States have made an affirmative and informed choice to accept the Interstate Medical License Compact terms. That acceptance was made possible principally because of the support of state medical (and osteopathic) licensing boards, the endorsement of state legislatures, and the concurrence of state governors. The Compact is of the states, by the states and for the states.
The sole purpose of the Compact is to provide an additional, expedited, pathway to licensure for physicians with exemplary practice histories. Participation in the Compact for medical licensure will be strictly voluntary for both physicians and state boards of medicine licensure. The Compact treats all physicians equally without preference for specialty. Any physician from a Compact state who meets the qualifications of the Compact will be eligible for licensure in any other Compact state and responsible for obeying all statutory laws and administrative rules of the state.
The Compact is not a federal government program and is not housed in any federal agency. Nor is it a product of Congress or any executive branch agency or administration. It is an agreement among sovereign states.
Governmental agencies and non-governmental organizations may support or promote the Compact because it advances their respective policy agendas. The Commission does not necessarily endorse those policy agendas and makes decisions independently of them.
The Commission is governed by the terms of the Compact, which provides the authority for the Commission to create bylaws, rules, and policies for self-governance. Commissioners must function within the terms and limitations of the Compact and the bylaws, rules, and policies which the Commission approves.
The Commission operates as a public entity, with transparency and openness. The Commission solicits public comment from agencies, organizations, and individuals. The Commission will not necessarily agree with comments received but the public interest demands it provide a forum for such comments.
The Commission intends to become a self-supporting organization with its own executive staff and financial resources. Any assistance provided to the Commission during this formative period, whether financial or otherwise, by a participating state or non-governmental organization has been authorized and approved by the Commission.