WEBVTT 00:00:01.160 --> 00:00:01.500 position:50% align:middle Okay. 00:00:01.500 --> 00:00:04.040 position:50% align:middle Let's go ahead and get started. 00:00:04.040 --> 00:00:06.260 position:50% align:middle I'm showing that it's 2:01 p.m. 00:00:06.260 --> 00:00:14.090 position:50% align:middle Central Time, and we have a fair amount of people who've registered who have now joined. 00:00:14.090 --> 00:00:17.870 position:50% align:middle This webinar is being recorded. 00:00:17.870 --> 00:00:21.170 position:50% align:middle And we'll make the recording available to you. 00:00:21.170 --> 00:00:26.230 position:50% align:middle It'll be posted online in about one week. 00:00:26.230 --> 00:00:31.490 position:50% align:middle Both the slides, as well as the audio will be posted online. 00:00:31.490 --> 00:00:40.050 position:50% align:middle So just check back on our website the area where you registered and we will post that information for you if 00:00:40.050 --> 00:00:41.880 position:50% align:middle you'd like it. 00:00:41.880 --> 00:00:42.800 position:50% align:middle Welcome, everyone. 00:00:42.800 --> 00:00:43.860 position:50% align:middle I'm Jim Puente. 00:00:43.860 --> 00:00:46.960 position:50% align:middle I'm the director of the Nurse Licensure Compact. 00:00:46.960 --> 00:00:49.450 position:50% align:middle And thank you for joining us today. 00:00:49.450 --> 00:00:58.040 position:50% align:middle Today, our presentation is going to focus on how the Nurse Licensure Compact and multistate license works 00:00:58.040 --> 00:01:05.850 position:50% align:middle for both for service people, as well as for military spouses. 00:01:05.850 --> 00:01:10.230 position:50% align:middle And, of course, we're saying military, but when we talk about service people, 00:01:10.230 --> 00:01:15.890 position:50% align:middle we're also talking about federal nurses as well. 00:01:15.890 --> 00:01:18.630 position:50% align:middle And so let's go ahead and get started. 00:01:18.630 --> 00:01:25.130 position:50% align:middle We'll also provide you with the latest information on compact states legislation, 00:01:25.130 --> 00:01:30.940 position:50% align:middle as well as those that are going to be implementing the compact this year. 00:01:30.940 --> 00:01:33.116 position:50% align:middle So let's get started. 00:01:38.730 --> 00:01:39.150 position:50% align:middle Okay. 00:01:39.150 --> 00:01:45.510 position:50% align:middle For those of you that are new to the compact, we want to provide you with a few definitions here, 00:01:45.510 --> 00:01:47.400 position:50% align:middle the terms that we use. 00:01:47.400 --> 00:01:53.940 position:50% align:middle Compact or a multistate license pertains to that one license that's valid for practice 00:01:53.940 --> 00:01:56.420 position:50% align:middle in every compact state. 00:01:56.420 --> 00:02:05.470 position:50% align:middle And we use a short-form MSL oftentimes when talking about multistate license. 00:02:05.470 --> 00:02:10.960 position:50% align:middle If you live in a non-compact state, you'll be familiar with single-state license because 00:02:10.960 --> 00:02:15.840 position:50% align:middle that's what you hold, a license that's only valid in one state. 00:02:15.840 --> 00:02:23.180 position:50% align:middle Of course, even in compact states, single-state licenses are issued, 00:02:23.180 --> 00:02:31.800 position:50% align:middle especially to individual who either don't reside in that compact state or don't meet the requirements 00:02:31.800 --> 00:02:33.910 position:50% align:middle for a multistate license. 00:02:33.910 --> 00:02:41.500 position:50% align:middle So you're still able to...you may be issued a single state license in that situation. 00:02:41.500 --> 00:02:45.800 position:50% align:middle The home state is the primary state of residence. 00:02:45.800 --> 00:02:48.020 position:50% align:middle We all have a home state. 00:02:48.020 --> 00:02:56.500 position:50% align:middle We all have a place that is indicated on our legal documents that is the state where we reside. 00:02:56.500 --> 00:03:04.870 position:50% align:middle And that's separate and distinct from owning property, which is a common misunderstanding of the term primary 00:03:04.870 --> 00:03:07.150 position:50% align:middle state of residence. 00:03:07.150 --> 00:03:17.920 position:50% align:middle It is not a requirement to own any type of property to own a home, etc., in order to be able to say you have a 00:03:17.920 --> 00:03:22.630 position:50% align:middle home state or a primary state of residence. 00:03:22.630 --> 00:03:29.720 position:50% align:middle A remote state then is every other state in the compact other than your home state. 00:03:29.720 --> 00:03:43.560 position:50% align:middle So, if I am a nurse and I am today located in my home state, Indiana, and I am practicing in Virginia, 00:03:43.560 --> 00:03:49.160 position:50% align:middle Virginia is the remote state and Indiana is my home state. 00:03:49.160 --> 00:03:52.620 position:50% align:middle So that's how we differentiate those two. 00:03:52.620 --> 00:03:59.580 position:50% align:middle And then finally the privilege to practice, which we have the acronym PTP, 00:03:59.580 --> 00:04:04.090 position:50% align:middle that is the authority that you have to practice in other states. 00:04:04.090 --> 00:04:13.230 position:50% align:middle And so, in my example, I am an Indiana nurse practicing in Virginia and 00:04:13.230 --> 00:04:17.000 position:50% align:middle exercising my privilege to practice in Virginia. 00:04:17.000 --> 00:04:24.580 position:50% align:middle That is my authority given to me by the multistate license to practice in another compact state. 00:04:24.580 --> 00:04:28.290 position:50% align:middle My privilege to practice, that is what it's called. 00:04:28.290 --> 00:04:36.900 position:50% align:middle Likewise, if when I am practicing in that other state, if I were to violate the law and be disciplined, 00:04:36.900 --> 00:04:41.960 position:50% align:middle my privilege to practice in Virginia would be disciplined, okay? 00:04:41.960 --> 00:04:47.720 position:50% align:middle And that would be reported back to my home state. 00:04:47.720 --> 00:04:53.590 position:50% align:middle So primary state of residence is very important when it comes to the multistate license. 00:04:53.590 --> 00:04:57.480 position:50% align:middle Everything surrounds primary state of residence. 00:04:57.480 --> 00:05:01.440 position:50% align:middle And you have to really understand what that means. 00:05:01.440 --> 00:05:06.440 position:50% align:middle As I said on the other slide, it doesn't have to do with owning a home. 00:05:06.440 --> 00:05:12.580 position:50% align:middle And that's where a lot of people get confused, especially when we're talking about military and 00:05:12.580 --> 00:05:22.180 position:50% align:middle military spouses because oftentimes they leave a state and don't have a house there that they still own. 00:05:22.180 --> 00:05:30.000 position:50% align:middle Obviously, there never is or was a requirement to own a home in order to be a nurse or in order to have 00:05:30.000 --> 00:05:32.360 position:50% align:middle a multistate license. 00:05:32.360 --> 00:05:37.720 position:50% align:middle And if that was the case, I think a lot of people wouldn't be able to be a nurse. 00:05:37.720 --> 00:05:45.720 position:50% align:middle So let's make that clear that we're not talking about an actual residence. 00:05:45.720 --> 00:05:53.670 position:50% align:middle We're talking about a status, about the state, where you have status as a resident, okay? 00:05:53.670 --> 00:06:02.210 position:50% align:middle And the way you prove that is by your legal documents that would be evidence to a board of nursing that 00:06:02.210 --> 00:06:04.720 position:50% align:middle you're a resident of that state. 00:06:04.720 --> 00:06:11.320 position:50% align:middle And what are some of those pieces of evidence that can prove that you're a resident of a certain state? 00:06:11.320 --> 00:06:16.650 position:50% align:middle Well, most commonly, boards of nursing request to see your 00:06:16.650 --> 00:06:19.140 position:50% align:middle driver's license, okay? 00:06:19.140 --> 00:06:22.370 position:50% align:middle So a driver's license is a piece of evidence. 00:06:22.370 --> 00:06:26.910 position:50% align:middle You may not even own a car, but you can have a driver's license, 00:06:26.910 --> 00:06:29.010 position:50% align:middle the same type of thing. 00:06:29.010 --> 00:06:36.580 position:50% align:middle But this is the legal piece of documentation that proves the state where you are a resident. 00:06:36.580 --> 00:06:42.780 position:50% align:middle And that is what's necessary when you're applying for a multistate license. 00:06:42.780 --> 00:06:49.380 position:50% align:middle You must have some legal documentation that's going to show that you're a resident of the state that you 00:06:49.380 --> 00:06:51.330 position:50% align:middle say you are. 00:06:51.330 --> 00:06:59.240 position:50% align:middle And you should know things that are common sense, such as if you're moving to another state, well, 00:06:59.240 --> 00:07:02.090 position:50% align:middle I need to get a new driver's license, right? 00:07:02.090 --> 00:07:08.910 position:50% align:middle If you're making a permanent move, and when you're making that permanent move, 00:07:08.910 --> 00:07:12.820 position:50% align:middle how are you going to continue to vote when an election comes up? 00:07:12.820 --> 00:07:16.150 position:50% align:middle You need to be a registered voter in that new state. 00:07:16.150 --> 00:07:23.270 position:50% align:middle So all of these are things that change when you decide to move to another state. 00:07:23.270 --> 00:07:29.040 position:50% align:middle For example, you're on your vehicle, you're going to get new tags, new license plates. 00:07:29.040 --> 00:07:33.450 position:50% align:middle You're going to register your vehicle in that state. 00:07:33.450 --> 00:07:39.680 position:50% align:middle Again, these are all the things that are expected of us when we move to another state. 00:07:39.680 --> 00:07:48.570 position:50% align:middle So when I say that when you apply for a multistate license that you're going to submit proof, 00:07:48.570 --> 00:07:53.420 position:50% align:middle we're talking about the correct proof, the pieces of evidence, 00:07:53.420 --> 00:08:01.160 position:50% align:middle like a driver's license that is from the correct state that you actually are a resident of. 00:08:01.160 --> 00:08:07.720 position:50% align:middle You know, once in a while, I come across individuals who are not too organized and 00:08:07.720 --> 00:08:13.090 position:50% align:middle they have a driver's license in one state, a voter's registration in another state, 00:08:13.090 --> 00:08:19.320 position:50% align:middle their car's registered in another state, and everything is a mess. 00:08:19.320 --> 00:08:25.580 position:50% align:middle You know, we can only have one primary state of residence and we should have all of our legal 00:08:25.580 --> 00:08:31.090 position:50% align:middle documentation indicating that one same state, okay? 00:08:31.090 --> 00:08:40.640 position:50% align:middle Now, because we're talking about military and military spouses, one document that some states accept for proof 00:08:40.640 --> 00:08:43.720 position:50% align:middle of residency is a military form. 00:08:43.720 --> 00:08:53.660 position:50% align:middle I believe it's Military Form 2058, which shows what is your home state as a service person 00:08:53.660 --> 00:08:56.580 position:50% align:middle or as a military family. 00:08:56.580 --> 00:09:04.380 position:50% align:middle And your board of nursing when you're applying for a multistate license may accept that form as well. 00:09:04.380 --> 00:09:06.430 position:50% align:middle So keep that in mind. 00:09:06.430 --> 00:09:15.950 position:50% align:middle The type of proof that a board of nursing accepts is going to be dependent on that state. 00:09:15.950 --> 00:09:25.380 position:50% align:middle There is not a rule that says that certain types of evidence as proof of residency must be accepted 00:09:25.380 --> 00:09:26.790 position:50% align:middle by each state. 00:09:26.790 --> 00:09:29.570 position:50% align:middle It is up to each individual state. 00:09:29.570 --> 00:09:34.910 position:50% align:middle I will tell you that most commonly, a driver's license is accepted, 00:09:34.910 --> 00:09:37.620 position:50% align:middle I think just about by every state. 00:09:37.620 --> 00:09:43.380 position:50% align:middle But as far as beyond that, other pieces of proof of residency, 00:09:43.380 --> 00:09:46.200 position:50% align:middle that could vary state by state. 00:09:46.200 --> 00:09:51.930 position:50% align:middle So keep that in mind. 00:09:51.930 --> 00:09:56.710 position:50% align:middle So the multistate license is for RNs and LPNs. 00:09:56.710 --> 00:10:03.350 position:50% align:middle In a couple of states, they call an LPN an LVN, and that means the same thing. 00:10:03.350 --> 00:10:09.620 position:50% align:middle Those are the two types of nurses that can get a multistate license if the nurse lives 00:10:09.620 --> 00:10:12.030 position:50% align:middle in a compact state. 00:10:12.030 --> 00:10:20.060 position:50% align:middle I can't stress enough that the very first requirement to obtain a multistate license is that you are a 00:10:20.060 --> 00:10:22.530 position:50% align:middle resident of a compact state. 00:10:22.530 --> 00:10:28.600 position:50% align:middle That is your permanent and primary state of residency, okay? 00:10:28.600 --> 00:10:35.820 position:50% align:middle You also have to keep in mind that just like a driver's license is not a national license, 00:10:35.820 --> 00:10:40.790 position:50% align:middle yet we can drive across the whole country with a driver's license, no one ever called it a 00:10:40.790 --> 00:10:45.020 position:50% align:middle national license, it's issued by your state. 00:10:45.020 --> 00:10:49.090 position:50% align:middle That is the exact same way the nurse compact works. 00:10:49.090 --> 00:10:56.040 position:50% align:middle The nurse compact license is a state license, it's not a national license. 00:10:56.040 --> 00:11:02.330 position:50% align:middle And even when all 50 states join the compact, it still will not be a national license, 00:11:02.330 --> 00:11:06.000 position:50% align:middle even though you'll be able to practice in all 50 states. 00:11:06.000 --> 00:11:13.060 position:50% align:middle And that's because it's issued by your state, it's not issued by the federal government, okay? 00:11:13.060 --> 00:11:22.000 position:50% align:middle So every state regulates the nurses within that state, that means if you change your state of residency, 00:11:22.000 --> 00:11:27.760 position:50% align:middle now you need to get a new license that is issued by your new state of residency. 00:11:27.760 --> 00:11:33.360 position:50% align:middle And we're talking about permanent changes of residency, not temporary moves, 00:11:33.360 --> 00:11:38.470 position:50% align:middle where you're going to another state for a little while and then coming back. 00:11:38.470 --> 00:11:41.990 position:50% align:middle That doesn't require any change in licensure. 00:11:41.990 --> 00:11:51.570 position:50% align:middle It is only those permanent moves where you have a new primary state of residency that's going to require that 00:11:51.570 --> 00:11:57.550 position:50% align:middle you update all of your legal documents, driver's license, voter's card, etc., 00:11:57.550 --> 00:12:02.760 position:50% align:middle and nursing compact license. 00:12:02.760 --> 00:12:07.210 position:50% align:middle So this is the current map of the compact states. 00:12:07.210 --> 00:12:10.970 position:50% align:middle We're at our highest point with 39 states. 00:12:10.970 --> 00:12:14.840 position:50% align:middle As you can see, we're making progress throughout the country. 00:12:14.840 --> 00:12:21.630 position:50% align:middle But I do want to give you a current update at this point because we're at the very beginning of the 00:12:21.630 --> 00:12:26.340 position:50% align:middle legislative session, and we are going to see some of the states that 00:12:26.340 --> 00:12:32.590 position:50% align:middle are gray, the gray states are not in the compact, but we're going to see a number of them introduce 00:12:32.590 --> 00:12:35.790 position:50% align:middle legislation to join the compact, okay? 00:12:35.790 --> 00:12:41.950 position:50% align:middle And generally, we're going to see that happen between now and April or May. 00:12:41.950 --> 00:12:44.900 position:50% align:middle And after that, it's going to taper off. 00:12:44.900 --> 00:12:51.970 position:50% align:middle So if you attend any of our webinars on a monthly basis, this winter and spring, 00:12:51.970 --> 00:12:58.400 position:50% align:middle that is when we will be announcing the states that introduced legislation to join. 00:12:58.400 --> 00:13:04.830 position:50% align:middle First of all, currently, there are bills that carried over from last year 00:13:04.830 --> 00:13:09.760 position:50% align:middle in California and Illinois and Massachusetts. 00:13:09.760 --> 00:13:16.330 position:50% align:middle And we don't anticipate that the California and Illinois legislation are going to be successful, 00:13:16.330 --> 00:13:20.890 position:50% align:middle but there is a possibility in Massachusetts. 00:13:20.890 --> 00:13:29.230 position:50% align:middle Massachusetts has been trying for at least nine years to join the compact and each year we see them getting 00:13:29.230 --> 00:13:31.810 position:50% align:middle a little closer. 00:13:31.810 --> 00:13:39.700 position:50% align:middle There are no guarantees at this point, but certainly, that decision on joining the compact we anticipate will 00:13:39.700 --> 00:13:46.920 position:50% align:middle be made by the legislature in Massachusetts, hopefully in the first half of this year. 00:13:46.920 --> 00:13:55.730 position:50% align:middle Again, most of those gray states that you see not in the compact, we will see them introduce a bill to join 00:13:55.730 --> 00:13:57.300 position:50% align:middle the compact this year. 00:13:57.300 --> 00:13:59.400 position:50% align:middle They won't all be successful. 00:13:59.400 --> 00:14:01.350 position:50% align:middle Some of them will be. 00:14:01.350 --> 00:14:08.270 position:50% align:middle We do anticipate passing the 40 state mark this year, and that's a big milestone. 00:14:08.270 --> 00:14:15.260 position:50% align:middle I also want to call your attention to the light blue states, which have already passed the bill. 00:14:15.260 --> 00:14:21.760 position:50% align:middle They already enacted the legislation, but they haven't implemented the compact yet. 00:14:21.760 --> 00:14:29.510 position:50% align:middle So keep in mind that Vermont is going to implement the compact on February 1st. 00:14:29.510 --> 00:14:31.880 position:50% align:middle That's coming up in about a week. 00:14:31.880 --> 00:14:38.280 position:50% align:middle That means that as of February 1st, any Vermont resident could apply 00:14:38.280 --> 00:14:41.190 position:50% align:middle for a multi-state license. 00:14:41.190 --> 00:14:47.550 position:50% align:middle Now, if you already have a Vermont single state license, then you're just going to upgrade the 00:14:47.550 --> 00:14:49.690 position:50% align:middle status to multistate. 00:14:49.690 --> 00:14:55.120 position:50% align:middle And you'll see that application on their Vermont Board of Nursing website. 00:14:55.120 --> 00:15:04.140 position:50% align:middle But that February 1st date also means that any nurse in any compact state who has a multistate license can 00:15:04.140 --> 00:15:08.290 position:50% align:middle start practicing in Vermont as of February 1st. 00:15:08.290 --> 00:15:14.920 position:50% align:middle In other words, Vermont is now included under your compact license as one of the states you 00:15:14.920 --> 00:15:17.670 position:50% align:middle can practice in. 00:15:17.670 --> 00:15:24.020 position:50% align:middle Ohio will implement the compact January 1st, 2023. 00:15:24.020 --> 00:15:29.940 position:50% align:middle So we have about 11 months to go before Ohio will be active in the compact. 00:15:29.940 --> 00:15:37.640 position:50% align:middle And same thing as I just described with Vermont will be true for Ohio. 00:15:37.640 --> 00:15:42.740 position:50% align:middle In Pennsylvania, we do not have an implementation date yet. 00:15:42.740 --> 00:15:48.910 position:50% align:middle We hope it will be in 2022, but the process has not begun yet. 00:15:48.910 --> 00:15:55.710 position:50% align:middle And we are awaiting an implementation date from the state of Pennsylvania. 00:15:55.710 --> 00:15:57.870 position:50% align:middle So that is unknown. 00:15:57.870 --> 00:16:04.530 position:50% align:middle The same, and I don't know if you can see it, off of the coast of Florida in the Virgin Islands, 00:16:04.530 --> 00:16:07.720 position:50% align:middle you'll see that that is light blue as well. 00:16:07.720 --> 00:16:14.560 position:50% align:middle So the Virgin Islands passed the compact last month, and now the work of implementation will happen in 2022. 00:16:14.560 --> 00:16:22.250 position:50% align:middle We are hoping that before the end of this year, the Virgin Islands will be implemented. 00:16:22.250 --> 00:16:28.400 position:50% align:middle So they are the 39th jurisdiction, and we're currently working with them to establish 00:16:28.400 --> 00:16:31.500 position:50% align:middle an implementation date. 00:16:31.500 --> 00:16:34.240 position:50% align:middle So that is the outlook. 00:16:34.240 --> 00:16:41.360 position:50% align:middle Before turn over to the next slide, I do want to address Guam because Guam has 00:16:41.360 --> 00:16:43.620 position:50% align:middle a partial implementation. 00:16:43.620 --> 00:16:50.080 position:50% align:middle And what that means is that Guam nurses cannot yet get a multistate license. 00:16:50.080 --> 00:16:58.370 position:50% align:middle However, nurses in other compact states that have a compact license could practice in Guam now 00:16:58.370 --> 00:16:59.050 position:50% align:middle at this time, okay? 00:16:59.050 --> 00:17:03.290 position:50% align:middle That's what a partial implementation means. 00:17:03.290 --> 00:17:04.930 position:50% align:middle They're halfway there. 00:17:04.930 --> 00:17:12.060 position:50% align:middle Only their own residents can't get a multistate license, but the gates are open for nurses from other 00:17:12.060 --> 00:17:14.840 position:50% align:middle states to work in Guam. 00:17:14.840 --> 00:17:15.790 position:50% align:middle All right. 00:17:15.790 --> 00:17:18.190 position:50% align:middle So that is the legislative update. 00:17:18.190 --> 00:17:24.230 position:50% align:middle And hopefully, when we come back in a month from now, we will see more legislation introduced 00:17:24.230 --> 00:17:26.440 position:50% align:middle in other states. 00:17:26.440 --> 00:17:33.670 position:50% align:middle If you want any of the details of what we just talked about, they are available in a link at the bottom 00:17:33.670 --> 00:17:35.060 position:50% align:middle of this slide. 00:17:35.060 --> 00:17:40.270 position:50% align:middle And again, we're going to provide you with these slides, so you could go right to it. 00:17:40.270 --> 00:17:48.060 position:50% align:middle Or you could just go to our website, nlc.gov, and below the map, you'll see this link where it gives 00:17:48.060 --> 00:17:52.500 position:50% align:middle the different implementation details. 00:17:52.500 --> 00:17:53.230 position:50% align:middle Okay. 00:17:53.230 --> 00:18:01.940 position:50% align:middle We said the nurse compact was similar to the driver's license, and it is in that it's issued in your primary 00:18:01.940 --> 00:18:04.460 position:50% align:middle state of residence, okay? 00:18:04.460 --> 00:18:11.830 position:50% align:middle That is the only state you can get a compact license in the nursing compact. 00:18:11.830 --> 00:18:17.730 position:50% align:middle If you don't live in a compact state, you can't get a compact license. 00:18:17.730 --> 00:18:25.500 position:50% align:middle If you move to another state, a permanent move, you need to get a new driver's license and you need 00:18:25.500 --> 00:18:28.600 position:50% align:middle to get a new nurse compact license. 00:18:28.600 --> 00:18:35.830 position:50% align:middle That's the way it works because each state regulates you whether as a driver or as a nurse, 00:18:35.830 --> 00:18:44.100 position:50% align:middle and that is your requirement by law to obtain a new license in a new state of residency, okay? 00:18:44.100 --> 00:18:52.820 position:50% align:middle And the license itself is accepted in every compact state, which is why you can use your state license 00:18:52.820 --> 00:18:56.700 position:50% align:middle to be a driver in other states across the country. 00:18:56.700 --> 00:19:02.930 position:50% align:middle And as you know, for the nurse compact license, you can use it in 39 other states, 00:19:02.930 --> 00:19:10.700 position:50% align:middle although eventually that will be 50 states and you'll be able to similar to a driver's license, 00:19:10.700 --> 00:19:14.540 position:50% align:middle use your home state license anywhere in the country. 00:19:14.540 --> 00:19:18.740 position:50% align:middle We're on our way to that point. 00:19:18.740 --> 00:19:19.450 position:50% align:middle Okay. 00:19:19.450 --> 00:19:22.550 position:50% align:middle So let's get into more of the subject matter. 00:19:22.550 --> 00:19:29.580 position:50% align:middle And on this slide, we're going to talk specifically about federal employees who are nurses 00:19:29.580 --> 00:19:31.208 position:50% align:middle and military nurses. 00:19:31.208 --> 00:19:37.800 position:50% align:middle Of course, this includes VA and Indian Health Service nurses who are federal employees. 00:19:37.800 --> 00:19:40.670 position:50% align:middle And I think everyone understands this. 00:19:40.670 --> 00:19:47.460 position:50% align:middle So on this slide, we're not talking about spouses who are non-federal employees, 00:19:47.460 --> 00:19:56.050 position:50% align:middle we're talking about the actual federal employees or the military service people who are nurses. 00:19:56.050 --> 00:20:07.250 position:50% align:middle And the way that that works is that you only need to have one license from any jurisdiction to practice 00:20:07.250 --> 00:20:12.870 position:50% align:middle whether in your VA hospital or on your military base, okay? 00:20:12.870 --> 00:20:21.460 position:50% align:middle And what that means is you're exempt from getting a license in that state where you're working 00:20:21.460 --> 00:20:24.290 position:50% align:middle in your official capacity. 00:20:24.290 --> 00:20:30.430 position:50% align:middle Now, keep in mind that that exemption from licensure only pertains to when you're working in your official 00:20:30.430 --> 00:20:38.110 position:50% align:middle capacity because if you're working as a civilian, that's another story. 00:20:38.110 --> 00:20:41.180 position:50% align:middle Then this exemption doesn't apply to you. 00:20:41.180 --> 00:20:52.690 position:50% align:middle So let me use an example because this has nothing to do with the compact, but if I'm a nurse working...if I'm 00:20:52.690 --> 00:21:01.620 position:50% align:middle in the Navy and I'm working on a Naval base in Virginia, I could have a license from any state, right? 00:21:01.620 --> 00:21:05.780 position:50% align:middle Any state to be able to work in a Naval hospital. 00:21:05.780 --> 00:21:11.160 position:50% align:middle However, if I'm going to moonlight as a civilian in St. 00:21:11.160 --> 00:21:18.970 position:50% align:middle Joe's Hospital down the street to make some extra money, then that doesn't hold true anymore. 00:21:18.970 --> 00:21:25.820 position:50% align:middle Then I'm going to need a license in that state, a state-specific license, okay? 00:21:25.820 --> 00:21:27.900 position:50% align:middle So keep that in mind. 00:21:27.900 --> 00:21:36.010 position:50% align:middle And just because a nurse is federal or military doesn't mean they automatically are eligible 00:21:36.010 --> 00:21:37.950 position:50% align:middle for a multistate license. 00:21:37.950 --> 00:21:44.760 position:50% align:middle Remember what we said on prior slides is that you have to be a resident of a compact state to get 00:21:44.760 --> 00:21:46.520 position:50% align:middle a multistate license. 00:21:46.520 --> 00:21:59.350 position:50% align:middle So even the people in this category must be a resident of a compact state. 00:21:59.350 --> 00:22:04.940 position:50% align:middle If I say I'm a...and if you remember the map, let me use California as an example. 00:22:04.940 --> 00:22:08.230 position:50% align:middle California is a non-compact state. 00:22:08.230 --> 00:22:15.050 position:50% align:middle If that's the state that I'm saying as a Naval nurse, if I'm saying California is my legal state 00:22:15.050 --> 00:22:19.100 position:50% align:middle of residency, then I can't get a compact license. 00:22:19.100 --> 00:22:29.220 position:50% align:middle You have to be able to have a compact state as your legal state of residency, okay? 00:22:29.220 --> 00:22:31.640 position:50% align:middle There's a question that came in from Gina. 00:22:31.640 --> 00:22:42.700 position:50% align:middle What if you are both an active duty spouse and an employee of the VA? 00:22:42.700 --> 00:22:49.390 position:50% align:middle Which is very possible, you can be a spouse and also be a federal employee. 00:22:49.390 --> 00:22:58.610 position:50% align:middle So if you're an employee of the federal government, then you are subject to this federal supremacy, okay? 00:22:58.610 --> 00:23:07.510 position:50% align:middle So keep in mind that in a married couple, it's very possible for the husband and wife, 00:23:07.510 --> 00:23:14.960 position:50% align:middle for both people in the marriage I should say, to both be federal employees or 00:23:14.960 --> 00:23:17.180 position:50% align:middle military service people. 00:23:17.180 --> 00:23:25.710 position:50% align:middle That's very possible, in which this applies to you, federal supremacy applies in that case. 00:23:25.710 --> 00:23:34.060 position:50% align:middle But also, as we said, when that military nurse or a VA nurse is working in a 00:23:34.060 --> 00:23:40.220 position:50% align:middle non-federal role, again, in a civilian facility, then federal supremacy does not apply. 00:23:40.220 --> 00:23:43.850 position:50% align:middle Then you need an in-state license. 00:23:43.850 --> 00:23:45.420 position:50% align:middle Let's move on. 00:23:45.420 --> 00:23:53.450 position:50% align:middle So now we're talking about spouses who are nurses and, in particular, spouses who are not military, 00:23:53.450 --> 00:23:59.760 position:50% align:middle they're not service persons and they're not VA employees. 00:23:59.760 --> 00:24:03.970 position:50% align:middle They are civilians, okay? 00:24:03.970 --> 00:24:15.090 position:50% align:middle Keep in mind that even though the family moves as they get stationed to some military base in another state, 00:24:15.090 --> 00:24:20.620 position:50% align:middle that action doesn't force you to change your legal state of residency. 00:24:20.620 --> 00:24:23.010 position:50% align:middle That is at your discretion. 00:24:23.010 --> 00:24:33.610 position:50% align:middle And even though that's the case, the husband and wife don't always have the same 00:24:33.610 --> 00:24:35.460 position:50% align:middle state of residency. 00:24:35.460 --> 00:24:40.710 position:50% align:middle So in other words, a husband may have one state as their state of legal residency and the wife have 00:24:40.710 --> 00:24:41.940 position:50% align:middle a different state. 00:24:41.940 --> 00:24:43.590 position:50% align:middle I've seen that as well. 00:24:43.590 --> 00:24:51.190 position:50% align:middle There's nothing that says you have to claim the same or declare the same state of residency. 00:24:51.190 --> 00:24:59.100 position:50% align:middle So when it comes to a spouse who's a civilian, everything is going to be contingent on what that 00:24:59.100 --> 00:25:05.470 position:50% align:middle spouse says is his or her state of legal residency. 00:25:05.470 --> 00:25:08.840 position:50% align:middle And that's based on your documentation. 00:25:08.840 --> 00:25:15.870 position:50% align:middle So, as it says here on the slide, should a nurse have legal residency in a compact state 00:25:15.870 --> 00:25:24.040 position:50% align:middle and hold a multistate license since you're a resident of a compact state, and then that family gets stationed 00:25:24.040 --> 00:25:34.680 position:50% align:middle in another compact state for two or three years, the nurse can work under his or her home state license 00:25:34.680 --> 00:25:39.050 position:50% align:middle in that other compact state without obtaining a license. 00:25:39.050 --> 00:25:40.590 position:50% align:middle Why is that? 00:25:40.590 --> 00:25:50.110 position:50% align:middle Because they're only stationed in that other state temporarily, there's an end date to it. 00:25:50.110 --> 00:25:54.640 position:50% align:middle They're typically stationed in another state for two or three years. 00:25:54.640 --> 00:26:03.450 position:50% align:middle And as long as you decide to maintain your home state, to not make that temporary state your home state, 00:26:03.450 --> 00:26:10.110 position:50% align:middle then you're able to work in that state under your current home state license. 00:26:10.110 --> 00:26:21.110 position:50% align:middle So we're going to give some examples a little bit later because I know it could sound a little confusing, okay? 00:26:21.110 --> 00:26:27.650 position:50% align:middle So the idea is that military spouses benefit from a multistate license. 00:26:27.650 --> 00:26:29.980 position:50% align:middle Let's look at the example of a travel nurse. 00:26:29.980 --> 00:26:33.340 position:50% align:middle We all understand what a travel nurse is, right? 00:26:33.340 --> 00:26:44.580 position:50% align:middle A travel nurse lives in one state and takes travel assignments of usually 13 weeks in different states. 00:26:44.580 --> 00:26:52.280 position:50% align:middle If the nurse lives in a compact state and the travel nurse has a compact license and their travel 00:26:52.280 --> 00:26:59.020 position:50% align:middle assignments are in compact states, then for all of those travel assignments that they do 00:26:59.020 --> 00:27:06.590 position:50% align:middle for 13 weeks, they're able to use their home state multistate license to practice in all 00:27:06.590 --> 00:27:08.710 position:50% align:middle of those assignments, right? 00:27:08.710 --> 00:27:13.200 position:50% align:middle Because after the 13 weeks, they're coming back to their home state. 00:27:13.200 --> 00:27:19.670 position:50% align:middle They're not making their temporary state their new home state. 00:27:19.670 --> 00:27:24.690 position:50% align:middle The whole idea is that they're there temporarily, all right? 00:27:24.690 --> 00:27:31.890 position:50% align:middle So that is the benefit and the beauty of the multistate license, that you don't have to get another license 00:27:31.890 --> 00:27:34.710 position:50% align:middle when you're in another state temporarily. 00:27:34.710 --> 00:27:43.820 position:50% align:middle Now let's compare that travel nurse to a military spouse because they're both very similar. 00:27:43.820 --> 00:27:50.260 position:50% align:middle Instead of 13 weeks, the military spouse is temporarily in another state 00:27:50.260 --> 00:27:53.580 position:50% align:middle for two or three years, okay? 00:27:53.580 --> 00:27:55.800 position:50% align:middle And so they're doing the same thing. 00:27:55.800 --> 00:28:04.660 position:50% align:middle They're maintaining a home state and they're practicing in a remote state for two or three years under the 00:28:04.660 --> 00:28:07.410 position:50% align:middle license of their home state. 00:28:07.410 --> 00:28:18.110 position:50% align:middle Now, I will tell you that if the employer is not familiar with how this works for military spouses, 00:28:18.110 --> 00:28:23.650 position:50% align:middle I get these emails all the time, an employer is trying to force me to get a license 00:28:23.650 --> 00:28:27.830 position:50% align:middle in this state where we're stationed for a few years. 00:28:27.830 --> 00:28:29.670 position:50% align:middle The employer shouldn't be doing that. 00:28:29.670 --> 00:28:39.770 position:50% align:middle As long as you're maintaining a home state somewhere in a compact state, you should not be required to get a 00:28:39.770 --> 00:28:47.520 position:50% align:middle new license in the state where you're stationed temporarily working in civilian facility. 00:28:47.520 --> 00:28:50.350 position:50% align:middle Again, employers may not be familiar. 00:28:50.350 --> 00:28:59.480 position:50% align:middle And so it has helped some nurses to show them either...we have a fact sheet on our website, 00:28:59.480 --> 00:29:06.150 position:50% align:middle for example, to show them how this works for military spouses because that's saving you the trouble 00:29:06.150 --> 00:29:08.930 position:50% align:middle of getting a new license in a new state. 00:29:08.930 --> 00:29:15.240 position:50% align:middle That is why this is a benefit of two military spouses. 00:29:15.240 --> 00:29:21.560 position:50% align:middle And sometimes the military spouse will tell me, "But I don't own property in that state anymore because 00:29:21.560 --> 00:29:23.530 position:50% align:middle we're not there for three years. 00:29:23.530 --> 00:29:25.640 position:50% align:middle We gave up our apartment." 00:29:25.640 --> 00:29:28.950 position:50% align:middle Again, this is not about property. 00:29:28.950 --> 00:29:37.950 position:50% align:middle It's about a legal document that you have that proves that you're a resident of that particular state, okay? 00:29:37.950 --> 00:29:46.500 position:50% align:middle There is no requirement to own property, but it's a common misconception. 00:29:46.500 --> 00:29:47.000 position:50% align:middle Okay. 00:29:47.000 --> 00:29:56.300 position:50% align:middle So let's talk about a couple of the issues or problems that we see happen in states when a military spouse is 00:29:56.300 --> 00:29:58.880 position:50% align:middle in another state, all right? 00:29:58.880 --> 00:30:05.130 position:50% align:middle So here we have a military spouse who has a multistate license in her home state. 00:30:05.130 --> 00:30:09.060 position:50% align:middle Let's say her home state is Texas, okay? 00:30:09.060 --> 00:30:13.400 position:50% align:middle And it says she's stationed in a remote state for three years. 00:30:13.400 --> 00:30:22.860 position:50% align:middle So let's say her husband is the service person and the spouse is a nurse and they're stationed in Virginia 00:30:22.860 --> 00:30:24.940 position:50% align:middle for three years, okay? 00:30:24.940 --> 00:30:26.600 position:50% align:middle And she's going to work in St. 00:30:26.600 --> 00:30:31.530 position:50% align:middle Joe's Hospital as an ICU nurse for those three years. 00:30:31.530 --> 00:30:40.770 position:50% align:middle She should be able to work there under her Texas multistate license because she's only there temporarily 00:30:40.770 --> 00:30:42.230 position:50% align:middle for three years. 00:30:42.230 --> 00:30:48.980 position:50% align:middle She tells her employer I'm only here temporarily for three years, and then we're moving on to some 00:30:48.980 --> 00:30:50.960 position:50% align:middle other state, okay? 00:30:50.960 --> 00:30:55.340 position:50% align:middle We're not making Virginia our new home state, all right? 00:30:55.340 --> 00:30:59.130 position:50% align:middle So in that scenario, she shouldn't have to get a Virginia license, 00:30:59.130 --> 00:31:02.870 position:50% align:middle but here are some pitfalls. 00:31:02.870 --> 00:31:09.500 position:50% align:middle She gets a new driver's license in Virginia because her Texas driver's license is about to expire. 00:31:09.500 --> 00:31:10.850 position:50% align:middle That's a mistake. 00:31:10.850 --> 00:31:11.930 position:50% align:middle Why? 00:31:11.930 --> 00:31:15.790 position:50% align:middle Because she just said, Texas is my home state. 00:31:15.790 --> 00:31:20.910 position:50% align:middle When she gets the Virginia driver's license, she's now changed all that. 00:31:20.910 --> 00:31:27.110 position:50% align:middle She's now become a Virginia resident because when you get a new driver's license, 00:31:27.110 --> 00:31:35.440 position:50% align:middle you're signing on the dotted line that this is now my primary state of residency permanently, okay? 00:31:35.440 --> 00:31:40.820 position:50% align:middle So she's giving up Texas as her primary state of residency. 00:31:40.820 --> 00:31:42.790 position:50% align:middle What should she do instead? 00:31:42.790 --> 00:31:49.750 position:50% align:middle She should be renewing her Texas driver's license rather than letting it expire. 00:31:49.750 --> 00:31:57.670 position:50% align:middle And she should either do that before she leaves Texas, or she should renew it online with the Texas Department 00:31:57.670 --> 00:31:59.500 position:50% align:middle of Motor Vehicles. 00:31:59.500 --> 00:32:06.260 position:50% align:middle Because the pitfall that's created here by getting a Virginia driver's license, 00:32:06.260 --> 00:32:08.270 position:50% align:middle she's now a Virginia resident. 00:32:08.270 --> 00:32:11.450 position:50% align:middle So what does that mean for her nursing license? 00:32:11.450 --> 00:32:14.420 position:50% align:middle Now she changed her residency to Virginia. 00:32:14.420 --> 00:32:20.460 position:50% align:middle Now she needs to apply for license by endorsement and get a Virginia nursing license. 00:32:20.460 --> 00:32:25.750 position:50% align:middle All of that is triggered by a mistake that was made in Pitfall 1. 00:32:25.750 --> 00:32:33.080 position:50% align:middle The same thing happens in Pitfall 2 with registering to vote in the remote state. 00:32:33.080 --> 00:32:38.450 position:50% align:middle So in that same scenario, this nurse who's a Texas resident with a Texas 00:32:38.450 --> 00:32:47.710 position:50% align:middle multistate license with her husband stationed three years in Virginia, and all of a sudden during those 00:32:47.710 --> 00:32:55.340 position:50% align:middle three years, we have a presidential election and she wants to vote and registers to vote in Virginia. 00:32:55.340 --> 00:32:59.370 position:50% align:middle She just became a Virginia resident by the fact of doing that. 00:32:59.370 --> 00:33:04.180 position:50% align:middle And that's going to trigger her to need to get a Virginia nursing license as well. 00:33:04.180 --> 00:33:05.910 position:50% align:middle That can be avoided. 00:33:05.910 --> 00:33:08.840 position:50% align:middle She's a registered voter in Texas. 00:33:08.840 --> 00:33:16.140 position:50% align:middle She needs to vote in Texas or send in an absentee ballot as a Texas voter, okay? 00:33:16.140 --> 00:33:25.000 position:50% align:middle Again, these are mistakes that happen that cause unintentional changes in primary state of residency. 00:33:25.000 --> 00:33:33.160 position:50% align:middle And the third thing she actually decides to become a permanent resident of Virginia. 00:33:33.160 --> 00:33:35.550 position:50% align:middle And what's the mistake there? 00:33:35.550 --> 00:33:43.670 position:50% align:middle Let's say they're stationed there for three years, and her husband is going to retire from the military. 00:33:43.670 --> 00:33:46.740 position:50% align:middle And they say, you know, "Virginia's such a beautiful state, 00:33:46.740 --> 00:33:48.300 position:50% align:middle let's just stay here. 00:33:48.300 --> 00:33:51.200 position:50% align:middle Let's not go back to Texas." 00:33:51.200 --> 00:33:56.290 position:50% align:middle And she says, well, I've been working under this Texas license for the past three years. 00:33:56.290 --> 00:33:57.210 position:50% align:middle Yeah. 00:33:57.210 --> 00:34:01.930 position:50% align:middle But not anymore because you just decided to become a permanent resident. 00:34:01.930 --> 00:34:06.930 position:50% align:middle You decided to retire or at least your husband's retiring from the military. 00:34:06.930 --> 00:34:09.610 position:50% align:middle And she wants to be able to work in Virginia. 00:34:09.610 --> 00:34:14.110 position:50% align:middle But now, they've decided to make that their new home state. 00:34:14.110 --> 00:34:23.230 position:50% align:middle That decision to become a resident of Virginia triggers the need for you to get a Virginia nursing license. 00:34:23.230 --> 00:34:27.010 position:50% align:middle Of course, driver's license and everything else as well. 00:34:27.010 --> 00:34:35.570 position:50% align:middle But to get the Virginia nursing license, which is going to replace the Texas license, okay? 00:34:35.570 --> 00:34:44.560 position:50% align:middle So hopefully, those pitfalls can be avoided or you can at least understand the consequences of your actions 00:34:44.560 --> 00:34:49.710 position:50% align:middle in those three scenarios as a military spouse. 00:34:49.710 --> 00:34:50.300 position:50% align:middle Okay. 00:34:50.300 --> 00:34:57.400 position:50% align:middle And aside from those pitfalls, we have some kind of trivia scenarios here. 00:34:57.400 --> 00:35:01.680 position:50% align:middle So I'm going to read through it, but you can read through it as well. 00:35:01.680 --> 00:35:03.620 position:50% align:middle And we have three cases. 00:35:03.620 --> 00:35:11.130 position:50% align:middle In the first case, Jane is a military spouse who's a nurse, and she's married to Bob who's in the Navy. 00:35:11.130 --> 00:35:16.310 position:50% align:middle They both claim Texas as their PSOR for military purposes. 00:35:16.310 --> 00:35:23.350 position:50% align:middle So in other words, as far as the military's concerned, Texas is their home state. 00:35:23.350 --> 00:35:28.980 position:50% align:middle And you need to put that on record with the military when you're in the military, okay? 00:35:28.980 --> 00:35:33.520 position:50% align:middle Jane has a Texas multistate license since that's their home state. 00:35:33.520 --> 00:35:41.930 position:50% align:middle Now they get sent to a military base in South Carolina and the family moves there for the next three years. 00:35:41.930 --> 00:35:46.110 position:50% align:middle So in South Carolina, Jane gets a job at the local 00:35:46.110 --> 00:35:50.180 position:50% align:middle civilian hospital, meaning non-military. 00:35:50.180 --> 00:35:57.530 position:50% align:middle They are in South Carolina temporarily, and they do not plan to become 00:35:57.530 --> 00:35:59.910 position:50% align:middle South Carolina residents. 00:35:59.910 --> 00:36:01.960 position:50% align:middle Remember, they're Texas residents. 00:36:01.960 --> 00:36:04.170 position:50% align:middle How does this work for Jane? 00:36:04.170 --> 00:36:07.310 position:50% align:middle How will she work at this civilian job? 00:36:07.310 --> 00:36:09.680 position:50% align:middle With what license? 00:36:09.680 --> 00:36:11.820 position:50% align:middle What, if anything, should she do? 00:36:11.820 --> 00:36:14.890 position:50% align:middle Please type the answer in the chatbox. 00:36:20.280 --> 00:36:22.185 position:50% align:middle Chatbox is at the top. 00:36:27.840 --> 00:36:34.630 position:50% align:middle How's she going to work in South Carolina as a military spouse? 00:36:34.630 --> 00:36:39.460 position:50% align:middle So Rachel says, "Jane is going to work under her Texas multistate license." 00:36:39.460 --> 00:36:41.760 position:50% align:middle Anyone else? 00:36:41.760 --> 00:36:44.300 position:50% align:middle She uses her Texas license, says Myra. 00:36:44.300 --> 00:36:46.420 position:50% align:middle Anyone else? 00:36:52.920 --> 00:36:53.650 position:50% align:middle Okay. 00:36:53.650 --> 00:36:54.430 position:50% align:middle Very good. 00:36:54.430 --> 00:36:56.280 position:50% align:middle Those answers are correct. 00:36:56.280 --> 00:37:03.980 position:50% align:middle She can work in South Carolina under her multistate from Texas says Patricia McManamy. 00:37:03.980 --> 00:37:05.410 position:50% align:middle All correct. 00:37:05.410 --> 00:37:06.500 position:50% align:middle Why is that? 00:37:06.500 --> 00:37:10.820 position:50% align:middle It's because she's only there temporarily for three years and she's the main... 00:37:10.820 --> 00:37:15.310 position:50% align:middle So in other words, this is just like a travel nurse, okay? 00:37:15.310 --> 00:37:20.010 position:50% align:middle But instead of 13 weeks, it's three years. 00:37:20.010 --> 00:37:24.780 position:50% align:middle The learning curve is important for the nurse and for the employer. 00:37:24.780 --> 00:37:29.710 position:50% align:middle Because if the employer doesn't understand how it works, what are they going to do? 00:37:29.710 --> 00:37:33.490 position:50% align:middle They're going to tell the nurse, you need to get a South Carolina license. 00:37:33.490 --> 00:37:35.660 position:50% align:middle You're here for three years. 00:37:35.660 --> 00:37:42.530 position:50% align:middle And any of those things that we talked about on the last slide can trip up the nurse where she can become a 00:37:42.530 --> 00:37:49.810 position:50% align:middle South Carolina resident if she got a South Carolina driver's license or anything else. 00:37:49.810 --> 00:37:54.140 position:50% align:middle So you have to be careful to mean, if you're saying Texas is my home state, 00:37:54.140 --> 00:37:58.230 position:50% align:middle then you got to maintain Texas as your home state, okay? 00:37:58.230 --> 00:37:59.380 position:50% align:middle So that's how it works. 00:37:59.380 --> 00:37:59.860 position:50% align:middle Good job. 00:37:59.860 --> 00:38:03.080 position:50% align:middle Let's move on to Scenario 2. 00:38:03.080 --> 00:38:10.270 position:50% align:middle Military spouse, nurse Tonya, has a Nebraska multistate license. 00:38:10.270 --> 00:38:13.190 position:50% align:middle So let's read into this a little bit. 00:38:13.190 --> 00:38:21.090 position:50% align:middle If she was issued a Nebraska multistate license, she must have declared Nebraska as her legal and 00:38:21.090 --> 00:38:23.520 position:50% align:middle primary state of residence, right? 00:38:23.520 --> 00:38:28.550 position:50% align:middle They wouldn't have issued her a Nebraska license otherwise, okay? 00:38:28.550 --> 00:38:34.120 position:50% align:middle Now the military has ordered her husband to Iowa, which is a compact state, 00:38:34.120 --> 00:38:39.380 position:50% align:middle and the family is going to be there for the next three years only. 00:38:39.380 --> 00:38:48.210 position:50% align:middle Her husband's home of record with the military is Nevada, which is a non-compact state. 00:38:48.210 --> 00:38:49.670 position:50% align:middle So what's she going to do? 00:38:49.670 --> 00:38:54.190 position:50% align:middle How is she going to be able to work in Iowa? 00:38:54.190 --> 00:38:59.870 position:50% align:middle What, if any actions, is she going to need to take to be able 00:38:59.870 --> 00:39:01.470 position:50% align:middle to work in Iowa? 00:39:01.470 --> 00:39:06.300 position:50% align:middle It's a little bit of a tricky question, but you have to use the information that was 00:39:06.300 --> 00:39:09.210 position:50% align:middle provided to you. 00:39:09.210 --> 00:39:11.950 position:50% align:middle Please put your response in the chat. 00:39:23.840 --> 00:39:24.180 position:50% align:middle Okay. 00:39:24.180 --> 00:39:28.740 position:50% align:middle Gina says she's going to use her Nebraska multistate. 00:39:28.740 --> 00:39:35.850 position:50% align:middle Anyone else? 00:39:35.850 --> 00:39:37.630 position:50% align:middle Kathleen agrees both. 00:39:37.630 --> 00:39:38.540 position:50% align:middle Correct? 00:39:38.540 --> 00:39:39.840 position:50% align:middle Exactly. 00:39:39.840 --> 00:39:42.330 position:50% align:middle And Patricia is correct. 00:39:42.330 --> 00:39:49.210 position:50% align:middle As long as she's maintaining Nebraska as her PSOR, she can work in Iowa under her 00:39:49.210 --> 00:39:51.490 position:50% align:middle Nebraska multistate license. 00:39:51.490 --> 00:39:53.800 position:50% align:middle There's nothing in here that says... 00:39:53.800 --> 00:39:54.960 position:50% align:middle You're all correct. 00:39:54.960 --> 00:39:56.260 position:50% align:middle Thank you, Rachel. 00:39:56.260 --> 00:40:03.030 position:50% align:middle There's nothing in here that says she's changing her PSOR to Iowa, nothing in here says she's changing 00:40:03.030 --> 00:40:05.980 position:50% align:middle her PSOR to Nevada, okay? 00:40:05.980 --> 00:40:12.970 position:50% align:middle Remember on an earlier slide, we said that you're going to come across couples where 00:40:12.970 --> 00:40:19.030 position:50% align:middle the husband and wife each have a different primary state of residency for legal purposes. 00:40:19.030 --> 00:40:20.640 position:50% align:middle That's their choice. 00:40:20.640 --> 00:40:24.540 position:50% align:middle They can do that if they want, okay? 00:40:24.540 --> 00:40:30.090 position:50% align:middle So it's not for anyone to say that they have to have the same legal state of residency. 00:40:30.090 --> 00:40:35.580 position:50% align:middle That is up to that individual, okay? 00:40:35.580 --> 00:40:44.810 position:50% align:middle So because we know that she has declared Nebraska as her primary state of residence when she goes to work 00:40:44.810 --> 00:40:50.670 position:50% align:middle at a civilian hospital in Iowa, then she is going to use her Nebraska license. 00:40:50.670 --> 00:40:52.800 position:50% align:middle Good job. 00:40:52.800 --> 00:40:57.800 position:50% align:middle Last scenario, Sara is an active duty nurse. 00:40:57.800 --> 00:40:59.640 position:50% align:middle So she's a service person. 00:40:59.640 --> 00:41:05.000 position:50% align:middle And she's in the Air Force in Alaska, which is not a compact state. 00:41:05.000 --> 00:41:12.650 position:50% align:middle Now Alaska wants her to get trauma training at a major civilian hospital in Washington State, 00:41:12.650 --> 00:41:15.580 position:50% align:middle also a non-compact state. 00:41:15.580 --> 00:41:20.680 position:50% align:middle While she was in Alaska, she had an Alaska license, which she currently holds. 00:41:20.680 --> 00:41:28.300 position:50% align:middle But she says, "I'm going to be in Washington State, why don't I just get a multistate license so I can 00:41:28.300 --> 00:41:36.270 position:50% align:middle save the trouble of having to get a license in every other state where they send me for training." 00:41:36.270 --> 00:41:40.520 position:50% align:middle So what, what should she do in this case? 00:41:40.520 --> 00:41:42.967 position:50% align:middle And what can she not do? 00:41:45.130 --> 00:41:46.177 position:50% align:middle Excuse me. 00:41:51.190 --> 00:41:53.373 position:50% align:middle Please put your comments in the chat. 00:41:57.250 --> 00:41:57.770 position:50% align:middle Okay. 00:41:57.770 --> 00:42:06.860 position:50% align:middle Rachel says she must apply for a Washington license because her home state is not a part of the compact. 00:42:06.860 --> 00:42:09.770 position:50% align:middle Kathleen says she can't get an MSL. 00:42:09.770 --> 00:42:12.500 position:50% align:middle She needs to get a Washington license. 00:42:12.500 --> 00:42:13.110 position:50% align:middle Correct. 00:42:13.110 --> 00:42:16.540 position:50% align:middle You're both right on target. 00:42:16.540 --> 00:42:20.000 position:50% align:middle So she would love to have a multistate license, but she can't. 00:42:20.000 --> 00:42:20.920 position:50% align:middle Why? 00:42:20.920 --> 00:42:31.260 position:50% align:middle Her PSOR, which is Alaska is not a compact state, okay? 00:42:31.260 --> 00:42:38.450 position:50% align:middle And Washington State isn't a compact state either, so they don't issue compact licenses. 00:42:38.450 --> 00:42:45.660 position:50% align:middle But she needs the authority to be able to practice in Washington State and the Alaska license doesn't give 00:42:45.660 --> 00:42:49.370 position:50% align:middle her that authority because it's Alaska only. 00:42:49.370 --> 00:42:53.700 position:50% align:middle Therefore, she's going to need to get a Washington state license. 00:42:53.700 --> 00:42:56.930 position:50% align:middle And Gina says she should get a single state license for Washington. 00:42:56.930 --> 00:43:02.600 position:50% align:middle Exactly right. 00:43:02.600 --> 00:43:08.240 position:50% align:middle Unless she's an advanced practice nurse, then you have to endorse RNs since APRNs don't have 00:43:08.240 --> 00:43:09.190 position:50% align:middle a compact anyway. 00:43:09.190 --> 00:43:10.150 position:50% align:middle Right. 00:43:10.150 --> 00:43:10.470 position:50% align:middle Okay. 00:43:10.470 --> 00:43:11.400 position:50% align:middle Very good. 00:43:11.400 --> 00:43:14.770 position:50% align:middle You all are getting it very well as to how this works. 00:43:14.770 --> 00:43:15.530 position:50% align:middle All right. 00:43:15.530 --> 00:43:18.850 position:50% align:middle So let's move forward. 00:43:18.850 --> 00:43:25.860 position:50% align:middle Many states have joined the compact since the enhanced compact began, and the enhanced compact began 00:43:25.860 --> 00:43:28.260 position:50% align:middle January 19th, 2018. 00:43:28.260 --> 00:43:33.730 position:50% align:middle We just passed the fourth anniversary of the enhanced compact. 00:43:33.730 --> 00:43:42.800 position:50% align:middle So if you are a nurse in one of those states that have joined the compact since January of 2018, 00:43:42.800 --> 00:43:49.620 position:50% align:middle and I have them listed here, how do you go about getting a multistate license? 00:43:49.620 --> 00:43:54.540 position:50% align:middle Well, you're going to want to go through what's called the upgrade process. 00:43:54.540 --> 00:44:01.580 position:50% align:middle And I list these states specifically because when these states joined the compact, 00:44:01.580 --> 00:44:07.880 position:50% align:middle you had thousands of nurses in these states who had a single state license that now want to change 00:44:07.880 --> 00:44:09.580 position:50% align:middle it to multistate. 00:44:09.580 --> 00:44:18.360 position:50% align:middle So these states had to put in a process for upgrading a single state license to a multistate license. 00:44:18.360 --> 00:44:25.320 position:50% align:middle So in these states, you will find a specific application on their website that is called an upgrade 00:44:25.320 --> 00:44:31.590 position:50% align:middle application or a conversion application, which means to convert your single state license 00:44:31.590 --> 00:44:33.770 position:50% align:middle to a multistate license. 00:44:33.770 --> 00:44:39.870 position:50% align:middle And that is what you'll see moving forward as other states join the compact as well. 00:44:39.870 --> 00:44:48.070 position:50% align:middle That based on this new compact that started four years ago, which has uniform license requirements, 00:44:48.070 --> 00:44:55.970 position:50% align:middle that you don't automatically get a multistate license just because your state joined the compact. 00:44:55.970 --> 00:44:59.350 position:50% align:middle That used to be the case prior to 2018. 00:44:59.350 --> 00:45:05.910 position:50% align:middle When a state joined the compact, all nurses in the state automatically were multistate. 00:45:05.910 --> 00:45:09.840 position:50% align:middle That's not the case anymore. 00:45:09.840 --> 00:45:14.300 position:50% align:middle So when the state does join the compact, like we talked about Vermont coming 00:45:14.300 --> 00:45:16.210 position:50% align:middle up next week, right? 00:45:16.210 --> 00:45:23.990 position:50% align:middle Vermont nurses are going to need to fill out a specific application to upgrade their single 00:45:23.990 --> 00:45:26.250 position:50% align:middle state to multistate. 00:45:26.250 --> 00:45:33.710 position:50% align:middle And that's how this compact works for existing nurses that have a license in that state already, 00:45:33.710 --> 00:45:37.340 position:50% align:middle an existing single state license, all right? 00:45:37.340 --> 00:45:44.640 position:50% align:middle So you go to the website in your state to look for that specific application. 00:45:44.640 --> 00:45:50.130 position:50% align:middle And each state will charge a different fee for that upgrade. 00:45:50.130 --> 00:45:55.830 position:50% align:middle Because the state decides what that fee is, the compact doesn't decide that fee. 00:45:55.830 --> 00:46:02.070 position:50% align:middle And I've seen a wide range, but keep in mind that this should be a one-time fee 00:46:02.070 --> 00:46:03.930 position:50% align:middle that you pay to upgrade. 00:46:03.930 --> 00:46:12.320 position:50% align:middle And when you do upgrade it from single to multistate, that does not change your renewal date. 00:46:12.320 --> 00:46:19.450 position:50% align:middle Your renewal date should stay the same. 00:46:19.450 --> 00:46:20.480 position:50% align:middle Okay. 00:46:20.480 --> 00:46:25.890 position:50% align:middle How do you know what license you have? 00:46:25.890 --> 00:46:32.840 position:50% align:middle It's easy to go to one place, nursecompact.com, which is the national database for nurses. 00:46:32.840 --> 00:46:39.020 position:50% align:middle So in other words, all 5 million nurses in the country can be found in this database. 00:46:39.020 --> 00:46:44.630 position:50% align:middle And you can pull up your own information if you're a nurse, or if you're an employer, 00:46:44.630 --> 00:46:47.770 position:50% align:middle you can pull up any nurse's information in here. 00:46:47.770 --> 00:46:51.070 position:50% align:middle And look on the far right, the far-right column is going to show you 00:46:51.070 --> 00:46:52.890 position:50% align:middle the compact status. 00:46:52.890 --> 00:46:58.270 position:50% align:middle That is going to tell you if it's multistate or single state, okay? 00:46:58.270 --> 00:47:04.690 position:50% align:middle And that's what you need to know if you want to practice in another compact state or if you're 00:47:04.690 --> 00:47:10.760 position:50% align:middle an employer and you want to know if that nurse has the authority to practice in your state. 00:47:10.760 --> 00:47:13.940 position:50% align:middle You want to know if they have a multistate license. 00:47:13.940 --> 00:47:18.810 position:50% align:middle Furthermore, what this website gives you is a map. 00:47:18.810 --> 00:47:23.680 position:50% align:middle As you see the question at the top, where can this nurse practice? 00:47:23.680 --> 00:47:29.470 position:50% align:middle And if you click on View Now, it's going to show you a map of all of the states where 00:47:29.470 --> 00:47:36.340 position:50% align:middle the nurse has the authority to practice based on all the licenses that the nurse has. 00:47:36.340 --> 00:47:42.500 position:50% align:middle So keep in mind, this one example we're looking at, Sandra, only has one license and it's a 00:47:42.500 --> 00:47:48.730 position:50% align:middle multistate license, but she may have licenses in many non-compact states as well. 00:47:48.730 --> 00:47:52.380 position:50% align:middle And they would all show here on this one screen. 00:47:52.380 --> 00:47:57.840 position:50% align:middle So if you're an employer, you wouldn't know about all these licenses if you just 00:47:57.840 --> 00:48:01.460 position:50% align:middle went to the Board of Nursing website to do a lookup. 00:48:01.460 --> 00:48:06.110 position:50% align:middle When you go to the Board of Nursing website, you only see that one license that that 00:48:06.110 --> 00:48:08.460 position:50% align:middle one state issued. 00:48:08.460 --> 00:48:14.380 position:50% align:middle Why do you want to see all of the licenses that the nurse holds or has ever held? 00:48:14.380 --> 00:48:19.010 position:50% align:middle Because there may be discipline attached to some of those licenses. 00:48:19.010 --> 00:48:24.100 position:50% align:middle And as an employer, you want to be aware of that as you're hiring a nurse. 00:48:24.100 --> 00:48:29.880 position:50% align:middle You want to see the complete picture of this nurse's history with licensure and discipline, 00:48:29.880 --> 00:48:37.580 position:50% align:middle and you can only get that through nursys.com. 00:48:37.580 --> 00:48:37.930 position:50% align:middle Okay. 00:48:37.930 --> 00:48:40.970 position:50% align:middle We're coming to the end here. 00:48:40.970 --> 00:48:47.610 position:50% align:middle We have a subscription that's available called Tip of the Week, which if you go to this link on our website, 00:48:47.610 --> 00:48:55.390 position:50% align:middle you will see the ability to subscribe and it sends to your inbox one tip every week. 00:48:55.390 --> 00:49:01.005 position:50% align:middle It could be true or false, multiple-choice, or some variety of different tips, 00:49:01.005 --> 00:49:08.400 position:50% align:middle but it's a great way to help you learn about the compact in one small snippet at a time every week 00:49:08.400 --> 00:49:10.680 position:50% align:middle of the year. 00:49:10.680 --> 00:49:17.800 position:50% align:middle And you can find us on our website or when you receive this recording and the slides, 00:49:17.800 --> 00:49:21.130 position:50% align:middle you'll be able to access it that way too. 00:49:21.130 --> 00:49:21.940 position:50% align:middle All right. 00:49:21.940 --> 00:49:22.780 position:50% align:middle So we're done. 00:49:22.780 --> 00:49:28.840 position:50% align:middle And this is my email address, nursecompact@ncsbn.org. 00:49:28.840 --> 00:49:31.200 position:50% align:middle You can always reach us there. 00:49:31.200 --> 00:49:36.730 position:50% align:middle We try to respond to emails in the same day or within 24 hours. 00:49:36.730 --> 00:49:43.490 position:50% align:middle Or you could go to our website, nlc.gov, where we have a lot of fact sheets but also videos 00:49:43.490 --> 00:49:45.090 position:50% align:middle on different topics. 00:49:45.090 --> 00:49:52.830 position:50% align:middle And as we said, there is one specific fact sheet about military and military spouses, etc., 00:49:52.830 --> 00:49:55.700 position:50% align:middle that pertains to federal nurses as well. 00:49:55.700 --> 00:50:04.840 position:50% align:middle And so that may be helpful especially when someone or an employer or a nurse don't understand how it works 00:50:04.840 --> 00:50:09.340 position:50% align:middle for military and military spouses, okay? 00:50:09.340 --> 00:50:10.980 position:50% align:middle We do have some time left. 00:50:10.980 --> 00:50:16.688 position:50% align:middle It looks like nine minutes left where we can take any questions you might have, any additional questions. 00:50:23.650 --> 00:50:33.580 position:50% align:middle If you don't want to type your question in the chat, you can also unmute yourself and you can just 00:50:33.580 --> 00:50:41.250 position:50% align:middle speak out loud. 00:50:41.250 --> 00:50:47.020 position:50% align:middle While we're waiting for any questions, I want to let you know that we have posted all of our 00:50:47.020 --> 00:50:49.940 position:50% align:middle 2022 webinar dates on our website now. 00:50:49.940 --> 00:50:54.290 position:50% align:middle So if you haven't seen that, please take a look at it. 00:50:54.290 --> 00:50:58.860 position:50% align:middle And we have one webinar every month on a different topic. 00:50:58.860 --> 00:51:04.420 position:50% align:middle And you're welcome to register for any of those various topics. 00:51:04.420 --> 00:51:11.660 position:50% align:middle Each month, we will always provide you with the current information as far as the legislative status of new 00:51:11.660 --> 00:51:15.570 position:50% align:middle states joining the compact. 00:51:15.570 --> 00:51:22.220 position:50% align:middle So if you don't have questions today, please hang on to my email address because it could be 00:51:22.220 --> 00:51:26.890 position:50% align:middle handy when you do come up with a question in the future, and we're happy to help you with that. 00:51:26.890 --> 00:51:33.520 position:50% align:middle I'm not seeing any additional questions come in the chat. 00:51:33.520 --> 00:51:39.090 position:50% align:middle So we will go ahead and wrap up the webinar and thank you once again for joining us. 00:51:39.090 --> 00:51:44.260 position:50% align:middle And in one week's time, this recording will be posted on our website 00:51:44.260 --> 00:51:47.040 position:50% align:middle with the audio, as well as the slides. 00:51:47.040 --> 00:51:48.150 position:50% align:middle So thank you very much. 00:51:48.150 --> 00:51:49.990 position:50% align:middle I hope you found this helpful. 00:51:49.990 --> 00:51:51.360 position:50% align:middle Take care.