The compact map shows which states are compact members: http://otcompact.org/compact-map/. If your state has not yet introduced the compact, introducing it is the first step. See below for how to help with this process.

No. Although your state passing the Compact is an important step, it does not automatically approve your license for use in other states. Practitioners must apply for the privilege to practice in each state through the Compact. We expect applications for Compact privileges to open in early 2025.

Because the legislative process is unpredictable, it is impossible to guarantee a Compact bill will be introduced or enacted in a particular state. When bills are introduced or enacted, the website map is updated promptly, so you may refer to that page for up-to-date information.

AOTA is working in collaboration with state occupational therapy associations to advocate for the OT compact in each state. If you would like to advocate for the Compact in your state, please contact your state occupational therapy association to get involved in the state association’s advocacy efforts.

For you to practice in other states through the Compact, your home state and the state(s) in which you wish to practice must be Compact members. If this is not the case, the best way for you to practice in a state is by obtaining a license through the individual state’s regular licensing process.

You are able to participate in the Compact if you received a license under previous licensing requirements. The licensing requirements in the Compact ensure all member states have the same requirements for individuals entering the profession.

For you to practice in other states through the Compact, your home state and the state(s) in which you wish to practice must be Compact members. If this is not the case, the best way for you to practice in other states is by obtaining a license through the individual state’s regular licensing process.

Currently, the member states in the compact are working to establish the structures necessary to implement the compact, including the data system. After the data system is completed, licensed professionals will be able to apply for the privilege to practice in other states.

The cost of a Compact privilege is set by each state. Once states are ready to issue privileges, more information on the exact cost of a privilege for that state will be available.

A license refers to the standard license granted by your home state. A privilege to practice is granted by other Compact member states after your home state license has been approved.

Practitioners only need to complete CEUs for their home state. Practitioners do need to complete jurisprudence examinations in each state where they want to apply for a privilege to practice.

Visit www.otcompact.org for the most up-to-date information.