The Interstate Medical Licensure Compact: Quick Facts

Confused about the Interstate Medical Licensure Compact? Learn what the implementing legislation (Senate Bill 190 and House Bill 661) does and doesn’t do.

Question 1: Does the Interstate Medical Licensure Compact change the state’s authority, autonomy, or control over the practice of medicine?

Fact: No. The state will retain all the authority, autonomy, and control it currently has. The compact offers an efficient, streamlined process to allow physicians to obtain licensure in multiple states. The Texas Medical Practice Act will remain otherwise unchanged, and the compact has no authority to change it in any way. The first section of the compact states, “The compact creates another pathway for licensure and does not otherwise change a state’s existing medical practice act.”

Question 2: Is a physician required to participate in the compact?

Fact: No. Participation is totally voluntary.

Question 3: Does the Interstate Medical Licensure Compact require physicians to participate continuously in Maintenance of Certification programs?

Fact: No, there is no ongoing requirement for maintenance of certification. At the time of application to the compact, a physician must hold specialty certification or a time-unlimited specialty certificate recognized by the American Board of Medical Specialties or the American Osteopathic Association's Bureau of Osteopathic Specialists. However, this is required only at the time of compact application and is not an ongoing requirement.

Question 4: Will the compact require that all licensed Texas physicians or physician applicants become board certified/participate in Maintenance of Certification programs?

Fact: No. If a physician or physician applicant does not participate in the compact, his or her current licensure requirements will remain exactly the same as they are now.

Question 5: Will there be a cost to the state or to physicians if the compact is adopted?

Fact: No. There will be no increased costs to either the state or physicians if the compact is adopted. Licensure fees paid by the voluntary participants will cover any costs associated with the compact.

Question 6: If Texas joins the compact, would it be difficult or expensive if the state decided to leave the compact?

Fact: No. Should Texas wish to leave the compact, it simply needs to repeal the law.

Question 7: Is this the first compact that Texas has considered joining?

Fact: No. Texas is currently a member of more than 20 compacts with other states.

Last Updated On

May 12, 2016