The 2018 legislative session is in full swing for the majority of states, and with it, the ASA State Affairs Department is tracking and monitoring a wide variety of bill introductions and proposed regulations. This includes a number of medical and nursing interstate licensure compacts. Because there are several of these circulating state legislatures, it is easy to confuse them. In particular, understanding the difference between the Advanced Practice Registered Nurse (APRN) Compact and the Enhanced Nurse Licensure Compact (eNLC, or Nurse Licensure Compact) is vital, as they have very different effects on the scope of practice for APRNs and, more specifically, nurse anesthetists.

The APRN Compact is similar to other medical and nursing licensure compacts in that it would allow a group of professionals, in this case APRNs, to hold one multi-state license with the ability to practice...

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