SB 1492 Missouri Senate · 2026 Regular Session

Establishes the PA Licensure Compact

SB 1492 establishes a Physician Assistant Licensure Compact, creating a framework for states to recognize each other's physician assistant (PA) licenses. This allows PAs licensed in one participating state to practice in other compact states without obtaining separate licenses. The bill directly affects physician assistants seeking to work across state lines and sets up the administrative structure for the compact. It does not change current licensing requirements within a single state but enables easier interstate practice through mutual recognition. The bill is currently in the early committee review stage.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2026

Committee Review

Floor Vote

Governor

Introduced Jan 5, 2026 Last action Mar 31, 2026

Maddy AI version diff · 1 comparison

What changed between versions

6140S.01I - Introduced → Senate Committee Substitute - Committee Version · 5 edits

MODERATE

The bill was rewritten to adopt the Physician Assistant Licensure Compact, a national agreement that allows licensed physician assistants to practice in multiple states without obtaining new licenses. The new version replaces the original text with standardized definitions, mutual recognition rules, and specific provisions for military families to facilitate easier mobility for healthcare providers.

Scope change

The bill's scope expanded from a general state licensure provision to a formal adoption of a multi-state compact agreement, changing the legal framework from unilateral state rules to a reciprocal interstate system.

SCOPE

Adopted the full text of the Physician Assistant Licensure Compact, creating a legal framework for mutual recognition of licenses across participating states.

DEFINITION

Replaced specific Missouri-only definitions with a comprehensive list of standard compact terms including 'Compact Privilege,' 'Remote State,' and 'Qualifying License'.

ELIGIBILITY

Added specific provisions allowing active duty military personnel and their spouses to obtain licensure privileges based on having a valid license from another participating state.

REQUIREMENT

Changed the process from a general waiver of requirements to a structured system where states recognize each other's licenses while retaining the right to take adverse action for safety violations.

TECHNICAL

Removed the original introductory text and specific legislative session details, replacing them with the formal compact structure.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 31, 2026

Upper · Passed

SCS Voted Do Pass S Emerging Issues and Professional Registration Committee (6140S.02C)

upper

Mar 10, 2026

Upper · Passed

Hearing Conducted S Emerging Issues and Professional Registration Committee

upper

Jan 5, 2026

Introduced

Prefiled

upper

1 primary · 0 co-sponsors