State Telemedicine Update: Enhanced Nurse Licensure Compact

Many states have adopted the enhanced Nurse Licensure Compact (eNLC) this month, bringing the total number of adopting states to 14. The Compact will allow Registered Nurses and Licensed Practical/Vocational Nurses to practice in any NLC state with one multistate license. Under the eNLC, licensing standards are aligned in all states, including a federal and state criminal background check. The eNLC also allows for telehealth nursing services. States where the eNLC is already adopted are Arizona, Florida, Idaho, Missouri, New Hampshire, Oklahoma, South Dakota, Tennessee, Virginia, Wyoming, Arkansas, Utah, Kentucky and Mississippi.


The enhanced NLC will come into effect either when the first 26 states pass the enhanced NLC legislation or on Dec. 31, 2018. All states, including those participating in the existing Nurse Licensure Compact, must introduce legislation in the coming years to enter into the enhanced NLC.