The bill establishes the Advanced Practice Registered Nurses (APRN) Compact, which facilitates interstate practice privileges for APRNs in participating states. It aims to streamline the licensure process by promoting uniform requirements and allowing APRNs to practice across state lines under a multistate license. Key provisions include the authority for states to take adverse actions against APRNs' multistate licensure privileges, compliance with state practice laws where the patient is located, and a structured application process for multistate licenses that includes criminal background checks. The compact is designed to enhance public safety and access to care while addressing the complexities of modern healthcare.

Additionally, the bill creates the Interstate Commission of APRN Compact Administrators to oversee the administration of the compact, including rulemaking, financial management, and dispute resolution. It outlines enforcement mechanisms, including the process for addressing states that default on their obligations, and allows for legal action against such states. The compact will take effect once enacted by seven states and includes provisions for amendments and participation from non-party states. Overall, the bill aims to improve coordination and cooperation among states regarding APRN regulation while ensuring accountability and transparency in the process.