This bill proposes the creation of Chapter 43-17.5 of the North Dakota Century Code, establishing a Physician Assistant Licensure Compact to improve access to medical services and the portability of physician assistant licenses across participating states. The compact allows physician assistants to practice in any participating state with a qualifying license from their home state, while adhering to local regulations. It outlines the responsibilities of state licensing boards, including the authority to impose adverse actions and maintain a data system for tracking licensees. The bill also includes provisions to support military families, allowing active duty personnel and their spouses to obtain compact privileges based on an unrestricted license in good standing from a participating state.

Additionally, the bill creates a Physician Assistant Licensure Compact Commission to oversee the compact's implementation, including establishing bylaws and managing finances. The commission will consist of delegates from each participating state, who will have voting rights and participate in public meetings. The bill introduces legal protections for commission members against liability for actions taken within their duties, while also establishing a coordinated data system for tracking licensure and adverse actions. It outlines processes for handling defaults by participating states, dispute resolution, and the withdrawal of states from the compact, ensuring that the compact's provisions remain effective even if parts are deemed unconstitutional.