The PA Licensure Compact lets physician assistants (PAs) work across member states under one compact privilege, rather than applying for a full license in each state. The compact reached the seven-state threshold needed for implementation and is now in active rollout — member states are progressively standing up privilege-issuance portals.
The PA Compact is open to PAs holding the PA or PA-C credential with an active, unencumbered license in a member state. Applicants must hold current NCCPA certification, have completed an ARC-PA accredited PA program, have no current disciplinary action or license restriction, and have no disqualifying criminal history.
The privilege is tied to the home state of legal residence. PAs with primary residency outside a member state cannot use the compact.
The PA Compact has been enacted in 24 jurisdictions as of 2026-06, but no state is currently issuing privileges. State onboarding is targeted for January 2027.
last_verified: 2026-05 · sourced from data/compacts.json
Applications will go through the PA Compact Commission's portal as each member state stands up its issuance process. You verify your home state PA license, confirm NCCPA certification, complete a background check, and request privileges in the member states where you want practice rights.
The compact privilege fee varies by state and is set during operational rollout. Processing time depends on home-state implementation status. Confirm current fees and timing directly with the PA Compact. last_verified: 2026-05.
When your NPI lookup returns a PA or PA-C credential, TeleVerify auto-detects PA Compact eligibility and asks you to confirm your home state and which member-state privileges you've activated. Once confirmed, sessions where the patient is in a privileged member state are tagged compliant_compact. Because the compact is in active rollout, we recommend quarterly profile updates to add newly available states. PAs in non-member states continue to need individual state licenses for cross-state practice.