All Roll Calls
Yes: 135 • No: 0
IowaHF 30091st General Assembly (2025–2026)HouseWALLET
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
4 provisions identified: 0 benefits, 0 costs, 4 mixed.
Discipline can pause multistate practice
Beginning July 1, 2025, the state that issued your qualifying license controls discipline of that license. If your license is limited or restricted, your compact privileges in all other states stop. Privileges restart only after your license is fully unrestricted and two more years have passed. Remote states may act against your compact privilege under their own laws and due process. States must report adverse actions to a shared data system. Courts where witnesses or records are located can enforce compact subpoenas, and the issuing state must pay required fees. The compact bans subpoenas that use evidence of conduct that was legal where it happened to punish you.
Getting a PA compact privilege
Beginning July 1, 2025, you can seek a compact privilege to practice in other member states if you meet the rules. You must have an unrestricted qualifying license, an accredited PA degree, and current NCCPA certification. You need no disqualifying convictions and no suspended or revoked controlled‑substance registration. If your license was restricted, you must wait two full years after restrictions end. You may need to pass a remote‑state law test and pay compact fees. You must give your primary home address, accept legal mail there, and report address changes right away. Boards run criminal background checks using fingerprints or other biometrics. To prescribe controlled substances in a remote state, you must meet that state’s extra requirements.
How states join or exit the compact
Beginning July 1, 2025, Iowa joins the Physician Assistant Licensure Compact. To participate, states must share data, run background checks, follow commission rules, and grant compact privileges to qualified PAs. A state may withdraw by repealing the compact; the withdrawal takes effect 180 days after enactment, and compact privileges in that state continue for at least 180 days. If the commission ends a state’s membership for default, compact privileges in that state continue for 180 days. The terminated state still owes prior obligations and may appeal in federal court.
New commission runs PA compact
The law creates a multistate commission to run the PA licensure compact. The commission can make binding rules, set fees, hire staff, accept grants, and bring lawsuits in federal court. Member legislatures can reject a rule within four years, and rules cannot override a state’s scope‑of‑practice law. Commission members and staff are immune for acts within their duties, except for intentional, willful, or wanton misconduct. The commission starts once seven states have enacted the compact.
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.
5/27/2025GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/19/2025SenateMessage from Senate.
3/26/2025SenateImmediate message.
3/26/2025legislaturePassed Senate, yeas 47, nays 0.
3/26/2025SenateSubstituted for SF 312.
3/26/2025legislatureExplanation of vote.
3/18/2025legislatureRead first time, attached to SF 312.
3/10/2025legislatureMessage from House.
3/10/2025HouseImmediate message.
3/10/2025legislaturePassed House, yeas 88, nays 0.
3/10/2025HouseIntroduced, placed on calendar.
2/10/2025legislature
Bill Text
As Introduced
Enrolled
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