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Physician Assistant Licensure Compact

EngrossedSenate
Mark HolloRepublican

Ref To Com On Rules, Calendar, and Operations of the House2025-04-28

48 Yea0 Nay2025-04-15

This bill establishes a Physician Assistant Licensure Compact that allows PAs with unrestricted licenses in participating states to practice in other participating states through a 'Compact Privilege' without obtaining separate state licenses. The compact creates a national commission to coordinate PA licensure, maintain a shared data system for tracking licensing actions, and set uniform standards while allowing states to maintain their own scope-of-practice rules.

  • Supporters argue this compact increases access to medical services by allowing PAs to practice across state lines more easily, reducing administrative burdens and costs for healthcare providers and practitioners.
  • It particularly benefits military families, since active-duty personnel and their spouses can obtain privileges based on licenses from other participating states.
  • The compact creates a more efficient national system for tracking disciplinary actions and qualifications while still preserving each state's ability to regulate scope of practice and impose discipline.
  • Opponents may be concerned that allowing PAs to practice across state lines reduces states' ability to maintain their own regulatory standards and oversight of healthcare providers practicing within their borders.
  • Some worry the compact could weaken individual state accountability and consumer protections, and that a national commission system creates additional bureaucratic complexity.
  • There are also questions about whether the uniform requirements in the compact might override states' specific healthcare policies or scope-of-practice definitions.

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