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A 4328

Relates to budget planning

2025 Regular Session Introduced by Jeffrey Dinowitz

NJ joins Interstate PA Licensure Compact, letting PAs practice in other member states via a compact privilege, boosting mobility, telehealth access, and reducing licensure burdens.

REFERRED TO CONSUMER AFFAIRS AND PROTECTION
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Bill Summary · A 4328

Bill Summary — A4328 (1R)

Title: Enters New Jersey into the Interstate Physician Assistant Licensure Compact
Introduced: May 10, 2024 — Primary sponsor: Assemblyman Jeffrey Dinowitz

Summary / Purpose

A4328 would enact New Jersey’s participation in the Interstate Physician Assistant (PA) Licensure Compact. The compact enables licensed PAs who reside in one participating state to obtain a “compact privilege” to practice in other participating states without holding multiple state licenses. The stated aims are to improve portability of PA credentials, increase access to medical services (including telehealth), and reduce licensure burdens for active-duty military personnel and their spouses.

Key provisions

  • New Jersey enacts the PA Licensure Compact as laid out in the model compact text.
  • Establishes the PA Licensure Compact Commission (the Commission) as the compact’s national administrative body with powers to:
    • Adopt bylaws and rules, hire staff, contract and accept grants/donations, manage property, set a budget, and assess fees.
    • Administer a multi-state Data System for license status, adverse actions, and investigative information.
  • Participating-state obligations include:
    • Licensing PAs, participating in the Commission’s Data System, receiving/investigating complaints, notifying the Commission of adverse actions and significant investigative information, fully implementing criminal background checks, and complying with Commission rules.
  • Compact privilege eligibility (selected criteria):
    • Hold a “Qualifying License” (unrestricted) from a participating state.
    • Graduation from an ARC‑PA‑accredited PA program (or as provided by rule) and current NCCPA certification.
    • No felony/misdemeanor conviction and no prior suspension/revocation of controlled-substance registration.
    • Meet remote-state jurisprudence requirements and obtain a unique identifier as determined by rule.
  • States may charge fees for issuing compact privileges; Commission may assess annual fees to member states and applicants to fund operations.

Who is affected

  • Physician assistants (in-state and out-of-state) seeking to practice in New Jersey or New Jersey PAs seeking to practice in other compact states.
  • New Jersey’s Physician Assistant Advisory Committee and State Board of Medical Examiners (administration, regulation, discipline).
  • Patients and health-care employers potentially benefiting from greater workforce mobility.

Fiscal and operational impacts

  • Office of Legislative Services (OLS) finds annual State expenditures will increase by an indeterminate amount and State revenues may decrease by an indeterminate amount.
    • New costs include aligning New Jersey’s licensure data system with the Commission’s Data System and administering/disciplining additional out‑of‑state PAs practicing under compact privileges.
    • Revenue impacts depend on whether PAs relinquish NJ licenses in favor of compact privileges and on fee levels set for compact privileges; applicant fees could offset some costs.
  • Compact activated July 2024; the Commission was not expected to begin accepting compact-privilege applications until early 2026 (per fiscal note).

Legislative status & timeline (selected)

  • Introduced in Assembly: 5/10/2024; Assembly Regulated Professions Committee reported with amendments: 10/24/2024.
  • Passed Assembly: 12/19/2024 (71–0–0).
  • Received in Senate: 1/14/2025; reported by Senate Health Committee: 5/19/2025.
  • Referred/recommitted to Senate Budget & Appropriations and later reported: actions through 11/13/2025.
  • Administrative referral: Referred to Consumer Affairs and Protection (listed 2/4/2025).

Other notes

  • Committee amendments were described as technical.
  • As of publication dates in the record, a growing number of states had enacted the compact (13 states as of Nov. 1, 2024; additional states listed as of May 2025).
  • Companion bills: S3560 and S3224; related prior-session bill A7892.

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

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