{"id":223,"date":"2021-02-03T17:59:02","date_gmt":"2021-02-03T17:59:02","guid":{"rendered":"https:\/\/web.csg.org\/tcs\/?p=223"},"modified":"2021-02-03T17:59:03","modified_gmt":"2021-02-03T17:59:03","slug":"overview-interstate-licensure-compacts-and-universal-license-recognition-laws","status":"publish","type":"post","link":"https:\/\/web.csg.org\/tcs\/2021\/02\/03\/overview-interstate-licensure-compacts-and-universal-license-recognition-laws\/","title":{"rendered":"Overview: Interstate Licensure Compacts and Universal License Recognition Laws"},"content":{"rendered":"\n<p>By Andrew Bates, CSG Research Associate<\/p>\n\n\n\n<p>One state policy area that has surged in importance during the COVID-19 pandemic is <a href=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\" data-type=\"URL\" data-id=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\">occupational licensing<\/a>. As the virus has strained many states\u2019 healthcare workforces, governors and legislatures have rushed to reduce barriers to license portability and interstate practice, so that qualified professionals are better able to practice where they are needed most.<\/p>\n\n\n\n<p>Two key mechanisms for reducing barriers to interstate practice are <em>interstate licensure compacts<\/em> and <em>universal licensure recognition laws<\/em> (sometimes referred to as \u201cuniversal reciprocity,\u201d \u201cuniversal licensure by endorsement,\u201d or simply \u201cuniversal licensure\u201d).<\/p>\n\n\n\n<p>These two policy tools share a similar aim: allowing for expeditious interstate practice by qualified professionals, including military spouses. However, they differ in several important ways.<\/p>\n\n\n\n<p>Interstate compacts are statutorily enacted contracts in which states agree upon a set of <em>uniform licensure requirements<\/em> for a given profession. Any professional in good standing who meets these requirements is eligible to practice in any state that is a member of the compact, including through telehealth. Eligibility can be verified almost instantly via a licensure data system through which all member states share investigative and disciplinary information. A key advantage of interstate compacts is that they facilitate continuity of practice when a client or provider relocates to another compact member state. However, development and enactment of compacts can take two or three years.<\/p>\n\n\n\n<p>Whereas compacts are tailored to a given profession, universal recognition laws attempt to account for <em>all professions<\/em> regulated by a state. These laws allow licensed out-of-state professionals to practice within a given state, but they do not affect in-state professionals\u2019 ability to practice in person or via telehealth in other states and thus do not enable continuity of care in most client-provider relationships. An advantage of recognition laws is that they can be enacted in a single legislative session. However, they do not provide for the same near-instant licensure verification as interstate compacts, and they lack the enhanced public protection capability of a compact\u2019s data system.&nbsp;<\/p>\n\n\n\n<p>These two mechanisms need not be mutually exclusive \u2013 interstate licensure compacts can coexist with universal recognition laws as part of a states\u2019 broader occupational licensing strategy, as long as the universal laws include an exception for compacts.<\/p>\n\n\n\n<p><a href=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\" data-type=\"URL\" data-id=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\">CSG has compiled this report to highlight the similarities and differences between these two policy tools<\/a>, and to show how they can work together to reduce barriers to practice and improve the resiliency of state workforces.<\/p>\n\n\n\n<p><a href=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\" data-type=\"URL\" data-id=\"https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf\"><strong>Download the full report:<\/strong>  https:\/\/licensing.csg.org\/wp-content\/uploads\/2021\/02\/Compacts_vs_UniversalRec_Final.pdf<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/web.csg.org\/tcs\/wp-content\/uploads\/sites\/13\/2021\/02\/Screen-Shot-2021-02-03-at-12.56.31-PM-793x1024.png\" alt=\"The report cover of Interstate Licensure Compacts and Universal License Recognition Laws Fact Sheet from The Council of State Governments National Center for Interstate Compacts.\" class=\"wp-image-224\" srcset=\"https:\/\/web.csg.org\/tcs\/wp-content\/uploads\/sites\/13\/2021\/02\/Screen-Shot-2021-02-03-at-12.56.31-PM-793x1024.png 793w, https:\/\/web.csg.org\/tcs\/wp-content\/uploads\/sites\/13\/2021\/02\/Screen-Shot-2021-02-03-at-12.56.31-PM-232x300.png 232w, https:\/\/web.csg.org\/tcs\/wp-content\/uploads\/sites\/13\/2021\/02\/Screen-Shot-2021-02-03-at-12.56.31-PM-768x992.png 768w, https:\/\/web.csg.org\/tcs\/wp-content\/uploads\/sites\/13\/2021\/02\/Screen-Shot-2021-02-03-at-12.56.31-PM.png 1092w\" sizes=\"auto, (max-width: 793px) 100vw, 793px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>By Andrew Bates, CSG Research Associate One state policy area that has surged in importance during the COVID-19 pandemic is occupational licensing. As the virus has strained many states\u2019 healthcare workforces, governors and legislatures have rushed to reduce barriers to license portability and interstate practice, so that qualified professionals are better able to practice where&hellip;&nbsp;<a href=\"https:\/\/web.csg.org\/tcs\/2021\/02\/03\/overview-interstate-licensure-compacts-and-universal-license-recognition-laws\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Overview: Interstate Licensure Compacts and Universal License Recognition Laws<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[67,3],"tags":[116,64,66,63],"class_list":["post-223","post","type-post","status-publish","format-standard","hentry","category-national-center-for-interstate-compacts","category-policy","tag-fact-sheet","tag-interstate-compacts","tag-national-center-for-interstate-compacts","tag-occupational-licensure"],"_links":{"self":[{"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/posts\/223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/comments?post=223"}],"version-history":[{"count":0,"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/posts\/223\/revisions"}],"wp:attachment":[{"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/media?parent=223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/categories?post=223"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csg.org\/tcs\/wp-json\/wp\/v2\/tags?post=223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}