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 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 bill also sets up the "Physician Assistant Licensure Compact Commission" to oversee the compact's implementation, requiring states to conduct criminal background checks and report adverse actions against licensees.

Additionally, the bill introduces new provisions for oversight, dispute resolution, and enforcement of the compact. It designates the executive and judicial branches of each participating state as responsible for enforcing the compact and outlines procedures for judicial proceedings involving the commission. The commission is empowered to intervene in legal matters and address defaults by states, including potential termination of participation for non-compliance. The bill also specifies the effective date of the compact, procedures for withdrawal, and emphasizes that its provisions should be interpreted broadly to fulfill its objectives, with any conflicting state laws being superseded.