The bill establishes the Advanced Practice Registered Nurses (APRN) Compact, which aims to facilitate interstate practice privileges for APRNs in participating states. It introduces a multistate license that allows APRNs to practice in any party state, provided they meet uniform licensure requirements and adhere to the laws of the state where the patient is located. The compact seeks to streamline the licensure process, reduce redundancies, and enhance public safety and healthcare access by promoting cooperation among states in regulating APRN practice. Additionally, it outlines the responsibilities of state licensing boards, including the authority to take adverse actions against APRNs' multistate licensure privileges and conduct criminal background checks.

The bill also creates the Interstate Commission of APRN Compact Administrators, which will oversee the administration of the compact, establish rules, and manage financial operations. It includes provisions for dispute resolution, enforcement, and oversight, ensuring that the commission can mediate disputes among party states and take legal action against defaulting states. The compact will take effect once enacted by seven party states, and any state may withdraw with a six-month notice. The bill emphasizes the importance of maintaining confidentiality regarding personally identifiable information and provides protections for the commission's administrators and employees against legal liability in the course of their duties.