Compacts and health-data laws, state by state
“Compact routes in effect” lists the licensure compacts a clinician can use in that state today: PSYPACT where it is in effect, the Counseling Compact where it is issuing privileges to practice, and the Interstate Medical Licensure Compact (IMLC) where the state issues licenses through it. The Counseling Compact is issuing privileges to practice in ten states so far; the Social Work Licensure Compact isn't issuing multistate licenses yet. States that have passed a compact but can't use it yet aren't counted here; every compact's member list and status, state by state, is in our guide to PSYPACT and Counseling Compact states. Each state name links to its page: its licensing boards' advertising rules, its compacts and privacy law in full, and patient searches by city.
| State | Compact routes in effect | Health-data rules |
|---|---|---|
| Alabama | PSYPACT, IMLC | – |
| Alaska | PSYPACT | – |
| Arizona | PSYPACT, Counseling Compact, IMLC | – |
| Arkansas | PSYPACT, Counseling Compact, IMLC | – |
| California | None | AB 45 health care geofencing ban |
| Colorado | PSYPACT, IMLC | Sensitive-data law |
| Connecticut | PSYPACT, IMLC | Connecticut Data Privacy Act health data rules |
| Delaware | PSYPACT, IMLC | Sensitive-data law |
| Florida | PSYPACT, IMLC | Sensitive-data law |
| Georgia | PSYPACT, Counseling Compact, IMLC | – |
| Hawaii | IMLC | – |
| Idaho | PSYPACT, IMLC | – |
| Illinois | PSYPACT, IMLC | – |
| Indiana | PSYPACT, Counseling Compact, IMLC | Sensitive-data law |
| Iowa | IMLC | Sensitive-data law |
| Kansas | PSYPACT, IMLC | – |
| Kentucky | PSYPACT, IMLC | Sensitive-data law |
| Louisiana | Counseling Compact, IMLC | – |
| Maine | PSYPACT, IMLC | – |
| Maryland | PSYPACT, IMLC | Maryland Online Data Privacy Act |
| Massachusetts | None | – |
| Michigan | PSYPACT, IMLC | – |
| Minnesota | PSYPACT, Counseling Compact, IMLC | Sensitive-data law |
| Mississippi | PSYPACT, IMLC | – |
| Missouri | PSYPACT, IMLC | – |
| Montana | PSYPACT, IMLC | Sensitive-data law |
| Nebraska | PSYPACT, IMLC | Sensitive-data law |
| Nevada | PSYPACT, IMLC | SB 370 consumer health data law |
| New Hampshire | PSYPACT, IMLC | Sensitive-data law |
| New Jersey | PSYPACT, IMLC | Sensitive-data law |
| New Mexico | None | – |
| New York | None | GBL 394-g health care geofencing ban |
| North Carolina | PSYPACT, IMLC | – |
| North Dakota | PSYPACT, IMLC | – |
| Ohio | PSYPACT, Counseling Compact, IMLC | – |
| Oklahoma | PSYPACT, Counseling Compact, IMLC | – |
| Oregon | None | Sensitive-data law |
| Pennsylvania | PSYPACT, IMLC | – |
| Rhode Island | PSYPACT | Sensitive-data law |
| South Carolina | PSYPACT | – |
| South Dakota | PSYPACT, IMLC | – |
| Tennessee | PSYPACT, Counseling Compact, IMLC | Sensitive-data law |
| Texas | PSYPACT, IMLC | Sensitive-data law |
| Utah | PSYPACT, IMLC | Sensitive-data law |
| Vermont | PSYPACT, IMLC | S.71 (takes effect 2028) |
| Virginia | PSYPACT | SB 754 consent rule for reproductive and sexual health data |
| Washington | PSYPACT, IMLC | My Health My Data Act |
| Washington, DC | PSYPACT, IMLC | – |
| West Virginia | PSYPACT, IMLC | – |
| Wisconsin | PSYPACT, IMLC | – |
| Wyoming | PSYPACT, Counseling Compact, IMLC | – |
Why the state matters for marketing
An ad for online therapy or telepsychiatry should only run where the clinician can legally see the person who clicks it, and licensure compacts decide how far that reaches. A handful of states now regulate health data collected by ordinary websites, not only records covered by HIPAA, which changes what can sit on a booking page and how ad audiences are built. And patient demand differs city by city, which is what the state pages measure.
Our guide to the My Health My Data Act and other state health-data laws goes deeper on the health-data side.
Wherever the practice is, our rules don't change: no health information goes to ad platforms, booking pages ask for nothing clinical, and the ad accounts stay in the practice's name. See how we handle compliance for the details.
Sources
- PSYPACT, compact map, checked 8 October 2026
- Counseling Compact, member map, checked 8 October 2026
- Counseling Compact, 10 states now offering privileges, checked 8 October 2026
- Counseling Compact, Pennsylvania becomes the 40th member, checked 8 October 2026
- Social Work Licensure Compact, enacted in 35 states, checked 8 October 2026
- Interstate Medical Licensure Compact, participating states, checked 14 October 2026
- IAPP, US State Privacy Legislation Tracker, checked 30 September 2026
- Ahrefs Keywords Explorer, US search volumes and cost per click, checked 30 September 2026