The Interstate Massage Compact

Simplifying Licensure & Supporting Therapist Mobility
The Interstate Massage Compact (IMpact™) makes it easier for licensed massage therapists to practice across state lines. A multistate license reduces administrative hurdles, supports career flexibility, and increases access to massage therapy nationwide.

As more states join the IMpact, your voice matters now more than ever — take the survey to demonstrate where the profession stands, send a letter of support to your legislators, and share your story to help show why professional mobility is important for both therapists and the public they serve.

Send a Letter to Your Legislators

Click your state on the map to see current IMpact activity and send a personalized letter to your elected officials.

Compact Map

IMpact Adopted
Active IMpact Legislation
No IMpact Legislation
Currently Ineligible

Share Your Story

How would licensure mobility impact you?

Your unique story puts a human face on the need for the Interstate Massage Compact (IMpact) and the circumstances affecting massage therapists and the profession. (Examples: military, travel, teaching, supporting out-of-state parents or children, etc.) We appreciate you sharing your story. Together we can make a difference.

Share Your Story

Complete the IMpact Survey of the Profession

Share your voice and help shape the future of licensure mobility. Your feedback guides legislators, informs IMpact development, and strengthens support across the profession.

Complete the IMpact Survey of the Profession
Licensed Massage Therapists

Freedom to Work Where Life Takes You

The IMpact empowers massage therapists to practice across state lines without repeating licensing processes — making it easier to follow your opportunities, clients, and calling.

  • Work in multiple states under one multistate license.
  • Reduce duplicate fees and application processes, saving time and money.
  • Maintain professional credibility through consistent standards of education, examination, and background requirements.
  • Support military families and mobile professionals who relocate frequently.
  • Focus on care, not bureaucracy — spend more time practicing massage, less time navigating red tape.
Massage Therapy Commute

Frequently Asked Questions for Massage Professionals

Can continuing education count toward the 625-hour requirement?

Yes. Documented continuing education can be applied toward the total when determining equivalency, subject to Commission rules.

Can states that enact different legislation participate in the current IMpact Commission?

No.

Participation in an interstate compact requires states to enact compatible legislation establishing the same compact framework.

Different statutory language creates a separate legal framework rather than expanding the existing compact.

Do the changes being circulated by AMTA make the Interstate Massage Compact (IMpact™) better?

A detailed comparison of the two versions found that the changes do not improve the Interstate Massage Compact (IMpact).

The Interstate Massage Compact wasn't created overnight. It was developed over nearly three years through a national process led by the Federation of State Massage Therapy Boards (FSMTB), working with the Council of State Governments (CSG), the U.S. Department of Defense, state licensing boards, legislators, educators, employers, military representatives, professional organizations, and many other stakeholders. Every part of the compact was carefully designed to support interstate mobility while protecting the public.

Although some of the proposed changes may sound appealing at first, the analysis found they do not expand interstate mobility and may actually make it harder for the compact to adapt as the profession changes over time.

One example is the new education and licensure pathway written directly into the legislation. While it was intended to allow more therapists to qualify, putting those requirements into state law makes them much harder to change in the future. If new public protection concerns emerge — such as human trafficking, fraudulent credentials, or better ways to measure competency — the Compact Commission would have much less flexibility to respond quickly. Instead, every participating state could have to pass new legislation before changes could be made.

The proposed changes also limit the Commission's ability to recognize future nationally accepted licensing examinations or other equivalent pathways as the profession evolves.

Most importantly, the changes do not build on the existing Interstate Massage Compact. Instead, they create a different compact model. Rather than bringing more states together under one compact, the profession now has two separate legislative frameworks. That makes it more difficult — and likely takes longer — to achieve the shared goal of a functioning multistate license for massage therapists.

The goal of IMpact has always been simple: one interstate compact that gives qualified massage therapists the freedom to practice across participating states while maintaining strong public protection. Based on the analysis, keeping one consistent compact is still the best path to making that goal a reality.

How can I be sure the legislation I'm reviewing is the Interstate Massage Compact (IMpact™)?

The easiest way is to compare it with the model legislation published on massagecompact.org.

If the language differs materially from the legislation published on this website, it is not the Interstate Massage Compact (IMpact™) enacted by the current member states.

If you are unsure whether legislation is the Interstate Massage Compact (IMpact), we encourage you to contact us before introducing, supporting, or testifying on a bill.

How does the IMpact benefit massage therapists?
  • Work in multiple states without redundant licenses.
  • Reduce duplicate fees and paperwork.
  • Improve career flexibility and mobility.
  • Support military and mobile professionals.
  • Maintain consistent standards for public protection.
How do I apply for a multistate license?

Once the Compact Commission is operational the application procedure will be published. Until then, therapists can prepare by maintaining their home-state license in good standing, verifying or attaining 625 hours of education, and ensuring they have passed the national licensing exam.

How much will the multistate license cost?

Fees will be determined by each state and the Commission. They are expected to be comparable to current single-state renewal fees.

My state requires fewer than 625 hours of education. Am I still eligible to get a multistate license?

Yes. The 625-hour education requirement applies to individual therapists seeking a multistate license, not to state education requirements.

What are the eligibility requirements?

Applicants must:

  • Hold an active, unencumbered home-state license.
  • Have 625 hours of massage education or substantial equivalent.
  • Pass the MBLEx or equivalent national exam.
  • Complete a background check.
  • Have no disqualifying criminal or disciplinary history.
What can I do now to prepare for the Compact?
  • Send a letter of support to your legislators
  • Take the IMpact: Survey of the profession
  • Maintain your massage license in good standing
  • Confirm your education and pull together your school transcript and CE certificates
  • Confirm passage of either the NCBTMB licensing exam or the MBLEx
  • Keep an eye on the progress of IMpact on massagecompact.org
What if I was licensed before my state required an exam or specific hour threshold?

The Commission will define “substantial equivalence” to ensure qualified long-practicing therapists can participate while maintaining safety standards.

What if my multistate license expires or becomes inactive?

You must reactivate your home state license first and reapply for multistate privileges as directed by Commission rules.

What is the Interstate Massage Compact (IMpact)?

Like a driver’s license, the IMpact allows qualified massage therapists to practice in multiple member states with one multistate license — enhancing mobility and reducing administrative barriers.

Why does massagecompact.org differ from materials provided by other organizations?

The Interstate Massage Compact (IMpact™) is a specific piece of model legislation developed through the national interstate compact development process. The model language was created over nearly three years through a collaborative effort led by the Federation of State Massage Therapy Boards (FSMTB) in partnership with the Council of State Governments (CSG) and the U.S. Department of Defense. State licensing boards, legislators, subject matter experts, professional organizations, educators, employers, military representatives, and other stakeholders all contributed to its development before the model legislation was finalized and made available for state adoption.

Since that process concluded, some organizations have promoted different compact legislation while referring to it as the Interstate Massage Compact or an "updated" version of the compact.

Because the language is different from the model legislation enacted by the current IMpact member states, this has created understandable confusion for legislators, regulators, employers, educators, and massage therapists.

To ensure you are reviewing the Interstate Massage Compact (IMpact™), compare proposed legislation with the model legislation published on massagecompact.org. If you have questions about whether a bill reflects the Interstate Massage Compact, please contact us before introducing, supporting, or testifying on legislation.

Why does the Compact require 625 hours of education?

The Entry-Level Analysis Project (ELAP) identified 625 hours as the minimum number of hours required for a basic massage therapy education. This standard reflects empirical data, national consensus, and public input.

Will I need to complete continuing education in every state I practice?

No. Therapists meet their home state’s CE requirements but must follow each remote state’s laws and scope of practice.

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