All Roll Calls
Yes: 568 • No: 0
Sponsored By: Robert E. Merski (Democratic)
Signed by Governor
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7 provisions identified: 1 benefits, 1 costs, 5 mixed.
Pennsylvania joins a compact that lets eligible physician assistants practice in other participating states. PAs need an unrestricted qualifying license, approved education, current national certification, and a Commission identifier. Participating states must use shared background checks, licensing data, and complaint systems. Pennsylvania’s medical boards must issue temporary rules and begin accepting and issuing privileges within one year after the implementation paragraph takes effect.
If a state is terminated from the compact, affected PAs generally keep their privileges there for 180 days. When a state withdraws, withdrawal takes effect 180 days after it enacts a repeal, and compact privileges continue during the transition. A PA may keep privileges in other participating states after that period by holding or obtaining a qualifying license there within 180 days.
Participating states may charge a fee for granting a PA compact privilege. The Commission may also charge PAs when other revenue does not cover its approved budget. If a PA ends a qualifying license early and has another qualifying license, the PA must notify the Commission and pay any fee required by Commission rules. The compact sets no fee amounts.
The state that issued a PA’s qualifying license handles action against that license. A remote state can investigate and act against the PA’s privilege in that state. A license restriction deactivates privileges in all remote states while it lasts and for two years after it ends. A state may recover investigation and case costs from a PA only when its own law allows it, and states cannot discipline practice that was lawful where it occurred.
Commission members, officers, staff, and representatives receive protection from civil liability for covered acts within their duties. The Commission must defend them and pay covered settlements or judgments tied to those duties. These protections do not cover intentional, willful, or wanton misconduct. The law does not state a payment amount or funding source.
The Commission runs a shared system for PA licenses, denials, adverse actions, and significant investigation information. Participating states must submit required records, but must leave out criminal-history details when the law bars disclosure. Significant investigation information is available only to participating states, and states may limit public access to information they submit. The Commission must remove a state’s information after that state reports it was expunged; certified Commission records can be used in certain proceedings.
The law creates a Commission to run the compact and give its rules legal force in participating states. Existing Commission rules take effect in Pennsylvania when the compact becomes law there. A court can limit a rule that conflicts with state law on PA services, and a majority of participating state legislatures can reject a rule within four years. Pennsylvania’s commissioner gets no extra pay but can be reimbursed for reasonable expenses actually incurred.
Robert E. Merski
Democratic • House
Benjamin V. Sanchez
Democratic • House
Carol Hill-Evans
Democratic • House
Dan Frankel
Democratic • House
Frank Burns
Democratic • House
Gina H. Curry
Democratic • House
Greg Scott
Democratic • House
Jacklyn Rusnock
Democratic • House
Johanny Cepeda-Freytiz
Democratic • House
Joseph C. Hohenstein
Democratic • House
Keith S. Harris
Democratic • House
Lisa A. Borowski
Democratic • House
Liz Hanbidge
Democratic • House
Malcolm Kenyatta
Democratic • House
Melissa L. Shusterman
Democratic • House
Nikki Rivera
Democratic • House
Patrick J. Harkins
Democratic • House
Steve Samuelson
Democratic • House
Tarik Khan
Democratic • House
All Roll Calls
Yes: 568 • No: 0
Senate vote • 10/20/2026
House Bill 1961 PN2870, Final Passage
Yes: 50 • No: 0
committee vote • 7/10/2026
22 0
Yes: 22 • No: 0
committee vote • 2/4/2026
14 0
Yes: 14 • No: 0
committee vote • 2/4/2026
14 0
Yes: 14 • No: 0
House vote • 11/17/2025
House Bill 1961 PN2551, FINAL PASSAGE
Yes: 202 • No: 0
committee vote • 11/17/2025
37 0
Yes: 37 • No: 0
House vote • 10/29/2025
House Bill 1961 PN2470 A01927
Yes: 203 • No: 0
committee vote • 10/28/2025
26 0
Yes: 26 • No: 0
Act No. 76 of 2026
Approved by the Governor
Presented to the Governor
Signed in Senate
Signed in House
House concurred in Senate amendments (203-0)
Re-reported on concurrence, as committed
Referred to Rules
Third consideration and final passage (50-0)
Second consideration
Re-reported as committed
Re-referred to Appropriations
First consideration
Reported as amended
Referred to Consumer Protection & Professional Licensure
Third consideration and final passage (202-0)
Re-reported as committed
Re-committed to Appropriations
Second consideration, with amendments
Removed from table
Laid on the table
First consideration
Reported as committed
Referred to Professional Licensure
PN 2870
2/4/2026
PN 2551
10/29/2025
PN 2470
10/17/2025
HB 2545, An Act providing for insurance coverage for vaginal estrogen for the treatment of menopausal symptoms and urinary tract infections.
HB 1827, An Act providing for medical assistance coverage and insurance coverage of screening, prevention and treatment measures for osteoporosis as a result of menopause.
HB 2826, An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for firefighter cancer screening and for firefighter cancer screening program; and establishing the Firefighte . . .r Cancer Screening Fund.
HB 2023, An Act amending the act of April 6, 1951 (P.L.69, No.20), known as The Landlord and Tenant Act of 1951, in recovery of possession, further providing for hearing, judgment, writ of possession and payme . . .nt of rent by tenant.
HB 1345, An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for medical assistance coverage for menopause treatments.
HB 1346, An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, providing for menopause treatment coverage.