The bill establishes the "Physician Assistant Licensure Interstate Compact," which aims to improve access to medical services by allowing 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 medical services where needed while allowing state licensing boards to maintain their regulatory authority. The compact includes provisions to assist military families, enabling active duty personnel and their spouses to obtain a compact privilege based on an unrestricted license from a participating state. Key components include definitions of terms, requirements for participation, and the establishment of the Physician Assistant Licensure Compact Commission to oversee the compact's administration.

The bill outlines the commission's powers, including accepting donations, managing property, and establishing budgets, while ensuring transparency through public meetings. It introduces a new data system for tracking licensure and adverse actions, requiring uniform data submission from participating states. The commission is granted rulemaking authority, with its rules having the force of law in participating states, although state laws may override them in case of conflict. The bill also details enforcement mechanisms, including the commission's authority to intervene in legal proceedings and address defaults by states. It specifies the compact's effective date, the process for state withdrawal, and affirms that existing non-conflicting state laws remain enforceable.