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Licensure compacts

Updated Nov 4, 2026Clinician review pending

A compact is an agreement between states. It can let you work in other member states without a full new license.

In short

  • Nurses: one multistate license works in all 40 Nurse Licensure Compact states.[1]
  • PT and OT: you buy a "privilege to practice" in each state instead of a full license.[2][3]
  • Many compacts are new. Not every member state issues privileges yet.[3][4]
Nurses (NLC)

If your main home is in an NLC state, you can hold a multistate license. It lets you work in the other member states.[1] Your home state is where you legally live, not where you work.[1] If you move your legal home to another compact state, you must apply for a license there within 60 days.[1]

Not members: Alaska, California, Hawaii, Illinois, Minnesota, Nevada, New York and Oregon. Massachusetts has joined but isn't in effect yet.[1]

Physical therapy

The PT Compact lets you buy a privilege to practice in another member state. It costs a $45 compact fee plus that state's fee.[2] 38 states and DC issue privileges.[2] See each state's fee on the States page.

Occupational therapy

The OT Compact is new. 36 states have joined, but you can only apply in states that are accepting applications.[3] As of November 2026 these are Arkansas, Indiana, Maryland, Minnesota, Mississippi, Missouri, Ohio, Tennessee, Virginia, West Virginia and Wisconsin.[3] The compact fee is $75 plus the state's fee.[3]

Speech-language pathology and audiology

4 states issue ASLP Compact privileges: Louisiana, Ohio, Tennessee and West Virginia.[4] Many more have joined and will start later.[4]

Check before you take a job

Compact lists change. Check the official map before you sign a contract. You can also use States, Can I work in…? or Ask.

Report a mistake on this page

Sources

  1. Nurse Licensure Compact: participating jurisdictions map — NCSBN / Interstate Commission of Nurse Licensure Compact Administrators. Checked Nov 4, 2026.
  2. PT Compact Map — PT Compact Commission. Checked Nov 4, 2026.
  3. Before You Apply for an OT Compact Privilege (states accepting applications and fees) — Occupational Therapy Compact Commission. Checked Nov 4, 2026.
  4. ASLP-IC Compact Map — ASLP-IC Commission. Checked Nov 4, 2026.