MO SB1492

Repeals existing nonresident PA licensing provisions and creates new reciprocity process allowing PAs licensed for at least one year in another state, military branch, U.S. territory, or D.C. to apply for Missouri licensure with proof of current and prior licensure

Board must process standard reciprocity applications within 6 months and military spouse applications within 30 days, waiving examination, educational, or experience requirements if the original jurisdiction had minimum education and applicable work experience/supervision requirements

Applicants are disqualified from reciprocity if they have had a license revoked, are under investigation or disciplinary action, have a disqualifying criminal record, or do not hold a current valid license in good standing

Enacts Missouri's participation in the Physician Assistant Licensure Compact, an interstate agreement that becomes effective when seven states enact it, allowing PAs with qualifying licenses to practice in other participating states through a "Compact Privilege"

Creates the PA Licensure Compact Commission as a joint government agency to administer the compact, maintain a data system for licensure and adverse actions, promulgate binding rules, and facilitate joint investigations among participating states