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House Bill 156 Alabama 2026 Session

Updated Mar 10, 2026
Notable

Summary

Session
2026 Regular Session
Title
Physician Assistants; interstate licensure compact, established
Summary

Alabama would adopt the Physician Assistant Licensure Compact to let PAs practice in participating states with a portable license.

What This Bill Does

HB156 adopts the PA Licensure Compact, enabling licensed PAs from one member state to provide medical services in other member states through a compact privilege. The practice location for a PA is where the patient is located at the time of the encounter, and state licensing boards retain authority to take adverse actions against a PA’s license in their state. A national PA Licensure Compact Commission and a coordinated data system would oversee rules, eligibility, investigations, and enforcement across states. The bill also includes military family protections and sets an implementation date of October 1, 2026.

Who It Affects
  • Physician assistants (PAs): may obtain a compact privilege to practice in multiple participating states, subject to education, certification, conduct, and jurisprudence requirements.
  • Participating states, licensing boards, and the PA Licensure Compact Commission: will license PAs, enforce adverse actions, manage investigations, and run the data system and official rules across the compact.
Key Provisions
  • Adopts the PA Licensure Compact to recognize licenses across participating states.
  • Defines Compact Privilege and eligibility requirements for PAs (education, NCCPA certification, no felony/misdemeanor history, no controlled-substance licensing issues, and other state requirements).
  • Allows a PA to practice in a remote state under the remote state’s laws when the PA has a qualifying license from a participating state; enables adverse actions by remote states and reporting to the commission.
  • Establishes the PA Licensure Compact Commission and an executive committee to oversee rules, budgets, compliance, data sharing, and investigations; requires rules to have the force of law in participating states.
  • Creates a coordinated data system to track licensure, adverse actions, and significant investigative information accessible to participating states.
  • Provides for enforcement, dispute resolution, and possible state withdrawal; sets an effective implementation date of October 1, 2026.
AI-generated summary using openai/gpt-5-nano-2025-08-07 on Mar 10, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Occupational Licensing Boards

Bill Actions

S

Enacted

S

Signature Requested

H

Delivered to Governor

H

Enrolled

H

Ready to Enroll

S

Motion to Read a Third Time and Pass - Adopted Roll Call 715

S

Third Reading in Second House

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee Second House

S

Pending Senate Healthcare

S

Read for the first time and referred to the Senate Committee on Healthcare

H

Motion to Read a Third Time and Pass - Adopted Roll Call 257

H

Third Reading in House of Origin

H

Read for the Second Time and placed on the Calendar

H

Reported Out of Committee House of Origin

H

Pending House Health

H

Read for the first time and referred to the House Committee on Health

Calendar

Hearing

Senate Healthcare Hearing

Room 325 at 12:00:00

Hearing

House Health Hearing

Room 206 at 10:30:00

Bill Text

Votes

Motion to Read a Third Time and Pass - Roll Call 257

February 3, 2026 House Passed
Yes 101
Abstained 1
Absent 2

Third Reading in House of Origin

February 3, 2026 House Passed
Yes 101
Abstained 1
Absent 2

HBIR: Passed by House of Origin

February 3, 2026 House Passed
Yes 101
Abstained 1
Absent 2

Motion to Read a Third Time and Pass - Roll Call 715

March 5, 2026 Senate Passed
Yes 28
Absent 7

Documents

Source: Alabama Legislature