Enacts GS 93B-15.3, directing the occupational licensing board or a State agency licensing board except those overseeing chiropractors, dentists, optometrists, physicians, podiatrists, veterinarians and attorney licensure, to issue a license, certification, or registration to any applicant who establishes residence in this State and satisfies nine listed conditions, including that the applicant is currently licensed, certified, or registered in Georgia, South Carolina, Tennessee, Virginia, or West Virginia in the discipline applied for in this State at the same or substantially equivalent practice level, as determined by the occupational licensing board or State agency licensing board. Requires the relevant State board to suspend an application process if a disciplinary proceeding is pending in another state until it’s resolved. Requires the relevant State board to publish its requirements for licensure, as specified, on its website. Clarifies GS 93B-15.3 effect on other agreements and alternate pathways to licensure. Provides that the scope of the license, certification, or registration authorizes practicing in the State with the same rights and privileges as an individual whose home state is North Carolina. Requires each occupational board and State agency licensing board subject to GS 93B-15.3 to submit an annual report to the Secretary of State, the Attorney General, and the specified NCGA committee on the three specified matters by October 31, beginning on October 31, 2026. Effective October 1, 2025, and applies to applications for licensure, certification, or registration received on or after that date.