The bill establishes the Physician Assistant Licensure Compact, which facilitates the practice of physician assistants (PAs) across state lines by allowing those licensed in one participating state to practice in others without needing a separate license. This compact aims to improve access to medical services while maintaining patient safety and includes provisions to support military families, enabling active duty personnel and their spouses to obtain a compact privilege based on an unrestricted license from a participating state. The compact outlines specific requirements for participation, such as licensing PAs, implementing a data system for tracking licenses and adverse actions, and conducting criminal background checks.

Additionally, the bill creates a governing body, the Physician Assistant Licensure Compact Commission, responsible for overseeing the compact's implementation. The commission will have the authority to establish rules, manage finances, and ensure compliance among participating states. It is also empowered to accept donations, manage property, and prepare annual reports. The compact will take effect once adopted by the seventh participating state and includes provisions for withdrawal, default, and expulsion of states, ensuring that any conflicting state laws are superseded by the compact's regulations.