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HB 6835

AN ACT ADOPTING THE PHYSICIAN ASSISTANT LICENSURE COMPACT.

2025 Regular Session Introduced by Saud Anwar and 6 co-sponsors

HB 6835 would adopt the Physician Assistant Licensure Compact to let PAs license-recognized in one state practice in other member states with a compact privilege.

SENATE CALENDAR NUMBER 553
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Bill Summary · HB 6835

Summary — HB 6835: AN ACT ADOPTING THE PHYSICIAN ASSISTANT LICENSURE COMPACT

Status: Senate Calendar No. 553
Introduced: January 29, 2025
Subject: Interstate compacts; physician assistants; professional licensure

Purpose

HB 6835 would adopt the Physician Assistant Licensure Compact (the Compact) for this state. The Compact is an interstate agreement designed to streamline and facilitate multi‑state practice by physician assistants (PAs) while preserving state authority to license and discipline practitioners. The intent is to increase PA mobility and access to care (including telehealth) across member states without requiring a full, separate license in each state.

Key provisions (summary of typical Compact elements)

The bill text is not included in the provided record. Based on the standard Physician Assistant Licensure Compact model, adopting the Compact generally would:

  • Create a “compact privilege” that allows a PA who holds a valid license in their Primary State of Residence (PSOR) to practice in other Compact member states without obtaining additional licenses.
  • Define eligibility requirements for the compact privilege (e.g., valid PA license in PSOR, graduation from an accredited PA program, passing NCCPA/other exams, meeting criminal background check requirements, no current disciplinary restrictions).
  • Require participating states to exchange license and disciplinary data and to report adverse actions against PAs to a centralized database.
  • Establish a Compact Commission (an interstate administrative body) to govern implementation, adopt rules, and manage shared systems (e.g., data, investigation cooperation).
  • Authorize assessment of fees to support the Commission and the operation of compact processes; specify administrative and enforcement provisions.
  • Preserve each state’s authority to investigate, take adverse action, and restrict practice within its borders.
  • Include provisions for joining, withdrawing, and amending the Compact, and for dispute resolution among member states.

Note: Exact eligibility criteria, fee structures, and administrative details depend on the specific Compact text adopted by HB 6835.

Who would be affected

  • Physician assistants: increased ability to practice across member states via the compact privilege, particularly benefiting those who practice telehealth, work in multiple states, or relocate.
  • Employers and health systems: easier onboarding and cross‑state staffing.
  • State licensing board(s): new obligations for data sharing, reporting, and cooperation with the Compact Commission.
  • Patients: potentially improved access to PA services, while disciplinary oversight remains with states.

Potential impacts

  • Increased provider mobility and access to care across state lines.
  • Administrative changes and potential costs to implement reporting systems and pay Compact fees.
  • Continued state-level discipline and consumer protection mechanisms supported by interstate information sharing.

Legislative status and timeline (selected actions)

  • 2025-01-29: Referred to Joint Committee on Public Health; public hearing 02/03/25.
  • 02/10/25 & 02/25/25: Joint favorable reports; placed on House calendar (File No. 14).
  • 05/05/25–05/06/25: Reported out of LCO; referred to Finance, Revenue and Bonding; tabled for House calendar.
  • 05/28/25: House passed; immediately transmittal to Senate.
  • 05/29/25: Favorable report in Senate; TAB for calendar; Senate Calendar No. 553.

Next steps

Pending Senate consideration and final passage. If enacted, the state would begin implementation steps required by the Compact (administrative rulemaking, database and reporting setup, and possibly budgetary actions).

If you would like, I can:
- Summarize the exact Compact text if you provide the bill language, or
- Compare the model Compact provisions to current state PA licensing statutes to identify specific statutory changes.

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

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