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

Yes. Documented continuing education can be applied toward the total when determining equivalency, subject to Commission rules.
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.
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.
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.
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.
Fees will be determined by each state and the Commission. They are expected to be comparable to current single-state renewal fees.
Yes. The 625-hour education requirement applies to individual therapists seeking a multistate license, not to state education requirements.
Applicants must:
The Commission will define “substantial equivalence” to ensure qualified long-practicing therapists can participate while maintaining safety standards.
You must reactivate your home state license first and reapply for multistate privileges as directed by Commission rules.
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.
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.
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.
No. Therapists meet their home state’s CE requirements but must follow each remote state’s laws and scope of practice.