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HF 300

A bill for an act enacting the physician assistant licensure compact.

2025-2026 Regular Session

The Physician Assistant Licensure Compact allows PAs with qualifying licenses to practice in other participating states via a compact privilege, expanding cross-state access while

Signed by Governor.
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Bill Summary · HF 300

Summary — HF 300: Physician Assistant Licensure Compact

Status: Signed by Governor (May 27, 2025)
Introduced: February 10, 2025
Chamber action: Passed House (Mar 10, 2025) 88–0; Passed Senate (Mar 26, 2025) 47–0; Enrolled and sent to Governor (May 19, 2025).

Purpose

HF 300 enacts the Physician Assistant Licensure Compact to improve patient access to medical services by enhancing interstate portability of physician assistant (PA) practice privileges while preserving state licensing boards’ authority to license, investigate, and discipline licensees. The compact facilitates practice across participating states through a “compact privilege” rather than requiring full licensure in each state.

Key provisions

  • Compact privilege: A PA holding a qualifying, unrestricted license in a participating state may obtain authorization (a compact privilege) to practice in other participating states where the patient is located, subject to the remote state’s laws and regulations.
  • Minimum participation requirements for states:
    • Must license PAs and investigate complaints.
    • Participate in the compact commission’s data system.
    • Fully implement criminal background checks (timeframe set by commission rules).
    • Use passage of a recognized national exam (e.g., NCCPA PANCE) as a licensure requirement.
    • Grant compact privileges to qualifying license holders.
  • Qualifying license requirements (examples from text):
    • Graduation from an accredited PA program (ARC‑PA) or program recognized by the commission.
    • Current NCCPA certification.
    • No felony convictions (text truncated but compact imposes criminal history standards).
  • State enforcement and discipline:
    • Participating state boards retain jurisdiction and may take adverse action against either a state license or a compact privilege.
    • Adverse actions and significant investigative information must be reported to the commission’s data system.
    • If a qualifying license is disciplined, the PA’s compact privileges in all remote states are deactivated until two years after all restrictions are removed; disciplinary orders must state this deactivation.
    • States may share investigative materials and conduct joint investigations; may base action on factual findings of another state following their own procedures.
    • States may recover investigation/disposition costs where permitted by state law.
  • Compact commission:
    • Establishes a national administrative body (Physician Assistant Licensure Compact Commission) to administer the compact, run a data system, adopt rules, set bylaws, and manage finances.
    • The commission is an interstate instrumentality; the compact becomes effective once adopted by the seventh state.
  • Military families: Compact includes provisions to ease portability burdens for active-duty service members and their spouses by allowing compact privileges based on an unrestricted license in good standing from a participating state.

Who is affected

  • Physician assistants (seeking greater interstate practice mobility, including telehealth).
  • State licensing boards (new data-sharing and reporting duties; retained disciplinary authority).
  • Patients (practice governed by laws of the state where the patient is located).
  • Employers and health systems relying on cross‑state PA services.
  • Military service members and spouses (reduced licensing burden).

Procedural / timeline notes

  • HF 300 was enacted into law on May 27, 2025.
  • The compact’s operational commencement depends on adoption by additional states; the compact becomes effective when the seventh state enacts it.
  • The commission will set many operational details (rules, timeline for criminal background check implementation, data system standards) after the compact is in effect.

Potential impacts (summary)

  • Likely to increase access to PA-provided care across state lines and facilitate telehealth and workforce mobility.
  • Streamlines multi‑state practice for qualifying PAs but imposes uniform minimum standards (exam, certification, background checks) and reporting obligations.
  • Maintains state-level disciplinary authority and expands interstate data-sharing and joint enforcement mechanisms.

Compiled from official sources — confirm details with the bill’s official record.

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