If you are an SLP who has ever thought about practicing in more than one state, you know the old answer: a separate full license for each state, every time. The Audiology and Speech-Language Pathology Interstate Compact, known as the ASLP-IC, is changing that.
The compact began issuing privileges in late October 2025, and the rollout picked up through early 2026. A compact privilege works like a license in another member state. If you hold a standard speech-language pathology license in good standing in a member state, you can apply for a privilege to practice in other member states that are operational.
Here is the plain-language version of what it is, who qualifies, and how it might fit your career.
What the compact does
The ASLP-IC is a formal agreement among states that lets eligible SLPs and audiologists practice across state lines through a privilege to practice. That privilege is treated as the equivalent of a license in the state where you are working.
You keep one home state license. From there, you apply for privileges in other member states. As with any licensure, you follow the practice rules of the state where your client, patient, or student receives care.
Two conditions have to be met:
- Your home state has to be operational and connected to the compact's data system.
- The state where you want to practice also has to be operational.
Who is eligible
This is the detail SLPs miss most often, so it is worth saying clearly. The compact is currently open to clinicians who hold a standard license. Clinical fellows and SLP assistants are not eligible to practice through the compact yet. If you are a CF or an SLPA, the compact does not apply to you at this stage, though that may broaden over time.
Which states are live
Thirty-seven jurisdictions, thirty-six states and one territory, have enacted the compact into law. The states then come online one at a time as they finish connecting their systems.
The compact operationalized on October 28, 2025. Registration for privileges is open right now for practitioners in Louisiana, Ohio, Tennessee, and West Virginia, with Ohio beginning to process applications on February 9, 2026. More member states are onboarding on their own timelines through 2026.
The fastest way to see where things stand for you is the compact's own map. Check aslpcompact.com for your home state and any state you want to practice in.
What it costs and how to apply
You apply through the compact's data system, and the fee is roughly $50 per state to the commission, plus any fee the state itself charges. Privileges are issued state by state, so each new state is its own application and its own fee.
The clinician who lives near a state line
Speech-language pathologists in the Northeast know this one well. A fifteen or twenty minute drive can put you in a different state and a different licensing system.
At Coral Care we see it constantly. An SLP near the Rhode Island line, around Foxboro or Attleboro, Massachusetts, who could be with a child in Providence in twenty minutes. An SLP in the Merrimack Valley, near Lowell or Methuen, who is minutes from Nashua, New Hampshire. An SLP in the Philadelphia area who crosses into New Jersey to see a family in Cherry Hill. The child is close. The second license has been the barrier.
The compact is built for that drive. Once your home state and the neighboring state are both issuing privileges, the second state becomes a privilege application rather than a brand new license.
Here is the honest status. Registration for speech compact privileges is open right now for practitioners in Louisiana, Ohio, Tennessee, and West Virginia, and more member states are onboarding. Several Northeast states have joined the compact and are working toward issuing privileges, while a few, including Massachusetts, have not joined yet. If you practice in Rhode Island, New Hampshire, Pennsylvania, New Jersey, or Massachusetts, check aslpcompact.com for exactly where your state stands, so you are ready when it goes live.
Where Coral Care fits in
Coral Care connects speech-language pathologists with families for in-person sessions in the family's living room, across nine states: Massachusetts, Connecticut, New Hampshire, Rhode Island, Pennsylvania, Virginia, Texas, Illinois, and New Jersey.
That nine-state footprint is the point. As more of those states come online in the compact, a single home state license plus a privilege next door can mean a fuller, steadier caseload without a stack of separate applications. That is useful if you are relocating, if you live near a state line, or if you simply want more children to work with.
One honest note on our model: Coral Care is in-person care, not telehealth. The compact often gets framed around telepractice, but for our clinicians the real benefit is mobility and reach. You bring the license and the clinical judgment. We handle the families, the scheduling, and the back-office work, so your time goes to sessions and not to logistics.
If the compact opens a new state for you, we would love to be the reason there are families to see there.
What to do this week
- Check aslpcompact.com and confirm whether your home state is operational.
- Look up the states you want to practice in and see if they are issuing privileges.
- Confirm you hold a standard license in good standing, since CFs and SLPAs are not eligible yet.
- If everything lines up, you can apply for a privilege in each state you want.
Stay in the loop
We follow licensure changes, new markets, and the things that shape your day as a clinician. To get updates as more states come online and as Coral Care grows across our footprint, sign up for our newsletter.
