The District of Columbia Nurse Licensure Compact Authorization Act of 2025 authorizes the Mayor to enter into the Nurse Licensure Compact, enabling registered nurses and licensed practical/vocational nurses from participating states to practice in the District of Columbia and vice versa. The bill aims to improve the availability of licensed nurses, standardize education and training requirements, and create a framework for interstate license administration. It establishes the Interstate Commission of Nurse Licensure Compact Administrators, which will oversee the sharing of licensee information among compact states, and allows the Board of Nursing to charge additional fees for multistate licenses while requiring employers to report the number of nurses holding such licenses.

The legislation includes provisions for recognizing multistate licenses, conducting criminal history checks for applicants, and implementing procedures for adverse actions against nurses' licenses. It emphasizes compliance with state practice laws and outlines the process for changing a nurse's primary state of residence. The bill also details the governance structure of the Commission, including the appointment of administrators, voting procedures, and financial management. It mandates public participation in the rulemaking process and provides for emergency rule adoption in urgent situations. Additionally, the bill addresses oversight, dispute resolution, and the process for states to withdraw from the Compact, ensuring accountability and transparency in nurse licensure across state lines.