Two large markets, both outside the compact, for different reasons and with different consequences.
Pennsylvania
The State Board of Medicine sets a 35 application fee under 49 Pa. Code § 25.231. Straightforward, mid-range, unremarkable.
What is notable is the absence. Pennsylvania employs a great many physician assistants and has not enacted the compact, so a Pennsylvania license carries no weight outside Pennsylvania and privileges will not reach it.
Georgia
Georgia is outside the compact too, and it adds a second constraint that matters more day to day: Georgia does not grant physician assistants Schedule II prescriptive authority. A full Georgia license still leaves that gap, and a federal DEA registration does not close it.
Georgia also does not publish its PA fee schedule in a form we have been able to verify against the board’s own rules — the Composite Medical Board maintains a schedule it can revise without rulemaking, which is a legitimate structure and an awkward one for anyone trying to budget from primary sources.
What follows
For a PA in either state, the compact is not part of the plan. For a PA considering either, the questions are different: in Pennsylvania, whether you also want a member-state license for optionality; in Georgia, whether the prescribing limitation is compatible with the role before you accept it.
Both are worth re-checking — membership moves with legislative sessions, and Georgia’s prescribing rules have been the subject of repeated legislative attention.
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