Understanding the Physician Associate Licensure Compact
The Feature Article is brought to you by the Medical Staff, Credentialing, and Peer Review Practice Group
- November 01, 2025
- Stephanie Radix , AAPA
- Meghan Pudeler , AAPA
- Carson Walker , AAPA

Like so much of what drives state interests, a driving force of their interest in health-related license portability is rooted in a desire to maintain autonomy from the federal government. While it may be an oversimplification, states have long feared federal overreach in the form of federally issued licenses for certain professions to address delays in licensure and provider shortages.1 Maintaining this autonomy over health care practitioners allows states to dictate scope of practice, discipline, and, not unimportantly, to set and collect revenue that is generated by the issuance of licenses.
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