All Roll Calls
Yes: 109 • No: 0
New JerseyA4328220th Legislature (2024-2025)HouseWALLET
Enters New Jersey into Interstate Physician Assistant Licensure Compact.
Sponsored By: Conaway, Herb, Hall, Garnet R., Ellen J. Park (Democratic), Nicholas P. Scutari (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 0 benefits, 1 costs, 4 mixed.
Physician assistants face interstate practice fees
States can charge physician assistants for compact practice privileges. Assistants must also pay applicable fees for a remote state's legal-knowledge requirements. The Commission can charge privilege fees and assess states annually when other revenue falls short of its approved budget. Changing the participating state used to apply can trigger another privilege fee under Commission rules. Fee amounts are not set in this law. The Commission can accept grants and donations, must secure money before taking on obligations, and must undergo an annual financial review.
Physician assistants gain cross-state practice options
The law lets eligible physician assistants practice in other compact states without getting separate full licenses, including through telehealth. They need an unrestricted participating-state license, approved education, current national certification, and a Commission identifier. Criminal convictions, past license revocations, and current practice restrictions can block eligibility. A past suspension or revocation of controlled-drug authority also blocks eligibility. Assistants must notify the Commission, meet each remote state's legal-knowledge requirements, and report nonmember-state discipline within 30 days. A privilege generally lasts until the qualifying license expires or is revoked, provided eligibility continues. Restoring privileges after a disciplinary restriction requires two years after that restriction ends. Controlled-drug prescribing requires meeting the remote state's added requirements. Active-duty military members and their spouses can use an unrestricted, good-standing license from a participating state to obtain privileges.
Commission sets physician assistant compact rules
The law creates a joint state commission to run the compact, with one voting delegate from each participating state. An executive committee handles business between Commission meetings. Commission rules bind participating states, and the compact overrides conflicting state laws only where they conflict. Courts can invalidate rules that exceed Commission authority or conflict with state limits on services assistants may provide. A rule ends across all member states if a majority of their legislatures rejects it within four years. Commission officials receive civil-liability protection for work within their duties, including work they reasonably believe falls within those duties. The Commission must defend them and cover qualifying settlements and judgments, except for intentional, willful, or wanton misconduct.
Compact exit rules protect temporary practice
New Jersey joined effective January 9, 2026; multistate operation requires seven states to enact the compact and the Commission to convene. The compact stays in effect even if membership later falls below seven. States can withdraw by passing a repeal law, with withdrawal effective 180 days later. Existing privileges and license recognition continue during that period, and boards must keep reporting investigations and discipline through withdrawal. States must enforce the compact; unresolved violations can end membership after other compliance efforts fail and a majority of delegates agrees. A state constitutional requirement that materially departs from the compact can also lead to denial or termination of membership. After termination, existing privileges in that state continue for 180 days, as do privileges elsewhere based on its licenses. Assistants can retain privileges elsewhere beyond that window by holding or obtaining another participating-state qualifying license within 180 days. Departing states remain responsible for obligations incurred before departure.
States share physician assistant safety oversight
New Jersey must grant privileges to qualified assistants, investigate complaints, require the national licensing exam, and share licensing records. States must add criminal background checks within the Commission's timeline. Only the issuing state can discipline the qualifying license; remote states can restrict practice privileges using their due-process rules. Action against the qualifying license pauses privileges everywhere until restrictions end and two years pass; eligibility requirements still apply afterward. States cannot punish assistants or deny applications for otherwise lawful practice in another state. States share investigation materials and can conduct joint investigations, enforce cross-state subpoenas, and recover allowed investigation costs. The shared database tracks licenses, denials, discipline, and significant investigations, subject to legal limits on criminal-history reporting. Significant investigation information is available only to participating states; states can mark other records nonpublic. Records must be removed when the reporting state gives notice that they were legally expunged.
Sponsors & Cosponsors
Sponsors
Conaway, Herb
Affiliation unavailable
Hall, Garnet R.
Affiliation unavailable
Ellen J. Park
Democratic • House
Nicholas P. Scutari
Democratic • Senate
Cosponsors
Declan J. O'Scanlon Jr.
Republican • Senate
William B. Sampson IV
Democratic • House
Shanique Speight
Democratic • House
Roll Call Votes
Senate vote • 12/18/2025
3RDG FINAL PASSAGE
Yes: 38 • No: 0
House vote • 12/19/2024
3RDG FINAL PASSAGE
Yes: 71 • No: 0
Actions Timeline
Approved by Governor — P.L.2025, c.198.
1/9/2026GovernorPassed Senate, PBH — (38-0)
12/18/2025SenateSubstituted for S3560 (1R)
12/18/2025SenateReported, 2nd Reading in Senate
11/13/2025SenateRCM Senate Budget and Appropriations Committee
11/10/2025SenateReported, 2nd Reading in Senate
5/19/2025SenateReceived in Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
1/14/2025SenatePassed Assembly — (71-0-0)
12/19/2024HouseREP/ACA, 2nd Reading in Assembly
10/24/2024HouseIntroduced, 1st Reading in Assembly, Referred to Assembly Regulated Professions Committee
5/10/2024House
Bill Text
Version PL2025
3/12/2026
Version AL2025
3/6/2026
Assembly Regulated Professions (10/24/24 1R)
12/19/2025
Senate Budget and Appropriations Substitute (11/13/25 1R)
11/14/2025
Senate Health, Human Services and Senior Citizens Substitute (5/19/25 1R)
5/20/2025
12/26/24; 1R
12/26/2024
As Introduced
10/25/2024
Assembly Regulated Professions Substitute (10/24/24)
10/25/2024
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