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Bill

HB 1146

adopt the physician assistant licensure compact.

2026 Regular Session Introduced by Sydney Davis and 11 co-sponsors

South Dakota joins multi-state physician assistant compact allowing licensed PAs to practice across member states without separate state licenses, increasing healthcare access and provider mobility.

Signed by the Governor on 2026-03-09 H.J. 534
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Bill Summary · HB 1146

Legislative bill overview

HB 1146 would allow South Dakota to adopt the Physician Assistant Licensure Compact, an interstate agreement that enables PAs licensed in one member state to practice in other member states without obtaining separate licenses. The compact streamlines licensure procedures while maintaining state regulatory oversight through a coordinating body.

Why is this important

This compact addresses healthcare workforce mobility and access, particularly relevant in rural areas like South Dakota that may experience PA shortages. It could reduce administrative burdens and costs for PAs practicing across state lines while potentially improving patient access to care in underserved regions.

Potential points of contention

  • Regulatory control concerns: Some stakeholders may worry that ceding certain licensure functions to an interstate compact reduces South Dakota's direct regulatory authority over healthcare providers
  • Reciprocal obligations: Member states must recognize each other's licensing standards, which could create friction if South Dakota views other states' standards as less stringent
  • Implementation costs: States must fund their participation in the compact's administrative structure and coordinating body, with unclear long-term financial obligations

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

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