The District of Columbia Nurse Licensure Compact Authorization Act of 2025 authorizes 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 and vice versa. The bill aims to enhance the availability of nurses, standardize education and training requirements, and establish a framework for interstate license administration. It mandates the sharing of licensee information among compact states and creates the Interstate Commission of Nurse Licensure Compact Administrators, which will oversee the coordination of nurse licensure. Additionally, the Board of Nursing is permitted to charge an extra fee for multistate licenses and requires employers to report the number of nurses holding such licenses.

The legislation outlines the governance structure of the Commission, including the appointment of administrators from each party state and the establishment of bylaws. It details the procedures for adopting and enforcing rules, requiring public notice and comment before finalization, while allowing for emergency rules in cases of imminent threats to public health. The bill also provides mechanisms for oversight, dispute resolution, and enforcement, empowering the Commission to intervene in legal proceedings and address defaults by party states. Overall, the Act seeks to streamline the licensure process, promote public safety, and ensure accountability in nursing regulation across state lines.