The bill establishes the Physician Assistant Licensure Compact, which facilitates the practice of physician assistants across participating states by allowing them to operate under a compact privilege without needing separate licenses. This compact aims to enhance access to medical services while ensuring patient safety through a comprehensive process that complements existing state licensing authorities. It includes provisions for military families, enabling active duty personnel and their spouses to obtain compact privileges based on an unrestricted license in good standing from a participating state. The compact also defines key terms and outlines requirements for state participation, including criminal background checks and adherence to compact commission rules.

Additionally, the bill creates the Physician Assistant Licensure Compact Commission, which will oversee the compact's administration, including the authority to take adverse actions against licenses and manage joint investigations. The commission is granted various powers, such as accepting donations, managing property, and establishing budgets, while maintaining transparency through public meetings. It is also responsible for developing a coordinated data system to track licensure and adverse actions, ensuring that significant information is shared among states. The compact will take effect once enacted by the seventh participating state and includes provisions for amending the compact and ensuring compatibility with existing state laws. Overall, the bill aims to streamline the licensure process for physician assistants while maintaining accountability and regulatory standards.