SB400,14,1310 (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).
SB400,14,1614 (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.
SB400,14,1817 (f) “Executive committee” means a group of directors and ex officio individuals
18elected or appointed pursuant to sub. (7) (f) 2.
SB400,14,2019 (g) “Impaired practitioner” means a PA whose practice is adversely affected by
20health-related condition(s) that impact their ability to practice.
SB400,14,2221 (h) “Investigative information” means information, records, or documents
22received or generated by a licensing board pursuant to an investigation.
SB400,14,2423 (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.
SB400,15,3
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.
SB400,15,54 (k) “Licensee” means an individual who holds a license from a state to provide
5medical services as a PA.
SB400,15,76 (L) “Licensing board” means any state entity authorized to license and
7otherwise regulate PAs.
SB400,15,108 (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.
SB400,15,1211 (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.
SB400,15,1313 (o) “Participating state” means a state that has enacted this compact.
SB400,15,1814 (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.
SB400,15,2019 (q) “PA licensure compact commission,” “compact commission,” or
20“commission” mean the national administrative body created pursuant to sub. (7) (a).
SB400,15,2221 (r) “Qualifying license” means an unrestricted license issued by a participating
22state to provide medical services as a PA.
SB400,15,2423 (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.
SB400,16,2
1(t) “Rule” means a regulation promulgated by an entity that has the force and
2effect of law.
SB400,16,63 (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.
SB400,16,87 (v) “State” means any state, commonwealth, district, or territory of the United
8States.
SB400,16,10 9(3) State participation in this compact. (a) To participate in this compact, a
10participating state shall:
SB400,16,1111 1. License PAs.
SB400,16,1212 2. Participate in the compact commission's data system.
SB400,16,1413 3. Have a mechanism in place for receiving and investigating complaints
14against licensees and license applicants.
SB400,16,1815 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.
SB400,16,2219 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.
SB400,16,2323 6. Comply with the rules of the compact commission.
SB400,16,2524 7. Utilize passage of a recognized national exam such as the NCCPA PANCE
25as a requirement for PA licensure.
SB400,17,2
18. Grant the compact privilege to a holder of a qualifying license in a
2participating state.
SB400,17,43 (b) Nothing in this compact prohibits a participating state from charging a fee
4for granting the compact privilege.
SB400,17,5 5(4) Compact privilege. (a) To exercise the compact privilege, a licensee must:
SB400,17,86 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.
SB400,17,99 2. Hold current NCCPA certification.
SB400,17,1010 3. Have no felony or misdemeanor conviction.
SB400,17,1311 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.
SB400,17,1414 5. Have a unique identifier as determined by commission rule.
SB400,17,1515 6. Hold a qualifying license.
SB400,17,1716 7. Have had no revocation of a license or limitation or restriction on any license
17currently held due to an adverse action.
SB400,17,2118 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.
SB400,18,222 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.
SB400,18,43 10. Notify the compact commission that the licensee is seeking the compact
4privilege in a remote state.
SB400,18,75 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.
SB400,18,98 12. Report to the commission any adverse action taken by a nonparticipating
9state within thirty (30) days after the action is taken.
SB400,18,1610 (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:
SB400,18,1717 1. The license is no longer limited or restricted; and
SB400,18,1918 2. Two (2) years have elapsed from the date on which the license is no longer
19limited or restricted due to the adverse action.
SB400,18,2220 (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.
SB400,18,2523 (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.
SB400,19,5
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:
SB400,19,96 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.
SB400,19,1410 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.
SB400,19,17 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.
SB400,19,2018 (b) In addition to the other powers conferred by state law, a remote state shall
19have the authority, in accordance with existing state due process law, to do all of the
20following:
SB400,19,2321 1. Take adverse action against a PA's compact privilege within that state to
22remove a licensee's compact privilege or take other action necessary under applicable
23law to protect the health and safety of its citizens.
SB400,20,724 2. Issue subpoenas for both hearings and investigations that require the
25attendance and testimony of witnesses as well as the production of evidence.

1Subpoenas issued by a licensing board in a participating state for the attendance and
2testimony of witnesses or the production of evidence from another participating state
3shall be enforced in the latter state by any court of competent jurisdiction, according
4to the practice and procedure of that court applicable to subpoenas issued in
5proceedings pending before it. The issuing authority shall pay any witness fees,
6travel expenses, mileage and other fees required by the service statutes of the state
7in which the witnesses or evidence are located.
SB400,20,118 3. Notwithstanding subd. 2., subpoenas may not be issued by a participating
9state to gather evidence of conduct in another state that is lawful in that other state
10for the purpose of taking adverse action against a licensee's compact privilege or
11application for a compact privilege in that participating state.
SB400,20,1512 4. Nothing in this compact authorizes a participating state to impose discipline
13against a PA's compact privilege or to deny an application for a compact privilege in
14that participating state for the individual's otherwise lawful practice in another
15state.
SB400,20,2016 (c) For purposes of taking adverse action, the participating state which issued
17the qualifying license shall give the same priority and effect to reported conduct
18received from any other participating state as it would if the conduct had occurred
19within the participating state which issued the qualifying license. In so doing, that
20participating state shall apply its own state laws to determine appropriate action.
SB400,20,2321 (d) A participating state, if otherwise permitted by state law, may recover from
22the affected PA the costs of investigations and disposition of cases resulting from any
23adverse action taken against that PA.
SB400,21,3
1(e) A participating state may take adverse action based on the factual findings
2of a remote state, provided that the participating state follows its own procedures for
3taking the adverse action.
SB400,21,74 (f) Joint investigations. 1. In addition to the authority granted to a
5participating state by its respective state PA laws and regulations or other applicable
6state law, any participating state may participate with other participating states in
7joint investigations of licensees.
SB400,21,108 2. Participating states shall share any investigative, litigation, or compliance
9materials in furtherance of any joint or individual investigation initiated under this
10compact.
SB400,21,1711 (g) If an adverse action is taken against a PA's qualifying license, the PA's
12compact privilege in all remote states shall be deactivated until two (2) years have
13elapsed after all restrictions have been removed from the state license. All
14disciplinary orders by the participating state which issued the qualifying license that
15impose adverse action against a PA's license shall include a statement that the PA's
16compact privilege is deactivated in all participating states during the pendency of the
17order.
SB400,21,1918 (h) If any participating state takes adverse action, it promptly shall notify the
19administrator of the data system.
SB400,21,25 20(7) Establishment of the PA licensure compact commission. (a) The
21participating states hereby create and establish a joint government agency and
22national administrative body known as the PA licensure compact commission. The
23commission is an instrumentality of the compact states acting jointly and not an
24instrumentality of any one state. The commission shall come into existence on or
25after the effective date of the compact as set forth in sub. (11) (a).
SB400,22,4
1(b) Membership, voting, and meetings. 1. Each participating state shall have
2and be limited to one (1) delegate selected by that participating state's licensing
3board or, if the state has more than one licensing board, selected collectively by the
4participating state's licensing boards.
SB400,22,55 2. The delegate shall be either:
SB400,22,76 a. A current PA, physician or public member of a licensing board or PA
7council/committee; or
SB400,22,88 b. An administrator of a licensing board.
SB400,22,109 3. Any delegate may be removed or suspended from office as provided by the
10laws of the state from which the delegate is appointed.
SB400,22,1211 4. The participating state licensing board shall fill any vacancy occurring in the
12commission within sixty (60) days.
SB400,22,1813 5. Each delegate shall be entitled to one (1) vote on all matters voted on by the
14commission and shall otherwise have an opportunity to participate in the business
15and affairs of the commission. A delegate shall vote in person or by such other means
16as provided in the bylaws. The bylaws may provide for delegates' participation in
17meetings by telecommunications, video conference, or other means of
18communication.
SB400,22,2019 6. The commission shall meet at least once during each calendar year.
20Additional meetings shall be held as set forth in this compact and the bylaws.
SB400,22,2121 7. The commission shall establish by rule a term of office for delegates.
SB400,22,2222 (c) The commission shall have the following powers and duties:
SB400,22,2323 1. Establish a code of ethics for the commission;
SB400,22,2424 2. Establish the fiscal year of the commission;
SB400,22,2525 3. Establish fees;
SB400,23,1
14. Establish bylaws;
SB400,23,22 5. Maintain its financial records in accordance with the bylaws;
SB400,23,43 6. Meet and take such actions as are consistent with the provisions of this
4compact and the bylaws;
SB400,23,75 7. Promulgate rules to facilitate and coordinate implementation and
6administration of this compact. The rules shall have the force and effect of law and
7shall be binding in all participating states;
SB400,23,108 8. Bring and prosecute legal proceedings or actions in the name of the
9commission, provided that the standing of any state licensing board to sue or be sued
10under applicable law shall not be affected;
SB400,23,1111 9. Purchase and maintain insurance and bonds;
SB400,23,1312 10. Borrow, accept, or contract for services of personnel, including, but not
13limited to, employees of a participating state;
SB400,23,1814 11. Hire employees and engage contractors, elect or appoint officers, fix
15compensation, define duties, grant such individuals appropriate authority to carry
16out the purposes of this compact, and establish the commission's personnel policies
17and programs relating to conflicts of interest, qualifications of personnel, and other
18related personnel matters;
SB400,23,2219 12. Accept any and all appropriate donations and grants of money, equipment,
20supplies, materials and services, and receive, utilize and dispose of the same;
21provided that at all times the commission shall avoid any appearance of impropriety
22or conflict of interest;
SB400,23,2523 13. Lease, purchase, accept appropriate gifts or donations of, or otherwise own,
24hold, improve or use, any property, real, personal or mixed; provided that at all times
25the commission shall avoid any appearance of impropriety;
SB400,24,2
114. Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise
2dispose of any property real, personal, or mixed;
SB400,24,33 15. Establish a budget and make expenditures;
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