The bill HB156 proposes the establishment of the PA Licensure Compact, which facilitates the practice of licensed physician assistants (PAs) across participating states, enhancing the portability of their licenses while ensuring patient safety. Key provisions include the requirement for licensees to identify their primary residence when applying for a compact privilege and to consent to service of process at that address. The compact allows for mutual recognition of licenses, mandates criminal background checks for applicants, and retains the authority of state licensing boards to impose disciplinary actions. Notably, the bill includes new insertions regarding the commission's responsibilities, meeting protocols, and financial management, while deleting outdated provisions that may no longer align with current operational needs.

Additionally, the bill establishes the PA Licensure Compact Commission, which will oversee the compact's implementation and consist of one delegate from each participating state. The commission is empowered to create rules, maintain financial records, and coordinate joint investigations among states. It also outlines the legal responsibilities and protections for commission members, including provisions for indemnification and legal defense in civil actions. The bill emphasizes transparency by mandating public meetings and detailed record-keeping. Furthermore, it introduces a coordinated data system to track licensure and adverse actions against PAs, streamlining the regulatory process while ensuring compliance with state laws. The compact is set to take effect on October 1, 2026, following enactment by the seventh participating state.