Massage Professional Resources
Massage Professional Resources for Multistate Licensure
The IMpact™ unites therapists, educators, employers, and regulators supporting a trusted, mobile, and modern profession built on safety and opportunity.

How IMpact Benefits You!

The Interstate Massage Compact (IMpact) was created to strengthen the massage therapy profession while protecting the public. It gives qualified, licensed massage therapists the freedom to work across member states with one multistate license — supporting modern practice needs, professional growth, and public confidence. The IMpact benefits everyone connected to massage therapy: practitioners, employers, educators, professional associations, and the communities they serve.

Compact Map

Compact Adopted
Active Legislation
Preparing Legislation
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Currently Ineligible

Testimonials

“A multistate license would let me build both my future and my career — giving me the freedom to live and work across state lines"
Vicki
D.
Burlington
,
NJ
“After 25 years, I finally became licensed. Yet living near a state border, I still face barriers that keep me from serving multiple communities.”
Patricia
F.
Merrillville
,
IN
“A multistate license would let me visit my kids at college and still keep working while I’m with them.”
Monica
M.
Clearwater
,
FL
“A multistate license would remove so many barriers for schools and students along state borders — what’s valid in one state should be equitable in another.”
Emilee
C.
Newburgh
,
IN
“A multistate license would let me care for clients just across the Oregon border instead of turning them away simply because of a state line.”
Kristen
H.
Walla Walla
,
WA
“Living on the Washington–Idaho border, a multistate license would let me work freely in both states without the extra cost and hassle of maintaining multiple licenses.”
Bowen
M.
Post Falls
,
ID
“Living full-time in our RV, I don’t want to give up the profession I love — IMpact would let me bring massage to people all across the country.”
Kara
D.
Henderson
,
NV
“A multistate license would finally let me work in both Florida and Washington — close to my family in the summers and my clients in the winters — without having to start over again.”
Krystall
A.
Cape Coral
,
FL
“The compact would finally let me share my teaching and experience in my home state of Florida and invite licensed professionals from other states to participate and share their wisdom.”
Brenda
M.
Port Charlotte
,
FL
“A multistate license would be a game changer — for seasoned therapists like me, for younger therapists chasing their dream job, and for military families needing stability.”
Barbara
C.
Brunswick
,
GA
“I’ve had to turn away bedridden clients just across the New York border — IMpact would let me bring care to those who need it most.”
Orietta
F.
Clifton
,
NJ
“IMpact would end the ‘limbo period’ when moving, letting therapists work right away instead of waiting for new licenses. We would hear countless stories of benefit and open up greater possibilities for the profession.”
Mila
M
Portland
,
OR

Resources

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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 seamlessly in multiple states under one multistate license.
  • Reduce duplicate fees and paperwork, saving time and money.
  • Maintain professional credibility through consistent education and background standards.
  • Support military families and mobile professionals who relocate frequently.
  • Focus on care, not bureaucracy — spend more time healing, less time navigating red tape.
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Employers and Spas

Building a Stronger, More Flexible Workforce

The IMpact helps employers meet growing demand by increasing access to qualified therapists who can legally work in multiple states, reducing hiring delays and workforce shortages.

  • Expand your hiring pool with verified, credentialed professionals.
  • Simplify onboarding with streamlined license verification across member states.
  • Increase staffing flexibility to serve seasonal or multi-location business needs.
  • Reduce compliance risk through access to real-time disciplinary and license data.
  • Enhance client satisfaction by ensuring safe, consistent, and professional care.
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Educators and Schools

Preparing Students for a Mobile Career

The IMpact aligns education with professional opportunity — giving graduates the ability to build careers that aren’t limited by state borders.

  • Inspire student success by linking education to national career pathways.
  • Attract more students through programs that emphasize license mobility and professional reach.
  • Reinforce public protection by maintaining consistent entry-level standards for education and examination.
  • Support workforce development through alignment with national trends and employer needs.
  • Demonstrate leadership as an institution preparing graduates for the future of regulated practice.
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Industry Partners

Advancing Health and Wellness Together

The IMpact promotes unity, transparency, and collaboration, creating a shared framework that benefits the profession as a whole.

  • Strengthen credibility and trust in massage therapy through consistent standards.
  • Provide a platform for collaboration among regulators, educators, and professional groups.
  • Enhance advocacy efforts with clear, consistent messaging across states.
  • Support diversity of practice while maintaining integrity and public safety.
  • Foster a national identity for massage therapy as a respected health and wellness profession.
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Consumers

Confidence in Care, Wherever You Go

The IMpact ensures that anyone seeking massage therapy receives care from qualified, licensed professionals who meet nationally consistent standards.

  • Improves public safety through faster cross-state license verification and information sharing.
  • Reduces unlicensed and fraudulent practice, protecting consumers from harm.
  • Increases access to care, especially in communities with workforce shortages.
  • Supports trusted professionals, making it easier to find legitimate massage therapists across state lines.
  • Builds public confidence in massage therapy as a safe and credible component of health and wellness.
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Frequently Asked Questions for Massage Professionals

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.

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.

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.
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.

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.

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 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.

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.

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.

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.

What can I do now to prepare for the Compact?

Maintain good standing, confirm your education hours, pass the MBLEx, and advocate for your state to join. Sign up for updates and the IMpact: Survey of the Profession at massagecompact.org.

Implementation & Operations

When will multistate licensing become available?

Once seven states enact the Compact, the Commission will form, adopt rules, and build the data system. Multistate licenses are expected 12–18 months after Commission formation.

What milestones must be completed before the Compact launches?
  • Seven states enact the Compact.
  • Commission convenes and adopts bylaws.
  • Data and licensing systems are developed.
  • Rules, fees, and applications are finalized.
  • States begin issuing multistate licenses.
How is the Compact enforced and how are complaints handled?

Each member state continues to investigate and discipline under its laws. The Commission ensures that disciplinary information is shared quickly among member states.

How is data protected?

All licensure and disciplinary information is encrypted, securely transmitted, and accessible only to authorized regulators.

How does the Compact relate to FSMTB’s other services?

FSMTB provides administrative and policy support to member boards through multiple programs (MBLEx, CE Registry, etc.). The IMpact complements these by enabling national license mobility while reinforcing FSMTB’s mission of supporting public protection.

Can U.S. territories and D.C. join the Compact?

Yes, if they meet licensure and regulatory requirements. Currently, California, Kansas, Minnesota, Vermont, and Wyoming are ineligible due to lack of state licensure.

What if a state disagrees with a Compact rule?

States can appeal or challenge rules through established procedures and retain the right to withdraw from the Compact if necessary.

What role do state regulators play after adoption?

Regulators remain responsible for licensing, enforcement, and discipline within their state. They also serve on the Commission to guide policy and rulemaking.

What happens if a therapist is disciplined in one state?

Disciplinary actions are shared instantly through the IMpact data system. Other states can take reciprocal or protective actions as needed.

What is the long-term goal of the IMpact?

To promote public protection, regulatory collaboration, and workforce mobility, ensuring qualified professionals can practice across state lines while maintaining professional standards.

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