What to Expect When Your State Becomes Compact

What Nurses Should Expect When Their State Becomes a Compact State

The healthcare landscape is constantly evolving and one of the most impactful changes for nurses in recent years is the expansion of the Nurse Licensure Compact (NLC). If your state has recently joined the NLC, you’re likely wondering what this means for your career, your license and your day-to-day practice. The good news? This change brings a host of opportunities and some important responsibilities. Here’s what you need to know.

What Is the Nurse Licensure Compact?

The NLC is an agreement among participating U.S. states that allows registered nurses (RNs) and licensed practical/vocational nurses (LPN/VNs) to hold one multistate license. This license permits them to practice in any other compact state without needing to obtain additional licenses. Think of it like a driver’s license: if you’re licensed in one compact state, you can “drive” (i.e., practice nursing) in any other compact state.

As of 2025, over 40 states are part of the NLC with more joining each year. This initiative is designed to improve access to care especially in underserved areas and to make it easier for nurses to respond to emergencies across state lines.

What Changes for You?

If your state has just joined the NLC, here’s what you can expect:

1. Eligibility for a Multistate License

Not every nurse automatically receives a multistate license. To qualify, you must meet the Uniform Licensure Requirements (ULRs), which include:

• Holding an active unencumbered license in your primary state of residence

• Graduating from a board-approved nursing program

• Passing the NCLEX-RN or NCLEX-PN

• Undergoing a federal criminal background check with fingerprinting

• Having no felony convictions or nursing-related misdemeanors

If you meet these criteria, you can apply for a multistate license through your state board of nursing.

2. More Job Opportunities

One of the biggest perks of the NLC is mobility. Whether you’re a travel nurse, considering a move or want to pick up shifts in a neighboring state, the compact makes it easier. You can accept assignments across state lines without the delay or cost of applying for a new license.

This is especially beneficial for nurses living near state borders or those interested in telehealth, where patients may reside in different states.

3. Faster Hiring and Deployment

Healthcare facilities often need to fill positions quickly especially during crises. With a multistate license, you’re more attractive to employers because you can start work immediately in any compact state. This also means you can be deployed faster during emergencies such as natural disasters or pandemics.

4. Cost and Time Savings

Applying for and maintaining multiple state licenses can be expensive and time-consuming. The NLC eliminates this burden allowing you to save on fees and paperwork while expanding your reach.

What Responsibilities Come With a Compact License?

While the NLC offers flexibility, it also comes with important responsibilities:

1. Know the Laws of Each State

Even though you can practice in multiple states, you must follow the nursing laws and regulations of the state where the patient is located. This means staying informed about scope of practice, continuing education requirements and reporting obligations in each state you work in.

2. Maintain Your Primary State of Residence

Your multistate license is tied to your primary state of legal residence. If you move to another compact state and declare it as your new primary residence, you’ll need to apply for a new multistate license in that state.

3. Stay in Good Standing

Any disciplinary action in one state can affect your ability to practice in all compact states. It’s crucial to maintain a clean record and report any issues promptly to your state board.

What If You Don’t Qualify for a Multistate License?

If you don’t meet the ULRs, you can still apply for a single-state license in your home state. You’ll be able to practice there but will need to apply separately for licenses in other states if you want to work outside your home state.

Final Thoughts: Embrace the Opportunity

The Nurse Licensure Compact is a game-changer for the nursing profession. It promotes mobility, flexibility and access to care while reducing administrative burdens. For nurses, it opens doors to new career paths, faster hiring and the ability to make a difference across state lines.

If your state has just joined the NLC, take the time to understand the requirements, update your credentials and explore the new opportunities available to you. Whether you’re a seasoned travel nurse or just starting out, the compact is your passport to a more dynamic and impactful nursing career.