Message from the AAACN Legislative Team


Is the state in which you practice a Nurse Licensure Compact state?

Do you understand the implications for practice if you are taking calls from patients located in another state?

On January 18, 2018, 26 states will move to the Enhanced Nurse Licensure Compact (eNLC). The AAACN Legislative Team will share key updates and changes on this topic with AAACN members.

Read more details about the eNLC on the National Council of State Board of Nursing Website.

Key Considerations

“Modern health care delivery requires that nursing care, today and in the future, be dynamic and fluid across state boundaries. However, the 100-year-old model of nurse licensure is not flexible, adaptable nor nimble enough to best meet this need. The solution is the Nurse Licensure Compact (NLC), which increases access to care while maintaining public protection at the state level.”

Source: Nurse Licensure Compact: Facts about the NLC. (2017). Retrieved November 2, 2017, from

Nurses residing in states with the original NLC that enact the eNLC will be grandfathered into eNLC on the implementation date, January 19, 2018. However, the original NLC will remain in effect with Colorado, New Mexico, Rhode Island, and Wisconsin until each enacts the eNLC.

The compact license is key for the successful implementation of telehealth. Practicing within the state the nurse is licensed in is easy, but reaching out to clients/patients out of state puts the RN at risk. When the nurse is advising patients in different states, the nurse must be licensed and credentialed in each state. Another risk is that each state has different continuing education (CE) requirements, and the state nurse practice acts differ. In addition, many organizations do not reimburse for multi-state licenses for their telehealth nurses.

If you have any questions or comments, contact a member of the AAACN Legislative Team.

From the AAACN Online Library