The PA Compact is an interstate occupational licensure compact for physician assistants. States that join agree to recognize a valid, unencumbered license issued by another compact member state through a compact privilege.
The PA Compact is an interstate occupational licensure compact for physician assistants. States that join agree to recognize a valid, unencumbered license issued by another compact member state through a compact privilege.
Licensed PAs can obtain a privilege in each compact member state where they want to practice. PAs using a privilege must follow the laws and regulations of the state where they practice.
As published by the PA Compact:
“As of August 28, 2026, there are 29 Compact Member States”
“No states are actively issuing privileges yet.”
The PA Compact also reports legislation filed in Massachusetts and Pennsylvania.
Check pacompact.org for current status; this page is not updated automatically.
Listed by the PA Compact as member states (as of August 28, 2026):
The PA Compact covers physician assistants. For NPs and physicians, see NP and PA multi-state licensing and physician licensing by state.
This is an overview, not a ranking of licensing access. Statuses retain the dates and limits of the cited lists above. Unrecorded IMLC statuses remain unknown; the PA member list identifies listed members, not current privilege availability. Neighbor counts use land/river edges, excluding open-water-only and corner-only contacts.
| State or jurisdiction | Recorded status | Border context |
|---|---|---|
| Alabama | member | 1 of the 4 bordering states are PA Compact members: Tennessee. |
| Alaska | member | Alaska has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator. |
| Arizona | member | 1 of the 4 bordering states are PA Compact members: Utah. |
| Arkansas | member | 3 of the 6 bordering states are PA Compact members: Missouri, Oklahoma, Tennessee. |
| California | not listed as a member | 1 of the 3 bordering states are PA Compact members: Arizona. |
| Colorado | member | 4 of the 6 bordering states are PA Compact members: Kansas, Nebraska, Oklahoma, Utah. |
| Connecticut | member | 1 of the 3 bordering states are PA Compact members: Rhode Island. |
| Delaware | member | 1 of the 3 bordering states are PA Compact members: New Jersey. |
| District of Columbia | not listed as a member | 1 of the 2 bordering states are PA Compact members: Virginia. |
| Florida | not listed as a member | 1 of the 2 bordering states are PA Compact members: Alabama. |
| Georgia | not listed as a member | 3 of the 5 bordering states are PA Compact members: Alabama, North Carolina, Tennessee. |
| Hawaii | not listed as a member | Hawaii has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator. |
| Idaho | not listed as a member | 3 of the 6 bordering states are PA Compact members: Montana, Utah, Washington. |
| Illinois | not listed as a member | 3 of the 5 bordering states are PA Compact members: Iowa, Missouri, Wisconsin. |
| Indiana | not listed as a member | 2 of the 4 bordering states are PA Compact members: Michigan, Ohio. |
| Iowa | member | 5 of the 6 bordering states are PA Compact members: Minnesota, Missouri, Nebraska, South Dakota, Wisconsin. |
| Kansas | member | 4 of the 4 bordering states are PA Compact members: Colorado, Missouri, Nebraska, Oklahoma. |
| Kentucky | not listed as a member | 5 of the 7 bordering states are PA Compact members: Missouri, Ohio, Tennessee, Virginia, West Virginia. |
| Louisiana | not listed as a member | 1 of the 3 bordering states are PA Compact members: Arkansas. |
| Maine | member | 1 of the 1 bordering states are PA Compact members: New Hampshire. |
| Maryland | not listed as a member | 3 of the 5 bordering states or District of Columbia are PA Compact members: Delaware, Virginia, West Virginia. |
| Massachusetts | not listed as a member | 3 of the 5 bordering states are PA Compact members: Connecticut, New Hampshire, Rhode Island. |
| Michigan | member | 2 of the 3 bordering states are PA Compact members: Ohio, Wisconsin. |
| Minnesota | member | 4 of the 4 bordering states are PA Compact members: Iowa, North Dakota, South Dakota, Wisconsin. |
| Mississippi | not listed as a member | 3 of the 4 bordering states are PA Compact members: Alabama, Arkansas, Tennessee. |
| Missouri | member | 6 of the 8 bordering states are PA Compact members: Arkansas, Iowa, Kansas, Nebraska, Oklahoma, Tennessee. |
| Montana | member | 2 of the 4 bordering states are PA Compact members: North Dakota, South Dakota. |
| Nebraska | member | 5 of the 6 bordering states are PA Compact members: Colorado, Iowa, Kansas, Missouri, South Dakota. |
| Nevada | not listed as a member | 2 of the 5 bordering states are PA Compact members: Arizona, Utah. |
| New Hampshire | member | 1 of the 3 bordering states are PA Compact members: Maine. |
| New Jersey | member | 1 of the 3 bordering states are PA Compact members: Delaware. |
| New Mexico | not listed as a member | 3 of the 4 bordering states are PA Compact members: Arizona, Colorado, Oklahoma. |
| New York | not listed as a member | 2 of the 5 bordering states are PA Compact members: Connecticut, New Jersey. |
| North Carolina | member | 2 of the 4 bordering states are PA Compact members: Tennessee, Virginia. |
| North Dakota | member | 3 of the 3 bordering states are PA Compact members: Minnesota, Montana, South Dakota. |
| Ohio | member | 2 of the 5 bordering states are PA Compact members: Michigan, West Virginia. |
| Oklahoma | member | 4 of the 6 bordering states are PA Compact members: Arkansas, Colorado, Kansas, Missouri. |
| Oregon | not listed as a member | 1 of the 4 bordering states are PA Compact members: Washington. |
| Pennsylvania | not listed as a member | 4 of the 6 bordering states are PA Compact members: Delaware, New Jersey, Ohio, West Virginia. |
| Rhode Island | member | 1 of the 2 bordering states are PA Compact members: Connecticut. |
| South Carolina | not listed as a member | 1 of the 2 bordering states are PA Compact members: North Carolina. |
| South Dakota | member | 5 of the 6 bordering states are PA Compact members: Iowa, Minnesota, Montana, Nebraska, North Dakota. |
| Tennessee | member | 5 of the 8 bordering states are PA Compact members: Alabama, Arkansas, Missouri, North Carolina, Virginia. |
| Texas | not listed as a member | 2 of the 4 bordering states are PA Compact members: Arkansas, Oklahoma. |
| Utah | member | 2 of the 5 bordering states are PA Compact members: Arizona, Colorado. |
| Vermont | not listed as a member | 1 of the 3 bordering states are PA Compact members: New Hampshire. |
| Virginia | member | 3 of the 6 bordering states or District of Columbia are PA Compact members: North Carolina, Tennessee, West Virginia. |
| Washington | member | 0 of the 2 bordering states are PA Compact members: none. |
| West Virginia | member | 2 of the 5 bordering states are PA Compact members: Ohio, Virginia. |
| Wisconsin | member | 3 of the 4 bordering states are PA Compact members: Iowa, Michigan, Minnesota. |
| Wyoming | not listed as a member | 5 of the 6 bordering states are PA Compact members: Colorado, Montana, Nebraska, South Dakota, Utah. |
The PA Compact is an interstate occupational licensure compact for physician assistants. States that join agree to recognize a valid, unencumbered license issued by another compact member state through a compact privilege.
As published by the PA Compact as of August 28, 2026: "No states are actively issuing privileges yet." Check pacompact.org for current status; this page is not updated automatically.
PAs using a privilege must follow the laws and regulations of the state where they practice.
Saile is a free clinician profile for physicians, NPs and PAs, with one verified credential file, flexible and permanent work, and tools for employers. Pay data is one part of it.