The Interstate medical licensure compact xxiii is an agreement among participating states in the United States to work together to significantly streamline the licensing process for medical practitioners who want to practice in multiple states. It offers a voluntary, expedited pathway to licensure for medical practitioners who qualify.
The mission of the compact is to increase access to healthcare—particularly for patients in underserved or rural areas. The compact makes it possible to extend the reach of medical practitioners, improve access to medical specialists, and leverage the use of new medical technologies, such as telemedicine. While making it easier for medical practitioners to obtain licenses to practice in multiple states, the compact also strengthens public protection by enhancing the ability of states to share investigative and disciplinary information.
The compact currently includes 29 states, the District of Columbia, and the territory of Guam. In these jurisdictions, medical practitioners are licensed by 43 different medical and osteopathic boards. Other states are currently in the process of introducing legislation to adopt the compact.
These licenses are still issued by the individual states—just as they would be using the standard licensing process—but because the application for licensure in these states is routed through the compact, the overall process of gaining a license is significantly streamlined. Medical practitioners receive their licenses much faster and with fewer burdens.
The licensing is all state-based. The commission does not issue a “compact license” or a nationally recognized medical license for medical practitioners.
Only states who have formally joined the compact can participate in this streamlined licensure process. To participate in the compact, states must pass legislation authorizing it.