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Bill Summary · HB 183

Legislative bill overview

HB 183 enacts Montana's participation in the Physician Assistant Licensure Compact, an interstate agreement allowing physician assistants (PAs) licensed in one member state to practice in other member states without obtaining separate licenses in each state. The compact creates reciprocal recognition of PA licenses across participating states while maintaining individual state regulatory oversight.

Why is this important

This bill addresses healthcare workforce mobility and access, particularly in rural areas where PA shortages are acute. By reducing licensing barriers, Montana can attract PAs from other states and allow its licensed PAs to practice across state lines, potentially expanding healthcare services. The compact also reduces regulatory burden and costs for PAs seeking to practice in multiple jurisdictions.

Potential points of contention

  • Regulatory inconsistency: While the compact maintains state oversight, PAs could practice across states with varying malpractice standards, disciplinary procedures, and scope-of-practice rules, creating potential conflicts
  • Patient protection concerns: Some argue that reciprocal licensure without uniform standards may weaken accountability mechanisms or allow PAs with disciplinary histories in one state to practice in others
  • Scope creep: Critics worry the compact could lead to PAs practicing independently or beyond traditional supervision models that Montana law currently requires

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

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