The proposed bill would update current statutes by establishing the Advanced Practice Registered Nurse Compact (Compact), which facilitates multistate licensure for APRNs. This change would allow APRNs to practice across state lines with a single multistate license, enhancing their mobility and streamlining the licensure process. New requirements for initial licensure would include fingerprint submissions for criminal history checks, and APRNs would be granted prescriptive authority for noncontrolled substances while adhering to the practice laws of the state where they provide services. The bill also introduces provisions for adverse actions against APRNs' multistate licensure privileges and mandates participation in a centralized licensing information system to track licensure and disciplinary history.

Additionally, the bill clarifies the responsibilities of states in default or those that have had their membership terminated from the Compact, specifying that a cure of default does not relieve the state of obligations incurred during that period. It requires that termination of membership can only occur after exhausting all compliance measures and mandates notification to relevant state officials before any suspension or termination. The bill also outlines the responsibilities of terminated states regarding assessments and liabilities, prohibits the Commission from covering costs related to defaulting states without a written agreement, and establishes procedures for appeals and dispute resolution among party states. Overall, these updates aim to modernize the regulatory framework for APRNs while ensuring accountability and cooperation among states.