PA Compact Newsletter
Published October 29, 2026Chair Corner
Julia Cameron said, “Growth is an erratic forward movement: two steps forward, one step back. Remember that and be very gentle with yourself.” This seems to perfectly describe the second year of the PA Compact.
Thanks to the efforts of staff and the dedicated compact delegates, much has been achieved. We have updated bylaws, rules that create the basis for success in the future, and policies that help streamline and safeguard processes. We reviewed data systems and, following thoughtful discussion, selected a vendor to build the PA Compact database. All work that has combined to move the PA Compact two steps forward.
In addition, 30 states are now part of the compact. Over half the nation has joined the compact in just over three years. That is a testament to the work done by PAs at the state level to have the legislation passed and an indication of the demand for streamlined mobility.
Unfortunately, due to funding issues that spanned most of calendar year 2026, we were unable to sign a contract with the vendor and have them start work on the database (one step back).
However, we have secured the funding necessary to sign the contract and, as of October 1, 2026, work has started on the database. Based on a very aggressive schedule, the initial system should be completed, as scheduled, in early 2027.
Before PAs will be able to apply for privileges, several additional steps must occur. There will need to be future contracts with vendors to maintain and improve the database and onboard states. In addition, states will need to implement changes to their side to enable the flow of information. This will also require time and funds and, until states are onboarded and the system is being used regularly, the PA Compact remains dependent on the support of outside entities.
The experiences of the past year have made us stronger as an organization. While we hope that our short-term funding issues have been resolved, we understand that they cannot be taken for granted and that there is still much work to do to meet the expectations placed on us by the law, the states, PAs, funders and the public.
With that in mind, I look forward to the upcoming year and finding ourselves one step closer to a fully implemented and self-sufficient PA Compact.
– Tim Terranova, Compact Commission Chair
About the PA Compact
The PA Compact is an interstate occupational licensure compact for physician assistants/associates (PAs). The compact facilitates multistate practice for PAs, improves health care access for patients, and enhances public protection.
States joining the compact agree to recognize a valid, unencumbered license issued by another compact member state via a compact privilege. Licensed PAs utilizing the compact can obtain a privilege in each compact member state where they want to practice. PAs using a compact privilege must adhere to the laws and regulations of the state in which they are practicing.
Legislative Update
As of October 29, 2026, there are 30 Compact Member States. Click here to view the latest map of legislation introduced in each state.|
State |
Bill number |
Enactment date1 |
Effective date2 |
Commissioner |
|
Utah |
14-Mar-2023 |
3-May-2023 |
Richard Oborn |
|
|
Delaware |
21-Jul-2023 |
21-Jul-2023 |
Alison Warren |
|
|
Wisconsin |
7-Dec-2023 |
8-Dec-2023 |
Jean Fischer |
|
|
Minnesota |
24-May-2024 |
25-May-2024 |
Tiernee Murphy |
|
|
Washington |
13-Mar-2024 |
6-Jun-2024 |
Marisa Courtney |
|
|
West Virginia |
9-Mar-2024 |
6-Jun-2024 |
Jamie Alley |
|
|
Virginia |
4-Apr-2024 |
1-Jul-2024 |
Justin Hepner |
|
|
Maine |
23-Apr-2024 |
16-Jul-2024 |
Tim Terranova |
|
|
Colorado |
17-May-2024 |
7-Aug-2024 |
Paula Martinez |
|
|
Post-Inaugural Meeting |
||||
|
Ohio |
24-Jul-2024 |
24-Oct-2024 |
Stephanie Loucka |
|
|
Oklahoma |
18-Apr-2024 |
1-Nov-2024 |
Valeska Barr |
|
|
Nebraska |
2-Apr-2024 |
1-Jan-2025 |
Vonda Apking |
|
|
Tennessee |
28-May-2024 |
1-Jan-2025 |
Tamara Bennett |
|
|
Kansas |
8-Apr-2025 |
1-Jul-2025 |
Susan Gile |
|
|
Montana |
3-Apr-2025 |
1-Jul-2025 |
Brooke Yates |
|
|
Iowa |
27-May-2025 |
1-Jul-2025 |
Amber Houge |
|
|
Connecticut |
30-Jun-2025 |
1-Jul-2025 |
Laura Morris |
|
|
Arkansas |
18-Mar-2025 |
1-Oct-2025 |
Judy Brasda |
|
|
North Carolina |
1-Jul-2025 |
1-Apr-2026 |
Rob Patchett |
|
|
New Jersey |
9-Jan-2026 |
9-Jan-2026 |
TBD |
|
|
North Dakota |
23-Jan-2026 |
23-Jan-2026 |
Grant Lannoye |
|
|
Arizona |
20-Feb-2026 |
24-Jul-2026 |
Raquel Rivera |
|
|
South Dakota |
9-Mar-2026 |
1-Jul-2026 |
Margaret Hansen |
|
|
Alabama |
20-Apr-2026 |
1-Oct-2026 |
Matt Hart |
|
|
Rhode Island |
12-Jun-2026 |
1-Jul-2026 |
Staci Fischer |
|
|
Alaska |
22-Jun-2026 |
20-Sept-2026 |
Natalie Norberg |
|
|
Missouri |
13-Jul-2026 |
28-Aug-2026 |
Jennifer Skouse Voll |
|
|
New Hampshire |
15-Jul-2026 |
13-Sep-2026 |
Michael Gianunzio |
|
|
Michigan |
21-Jul-2026 |
20-Oct-2026 |
Amy Gumbrecht |
|
|
Pennsylvania |
22-Oct-2026 |
22-Oct-2026 |
TBD |
|
- The enactment date refers to when a state's compact legislation was signed into law.
- The effective date refers to when a state’s compact legislation becomes effective. This is also when a participating state may begin exercising their voting power as a member of the Commission.
Compact Map
Committee Synopsis
For meeting agendas and minutes, please see the PA Compact Meetings page.
Executive Committe
| Member | Role | State/Affiliation |
| Tim Terranova | Chair | Maine |
| Marisa Courtney | Vice Chair | Washington |
| Vonda Apking | Interim Treasurer | Nebraska |
| Jamie Alley | Secretary | West Virginia |
| Paula Martinez | Executive At-Large | Colorado |
| Justin Hepner | Executive At-Large | Virginia |
| Amber Houge | Interim Executive At-Large | Iowa |
| Jennifer Kolb | Interim Ex-Officio | AAPA |
| Greg Thomas | Ex-Officio | NCCPA |
The Executive Committee is empowered to act on behalf of the Commission between Commission meetings, except for rulemaking or amendment of the Compact. The committee consists of seven voting members, which are elected by the Commission from the current membership of the Commission, and two ex-officio, nonvoting members—one from a recognized national PA professional association and another from a recognized national PA certification organization. Jennifer Kolb serves as interim ex-officio on behalf of the American Academy of Physician Associates (AAPA), and Greg Thomas serves as ex-officio on behalf of the National Commission on Certification of Physician Assistants (NCCPA).
Since October 1, 2025, the Executive Committee has met fourteen times. Accomplishments of note include:
- Issued a data system Request for Proposals (RFP) and selected a data system vendor, Focus Consulting
- Convened a Technology Subcommittee to oversee data system development
- Approved four rules for Full Commission vote
- Approved five policies to facilitate compact administration
Communications Committee
| Member | Role | State/Affiliation |
| Jean Fischer | Chair | Wisconsin |
| Laura Morris | Member | Connecticut |
| Laura Delaney | Member | Iowa |
| Chandni Bhakta | Member | Kansas |
| Rachel MacArthur | Member | Maine |
| Brooke Yates | Member | Montana |
| Camille Vassilakos | Member | Oklahoma |
| Justin Hepner | Member | Virginia |
| Mark Spangler | Member | West Virginia |
| Tim Terranova | Executive Committee Ex-Officio | Maine |
| Marisa Courtney | Executive Committee Ex-Officio | Washington |
| Jerica Kent | Non-Voting Member | Ohio |
| Greg Thomas | Ex-Officio | NCCPA |
The Communications Committee, in consultation with the Chair of the Commission and the executive director, drafts and approves quarterly newsletters; suggests updates to the website; issues educational resources for the public and Member States; and creates Frequently Asked Questions regarding the Compact.
Since October 1, 2025, the Communications Committee has met five times. Accomplishments of note include:
- Issued four newsletters
- Published “State Preparation Guidelines” in anticipation of compact operationalization
- Added FAQs to PA Compact website based on questions sent to pacompact@csg.org
Finance Committee
| Member | Role | State/Affiliation |
| Vonda Apking | Interim Chair | Nebraska |
| Elizabeth Huntley | Member | Minnesota |
| Jamie Alley | Member | West Virginia |
| Kyle Karinen | Member | Washington |
| Amy Embry | Member | Arkansas |
| Rob Patchett | Member | North Carolina |
| Darcie Magnuson | Member | Colorado |
| Matt Hart | Member | Alabama |
| Tim Terranova | Executive Committee Ex-Officio | Maine |
| Marisa Courtney | Executive Committee Ex-Officio | Washington |
| Sandra Harrison | Non-Voting Member | Oklahoma |
| Jennifer Kolb | Interim Ex-Officio | AAPA |
| Greg Thomas | Ex-Officio | NCCPA |
The Finance Committee is responsible for providing financial oversight and ensure the Commission is operating within its budget; developing financial resources to achieve its purposes; proposing fees as authorized in the Compact; investigating potential funding resources; and suggesting a fiscal year for the Commission. The committee is chaired by the Treasurer of the Commission, who, with the assistance of the executive director, serves as the custodian of all Commission funds and monitors the Commission’s fiscal policies and procedures.
Since October 1, 2025, the Finance Committee met five times. Former Treasurer and Finance Committee Chair Larry Marx entered retirement, and Commissioner Vonda Apking from Nebraska was appointed by the Executive Committee on October 14, 2026, to serve as Interim Treasurer and Interim Finance Committee Chair until an election can be held in 2027.
Accomplishments of note include:
- Quarterly budget reviews in December 2025, March 2026, and June 2026
- Gathered data on percentage of PAs holding multiple licenses to inform Commission fee setting
- Drafted FY27 budget for Full Commission approval
Rules Committee
| Member | Role | State/Affiliation |
| Stephanie Loucka | Chair | Ohio |
| Tiernee Murphy | Member | Minnesota |
| Jamie Alley | Member | West Virginia |
| Valeska Barr | Member | Oklahoma |
| Susan Gile | Member | Kansas |
| Robert Sanders | Member | Wisconsin |
| Amber Houge | Member | Iowa |
| Margaret Hansen | Member | South Dakota |
| Amy Gumbrecht | Member | Michigan |
| Tim Terranova | Executive Committee Ex-Officio | Maine |
| Marisa Courtney | Executive Committee Ex-Officio | Washington |
| Laura Monick | Non-Voting Member | Ohio |
| Jennifer Kolb | Interim Ex-Officio | AAPA |
It is the responsibility of the Rules Committee to develop uniform Compact rules, bylaw amendments, and policies for consideration by the Commission and concurrent implementation by the states; review existing rules and recommend necessary changes to
the Commission for consideration; and draft frequently asked questions that arise regarding statute, rules, bylaws, policies, and advisory opinions.
Since October 1, 2025, the Rules Committee has met nine times. Accomplishments of note include:
- Approved seven rules for Executive Committee consideration
- Approved five policies for Executive Committee adoption
- Approved bylaw amendments for Executive Committee consideration
Compact Development Timeline
|
Summer 2019 |
Compact project started. |
|
Fall 2019 |
FSMB convenes meeting with state regulatory boards to discuss outline of compact. |
|
November 2022 |
Compact legislation finalized and made available for state adoption. |
|
April 2024 |
The compact activation threshold of seven participating states is met. |
|
September 2024 |
Compact Commission holds its inaugural meeting. |
|
October 2024 |
Executive, Rules, Finance, and Communications Committees convene and begin developing compact infrastructure. |
|
April 2025 |
Data System RFI responses received and reviewed. |
|
May 2025 |
Executive Committee begins developing Data System RFP. |
|
October 20, 2025 |
Executive Committee releases Data System RFP. |
|
November 14, 2025 |
Deadline for questions from vendors on the Data System RFP. |
|
December 10, 2025 |
Executive Committee moves Draft Rules 3 and 4 to public comment period. |
|
December 16, 2025 |
Draft Rule 3 – Compact Privilege and Draft Rule 4 – Data System are posted for public comment. |
|
December 19, 2025 |
Submission deadline for data system proposals. |
|
January 14, 2026 |
Executive Committee review data system proposals and identify candidates for interviews. |
|
January 16, 2026 |
Public comment period closes on Draft Rules 3 and 4. |
|
February 9, 2026 |
Rules Committee reviews public comments on Draft Rules 3 and 4 and determines no substantive changes are necessary. |
|
February 11, 2026 |
Executive Committee interviews data system vendors. |
|
February 25, 2026 |
Executive Committee votes to accept data system proposal from Focus Consulting LLC. |
|
March 11, 2026 |
Executive Committee requests nominations from Member States for volunteers to serve on the Technology Subcommittee. |
|
April 6, 2026 |
Full Commission adopts Rule 3 – Compact Privilege and Rule 4 – Compact Data System, Confidentiality, and Information Sharing. |
|
April 8, 2026 |
Executive Committee reviews Draft Rule 6 - Fees and holds rule in committee pending data system development and commission privilege fee determination by Finance Committee. |
|
May 29, 2026 |
Draft Rule 5 – Joint Investigations and Draft Rule 7 – State Compliance are released for public comment. |
|
June 10, 2026 |
|
|
June 28, 2026 |
Public comment period closes on draft Rules 5 and 7. |
|
July 10, 2026 |
Public comment period closes on draft bylaw amendments. |
|
July 20, 2026 |
|
|
August 10, 2026 |
Rules Committee transmits the following policies to Executive Committee for approval:
|
|
August 12, 2026 |
|
|
September 4, 2026 |
Draft Rule 2 – Definitions and draft Rule 8 – Records Exempt from Disclosure released for public comment. |
|
September 9, 2026 |
Executive Committee adopts Policies on Policymaking, Code of Conduct, Virtual Meetings, and Public Communications. |
|
September 14, 2026 |
FY26 Funding Memorandum of Understanding signed by AAPA, NCCPA, and PA Compact Commission. |
|
September 18, 2026 |
Full Commission approves:
|
| September 25, 2026 | Data system contract executed by Commission and Focus LLC. |
| September 28, 2026 | Rules Committee transmits draft Policy 6 – Policy on Records Requests to Executive Committee. |
| October 1, 2026 | Data system development planning and kick-off meeting with Commission Chair, staff, and Focus LLC. |
| October 4, 2026 | Public comment period closes on draft Rules 2 and 8. |
| October 14, 2026 |
|
| October 15, 2026 | Technology Subcommittee participates in Technical Discovery Session with data system vendor. |
| October 21, 2026 | Technology Subcommittee reviewed Sprint Demo #1. |
|
Ongoing |
Commission and committee meetings; rule and policy development; onboarding of new Member States to Commission. |
|
Current – 2027 |
Data system development and onboarding of Member States to data system. |
|
Early 2027 (projected) |
Compact Commission begins issuing compact privileges to practice. |
For questions or additional information, email pacompact@csg.org.