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Virginia, other states make it easier for physician assistants to practice – Mountain Media, LLC

April 15, 2026
in National
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TERRE HAUTE, INDIANA – AUGUST 02: A patient registers for care at a Remote Area Medical (RAM) mobile dental and medical clinic at Terre Haute South High School on August 02, 2025 in Terre Haute, Indiana. More than a thousand people are expected to seek free dental, medical, and vision care at the two-day event in Terre Haute, which has a poverty rate of over 25 percent. Non-profit organization RAM provides free medical care through mobile clinics in underserved, isolated, or impoverished communities around the country and world. As healthcare continues to be a contentious issue in the U.S., an estimated 27 million people — or 8.3 percent of the population — are uninsured, according to a report from the Census Bureau, with the rate considerably higher in rural and poorer parts of the country. (Photo by Spencer Platt/Getty Images)
By: Nada Hassanein – April 14, 2026 5:24 am

Alabama, Maine and Virginia recently adopted policies that make it easier for physician assistants to practice and serve more patients.

Alabama became the 24th state to adopt the PA Licensure Compact, an agreement between states that authorizes these clinicians to practice across state lines. The compact can help remove administrative barriers for physician assistants, making it easier for them to fill gaps in rural and underserved communities that don’t have enough primary care medical professionals, advocates say.

Alabama has about 1,400 physician assistants. The legislation, sponsored by Republican state Rep. Paul Lee, received unanimous support in both the House and Senate.

Ten states — Alaska, Hawaii, Illinois, Massachusetts, Michigan, Missouri, New Hampshire, New York, Pennsylvania and Rhode Island — have pending legislation that would allow them to join the compact, according to the American Academy of Physician Associates.

Virginia enacted a law last week to allow physician assistants with three years of full-time clinical experience to practice without a physician practice agreement.

Earlier this month, Maine Democratic Gov. Janet Mills signed legislation that updates state policies to remove the requirement for PAs to consult with and have practice agreements with physicians. The state has about 1,100 PAs.

The American Medical Association, which represents physicians, opposes such laws. The group’s policy stance is that PAs should practice under the direction and supervision of a physician.

Maine joined seven other states to remove the requirement for a supervisory agreement,  according to the American Academy of Physician Associates: Iowa, Montana, New Hampshire, North Dakota, South Dakota, Utah and Wyoming,

Stateline reporter Nada Hassanein can be reached at nhassanein@stateline.org.

This story was originally produced by Stateline, which is part of States Newsroom, a nonprofit news network which includes Virginia Mercury, and is supported by grants and a coalition of donors as a 501c(3) public charity.



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