The bill establishes the "Physician Assistant Licensure Interstate Compact," designed to enhance access to medical services by enabling physician assistants (PAs) to practice across state lines more easily. It creates a framework for mutual recognition of licenses among participating states, ensuring that PAs can deliver care where needed while prioritizing patient safety. Key features include provisions for military families, allowing active duty personnel and their spouses to obtain compact privileges based on an unrestricted license from a participating state. The compact also establishes the Physician Assistant Licensure Compact Commission, which will oversee its implementation, requiring states to conduct criminal background checks and maintain a data system for licensees.

Additionally, the bill outlines the commission's powers, including the ability to accept donations, manage property, and establish budgets, while ensuring transparency through public meetings and accurate record-keeping. New provisions include a coordinated data and reporting system for tracking licensure and adverse actions, as well as rulemaking authority for the commission. The bill also details enforcement mechanisms, allowing the commission to intervene in legal matters and resolve disputes among states. It specifies that the compact will take effect once enacted by the seventh participating state and allows for amendments to be uniformly enacted across all states.