{"id":6376,"date":"2024-04-25T18:00:58","date_gmt":"2024-04-25T18:00:58","guid":{"rendered":"https:\/\/www.vivian.com\/community\/?p=6376"},"modified":"2024-04-26T14:26:18","modified_gmt":"2024-04-26T14:26:18","slug":"compare-enlc-and-aprn-licensure-compacts","status":"publish","type":"post","link":"https:\/\/www.vivian.com\/community\/career-resources\/compare-enlc-and-aprn-licensure-compacts\/","title":{"rendered":"What&#8217;s the Difference Between the eNLC and the APRN Licensure Compacts?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Historically, nurses wanting to practice in multiple states had to apply and pay for <\/span><a href=\"https:\/\/www.vivian.com\/community\/travel-nursing\/travel-nursing-and-single-state-licenses\/\"><span style=\"font-weight: 400;\">single-state licenses<\/span><\/a><span style=\"font-weight: 400;\"> in every state where they\u2019d be providing care. <\/span>The goal of licensure compacts is to eliminate the cost and time required to <a href=\"https:\/\/www.vivian.com\/licensing\/\" target=\"_blank\" rel=\"noopener\">apply for nurse licensure<\/a> in more than one state. Eliminating these hurdles allows qualified nurses to practice in numerous states with one multistate license.<\/p>\n<p><span style=\"font-weight: 400;\">However, there\u2019s a difference between the Enhanced Nurse Licensure Compact (<a href=\"https:\/\/www.nursecompact.com\/\" target=\"_blank\" rel=\"noopener\">eNLC<\/a>) and the Advanced Practice Registered Nurse (<a href=\"https:\/\/www.aprncompact.com\/\" target=\"_blank\" rel=\"noopener\">APRN<\/a>) Licensure Compact. Understanding this difference is crucial for advanced practice nurses. This guide dives into both Compacts, including how they work and why the APRN Compact has stalled. We also touch on Compacts for other healthcare professionals to provide insight into who can practice across state lines.<\/span><\/p>\n<h3><b>How Does the eNLC Work?<\/b><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7456\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/07\/Travel-Nursing-with-the-Nurse-Licensure-Compact-NLC-Resized-scaled-e1714076806179.jpg\" alt=\"Travel Nursing with the Nurse Licensure Compact (NLC)\" width=\"800\" height=\"420\" \/><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/nurse-licensure-compact-states\/\"><span style=\"font-weight: 400;\">Enhanced Nurse Licensure Compact<\/span><\/a><span style=\"font-weight: 400;\">, developed by the National Council of State Boards of Nursing (NCSBN), is an interstate compact that allows qualifying RNs and LPN\/LVNs to obtain one multistate license in their primary state of residency and practice in their home state and all other member states. Unless they\u2019re under restriction, nurses with a Compact license may practice physically and electronically through telehealth based on each state\u2019s practice laws.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">States wanting to become member states must enact the eNLC model language into law. They must also be able to conduct fingerprint-based federal criminal background checks on nurses when they initially apply for licensure by exam or endorsement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">State nursing boards in Compact states must participate in a national database \u2014 Coordinated Licensure Information System or Nurses License Verification database \u2014 to share information with other state nursing boards regarding nurse discipline, licensure verification and practice privileges.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nurses wanting to apply for a multistate license must meet the uniform licensure requirements, which include the following:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Graduate of a qualifying nursing education program<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pass an English proficiency exam if English isn\u2019t the applicant\u2019s native language or the nursing program wasn\u2019t taught in English<\/span><\/li>\n<li style=\"font-weight: 600;\"><a href=\"https:\/\/www.vivian.com\/community\/healthcare-education\/nclex-tips-to-help-you-pass\/\"><span style=\"font-weight: 400;\">Pass the NCLEX-RN or NCLEX-PN<\/span><\/a><span style=\"font-weight: 400;\"> or predecessor exam<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Meet their home state\u2019s nurse licensure qualifications<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have (or eligible to have) an active, unencumbered nursing license<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Submit to state and federal fingerprint-based criminal background checks<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have a valid United States Social Security number<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have not been convicted or found guilty of a felony or a nursing practice-related misdemeanor<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disclose current participation in an alternative program<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Not currently participating in an alternative program<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Nurses qualifying for a multistate license must adhere to the <\/span><a href=\"https:\/\/www.ncsbn.org\/policy\/npa.page\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Nurse Practice Act<\/span><\/a><span style=\"font-weight: 400;\"> in each state of practice. When providing care over the phone or electronically via telehealth, the state of practice is where the patient is located, not the nurse. Currently, RNs and LPN\/LVNs holding a Compact license can practice across borders in 38 states, with three more states or U.S. territories in the process of fully implementing the eNLC.<\/span><\/p>\n<h4>Map of Nurse Licensure Compact States (April 2024)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8173 size-full\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/10\/NLC-Map-April-2024-Resized.jpg\" alt=\"NLC Map April 2024\" width=\"717\" height=\"437\" srcset=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/10\/NLC-Map-April-2024-Resized.jpg 717w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/10\/NLC-Map-April-2024-Resized-300x183.jpg 300w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/10\/NLC-Map-April-2024-Resized-607x370.jpg 607w\" sizes=\"auto, (max-width: 717px) 100vw, 717px\" \/><\/p>\n<p style=\"text-align: right;\"><em><small><strong>Source<\/strong>: <a href=\"https:\/\/www.ncsbn.org\/compacts\/nurse-licensure-compact.page\" rel=\"noopener\">NCSBN<\/a> (4\/25\/2024)<\/small><\/em><\/p>\n<h3><b>How the APRN Compact Works<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The APRN Compact, also developed by the NCSBN, is very similar to other medical and nursing licensure compacts. It allows CNPs, CMNs, CNSs and CRNAs to hold one multistate license and practice physically or via telehealth in other states that have enacted the Compact without obtaining additional licenses. Like the eNLC, states wanting to join the APRN Compact must enact the APRN Compact model legislation and implement a federal criminal background check for licensure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">APRNs must also meet uniform licensure requirements, like RNs and LPN\/LVNs under the eNLC. The requirements under the APRN Compact are similar but have some key differences. Those requirements include the following:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Graduate from an accredited graduate-level education program that prepares them for one of the <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/advanced-practice-nurses-explained\/\"><span style=\"font-weight: 600;\">four recognized APRN roles<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pass an English proficiency exam if English isn\u2019t the applicant\u2019s native language or the nursing program wasn\u2019t taught in English<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pass a national certification exam measuring APRN, role and population-focused competencies and maintaining continued competence as proven through recertification<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pass the NCLEX-RN or predecessor exam<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Meet their home state\u2019s nurse licensure qualifications<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have an active, unencumbered RN license and active, unencumbered authorization to practice as an APRN<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Practice 2,080 hours or more as an APRN in a role and population focus matching the applicant\u2019s education and training (can\u2019t include hours obtained during APRN education program)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Submit to state and federal criminal background checks<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have a valid United States Social Security number<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have not been convicted or found guilty of a felony or a nursing practice-related misdemeanor<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disclose current participation in an alternative program<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Not currently participating in an alternative program<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">APRNs with a multistate license may assume responsibility and accountability for patient care and practice without supervisory or collaborative agreements with physicians. They may also prescribe non-controlled substances. However, prescriptive authority for controlled substances must only occur in accordance with the state laws and regulations in the state of practice.<\/span><\/p>\n<h3><b>What\u2019s Holding APRNs Back?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Unfortunately, the APRN Compact just can\u2019t seem to get any traction. Adopted on August 12, 2020, the advanced nursing compact still only has four states (Utah, North Dakota, South Dakota and Delaware) that have enacted legislation to go forward with multistate privileges for NPs, CNMs, CNSs and CRNAs. It needs seven states total to join the Compact before it can actually be implemented. As of April 25, 2024, only two states (Arizona and Maryland) had pending legislation to attempt to join the APRN Compact.<\/span><\/p>\n<h4><strong>Map of APRN Compact States (April 2024)<\/strong><\/h4>\n<p><b><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8174 size-full\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/APRN-Compact-Map-April-2024-Resized.jpg\" alt=\"APRN Compact Map - April 2024\" width=\"1017\" height=\"571\" srcset=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/APRN-Compact-Map-April-2024-Resized.jpg 1017w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/APRN-Compact-Map-April-2024-Resized-300x168.jpg 300w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/APRN-Compact-Map-April-2024-Resized-768x431.jpg 768w, https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/APRN-Compact-Map-April-2024-Resized-659x370.jpg 659w\" sizes=\"auto, (max-width: 1017px) 100vw, 1017px\" \/><\/b><\/p>\n<p style=\"text-align: right;\"><em><small><strong>Source<\/strong>: <a href=\"https:\/\/www.ncsbn.org\/compacts\/aprn-compact.page\" rel=\"noopener\">NCSBN<\/a> (4\/25\/2024)<\/small><\/em><\/p>\n<p><span style=\"font-weight: 400;\">APRNs have come up against various roadblocks, including from one of their own professional organizations. The American Association of Nurse Practitioners (AANP) opposes the revised APRN Compact because the group is against including practice hours as a prerequisite to applying for a multistate APRN license. It believes this directly conflicts with the Consensus Model for APRN Regulation and creates unnecessary and costly regulations for all states.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The AANP has been instrumental in securing full practice authority for NPs and finalizing over 100 state statutes benefiting NPs and their patients. Without this esteemed organization\u2019s endorsement, the NCSBN could face an uphill battle in getting the advanced practice compact implemented and accepted by more states.<\/span><\/p>\n<p>A second objection to the APRN Compact comes from various quarters and directly relates to how the APRN Compact will be governed. As written, once the Compact becomes operational, each state that adopted it has an administrator who serves on the Compact Commission to represent their jurisdiction and help govern the Compact. Based on the Compact language, this representative would be the head of the state licensing board or their designee. The objection is these administrators should be APRNs and many of the heads of the state licensing boards aren&#8217;t APRNs.<\/p>\n<h3><b>APRNs Can\u2019t Practice Under an eNLC License<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The most significant thing to note is that APRNs can\u2019t apply for a multistate license under the eNLC and practice as an APRN across state lines. <\/span><a href=\"https:\/\/www.vivian.com\/community\/career-resources\/roles-of-advanced-practice-providers\/\"><span style=\"font-weight: 400;\">Advanced practice professionals<\/span><\/a><span style=\"font-weight: 400;\"> practice under different rules than registered or practical nurses with advanced capabilities and authority. The eNLC applies to RNs and LPN\/LVNs only.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">All CNPs, CNMs, CNSs and CRNAs must wait until the APRN Compact is fully implemented before applying for a multistate license if they qualify and live in a participating state. APRNs interested in advocating for the APRN Compact can access a <\/span><a href=\"https:\/\/www.aprncompact.com\/take-action.page\" rel=\"noopener\"><span style=\"font-weight: 400;\">customizable letter to send to lawmakers<\/span><\/a><span style=\"font-weight: 400;\"> on the NCSBN advocacy site.<\/span><\/p>\n<h3><b>What Is an Occupational Licensure Compact?<\/b><\/h3>\n<p>Occupational licenses safeguard the public from receiving services from unqualified practitioners. Licensure is especially important in the medical field, where practitioner mistakes can have dire consequences on a person\u2019s health and life. However, inconsistencies arise because each state has different licensure requirements for healthcare professionals. This challenge is where interstate compacts, also called universal licensure, come into play.<\/p>\n<p>Occupational Licensure Compacts create reciprocal professional licensing between states while continuing to protect public safety and state sovereignty. Interstate compacts offer an efficient way to eliminate state borders and allow licensed professionals to practice in any participating state, with the ultimate goal being the ability to practice anywhere in the United States.<\/p>\n<p>The most robust occupational licensure compacts provide mutual recognition, meaning if a practitioner holds a multistate license in one Compact state, they can practice in all Compact states. Alternatively, a Compact may take an expedited licensure approach. In this format, individuals must still obtain licensure in individual states, but the process is much quicker due to data centralization and coordinated application requirements.<\/p>\n<p><span style=\"font-weight: 400;\">According to the National Center for Interstate Compacts, <a href=\"https:\/\/compacts.csg.org\/occupational-licensure-compacts\/\" target=\"_blank\" rel=\"noopener\">15 professions<\/a> have Occupational Licensure Compacts available to them, with three more in development. Many of these occupations are in the healthcare industry and 49 states or territories participate in one or more Compacts. As of April 25, 2024, healthcare professionals in the following occupations had access to some type of <\/span><a href=\"https:\/\/compacts.csg.org\/wp-content\/uploads\/2020\/11\/OL_Compacts_InAction_Update_APR_2020-3.pdf\" rel=\"noopener\"><span style=\"font-weight: 400;\">Occupational Licensure Compact<\/span><\/a>.<\/p>\n<table>\n<tbody valign=\"TOP\">\n<tr>\n<td style=\"text-align: left;\"><b>Compact Name<\/b><\/td>\n<td style=\"text-align: left;\"><b>Qualified Healthcare Professionals<\/b><\/td>\n<td style=\"text-align: left;\"><b># Participating States &amp; Territories<\/b><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Interstate Medical Licensure Compact (<\/span><a href=\"https:\/\/www.imlcc.org\/participating-states\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">IMLC<\/span><\/a><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Physicians<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">32 States, D.C. and Guam (Member states serving as State of Principal License)<br \/>\n<\/span><span style=\"font-weight: 400;\">3 States (AL, CT &amp; VT &#8211; Member states issuing licenses only)<br \/>\n5 States (FL, HI, MO, PA &amp; RI &#8211; Passed with implementation in process or delayed)<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Enhanced Nurse Licensure Compact (<\/span><a href=\"https:\/\/www.ncsbn.org\/compacts\/nurse-licensure-compact.page\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">eNLC<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Registered Nurses (<\/span><a href=\"https:\/\/www.vivian.com\/nursing\/salary\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">RNs<\/span><\/a>)<br \/>\n<span style=\"font-weight: 400;\">Licensed Practical\/Vocational Nurses (<\/span><a href=\"https:\/\/www.vivian.com\/explore\/lpn-lvn\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">LPNs\/LVNs<\/span><\/a>)<\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">38 States fully implemented<br \/>\nPA and Guam partially implemented<br \/>\nU.S. Virgin Islands enacted, awaiting implementation<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Advanced Practice Nurse Compact (<\/span><a href=\"https:\/\/www.ncsbn.org\/compacts\/aprn-compact.page\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">APRN Compact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Certified Nurse Practitioners (<\/span><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">CNPs<\/span><\/a>)<br \/>\n<span style=\"font-weight: 400;\">Certified Nurse Midwives (<\/span><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/midwife\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">CNMs<\/span><\/a>)<br \/>\n<span style=\"font-weight: 400;\">Clinical Nurse Specialists (<\/span><a href=\"https:\/\/www.vivian.com\/explore\/nurse-practitioner\/clinical-nurse-specialist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">CNSs<\/span><\/a>)<br \/>\n<span style=\"font-weight: 400;\">Certified Registered Nurse Anesthetists (<\/span><a href=\"https:\/\/www.vivian.com\/explore\/certified-registered-nurse-anesthetist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">CRNAs<\/span><\/a>)<\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">4 States<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Emergency Medical Service Officials Licensure Compact (<\/span><a href=\"https:\/\/www.emscompact.gov\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">EMS Compact<\/span><\/a><span style=\"font-weight: 400;\">)\u00a0<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Emergency Medical Technicians<\/span><br \/>\n<a href=\"https:\/\/www.vivian.com\/explore\/allied-health\/paramedic\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Paramedics<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">24 States (16 full compliance, 1 partial compliance and 7 member pending license data)<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Physical Therapists Licensure Compact (<\/span><a href=\"https:\/\/ptcompact.org\/ptc-states\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">PT Compact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><a href=\"https:\/\/www.vivian.com\/explore\/therapy\/physical-therapist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Physical Therapists<\/span><\/a><br \/>\n<a href=\"https:\/\/www.vivian.com\/explore\/therapy\/physical-therapy-assistant\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Physical Therapist Assistants<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">36 States (30 fully implemented and 6 enacted but pending implementation)<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Psychology Interjurisdictional Compact (<\/span><a href=\"https:\/\/psypact.org\/page\/psypactmap\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">PSYPACT<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><a href=\"https:\/\/www.vivian.com\/explore\/therapy\/psychologist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Psychologists<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">38 States, D.C. and the Commonwealth of the Northern Mariana Islands participating<br \/>\n2 State (SD &amp; VT &#8211; Enacted not yet effective)<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Audiology and Speech-Language Pathology Interstate Compact (<\/span><a href=\"https:\/\/aslpcompact.com\/compact-map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">ASLP-IC<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><a href=\"https:\/\/www.vivian.com\/explore\/therapy\/audiologist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Audiologists<\/span><\/a><br \/>\n<a href=\"https:\/\/www.vivian.com\/explore\/therapy\/speech-language-pathologist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Speech-Language Pathologists<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">31 States<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Occupational Therapy Interstate Licensure Compact (<\/span><a href=\"https:\/\/otcompact.org\/compact-map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">OT Compact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><a href=\"https:\/\/www.vivian.com\/explore\/therapy\/occupational-therapist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Occupational Therapists<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.vivian.com\/explore\/therapy\/occupational-therapist-assistant\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Occupational Therapist Assistant<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">28 States<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Counseling Interstate Licensure Compact (<\/span><a href=\"https:\/\/counselingcompact.org\/map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Counseling Compact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Licensed Professional Counselors<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Licensed Mental Health Counselors<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.vivian.com\/explore\/social-work\/licensed-professional-clinical-counselor\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Licensed Professional Clinical Counselors<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">(Doesn\u2019t cover therapists, psychologists or social workers)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">34 States<br \/>\n(AZ effective 7\/3\/24; SD effective 7\/1\/24; VT effective 7\/1\/24)<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Social Work Licensure Compact (<\/span><a href=\"https:\/\/swcompact.org\/compact-map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">SW Compact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><a href=\"https:\/\/www.vivian.com\/social-work\/social-worker\/salary\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Social Workers<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.vivian.com\/explore\/social-work\/licensed-clinical-social-worker\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Clinical Social Workers<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.vivian.com\/social-work\/licensed-independent-clinical-social-worker\/salary\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Licensed Independent Clinical Social Workers<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.vivian.com\/explore\/social-work\/master-of-social-work\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Masters in Social Work<\/span><\/a><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">9 States<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Dentists and Dental Hygienist Compact (<\/span><a href=\"https:\/\/ddhcompact.org\/compact-map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">DDHC<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Dentists<\/span><br \/>\n<span style=\"font-weight: 400;\">Dental Hygienists<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">7 States<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Interstate Massage Compact (<\/span><a href=\"https:\/\/massagecompact.org\/compact-map\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">IMpact<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">Massage Therapists<\/span><\/td>\n<td style=\"text-align: left;\"><span style=\"font-weight: 400;\">1 State (Nevada)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Other compacts currently in the works include the:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/compacts.csg.org\/compact-updates\/respiratory-therapy-licensure-compact\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Respiratory Therapy Licensure Compact<\/span><\/a> for <a href=\"https:\/\/www.vivian.com\/explore\/allied-health\/respiratory-therapist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Respiratory Therapists<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/compacts.csg.org\/compact-updates\/the-interstate-compact-for-dietitians\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Dietitian Licensure Compact<\/span><\/a><\/span> for <a href=\"https:\/\/www.vivian.com\/explore\/allied-health\/rdcd-dietician\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Registered Dietician Nutritionists<\/span><\/a> (Nebraska has enacted this Compact)<\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/compacts.csg.org\/compact-updates\/the-interstate-compact-for-school-psychologists\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">Interstate Compact for School Psychologists<\/span><\/a><\/span> for <a href=\"https:\/\/www.vivian.com\/explore\/school-services\/school-psychologist\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 600;\">School Psychologists<\/span><\/a><\/li>\n<\/ul>\n<h3><b>How Are Licensure Compacts Beneficial?<\/b><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6382\" src=\"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/Nurse-Licensure-Compact-paperwork-resized-scaled-e1714075352684.jpg\" alt=\"\" width=\"800\" height=\"420\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Multistate licenses significantly relieve the financial burdens and other hassles of obtaining and maintaining licenses in multiple states. However, the benefits of multistate licenses impact not only the practitioner but also the licensure boards and even consumers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common benefits for practitioners:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Streamlined licensure requirements<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased ability for practitioners to practice across states<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Improved portability for military spouses who often relocate every 2 years<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased ability to provide care through telehealth<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Reduced expenses related to obtaining\/maintaining single-state licenses<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased ability to obtain <\/span><a href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\"><span style=\"font-weight: 600;\">travel healthcare jobs<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Benefits for state licensure boards:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Reduced administrative costs<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased ability to share complaint and investigative information<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Shared responsibility for patient safety and commitment to improving patient protection<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Continued ability to maintain control over the state Practice Act and licensure process<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Added authority to request FBI criminal background checks<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Consumer benefits:<\/span><\/p>\n<ul style=\"padding-left: 30px;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased access to care<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Elevated efficiency in the distribution of services<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased availability and choice of qualified practitioners<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Enhanced safety standards<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Improved response during disasters, pandemics or other crises that require a higher level of medical care<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Increased ability to receive care through telehealth<\/span><\/li>\n<\/ul>\n<p>Whether you&#8217;re moving permanently or taking a temporary travel job, <a href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\">find your next healthcare role<\/a> on Vivian Health&#8217;s comprehensive jobs marketplace today.<\/p>\n<p><a style=\"background-color: #124e3b; color: #fdfeff; font-size: 20px; border-radius: 10px; padding: 15px; min-height: 30px; min-width: 120px;\" href=\"https:\/\/www.vivian.com\/browse-jobs\/landing\" target=\"_blank\" rel=\"noopener\">Browse Jobs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Learn why advanced practice nurses can&#8217;t practice under the eNLC to ensure compliance and protect your license.<\/p>\n","protected":false},"author":17,"featured_media":6380,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[147,313,374,378,376,377,312,362,385,368,331,123,303,75,90],"class_list":["post-6376","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-career-resources","tag-aprn","tag-certified-registered-nurse-anesthetist","tag-clinical-nurse-specialist","tag-cnm","tag-cnp","tag-cns","tag-crna","tag-lpn-lvn","tag-np","tag-nurse-midwife","tag-nurse-practitioner","tag-nursing","tag-permanent","tag-rn","tag-travel"],"acf":[],"jetpack_featured_media_url":"https:\/\/www.vivian.com\/community\/wp-content\/uploads\/sites\/3\/2023\/02\/Licensure-Compact-Resized-scaled.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/6376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/comments?post=6376"}],"version-history":[{"count":0,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/posts\/6376\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media\/6380"}],"wp:attachment":[{"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/media?parent=6376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/categories?post=6376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vivian.com\/community\/wp-json\/wp\/v2\/tags?post=6376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}