HB 2190 Arizona House · 57th Legislature - Second Regular Session

physician assistants; licensure compact

HB 2190 creates Arizona's participation in a physician assistant (PA) licensure compact, allowing PAs licensed in Arizona to practice across state lines in other participating states without obtaining separate licenses. It directly affects PAs (especially military families who relocate) and patients seeking care from PAs in multiple states. The key mechanism is "compact privilege," which grants PAs the right to practice in a "remote state" (where the patient is located) under that state's laws, while requiring PAs to follow the rules of the patient's location. Arizona's licensing board retains authority to take disciplinary action against PAs practicing under the compact, and the bill mandates mutual recognition of licenses, criminal background checks, and reporting of adverse actions to a shared data system.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
House Passage
Feb 2026
Senate Passage
Feb 2026
Signed into Law
Feb 2026
Introduced Jan 9, 2026 Signed Feb 20, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Engrossed Version (02/16/2026) Chaptered Version · 3 edits
MINOR
This bill was finalized into law (Chapter 3) after being passed by the House, adding new provisions for the Arizona Physician Assistant Licensure Compact to the state statutes. The changes primarily involve formatting updates and the addition of official approval dates and filing information, confirming the bill's enactment.
Scope change
The bill's scope remains focused on establishing the Physician Assistant Licensure Compact; no substantive policy changes to the compact's rules or applicability were made in this version.
TECHNICAL

Added official approval and filing dates (February 20, 2026) to the end of the document to signify it has become law.

Updated the document header and title to reflect the new chapter number and final version status.

Corrected minor formatting and line breaks in the summary of the compact's purpose and definitions.

Floor votes · Senate Feb 16, 2026 · House Feb 16, 2026

How they voted

263
Passed · 1 other
Total votes 30
Feb 16, 2026
D Democratic13
12 Yea 1
92% Yea
R Republican17
14 Yea 3 Nay
82% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
14
Key actions
5
Committee
1
Amendments
1
Feb 20, 2026
Signed into law
Signed by Governor
executive
Feb 16, 2026
Lower · Passed
PASSED
lower
Feb 12, 2026
Lower · Passed
PASSED
lower
Feb 11, 2026
Lower · Passed
DPA
lower
Jan 26, 2026
Lower · Passed
DP
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Julie Willoughby
Julie Willoughby
RRepublican
AZ
13