The bill proposes the adoption of the Advanced Practice Registered Nurse (APRN) Compact in Montana, which aims to facilitate the practice of APRNs across state lines while ensuring compliance with licensure requirements and public safety. It establishes a framework for cooperation among participating states, allowing APRNs to practice under a multistate license, thus eliminating the need for multiple state licenses. Key provisions include uniform licensure requirements, the authority for states to take disciplinary actions against APRNs, and the creation of a coordinated licensure information system to share licensure and enforcement information. The bill also defines terms related to APRN practice and mandates procedures for evaluating applicants' criminal history, ensuring that APRNs meet specific educational and practice standards.

Furthermore, the bill establishes the Interstate Commission of APRN Compact Administrators to oversee the administration of APRN licensure, including the authority to create uniform rules and manage the coordinated licensure information system. It outlines the commission's powers, including conducting meetings and enforcing compliance with the compact, while emphasizing transparency and public participation. The bill also includes mechanisms for dispute resolution, such as mediation and binding arbitration, and stipulates that the compact will take effect once enacted by seven states. It introduces a new section to codify these provisions as part of Title 37, chapter 8, and specifies the process for withdrawal from the compact, requiring a six-month notice period.