PAs serve a crucial role in improving patient access to healthcare. This data indicates that participants attribute a decline in PA employment opportunities to state legislative restrictions, which was exacerbated by SARS-CoV-2 in many states. Supervisory laws may be reducing patient access to care across all states and specialties. Participants suggested that the PA profession should seek to remove these practice barriers and better educate employers and the public to keep the PA profession viable in a constantly evolving healthcare landscape. As the clinician shortage in the US continues to worsen, barriers to PA employment will further exacerbate patient access to care.