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Bill

SB 1609

Relating to the physician assistant licensure compact; authorizing a fee.

89th Legislature (2025) Introduced by Angela Paxton

Texas would join the Physician Assistant Licensure Compact, allowing PAs to practice across multiple states under one license while authorizing related administrative fees.

Referred to Business & Commerce
#civilremedies&liabilities(i0065) #occupationalregulation--healthoccupations(i0540) #palicensurecompactcommission(vd7nf) #physicianassistantboard #texas(v0909) #physicianassistants(s0081)
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Bill Summary · SB 1609

Legislative bill overview

SB 1609 establishes Texas's participation in the Physician Assistant Licensure Compact, a multi-state agreement that allows physician assistants to practice across participating states under a single compact license. The bill authorizes the Texas Medical Board to collect fees associated with administering the compact framework.

Why is this important

This compact would allow PAs to work across state lines more easily, potentially addressing healthcare workforce shortages in border regions and rural areas. It could reduce licensing costs and administrative burdens for PAs while expanding patient access to care in multiple states without requiring separate state licenses.

Potential points of contention

  • Interstate regulatory concerns: Questions about whether Texas maintains adequate oversight of PAs licensed through the compact versus traditional single-state licensing
  • Fee structure and cost impact: Uncertainty about what fees will be charged and whether they represent savings or additional costs for physician assistants
  • Scope of practice variation: Different states have different PA scope-of-practice rules; the compact must clarify which state's regulations apply when a PA works across borders
  • Quality assurance mechanisms: Concerns about disciplinary coordination and enforcement if a PA licensed through the compact violates regulations in one state

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

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