The Nurse Licensure Compact – a Primer

Debates around the Nurse Licensure Compact continue as states weigh the benefits of streamlined licensing against regulatory concerns. This primer explains the NLC’s mechanisms and outlines the arguments made in Oregon’s policy discussions. With multi-state licensure on the rise, understanding its implications remains vital for nursing leadership.
Compact Licensure Debate

The Nurse Licensure Compact – a Primer

Supporters of the Nurse Licensure Compact (NLC) cite streamlined access to licensure, cost savings, and increased workforce mobility as core advantages. The compact allows registered and licensed practical nurses to practice across state lines without needing additional licenses, offering flexibility for telehealth, disaster response, and cross-border employment.

Oregon has not adopted the NLC, and conversations at the state level reflect a complex balance of regulatory standards and workforce readiness. Concerns have included the alignment of background checks and education requirements, potential complications in enforcing discipline, and the ability to track in-state workforce data accurately.

The primer details how the compact is administered by the National Council of State Boards of Nursing and the steps states must take to join. It also highlights how notification systems like Nursys e-Notify support licensure transparency. Understanding these frameworks equips stakeholders with the information necessary for informed policy discussions in Oregon.

What's Inside

32%

States that had implemented the compact by January 2020

7%

States where NLC legislation was still pending

2%

States had enacted NLC legislation but had not yet implemented it
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WORKFORCE INSIGHT

Oregon's Lens on the Nursing Workforce

Related Work

Cover page of Oregon’s Nurse Vacancy Crisis brief, published by the Oregon Center for Nursing in 2024.
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