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Interstate compacts allow licensed professionals to practice across state lines without obtaining a separate license in each state. There are currently 9 active compacts covering healthcare, mental health, and allied health professions. Click any compact below to see member states and eligibility details.
Interstate Medical Licensure Compact (IMLC)
Physician (MD/DO)
Psychology Interjurisdictional Compact (PSYPACT)
Psychologist
Nurse Licensure Compact (eNLC)
Registered Nurse, LPN
Physical Therapy Compact
Physical Therapist, PTA
Counseling Compact
Counselor (LPC)
Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC)
Audiologist, Speech-Language Pathologist
Occupational Therapy Licensure Compact
Occupational Therapist, OTA
Social Work Licensure Compact
Social Worker
EMS Compact (REPLICA)
EMT / Paramedic, Paramedic
Interstate licensing compacts are agreements between states that allow professionals licensed in one member state to practice in other member states — either through a multistate license, a compact privilege, or an expedited licensing pathway.
Each compact has its own rules, eligibility requirements, and member states. Some compacts (like the Nurse Licensure Compact) issue a single multistate license that works in all member states. Others (like the IMLC for physicians) expedite the process of obtaining individual state licenses.
Compact membership is voluntary — each state must pass legislation to join. The number of member states grows every year as more states recognize the benefits of professional mobility.
Free guides for interstate licensing and compacts.
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