The bill establishes the "Physician Assistant Licensure Interstate Compact," designed to enhance 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 care where needed while prioritizing patient safety. Key provisions include the formation of the Physician Assistant Licensure Compact Commission, which will oversee the compact's implementation and administration, and the introduction of a coordinated data and reporting system for tracking licensure and adverse actions related to PAs. The bill also addresses the needs of military families by allowing active duty personnel and their spouses to obtain compact privileges based on an unrestricted license from a participating state.

Additionally, the bill outlines the powers and responsibilities of the commission, including the authority to accept donations, manage property, and establish budgets. It emphasizes transparency by requiring public access to non-closed meetings and mandates the commission to maintain accurate records and provide annual reports. The bill also details the enforcement mechanisms for the compact, including procedures for addressing defaults by participating states and the potential for legal action against states in default. The compact will take effect once enacted by the seventh participating state, and it includes provisions for states withdrawing from the compact while ensuring that licensees retain their privileges for a specified period after withdrawal. Overall, the bill aims to streamline the licensure process and enhance accountability among participating states.