This authorizes PAs to practice in participating compact states as part of physician-led teams without obtaining additional licenses. The compact reduces administrative burden, lowers costs and improves access to high-quality healthcare.
Background
HB 1731 does not impact the scope of practice or supervision requirements for Texas PAs; it eases the administrative processes of applying and waiting for licenses in each state.
Texas PAs are the only prescribing medical professionals in the state without access to an interstate licensure compact.
Texas is currently a member of 38 interstate compacts, five of which are related to professional licensing:
Interstate Medical Licensure Compact (IMLC)
Nurse Licensure Compact (NLC)
Emergency Medical Personnel Licensure Compact (EMS Compact)
Physical Therapy Compact (PT Compact)
Psychology Interjurisdictional Compact (PSYPACT)
Licensure standards are not lowered; PAs must adhere to requirements in the Texas Occupation Code §204 before utilizing compact privileges.
The compact is administered by a commission of delegates from participating states.
13 states have adopted the PA Licensure Compact.
The compact benefits providers, patients, and families by:
Facilitating mobility
Reducing barriers to care
Enhancing public safety
Fostering collaboration among member states
Supports military families by providing employment stability, easing transitions, and ensuring integration into local healthcare systems.
The Ask
Adopting the PA Compact will allow licensed PAs to practice in all member states, including Texas. Through the compact privilege, PAs can deliver medical services and other licensed activities to patients across participating states, improving access to care. Vote for Texas to join the PA Interstate Licensure Compact.
Rationale
Benefits for PAs:
Facilitates multistate practice by reducing the burden of maintaining multiple licenses.
Practice rapidly and effectively across the modern healthcare system.
Expands employment opportunities into new markets.
Improves continuity of care when patients or providers relocate.
Supports relocating military spouses and families.
Facilitates and ensures professional parity with professions enrolled in interstate medical compacts.
Benefits for Texas Regulators:
Reduces application processing time.
Facilitates cross-state licensure board cooperation on investigations and disputes.
Enhances public safety through a shared data system.
Allows states to charge a fee for a compact privilege/license and renewal in that state.
Preserves the current state-based licensure system.
Benefits for Texas:
Preserves state sovereignty.
Promotes workforce development and strengthens labor markets.
Expands consumer access to highly qualified practitioners.
Ensures continuity of care for patients.
Expand medical practice and hospital system access to new markets.
Increases collaboration among states.
Supports relocating military families.
Facilitates practitioner mobility during disasters.
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