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Bill

HD 136

An Act relative to Massachusetts joining the nursing licensure compact

194th Legislature (2025-2026) Introduced by Bud Williams

Massachusetts would join the interstate Nursing Licensure Compact, allowing nurses to practice across member states with one license while accepting reciprocal out-of-state nurses.

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Bill Summary · HD 136

Legislative bill overview

HD 136 proposes that Massachusetts join the Nursing Licensure Compact (NLC), a multistate agreement that allows nurses licensed in one member state to practice in other member states without obtaining separate licenses. Currently, 39 states participate in the compact. The bill would streamline licensing procedures for nurses while maintaining public safety standards through state-specific regulations.

Why is this important

Joining the NLC would increase workforce flexibility during nursing shortages and reduce administrative burden for nurses working across state lines—particularly relevant given the ongoing healthcare staffing crisis. For Massachusetts healthcare facilities, it could expand their ability to recruit and deploy nursing talent regionally. However, it also means Massachusetts must accept nurses licensed under other states' standards and requirements.

Potential points of contention

  • Reciprocal acceptance: Massachusetts would need to recognize licenses from states with potentially different educational standards, training requirements, or disciplinary thresholds, raising quality control concerns
  • Regulatory control: Participation limits Massachusetts' ability to set independent nursing practice requirements and may complicate enforcement of state-specific regulations or professional standards
  • Telehealth implications: The compact facilitates remote practice across state lines, which could create jurisdictional questions about liability, patient protection, and which state's laws apply

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

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