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HB 3129MISSOURISession 2026State Billin committee
High Impact

Missouri Establishes Physician Assistant Licensure Compact to Enable Multi-State Practice

Original title: PHYSICIAN ASSISTANT LICENSURE COMPACT

Last action · March 5, 2026: Reported Do Pass (H)Sponsor: Ben Keathley

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Missouri bill HB 3129 establishes the Physician Assistant Licensure Compact, allowing physician assistants holding an unrestricted license in a participating state to practice across state lines via s once enacted in seven states.

Why it matters

Expands employment portability for physician assistants and military families by letting practitioners treat patients in remote participating states without obtaining separate traditional state licenses.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Physician Assistants

Physician assistants gain the ability to obtain compact privileges to practice in remote participating states without obtaining traditional separate licenses, provided they meet educational, certification, and background requirements.

Directly affected

Military families

Active duty military personnel and their spouses who hold an unrestricted license can obtain a compact privilege to practice more easily when relocated.

Directly affected

State Licensing Boards

Licensing boards retain authority to discipline licensees, must participate in the data reporting system, and must conduct criminal background checks for applicants.

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 the Physician Assistant Licensure Compact?
It is an interstate agreement that allows physician assistants to practice across participating state lines using their home state's , avoiding the need to acquire separate licenses in every state.
Who is eligible to exercise the Compact Privilege?
Physician assistants who graduated from an accredited program, hold current NCCPA certification, have no felony or misdemeanor convictions, have clean controlled substance licensure records, and hold an unrestricted in a participating state.
How does the compact affect military families?
It alleviates professional burdens for military families by allowing active duty military personnel and their spouses to obtain a based on having an unrestricted license in good standing from a participating state.

What else do you want to know?

News Coverage

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Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

13 actions
  1. Mar 5, 2026HouseCommittee
    Reported Do Pass (H)
  2. Mar 5, 2026HouseCommittee
    Voted Do Pass (H)
  3. Mar 5, 2026House
    Executive Session Completed (H)
  4. Feb 27, 2026HouseCommittee
    Referred: Rules - Legislative(H)
  5. Feb 24, 2026HouseCommittee
    HCS Reported Do Pass (H)
  6. Feb 18, 2026HouseCommittee
    HCS Voted Do Pass (H)
Show 7 earlier actions
  1. Feb 18, 2026House
    Executive Session Completed (H)
  2. Feb 11, 2026House
    Action Postponed (H)
  3. Feb 11, 2026House
    Executive Session Continued
  4. Feb 4, 2026House
    Public Hearing Completed (H)
  5. Jan 29, 2026HouseCommittee
    Referred: Professional Registration and Licensing(H)
  6. Jan 29, 2026HouseFloor
    Read Second Time (H)
  7. Jan 28, 2026HouseIntroduced
    Introduced and Read First Time (H)

Version history & redline

2 versions on file
Comparing Introduced → House Committee Substitute
removed addedOfficial text
SECOND REGULAR SESSION HOUSE removed: BILL NO. 3129 103RD GENERAL ASSEMBLY INTRODUCED BY REPRESENTATIVE KEATHLEY. 6895H.01I JOSEPH ENGLER, Chief Clerk AN ACT To amend chapter 334, RSMo, by adding thereto thirteen new sections relating to the physician assistant licensure compact. Be it enacted by the General Assembly of the state of Missouri, as follows: Section A. Chapter 334, RSMo, is amended by adding thereto thirteen new sections, 2 to be known as sections 334.1800, 334.1805, 334.1810, 334.1815, 334.1820, 334.1825, 3 334.1830, 334.1835, 334.1840, 334.1845, 334.1850, 334.1855, and 334.1860, to read as 4 follows: 334.1800. 1. Sections 334.1800 to 334.1860 shall be known and may be cited as 2 the "Physician Assistant Licensure Compact". 3 2. In order to strengthen access to Medical Services, and in recognition of the 4 advances in the delivery of Medical Services, the Participating States of the PA 5 Licensure Compact have allied in common purpose to develop a comprehensive process 6 that complements the existing authority of State Licensing Boards to license and 7 discipline PAs and seeks to enhance the portability of a License to practice as a PA while 8 safeguarding the safety of patients. This Compact allows Medical Services to be 9 provided by PAs, via the mutual recognition of the Licensee's Qualifying License by 10 other Compact Participating States. This Compact also adopts the prevailing standard 11 for PA licensure and affirms that the practice and delivery of Medical Services by the 12 PA occurs where the patient is located at the time of the patient encounter, and therefore 13 requires the PA to be under the jurisdiction of the State Licensing Board where the 14 patient is located. State Licensing Boards that participate in this Compact retain the 15 jurisdiction to impose Adverse Action against a Compact Privilege in that State issued EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law. Matter in bold-face 53,269 more removed characters - read the previous versionadded: COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 3129 103RD GENERAL ASSEMBLY 6895H.02C JOSEPH ENGLER, Chief Clerk AN ACT To amend chapter 334, RSMo, by adding thereto thirteen new sections relating to the physician assistant licensure compact. Be it enacted by the General Assembly of the state of Missouri, as follows: Section A. Chapter 334, RSMo, is amended by adding thereto thirteen new sections, 2 to be known as sections 334.1800, 334.1805, 334.1810, 334.1815, 334.1820, 334.1825, 3 334.1830, 334.1835, 334.1840, 334.1845, 334.1850, 334.1855, and 334.1860, to read as 4 follows: 334.1800. 1. Sections 334.1800 to 334.1860 shall be known and may be cited as 2 the "Physician Assistant Licensure Compact". 3 2. In order to strengthen access to Medical Services, and in recognition of the 4 advances in the delivery of Medical Services, the Participating States of the PA 5 Licensure Compact have allied in common purpose to develop a comprehensive process 6 that complements the existing authority of State Licensing Boards to license and 7 discipline physician assistants and seeks to enhance the portability of a License to 8 practice as a physician assistant while safeguarding the safety of patients. This 9 Compact allows Medical Services to be provided by physician assistants, via the mutual 10 recognition of the Licensee's Qualifying License by other Compact Participating States. 11 This Compact also adopts the prevailing standard for physician assistant licensure and 12 affirms that the practice and delivery of Medical Services by the physician assistant 13 occurs where the patient is located at the time of the patient encounter, and therefore 14 requires the physician assistant to be under the jurisdiction of the State Licensing Board 15 where the patient is located. State Licensing Boards that participate in this Compact 16 retain the jurisdiction to impose Adverse Action against a Compact Privilege in that EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above 54,306 more added characters - read this versionHB 3129 21
Redline computed from the official version text (record lane).View this version →

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

Ben KeathleyHouse · District 101RepublicanSponsor

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Transition to Mutual Recognition Licensing

The legislation represents a structural shift from traditional state-by-state licensure toward a multi-state mutual recognition model coordinated by a national commission.

PA Licensure Compact CommissionGeneral Assembly

Connected Entities

United States Drug Enforcement Administration, Joseph Engler, General Assembly and 3 more
OrganizationUnited States Drug Enforcement Administration“Federal drug enforcement agency”Map →
PersonJoseph Engler“Chief Clerk”Map →
OrganizationGeneral Assembly“103rd General Assembly of Missouri”Map →
OrganizationAccreditation Review Commission on Education for the Physician Assistant, Inc.“Accrediting body for physician assistant programs”Map →
PersonBen Keathley“Republican Representative for District 101”Map →
OrganizationPA Licensure Compact Commission“National administrative body created by the compact”Map →

Sources

Open source document

house.mo.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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