The Issue:
When a practitioner relocates to another state or wishes to practice across state lines, whether in person or via telehealth, they must complete the full licensure or certification process again for each additional state. This requirement places a significant administrative burden on occupational therapy practitioners, making it difficult to obtain multiple state licenses.
The process involves duplicative tasks such as submitting applications, proving eligibility, and paying fees. These steps can take months to complete, during which qualified practitioners are unable to provide services in the new state. These delays hinder timely care and restrict access, especially in underserved and rural communities.
The Solution:
Interstate licensure compacts offer a streamlined solution. Many health professions, including occupational therapy, are pursuing these compacts at the state level to facilitate interstate practice. The goal is to improve public access to occupational therapy services while preserving each state’s authority to regulate licensure and protect public health and safety.
However, under current law, states must establish partnerships with law enforcement and the FBI to conduct background checks for new applicants participating in a compact. This requirement can slow down implementation and participation.
Where the SHARE Act Comes in:
The SHARE Act makes a technical correction to existing law to allow state licensing or certification entities to share confirmation that a criminal background check has been completed with the interstate compact commission.
Fixing this technicality would expedite the licensure process across states, increasing access to care—particularly in underserved and rural areas—while preserving states’ authority to determine eligibility. It would also support the expansion of telehealth, improve access to specialists, and enhance the reach of occupational therapy services.
Take Action:
Ask your Members of Congress to cosponsor the SHARE Act (H.R. 2332/S.1101) to support the advancement of the Occupational Therapy Licensure Compact and improve access to care nationwide.