All Roll Calls
Yes: 135 • No: 0
IowaHF 30091st General Assembly (2025–2026)House
A bill for an act enacting the physician assistant licensure compact. (Formerly HSB 87.) Effective date: 07/01/2025.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 1 benefits, 0 costs, 4 mixed.
License discipline halts cross-state practice privileges
Only the issuing state can discipline a physician assistant’s qualifying license; other states can discipline practice privileges within their borders. Action against that license deactivates compact privileges in every other participating state. Privileges remain inactive until all license restrictions end and two years pass after restrictions are removed. States can share investigation materials and use another state’s findings, but must follow their own procedures. Actions against practice privileges must follow applicable due-process law.
Shared license checks protect physician assistant patients
Participating states must license physician assistants, require a recognized national exam, conduct criminal background checks, and investigate complaints. They must follow commission rules and grant practice privileges to qualifying applicants. The commission must maintain a shared system for license information, disciplinary actions, license denials, and significant investigation information. States must report this information using required unique identifiers, but only participating states can access significant investigation details. Denial reports must exclude criminal history when disclosure is barred by law.
Physician assistants gain cross-state practice options
Effective July 1, 2025, the law creates a cross-state practice pathway for physician assistants; the compact starts after seven states enact it. Applicants need an unrestricted qualifying license, accredited training, current national certification, and must meet criminal-background and disciplinary requirements. They must notify the commission, pay applicable fees, and meet any destination-state legal-knowledge requirement. Practice follows the laws where the patient is physically located, including controlled-drug prescribing rules, and privileges generally end when the qualifying license expires or is revoked. Physician assistants must report disciplinary actions from nonparticipating states within 30 days.
State exits limit cross-state practice access
A state can leave by repealing the compact, with withdrawal taking effect 180 days after enactment. During that period, specified existing privileges continue, and the state must keep reporting investigations and disciplinary actions. The commission can terminate a state only after an uncured default, exhausted compliance efforts, and approval by a majority of state delegates. Existing privileges in a terminated state continue for 180 days after termination takes effect. Physician assistants based in an exiting state can preserve cross-state privileges by holding or obtaining a qualifying license elsewhere in the compact within the applicable 180-day period.
New compact fees and practice rules
A new commission runs the compact and may charge states yearly assessments and physician assistants practice-privilege fees. Fees can also apply when a physician assistant changes the state used to qualify; the law sets no amounts. These charges cover approved costs when other revenue is insufficient. Commission rules bind participating states without their usual rulemaking process, but courts can invalidate conflicts with state laws governing physician assistant services. A majority of participating state legislatures can reject a rule within four years after adoption.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 3/26/2025
Passed Senate
Yes: 47 • No: 0
House vote • 3/10/2025
Passed House
Yes: 88 • No: 0
Actions Timeline
Signed by Governor.
5/27/2025HouseReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/19/2025HouseMessage from Senate.
3/26/2025HouseImmediate message.
3/26/2025SenatePassed Senate, yeas 47, nays 0.
3/26/2025SenateSubstituted for SF 312.
3/26/2025SenateExplanation of vote.
3/18/2025HouseRead first time, attached to SF 312.
3/10/2025SenateMessage from House.
3/10/2025SenateImmediate message.
3/10/2025HousePassed House, yeas 88, nays 0.
3/10/2025HouseIntroduced, placed on calendar.
2/10/2025House
Bill Text
As Introduced
Enrolled
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