Nurse Compact States

Nurse Compact States

The Nurse Licensure Compact (NLC) is an agreement that allows registered nurses (RNs) and licensed practical/vocational nurses (LPNs/VNs) to have one multistate license, enabling them to practice in their home state and other compact states without needing additional licenses. This initiative, administered by the National Council of State Boards of Nursing (NCSBN), was developed to improve access to care, streamline licensing processes, and enhance public protection.

By reducing the need for multiple licenses, the NLC helps address nursing shortages, supports telehealth and travel nursing, and allows for rapid deployment of nurses during emergencies. Nurses must reside in a compact state and meet uniform licensure requirements to be eligible for a multistate license. States that join the NLC retain the authority to regulate practice and enforce discipline within their borders.

As of 2025, over 40 states have enacted NLC legislation. However, some states have not joined due to regulatory, political, or union concerns. The compact benefits employers, nurses, and patients by promoting workforce mobility and increasing healthcare access. Overall, the NLC is a key policy for modernizing nurse licensure and ensuring a more flexible and responsive healthcare system in the United States.

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