Important Update for Multistate Nurses in NLC: New Compact Rule Effective January 2, 2024

Important Update for Multistate Nurses in NLC: New Compact Rule Effective January 2, 2024

The nursing profession is constantly evolving to keep up with the ever-evolving demands of patients and healthcare systems. In this regard, the participating states in NLC are implementing a significant update to its Compact Rule, affecting multistate nurses. This regulatory change, effective from January 2, 2024, will have a profound impact on how multistate nurses can practice in a compact state. In this blog, we will explore the critical aspects of this new rule.

The Transition to the Enhanced Nurse Licensure Compact (eNLC)

The cornerstone of this update is the Transition from the current Nurse Licensure Compact (NLC) to the Enhanced Nurse Licensure Compact (eNLC). The eNLC builds upon the NLC's framework, introducing additional safeguards and requirements to enhance patient safety and maintain the highest standards of nursing practice.

1. Criminal Background Checks

A significant change under the eNLC is the requirement for multistate nurses practicing in compact states to undergo a fingerprint-based criminal background check when applying for or renewing their license. This comprehensive background check aims to provide a layer of security for patients, ensuring that nurses with potential red flags do not cross state borders to practice without thorough scrutiny.

    2. Declaration of Primary State of Residence (PSOR)

    Multistate nurses will now be asked to declare a Primary State of Residence (PSOR). Your PSOR is your primary residence, and it will determine your eligibility to practice under a multistate license. This change is essential for ensuring that nurses have a clear home base, which is central to the principles of the eNLC.

    3. Earning a Multistate License

    Nurses must meet specific uniform licensure requirements to earn a multistate license under the eNLC. These requirements include the following:

    1. Licensure in your home state.
    2. Proof of education from an accredited nursing program.
    3. Successful completion of the NCLEX-RN or NCLEX-PN examination.
    4. No active discipline on your license.
    5. No felony convictions.

    These stringent requirements are in place to ensure that multistate nurses are qualified, competent, and free from legal or disciplinary issues that could compromise patient safety.

    The New Residency Rule Approved by the Interstate Commission of Nurse Licensure Compact Administrators

    The Interstate Commission of Nurse Licensure Compact Administrators has introduced updated rules for the Nurse Licensure Compact (NLC), officially adopted during its Annual Business Meeting on August 15, 2023. A noteworthy modification in the NLC rules involves a provision regarding the obligations of nurses when relocating and subsequently altering their primary state of residence.

    The current rule (in effect through Jan. 1, 2024)

    402(2) A nurse who changes primary state of residence to another party state shall apply for a license in the new party state when the nurse declares to be a resident of the state and obtains privileges not ordinarily extended to nonresidents of the state, including but not limited to, those listed in 402 (4) (a) – (e).

    The new rule (effective Jan. 2, 2024)

    402(2) A multistate licensee who changes primary state of residence to another party state shall apply for a multistate license in the new party state within 60 days.

    The Transition to the Enhanced Nurse Licensure Compact and the changes in residency rules are significant steps toward maintaining high patient care and safety standards. While these changes may seem complex, they are designed to streamline the process of practicing across state lines and protect the interests of both patients and healthcare professionals.

    As a multistate nurse who wants to practice in a compact state, it is essential to familiarize yourself with the new rules and requirements to ensure a seamless transition. We encourage you to stay updated through the official website of the eNLC or by subscribing to NEAC's newsletter to be in the loop.

    In today's fast-paced world, multistate nurses must adapt to these changes while remaining committed to providing high-quality patient care. Navigating such transitions can be challenging, especially when seeking endorsement for a USRN license. However, applying through NEAC Medical Exams Application Center Inc. offers a convenient and efficient path for nurses to advance their careers. Benefit from NEAC's streamlined application process, robust support, and commitment to customer satisfaction as you pursue your professional goals. With NEAC's expertise, you can stay up to date with the eNLC and confidently embark on your journey toward USRN license endorsement.

    For further inquiries about the requirements, qualifications, and fees for the USRN License Endorsement Application, get in touch with us and talk to one of our consultants through messenger or connect with us via email

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