Transcript Compact State Nurse Licensure: An Overview

Compact State Nurse
Licensure: An Overview
Objectives
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Define the Nurse Licensure Compact (NLC)
Describe the purposes and goals of NLC
Discuss the benefits of compact licensure
Compare and contrast licensure under
single state and the compact model
 Understand NLC licensure policies
NLC General Purposes
 Protect the public’s health & safety
 Hold each party state and nurse accountable
 Facilitate the exchange of information
 Promote compliance with laws
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Policy Goals of Nurse Licensure Compact
Remove
Regulatory
Barriers
Increase
Access to
Safe
Nursing
Care
Simplify
governmental
processes
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Mutual Recognition
Nurse
Declares
Primary
State of
Residence
Nurse
Holds One
License
Nurse is
Subject to
Nurse
Practice Act
in State of
Practice
Nurse Has
privilege to
Practice in
Other NLC
States
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24 Member States
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Concepts
State-based
License
Nationally
Recognized
Locally
Enforced
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NLC Explained on Video
 http://youtu.be/KgYXULIGoa8
 www.ncsbn.org/nlc
Who are the NLCA?
 NLC Administrator
 Designated individual with responsibility for the NLC in a
Compact state.
 Executive Committee (Governance Structure)
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Benefits of Compact Licensure
 Nurses with a compact (multi-state) license are able to
work in other compact states without getting relicensed
 Facilitates mobility of nurse workforce and lawful
practice
 Enables the states – in their sovereign capacity- to act
jointly & collectively
 Facilitates continuity of care for consumers though ehealth
 Reduces duplicative regulatory processes
Compact State Licensure
Important Points to Remember
 Nurses are licensed in the state in which
they reside (declare primary state of
residence).
 Only one multistate license can be held.
 Compact licensure applies to RNs and
LPN/LVNs and does not apply to APRNs.
Primary State of Residence (PSOR)
Acceptable Documentation
 Drivers license with home address
 Voter registration card with home address
 Federal income tax return declaring primary state of
residence
 Military Form #2058- state of legal residence certificate
 W2 from US Government or any other bureau, division,
or agency declaring state of primary residence
Application for Licensure in a
Compact State
Upon application for a compact nursing license, the
licensing board in a party state shall search Nursys
and determine whether:
 the applicant has ever held, or is the holder of, a
license issued by any other state,
 there are any restrictions on the multistate licensure
privilege,
 any other adverse action by any state has been taken
against the license.
Application for Licensure (con’t)
 A nurse in a party state shall hold licensure in only 1
party state at a time issued by the home state.
 A nurse who intends to change primary state of
residence may apply for licensure in the new home
state in advance of such change. However, new
licenses will not be issued by a party state until after a
nurse provides evidence of change in primary state of
residence satisfactory to the new home state's
licensing board.
Changing State of Residence
 Moving between 2 party states- obtain license from the
new home state; license from former home state is no
longer valid;
 Moving from a nonparty state to a party state- obtain
license from the new home state; license from noncompact state is not affected and remains in full force if
so provided by the laws of the nonparty state;
 Moving from a party state to a nonparty state- license
issued by the prior home state converts to an individual
state license “valid only in __”, without the multistate
licensure privilege to practice in other party states.
NLCA Policies on Licensure
 https://www.ncsbn.org/1060.htm
 Policy summaries follow…
Policy 3.1
 A license issued by a compact state limiting
practice to that state (i.e., a single state
license) shall be clearly identified as valid
only in the that state.
Policy 3.2
 When a compact state verifies that a
licensee has declared a non-compact state
to be the primary state of residence, the
former home state will remove multi-state
privileges in that state's database.
Policy 3.3
 Licensees may hold only one active multistate RN or LPN/VN
license, issued by the primary state of residence.
 When a compact state issues a license to an applicant already
licensed in another compact state, the new home state shall send
a speed memo to the former home state notifying them that the
individual has declared a new primary state of residence and has
received a license in the new home state.
 The former home state will invalidate the former home state
license in the database
 The new home state will notify the licensee that any former home
state license will be made valid.
Policy 3.4
 Denial of licensure shall be entered into the database
within 10 days. (This includes any adverse action or
any action reportable to HIPDB.)
Policy 3.5
 A temporary permit or temporary license issued to an
endorsement applicant who declares the state as the
primary state of residence has multistate privileges.
 Temporary permits/temporary licenses issued to a
graduate of a nursing program who has not passed
NCLEX is single state.
 Temporary licenses/temporary permits are entered into
Nursys.
Policy 3.6
 An international nurse on a visa applying for licensure
may declare either the country of origin or the compact
state as primary state of residence. If the foreign
country is declared the primary state of residence, a
single state license is issued.
Policy 3.7
 A federal /military nurse practicing on a base/VA facility, need only
have one license from any jurisdiction per U.S. federal/military
policy. When practicing in a civilian facility (moonlighting), nurse
is bound by the Compact law and rules.
 A federal/ military nurse with proof of residency in a Compact state
may be issued a multistate license. If the nurse does not have
proof of residency in a Compact state, nurse may be issued a
single-state license . The nurse may not hold more than one
multi-state license.
 Standard compact proof of residency documentation applies.
Policy 3.8
 A licensee with a license or privilege to practice with discipline in
another state may be issued a single state license in the new state
of residence at the jurisdiction's discretion.
 The new state of residence shall request disciplinary history and
board action(s) from the state(s) where the discipline occurred.
 The current state of residence may issue a single state license as
indicated in Policy 3.1.
 The prior state of residence shall, when requested, verify that a
former licensee is eligible for an unencumbered license. Once
eligible for unencumbered licensure in the prior state(s), a
multistate license may be issued.
 Each state will update licensure status in the database.
Policy 3.9
 A nurse who changes primary state of residence may practice in
the new declared state on the privilege to practice granted by the
former state license for a period of up to ninety (90) days from the
time the new state of residence is established.
 Establishment of a new state of residence is evidenced by
completion of a Declaration of Primary State of Residency form.
 Standard compact proof of residency documentation applies.
Policy 3.10
 A multistate license shall not be issued by a
compact state to anyone whose primary
state of residence is another compact state.
Licensure Flowcharts
 www.ncsbn.org/nlc
Thank you!