multi state licensure

Nurses General Nursing

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Any body heard of the multi state licensure or compact state? Several states are now allowing nurses to practice across state lines without having to obtain a seperate license. You just register your home state license and pay a small fee. I live in Indiana and we will be a compact state in Oct 2004. There is a web site that you can get on to find out what states are compact but I don't have it in front of me. What do you think?

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

It's about time!!!!!!!

TX has been a compact state for quite a while. Nurses living on borders can work either state. You pay for licensure only in the state in which your primarily reside. For years I kept my TN license too, but now they are compact and I don't have to. I think it is great.

Specializes in Everything except surgery.

The compact state licensure has been around for awhile. And you must make sure you understand the law, as it's not just a matter of it being where you primarily reside. You must be a resident of the compact state, and licensed in that state.

Fees are not required in all states that are apart of the compact states. Please visit the website and get info on the state, or states you wish to use a compact license in.

Background information about the RN and LPN/VN Nurse Licensure Compact

The process for creating a nurse licensure compact began in 1996 at the National Council of State Boards of Nursing (NCSBN) Delegate Assembly when delegates voted to investigate different mutual recognition models and report the findings.

At the 1997 Delegate Assembly, delegates unanimously agreed to endorse a mutual recognition model of nursing regulation.

Strategies for implementation were also developed in 1997. In that same year, the Nurse Licensure Compact Administrators (NLCA) was established to manage compact implementation and to develop compact rules.

In 1998, the NCSBN Board of Directors approved a policy goal relating to mutual recognition, which included the goal to "remove regulatory barriers to increase access to safe nursing care."

The RN and LPN/VN Compact began January 1, 2000, when it was passed into law by the first participating states: Maryland, Texas, Utah and Wisconsin.

http://www.ncsbn.org/public/nurselicensurecompact/mutual_recognition_rules.htm

The above is a link to the rules

Ok, I read the rules but I didn't understand everything. So if you live in a compact state, can you only practice in other compact states or can you practice in any state? I never even knew about this.

Originally posted by Brita01

Ok, I read the rules but I didn't understand everything. So if you live in a compact state, can you only practice in other compact states or can you practice in any state?

You can only practice in one of the compact states. In order to practice in a non-compact state, you still have to go through the old process of obtaining a license in that state. That's what travel nurses used to have to do in order to practice in multiple states.

I'm currently licensed only in the state in which I currently live (Texas). Previously I held a license in Nebraska, now I don't as they are a compact state (lived there 12 years) - Am happy to hear that Indian is finally becoming a compact state, as that's where I'm originally from, and still have family there! The compact states actually increase opportunities for nursing.

So unfar, isn't it? I am lucky that I live in a compact state! I don't know about opening up more opportunities, but it sure is "CHEAPER" if I want to go to other states that are compact - don't have to "buy" their license!!!:chuckle

I don't understand the "need" for each state to have a license (with the attached fee - some of which are VERY expensive - AK for one!). Are they trying to build up the coffers of each individual state?

ALL STATES SHOULD BE "COMPACT"!!!!;)

Something else to keep in mind and I've never taken the time to research it -- but the compact states do not have identical Nurse Practice Acts. I've always wondered how that would work if I'm not allowed to do task "A" in my home state but can in a neighboring state. Or what about North Dakota...? They require BSN for RN licensure and they are part of the compact. So, if you have an ADN/RN and have a compact license, can you still practice in NoDak?

Just things to think about as you read up on the compact....

Specializes in Corrections, Psych, Med-Surg.

"I don't understand the "need" for each state to have a license (with the attached fee - some of which are VERY expensive - AK for one!). Are they trying to build up the coffers of each individual state? "

The primary task and responsibility of each state's BON is to protect that state's consumers. It is NOT to help out, or serve to convenience, nurses.

Well, I can understand the "task and responsibility" of protecting the consumers. BUT, we take the same test, and are "qualified" the same by passing that test.

Yes, each state has a different Nurse Practice Act (ie. can do ABG's in one state but not allowed another). But that is also true facility to facility:confused: .

And why the disparity in cost of license?

I will NEVER understand the rationale of separate licenses. Even MD's have to get separate licenses for each state (oh, lawyers, too; probably many others!). I don't like it, I don't agree, I hate it, but..........COME ON COMPACT STATES!!!:cool:

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