Yes, for U.S. licensing boards — once approved, your accommodation applies to all of your future NAVLE attempts. Canadian candidates must reapply through the National Examining Board (NEB) each time. Non-Standard Testing Conditions approvals, by contrast, only last one year and must be renewed even for U.S.-board candidates. Please note, you still need to mark on your NAVLE application that you are requesting accommodations, even if the accommodation was approved for a previous testing window.