Frequently Asked Questions

If you are interested in learning more about interstate compacts, please visit the Council of State Government’s FAQ page.

PA Compact Basics

How does the PA Compact work? 

The PA Compact provides a streamlined process (via a compact privilege) for PAs to practice in other compact member states, without the need to obtain multiple state licenses.

Why is there a need for the PA compact?

The PA Compact reduces time and cost burdens for PAs to engage in multistate practice.

The PA Compact, through the establishment of a data system, will also enhance public protection by facilitating the sharing of licensure and disciplinary information across compact members states.

Who can use the compact?

The PA Compact is available for PA’s who hold qualifying licenses in compact member states and meet the requirements set forth by the compact.

If a PA wishes to practice in a state that is not participating in the compact, they will need to consult that state’s licensing authority about its standard licensing procedures.

When will the compact become operational?

The compact will be activated after seven states have adopted the compact model legislation. Historically the process for a licensure compact to become fully operational can take up to 24 months after its activation.

Who will administer the compact?

Once the prerequisite number of states join the compact to authorize its activation, a compact commission will be formed to administer the compact. The compact commission is a joint public agency comprised of states participating in the compact. Each state joining the compact will designate a delegate to participate on the commission.

Compact Privilege

What is a compact privilege?

A compact privilege is the authorization granted by a state participating in the compact for a qualifying PA to practice in that state.

PAs may apply for a compact privilege should the state in which they hold a qualifying license join the PA compact. A compact privilege is based on the PA’s existing license and their ability to meet other requirements established by the compact. A compact privilege provides the same benefits as licensure.

A PA must apply for an individual compact privilege in every compact member state where services will be provided.

When will practitioners be able to apply for a PA compact privilege?

Applications for compact privileges will not open until the compact commission becomes fully operational. The PA Compact website will have application information when it becomes available.

How much will a compact privilege cost?

The cost of a compact privilege will be determined once states are ready to issue privileges. 

PA Practice 

Can the PA Compact be used to provide telehealth services? 

Yes, PAs utilizing a compact privilege will be able to provide telehealth services in accordance with the laws and regulations of the state in which the patient is located 

How does the compact address collaborative agreements or other state specific requirements to practice? 

It is important to note that the compact provides PAs the authorization to practice from a licensure aspect. PA professionals may be subject to other requirements in order to legally practice, including supervision/collaboration and prescribing authority requirements. As PAs would currently have to do anytime they are practicing in another state, they must ensure they are following these requirements before utilizing the compact privilege. 

As provided in the compact, PAs will need to complete jurisprudence examinations in each state where they are required.  

Will PAs need to complete continuing education requirements in each state they hold a compact privilege? 

PAs are required to meet the continuing education requirements of the state in which they hold a qualifying license. PAs must also maintain current NCCPA certification which requires continuing education. They will not need to complete additional continuing education units for states where they hold compact privileges.

Legislative Adoption

When will compact legislation be available for states to introduce?

Model legislation is available now for state introduction and may be accessed here.

What is the cost for a state to participate in the PA Compact?

There is no fee for states to join the compact.

The compact commission will have the authorization to generate revenues, including through a compact privilege fee.

Participating states also have the ability to assess fees to PAs applying for a compact privilege (including renewals) for their specific state.

What can I do to help?

If you would like to advocate for the compact in your state, please contact your state legislators, the state chapter of your national membership organization or your state licensing board.

Supporting information may be found in the PA Compact Toolkit.

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