The bill establishes the Physician Assistant (PA) Licensure Compact in Kansas, facilitating the practice of physician assistants across state lines with mutual recognition of their licenses. This compact aims to improve access to medical services, particularly benefiting military families by allowing active duty personnel and their spouses to practice based on their existing unrestricted licenses from participating states. The legislation outlines the responsibilities of state licensing boards, including the authority to impose adverse actions and conduct criminal background checks on PAs. It also creates a national administrative body, the PA Licensure Compact Commission, which will oversee the compact's implementation, maintain financial records, and coordinate investigations among states.

Key changes in the bill include the replacement of the term "contract" with "compact" regarding privilege fees, emphasizing the commission's financial management authority. The bill introduces a coordinated data system for tracking licensure and adverse actions against PAs, ensuring information sharing among states while maintaining confidentiality. It also establishes procedures for the commission's rulemaking process, oversight, and dispute resolution, allowing for legal action against states that default on obligations. The compact will take effect once enacted by the seventh participating state, with provisions for states to withdraw while preserving certain privileges for licensees during the transition.