On March 13, 2025, the Arkansas State Legislature introduced Senate Bill 101, aimed at establishing a coordinated data and reporting system for Physician Assistants (PAs) across Participating States. The bill seeks to enhance the transparency and accountability of PA licensure by creating a uniform data set that includes critical information such as licensure status, adverse actions, and significant investigative information.

The key provisions of SB101 mandate that Participating States submit comprehensive data on all licensed PAs, including identifying information and reasons for any denied applications. This data will be stored in a centralized system managed by a newly formed Commission, which will ensure that all relevant information is accessible to other states involved in the compact. Notably, the bill stipulates that significant investigative information will only be available to other Participating States, thereby maintaining a level of confidentiality while promoting inter-state cooperation.

Debate surrounding SB101 has highlighted concerns regarding privacy and the potential for misuse of sensitive information. Some legislators have expressed apprehension about the implications of sharing adverse action data, fearing it could unfairly tarnish the reputations of PAs. Amendments have been proposed to clarify the handling of sensitive information and to ensure compliance with state and federal privacy laws.

Economically, the bill could streamline the licensure process for PAs, potentially addressing workforce shortages in healthcare by facilitating easier mobility for practitioners across state lines. This could lead to improved access to healthcare services, particularly in underserved areas.

Experts suggest that if passed, SB101 could set a precedent for similar legislative efforts in other states, promoting a more standardized approach to PA licensure nationwide. However, the bill's success will depend on the resolution of privacy concerns and the willingness of states to participate in the compact.

As the legislative process unfolds, stakeholders from the healthcare community are closely monitoring the bill's progress, anticipating its potential impact on the PA profession and healthcare delivery in Arkansas and beyond. The next steps will involve further discussions and possible revisions as the bill moves through the legislative process.