Abstract
This paper provides an overview of the limitations in the current state-based licensure system for social worker practitioners, clients, and regulators that calls for an interstate solution such as a licensure compact. It also reviews the models of interstate licensure compacts from other healthcare professions and draws lessons critical for the implementation of the emerging Social Work Licensure Compact. It further reviews empirical evidence on interstate compacts, available only in the nursing literature, and reports that the nurse licensure compact may be related to improvement in nurses’ geographic mobility and public safety but a reduction in nurses’ wages and employment. Building upon these reviews, this paper proposes that social work stakeholders and scholars should focus on monitoring how and to what extent the compact will affect (1) practitioners’ practice mobility and labor market outcomes, (2) public safety and access to social work services, and (3) regulatory efficiency and standardization in the future.
Similar content being viewed by others
References
Adashi, E. Y., Cohen, I. G., & McCormick, W. L. (2021). The Interstate Medical Licensure Compact: Attending to the underserved. Journal Of The American Medical Association, 325(16), 1607–1608. https://doi.org/10.1001/jama.2021.1085.
Apgar, D. (2022). Social work licensure portability: A necessity in a post-COVID-19 world. Social Work, 67(4), 381–390. https://doi.org/10.1093/sw/swac031.
Association of Social Work Boards (2018). Social work practice mobility implementation [Information sheet]. https://www.aswb.org/wp-content/uploads/2021/01/Social-Work-Practice-Mobility-Implementation-alternate-layout.pdf
Association of Social Work Boards (2020). Social work practice mobility by the numbers. https://www.aswb.org/social-work-practice-mobility-by-the-numbers/
Association of Social Work Boards (2022a). Getting licensed in another state or province. https://www.aswb.org/licenses/how-to-get-a-license/getting-licensed-in-another-state-or-province/
Association of Social Work Boards (2022b). Courageous conversations: Social Work Workforce Coalitions’ first meeting brings leaders together. https://www.aswb.org/courageous-conversationssocial-work-workforce-coalitions-first-meeting-brings-leaders-together/
Association of Social Work Boards (2022c). Association of Social Work Boards releases data analysis on social work licensing exam pass rates. https://www.aswb.org/aswb-releases-data-analysis-on-social-work-licensing-exam-pass-rates/
Association of Social Work Boards (2023a). Legislative updateshttps://www.aswb.org/regulation/research/legislative-updates/
Association of Social Work Boards (2023b). Model Social Work Practice Act. https://www.aswb.org/regulation/model-social-work-practice-act/
Association of Social Work Boards (2023c). Social Work Practice Mobility: Mobility Strategy https://movingsocialwork.org/mobility-strategy/
Association of State and Provincial Psychology Boards (2022). Psychology Interjurisdictional Compact (PSYPACT). https://www.asppb.net/page/PSYPACT
Association of State and Provincial Psychology Boards (2023). Workforce Analysis Survey. https://www.asppb.net/page/WorkforceAnalysis
Bergman, E., & Morley, C. (2022). Public policy: Nurse Licensure Compact as a lesson in legislative action for the case management community. Professional Case Management, 27(1), 26–29. https://doi.org/10.1097/NCM.0000000000000542.
Brannock, M. K., & Bradford, N. A. (2021). Barriers to licensure for military spouse registered nurses. Journal of Nursing Regulation, 11(4), 4–14. https://doi.org/10.1016/S2155-8256(20)30170-8.
Caldwell, B. (2022). CSWE recommends all states pause use of social work licensing examshttps://www.psychotherapynotes.com/cswe-states-pause-social-work-licensing-exams/
Camper, A., & Felton, E. (2020). Telemental health: Legal considerations for social workers. National Association of Social Workers. https://www.socialworkers.org/About/Legal/HIPAA-Help-For-Social-Workers/Telemental-Health.
Carpenter, D. M., Knepper, L., Sweetland, K., & McDonald, J. (2018). The continuing burden of occupational licensing in the United States. Economic Affairs, 38(3), 380–405. https://doi.org/10.1111/ecaf.12319.
Clinical Social Work Association (March 23, 2023). Announcements: The ASWB clinical social work examination: Competence, context and next steps. https://www.clinicalsocialworkassociation.org/Announcements
Counseling and Mental Health Center (2022). For mental health and medical professionals: State-by-state guide to the rules/laws about telehealth/telemedicine services across state lines. The University of Texas at Austin. https://cmhc.utexas.edu/state_telehealth.html?fbclid=IwAR3TvdwyftFn_5PKV2fO41DWLALKdDMuAjynxXnFZIJgs8s3EsCP2oxf_Mg&utm_content=buffer7f768&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
Create Occupational Credential Portability Program, Col. Stat. HB20-1326 (2020). https://leg.colorado.gov/bills/hb20-1326
Cristofalo, M. (2021). Telehealth, friend, and foe for health care social work. Qualitative Social Work, 20(1–2), 399–403. https://doi.org/10.1177/1473325020973358.
Cunningham, E. (2019). Professional certifications and occupational licenses: Evidence from the Current Population Survey. Monthly Labor Review, June 2019, 1–38. https://www.bls.gov/opub/mlr/2019/article/professional-certifications-and-occupational-licenses.htm
DePasquale, C., & Stange, K. (2016). Labor supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. https://www.nber.org/papers/w22344
Dillender, M., Sasso, A. T. L., Phelan, B. J., & Richards, M. R. (2022). Occupational Licensing and the Healthcare Labor Market (No. w29665). National Bureau of Economic Research. https://www.nber.org/papers/w29665
Federation of State Medical Boards (2023). Physician Data Center: PDC Data Files. https://www.fsmb.org/PDC/pdc-data-files/
Fink-Samnick, E. (2016). Aligning professional ethics with innovation: Licensure portability’s predicamenthttps://www.researchgate.net/profile/Ellen-Fink-Samnick/publication/267514698_Aligning_Professional_Ethics_With_Innovation_Licensure_Portability%27s_Predicament/links/5462216c0cf2c0c6aec1a607/Aligning-Professional-Ethics-With-Innovation-Licensure-Portabilitys-Predicament.pdf
Finocchio, L. F., Dower, C. M., Blick, N. T., & Gragnola, C. M. (1995). Reforming health care workforce regulation: Policy considerations for the 21st century. Pew Health Professions Commission. https://www.leg.state.nv.us/App/InterimCommittee/REL/Document/21360?rewrote=1
Fleishon, H. B., Vijayasarathi, A., Pyatt, R., Schoppe, K., Rosenthal, S. A., & Silva, I. I. I., E (2019). White paper: Corporatization in radiology. Journal of the American College of Radiology, 16(10), 1364–1374. https://doi.org/10.1016/j.jacr.2019.07.003.
Follett, T., Herman, Z., & Hentze, I. (2021). Universal licensure recognition. National Conference of State Legislatures. https://www.ncsl.org/research/labor-and-employment/universal-licensure-recognition.aspx
Fuchs, L. W. (2020). The rise of telehealth. Dissent. https://www.dissentmagazine.org/online_articles/the-rise-of-telehealth
Ghani, A. A. (2019). The impact of the nurse licensing compact on inter-state job mobility in the United States. OECD Economic Survey of the United States: Key Research Findings, 103–119. Organization for Economic Co-Operation and Development. https://doi.org/10.1787/9789264310278-en
Harris, B., & Birnbaum, R. (2015). Ethical and legal implications on the use of technology in counseling. Clinical Social Work Journal, 43, 133–141. https://doi.org/10.1007/s10615-014-0515-0.
Health Resources and Services Administration. (n.d.). Behavior health workforce projections. https://bhw.hrsa.gov/data-research/projecting-health-workforce-supply-demand/behavioral-healthhttps://doi.org/10.1111/ecaf.12319
Health Resources and Services Administration (2016). National projections of supply and demand for selected behavioral health practitioners: 2013–2015. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/behavioral-health-2013-2025.pdf
Health Resources and Services Administration (2022). Telehealth licensing requirement and interstate compacts. https://telehealth.hhs.gov/providers/policy-changes-during-the-covid-19-public-health-emergency/telehealth-licensing-requirements-and-interstate-compacts/#interstate-compacts
Hermansen, M. (2020). Occupational licensing has a sizeable impact on job mobility in the US The Center for Economic Policy Research. https://voxeu.org/article/occupational-licensing-has-sizeable-impact-job-mobility-us.
Interstate Commission of Nurse Licensure Compact Administrators (2021). Nurse licensure compact annual report: Fiscal year 2021https://www.ncsbn.org/FY21-NLCAnnualReport.pdf
Interstate Medical Licensure Compact (2022). https://www.imlcc.org/
Interstate Medical Licensure Compact (2023). Compact policies, rules and laws. https://www.imlcc.org/imlc-commission/compact-policies-rules-and-laws/
Johnson, J. E., & Kleiner, M. M. (2020). Is occupational licensing a barrier to interstate migration? American Economic Journal: Economic Policy, 12(3), 347–373. https://doi.org/10.1257/pol.20170704.
Kleiner, M. (2006). Licensing occupations: Ensuring quality or restricting competition W.E. Upjohn Institute for Employment Research. https://research.upjohn.org/cgi/viewcontent.cgi?article=1034&context=up_press
Kleiner, M. M., Gay, R. S., & Greene, K. (1982). Licensing, migration, and earnings: Some empirical insights. Review of Policy Research, 1(3), 510–522. https://doi.org/10.1111/j.1541-1338.1982.tb00456.x.
Koumenta, M., & Pagliero, M. (2016). Measuring prevalence and labour market impacts of occupational regulation in the EU Research Report to the European Commission. https://ec.europa.eu/growth/content/measuring-prevalence‐and‐labour‐market‐ impacts‐occupational‐regulation‐eu‐0_en.
Lin, V. W., Lin, J., & Zhang, X. (2015). US social worker workforce report card: Forecasting nationwide shortages. Social Work, 61(1), 7–15. https://doi.org/10.1093/sw/swv047.
Marlow, M. L. (2015). FSMB Interstate Medical Licensure Compact: An economist’s view. Journal of American Physicians and Surgeons, 20(3), 71–75. https://www.jpands.org/vol20no3/marlow.pdf.
Marquiss, N. (2021). An empirical assessment of occupational licensing reforms in the healthcare sector [Doctoral dissertation, Vanderbilt University]. https://www.proquest.com/docview/2572613254?pq-origsite=gscholar&fromopenview=true
Morrow, D. F. (2023). Social work licensure and regulation in the United States: Current trends and recommendations for the future. Research on Social Work Practice, 33(1), 8–14. https://doi.org/10.1177/10497315221114175.
Mulholland, S. E., & Young, A. T. (2016). Occupational licensing and interstate migration. Cato Journal, 36, 17–31. https://www.cato.org/sites/cato.org/files/serials/files/cato-journal/2016/2/cato-journal-v36n1-2.pdf.
Mullangi, S., Agrawal, M., & Schulman, K. (2021). The COVID-19 pandemic—An opportune time to update medical licensing. JAMA Internal Medicine, 181(3), 307–308. https://doi.org/10.1001/jamainternmed.2020.8710.
National Association of Deans and Directors of School of Social Work (2022). NADD statement on ASWB release of report on licensure passage rateshttp://www.naddssw.org/pages/wp-content/uploads/2022/09/NADD-Statement-on-ASWB-Report-Release-Sep-2-2022.pdf
National Association of Social Workers (2017). NASW, ASWB, CSWE, & CSWA standards for technology in social work practicehttps://www.socialworkers.org/includes/newincludes/homepage/PRA-BRO-33617.TechStandards_FINAL_POSTING.pdf
National Association of Social Workers (2021). Social work profession awarded federal grant to develop interstate licensure compacthttps://www.socialworkers.org/News/News-Releases/ID/2301/Social-Work-Profession-Awarded-Federal-Grant-to-Develop-Interstate-Licensure-Compact
National Association of Social Workers (2023). February 14, 2023 Update on the Social Work Interstate Compacthttps://www.socialworkers.org/Advocacy/Interstate-Licensure-Compact-for-Social-Work/February-2023-Update-on-the-Social-Work-Interstate-Compact
National Conference of State Legislatures (2020). Occupational licensing: Assessing state policies and practiceshttps://www.ncsl.org/Portals/1/Documents/Labor/NCSL_DOL_Report_05_web_REVISED.pdf
National Conference of State Legislatures (2022). Mental health professionals’ duty to warnhttps://www.ncsl.org/research/health/mental-health-professionals-duty-to-warn.aspx
National Council of State Boards of Nursing (2022). Licensure Compacts (NLC): 39 NLC jurisdictions and statushttps://www.ncsbn.org/nurse-licensure-compact.htm
National Council of State Boards of Nursing (2023). Nursing Regulation. https://www.ncsbn.org/boards.page
Nurse Licensure Compact (2022). https://www.nursecompact.com/index.htm
Oyeleye, O. A. (2019). The nursing licensure compact and its disciplinary provisions: What nurses should know. The Online Journal of Issues in Nursing, 24(2), https://doi.org/10.3912/OJIN.Vol24No02PPT09.
Pollack, D., & Markowitz, M. (2021). Is there a shortage of rural social workers? Rural Health Voices. https://www.ruralhealth.us/blogs/ruralhealthvoices/november-2021/is-there-a-shortage-of-rural-social-workers
Scheffler, G. (2019). Unlocking access to health care: A federalist approach to reforming occupational licensing. Health Matrix (Cleveland, Ohio : 1991), 29(1), 293–355. https://core.ac.uk/download/pdf/232849952.pdf.
Shakya, S., Ghosh, S., & Norris, C. (2022). Nurse licensure compact and mobility. Journal of Labor Research, 43, 260–274. https://doi.org/10.1007/s12122-022-09333-2.
Smith, M. (2020). The Interstate Medical Licensure Compact Commission: Growth, success, and the future. Journal of Medical Regulation, 106(3), 22–26. https://doi.org/10.30770/2572-1852-106.3.22.
Social Work Licensure Compact (2023). https://swcompact.org/
Soileau, J. S., Usrey, S. C., & Webb, T. Z. (2017). Sitting requirements and the CPA exam. Issues in Accounting Education, 32(1), 1–15. https://doi.org/10.2308/iace-51330.
Sulentic, A. M. (1999). Crossing borders: The licensure of interstate telemedicine practitioners. Journal of Legislation, 25, 1–37. https://core.ac.uk/download/pdf/268218194.pdf.
The Council of State Governments (2019). Occupational Licensure Interstate Compacts in Action. https://licensing.csg.org/wp-content/uploads/2019/07/OccpationalInterstateCompacts-InAction_Web.pdf
The Council of State Governments. (2023). The Social Work Licensure Compact. National Center for Interstate Compacts. https://compacts.csg.org/compact-updates/social-work/.
The Psychology Interjurisdictional Compact (2021). Background on interstate compacts [Brief Series: Interstate Licensure Compacts]. https://scholarworks.iupui.edu/bitstream/handle/1805/25080/PsyPact.pdf?sequence=3
The Psychology Interjurisdictional Compact (2022). PSYPACT Map/States. https://psypact.site-ym.com/page/psypactmap
The Psychology Interjurisdictional Compact (2023). Compact laws, bylaws, rules and policies. https://psypact.org/page/governance
Wakefield, M. (2010). Health licensing board report to Congress Health Resources and Services Administration (HRSA). U.S. Department of Health and Human Services https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/about-us/reports-to-congress/hhs-health-workforce-report-to-congress-2022.pdf
Willmarth, C., & Conway, S. (2022). AOTA–NBCOT® joint initiative: Developing the occupational therapy licensure compact. The American Journal of Occupational Therapy, 76(1), 1–7. https://doi.org/10.5014/ajot.2022.761002.
Younggren, J. N., Gottlieb, M. C., & Baker, E. (2022). Navigating the labyrinth of professional regulations: Surviving in a flawed regulatory system. Professional Psychology: Research and Practice, 53(4), 333–339. https://doi.org/10.1037/pro0000468.
Zhong, E., Martin, B., & Alexander, M. (2022). A comparison of discipline between nurses holding a multi-or single-state license. Journal of Nursing Regulation, 13(1), 1–5. https://doi.org/10.1016/S2155-8256(22)00030-8.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing Interests and Funding
This research was funded by the Association of Social Work Boards (ASWB). However, the opinions expressed in this manuscript are those of the authors and may not reflect the official position of the ASWB.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Kim, J.J., Joo, M.M. & Curran, L. Social Work Licensure Compact: Rationales, Expected Effects, and a Future Research Agenda. Clin Soc Work J 51, 316–327 (2023). https://doi.org/10.1007/s10615-023-00878-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10615-023-00878-y