The PA Licensure Compact Model Legislation is now finalized and is a critical step toward advancing PA profession interstate practice mobility, according to the American Academy of Physician Associates (AAPA). The PA Compact will enable licensed PAs to practice in all states that join the compact, rather than securing individual licenses in every state in which they want to practice.  

“This model legislation would allow a PA with a full and unrestricted license issued by another compact participating state to more quickly obtain authorization to practice in another compact participating state,” said AAPA President Jennifer M. Orozco, DMSc, PA-C, DFAAPA. The legislation “will continue to improve access to care and allow PAs and health care systems to develop innovative and alternative health care delivery models that meet the needs of their communities such as telemedicine.”

Seven states must pass bills containing the model legislation language for the PA Licensure Compact to be activated. Compacts are joined through a state’s legislative process, with each state adopting virtually identical statutory language, according to the AAPA. Once 7 states enact the compact, a commission will be established to set up essential processes and administer the new compact.

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The legislation was 3 years in the making and involved a collaboration between AAPA and the Federation of State Medical Boards (FSMB), National Commission on Certification of Physician Assistants (NCCPA), and the Council of State Governments (CSG) as well as numerous PA regulators and leaders of organizations affiliated with AAPA.

“Eight other health care professions have active interstate licensure compacts so this is a familiar concept to state policymakers and regulators,” Dr Orozco said.


Release of PA Licensure Compact Model Legislation critical step toward advancing PA profession interstate practice mobility. News release. American Academy of Physician Associates. November 21, 2022.