{"data":{"id":"us-nc/n.c.-gen.-stat.-90-18.1","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 90-18.1","heading":"(Effective until contingency met - see note) Limitations on physician assistants.","body":"(a)\tAny person who is licensed under the provisions of G.S. 90-9.3 to perform medical acts, tasks, and functions as a physician assistant may use the title \"physician assistant\" or \"PA.\" Any other person who uses the title in any form or holds out to be a physician assistant or to be so licensed, shall be deemed to be in violation of this Article.\n(b)\tPhysician assistants are authorized to write prescriptions for drugs under the following conditions:\n(1)\tThe North Carolina Medical Board has adopted regulations governing the approval of individual physician assistants to write prescriptions with such limitations as the Board may determine to be in the best interest of patient health and safety.\n(2)\tThe physician assistant holds a current license issued by the Board.\n(3)\tRepealed by Session Laws 2019-191, s. 35, effective October 1, 2019.\n(4)\tThe supervising physician has provided to the physician assistant written instructions about indications and contraindications for prescribing drugs and a written policy for periodic review by the physician of the drugs prescribed.\n(5)\tA physician assistant shall personally consult with the supervising physician prior to prescribing a targeted controlled substance as defined in Article 5 of this Chapter when all of the following conditions apply:\na.\tThe patient is being treated by a facility that primarily engages in the treatment of pain by prescribing narcotic medications.\nb.\tThe therapeutic use of the targeted controlled substance will or is expected to exceed a period of 30 days.\nWhen a targeted controlled substance prescribed in accordance with this subdivision is continuously prescribed to the same patient, the physician assistant shall consult with the supervising physician at least once every 90 days to verify that the prescription remains medically appropriate for the patient.\n(c)\tPhysician assistants are authorized to compound and dispense drugs under the following conditions:\n(1)\tThe function is performed under the supervision of a licensed pharmacist.\n(2)\tRules and regulations of the North Carolina Board of Pharmacy governing this function are complied with.\n(3)\tThe physician assistant holds a current license issued by the Board.\n(d)\tPhysician assistants are authorized to order medications, tests and treatments in hospitals, clinics, nursing homes, and other health facilities under the following conditions:\n(1)\tThe North Carolina Medical Board has adopted regulations governing the approval of individual physician assistants to order medications, tests, and treatments with such limitations as the Board may determine to be in the best interest of patient health and safety.\n(2)\tThe physician assistant holds a current license issued by the Board.\n(3)\tThe supervising physician has provided to the physician assistant written instructions about ordering medications, tests, and treatments, and when appropriate, specific oral or written instructions for an individual patient, with provision for review by the physician of the order within a reasonable time, as determined by the Board, after the medication, test, or treatment is ordered.\n(4)\tThe hospital or other health facility has adopted a written policy about ordering medications, tests, and treatments, including procedures for verification of the physician assistants' orders by nurses and other facility employees and such other procedures as are in the interest of patient health and safety.\n(e)\tAny prescription written by a physician assistant or order given by a physician assistant for medications, tests, or treatments shall be deemed to have been authorized by the physician approved by the Board as the supervisor of the physician assistant and the supervising physician shall be responsible for authorizing the prescription or order.\n(e1)\tAny medical certification completed by a physician assistant for a death certificate shall be deemed to have been authorized by the physician approved by the Board as the supervisor of the physician assistant, and the supervising physician shall be responsible for authorizing the completion of the medical certification.\n(f)\tAny registered nurse or licensed practical nurse who receives an order from a physician assistant for medications, tests, or treatments is authorized to perform that order in the same manner as if it were received from a licensed physician.\n(g)\tAny person who is licensed under G.S. 90-9.3 to perform medical acts, tasks, and functions as a physician assistant shall comply with each of the following:\n(1)\tMaintain a current and active license to practice in this State.\n(2)\tMaintain an active registration with the Board.\n(3)\tHave a current Intent to Practice form filed with the Board.\n(h)\tA physician assistant serving active duty in the Armed Forces of the United States is exempt from the requirements of subdivision (g)(3) of this section.\n(i)\tA physician assistant's license shall become inactive any time the holder fails to comply with the requirements of subsection (g) of this section. A physician assistant with an inactive license shall not practice medical acts, tasks, or functions. The Board shall retain jurisdiction over the holder of the inactive license. (1975, c. 627; 1977, c. 904, s. 1; 1977, 2nd Sess., c. 1194, s. 1; 1995, c. 94, s. 20; 1997-511, s. 5; 2007-346, ss. 24, 25; 2011-183, s. 56; 2011-197, s. 1; 2017-74, s. 4; 2019-191, s. 35; 2021-70, s. 1(a).)","path":["Chapter 90. Medicine and Allied Occupations.","Article 1. Practice of Medicine."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_90/GS_90-18.1.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:12:48Z","sha256":"aaee9660891994154c46f26307202645d166a5e0886c091650589cb8645bc706","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-90-18","next":"us-nc/n.c.-gen.-stat.-90-18.1--2"},"notice":"GroundRules: Original legal text. Not legal advice."}