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H 2393

An Act authorizing Massachusetts entry into the interstate medical licensure compact

194th Legislature (2025-2026) Introduced by Marjorie Decker and 1 co-sponsor

Massachusetts joins interstate medical licensure compact, allowing physicians licensed in member states to practice across state lines with streamlined reciprocal licensing.

Bill reported favorably by committee and referred to the committee on House Ways and Means
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Bill Summary · H 2393

Legislative bill overview

H 2393 authorizes Massachusetts to join the Interstate Medical Licensure Compact (IMLC), a multi-state agreement that streamlines physician licensure across participating states. Under this compact, physicians licensed in one member state can more easily obtain licenses in other member states without repeating the full licensure process. The bill has received favorable committee review and moved to the House Ways and Means Committee for budget consideration.

Why is this important

This legislation could address physician shortages in Massachusetts and neighboring states by reducing licensing barriers and administrative delays. It may improve patient access to care, particularly in underserved rural areas, and allow physicians to practice across state lines more efficiently. The compact currently includes 33 states, and Massachusetts' entry would expand the geographic reach for reciprocal licensing arrangements.

Potential points of contention

  • Medical board oversight concerns: Some may worry that streamlined licensing reduces Massachusetts' independent authority to set and enforce its own medical practice standards and disciplinary requirements
  • Interstate reciprocity risks: Questions about whether other states' licensing standards are equivalent to Massachusetts' standards, and what happens if a physician licensed through the compact faces discipline
  • Economic impact on existing physicians: Concerns that easier out-of-state licensure could increase competition for Massachusetts physicians or affect local medical practice markets

Compiled from official sources — confirm details with the bill’s official record.

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