The bill establishes the Advanced Practice Registered Nurses (APRN) Compact, which aims to streamline interstate practice for APRNs by providing multistate licensure privileges across participating states. This initiative addresses the challenges posed by duplicative licensure requirements and the evolving landscape of healthcare technology. Key features of the compact include uniform licensure requirements, such as educational qualifications and criminal background checks, as well as the authority for states to take adverse actions against APRNs' multistate licenses. The compact also allows APRNs to practice independently in any state where they hold a multistate license, thereby improving access to care while ensuring regulatory compliance.

Additionally, the bill creates the Interstate Commission of APRN Compact Administrators to oversee the compact's administration, including rulemaking and financial management. It outlines enforcement mechanisms, dispute resolution processes, and the conditions under which a state may withdraw from the compact. The commission is empowered to mediate disputes and enforce compliance through legal action if necessary. The compact will take effect once enacted by seven states, and any amendments will require approval from all party states. The bill emphasizes transparency and public participation in the rulemaking process while ensuring that its provisions are severable in the event of constitutional challenges.