Learn About Compact Nursing License States

What Are Compact Nursing Licenses and How They Work

A compact nursing license is a single license that allows a registered nurse (RN) or licensed practical nurse (LPN) to practice nursing across multiple states without obtaining separate licenses in each state. Instead of applying for and maintaining licenses in every state where a nurse wants to work, the compact system simplifies this process by creating a mutual agreement between participating states.

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The Nurse Licensure Compact (NLC) was first established in 1997 and has grown significantly over the past two decades. As of 2024, 34 states are part of the NLC for registered nurses, and 24 states participate in the Licensed Practical Nurse Compact (LPNC). This expansion reflects the growing need for nursing flexibility in an increasingly mobile workforce and the rise of telehealth services.

Under the compact system, a nurse obtains a license through their home state—the state where they primarily live and work. This license then becomes valid in all other compact states without the nurse needing to complete additional licensing procedures. The nurse is still subject to each state's nursing laws and regulations, but the administrative burden of managing multiple licenses is eliminated.

The structure works through a coordinated database called the Nursys system, which tracks all compact licenses. When a nurse is licensed in a compact state, their information is entered into this shared database. Other compact states can access this information to verify that the nurse holds a valid compact license. This centralized system makes it easier for employers to verify credentials and for nurses to move between states.

It's important to note that compact licenses do come with limitations. A nurse cannot hold a compact license in one state while simultaneously holding a non-compact license in another state. Additionally, if a nurse's license is revoked, suspended, or otherwise disciplined in any compact state, that action is reported to all compact states and affects the nurse's compact privileges everywhere.

Practical Takeaway: Understanding the basic structure of compact licenses helps nurses recognize whether this option might reduce licensing burdens. Learning which states participate in the compact system is the first step in determining whether you could benefit from this arrangement.

Which States Currently Participate in Nursing Compacts

Participation in the Nurse Licensure Compact continues to expand as more states recognize the benefits of streamlined licensing. The 34 states currently part of the NLC for registered nurses include Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

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For licensed practical nurses, the LPNC includes: Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, and Ohio. Some states participate in both compacts, while others may participate in only one, depending on their legislative decisions.

States that do not currently participate in either compact include California, Connecticut, Hawaii, Illinois, Massachusetts, Michigan, Minnesota, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington. These states require nurses to obtain individual licenses within their borders. The decision to join or not join a compact is made at the state legislative level and can take several years to implement once a state decides to participate.

The expansion of the compacts has accelerated in recent years. Between 2020 and 2024, several additional states joined or prepared to join the system. This trend reflects workforce demands, particularly following the COVID-19 pandemic, when the nursing shortage became acute and states recognized that compact participation could help address staffing challenges across state lines.

It's useful to recognize that compact membership can change. States sometimes withdraw from compacts or, more commonly, new states continue to join. Nurses should verify current compact participation status through official state nursing board websites or the National Council of State Boards of Nursing (NCSBN), which administers the compacts. The list of participating states is not static, and staying informed about changes can be valuable for career planning.

Practical Takeaway: Check the current list of compact-participating states on your state nursing board's website. If you work or plan to work across state lines, knowing which states participate helps you understand what licensing options are available to you.

Requirements for Obtaining a Compact Nursing License

To obtain a compact nursing license, you must first meet the basic requirements that your home state (the state granting your initial compact license) has established for nursing licensure. These requirements typically include completing an accredited nursing education program, passing the National Council Licensure Examination (NCLEX), and meeting any additional state-specific requirements such as background checks or character assessments.

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The key difference with a compact license is that you apply through your home state—the state where you live and intend to primarily practice. You don't apply separately to each compact state. When you obtain your license through your home state's nursing board, that license is automatically recognized in all other participating compact states, provided those states acknowledge your home state's licensing standards.

Your home state is generally defined as the state where you have established residency or have a declared primary residence. Some states define this more specifically, requiring that you maintain a physical address in the state or demonstrate intent to reside there. A few states may have additional requirements, such as passing their specific licensing examination in addition to the NCLEX, though this is becoming less common as compacts streamline standards.

Background checks and criminal history disclosures are required in most states before a nursing license is granted. These checks look for felonies, certain misdemeanors, and regulatory violations. The standards for what disqualifies someone from licensure vary slightly between states, even within the compact system. Some states may have stricter standards than others, which can affect whether a nurse's compact license is recognized in every state.

Foreign-educated nurses have a separate pathway to compact licensure. They must first obtain U.S. nursing licensure by passing additional examinations and meeting credentials evaluation requirements set by their home state. Once they hold a valid license in a compact state, they can then practice under that compact license in other participating states. This process typically takes longer than the pathway for nurses educated in the United States.

Practical Takeaway: Review your home state's specific requirements for nursing licensure by visiting your state nursing board's website. Understanding what your state requires helps you know what steps you need to complete before you can practice under a compact license across state lines.

The Advantages and Limitations of Compact Nursing Licenses

One of the primary advantages of a compact nursing license is the ability to practice across multiple states without maintaining separate licenses in each one. This benefit is particularly valuable for nurses who work in border areas, travel frequently, or relocate between states. Instead of going through lengthy application processes and paying licensing fees in multiple states, nurses with a compact license manage only one license in their home state.

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The financial benefit is also significant. Nursing license fees vary by state, ranging from approximately $50 to over $200 per license, with renewal fees adding up over time. Nurses who would otherwise maintain licenses in three or four states can save hundreds of dollars annually by holding a single compact license. Additionally, the renewal process is simplified—nurses renew their license once in their home state rather than managing renewal deadlines across multiple states.

Telehealth and remote work have made compact licenses increasingly valuable. Nurses providing telehealth services to patients in multiple states can do so under a single compact license, provided both the nurse and patient are located in compact states. This has expanded job opportunities for nurses and allowed healthcare organizations to employ staff more flexibly.

However, there are important limitations to understand. Compact licenses only function when practicing in participating states. If a nurse moves to or wants to practice in a non-compact state, they must obtain a separate license in that state. Additionally, a nurse cannot hold both a compact license and a non-compact license simultaneously in the traditional sense—they must choose their primary home state and obtain their compact license there.

Another limitation involves discipline and enforcement. If a nurse's license is disciplined or revoked in any compact state, that action affects the nurse's ability to practice under the compact in all states. Conversely, if a nurse is disciplined in a state for conduct occurring while holding a compact license, other states are notified. This interstate accountability is intentional