There’s no question that the Interstate Medical Licensure Compact (IMLC) has changed the landscape of healthcare accessibility across the United States and its territories. The mission of the Compact has been to increase access to health care for patients, especially in underserved or rural areas.
The IMLC streamlines the state licensing process for locum tenens providers who want to work in multiple states. As of November 2025, there are now 44 member jurisdictions, including 42 states, the District of Columbia, and the Territory of Guam.
Major IMLC Updates Since 2024
- Alabama is now eligible as an SPL.
- Rhode Island faces delayed implementation.
- North Carolina is an active IMLC member state.
- Arkansas introduced, passed, and implemented IMLC.
- Michigan renewed licensure in March 2026.
- The IMLC has been introduced in Massachusetts and is currently in committee.
- New Mexico passed legislation to adopt the IMLC in 2026.
States Accepting Applications for Expedited Licensure
- Alabama
- Arizona
- Colorado
- Connecticut*
- Delaware
- District of Columbia
- Georgia
- Guam
- Hawaii*
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Michigan
- Minnesota
- Mississippi
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- North Dakota
- Ohio
- Oklahoma
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont*
- Washington
- West Virginia
- Wisconsin
- Wyoming
*Hawaii, Connecticut, and Vermont are not States of Principle Licensure (SPL.) Once you’ve entered the compact through an SPL, you will be able to get a license issued by these three states.
States/territories that do not participate in IMLC (November 2025)
- Oregon
- California
- New Mexico*
- New York
- Virginia
- South Carolina
- Alaska
- Puerto Rico
- Virgin Islands
- Northern Mariana Islands
IMLC Status Map
Hover over a state to check its status in the IMLC. Click the state to read more.
Why Do Locum Tenens Physicians Use IMLC?
The Interstate Medical Licensure Compact provides an expedited path to quality care. According to our reports, 20% of physicians want the IMLC to serve in rural and underserved areas. As federal funding changes take effect, rural healthcare will benefit the most from faster licensing processes and access to qualified locum providers.
Apply for IMLC with a Locum Tenens Agency
Joining the IMLC remains one of the most effective ways to expand physician access nationwide. You can take advantage of the Compact by applying through a locum tenens agency.
From finding jobs fit for you to covering licensing fees, Consilium is your partner in locum tenens. Our concierge team handles the licensing process, so you don’t have to. Want to explore new locum tenens opportunities? Browse our latest job openings.
Consilium Can Pay For Your Application Fees
Consilium not only helps guide providers through the IMLC process, but we can also cover the application fees. Contact us today to get started.
