applicant has no disciplinary actions by any state, federal or foreign regulatory agency, no pending investigations by any state, federal or foreign regulatory agency, no misdemeanor convictions in the two years preceding their application for a full license, no felony convictions, no pending misdemeanor or felony charges, and no adverse actions affecting their privileges or ability to practice. Clarifies that “misdemeanor” does not include traffic violations. Removes directive that the Board collect the number and types of inquiries from potential applicants as part of its evaluation of the implementation and potential success of a License under GS 90-12.03. Makes organizational changes.

Changes the act’s effective date from October 1, 2025, to January 1, 2026.