Virginia, other states make it easier for physician assistants to practice

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Health - Labor
Virginia, other states make it easier for physician assistants to practice

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.

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Nada Hassanein
Nada Hassanein is a health care reporter for Stateline with a focus on inequities.