Massachusetts to allow out-of-state nurses to work in the commonwealth

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1x,https://cdn.grove.wgbh.org/dims4/default/6f27892/2147483647/strip/true/crop/6406x3617+0+0/resize/1920x1084!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2F2e%2F5d%2Fd7abe1ca4a099204bfeffeb9db13%2Fap22097699384348.jpg 2x"data-size="leadImageLarge" /> <img class="Image" alt="A nurse wearing blue scrubs and a mask takes notes in an exam room." src="https://cdn.grove.wgbh.org/dims4/default/f0f9885/2147483647/strip/true/crop/6406x3617+0+0/resize/960x542!/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2F2e%2F5d%2Fd7abe1ca4a099204bfeffeb9db13%2Fap22097699384348.jpg"> </picture> </div> <div class="attributions"><figcaption>FILE - Air Force Capt. Kimberly Hunt, a registered nurse, records patient information as part of the COVID-19 response operations in Brockton, Mass., in February 2022.</figcaption><div class="credit"><span> Spc. Daniel Thompson </span> <span> U.S. Army via AP </span></div> </div> </div> </figure> </div> <div class="article-body-wrapper"> <div class="article-metadata"> <div class="ArticleByline"> <div class="authorImages"> <div class="author-image"> <picture> <source type="image/webp" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <source type="image/jpeg" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <img class="Image" alt="thumbnail_58130173477__338C62F6-395D-477E-B537-86F84DF27E73 - Marilyn Schairer.jpg" data-src="https://cdn.grove.wgbh.org/dims4/default/ac32a91/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg" loading="lazy" src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" > </picture> </div> </div> <div class="authorInfos"> <div class="PersonInfo"> <div class="author-image"> <picture> <source type="image/webp" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <source type="image/jpeg" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <img class="Image" alt="thumbnail_58130173477__338C62F6-395D-477E-B537-86F84DF27E73 - Marilyn Schairer.jpg" data-src="https://cdn.grove.wgbh.org/dims4/default/ac32a91/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg" loading="lazy" src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" > </picture> </div> <div class="author-info"> <div class="name-social-links"> <div class="name byline"> <a href="https://www.wgbh.org/people/marilyn-schairer" data-cms-ai="0"> Marilyn Schairer </a> </div> </a> <div class="social-links"> <div class="SocialBar"> <div class="heading"></div> <ul> <li> <a class="SocialLink gtm_share" rel="noreferrer" href="https://twitter.com/MarilynSchairer" target="_blank" data-social-service="twitterX" data-platform="twitterX" aria-label="twitterX" onclick="window.dataLayer.push({'event': 'socialClick', 'gbhData': {'destination': 'https://twitter.com/MarilynSchairer', 'additionalData': 'twitterX'}})" data-cms-ai="0"><svg><use href="#mono-icon-twitterX"></use></svg><span class="socialHandle">MarilynSchairer</span></a> </li> </ul> </div> </div> </div> <div class="author-bio"> Marilyn Schairer is a reporter and producer for GBH News. Feedback? Questions? Story ideas? Reach out to Marilyn at marilyn_schairer@wgbh.org. </div> </div> </div> </div> </div> <div class="timestamp"><div class="datePublished"> November 21, 2024 </div> <meta content="2024-11-21T23:23:47.184Z"> <div class="dateModified">Updated  November 22, 2024</div> <meta content="2024-11-22T14:29:11.120Z"> </div> </div> <div class="articleBody rich-text"> <p>Massachusetts has taken a big step when it comes to addressing the nursing shortage in the state, but some people say it still won’t solve current staffing problems.</p><p>On Wednesday, Gov. Maura Healey signed the state’s economic development bill, which included a measure to join the Nurse Licensure Compact. The agreement allows nurses to practice in other NLC-participating states — in person or via telehealth — without having to obtain a new license for that location. </p><p>“If you’re licensed in Rhode Island and they’re part of the nurse licensure compact, then you would be able to work in Massachusetts,” explained state Sen. Cindy Friedman, chair of the Health Finance Committee, who supported the measure.</p><p>With Massachusetts now included in the NLC, it means all the New England states are in the compact, bringing the total to 42 states and jurisdictions. While it’s been widely adopted, a few states and opponents of the measure argue that it lowers standards for nursing or doesn’t address the key issues facing the industry.</p><p>Massachusetts Health Policy Commission, an independent state agency that seeks to improve the affordability of health care for residents, said joining the compact will benefit nurses and the healthcare workforce across Massachusetts.</p><p>“The <a href="https://cdn.grove.wgbh.org/28/f6/ab6db3724cbebdbd7e83999ed859/nurse-licensure-compact-study-0.pdf" class="Link" data-cms-ai="0" > HPC’s examination</a> of the commonwealth’s entry into the Nurse Licensure Compact found multiple benefits for Massachusetts in joining the Compact, including for the oversight of nursing practice in Massachusetts, for health care employers, and for individual nurses,” according to HPC spokesperson Mickey O’Neill.</p><p>“Compact membership,” she added, “will also enhance the ability of the Massachusetts health care system to prepare for pandemics, emergencies, and other staffing needs and to facilitate telehealth and other care delivery transformations in the future.”</p><p>But joining the compact is not without its critics. </p><p>The 25,000-member Massachusetts Nurses Association said the compact has <a href="https://cdn.grove.wgbh.org/e7/81/5b5bb03d4b2cb0ce6e60abb41209/conf-letter-mna-and-1199.pdf" class="Link" data-cms-ai="0" > failed to solve the nursing crisis</a> in other parts of the country.</p><p>“Compact has failed to address the nursing crisis in states where it has been adopted. Places like Texas, Missouri, and South Carolina — all longtime Compact states — have had much higher nurse vacancy rates than Massachusetts,” Kate Murphy, an ICU nurse and president of the MNA, said in a statement.</p><p>According to the National Center for Workforce Analysis, a national nurse workforce shortage of 10% is expected to <a href="https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nursing-projections-factsheet.pdf" class="Link" target="_blank" data-external data-cms-ai="0" > continue through 2037</a>. The analysis points to a number of factors, including an aging population, nurse burnout and new medical procedures and treatments.</p><p>The MNA also said a range of options already exist in Massachusetts to grow the workforce, including the fact that spouses of military personnel can already receive expedited licensure, and out-of-state RNs can secure a license in a timely manner.</p><p>In Massachusetts, the MNA has said the nurse vacancy rate is currently lower than the national average, pointing to a 30% increase of RNs since 2019.</p><p>The MNA said instead of the state Board of Registration in Nursing conducting appropriate licensure background checks of prospective nurses, with the NLC, an outside third party would do it.</p><p>Among the backers of the MNA’s opposition to the NLC are Reps. <a href="https://cdn.grove.wgbh.org/94/f3/790b1a7045f89641769444385a82/cong-lynch-dod-compact-letter-2022.pdf" class="Link" data-cms-ai="0" > Stephen Lynch</a> and <a href="https://cdn.grove.wgbh.org/27/8e/86963edc49b2836749d00dfdbdb6/keating-nursingcompactdoda.pdf" class="Link" data-cms-ai="0" > William Keating</a>, among others.</p><p>“The compact is a solution looking for a problem,” the MNA asserts. </p><p>Murphy said instead of joining the compact, officials should be focused on keeping nurses at bedsides and addressing workplace violence.</p><p>In backing the measure, Friedman, chair of the Health Care Financing Committee, said getting a Massachusetts license for out-of-state nurses is “laborious and expensive,” and a compact will expedite the process.</p><p>“Just making it easier to get licensed in Massachusetts when you are a nurse that meets a fairly high standard won’t solve the problem,” Friedman said, “but it will take away another barrier.”</p> </div> <div class="article-metadata bottom"> <div class="AuthorBios"> <div class="PersonInfo"> <div class="author-image"> <picture> <source type="image/webp" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <source type="image/jpeg" data-srcset="https://cdn.grove.wgbh.org/dims4/default/3d695e3/2147483647/strip/true/crop/961x961+0+160/resize/60x60!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/918bc8b/2147483647/strip/true/crop/961x961+0+160/resize/120x120!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fc6%2Fd2%2Ffd852db0270233cac5dd2032591e%2Fthumbnail-58130173477-338c62f6-395d-477e-b537-86f84df27e73-marilyn-schairer.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSI2MHB4IiB3aWR0aD0iNjBweCI+PC9zdmc+" data-size="bylineImage" /> <img class="Image" alt="thumbnail_58130173477__338C62F6-395D-477E-B537-86F84DF27E73 - 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alt="Michelle Wu looks up as she stands outside the City Hall building." data-src="https://cdn.grove.wgbh.org/dims4/default/01e0ab9/2147483647/strip/true/crop/3637x3637+909+0/resize/100x100!/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2F53%2Fdd%2F88e44edc05871bdc8ca244038792%2Fap21258679299861.jpg" loading="lazy" src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSIxMDBweCIgd2lkdGg9IjEwMHB4Ij48L3N2Zz4=" > </picture></a> </div> <div class="content"> <h4 class="title-link heading-4"> <a href="https://www.wgbh.org/news/local/2024-11-21/aclu-of-massachusetts-says-local-leaders-need-to-shore-up-civil-liberties-protections" class="title-link" onclick="window.dataLayer.push({'event': 'recircClick', 'gbhData': {'destination': 'https://www.wgbh.org/news/local/2024-11-21/aclu-of-massachusetts-says-local-leaders-need-to-shore-up-civil-liberties-protections'}})" data-cms-ai="0" > ACLU of Massachusetts says local leaders need to shore up civil liberties protections</a> </h4> <div class="video-info side-by-side"> <div class="show overline"> <a href="https://www.wgbh.org/shows/boston-public-radio" class="Link" aria-label="ACLU of Massachusetts says local leaders need to shore up civil liberties protections" data-cms-ai="0" > Boston Public Radio</a> </div> </div> </div> </ps-promo> </li> <li> <ps-promo class="Promo horizontal" data-content-type="news-story" data-image-size="promoRelatedContent" > <div class="media"> <a href="https://www.wgbh.org/news/local/2024-11-21/its-finally-raining-in-massachusetts-but-its-not-enough-to-end-the-drought" class="Link" aria-label="It's finally raining in Massachusetts. But it's not enough to end the drought." data-cms-ai="0" > <picture> <source type="image/webp" data-srcset="https://cdn.grove.wgbh.org/dims4/default/8a09baa/2147483647/strip/true/crop/3024x3024+404+0/resize/100x100!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fa2%2F20%2Faaf008ec472f8c41c0fe8465bb9d%2Frain.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/230cbc5/2147483647/strip/true/crop/3024x3024+404+0/resize/200x200!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fa2%2F20%2Faaf008ec472f8c41c0fe8465bb9d%2Frain.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSIxMDBweCIgd2lkdGg9IjEwMHB4Ij48L3N2Zz4=" data-size="promoRelatedContent" /> <source type="image/jpeg" data-srcset="https://cdn.grove.wgbh.org/dims4/default/8a09baa/2147483647/strip/true/crop/3024x3024+404+0/resize/100x100!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fa2%2F20%2Faaf008ec472f8c41c0fe8465bb9d%2Frain.jpg 1x,https://cdn.grove.wgbh.org/dims4/default/230cbc5/2147483647/strip/true/crop/3024x3024+404+0/resize/200x200!/format/webp/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fa2%2F20%2Faaf008ec472f8c41c0fe8465bb9d%2Frain.jpg 2x" loading="lazy" srcset="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSIxMDBweCIgd2lkdGg9IjEwMHB4Ij48L3N2Zz4=" data-size="promoRelatedContent" /> <img class="Image" alt="A small puddle forms next to a storm sewer grate." data-src="https://cdn.grove.wgbh.org/dims4/default/12be1d9/2147483647/strip/true/crop/3024x3024+404+0/resize/100x100!/quality/70/?url=https%3A%2F%2Fk1-prod-gbh.s3.us-east-2.amazonaws.com%2Fbrightspot%2Fa2%2F20%2Faaf008ec472f8c41c0fe8465bb9d%2Frain.jpg" loading="lazy" src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZlcnNpb249IjEuMSIgaGVpZ2h0PSIxMDBweCIgd2lkdGg9IjEwMHB4Ij48L3N2Zz4=" > </picture></a> </div> <div class="content"> <h4 class="title-link heading-4"> <a href="https://www.wgbh.org/news/local/2024-11-21/its-finally-raining-in-massachusetts-but-its-not-enough-to-end-the-drought" class="title-link" onclick="window.dataLayer.push({'event': 'recircClick', 'gbhData': {'destination': 'https://www.wgbh.org/news/local/2024-11-21/its-finally-raining-in-massachusetts-but-its-not-enough-to-end-the-drought'}})" data-cms-ai="0" > It's finally raining in Massachusetts. 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