FSMB Interstate Medical Licensure Compact

The Federation of State Medical Board's (FSMB) proposed interstate compact system would allow participating state medical boards to retain their licensing and disciplinary authority, while they would also agree to share information and process essential to the licensing and regulation of physicians who practice across state borders. Participation in the Compact would be voluntary, for both states and physicians.

Contact your state's medical and osteopathic boards.

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Keep up to date with the latest news on FSMB and access an interactive map that tracks Interstate Medical Licensure Compact legislation at the state level.
Image source: http://www.licenseportability.org

The Compact adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter, and therefore, requires the physician to be under the jurisdiction of the state medical board where the patient is located. State medical boards that participate in the Compact retain the jurisdiction to impose an adverse action against a license to practice medicine in that state issued to a physician through the procedures in the Compact.

  • Adopts prevailing standard for medical licensure
  • Affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter
  • Physician must be under jurisdiction of the state medical board where the patient is located
  • States that participate in the Compact retain jurisdiction to impose an adverse action against a treating physician
  • Participation is voluntary for both physicians and states

The AAD has issued the following statement of support: 

The American Academy of Dermatology applauds the FSMB for its efforts in reforming state licensure in a way that will preserve the authority of state medical boards, while also promoting patient safety, high-quality care and increased patient access. The FSMB’s “Interstate Medical Licensure Compact” will allow physicians greater flexibility in practicing across state lines, which is especially vital for the safe and effective provision of telemedicine services. The Academy looks forward to further working with the FSMB and state medical boards to both promote, and ensure the success of the interstate compact.