{"id":9195,"date":"2025-06-05T18:21:37","date_gmt":"2025-06-05T18:21:37","guid":{"rendered":"https:\/\/www.vivian.com\/community\/?p=9195"},"modified":"2025-06-05T18:24:13","modified_gmt":"2025-06-05T18:24:13","slug":"the-physician-assistant-licensure-compact","status":"publish","type":"post","link":"https:\/\/www.vivian.com\/community\/allied-health\/the-physician-assistant-licensure-compact\/","title":{"rendered":"The Physician Assistant Licensure Compact and What It Means for PAs"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The Physician Assistant Licensure Compact (PA Compact) promises a game-changing shortcut that allows PAs to obtain one multistate license and practice in other member states without obtaining multiple single-state licenses as they\u2019ve done in the past.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Compact licensure isn\u2019t new to registered nurses (RNs) and licensed practical\/vocational nurses (LPN\/LVNs), who\u2019ve benefited from the <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/nurse-licensure-compact-states\/\"><span style=\"font-weight: 400;\">Nurse Licensure Compact<\/span><\/a><span style=\"font-weight: 400;\"> for the last 25 years. Advanced practice providers haven\u2019t had the privilege yet. The <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/compare-enlc-and-aprn-licensure-compacts\/\"><span style=\"font-weight: 400;\">Advanced Practice RN Compact<\/span><\/a><span style=\"font-weight: 400;\"> only has 4 of the required 7 states needed to put it into effect. However, the PA Compact reached the 7-state threshold in May 2024, with Compact privileges projected to begin in early 2026.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Below you\u2019ll find everything you need to know about the PA Licensure Compact, including who\u2019s eligible, which states have joined, how long full rollout will take and the steps you can start today to stay ahead of the curve. Keep reading to see how this new framework could <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/physician-assistant-employment-forecast\/\"><span style=\"font-weight: 400;\">expand your PA career options<\/span><\/a><span style=\"font-weight: 400;\"> and improve patient access nationwide.<\/span><\/p>\n<h3><b>What\u2019s the Physician Assistant Licensure Compact?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The PA Compact is an interstate occupational licensure compact among member states that mutually recognize a PA\u2019s license issued by their home state, eliminating duplicate licenses. Under the Compact, eligible physician assistants, also recognized as physician associates, can apply for a Compact privilege in each member state where they want to provide services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This agreement will help improve access to healthcare for patients and ease healthcare provider shortages while giving PAs more freedom to practice in multiple states, expanding their career opportunities. A Compact privilege will be especially helpful for PAs who provide telehealth to patients residing in a state different than their own.<\/span><\/p>\n<h3><b>Why the PA Compact Matters<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Healthcare\u2019s evolving fast and staying licensed everywhere you\u2019re needed shouldn\u2019t slow you down. The PA Compact tackles today\u2019s biggest mobility pain points so you can focus on patients rather than paperwork. The following table demonstrates how the Compact helps with various challenges.<\/span><\/p>\n<table>\n<tbody valign=\"TOP\">\n<tr>\n<th style=\"text-align: left;\"><b>Challenge<\/b><\/th>\n<th style=\"text-align: left;\"><b>How the Compact Helps<\/b><\/th>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Growing demand for PA services across state lines<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Easily apply for practice privileges, so PAs can respond where they\u2019re needed most<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Slow endorsement processes<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">PAs submit a single application to the Compact Commission to gain practice privileges in each member state they intend to practice<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Inconsistent disciplinary data sharing<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Central data system safeguards patients and flags adverse actions<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Telehealth growth<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Clarifies jurisdiction (patient\u2019s location) while speeding credentialing<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>Eligibility Checklist for PAs<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Before you can leverage the PA Compact for seamless multistate practice, you must satisfy every eligibility safeguard the Commission sets. These standards protect patients, uphold professional credibility and support qualified PAs on their career journeys. To qualify for and request a compact privilege, you must meet the following requirements:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hold an active, unencumbered PA license issued by a Compact member state (Qualifying License)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Graduate from an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)-accredited program or another program specifically authorized by the Commission<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintain current <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/pance-nccpa\/\"><span style=\"font-weight: 600;\">National Commission on Certification of Physician Assistants (NCCPA) certification<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a clean criminal record without any felony or relevant misdemeanor convictions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have never had a suspension or revocation of a controlled substance license or permit<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Possess a unique identifier assigned by the Commission<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep every state license or Compact privilege clear of limitations or restrictions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Satisfy the jurisprudence requirements of each state that issues a Compact privilege\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pay any state-specific fees where a Compact privilege is being sought<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Report any adverse action taken by any state that\u2019s not a Compact member to the PA Licensure Compact Commission within 30 days of the action being taken<\/span><\/li>\n<\/ul>\n<p><b>Pro tip:<\/b><span style=\"font-weight: 400;\"> Keep your NCCPA certification and state license renewal deadlines in sync. A lapse in either will deactivate every Compact privilege until you\u2019re current again.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Also, don\u2019t forget that you must follow any prescriptive-authority rules and physician supervision requirements in the state of practice, which is the state where the patient lives, if you\u2019re providing remote or telehealth care.<\/span><\/p>\n<h3><b>How the Compact Works<\/b><\/h3>\n<ol style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hold a Qualifying License:<\/b><span style=\"font-weight: 400;\"> The state where you have your primary residence and already hold an unencumbered PA license must be a Compact state. This license becomes your Qualifying License.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Apply once to the Commission:<\/b><span style=\"font-weight: 400;\"> Submit identity documentation, background check and attestations through the central data system for verification and approval.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Select remote states:<\/b><span style=\"font-weight: 400;\"> Choose member states where you plan to practice and pay the Commission fee plus any remote-state privilege fees.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Follow local scope rules:<\/b><span style=\"font-weight: 400;\"> In each remote state, you must adhere to that state\u2019s PA practice act, supervision requirements and any unique prescriptive rules, which can vary by state.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Keep everything current:<\/b><span style=\"font-weight: 400;\"> Expiration or discipline of your QL automatically suspends every practice privilege until resolved.<\/span><\/li>\n<\/ol>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9198 size-full\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior2.jpg\" alt=\"PA Compact Timeline\" width=\"1200\" height=\"630\" srcset=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior2.jpg 1200w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior2-300x158.jpg 300w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior2-768x403.jpg 768w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior2-705x370.jpg 705w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/h3>\n<h3><b>Compact Timeline at a Glance<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Expect roughly 18 to 24 months from the activation threshold (April 2024) until you can actually request a Compact privilege. The following table provides an overview of what\u2019s already occurred and what\u2019s still on the horizon.<\/span><\/p>\n<table>\n<tbody valign=\"TOP\">\n<tr>\n<th style=\"text-align: left;\"><b>Phase<\/b><\/th>\n<th style=\"text-align: left;\"><b>Key Actions<\/b><\/th>\n<th style=\"text-align: left;\"><b>Estimated Window<\/b><\/th>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><b>Commission Formed<\/b><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Member states appoint commissioners, elect an executive committee and adopt bylaws<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Completed Sept 2024<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><b>Create Rules &amp; <\/b><a href=\"https:\/\/www.pacompact.org\/siteassets\/pa-licensure-compact\/pdf\/bylaws.pdf\" rel=\"noopener\"><b>Bylaws<\/b><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Draft, debate and adopt foundational rules (e.g., rulemaking, qualifying-license process)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Initial Bylaws adopted 9\/24\/24\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><b>Build Data &amp; Reporting System<\/b><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Select a vendor and develop the platform, then onboard state boards to a shared platform that verifies licensure status and disciplinary history<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">12\u201318 months from commission launch<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><b>Open Privilege Applications<\/b><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">PAs apply for Compact privileges in member states and the Commission verifies eligibility and issues privileges accordingly<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Target: Early 2026\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>Current PA Compact Member States<\/b><\/h3>\n<p><iframe id=\"datawrapper-chart-P4gDj\" style=\"width: 0; min-width: 100% !important; border: none;\" title=\"\" src=\"https:\/\/datawrapper.dwcdn.net\/P4gDj\/101\/\" height=\"437\" frameborder=\"0\" scrolling=\"no\" aria-label=\"Map\" data-external=\"1\"><\/iframe><script type=\"text\/javascript\">!function(){\"use strict\";window.addEventListener(\"message\",(function(a){if(void 0!==a.data[\"datawrapper-height\"]){var e=document.querySelectorAll(\"iframe\");for(var t in a.data[\"datawrapper-height\"])for(var r,i=0;r=e[i];i++)if(r.contentWindow===a.source){var d=a.data[\"datawrapper-height\"]\n[t]+\"px\";r.style.height=d}}}))}();<\/script><\/p>\n<p><span style=\"font-weight: 400;\">More states have joined the PA Compact since the first 7 enacted legislation to activate the Compact and more could join by the time applications for Compact privilege open in 2026. As of May 29, 2025, the following <\/span><b>17 states<\/b><span style=\"font-weight: 400;\"> have enacted the PA Compact:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\">Arkansas (<a href=\"https:\/\/arkleg.state.ar.us\/Home\/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2FACT300.pdf\" rel=\"noopener\"><span style=\"font-weight: 600;\">ACT 300<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Colorado (<a href=\"https:\/\/leg.colorado.gov\/bills\/sb24-018\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 24-018<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delaware (<\/span><a href=\"https:\/\/legis.delaware.gov\/BillDetail?LegislationId=130336\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 116<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Iowa (<\/span><a href=\"https:\/\/www.legis.iowa.gov\/legislation\/billTracking\/billHistory?billName=HSB%2087&amp;ga=91\" rel=\"noopener\"><span style=\"font-weight: 600;\">HSB 87<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/www.legis.iowa.gov\/legislation\/BillBook?ga=91&amp;ba=SSB1052\" rel=\"noopener\"><span style=\"font-weight: 600;\">SSB 1052<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kansas (<\/span><a href=\"https:\/\/www.kslegislature.gov\/li\/b2025_26\/measures\/hb2069\/\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 2069<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maine (<\/span><a href=\"https:\/\/legislature.maine.gov\/LawMakerWeb\/summary.asp?ID=280091371\" rel=\"noopener\"><span style=\"font-weight: 600;\">LD 2043<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minnesota (<\/span><a href=\"https:\/\/www.revisor.mn.gov\/bills\/bill.php?f=HF5247&amp;b=house&amp;y=2024&amp;ssn=0\" rel=\"noopener\"><span style=\"font-weight: 600;\">HF 5247<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Montana (<\/span><a href=\"https:\/\/bills.legmt.gov\/#\/laws\/bill\/2\/LC2876?open_tab=sum\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 183<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nebraska (<\/span><a href=\"https:\/\/nebraskalegislature.gov\/FloorDocs\/108\/PDF\/Intro\/LB823.pdf\" rel=\"noopener\"><span style=\"font-weight: 600;\">LB 823<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/nebraskalegislature.gov\/FloorDocs\/108\/PDF\/Intro\/LB1215.pdf\" rel=\"noopener\"><span style=\"font-weight: 600;\">LB 1215<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ohio (<\/span><a href=\"https:\/\/www.legislature.ohio.gov\/legislation\/135\/sb28\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 28<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oklahoma (<\/span><a href=\"http:\/\/www.oklegislature.gov\/BillInfo.aspx?Bill=SB1654&amp;Session=2400\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 1654<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"http:\/\/www.oklegislature.gov\/BillInfo.aspx?Bill=HB3781&amp;Session=2400\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 3781<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tennessee (<\/span><a href=\"https:\/\/wapp.capitol.tn.gov\/apps\/BillInfo\/Default.aspx?BillNumber=SB1727&amp;GA=113\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 1727<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/wapp.capitol.tn.gov\/apps\/BillInfo\/Default.aspx?BillNumber=HB1862&amp;GA=113\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 1862<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Utah (<\/span><a href=\"https:\/\/le.utah.gov\/~2023\/bills\/static\/SB0035.html\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 35<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Virginia (<\/span><a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?241+sum+HB324\" rel=\"noopener\"><span style=\"font-weight: 400;\">HB 324<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Washington (<\/span><a href=\"https:\/\/app.leg.wa.gov\/billsummary?BillNumber=5815&amp;Year=2023\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 5815<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/app.leg.wa.gov\/billsummary?BillNumber=1917&amp;Year=2023\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 1917<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">West Virginia (<\/span><a href=\"https:\/\/www.wvlegislature.gov\/bill_status\/bills_history.cfm?input=667&amp;year=2024&amp;sessiontype=rs&amp;btype=bill\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 667<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wisconsin (<\/span><a href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/sb400\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 400<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/reg\/asm\/bill\/ab410\" rel=\"noopener\"><span style=\"font-weight: 600;\">AB 410<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In 2025, the following 10 states had active bills introducing legislation to join the Compact<\/span><b>:<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Connecticut (<\/span><a href=\"https:\/\/www.cga.ct.gov\/asp\/cgabillstatus\/cgabillstatus.asp?selBillType=Bill&amp;bill_num=HB6835&amp;which_year=2025\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 6835<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Illinois (<\/span><a href=\"https:\/\/beta.ilga.gov\/Legislation\/BillStatus?DocNum=209&amp;GAID=18&amp;DocTypeID=SB&amp;LegId=157476&amp;SessionID=114\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 209<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Massachusetts (<\/span><a href=\"https:\/\/malegislature.gov\/Bills\/194\/HD2345\" rel=\"noopener\"><span style=\"font-weight: 600;\">HD 2531<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/malegislature.gov\/Bills\/194\/SD534\" rel=\"noopener\"><span style=\"font-weight: 600;\">SD 1608<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Michigan (<\/span><a href=\"https:\/\/www.legislature.mi.gov\/Bills\/Bill?ObjectName=2025-HB-4309\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 4309<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nevada (<\/span><a href=\"https:\/\/www.leg.state.nv.us\/App\/NELIS\/REL\/83rd2025\/Bill\/11805\/Overview\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 34<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New Jersey (<\/span><a href=\"https:\/\/www.njleg.state.nj.us\/bill-search\/2024\/A4328\" rel=\"noopener\"><span style=\"font-weight: 600;\">A 4328<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/www.njleg.state.nj.us\/bill-search\/2024\/S3560\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 3560<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">New York (<\/span><a href=\"https:\/\/www.nysenate.gov\/legislation\/bills\/2025\/S4933\" rel=\"noopener\"><span style=\"font-weight: 600;\">S4933<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">North Carolina (<\/span><a href=\"https:\/\/www.ncleg.gov\/BillLookUp\/2025\/S190\" rel=\"noopener\"><span style=\"font-weight: 600;\">S190<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oregon (<\/span><a href=\"https:\/\/olis.oregonlegislature.gov\/liz\/2025R1\/Measures\/Overview\/HB3060\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 3060<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Texas (<\/span><a href=\"https:\/\/capitol.texas.gov\/BillLookup\/History.aspx?LegSess=89R&amp;Bill=HB1731\" rel=\"noopener\"><span style=\"font-weight: 600;\">HB 1731<\/span><\/a><span style=\"font-weight: 400;\"> \/ <\/span><a href=\"https:\/\/capitol.texas.gov\/BillLookup\/History.aspx?LegSess=89R&amp;Bill=SB1609\" rel=\"noopener\"><span style=\"font-weight: 600;\">SB 1609<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<h3><b>Benefits for PAs, Employers and Patients<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The PA Licensure Compact creates distinct advantages across healthcare, from the provider to the health system to the patients. It speeds credentialing, widens talent access and safeguards patients, all while lowering the administrative load on clinicians and employers alike. Here are just a few ways every link in the healthcare chain benefits.<\/span><\/p>\n<h4><b>For Physician Assistants<\/b><\/h4>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Faster onboarding for travel or <\/span><a href=\"https:\/\/www.vivian.com\/physician-assistant\/local-contract\/\"><span style=\"font-weight: 600;\">locum tenens assignments<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Expanded telehealth reach without extra red tape<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced licensing costs and fewer renewal cycles<\/span><\/li>\n<\/ul>\n<h4><b>For Health Systems &amp; Staffing Agencies<\/b><\/h4>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shorter time-to-fill for urgent coverage gaps<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Simplified compliance tracking via the Commission\u2019s data system<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Greater candidate pools spanning multiple states<\/span><\/li>\n<\/ul>\n<h4><b>For Patients<\/b><\/h4>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improved access to PA-delivered care, especially in rural or underserved regions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Better continuity when snowbirds or college students see the same PA across state lines<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Assurance that every participating board shares adverse-action data in real time<\/span><\/li>\n<\/ul>\n<h3><b>How States Join the Compact<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">States wanting to join the PA Compact must follow specific steps, some of which must be done before they introduce model legislation to their own legislative process. These requirements ensure each state meets baseline standards before it begins issuing Compact privileges. For example, states must require applicants for a PA license to pass a national exam, such as the <\/span><a href=\"https:\/\/www.vivian.com\/certifications\/pance-nccpa\/\"><span style=\"font-weight: 400;\">NCCPA\u2019s Physician Assistant National Certifying Exam<\/span><\/a><span style=\"font-weight: 400;\"> (PANCE) and complete continuing education once they\u2019re licensed. States must also fully implement and require a criminal background check for applicants.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once a state meets all the requirements to join, it must:\u00a0<\/span><\/p>\n<ol style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Introduce the <\/b><a href=\"https:\/\/www.pacompact.org\/model-legislation\/\" rel=\"noopener\"><b>model legislation<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> Lawmakers must pass legislation with the Compact language kept verbatim (substantive changes risk exclusion).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Implement an effective date and appropriations:<\/b><span style=\"font-weight: 400;\"> States set an effective date and budget for compact operations.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Appoint a commissioner:<\/b><span style=\"font-weight: 400;\"> States typically appoint a PA board member or administrator as their Compact commissioner.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">To participate in the Compact, states must also agree to grant Compact privileges to PAs holding a Qualifying License in any member state. They must also agree to comply with the Compact Commission\u2019s rules, participate in the Commission\u2019s Data Collection System and have a mechanism in place for receiving and investigating complaints against licensed PAs and those applying for a PA license. States are allowed to charge a fee to PAs for Compact privileges.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9199\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior3.jpg\" alt=\"PA Compact FAQs\" width=\"1200\" height=\"630\" srcset=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior3.jpg 1200w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior3-300x158.jpg 300w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior3-768x403.jpg 768w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Interior3-705x370.jpg 705w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<h3><b>Frequently Asked Questions About the PA Compact<\/b><b><\/b><\/h3>\n<p><b>Does the PA Compact replace individual state licenses?<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">The PA Compact doesn\u2019t replace individual state licenses. You must still hold at least one state license, which is your Qualifying License and anchors every compact privilege.<\/span><\/p>\n<p><b>Will prescriptive authority transfer automatically under the PA Compact?<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Prescriptive authority doesn\u2019t transfer automatically with a PA Compact privilege. The PA Compact only authorizes PAs to practice in member states, but they must follow each remote state&#8217;s rules on prescription authority. According to the <\/span><a href=\"https:\/\/www.ama-assn.org\/sites\/ama-assn.org\/files\/corp\/media-browser\/public\/arc-public\/state-law-physician-assistant-scope-practice.pdf\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Medical Association<\/span><\/a><span style=\"font-weight: 400;\">, 44 states authorize PAs to prescribe Schedule II-V medications, 6 states don\u2019t allow PAs to prescribe Schedule II drugs and Kentucky doesn\u2019t allow them to prescribe Legend drugs.\u00a0<\/span><\/p>\n<p><b>What happens to my PA Compact privileges if I move?<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">You must report your move to the PA Compact Commission within 30 days. All your privileges in member states expire if you move to a non-Compact state. If you move to another Compact state, apply for a new Qualifying License, then reapply for privileges in the states where you want to practice.<\/span><\/p>\n<p><b>Can non-Compact states see my physician assistant discipline history?<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Only Compact member boards have direct access to your PA discipline history through the Compact Commission\u2019s data-sharing system. However, non-member state boards may still acquire this information from other sources.<\/span><\/p>\n<p><b>Do I still need a supervising or collaborating physician in a state of practice that requires it if my home state doesn\u2019t?<br \/>\n<\/b><span style=\"font-weight: 400;\">The PA Compact preserves collaboration and supervision requirements set by each participating state, so if a state of practice requires supervision or collaboration with a physician, you must follow that rule anytime you\u2019re practicing in that state. The state of practice is the state where the patient is located\/where you\u2019re providing services, when you\u2019re not both located in the same state.<\/span><\/p>\n<h3><b>Action Plan for Forward-Thinking PAs<\/b><\/h3>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Track your state\u2019s bill:<\/b><span style=\"font-weight: 400;\"> If you live outside the 17 states that have enacted legislation to join the Compact, follow your legislature\u2019s 2025 Compact bill and voice support.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Audit your credentials:<\/b><span style=\"font-weight: 400;\"> Confirm that your NCCPA certification is current, continuing medication education (CME) is on track and background check is spotless. Fix any issues now that could keep you from obtaining Compact privileges later.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bookmark the <\/b><a href=\"https:\/\/www.pacompact.org\/compact-toolkit\/\" rel=\"noopener\"><b>PA Compact Toolkit<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> It contains one-pagers, model legislation and webinar replays you can share with employers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk with recruiters:<\/b><span style=\"font-weight: 400;\"> Let agencies know you\u2019re Compact-ready. They\u2019ll be eager to have a list of clinicians who can step across borders quickly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stay alert for Commission updates:<\/b><span style=\"font-weight: 400;\"> Privilege applications could open as early as late 2025 but may be early 2026. Either way, being ready on day one potentially means more career opportunities.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The PA Licensure Compact is moving from concept to reality. With 17 states already on board and infrastructure work underway, multistate practice could soon be a few clicks away. Keep your credentials clean, watch your state\u2019s legislative calendar and position yourself to seize expanded career options as soon as the Compact launches.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Explore your <\/span><a href=\"https:\/\/www.vivian.com\/physician-assistant\/travel\/\"><span style=\"font-weight: 400;\">travel PA job options<\/span><\/a><span style=\"font-weight: 400;\"> on Vivian Health to see what opportunities might be available once Compact privileges become active.<\/span><\/p>\n<p><a style=\"background-color: #124e3b; color: #fdfeff; font-size: 20px; border-radius: 10px; padding: 15px; min-height: 30px; min-width: 120px;\" href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\" target=\"_blank\" rel=\"noopener\">Browse Jobs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prepare to expand your PA career by learning everything you need to know about multistate licensure.<\/p>\n","protected":false},"author":17,"featured_media":9196,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[325,3],"tags":[148,19,330,126,90],"class_list":["post-9195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allied-health","category-career-resources","tag-allied-health","tag-allied-health-professional","tag-pa","tag-physician-assistant","tag-travel"],"acf":[],"jetpack_featured_media_url":"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2025\/06\/PA-Compact-Header.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/9195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/comments?post=9195"}],"version-history":[{"count":0,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/9195\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media\/9196"}],"wp:attachment":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media?parent=9195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/categories?post=9195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/tags?post=9195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}