The bill proposes that New Jersey join the Interstate Physician Assistant Licensure Compact, which aims to improve access to medical services by allowing physician assistants (PAs) to practice across state lines more easily. To participate, New Jersey must implement several requirements, including licensing PAs, conducting criminal background checks, and maintaining a system for investigating complaints against licensees. The Compact also supports military families by allowing active duty personnel and their spouses to obtain a Compact Privilege based on their existing unrestricted licenses from participating states. The bill outlines the governance and operational framework for a newly established PA Licensure Compact Commission, detailing its powers, responsibilities, and procedures, including the authority to approve state participation and the requirement for public meetings.

Additionally, the bill addresses the financial operations of the Commission, allowing it to levy assessments on participating states and collect fees from licensees. It establishes a data system for tracking licensure and adverse actions against PAs, ensuring information sharing among states while maintaining confidentiality. The rulemaking process is also specified, requiring public notice and opportunities for comment before adopting new rules, with provisions for emergency rulemaking. The bill emphasizes transparency and accountability in the Commission's operations while facilitating cooperation among states in regulating PAs. Overall, the initiative aims to streamline the licensure process for PAs while ensuring patient safety and maintaining state regulatory authority.