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S 1608

An Act relative to physician assistant interstate compact

194th Legislature (2025-2026) Introduced by Barry Finegold and 5 co-sponsors

Massachusetts joins interstate compact allowing licensed physician assistants to practice across multiple states without separate state licenses while following each state's specific practice rules.

Accompanied a study order, see S2972
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Bill Summary · S 1608

Legislative bill overview

S 1608 would authorize Massachusetts to join the Physician Assistant Interstate Compact, a multi-state agreement that streamlines licensure and practice standards for physician assistants across participating states. The compact allows PAs licensed in one member state to practice in other member states without obtaining separate state licenses, though they must still comply with each state's scope of practice laws.

Why is this important

This bill addresses healthcare workforce mobility and access to care, particularly in rural or underserved areas where PA shortages exist. By reducing licensing barriers, the compact could increase physician assistant availability across state lines and reduce administrative burden on healthcare providers operating in multiple states. However, it involves surrendering some degree of Massachusetts' independent regulatory authority over healthcare practitioners.

Potential points of contention

  • Regulatory autonomy: Massachusetts would cede some control over PA licensing standards and discipline to an interstate compact structure, potentially limiting the state's ability to impose stricter requirements than other member states
  • Consumer protection variation: PAs could practice under different oversight standards depending on which compact states they're licensed in, creating potential inconsistency in patient protections and complaint resolution processes
  • Scope of practice differences: The compact allows practice under each state's individual scope rules, but conflicts or gaps between state regulations could create confusion about which rules apply and complicate enforcement

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

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