The District of Columbia Nurse Licensure Compact Authorization Act of 2025 seeks to authorize the Mayor to enter into the Nurse Licensure Compact, enabling licensed registered nurses and licensed practical/vocational nurses from participating states to practice in the District of Columbia and vice versa. The bill aims to enhance the availability of licensed nurses, standardize education and training requirements, and establish a framework for the administration of interstate licenses. It mandates that all compact states share licensee information and creates the Interstate Commission of Nurse Licensure Compact Administrators. Additionally, the Board of Nursing will be permitted to charge an extra fee for issuing multistate licenses and will require employers to report the number of multistate license-holding nurses.

The legislation outlines the governance structure of the Commission, including the appointment of administrators from each party state and the authority to create uniform rules and manage finances. It establishes procedures for the adoption and enforcement of rules, requiring public notice and comment before finalizing any rule, while allowing for emergency rules in cases of imminent threats to public health. The bill also addresses oversight, dispute resolution, and enforcement mechanisms, allowing the Commission to intervene in legal proceedings and providing a process for resolving disputes among party states. Overall, the bill aims to streamline the licensure process for nurses across state lines while ensuring accountability and public safety.