What is an Interstate Compact in Nursing?
An interstate compact in nursing, known as the
Nurse Licensure Compact (NLC), is an agreement that allows nurses to have one multi-state license, making them eligible to practice in their home state and other compact states without needing additional licenses. This initiative aims to improve access to care, reduce regulatory barriers, and address the nursing shortage by increasing mobility for nurses.
How Does the Nurse Licensure Compact Work?
The NLC functions through an agreement among member states. Nurses who hold a compact license can practice in any of the compact states as long as they meet the
uniform licensure requirements. These requirements include having an active, unencumbered license, passing the NCLEX-RN or NCLEX-PN exam, and meeting educational and background check standards.
Which States Participate in the NLC?
As of the latest updates, 39 states, along with Guam and the U.S. Virgin Islands, are members of the NLC. States can choose to join the compact through
state legislation. The list of participating states is continuously evolving, so it's essential for nurses to stay updated on the current members.
- Increased Mobility: Nurses can easily relocate and practice across state lines.
- Improved Access to Care: With more nurses available in different states, patient care access is enhanced.
- Cost-Effectiveness: Nurses save on fees associated with obtaining multiple licenses.
- Continuity of Care: In emergencies or natural disasters, nurses can quickly move to affected areas to provide care.
- State Sovereignty: Some states are hesitant to join due to concerns over losing control of licensure regulations.
- Variability in Adoption: Not all states have adopted the compact, creating a patchwork of participation.
- Compliance and Enforcement: Ensuring that all nurses comply with uniform standards and addressing disciplinary actions across states can be complex.
1. Reside in a Compact State: The nurse's primary state of residence must be a member of the NLC.
2. Meet Eligibility Requirements: This includes holding an active, unencumbered license and meeting the educational and criminal background check standards.
3. Apply Through the State Board of Nursing: Nurses must apply for the compact license through their state's Board of Nursing, which will verify eligibility.
What is the Future of the NLC?
The future of the NLC looks promising, with more states considering joining the compact. Efforts are ongoing to promote the compact and address concerns from non-member states. Additionally, the
Enhanced Nurse Licensure Compact (eNLC) has been introduced to further streamline the process and enhance the benefits of the NLC.
Conclusion
Interstate compacts in nursing, particularly the Nurse Licensure Compact, play a crucial role in enhancing the mobility and flexibility of the nursing workforce. By understanding the benefits, challenges, and application process, nurses and healthcare facilities can better navigate the complexities of multi-state licensure, ultimately improving patient care and addressing the nursing shortage.
