What this means for CRNAs
The compact covers RN and LPN licenses only. Your CRNA (APRN) authority is still granted state by state, so you need an APRN license in every state where you practice as a CRNA. A multistate RN license does make that easier, because most states require an RN license that covers them before granting APRN recognition.
The separate APRN Compact would change this, but only 4 states have enacted it and it needs 7 to take effect. For the full explanation, read our Nurse Licensure Compact guide.
Source: nursecompact.com and NCSBN, checked October 2026. Pennsylvania implemented in July 2025 and Connecticut in October 2025.