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Committee hears push to join PA licensure compact tied to $204M rural health grant

Executive Departments and Administration · April 1, 2026
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Summary

Supporters told lawmakers that joining the multistate physician assistant compact would speed licensure portability, help recruit PAs to rural New Hampshire and was a stated commitment in the state's $204 million CMS rural health transformation grant; officials flagged implementation work and an early 2027 operational timeline for the compact.

Senate Bill 425 would have New Hampshire join the multistate Physician Assistant (PA) Licensure Compact. Senator David Rochefort told the House Executive Departments and Administration committee on April 1 that adopting the compact would streamline licensure for PAs, preserve state scope of practice, and help recruit and retain clinicians in underserved rural areas.

Michael Bartlett of the American Academy of PAs described the compact’s mutual‑recognition model: a PA licensed in a compact member state obtains a compact privilege enabling practice in other member states without separate full licensure, while continuing to follow…

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