The bill establishes the Physician Assistant Licensure Compact, designed to improve access to medical services by allowing physician assistants licensed in one participating state to practice in other participating states through mutual recognition of their licenses. It outlines a comprehensive process that complements existing state licensing authority while ensuring patient safety. Key provisions include support for military families, enabling active duty personnel and their spouses to obtain a compact privilege based on an unrestricted license in good standing from a participating state. The compact also defines essential terms and sets requirements for state participation, including criminal background checks and compliance with the compact's rules.

Additionally, the bill creates a national administrative body, the Physician Assistant Licensure Compact Commission, responsible for overseeing the compact's administration, including maintaining a data system for licensee information and managing adverse actions against physician assistants. The commission will have the authority to accept donations, manage property, and establish budgets while ensuring transparency through public meetings. The compact emphasizes compliance and accountability, granting rulemaking authority to the commission, which will implement rules with the force of law in participating states, provided they do not conflict with state laws regarding the medical services that physician assistants may perform. The compact will take effect once adopted by the seventh participating state and will not invalidate existing licensure agreements between states.