The bill establishes the Advanced Practice Registered Nurse (APRN) Compact, which aims to facilitate interstate practice for APRNs by creating uniform licensure requirements across participating states. This compact addresses the challenges posed by differing state licensure laws, enhancing the mobility of APRNs and improving public safety and healthcare access. Key provisions include the creation of a coordinated licensure information system, the authority for states to take adverse actions against APRNs, and the requirement for APRNs to adhere to the practice laws of the state where the patient is located. The bill also defines terms related to APRN practice and sets educational and practice standards for multistate licensure, including passing a national certification exam and undergoing criminal background checks.

Additionally, the bill outlines the responsibilities and powers of the Interstate Commission of APRN Compact Administrators, which will oversee the compact's administration, including the collection of licensure and disciplinary information. It emphasizes transparency in the rulemaking process and provides qualified immunity for commission members. The bill also details enforcement mechanisms, dispute resolution processes, and the conditions under which a state can withdraw from the compact. It specifies that the compact will take effect once enacted by seven states and allows for amendments to be made with the agreement of all party states. Overall, the legislation aims to streamline APRN licensure and enhance the coordination of nursing practices across state lines.