The proposed bill seeks to update current statutes by establishing the Physician Assistant Licensure Compact, which would allow physician assistants (PAs) licensed in one participating state to practice in other Compact states without obtaining additional licenses. Key insertions include requirements for states to adopt a recognized national exam for licensure, implement criminal background checks, and maintain good standing for PAs exercising Compact privileges. The bill also introduces a new Commission to oversee the Compact, with powers to establish a code of ethics, maintain financial records, and coordinate investigations, while ensuring due process and protecting licensee rights.

Additionally, the bill enhances the governance and operational framework of the Compact by detailing the Commission's authority, including the ability to waive venue defenses in dispute resolutions and initiate legal actions against defaulting states. It mandates transparency through public meetings and detailed record-keeping, while also clarifying that the Compact remains effective even if a state withdraws. The updates aim to improve the efficiency, accountability, and enforceability of the Compact, ensuring better cooperation among states and safeguarding public health and safety.