The bill establishes the Physician Assistant Licensure Compact, which facilitates the ability of physician assistants (PAs) to practice across state lines by allowing for mutual recognition of their licenses. This compact aims to improve access to medical services while ensuring patient safety and maintaining state licensing authority. It includes provisions for active duty military personnel and their spouses to obtain a compact privilege based on an unrestricted license in good standing from a participating state. The bill also defines key terms related to the compact and sets requirements for state participation.

Additionally, the legislation creates the Physician Assistant Licensure Compact Commission, which will oversee the compact's implementation and administration. The commission is granted powers to establish rules, manage financial records, and conduct joint investigations regarding adverse actions against PAs. It will also maintain transparency through public meetings and is responsible for creating a coordinated data system to track licensure and adverse actions. The bill outlines the commission's governance structure, including its ability to levy assessments on states and collect fees from licensees, while providing qualified immunity for commission members and employees. Overall, the legislation aims to streamline the licensure process for PAs and enhance their practice capabilities across state lines.