House File 300 proposes the establishment of the Physician Assistant Licensure Compact, which aims to improve access to medical services by allowing physician assistants (PAs) licensed in one participating state to practice in other participating states through mutual recognition of licenses. The bill outlines the requirements for states to join the compact, including the creation of a data system for licensee information and mechanisms for investigating complaints. It also defines key terms and establishes the powers and responsibilities of the newly formed Physician Assistant Licensure Compact Commission, which will oversee the compact's implementation, including the establishment of a code of ethics and the facilitation of joint investigations among states.

Additionally, the bill includes provisions for qualified immunity and indemnification for commission members and employees, protecting them from liability except in cases of intentional misconduct. It emphasizes transparency in the rulemaking process, requiring public notice and input before adopting rules, and mandates that all hearings be recorded. The commission is granted authority to levy assessments and impose fees to cover operational costs, while also ensuring that state-specific regulations can take precedence in case of conflict. The compact will take effect once enacted by seven states, with any amendments requiring uniform adoption by all participating states.