This table provides an overview of healthcare interstate compacts in the United States, indicating whether each compact is currently operational, the number of jurisdictions that have joined, and the number of jurisdictions with pending legislation that, if enacted, would add them to the respective compact. Additionally, the compact membership status of each SWTRC region state is included.
Healthcare Interstate Compact Name |
Compact Operational? |
Licensure Model |
Arizona |
Colorado |
Nevada |
New Mexico |
Jurisdictions with Legislation Enacted |
Jurisdictions with Legislation Pending |
Advanced Practice Registered Nurse Compact |
No |
MR |
- |
- |
- |
- |
4 |
2 |
Audiology and Speech Language Pathology Interstate Compact |
Expected 2025 |
MR |
! |
● |
- |
- |
35 |
8 |
Counseling Compact |
Expected 2025 |
MR |
● |
● |
- |
- |
38 |
3 |
Dentist and Dental Hygienist Compact |
No |
MR |
- |
● |
- |
- |
10 |
15 |
Dietitian Licensure Compact |
No |
MR |
Not Eligible |
Not Eligible |
- |
- |
4 |
18 |
Interstate Medical Licensure Compact |
Yes |
EL |
● |
● |
● |
- |
42 |
5 |
Nurse Licensure Compact |
Yes |
MR |
● |
● |
- |
● |
43 |
6 |
Occupational Therapy Licensure Compact |
Expected 2025 |
MR |
● |
● |
- |
- |
31 |
8 |
PA Licensure Compact |
No |
MR |
- |
● |
- |
- |
13 |
11 |
Physical Therapy Licensure Compact |
Yes |
MR |
● |
● |
- |
- |
39 |
4 |
Psychology Interjurisdictional Compact |
Yes |
MR |
● |
● |
● |
- |
42 |
7 |
Social Work Licensure Compact |
No |
MR |
● |
● |
- |
- |
22 |
15 |
United States Emergency Medical Services Compact |
Yes |
MR |
- |
● |
● |
- |
24 |
0 |
Data last updated February 16, 2025 per each compact's website
Definitions:
● Member of compact.
! Legislation is pending
- Not a member of the compact
Compact Operational: A compact is operational when it is actively accepting applications from eligible professionals for the compact's services.
Jurisdictions: States, Territories, and Districts of the United States of America
Not Eligible: Per the Dietitian Licensure Compact, these states are not eligible to join the compact because they do not currently license or certify dietitians.
MR: Mutual Recognition. This licensing model generally provides privileges to practice in all compact member jurisdictions via a single compact application.
EL: Expedited Licensure. This licensing model facilitates an expedited pathway to obtaining licenses in one or more of the compact member jurisdictions.
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Links to Interstate Compacts' Websites
Advanced Practice Registered Nurse Compact
Audiology and Speech Language Pathology Interstate Compact
Counseling Compact
Dentist and Dental Hygienist Compact
Dietitian Licensure Compact
Interstate Medical Licensure Compact
Nurse Licensure Compact
Occupational Therapy Licensure Compact
PA Licensure Compact
Physical Therapy Licensure Compact
Psychology Interjurisdictional Compact
Social Work Licensure Compact
United States Emergency Medical Services Compact