North Carolina lawmakers have enacted House Bill 67 (Session Law 2025-37), allowing foreign-trained doctors to obtain full medical licensure in the state without completing U.S. training, passing the United States Medical Licensing Examination (USMLE), or obtaining board certification. The law permits immediate licensure upon employment for physicians who graduated from medical schools listed in the World Directory of Medical Schools and are vetted by the World Health Organization. This legislation has been sponsored and supported by several North Carolina Republicans, including Tim Reeder and Campbell, and has drawn criticism for prioritizing cheaper foreign labor from countries such as China, Iran, Syria, Pakistan, Bangladesh, and Yemen over American-trained physicians. Critics argue the law devalues the extensive education and training of U.S. medical professionals, depresses wages for doctors, physician assistants, and nurses, and may compromise patient safety, especially in rural and underserved communities. The North Carolina Hospital Association and Blue Cross Blue Shield have been implicated in supporting the bill, with Blue Cross having purchased 55 rural healthcare clinics prior to the law's passage. Opponents contend that the law benefits hospitals and insurers financially by replacing $300,000 to $400,000 American doctors with foreign doctors earning significantly less, while patients face increased risks and higher insurance costs. The law has sparked calls for judicial review and political action, including the formation of a political action committee targeting lawmakers who supported the bill, as well as discussions about federal intervention to protect healthcare standards in North Carolina.