Vermont Passes Compact Nursing License Legislation
On June 7, 2021, Vermont passed legislation to enact the Nurse Licensure Compact. This new legislation allows registered nurses and licensed practical/vocational nurses to practice in any other Nurse Licensure Compact state, if they have a multi-state compact license. The compact was signed into law by Governor Phil Scott of Vermont, and is set to be implemented on February 1, 2022. Vermont will become the 36th jurisdiction to enact the Nurse Licensure Compact. With this new legislation, the Vermont legislature hopes to improve public safety by making it easier for nurses and other healthcare professionals to travel to and practice in their state.
The Benefits Of Traveling With A Nursing Compact License
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life I was unknowingly blessed as a new travel nurse because I chose to start traveling in my home state. I was testing the waters and wasn’t quite ready to venture out while my husband finished grad school. I did go through the process of applying for my New York and Kansas licenses after a few months. I was still lucky in a sense because I knew that even if these did not come through in time, I would be able to look for jobs in my home state or several surrounding states thanks to my compact license status. I was not constantly worried about if I needed to fork out money for a new license, or if I would be limited by the one or two licenses I had in hand. The enhanced Nurse Licensure Compact (NLC) was established in 2018 as an expansion of the previous Nurse Licensure Compact and is an agreement for license reciprocity between states that are a member of the compact. If your primary state of residence is listed as a compact state, that means you can practice in any of the listed states without having to apply for a new license in each state. This has been such a huge benefit to my travel nurse journey that I have even advised people living close to compact state lines to consider relocating, especially if they plan on traveling for several years. The benefits of traveling with a nursing compact license are extensive, and many states that are part of the compact have low costs of living. Benefit #1: No fees between nursing compact license states. An individual state license can cost upwards of $350 after basic fees, fingerprinting, and Nursys verifications. If you travel between compact states, all of these fees are irrelevant. You simply prove your primary license is in a compact state and you are safe to practice under that license in a state with reciprocity. Even if you request compensation from your company for these fees, most of the time you will still pay up front and be reimbursed. Very few companies offer direct payment for licensing fees unless there is confirmation of a strike or other critical need. Benefit #2: You can submit ASAP to jobs in other compact states. In some compact states, it can take four or more weeks to get a single-state license. Travel nursing jobs typically open and close within a day or two, so most hiring managers are not willing to wait on a license to come through and will just select another nurse instead. The majority of nursing jobs are listed as “license in hand” which means you have to have proof of an active license to even be submitted. With a nursing compact license, a recruiter can submit you instantly for a job you are interested in, which can put you ahead of the competition. Benefit #3: Less licenses to maintain. Although having multiple state licenses can make you more valuable as a traveler, it can also be costly and time consuming to maintain. Each state has its own set of fees and continuing education required to renew a nursing license. Some states even require yearly renewal, which can add up quickly. By having a nursing compact license, you only have to maintain your primary license. I only have to renew my Missouri license every two years. As an added benefit, Missouri does not require continuing education, so I simply pay the fee and have an active license in 31 states. Benefit #4: As each new state joins, your options for travel are expanded. During my three years as a travel nurse I have seen Florida, Kansas, and Louisiana join the compact. According to the compact map, there is also the potential for Washington, Hawaii, Illinois, Indiana, Michigan and New Jersey to join. Assuming all of these states pass legislation to join, in the next year or two I could be able to practice as a nurse in almost 40 states. This opens up so many avenues for travelers and will make holding a compact license an even more powerful tool as more states join the compact. So what if I don’t live in a nursing compact license state? I recommend looking into how feasible it could be for you to maintain residency in a compact state prior to becoming a travel nurse. It may sound a little complicated, but if you travel for several years and plan on going to multiple states it could save you thousands of dollars on state licensing fees alone. This would require a tax home in that state, which you can learn more about here. If you live in border cities like Kansas City or St. Louis this could be as simple as moving 20 minutes down the road. For others people, it could be a little more complicated. If you are interested in specifics on how to legally obtain a compact license if you move, be sure to check out the FAQ page on the NLC’s website. Regardless of your residence or if you choose to travel, this is something to keep an eye on as laws are being made in your home state. Pay attention to local politics and discussions about interstate licensing so if the issue does come to a vote in your area you can make an educated decision. Compact licenses are a valuable tool for nurses and are something we should all know about, even if it doesn’t apply to those of us working permanent jobs. Alex McCoy currently works as a pediatric travel nurse. She has a passion for health and fitness, which led her to start Fit Travel Life in 2016. She travels with her husband, their cat, Autumn and their dog, Summer. She enjoys hiking, lifting weights, and trying the best local coffee and wine.
Update: Indiana to Effectively Join the Nurse Licensure Compact July 1, 2020
Update February 20, 2020: The Indiana State Board of Nursing announced its full implementation of the Enhanced Nurse Licensure Compact (eNLC) will be effective July 1, 2020. This comes one year later than what was initially expected and more than a year after legislation was passed to join the compact. Beginning July 1, 2020, Indiana nurses will be able to start applying for their multistate licenses and out of state nurses who hold a compact license will be able to practice within the state. In the Fall 2019 edition of NCSBN’s In Focus publication, a representative of the Indiana State Board of Nursing (ISBN) wrote: “Board members and staff are making substantial progress putting into place the technical and administrative updates necessary for multistate licenses to be issued. At the same time, ISBN is also working closely with state and national stakeholders, including NCSBN, to institute a seamless application process.” For updates and future resources about Indiana’s full implementation into the NLC, visit www.in.gov/pla/nursing.htm. Indiana lawmakers passed compact nursing license legislation during this year’s General Assembly, which ended last Wednesday. The bill allows for the Indiana State Board of Nursing to issue compact nursing licenses and allows nurses and licensed practical nurses who already have their compact license to practice in Indiana. Gov. Eric Holcomb signed the bill into law on Monday, according to data from StateScape. Indiana is the 32nd state to join the enhanced Nursing Licensure Compact, narrowly beating out Alabama in passing an eNLC bill into law. The new compact law will take effect on July 1, 2019, according to the bill’s text. Nurses and licensed practical nurses applying for a compact nursing license must pay $25 in addition to any other standard licensing fees. The bill is expected to cut down on the amount of time it takes for nurses outside of Indiana to start working in the state. Currently, it can take several weeks for a non-Indiana nurse to obtain a single-state license. Larry Jenkins, a client advisor for LiquidAgents Healthcare who frequently works with Indiana healthcare facilities, said the bill passing could greatly help hospitals fill travel jobs faster and more efficiently. “Indiana has a ton of jobs available, but it can be a struggle to fill them because they were not a compact state, and not a lot of nurses I see have their Indiana license,” Jenkins said. “This will be really helpful to get more candidates to Indiana. “I also see a lot of people from Kentucky [with a compact license] who want to work in Indiana, so this will be helpful for them as well.” House Rep. Ed Clere introduced the bill and has advocated for Indiana to join the compact since last year. After a legislative study session over the summer, the bill quickly gained support during the 2019 General Assembly and passed the House in January. “It’s important legislation for our area,” Clere told the News and Tribune. “It came to me about three years ago, and Hosparus Health and Baptist Health Floyd are two regional organizations that identified this as a top legislative priority. There are countless other providers that supported it and will benefit from it. It will help providers address workforce challenges and will improve access to quality health care.” Supporters of the bill hope this will address gaps in nursing service across the Indiana-Kentucky state line, which was a issue frequently brought up to push legislators to support the bill. “This is particularly important to border communities like Floyd County, where a nurse might live in Louisville and work in New Albany or vice versa,” the Indiana Chamber, a statewide business advocacy group, said in a press release. “For proponents, this is both a workforce and quality of care issue.” Editor’s note: This story will be updated as more information about the process for obtaining an Indiana compact nursing license becomes available. Additionally, the original story stated the bill became law without a signature from Gov. Eric Holcomb. Holcomb signed the bill on the date the story was published, so it has been updated to reflect that information.
New Report Weighs Costs, Benefits Of Vermont Joining Nursing Compact
Vermont’s Office of Professional Regulation released a new report that found the state could see many benefits from joining the Nursing Licensure Compact, but also noted the change would have a large financial impact. Sen. Virginia Lyons introduced a nursing compact licensure bill on February 22 which would allow for Vermont to join the NLC. If approved, Vermont would become the 32nd state to join the compact. Registered nurses and licensed practical nurses from Vermont nurses could obtain a compact license, and current out-of-state compact license holders could work in Vermont without paying for a single-state license. In terms of regional impact, Vermont nurses would have easier access to New Hampshire and Maine, which are current NLC member states, and potentially Massachusetts, which also has NLC legislation in the works. The report found the benefits of joining the NLC “large and singular.” “The removal of the licensure barrier to practice in Compact States carries particular benefits for traveling nurses and military spouses, as well as in cases of disaster, labor action, or other surges in demand for nurse inflow,” the report finds. “Compact licensing also facilitates e-health and telehealth access, thereby improving the continuity of care.” The report also noted improving license mobility could potentially relieve pressure on healthcare facilities caused by nursing shortages, specifically during emergency situations. “If Vermont joins the eNLC, nurses from other Compact States will be able to provide services in Vermont without encountering the deterrent of obtaining an additional license,” the report finds. “Without these barriers to practice, nurses may be more likely to fill nursing vacancies in Vermont; however we find no studies or other data conclusively demonstrating that participation in the eNLC will alleviate state nursing shortages.” Potential costs of joining the NLC include a hit to the state nursing board’s annual revenue. The report estimated about 4,705 RNs and LPNs would no longer need a single-state license, which would cause a loss of nearly $1 million from the board’s $4 million annual revenue. “Nurses seeking Vermont-only licenses are likely to see licensing fees increase as these licensees bear a greater proportion of the State licensing administration and enforcement costs,” the report finds. “Due to the anticipated revenue loss the Office can forecast that prior to Compact adoption or shortly thereafter the Office will need to see a fee increase in this profession even after the proposed fee increase in the 2019 Legislative Session.” The current annual renewal fee for Vermont state RN and LPN licenses are $140, but if the proposed fee increase and NLC legislation are approved, the report estimates license costs will jump to $280 for RNs and $245 for LPNs. The report also pointed to costs in other areas, including increased administrative needs, staffing needs, the adaptation of licensing software, and the annual $6,000 membership fee owed to the National Council of State Boards of Nursing. Members of the state nursing board voted in support of the state joining the NLC in 2017, and the report noted many of the state’s nurses and major healthcare organizations support the legislation as well. The full report can be viewed here.
Alabama Legislators Introduce Nursing Compact License Bill
Alabama legislators introduced two bills Tuesday that could allow the state to join the nationwide Nursing Licensure Compact, according to data from Legiscan. House Rep. April Weaver and Sen. Gregg Reed pre-filed and introduced House Bill 44 and Senate Bill 38, respectively, during the first special session of 2019. Both bills were referred to House and Senate health committees for further discussion. If approved, Alabama would become the 32nd state to join the Nursing Licensure Compact, which allows for registered nurses and licensed practical nurses to practice in multiple states without having to apply for a single-state license. It would also allow Alabama nurses easier access to jobs across state lines, as Florida, Georgia, Kentucky, Mississippi and Tennessee are all members of the Nursing Licensure Compact. The Alabama Board of Nursing voiced support for the compact license legislation last Thursday on social media and in their organization’s newsletter, stating that the board decided to pursue the legislation after “very intense, detailed analysis” last September. “This was not an easy decision, as the Board was careful to pay special attention to protecting Alabama’s regulatory prerogatives and to ensure that Compact participation would not negatively impact patient care in the state,” the newsletter statement reads. “The Board is honored to recognize Representative April Weaver, RN (R-Alabaster) and Senator Greg Reed (R-Jasper) for sponsoring the historic bills (House Bill 44 and Senate Bill 38) that would enact the Compact in Alabama. Part of the reason the board wants this legislation to pass is because of the growing nursing shortage in Alabama, according to the statement. Analysts project Alabama will have a surplus of nurses by 2030, according to a 2017 labor study by the Health Resources and Services Administration, but healthcare leaders in the state say they are having problems finding and retaining nurses. Many Alabama healthcare leaders have pointed to common factors affecting the nursing shortage at a national level, including higher demand with an aging population and workforce, a lack of available educators to train more new nurses faster, and issues with pay and working conditions. Alabama is on the lower end for compensation—the average nursing salary in the state is $57,890, according to Bureau of Labor Statistics data. This also includes travel nursing pay, where the average contract ranges from $1,400-1,500 weekly, according to the most recent StaffDNA job board data. Despite this, Alabama remains a fairly popular destination for travelers, and nursing professionals in the state have said travel nursing is also a factor contributing to staff retention issues, according to a WFSA 12 report.
New Jersey Compact Nurse License Bill Passes Senate
A New Jersey compact nurse license bill is one step closer to becoming law after state Senate members passed it last Thursday. The bill passed unanimously, 35-0, with five senators abstaining. The bill would allow New Jersey to join the Nursing Licensure Compact. If approved, New Jersey would be the 32nd state to join the new enhanced NLC which was fully implemented in January 2018. Currently, seven other states also have pending legislation to join the NLC. It would also provide access for New Jersey nurses to practice in its neighbor state Deleware, as well as several other compact states in the Northeast region including Maryland, New Hampshire, Maine, Virginia and West Virginia. Some business associations and nursing groups have thrown their support behind compact nurse license bill in recent weeks, including the New Jersey Business and Industry Association. “I want to first thank Senator Singleton for recognizing the nursing shortage in New Jersey and for introducing legislation that would simplify the process for out-of-state nurses to work in New Jersey,” NJBIA vice president Tony Bawidamann said in a press release. “As a result of his great work, nurses will only need to obtain a license from the state they reside in to be permitted to work in New Jersey, instead of having to go through the whole licensing process again.” One of the largest nursing and healthcare labor unions in the state, Health Professionals and Allied Employees (HPAE), has not endorsed the bill, citing concerns that it could lower the bar for workforce qualifications, according to a report by NJ Spotlight. This is the third time an NLC bill has been introduced since 2015, but the first time that it has made it out of committee and passed through a Senate vote. Senators Troy Singleton, Joseph Vitale and Fred Madden, Jr., sponsored the most recent bill. A companion bill in the New Jersey General Assembly is currently in committee and awaiting a final vote in the Assembly before moving to Gov. Phil Murphy’s desk. The next full Assembly session is scheduled for March 25, according to the state legislature’s website.
Hawaii, Indiana, Washington Introduce Nursing Licensure Compact Legislation In 2019
Exactly a year and one month ago, the National Council of State Boards of Nursing (NCSBN) enacted the enhanced Nursing Licensure Compact—referred to as the NLC—with the goal of streamlining the compact license requirements and adding an extra layer of security by requiring federal background checks for all applicants. A total of 31 states have joined the NLC since January 19, 2018, including Kansas and Louisiana, which both passed legislation to join last year and are expected to fully implement their NLC programs by July 1. They weren’t the only states interested in joining the NLC last year. Illinois, Michigan, New York, Vermont, Massachusetts, Rhode Island and New Jersey all had pending legislation last year to join the NLC. Of those states, only New Jersey, Massachusetts, Indiana and Michigan still have legislation pending. Three new states—Hawaii, Indiana and Washington—have all introduced some form of legislation related to the NLC earlier this year that could result in three new compact states. While it’s unlikely that these states will implement NLC programs this year, we’ve provided a breakdown of the issues surrounding each piece of legislation, and if they will realistically pass muster with their state governments. Breakdown of potential new nursing compact license states Hawaii What legislation is in the works? Hawaii does not have a bill to actually join the NLC, but on January 24, House Rep. Ichiyama Takumi introduced a bill that would establish a study to identify potential issues that could arise if the state joins the NLC. How much progress has it made so far? As of February 16, the bill has been recommended for approval almost unanimously by every House committee assigned to review it, including the Consumer Protection and Commerce, Health and Intrastate Commerce committees. The bill is scheduled for a final review with the Finance committee on February 21. Why is this a big deal? While it’s not technically legislation to join the NLC, it’s still big news that Hawaii lawmakers are considering joining in the first place. If the results of the study are favorable and NLC legislation is introduced, Hawaii could become the first non-continental state to join the compact. Hawaii is already an incredibly popular destination state for travel nurses, but it could be even more popular if its made accessible for compact license holders. It could incentivize native Hawaii nurses to travel as well since they would gain more than 30 additional states to practice in if NLC legislation is approved. What are the chances it will actually pass? Very high. Almost every committee assigned to review it has recommended it for approval and are moving it quickly through the House, so there is a solid chance the bill could pass through the House by the end of February. Indiana What legislation is in the works? House Bill 1344, introduced on January 14 by Republican Rep. Edward Clere, would allow for Indiana to join the Nursing Licensure Compact. How much progress has it made so far? The NLC legislation passed unanimously in the Indiana House on January 31 and is making its way through various committees in the state Senate as Senate Bill 436. Why is this a big deal? If Indiana passes legislation to join the NLC, not only would compact license travelers have access to a new state, but it would allow for Indiana nurses to practice across the Indiana-Kentucky state line in Louisville—an issue that is frequently brought up by compact license advocates when addressing gaps in nursing service. It would also allow for nurses without a single-state license but who have a compact license to possibly start jobs quicker, as it can currently take several weeks to obtain a permanent nursing license in Indiana. What are the chances it will actually pass? Very high. This is the second time Rep. Ed Clere has introduced NLC legislation after his first attempt in 2018 with House Bill 1317, which urged legislators to conduct a study into the impact of joining the compact, among several other provisions. The bill went into a legislative study over last summer to address any concerns, and since then has gained significant momentum and support among lawmakers, according to a Komoko Tribune report. The current NLC bill also has the support of several healthcare associations and interest groups, including Baptist Health Floyd, One Southern Indiana, the Indiana Hospital Association and the Coalition of Advanced Practice Nurses of Indiana, according to the Indiana Chamber. Washington What legislation is in the works? Washington House Bill 1882 and Senate Bill 5460 were both introduced this year and would allow Washington to join the NLC. How much progress has it made so far? Both bills have moved to committee for further discussion and debate. The Senate Health & Long Term Care Committee public hearing on February 1 can be found here. Why is this a big deal? If implemented, Washington would be the first state on the West coast to join the NLC. It would also allow for Washington nurses to practice across the Washington-Idaho state line, as Idaho is already a part of the NLC. What are the chances it will actually pass? Mixed. Some members of the business and military sector in Washington, as well as the NCSBN, support the state joining the NLC, according to several testimonies given on February 1 during a Senate Health and Long Term Care Committee hearing. “We have, as a state, already passed the Physical Therapy Licensure Compact and the [Interstate] Medical Licensure Compact, and we’ve done so because we know the compacts are effective,” Sen. Annette Cleveland, a sponsor for the bill, said during the hearing. “31 other states…already have nurse licensure compacts, others are also considering joining, and I want to ensure our state is also having that conversation.” The Washington State Nurses Association (WSNA) opposes the bill, according to a Senate committee testimony by Melissa Johnson, a spokesperson for the WSNA. Some of the concerns of the WSNA include a lack of need for the compact with the state board’s
Louisiana Passes Compact Nursing License Legislation
Update, February 19, 2019 at 9:50 a.m. CST: The projected implementation date for Louisiana has changed from December 1, 2018, to July 1, 2019. Original article: Louisiana legislators passed Senate Bill 202 last Thursday, making Louisiana the 31st state to enter the Enhanced Nursing Licensure Compact, according to a Louisiana State Board of Nursing press release. The bill, introduced by Sen. Barrow Peacock and Sen. Ronnie Johns on March 12 and signed into law last week, will enable Louisiana nurses to apply for compact licenses, which will allow them to work in any eNLC states without having to apply for a single state license. It also means current compact license holders can apply for Louisiana jobs after the implementation date. The state has six months to establish eNLC processes, and the current projected implementation date is Dec. 1, 2018, according to the state board press release. “[Passing] Senate Bill 202..was a team effort,” Sen. Peacock said in a statement to the Louisiana Hospital Association. “It was the way the process should work, and it was educating the members of the legislature of the importance of the nursing compact. This is a win for medical outcomes, for our nurses and for the great state of Louisiana.” While the exact impact on travel nurse activity is hard to measure, states that join the eNLC have a proven track record of getting more attention from travelers soon after, according to StaffDNA job board data. The eNLC went into effect early this year, updating the original Nursing Licensure Compact by adding uniform licensure and federal background check requirements. Five non-NLC states joined the eNLC when it was implemented, and Kansas brought the total to six after passing legislation in March. Of the remaining non-compact states, Indiana, Michigan, Rhode Island, New York, Vermont, Massachusetts and New Jersey currently have legislation in the works to join the eNLC. To see a detailed map of all states in the enhanced Nursing Licensure Compact, click here.
Enhanced Nursing Licensure Compact Update: Questions Answered
After we posted our story about how new enhanced Nursing Licensure Compact states are handling the transition process, we got some specific questions from readers about the topic. We are still working to answer some of those, but we did want to answer what we could. Q: “I was told some Florida hospitals are still requiring travel nurses to have an actual FL license. I was planning on not renewing my Florida license because I have an Iowa compact license.” -Madonna A: Thanks for writing in, Madonna. We’ve got some good news and bad news. The bad news is that rumor seems to be correct. Some hospital systems in Florida are not accepting nurses who have multi-state licenses at this time. We’ve reached out to them to figure out why. The good news is if you are from out of state and hold an active single-state license for Florida, it’s still valid. There are also no shortages of hospitals to choose from when looking for places to work in the state. It’s important to remember, however, that once your single state license expires, you won’t be able to renew as long as you have a multi-state license from a compact state, according to eNLC rules. Do you need answers to your burning enhanced Nursing Licensure Compact questions? Check out our enhanced Nursing Licensure Compact coverage for more info, or send us an email with your question. Got a great story or news tip about the travel healthcare industry? Reach out to us today.
Nursing Licensure Compact Update: More Questions, More Answers
After we posted our story about how new enhanced Nursing Licensure Compact states are handling the transition process, we got some specific questions from readers about the topic. Last week, we answered the first one about whether some Florida hospitals are still requiring single state licenses despite being a eNLC state, and today we’ve got another question from a Florida-native nurse. Q: “I have Florida, North Carolina, and Massachusetts licenses. My home state is Florida. Do I still have to renew my North Carolina single state license even though it lapsed? ” — Stephanie M. A: That’s a good question, Stephanie. Whether or not to renew a license depends on your home state. Nurses who received their primary license in a non-eNLC state are still required to obtain single state licenses as usual, according to the National Council of State Nursing Boards. This rule was carried over from the old NLC. Luckily, since your home state is in Florida, you don’t have to renew your single state in North Carolina as long as you meet the qualifications for a multistate license. In fact, North Carolina wouldn’t be allowed to give you a single state license if you already have a multi-state, under Section 401 of the official eNLC rules. For reference, here are the new uniform requirements to qualify for a multistate license: Meets the requirements for licensure in the home state (state of residency) Has graduated from a board-approved education program; or has graduated from an international education program approved by the authorized accrediting body in the applicable country and verified by an independent credentials review agency Has passed an English proficiency examination (applies to graduates of an international education program not taught in English or if English is not the individual’s native language) Has passed an NCLEX-RN or NCLEX-PN examination or predecessor exam Is eligible for or holds an active, unencumbered license (i.e., without active discipline) Has submitted to state and federal fingerprint-based criminal background checks Has no state or federal felony convictions Has no misdemeanor convictions related to the practice of nursing (determined on a case-by-case basis) Is not currently a participant in an alternative program Is required to self-disclose current participation in an alternative program Has a valid United States Social Security number. Keep in mind that every state will most likely have a fee to upgrade your single state license to a multi-state. Florida charges a one-time fee of $100. If you don’t qualify for a multi-state license, don’t fret–you may still be eligible for that state’s single state license requirements. Got another enhanced Nursing Licensure Compact question, or just a question about traveling? Check out our eNLC coverage for more info, or send us an email with your question. Want to share a great story or industry news tip? Reach out to us today.