Three states enact Occupational Therapy Licensure Compact legislation to date in 2024

Vermont, Minnesota, and Rhode Island have all enacted OT Compact legislation in 2024, bringing the total number of states to join the OT Compact to 31. Additionally, the District of Columbia, Michigan, and Pennsylvania have pending legislation that could still be enacted this year. Looking forward, several state associations where OT Compact legislation was not considered in 2024 are gearing up to introduce legislation in 2025. Additionally, states that were not successful in passing such legislation in 2024, will likely reintroduce compact legislation in 2025.

AOTA is working closely with NBCOT®, state occupational therapy associations, and state regulatory boards to create an interstate licensure compact for the occupational therapy profession. The OT Compact will provide licensed occupational therapists and occupational therapy assistants with the opportunity to practice in states that join the compact without having to secure a new license in each state.

As of August 2024, compact privilege applications are not yet open. In the coming months, the OT Compact Commission (OTCC) will be working to develop operational infrastructure, including the creation of a data system. The OTCC reports that privileges to practice are expected to be available in 2025.

For more information on the OT Compact, please visit the Occupational Therapy Licensure Compact website.