PA Licensure Compact Update: West Virginia’s Bill Signed by Gov. Justice

West Virginia Becomes Fifth State to Enact Compact, Two More Needed for Activation

March 28, 2024

West Virginia is the latest state to secure enactment of the PA Licensure Compact model legislation, bringing the tally to five states!  

“The PA Compact will have a positive impact on both the PAs and patients of West Virginia. This will particularly impact the healthcare provider shortages and growing healthcare needs due to our rural environment,”said the West Virginia Association of Physician Assistants (WVAPA) Board of Directors in a shared statement with AAPA.

Additionally, Nebraska’s L.B. 1215 is on its way to the governor’s desk, which would make the compact one state away from activation.  

In 2023, three states – Delaware, Utah, and Wisconsin – enacted the PA Compact model legislation. Washington Governor Jay Inslee signed its bill on March 13. 

 After seven states have enacted the compact model legislation, the compact will be activated and begin the process to operationalize the compact and be able to give out privileges to practice. 

 The process to operationalize the compact will take anywhere from 18-24 months. Once operationalized, eligible PAs can then complete a single application to receive a compact privilege (which is equivalent to a license) from each compact state in which they intend to practice. 

 Other Pending Legislation 

  • Tennessee (H.B. 1862) 
  • Colorado (S.B. 24-018) 
  • Maine (L.D. 2043) 
  • Michigan (H.B. 5117) 
  • Minnesota (H.F. 2623 / S.F. 2394) 
  • Nebraska (L.B. 1215) 
  • New Hampshire (S.B. 486) 
  • New York (S.B. 7711 / A.B. 8172) 
  • Ohio (S.B. 28) 
  • Oklahoma (H.B. 3781/S.B. 1654) 
  • Rhode Island (H.B. 7083) 
  • Vermont (H.B. 572) 
  • Virginia (H.B. 324) 

If you would like to advocate for the PA Compact in your state or more information of where your state may be in this process, contact your state chapter or your AAPA state liaison. 


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