Licensing Compacts: An Emerging Trend?

Interstate licensing compacts are not new.  Compacts such as the Driver’s License Compact, the Nurse Licensure Compact, and the Interstate Compact on Licensure of Participants in Horse Racing with Pari-Mutual Wagering have each been in existence for over 10 years.  In the last year though there has been a renewed emphasis on the development of licensing compacts. 

CSG, through the National Center for Interstate Compacts (NCIC), has been working in conjunction with National Association of EMS Officials, to develop an EMS licensing compact.  Work on the project is well underway and the compact in intended to solve problems associated with day-to-day emergency deployment of EMS personnel across state boundaries.  For more about this project please click here.

Additionally the Federation of State Medical Boards recently approved a resolution calling for the exploration of an interstate compact designed to increase efficiency in the licensing of physicians who practice across state lines.  The goal of such an agreement would be to streamline the licensing process, with special emphasis on increasing access to healthcare and telehealth.  CSG, through NCIC, is already making plans to assist FSMB with this effort. 

While it is too early to speculate how either of these efforts will unfold, they may well signal a renewed emphasis on interstate licensing agreements.  For more information about any of the compacts referenced above please visit or contact Crady deGolian.