Physician assistant compact draws mixed testimony over portability and scope concerns

Feb 4, 2026

Representative Ben Keithley presented a PA compact (House Bill 3129) to allow reciprocal practice among compact states; supporters said it increases access and aids rural health funding, while the Missouri State Medical Association warned the compact could create 'scope‑adjacent' conflicts and allow commission rules to supersede state law.

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Representative Ben Keithley introduced House Bill 3129, a physician assistant (PA) compact intended to allow portability of practice and reciprocal licensing among participating states. Keithley said the compact does not expand scope of practice but eases access for PAs, including remote-state privileges and telehealth, and noted roughly 20 states already participate.

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