Nurse Licensure Compact

Expands what pharmacists in Alaska can prescribe and test for (including medications for opioid use disorder and treatment for minor conditions), renames the 'physician assistant' license to 'physician associate,' and updates pharmacist reciprocity and collaborative-practice rules. Governor Dunleavy vetoed the bill, citing concerns about expanding pharmacist authority too quickly, but the legislature overrode the veto 43-17.

Loosens supervision requirements for physician assistants, allowing those with more than 4,000 hours of postgraduate clinical experience to practice without a collaborative agreement at certain facilities, and reduces the number of physicians required to enter a collaborative agreement from two to one.

Would require health insurers to reimburse telehealth visits at the same rate as comparable in-person visits and extend Medicaid telehealth payment parity rules that were otherwise set to expire. The bill passed the Senate 14-6 in May 2025 but was still being amended in House committee as of mid-2026, including changes to the sunset date and a geographic pay differential for out-of-state providers.