17h • 🌸 Wins & Breakthroughs
The Telehealth Trap
Your compact nursing license is active in 41 states. Most nurses stop there and assume they are fine.
They are not always fine.
If you coach clients on Zoom and hold an active RN license, the state your client is sitting in when you connect matters. Not the state you are in. The state she is in.
California. New York. Illinois. Oregon. Alaska. Hawaii. These states are not in the compact. If your client is there during your session, your multistate license does not cover you. You are practicing nursing in that state without a license in that state.
And it gets more complicated. Massachusetts signed NLC legislation in 2024 — but implementation is not yet complete. You cannot practice there on a compact license until the Board of Nursing announces the official start date.
Coaching certifications do not change this. Calling yourself a health coach does not change this. The moment you hold an active clinical license, state licensing boundaries follow you onto Zoom.
If you are building a coaching practice, this is the part nobody walked you through in your certification program.
This is not a reason to stop. It is a reason to know exactly who is on the other end of that call before you take her on as a client.
The list shifts as states move through implementation. Check nursys.com for the current confirmed list before you accept any new client.
The Three-Question Scope Check in my bio will not solve this specific issue — but it is the starting point for understanding where your lines actually are.
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The Telehealth Trap
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