The bill proposes the adoption of the Physician Assistant (PA) Licensure Compact in South Dakota, which aims to improve access to medical services by allowing PAs to practice across state lines more easily. The Compact establishes a framework for mutual recognition of PA licenses among participating states, ensuring that PAs are governed by the laws of the state where the patient is located during medical encounters. It includes provisions for military families, enabling active-duty personnel and their spouses to obtain a Compact Privilege based on an unrestricted license from a participating state. The bill retains the authority of state licensing boards to take necessary actions against PAs to protect patient safety and outlines the definitions and requirements for participation in the Compact.

Additionally, the bill establishes a PA Licensure Compact Commission responsible for overseeing the implementation of the Compact, including rulemaking, managing a data system for licensees, and coordinating investigations across states. The Commission is required to prepare annual reports, conduct public meetings, and maintain transparency, while also having the authority to hold closed meetings for specific legal matters. The bill details the Commission's rulemaking authority, including the adoption of emergency rules and the process for public comment. It also outlines the mechanisms for a state to withdraw from the Compact and emphasizes that existing licensure agreements will remain valid unless they conflict with the Compact's terms. Overall, the legislation aims to streamline the licensure process for PAs while ensuring patient safety and regulatory compliance.