Athletic Trainer
Licensure Compact
About
The Council of State Governments (CSG) is partnering with the Department of Defense (DoD) and the Board of Certification for the Athletic Trainer (BOC) to support the mobility of licensed athletic trainers through the development of a new interstate compact. This additional licensing pathway will facilitate multistate practice among member states and reduce the barriers to license portability.
Current Status
The compact is currently under development. Once an initial draft is developed, it will be shared on this page with the opportunity to provide feedback for stakeholder review.
Compact Kickoff Meeting
Frequently Asked Questions
What is an interstate compact?
Interstate compacts are legislatively enacted contracts between states.
Just as a contract joins two or more parties in a business deal, interstate compacts unify two or more states with a set of common provisions. In occupational licensure compacts, the provisions are the requirements a practitioner must meet to receive an occupational license.
Compacts are subject to the principles of contract law and are protected by the U.S. Constitution’s prohibition against laws that impair contractual obligations. Additionally, compacts have the force and effect of statutory law and take precedence over conflicting state laws, regardless of when those laws are enacted. Once enacted, compacts may not be unilaterally renounced by a member state unless, provided by the compacts themselves.
Congress and the courts can compel compliance with the terms of interstate compacts, making compacts one of the most effective means of ensuring interstate cooperation.
Does the Council of State Governments have experience creating interstate compacts?
The Council of State Governments (CSG), the nation’s only organization serving all three branches of state government, created the National Center for Interstate Compacts (NCIC), a policy program dedicated to assisting states in the creation of compacts that address multi-state issues.
Specifically, CSG has been involved in the development and implementation of every recent occupational licensure interstate compact.
Additionally, CSG has participated in the creation of numerous compacts that count all 50 states as members, including:
- Interstate Compact for Adult Offender Supervision
- Interstate Compact for Juveniles
- Interstate Compact for the Placement of Children
- Emergency Management Assistance Compact
- Military Children’s Interstate Compact
How do states use interstate compacts?
Compacts are versatile policy tools that can be leveraged for any issue where states need to coordinate. For example, existing compacts are used to reduce burdens for military families in transition, solve boundary disputes, manage shared natural resources and build resilience to natural disasters.
There are over 270 active compacts in the U.S., and on average states are members of about 42.
How many occupational licensure compacts are there?
Currently, there are seventeen interstate compacts for occupational licensure:
Interstate Medical Licensure Compact (IMLC)
Nurse Licensure Compact (NLC)
Advanced Practice Registered Nurse Compact (APRN Compact)
Emergency Medical Services Compact (The EMS Compact)
Physical Therapy Compact (PT Compact)
Psychology Interjurisdictional Compact (PSYPACT)
Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC)
Occupational Therapy Licensure Compact (OT Compact)
Counseling Compact
Interstate Teacher Mobility Compact (ITMC)
Social Work Compact
Interstate Massage Therapy Compact (IMPact)
Dental Compact
Interstate Compact for School Psychologists (ICSP)
Dietitian Licensure Compact
Physician Assistant/Associate Compact (PA Compact)
Cosmetology Compact
State entrance into a compact requires the state legislature to pass legislation, with the governor’s signature, containing compact language substantially similar to the model language. The authorizing language in each state’s compact legislation must be the same for the compact to be enforceable.
I think the best way to describe this would be enacting legislation. There are sometimes situations where the governor does not sign but state law still allows the bill to become law after a certain time period
How many states are required for a compact to be in effect?
For compacts to function, at least two states must enter into the agreement. Some compacts may be regionally focused and only have a few member states, while other compacts may include every U.S. state and even some territories. Compacts may require a certain threshold of member states to be in effect, most occupational licensure compacts have an activation threshold of 7-10 states.
What are the benefits of a compact?
Compacts are powerful, durable and adaptive tools for promoting and ensuring cooperative action among states.
Compacts:
- Provide state-developed solutions to shared and complex public policy problems.
- Settle interstate disputes.
- Respond to national priorities in consultation or partnership with the federal government.
- Help states maintain sovereignty in matters traditionally reserved for the states in place of federal inaction or inflexible and unfunded mandates.
- Create economies of scale to reduce administrative costs.
- Address regional issues that affect multiple states.
- Prevent the need for a state to act unilaterally.
How do compacts preserve state sovereignty?
Compacts do not change a state’s governing authority within its own borders. Compacts promote shared sovereignty among compact member states through agreed-upon rules that apply only to what is authorized by the compact.
Where do states obtain legal authority to enter compacts?
The interstate compact system is a constitutionally authorized means of implementing and protecting federalism and the role of states in the federal system.
The U.S. Constitution (Art. 1, Sec. 10, Clause 3) grants states the right to enter into multistate agreements for their common benefit. Congress must approve any compact that would increase state political power in a manner that would encroach upon federal authority. No compacts for occupational licensure portability have needed to acquire congressional consent.
When entering a compact, states must adhere to state constitutional requirements. In 1951, the U.S. Supreme Court affirmed in West Virginia v. Sims that states have the authority to enter compacts and delegate authority to an interstate agency.
How are compacts administered and enforced?
Compacts establish uniform guidelines, standards and procedures for agencies in compact member states.
Compacts are governed across states by a statutorily created administrative entity (such as an interstate commission) as authorized by member states through the terms of the compact. Compact commissions address issues related to the compact more effectively than a state agency acting independently or when no state has the authority to act unilaterally.
Compacts are controlled by member states. Each member state typically appoints one or more delegates to the interstate commission, which serve as the compact administrators.
What are the steps in the compact development process?
Development – Through a deliberative process, stakeholder groups examine issues, current state policies, best practices and alternative structures. Compact language is drafted based on recommendations from the stakeholder groups.
Education and Enactment – Once the compact language is finalized, states individually consider the compact through the legislative process, supported by educational and technical assistance from organizations such as The Council of State Governments (CSG) National Center for Interstate Compacts.
Transition and Operation – After the enactment threshold of states is met, a compact commission is created to operationalize and administer the compact.
How long can it take to fully activate a compact?
Because compacts incorporate many stakeholders in the development process, need state legislative approval and require the establishment of an interstate commission, the entire process may take 3-6 years for the provisions of the compact to become operational. However, once compacts become operational, they remain durable and adaptable tools for the benefit of states.
Compacts require funding for development and administration. For occupational licensure compacts specifically, they must maintain a compact data system that facilitates licensure portability. Licensure compacts can generate revenue from license fees, state assessments, donations, grants and in-kind services.
Additional Questions
If you have any additional questions, please contact Keith Buckhout ([email protected]).