HB 3129 Missouri House · 2026 Regular Session

Establishes the "Physician Assistant Licensure Compact"

HB 3129 creates a "Physician Assistant Licensure Compact" allowing PAs licensed in one participating state to practice in other participating states without obtaining separate licenses. It establishes mutual recognition of licenses, requires states to share license status and disciplinary actions through a centralized data system, and sets uniform requirements like passing national exams (e.g., NCCPA PANCE) and background checks. The bill directly affects PAs seeking to work across state lines, especially military families who relocate frequently, by reducing licensing barriers. States joining the compact must adopt these standards to maintain the system.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 28, 2026 Last action Mar 5, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced House Committee Substitute · 1 edit
MINOR
The bill was amended to consistently replace the abbreviation 'PA' with the full term 'physician assistant' throughout the text. This change improves clarity and ensures the legislation explicitly defines the profession rather than relying on an abbreviation that may not be universally understood. The substantive policy content regarding licensure, jurisdiction, and patient safety remains unchanged.
TECHNICAL

The abbreviation 'PA' was replaced with the full term 'physician assistant' in multiple sections including the act title, explanatory text, and definitions to improve readability and clarity for all readers.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
13
Key actions
4
Committee
6
Mar 5, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 12 NOES: 0 PRESENT: 0
lower
Mar 5, 2026
Lower · Passed
Voted Do Pass (H)
lower
Feb 27, 2026
Committee
Referred: Rules - Legislative(H)
lower
Feb 24, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 14 NOES: 0 PRESENT: 2
lower
Feb 18, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 29, 2026
Committee
Referred: Professional Registration and Licensing(H)
lower
Jan 28, 2026
Introduced
Introduced and Read First Time (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ben Keathley
Ben Keathley
RRepublican
MO
101