The bill SB1334 proposes the establishment of the Advanced Practice Registered Nurse Compact (APRN Compact), which allows Advanced Practice Registered Nurses (APRNs) to obtain multistate licensure, enabling them to practice in any participating state without needing separate licenses. Key changes from current law include the introduction of a Coordinated Licensure Information System (CLIS) and the Interstate Commission of APRN Compact Administrators, which will oversee the uniform licensure requirements and ensure accountability among states. The bill also allows APRNs to practice independently while maintaining compliance with state laws and mandates criminal background checks for applicants.

Additionally, the bill outlines a structured rulemaking process for the Commission, requiring public notice and opportunities for comment on proposed rules, and establishes mechanisms for dispute resolution among states. It clarifies that the Commission cannot alter state laws regarding APRN scope of practice and allows states to withdraw from the Compact if changes are made that affect their regulations. Overall, the bill aims to enhance public health and safety through improved coordination and cooperation in APRN licensure while reinforcing state sovereignty over practice standards.