The civic record
Read. Follow. Verify.Alabama adopts PA Licensure Compact to allow multi-state practice for physician assistants starting October 1, 2026
Last action · April 20, 2026: EnactedSponsor: Paul Lee
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Does
Physician assistants holding a in a participating state are newly permitted to practice in remote compact states through a , beginning October 1, 2026. The measure establishes the PA Licensure Compact Commission to oversee enforcement, manage a coordinated data system, and coordinate joint investigations among member states.
Licensed physician assistants gain the legal ability to practice across state lines without obtaining separate individual licenses in every compact state, while state licensing boards retain exclusive authority to discipline home-state licenses.
- Interstate licensure compacts are multi-state agreements designed to improve license portability and streamline professional regulation across state lines. context
- Physician assistants are medical professionals licensed to practice medicine under the supervision of a physician. context
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Physician assistants
Physician assistants can practice in remote participating states via a compact privilege provided they meet eligibility criteria.
Military families
Active duty military personnel and their spouses can obtain a compact privilege based on an unrestricted license from a participating state.
State licensing boards
Licensing boards participate in the compact commission's data system, report adverse actions, and retain jurisdiction to discipline licenses.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What is a compact privilege?
When does this act become effective?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Current status: Became law.
Procedural history
17 actions- Apr 20, 2026HouseEnrolledEnacted
- Mar 10, 2026SenateSignature Requested
- Mar 10, 2026HouseEnrolledDelivered to Governor
- Mar 5, 2026HouseEnrolled
- Mar 5, 2026HouseReady to Enroll
- Mar 5, 2026SenateFloorMotion to Read a Third Time and Pass - Adopted Roll Call 715
Show 11 earlier actions
- Mar 5, 2026SenateThird Reading in Second House
- Feb 12, 2026SenateRead for the Second Time and placed on the Calendar
- Feb 11, 2026SenateCommitteeReported Out of Committee Second House
- Feb 5, 2026SenateCommitteePending Committee Action in Second House
- Feb 5, 2026SenateIntroducedRead for the first time and referred to the Senate Committee on Healthcare
- Feb 3, 2026HouseFloorMotion to Read a Third Time and Pass - Adopted Roll Call 257
- Feb 3, 2026HouseThird Reading in House of Origin
- Jan 21, 2026HouseRead for the Second Time and placed on the Calendar
- Jan 21, 2026HouseCommitteeReported Out of Committee House of Origin
- Jan 13, 2026HouseCommitteePending Committee Action in House of Origin
- Jan 13, 2026HouseIntroducedRead for the first time and referred to the House Committee on Health
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Transition to Multi-State Licensure
Shifts the regulatory framework from single-state licensing requirements to a mutual recognition compact model for physician assistants.
Connected Entities
Sources
alison.legislature.state.al.us
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
Publisher tools