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Bill

Bill

HB 156

Physician Assistants; interstate licensure compact, established

2026 Regular Session Introduced by Paul Lee

Alabama joins interstate compact allowing physician assistants licensed in member states to practice across state lines without individual state licensure, reducing barriers to healthcare workforce mobility.

Enacted
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Bill Summary · HB 156

Legislative bill overview

HB 156 establishes Alabama's participation in an interstate licensure compact for physician assistants, allowing PAs licensed in one compact member state to practice in other member states without obtaining separate licenses. This creates a multi-state agreement framework similar to existing compacts for nurses and other healthcare professions, streamlining credentialing and reciprocal recognition.

Why is this important

Healthcare workforce mobility directly affects patient access to care, particularly in underserved rural areas. By reducing licensing barriers, the compact could expand PA availability across state lines and reduce administrative costs for healthcare employers. However, this represents a shift toward uniform standards that may override Alabama-specific regulatory requirements.

Potential points of contention

  • Regulatory standardization concerns: Participating states must align PA practice scope, supervision requirements, and disciplinary standards—potentially requiring Alabama to adopt less restrictive rules than currently enforced
  • Patient safety oversight: Compact agreements may limit Alabama's ability to set independent standards or disciplinary actions against PAs, raising questions about consumer protection
  • Economic impact on local licensing: Reduced demand for Alabama-only PA licenses could affect state licensing fee revenue, though this is typically minimal

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

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