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Committee forwards physician assistant licensure compact draft to full committee

Rural Health Transformation Committee (division) — 2026 Legislature ND · January 13, 2026
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Summary

The division reviewed LC 25.1385, a draft to adopt the physician assistant licensure compact, discussed cross-board concerns (including a previously identified occupational therapy background-check omission), and voted to forward the compact draft to the full Rural Health Transformation Committee for the special session.

Legislative counsel presented LC 25.1385 (25.1385 10.00), explaining the draft creates a new chapter to adopt the physician assistant licensure compact and includes corresponding changes to chapter 43-17 so physician assistants licensed in other compact states may practice in North Dakota under a compact privilege. Dittis said the first pages of the draft address concerns the Board of Medicine raised when the compact failed to pass previously.

Committee members raised a related issue: Senator Rohrs noted an earlier omission in the occupational therapy compact language that prevented the occupational therapy board from requesting BCI background checks. Members discussed whether to fix that omission by amendment now, include it in appropriations, or wait until 2027. Legal counsel cautioned that adding provisions outside the division’s scope could raise single-subject-rule problems.

Given timing concerns about the compact going live in other states, members agreed to continue research on possible technical fixes but voted to forward LC 25.1385 to the full committee for special-session consideration and public hearing. The motion to forward carried by voice vote; the transcript does not record a formal roll-call tally.