Interstate licensure compacts by state

03 NLC

Nurse Licensure Compact

An RN or LPN/VN who lives in a member state can hold one multistate license that lets them practice in every other member state.

The commission states that 43 jurisdictions are part of the NLC; 40 states plus Guam (partial implementation) and Massachusetts and the U.S. Virgin Islands (enacted, awaiting implementation).

Issuing · 40

• Alabama
• Arkansas
• Arizona
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Iowa
• Idaho
• Indiana
• Kansas
• Kentucky
• Louisiana
• Maryland
• Maine
• Missouri
• Mississippi
• Montana
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• New Jersey
• New Mexico
• Ohio
• Oklahoma
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Virginia
• Vermont
• Washington
• Wisconsin
• West Virginia
• Wyoming

Implementing · 1

• Massachusetts

Source: www.nursecompact.com · checked Oct 28, 2026

04 APRN Compact

APRN Compact

Would let an advanced practice registered nurse hold one multistate APRN license valid in every member state.

The official APRN Compact site describes the compact in conditional terms and publishes no member-state list; no state is shown as issuing multistate APRN licenses.

We could not confirm the member list on the commission's own site yet — check the official map.

Source: www.aprncompact.com · checked Oct 28, 2026

05 IMLC

Interstate Medical Licensure Compact

An expedited pathway: a qualifying physician applies once through a State of Principal License and receives separate full licenses from the other member states chosen.

The commission lists 39 states, DC and Guam as SPL member states issuing licenses, 2 non-SPL states issuing licenses only (HI, VT) and 3 states where the compact passed but implementation is in process (AK, NM, RI). $700 IMLC application fee plus each chosen state's license fee (state fees listed by the commission); all fees non-refundable.

Issuing · 40

• Alabama 2015
• Arkansas 2025
• Arizona 2016
• Colorado 2016
• Connecticut 2026
• District of Columbia 2023
• Delaware 2021
• Florida 2024
• Georgia 2021
• Iowa 2015
• Idaho 2015
• Illinois 2015
• Indiana 2023
• Kansas 2016
• Kentucky 2018
• Louisiana 2021
• Maryland 2018
• Maine 2017
• Michigan 2019
• Minnesota 2015
• Missouri 2024
• Mississippi 2016
• Montana 2015
• North Carolina 2026
• North Dakota 2019
• Nebraska 2017
• New Hampshire 2016
• New Jersey 2024
• Nevada 2015
• Ohio 2021
• Oklahoma 2019
• Pennsylvania 2025
• South Dakota 2015
• Tennessee 2017
• Texas 2022
• Utah 2015
• Washington 2017
• Wisconsin 2015
• West Virginia 2015
• Wyoming 2015

Partial · 2

• Hawaii 2025
• Vermont 2017

Implementing · 3

• Alaska 2026
• New Mexico 2026
• Rhode Island 2022

Source: imlcc.com · checked Oct 28, 2026

06 PA Compact

PA Licensure Compact

A PA with a qualifying license in a member state will be able to obtain a compact privilege, the legal equivalent of a license, to practice in each other member state.

As of August 28, 2026 the commission reports 29 member states and states that no state is issuing privileges yet; privileges are projected for early 2027. Privilege fee not yet set; to be determined during operationalization (commission FAQ).

Enacted · 29

• Alaska 2026
• Alabama 2026
• Arkansas 2025
• Arizona 2026
• Colorado 2024
• Connecticut 2025
• Delaware 2023
• Iowa 2025
• Kansas 2025
• Maine 2024
• Michigan 2026
• Minnesota 2024
• Missouri 2026
• Montana 2025
• North Carolina 2025
• North Dakota 2026
• Nebraska 2024
• New Hampshire 2026
• New Jersey 2026
• Ohio 2024
• Oklahoma 2024
• Rhode Island 2026
• South Dakota 2026
• Tennessee 2024
• Utah 2023
• Virginia 2024
• Washington 2024
• Wisconsin 2023
• West Virginia 2024

Source: www.pacompact.org · checked Oct 28, 2026

07 PSYPACT

Psychology Interjurisdictional Compact

Lets a psychologist licensed in a member state practice telepsychology (APIT) or temporary in-person practice (TAP) in other member states.

The PSYPACT Commission lists 46 enacted, 44 effective participating jurisdictions: 42 states, DC and the Northern Mariana Islands effective; Iowa (effective 7/1/2027) and Louisiana (effective 1/1/2028) enacted, not yet effective. Massachusetts and New York have introduced legislation; CA, HI, NM, OR, Guam, Puerto Rico and USVI are non-PSYPACT. The Northern Mariana Islands is not in this site's state list. Per ASPPB: E.Passport $400 + APIT processing = $440 total (renewal $140 total); IPC $200 + TAP processing = $240 total (renewal $90 total).

Issuing · 43

• Alaska 2026
• Alabama 2021
• Arkansas 2021
• Arizona 2020
• Colorado 2020
• Connecticut 2022
• District of Columbia 2021
• Delaware 2020
• Florida 2023
• Georgia 2020
• Idaho 2022
• Illinois 2020
• Indiana 2022
• Kansas 2022
• Kentucky 2021
• Maryland 2021
• Maine 2021
• Michigan 2023
• Minnesota 2021
• Missouri 2020
• Mississippi 2024
• Montana 2025
• North Carolina 2021
• North Dakota 2023
• Nebraska 2020
• New Hampshire 2020
• New Jersey 2021
• Nevada 2020
• Ohio 2021
• Oklahoma 2020
• Pennsylvania 2020
• Rhode Island 2023
• South Carolina 2023
• South Dakota 2024
• Tennessee 2021
• Texas 2020
• Utah 2020
• Virginia 2021
• Vermont 2024
• Washington 2022
• Wisconsin 2022
• West Virginia 2021
• Wyoming 2023

Enacted · 2

• Iowa
• Louisiana

Source: psypact.gov · checked Oct 30, 2026

08 Counseling Compact

Counseling Compact

A licensed professional counselor living in a member state can buy a privilege to practice in other member states that are issuing privileges.

40 member jurisdictions; as of October 19, 2026 eleven states issue privileges (Missouri the eleventh); other members are completing implementation. Commission administrative fee $30 plus a state fee ($0-$250) per privilege, listed by state on the commission fee page.

Issuing · 11

• Arkansas 2026
• Arizona 2025
• Georgia 2026
• Indiana 2026
• Louisiana 2026
• Minnesota 2025
• Missouri 2026
• Ohio 2026
• Oklahoma 2026
• Tennessee 2026
• Wyoming 2026

Enacted · 29

• Alabama
• Colorado
• Connecticut
• District of Columbia
• Delaware
• Florida
• Iowa
• Kansas
• Kentucky
• Maryland
• Maine
• Mississippi
• Montana
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• New Jersey
• Nevada
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Utah
• Virginia
• Vermont
• Washington
• Wisconsin
• West Virginia

Source: counselingcompact.gov · checked Oct 28, 2026

09 SW Compact

Social Work Licensure Compact

A social worker living in a member state will be able to hold one multistate license authorizing practice in all member states.

The compact has reached activation status, but multistate licenses are not yet being issued; the commission expects 12 to 24 months of implementation.

Enacted · 33

• Alaska
• Alabama
• Arkansas
• Arizona
• Colorado
• Connecticut
• Delaware
• Georgia
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maryland
• Maine
• Minnesota
• Missouri
• Mississippi
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• New Jersey
• Ohio
• Oklahoma
• Rhode Island
• South Dakota
• Tennessee
• Utah
• Virginia
• Vermont
• Washington
• Wisconsin
• West Virginia

Source: swcompact.org · checked Oct 28, 2026

10 DDH Compact

Dentist and Dental Hygienist Compact

A dentist or dental hygienist licensed in a member state will be able to obtain a compact privilege to practice in other member states.

The compact has reached activation status, but compact privileges are not yet being issued; the commission expects 18 to 24 months of implementation.

Enacted · 13

• Arkansas
• Colorado
• Iowa
• Kansas
• Maine
• Minnesota
• Nebraska
• Ohio
• Oklahoma 2026
• Tennessee
• Virginia
• Washington
• Wisconsin

Source: ddhcompact.org · checked Oct 28, 2026

11 ASLP-IC

Audiology and Speech-Language Pathology Interstate Compact

An audiologist or speech-language pathologist licensed in a member state can obtain a privilege to practice in other member states.

The compact operationalized on October 28, 2025; per the commission map 4 states issue privileges and 33 jurisdictions (incl. the U.S. Virgin Islands) have enacted it but do not yet issue privileges. State fees and jurisprudence requirements are listed per state in a commission PDF (State-Fee-and-Jurisprudence, July 2026).

Issuing · 4

• Louisiana 2025
• Ohio 2026
• Tennessee 2026
• West Virginia 2025

Enacted · 32

• Alaska 2024
• Alabama 2021
• Arkansas 2023
• Arizona 2025
• Colorado 2021
• Delaware 2022
• Florida 2024
• Georgia 2021
• Iowa 2022
• Idaho 2022
• Indiana 2022
• Kansas 2021
• Kentucky 2021
• Maryland 2021
• Maine 2023
• Minnesota 2024
• Missouri 2022
• Mississippi 2022
• Montana 2023
• North Carolina 2020
• Nebraska 2021
• New Hampshire 2021
• Nevada 2025
• Oklahoma 2020
• Rhode Island 2024
• South Carolina 2021
• Utah 2020
• Virginia 2023
• Vermont 2023
• Washington 2023
• Wisconsin 2023
• Wyoming 2020

Source: aslpcompact.com · checked Oct 28, 2026

12 PT Compact

Physical Therapy Compact

A PT or PTA licensed in a member state can buy a compact privilege to practice in other member states that issue and accept privileges.

38 member states actively issue and accept compact privileges; 3 states have enacted legislation but do not yet issue or accept them. $45 commission fee plus a state fee per privilege (state fees vary; listed by state on the commission site).

Issuing · 38

• Alaska
• Alabama
• Arkansas
• Arizona
• Colorado
• Connecticut
• District of Columbia
• Delaware
• Georgia
• Iowa
• Indiana
• Kansas
• Kentucky
• Louisiana
• Maryland
• Missouri
• Mississippi
• Montana
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• New Jersey
• Nevada
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Virginia
• Vermont
• Washington
• Wisconsin
• West Virginia

Enacted · 3

• Maine
• Michigan
• Rhode Island

Source: ptcompact.org · checked Oct 28, 2026

13 OT Compact

Occupational Therapy Licensure Compact

An OT or OTA licensed in a member state can obtain a compact privilege (equivalent to a license) in other member states once those states accept applications.

Member states open applications at their own pace; per the commission's Before You Apply list, 11 states accept privilege applications as of October 2026. $75 OT Compact fee plus a state fee ($0-$200 where set; TBD in several states).

Issuing · 11

• Arkansas 2026
• Indiana 2026
• Maryland 2026
• Minnesota 2026
• Missouri 2026
• Mississippi 2026
• Ohio 2026
• Tennessee 2026
• Virginia 2026
• Wisconsin 2026
• West Virginia 2026

Enacted · 25

• Alaska
• Alabama
• Arizona
• Colorado
• Delaware
• Georgia
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Michigan
• Montana
• North Carolina
• North Dakota
• Nebraska
• New Hampshire
• Oklahoma
• Rhode Island
• South Carolina
• South Dakota
• Utah
• Vermont
• Washington
• Wyoming

Source: otcompact.gov · checked Oct 28, 2026

14 EMS Compact

EMS Compact (REPLICA)

EMS clinicians licensed in a participating state automatically receive a privilege to practice in other participating states, with no application or fee.

The commission states the compact has been enacted in 28 states and is operational in 27; 1 more has enacted it but is not yet operational. No fee: the privilege to practice is automatic (commission FAQ).

Issuing · 25

• Alaska 2026
• Alabama 2017
• Arkansas 2025
• Arizona 2026
• Colorado 2015
• Delaware 2017
• Georgia 2017
• Iowa 2019
• Idaho 2016
• Indiana 2020
• Kansas 2016
• Louisiana 2020
• Missouri 2018
• Mississippi 2017
• North Dakota 2019
• Nebraska 2018
• Nevada 2023
• South Carolina 2018
• South Dakota 2021
• Tennessee 2016
• Texas 2015
• Utah 2016
• Virginia 2016
• West Virginia 2020
• Wyoming 2017

Partial · 2

• Oklahoma
• Pennsylvania

Enacted · 1

• Connecticut

Source: www.emscompact.gov · checked Oct 28, 2026

15 Dietitian Compact

Dietitian Licensure Compact

A licensed dietitian living in a member state will be able to obtain a compact privilege to practice in other member states.

The compact has reached activation status, but compact privileges are not yet being issued; the commission expects about 12 to 24 months of implementation.

Enacted · 19

• Alabama
• Arkansas
• Georgia
• Iowa
• Kansas
• Kentucky
• Missouri
• Mississippi
• Montana
• North Dakota
• Nebraska
• Ohio
• Oklahoma
• Rhode Island
• South Dakota
• Tennessee
• Utah
• Washington
• Wisconsin

Source: dietitianscompact.org · checked Oct 28, 2026

16 RCIC

Respiratory Care Interstate Compact

A respiratory therapist licensed in a member state will be able to obtain a compact privilege to practice in other member states.

The compact reached activation status in April 2026; the commission convenes for the first time in October 2026, after which rules and the data system are developed.

Enacted · 13

• Alabama
• Delaware
• Iowa
• Kansas
• Kentucky
• Montana
• Nebraska
• South Dakota
• Tennessee
• Virginia
• Washington
• Wisconsin
• West Virginia

Source: respiratorycarecompact.org · checked Oct 28, 2026

17 ICSP

Interstate Compact for School Psychologists

A school psychologist licensed in a member state will be able to receive the closest equivalent license in another member state through the compact (school psychologists only, not clinical psychologists).

Seven states have enacted legislation, allowing the compact to begin operations; member states will soon begin establishing rules for licensing out-of-state school psychologists.

Enacted · 10

• Alabama
• Colorado
• Delaware
• Georgia
• Kansas
• Maryland
• Nebraska
• Ohio
• Virginia
• West Virginia

Source: schoolpsychcompact.org · checked Oct 28, 2026