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
The 5 Most Expensive States for Travel Nursing
One of the main benefits of travel nursing is the travel itself. What your recruiter or agency might not tell you is that some of these locations will leave an expensive dent in your wallet. By using data from our Travel Nursing Pay Packages and Cost of Living By State guide, we’ve put together a ranked list for the five states where you might actually spend more money than you make. Using the exact opposite criteria as our Five Best Value States for Thrifty Travel Nurses, we looked at the bottom 20 lowest paying states and singled out the locations that were at least 5 points above the 100.00 baseline of the U.S. Bureau of Economic Analysis’ regional price parity index (PPI). In locations above baseline, you can expect to pay more for rent and other basic consumer goods like food and gas. While three of the most expensive states are popular vacation destinations, two states on the list were surprising to see. 5. Colorado At No. 5, we had to make a special exception for Colorado because it is only at 103 points on the PPI. However, it ranks at No. 34 for highest pay packages, which puts it in the 20 lowest paying states. This isn’t a huge surprise. The state is one of the most popular vacation and travel destinations, especially in the summer for travelers that are looking for cooler temperatures and beautiful mountains to explore. As far as “most expensive” travel nursing state, you could certainly do much worse than Colorado. 4. New Hampshire New Hampshire also barely made the list, with a 105.9 PPI rating and a No. 41 ranking on our Highest Pay Packages list. The Granite State mirrors its neighboring states with high costs of living like New York, New Jersey, Massachusetts, but doesn’t offer comparatively high pay packages. Travelers also don’t apply to New Hampshire that often—it’s ranked at No. 37 or lower this year in terms of total applications each month, according to StaffDNA job board data. On the plus side, if your heart is set on seeing big cities like Manchester or Concord, chances are you won’t be competing against many other nurses for a spot. 3. Connecticut Another New England state with a high price tag, Connecticut comes in at No. 3 on our list. The state offers some of the lowest average pay packages in the country while having a PPI rating of 108.7. On our Highest Pay Packages list, it ranks at No. 48. Despite the low pay and high cost of living, those who want to visit New York City without actually working in New York City may be in luck—several of the major metropolitan areas in the state are a short 2-hour drive away from the Big Apple. 2. Washington D.C. (District of Columbia) It’s not technically a state, but most agencies and job boards treat Washington D.C. as its own region. So for the purposes of our lists, we do the same. It’s no secret that D.C. is one of the most expensive places to live in the U.S., mostly because of sky-high rent, food and public transportation prices. But when you’re smack dab in the middle of our nation’s capitol, there are endless opportunities to experience historic landmarks, iconic monuments and some of the best museums in the country, most of which are free to visit. D.C is also a great place to visit if you prefer to rely on public transportation because it has some of the best systems in the US. 1. Hawaii If you’ve been sold on the dream of making a fortune in travel nursing while lounging on the world-famous beaches of the Hawaiian Islands between shifts, it’s time for a reality check. Hawaii is the most expensive state to live in the U.S, with a PPI rating almost 20 points above the national average at 118.4. Unlike its West Coast neighbor California, the state ranks near the bottom of our Highest Pay Package list at No. 38. (California ranks at No. 1) Hawaii’s popularity as a vacation destination contributes to the lower than average pay packages in the state. Since competition is always high, hospitals can bring on travelers who aren’t afraid to break even or even lose money while working. Experienced travelers know the draw of Hawaii is not the pay, but the adventure. It may be wise to save up from other assignments during the year before planning your paradise vacation contract.