General Information
The Occupational Therapy Licensure Compact (OT Compact) allows eligible licensed occupational therapists an alternative method for providing services in other member states. Under the OT Compact, occupational therapists and occupational therapy assistants who are licensed in good standing in a compact member state may practice in other compact member states via a “compact privilege,” which is equivalent to a license.
The governing entity for the OT Compact is the OT Compact Commission. The OT Compact Commission convened for the first time in August 2022. The commission is actively working to build the necessary tools and regulations. States are in the process of piloting the national data system, which is currently in development. The data system is necessary for states to upload their data and for practitioners to apply for their privileges to practice.
Learn More
On August 11, 2025, the OTCC Executive Committee voted two rules forward to public comment. The public comment period opens on Monday, August, 18, 2025 and closes on Friday, September 19, 2025.
1. Amendments to the existing rule on Data System Reporting Requirements
2. Draft rule on Conversion of OTC Privilege to Practice to Home State License (PtP to HSL)
The announcement, drafts, and instructions are located on the Rulemaking page of the OTC website. See the OT Compact Commission website.