All Roll Calls
Yes: 64 • No: 42
ArizonaHB 2190Fifty-seventh Legislature - Second Regular SessionHouseWALLET
physician assistants; licensure compact
Sponsored By: Julie Willoughby (Republican)
Signed by Governor
arizona regulatory board of physician assistantslicensure compactphysician assistantsprofessions and occupations - title 32
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 0 benefits, 0 costs, 4 mixed.
Physician assistants gain multistate practice
Qualifying physician assistants can practice in other participating states through a compact privilege. They need an eligible license, approved education, current national certification, and no disqualifying criminal or license history. They must name the state they are applying from, give the commission their home address, report address changes right away, and accept legal papers by mail. A nonparticipating state’s adverse action must be reported within 30 days; restrictions can block privileges until the license is unrestricted and two years have passed. States may charge fees, and prescribing controlled substances remains subject to each state’s rules.
Rules for physician assistant discipline
The state that issued a physician assistant’s qualifying license controls discipline against that license. Another participating state can act against the assistant’s compact privilege within its borders. States cannot discipline an assistant for practice that was lawful in another state. States can investigate together and share records, and they can recover investigation and case costs only when state law allows it and the case results in adverse action. The commission’s shared system tracks licenses, adverse actions, and significant investigations; reported expunged information must be removed.
State exits can disrupt assistant practice
A state can leave the compact by passing a repeal law, and withdrawal takes effect 180 days later. Some compact privileges continue during that period; assistants licensed in another participating state, or who get that license within the 180 days, can keep privileges there afterward. The withdrawing state must also recognize compact-granted licenses for at least 180 days after its withdrawal notice. The commission can terminate a state that fails to meet its duties, does not fix the default, and remains in default after other steps fail; a majority of state delegates must approve. Some affected assistants keep specified privileges for 180 days after termination, subject to license rules.
States must follow compact rules
A state can join the compact only by meeting its licensing, background-check, complaint, data-sharing, and rule-following duties. The compact starts when the seventh state enacts it and remains in effect if fewer than seven states later remain. Commission rules have the force of law in participating states, and the compact overrides state laws only where they conflict. States can keep cooperative licensing agreements that do not conflict with the compact, and their executive and judicial branches must enforce it.
Sponsors & Cosponsors
Sponsor
Julie Willoughby
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 2/16/2026
Third Reading: Passed
Yes: 26 • No: 3
House vote • 2/12/2026
Third Reading: failed to pass
Yes: 20 • No: 38
House vote • 2/9/2026
Rules: C&P
Yes: 7 • No: 0
House vote • 1/26/2026
Health & Human Services: DP
Yes: 11 • No: 1
Actions Timeline
Signed by Governor
2/20/2026GovernorSenate First Reading
2/16/2026SenateThird Reading: Passed
2/16/2026SenateMiscellaneous Motion: Passed
2/16/2026SenateThird Reading: Passed
2/16/2026HouseMotion to Reconsider Third: Passed
2/12/2026HouseThird Reading: failed to pass
2/12/2026HouseCommittee of the Whole: do pass amended
2/11/2026HouseRules: C&P
2/9/2026HouseHealth & Human Services: DP
1/26/2026HouseHouse Second Reading
1/20/2026HouseHouse First Reading
1/15/2026House
Bill Text
Chaptered Version
House Engrossed Version (02/16/2026)
Introduced Version