AB410,10,138 448.972 (1) Except as provided in subs. (2) and (3), no person may represent
9himself or herself as a “PA” or “physician assistant," use or assume the title “PA” or
10“physician assistant," or append to the person's name the words or letters “physician
11assistant," “PA," “PA-C,” or any other titles, letters, or designation that represents
12or may tend to represent the person as a physician assistant, unless he or she is
13licensed by the board under this subchapter or holds a compact privilege.
AB410,28 14Section 28. 448.972 (1) of the statutes is amended to read:
AB410,10,2015 448.972 (1) Except as provided in subs. (2) and (3), no person may represent
16himself or herself as a “PA” or “physician assistant," use or assume the title “PA” or
17“physician assistant," or append to the person's name the words or letters “physician
18assistant," “PA," “PA-C,” or any other titles, letters, or designation that represents
19or may tend to represent the person as a physician assistant, unless he or she is
20licensed by the board under this subchapter or holds a compact privilege.
AB410,29 21Section 29. 448.973 (2) of the statutes is amended to read:
AB410,10,2522 448.973 (2) The board shall include in the register the board maintains under
23s. 440.035 (1m) (d) the names name of all persons each person whose licenses license
24or compact privilege
issued under this subchapter were was suspended or revoked
25within the past 2 years. The register shall be available for purchase at cost.
AB410,30
1Section 30. 448.974 (title) of the statutes is amended to read:
AB410,11,2 2448.974 (title) License; compact privilege; renewal.
AB410,31 3Section 31. 448.974 (1m) of the statutes is created to read:
AB410,11,54 448.974 (1m) The board shall grant a compact privilege to any applicant who
5satisfies all of the following:
AB410,11,86 (a) The applicant holds a qualifying license, as defined in s. 448.988 (2) (r), in
7another state that is a party to the compact and satisfies all other requirements
8under s. 448.988 (4).
AB410,11,109 (b) The individual applies for the compact privilege in the manner prescribed
10by the department.
AB410,11,1211 (c) The individual pays any fee established by the department under s.
12448.9885 (2).
AB410,32 13Section 32. 448.974 (2) of the statutes is renumbered 448.974 (2) (am) and
14amended to read:
AB410,11,1815 448.974 (2) (am) 1. The renewal date for a license issued under this subchapter
16is specified under s. 440.08 (2) (a), and the renewal fees for such licenses are
17determined by the department under s. 440.03 (9) (a). Renewal of a license is subject
18to par. (b) subd. 2.
AB410,11,2419 2. An applicant for the renewal of a license under this subchapter shall submit
20with his or her application for renewal proof of having satisfied the continuing
21education requirements imposed by the board under s. 448.973 (1) (b). This
22paragraph subdivision does not apply to an applicant for renewal of a license that
23expires on the first renewal date after the date on which the board initially granted
24the license.
AB410,33 25Section 33. 448.974 (2) (bm) of the statutes is created to read:
AB410,12,3
1448.974 (2) (bm) Renewal of a compact privilege shall be governed by s. 448.988
2(4) (b), except that the board may impose requirements for prescribing controlled
3substances in accordance with s. 448.988 (4) (d).
AB410,34 4Section 34. 448.978 (1) of the statutes is renumbered 448.978 (1r).
AB410,35 5Section 35. 448.978 (2) (intro.) of the statutes is amended to read:
AB410,12,96 448.978 (2) (intro.) Subject to the rules promulgated under s. 440.03 (1), if a
7person who applies for or holds a license or compact privilege issued under s. 448.974
8does any of the following, the board may reprimand the person or deny, limit,
9suspend, or revoke the person's license or compact privilege:
AB410,36 10Section 36. 448.978 (2) (a) of the statutes is amended to read:
AB410,12,1311 448.978 (2) (a) Makes a material misstatement in an application for a license
12or compact privilege or an application for renewal of a license or compact privilege
13under s. 448.974.
AB410,37 14Section 37. 448.978 (2) (d) (intro.) of the statutes is renumbered 448.978 (2)
15(d) and amended to read:
AB410,12,1616 448.978 (2) (d) Engages in unprofessional conduct.
AB410,12,17 17(1g) In this paragraph, “unprofessional section:
AB410,12,18 18(b) “Unprofessional conduct" does not include any of the following:
AB410,38 19Section 38. 448.978 (2) (d) 1. and 2. of the statutes are renumbered 448.978
20(1g) (b) 1. and 2.
AB410,39 21Section 39. 448.978 (2) (g) of the statutes is amended to read:
AB410,12,2322 448.978 (2) (g) Engages in fraud or deceit in obtaining or using his or her license
23or compact privilege.
AB410,40 24Section 40. Subchapter XIII of chapter 448 [precedes 448.988] of the statutes
25is created to read:
AB410,13,1
1chapter 448
AB410,13,22 Subchapter XIII
AB410,13,33 PA LICENSURE COMPACT
AB410,13,21 4448.988 PA licensure compact. (1) Purpose. In order to strengthen access
5to medical services, and in recognition of the advances in the delivery of medical
6services, the participating states of the PA licensure compact have allied in common
7purpose to develop a comprehensive process that complements the existing authority
8of state licensing boards to license and discipline PAs and seeks to enhance the
9portability of a license to practice as a PA while safeguarding the safety of patients.
10This compact allows medical services to be provided by PAs, via the mutual
11recognition of the licensee's qualifying license by other compact participating states.
12This compact also adopts the prevailing standard for PA licensure and affirms that
13the practice and delivery of medical services by the PA occurs where the patient is
14located at the time of the patient encounter, and therefore requires the PA to be under
15the jurisdiction of the state licensing board where the patient is located. State
16licensing boards that participate in this compact retain the jurisdiction to impose
17adverse action against a compact privilege in that state issued to a PA through the
18procedures of this compact. The PA licensure compact will alleviate burdens for
19military families by allowing active duty military personnel and their spouses to
20obtain a compact privilege based on having an unrestricted license in good standing
21from a participating state.
AB410,13,22 22(2) Definitions. In this compact:
AB410,14,223 (a) “Adverse action” means any administrative, civil, equitable, or criminal
24action permitted by a state's laws which is imposed by a licensing board or other
25authority against a PA license or license application or compact privilege such as

1license denial, censure, revocation, suspension, probation, monitoring of the
2licensee, or restriction on the licensee's practice.
AB410,14,63 (b) “Compact privilege” means the authorization granted by a remote state to
4allow a licensee from another participating state to practice as a PA to provide
5medical services and other licensed activity to a patient located in the remote state
6under the remote state's laws and regulations.
AB410,14,97 (c) “Conviction” means a finding by a court that an individual is guilty of a
8felony or misdemeanor offense through adjudication or entry of a plea of guilt or no
9contest to the charge by the offender
AB410,14,1310 (d) “Criminal background check” means the submission of fingerprints or other
11biometric-based information for a license applicant for the purpose of obtaining that
12applicant's criminal history record information, as defined in 28 CFR 20.3 (d), from
13the state's criminal history record repository as defined in 28 CFR 20.3 (f).
AB410,14,1614 (e) “Data system” means the repository of information about licensees,
15including but not limited to license status and adverse actions, which is created and
16administered under the terms of this compact.
AB410,14,1817 (f) “Executive committee” means a group of directors and ex officio individuals
18elected or appointed pursuant to sub. (7) (f) 2.
AB410,14,2019 (g) “Impaired practitioner” means a PA whose practice is adversely affected by
20health-related condition(s) that impact their ability to practice.
AB410,14,2221 (h) “Investigative information” means information, records, or documents
22received or generated by a licensing board pursuant to an investigation.
AB410,14,2423 (i) “Jurisprudence requirement” means the assessment of an individual's
24knowledge of the laws and rules governing the practice of a PA in a state.
AB410,15,3
1(j) “License” means current authorization by a state, other than authorization
2pursuant to a compact privilege, for a PA to provide medical services, which would
3be unlawful without current authorization.
AB410,15,54 (k) “Licensee” means an individual who holds a license from a state to provide
5medical services as a PA.
AB410,15,76 (L) “Licensing board” means any state entity authorized to license and
7otherwise regulate PAs.
AB410,15,108 (m) “Medical services” means health care services provided for the diagnosis,
9prevention, treatment, cure or relief of a health condition, injury, or disease, as
10defined by a state's laws and regulations.
AB410,15,1211 (n) “Model compact” means the model for the PA licensure compact on file with
12the Council of State Governments or other entity as designated by the commission.
AB410,15,1313 (o) “Participating state” means a state that has enacted this compact.
AB410,15,1814 (p) “PA” means an individual who is licensed as a physician assistant in a state.
15For purposes of this compact, any other title or status adopted by a state to replace
16the term “physician assistant” shall be deemed synonymous with “physician
17assistant” and shall confer the same rights and responsibilities to the licensee under
18the provisions of this compact at the time of its enactment.
AB410,15,2019 (q) “PA licensure compact commission,” “compact commission,” or
20“commission” mean the national administrative body created pursuant to sub. (7) (a).
AB410,15,2221 (r) “Qualifying license” means an unrestricted license issued by a participating
22state to provide medical services as a PA.
AB410,15,2423 (s) “Remote state” means a participating state where a licensee who is not
24licensed as a PA is exercising or seeking to exercise the compact privilege.
AB410,16,2
1(t) “Rule” means a regulation promulgated by an entity that has the force and
2effect of law.
AB410,16,63 (u) “Significant investigative information” means investigative information
4that a licensing board, after an inquiry or investigation that includes notification and
5an opportunity for the PA to respond if required by state law, has reason to believe
6is not groundless and, if proven true, would indicate more than a minor infraction.
AB410,16,87 (v) “State” means any state, commonwealth, district, or territory of the United
8States.
AB410,16,10 9(3) State participation in this compact. (a) To participate in this compact, a
10participating state shall:
AB410,16,1111 1. License PAs.
AB410,16,1212 2. Participate in the compact commission's data system.
AB410,16,1413 3. Have a mechanism in place for receiving and investigating complaints
14against licensees and license applicants.
AB410,16,1815 4. Notify the commission, in compliance with the terms of this compact and
16commission rules, of any adverse action against a licensee or license applicant and
17the existence of significant investigative information regarding a licensee or license
18applicant.
AB410,16,2219 5. Fully implement a criminal background check requirement, within a time
20frame established by commission rule, by its licensing board receiving the results of
21a criminal background check and reporting to the commission whether the license
22applicant has been granted a license.
AB410,16,2323 6. Comply with the rules of the compact commission.
AB410,16,2524 7. Utilize passage of a recognized national exam such as the NCCPA PANCE
25as a requirement for PA licensure.
AB410,17,2
18. Grant the compact privilege to a holder of a qualifying license in a
2participating state.
AB410,17,43 (b) Nothing in this compact prohibits a participating state from charging a fee
4for granting the compact privilege.
AB410,17,5 5(4) Compact privilege. (a) To exercise the compact privilege, a licensee must:
AB410,17,86 1. Have graduated from a PA program accredited by the Accreditation Review
7Commission on Education for the Physician Assistant, Inc. or other programs
8authorized by commission rule.
AB410,17,99 2. Hold current NCCPA certification.
AB410,17,1010 3. Have no felony or misdemeanor conviction.
AB410,17,1311 4. Have never had a controlled substance license, permit, or registration
12suspended or revoked by a state or by the United States drug enforcement
13administration.
AB410,17,1414 5. Have a unique identifier as determined by commission rule.
AB410,17,1515 6. Hold a qualifying license.
AB410,17,1716 7. Have had no revocation of a license or limitation or restriction on any license
17currently held due to an adverse action.
AB410,17,2118 8. If a licensee has had a limitation or restriction on a license or compact
19privilege due to an adverse action, two years must have elapsed from the date on
20which the license or compact privilege is no longer limited or restricted due to the
21adverse action.
AB410,18,222 9. If a compact privilege has been revoked or is limited or restricted in a
23participating state for conduct that would not be a basis for disciplinary action in a
24participating state in which the licensee is practicing or applying to practice under
25a compact privilege, that participating state shall have the discretion not to consider

1such action as an adverse action requiring the denial or removal of a compact
2privilege in that state.
AB410,18,43 10. Notify the compact commission that the licensee is seeking the compact
4privilege in a remote state.
AB410,18,75 11. Meet any jurisprudence requirement of a remote state in which the licensee
6is seeking to practice under the compact privilege and pay any fees applicable to
7satisfying the jurisprudence requirement.
AB410,18,98 12. Report to the commission any adverse action taken by a nonparticipating
9state within thirty (30) days after the action is taken.
AB410,18,1610 (b) The compact privilege is valid until the expiration or revocation of the
11qualifying license unless terminated pursuant to an adverse action. The licensee
12must also comply with all of the requirements of par. (a) above to maintain the
13compact privilege in a remote state. If the participating state takes adverse action
14against a qualifying license, the licensee shall lose the compact privilege in any
15remote state in which the licensee has a compact privilege until all of the following
16occur:
AB410,18,1717 1. The license is no longer limited or restricted; and
AB410,18,1918 2. Two (2) years have elapsed from the date on which the license is no longer
19limited or restricted due to the adverse action.
AB410,18,2220 (c) Once a restricted or limited license satisfies the requirements of par. (b) 1.
21and 2., the licensee must meet the requirements of par. (a) to obtain a compact
22privilege in any remote state.
AB410,18,2523 (d) For each remote state in which a PA seeks authority to prescribe controlled
24substances, the PA shall satisfy all requirements imposed by such state in granting
25or renewing such authority.
AB410,19,5
1(5) Designation of the state from which licensee is applying for a compact
2privilege.
(a) Upon a licensee's application for a compact privilege, the licensee shall
3identify to the commission the participating state from which the licensee is
4applying, in accordance with applicable rules adopted by the commission, and
5subject to the following requirements:
AB410,19,96 1. When applying for a compact privilege, the licensee shall provide the
7commission with the address of the licensee's primary residence and thereafter shall
8immediately report to the commission any change in the address of the licensee's
9primary residence.
AB410,19,1410 2. When applying for a compact privilege, the licensee is required to consent
11to accept service of process by mail at the licensee's primary residence on file with
12the commission with respect to any action brought against the licensee by the
13commission or a participating state, including a subpoena, with respect to any action
14brought or investigation conducted by the commission or a participating state.
AB410,19,17 15(6) Adverse actions. (a) A participating state in which a licensee is licensed
16shall have exclusive power to impose adverse action against the qualifying license
17issued by that participating state.
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