Trust

Where your license lets you work

Last verified . Sources: NCSBN, emscompact.gov, and each state board.

One question, answered from board sources: given the license you hold, where can you legally work tomorrow, and what does it take to work anywhere else?

The eligibility checker

Answer three things and the checker reads the board data on this page for you. Nothing is saved — no account, no storage, no tracking of what you type. The result is a shareable link.

What you enter

  • Your home state — the primary state of residence that issued your license.
  • Your license type — RN or LPN/LVN, multistate or single-state, or EMT, AEMT, or Paramedic.
  • The destination state, and whether you are moving there or just working shifts.

What you get back

  • Whether you can work there today, or need a license by endorsement first.
  • The earliest realistic start date, based on the board’s published processing time.
  • The application fee when the board publishes one, and temporary-permit availability.
  • The next concrete step, with a link straight to the board.
Check eligibility
Today

Your Texas multistate license already authorizes practice in Texas.

  • No Texas application, fee, or verification is required.
  • You practice under Texas's nurse practice act while your patient is located there.
  • Keep your Texas license active and unencumbered; a restriction in any state suspends the multistate privilege everywhere.
Earliest start
Today
Fee
$0

Texas renewal rules

Data as of September 2, 2026.

Nothing you enter here is stored. Trust keeps credentials on your phone, not on our servers.

How the compact works

A multistate license is one license with a privilege to practice in every other implemented compact state. It is issued by your primary state of residence — your home state — and renewed there. You do not hold 40 licenses; you hold one, and it travels.

Practice is deemed to occur where the patient is located, so you follow the destination state’s nurse practice act on every shift and every telehealth call. A multistate license lets you practice, in person or by telehealth, in every compact state that has implemented the NLC. You follow the nurse practice act of the state where the patient is located.

A nurse who holds a multistate license and moves their primary state of residence to another compact state must apply for licensure by endorsement in the new home state within 60 days of relocating. The nurse may keep practicing on the former home state's multistate license during those 60 days. The former multistate license is deactivated when the new one is issued. That is NLC Rule 402(2), effective January 2, 2024.

A restriction or discipline in any state suspends the multistate privilege everywhere until it is resolved.

The 11 uniform licensure requirements

  • Meets the home state's requirements for licensure
  • Graduated from a board-approved RN or LPN/VN program (or a foreign program verified by an independent credentials review agency)
  • Passed an English proficiency exam if the program was not taught in English
  • Passed the NCLEX-RN or NCLEX-PN (or a predecessor exam)
  • Holds or is eligible for an active, unencumbered license
  • Submitted to state and federal fingerprint-based criminal background checks
  • No felony convictions
  • No misdemeanor convictions related to nursing practice (reviewed case by case)
  • Not currently enrolled in an alternative-to-discipline program
  • Has a valid U.S. Social Security number
  • Self-disclosed any current participation in an alternative program

Every jurisdiction, one table

43 jurisdictions participate in the Nurse Licensure Compact: 40 states have fully implemented it, Guam honors other states' multistate licenses but cannot yet issue its own, and Massachusetts and the U.S. Virgin Islands have enacted it but not implemented it. Massachusetts targets May 2027. Connecticut, on October 1, 2025, was the most recent state to implement. No state joined or implemented in 2026.

Nurse Licensure Compact and EMS Compact status for all 53 U.S. nursing jurisdictions
Notes
AlabamaMember (implemented)January 1, 2020Member (operational)
AlaskaBill pendingEnacted, not operationalNo NLC enactment. 2026 compact omnibus HB 110 covered other professions, not nursing. HB 110 became law June 22, 2026. emscompact.gov lists a target of January 1, 2027; treat as not live until the Commission confirms.
ArizonaMember (implemented)January 19, 2018Enacted, not operationalSB 1235 signed May 22, 2026. Not yet operational; emscompact.gov indicates a late-2026 target.
ArkansasMember (implemented)January 19, 2018Member (operational)
CaliforniaNot a memberNot a memberNo active NLC bill in the 2025-26 session.
ColoradoMember (implemented)January 19, 2018Member (operational)
ConnecticutMember (implemented)October 1, 2025Enacted, not operationalMost recent state to implement. Many third-party sites still list Connecticut as non-compact. Public Act 26-13 signed 2026. Takes effect one year after a neighboring state enacts the compact; none has. Effectively dormant.
DelawareMember (implemented)January 19, 2018Member (operational)
District of ColumbiaBill pendingNot a memberB26-0069 introduced; not moving.
FloridaMember (implemented)January 19, 2018Not a member
GeorgiaMember (implemented)January 19, 2018Member (operational)
GuamPartial implementationNot a memberHonors multistate licenses from other compact states; Guam residents cannot yet obtain one.
HawaiiBill pendingNot a member2026 bills HB 2285 / SB 3104 did not reach a floor vote.
IdahoMember (implemented)January 19, 2018Member (operational)
IllinoisBill pendingNot a memberHB 4369 re-referred to Rules Committee March 27, 2026; stalled.
IndianaMember (implemented)July 1, 2020Member (operational)
IowaMember (implemented)January 19, 2018Member (operational)
KansasMember (implemented)July 1, 2019Member (operational)
KentuckyMember (implemented)January 19, 2018Not a member
LouisianaMember (implemented)July 1, 2019Member (operational)
MaineMember (implemented)January 19, 2018Not a member
MarylandMember (implemented)January 19, 2018Not a member
MassachusettsEnacted, not implementedNot a memberEnacted November 20, 2024. The Board targets implementation in May 2027. Until then a multistate license does not authorize practice in Massachusetts. NLC target 2027-05.
MichiganBill pendingNot a memberHB 4246 passed the House June 11, 2025; no Senate action since.
MinnesotaBill pendingNot a memberHF 1925 / SF 2608 have not advanced. Not a member.
MississippiMember (implemented)January 19, 2018Member (operational)
MissouriMember (implemented)January 19, 2018Member (operational)
MontanaMember (implemented)January 19, 2018Not a member
NebraskaMember (implemented)January 19, 2018Member (operational)
NevadaNot a memberMember (operational)No bill pending. Nevada is an EMS Compact member; do not conflate the two.
New HampshireMember (implemented)January 19, 2018Not a member
New JerseyMember (implemented)November 15, 2021Not a member
New MexicoMember (implemented)January 19, 2018Not a member
New YorkBill pendingNot a memberS3916 / A4524 in committee. The Governor's FY2025 and FY2026 budget proposals to join were rejected by the Legislature.
North CarolinaMember (implemented)January 19, 2018Not a member
North DakotaMember (implemented)January 19, 2018Member (operational)
OhioMember (implemented)January 1, 2023Not a member
OklahomaMember (implemented)January 19, 2018Member (operational)
OregonBill pendingNot a memberSB 966 listed as pending by secondary sources; no enactment.
PennsylvaniaMember (implemented)July 7, 2025Member (operational)Fully implemented July 7, 2025. Pennsylvania has honored out-of-state multistate licenses since September 2023 and now issues its own.
Rhode IslandMember (implemented)January 8, 2024Not a member
South CarolinaMember (implemented)January 19, 2018Member (operational)
South DakotaMember (implemented)January 19, 2018Member (operational)
TennesseeMember (implemented)January 19, 2018Member (operational)
TexasMember (implemented)January 19, 2018Member (operational)
U.S. Virgin IslandsEnacted, not implementedNot a memberEnacted December 6, 2021; implementation date not set.
UtahMember (implemented)January 19, 2018Member (operational)
VermontMember (implemented)February 1, 2022Not a member
VirginiaMember (implemented)January 19, 2018Member (operational)
WashingtonMember (implemented)January 31, 2024Not a member
West VirginiaMember (implemented)January 19, 2018Member (operational)
WisconsinMember (implemented)January 19, 2018Not a member
WyomingMember (implemented)January 19, 2018Member (operational)

Five statuses: Member (implemented) issues and honors multistate licenses. Partial implementation honors other states’ multistate licenses but cannot issue its own. Enacted, not implemented has a law but no operating date yet. Bill pending has legislation in progress. Not a member has none. Column headers sort the table.

States that are not in the compact

In these jurisdictions a multistate license buys you nothing. You need their license before you take a shift, including telehealth into the state.

  • AlaskaBill pending. No NLC enactment. 2026 compact omnibus HB 110 covered other professions, not nursing.
  • CaliforniaNot a member. No active NLC bill in the 2025-26 session.
  • District of ColumbiaBill pending. B26-0069 introduced; not moving.
  • HawaiiBill pending. 2026 bills HB 2285 / SB 3104 did not reach a floor vote.
  • IllinoisBill pending. HB 4369 re-referred to Rules Committee March 27, 2026; stalled.
  • MassachusettsEnacted, not implemented, target 2027-05. Enacted November 20, 2024. The Board targets implementation in May 2027. Until then a multistate license does not authorize practice in Massachusetts.
  • MichiganBill pending. HB 4246 passed the House June 11, 2025; no Senate action since.
  • MinnesotaBill pending. HF 1925 / SF 2608 have not advanced. Not a member.
  • NevadaNot a member. No bill pending. Nevada is an EMS Compact member; do not conflate the two.
  • New YorkBill pending. S3916 / A4524 in committee. The Governor's FY2025 and FY2026 budget proposals to join were rejected by the Legislature.
  • OregonBill pending. SB 966 listed as pending by secondary sources; no enactment.
  • U.S. Virgin IslandsEnacted, not implemented. Enacted December 6, 2021; implementation date not set.

The EMS Compact

25 states are operational members. Arizona, Alaska, and Connecticut enacted the compact in 2026 but the privilege to practice is not yet live in any of the three.

  • Hold a current, unrestricted EMT, AEMT, or Paramedic license issued by a member home state (EMRs are not covered)
  • Be at least 18 years old
  • Practice under a physician medical director
  • Be affiliated with an EMS agency authorized in the remote state
  • No application, approval, or fee is required for the privilege; scope of practice defaults to the home state's scope unless the remote state modifies it
  • The privilege is suspended while any license restriction or discipline is in effect

The privilege covers cross-border work, not relocation. A clinician who moves to a new home state must obtain a license there.

NREMT certification is not required to use the privilege. Member states must use the NREMT exam for new licensure at the EMT and Paramedic levels.

How Trust works for EMS clinicians

Endorsement, state by state

25 states verified against the board’s own pages, cheapest application first.

Questions people ask

Can I work in another state with my RN license?

If your primary state of residence issued a multistate license under the Nurse Licensure Compact, that license authorizes practice in every other implemented compact state with no second application and no extra fee. For a non-compact state — California, New York, Illinois, Michigan, Minnesota, Oregon, Nevada, Alaska, Hawaii, or the District of Columbia — you apply for a license by endorsement before you work there.

How many states are in the Nurse Licensure Compact in 2026?

43 jurisdictions participate: 40 states have fully implemented the compact, Guam honors other states' multistate licenses but cannot issue its own, and Massachusetts and the U.S. Virgin Islands have enacted it without implementing it. No state joined or implemented during 2026.

Is Massachusetts a compact state?

Massachusetts has enacted the Nurse Licensure Compact but has not implemented it, with a target of May 2027. Until then a multistate license does not authorize practice in Massachusetts, and out-of-state nurses apply for a Massachusetts license by endorsement.

Is Connecticut a compact state?

Yes. Connecticut fully implemented the Nurse Licensure Compact on October 1, 2025 and is the most recent state to do so. Many third-party sites still list it as non-compact.

If I move to another compact state, how long can I work on my old multistate license?

A nurse who holds a multistate license and moves their primary state of residence to another compact state must apply for licensure by endorsement in the new home state within 60 days of relocating. The nurse may keep practicing on the former home state's multistate license during those 60 days. The former multistate license is deactivated when the new one is issued. (NLC Rule 402(2), effective January 2, 2024.)

Do I need a new license to travel-nurse in a compact state?

No, provided your home state issued a multistate license and it is active and unencumbered. You practice under the nurse practice act of the state where the patient is located. A restriction in any state suspends the multistate privilege everywhere.

Which state is cheapest to endorse into?

Among the 25 states Trust verifies, Illinois and Indiana are the cheapest at $50 for the application. California is the most expensive at $350. Colorado and Wisconsin publish no current fee schedule — the amount appears at checkout in the state portal.

Can a paramedic work across state lines?

Yes, between operational EMS Compact member states. A current, unrestricted EMT, AEMT, or Paramedic license from an operational home state carries a privilege to practice in other operational member states with no application and no fee, as long as you are 18 or older, work under a physician medical director, and are affiliated with an agency authorized in that state. The privilege covers cross-border work, not relocation, and EMRs are not covered.