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 with mutual recognition of their licenses. It establishes a framework for licensing and disciplining PAs while ensuring patient safety, including provisions for military families to obtain a Compact Privilege based on an unrestricted license from a participating state. The bill defines key terms such as "Compact Privilege" and "Qualifying License," and outlines the qualifications and processes for PAs to exercise these privileges, as well as the authority of participating states to impose adverse actions and conduct investigations.

Additionally, the bill establishes the PA Licensure Compact Commission, which will oversee the administration of the Compact, including rulemaking authority and the creation of a code of ethics. It details the Commission's powers, including the ability to bring legal actions, manage finances, and maintain transparency through public meetings and detailed minutes. The bill also addresses the financing of the Commission, the process for states to withdraw from the Compact, and the binding effect of the Compact on state laws. Overall, the legislation aims to enhance the governance and operational efficiency of the Commission while ensuring compliance and accountability among participating states.