North Carolina




NCAPA is working to ensure PA practice laws and regulations better match current practice environments.

NCAPA is collaborating with lawmakers to file legislation during the 2023 session
in support of Optimal Team Practice, or OTP for short. Check back often for updates.

The passage of OTP legislation will ensure that North Carolina remains the best place to practice as a PA. 

OTP keeps PAs accountable for the care they provide and will keep team-based collaborative care at the center of patient care and medical decision-making. OTP occurs when healthcare professionals work together to provide quality care without burdensome administrative constraints.

Major provisions of OTP include:

Establishing a supervised career entry interval of 4,000 clinical hours upon entry into PA practice, and a training interval of 1,000 hours if a PA changes specialty.

Defining team-based settings as physician-owned practices, medical practices, and licensed health facilities.


Eliminating the legal requirement for experienced PAs to have a specific relationship with a physician when working in a team-based setting.


Requiring PAs to collaborate appropriately based on patient need, PA education and experience level, and standard of care.


Let legislators in Raleigh know you support OTP!

Simply enter your info, edit your letter, and hit send to contact your legislator in support of OTP.


Tell them why OTP matters to you and your patients. We ask you to take time to tell them a bit more about your practice area and patient population and then say why OTP matters to you.  
Talk about you. Tell your story. Discuss your experiences. Talk about your practice. Share your passion for the PA profession.
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Modernizing North Carolina’s PA practice laws can improve healthcare access in rural and underserved communities. Join me at #SupportNCPAs

It’s time that we modernize PA practice laws in North Carolina and increase patient access to healthcare. Join me at #SupportNCPAs

We can decrease healthcare costs and eliminate barriers to care in North Carolina by updating our state laws. Join me at #SupportNCPAs


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