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Interstate Licensure Compacts CANNOT Be a Catalyst to Expand Scope of Practice
Posted on: 5/24/2018

What is a compact?

A compact provides health care professionals interested in licensure in multiple states with an efficient way to receive licenses. A compact reduces the repetitive nature of the licensure process in each state by using information already obtained and verified for the health care professional’s primary license – so less paperwork and reduced wait times.

ISMS and more than 80 physician organizations are urging the National Council of State Boards of Nursing to remove or substantially revise its compact.

Here's why: Certain provisions of the Advanced Practice Registered Nurse Compact (APRN Compact) alter state laws relating to the scope of practice for APRNs

The APRN Compact grants prescriptive authority and allows APRNs to practice independent of a supervisory or collaborative relationship with a physician, potentially overriding state laws to the contrary

Of all compacts in existence, the APRN Compact is the only one that changes a health professional’s scope of practice

The APRN Compact was first initiated in 2015 and will be implemented when 10 states have enacted the legislation. Only three states have adopted the APRN Compact to date. Legislation has not been introduced in Illinois. ISMS would actively oppose the current compact structure if introduced in our state. 

Compacts streamline licensure for health care professionals and facilitate license portability – such as the Interstate Medical Licensure Compact for physicians. 

However, compacts must never be used to alter the scope of practice of a health care profession!  

To learn more about the Compact for physicians, access ISMS' Issue Brief On the Horizon: An Expedited System for Multi-State Practice.*

Questions? Contact our advocacy team by calling 800-782-4767 ext. 1470, or by sending an email.


As a member benefit, this Issue Brief is password protected.

If you need to request a username and password, contact online support at 888-476-7776 or onlinehelp@isms.org between 8:30 a.m. and 4:45 p.m. After-hours requests are answered promptly the next business day. You may also register online or retrieve your username or password.

*This guideline is for educational purposes only. 



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