The Occupational Therapy Licensure Compact (OT Compact) is an interstate compact, or formal agreement among states, that facilitates interstate practice of occupational therapy. Under the OT Compact, Occupational Therapists (OTs) and Occupational Therapy Assistants (OTAs) who are licensed in good standing in a Compact member state will be eligible to practice in other Compact member states via a “compact privilege," which is equivalent to a license.
The OT Compact is enacted in some states, meaning those states have passed legislation to be part of the compact. However, the OT Compact is not yet operationalized, meaning the process to apply for and receive compact privileges is in the works and will be available in mid-2025.
For more information: https://otcompact.gov/
The Oregon OT Licensing Board held an informational session about the OT Compact on 11/1/2025. To view, click here.
There is current legislation (HB 2357) to enact OT Licensure Compact in Oregon.
At the 2/14/25 Board meeting, the Oregon OT Licensing board requested permission to oppose the legislation. The Governor's office approved the request.
For reasons why the Oregon OT Licensing board opposes the legislation, click here.