Does the compact cover telehealth?

Compact privilege is not limited to being physically present — if your multistate license authorizes practice in a compact state, that generally includes telehealth to patients located there. The key is that licensure follows the patient's location, so it is the patient's state that must be covered, not yours.

Does this apply to nurse practitioners doing telehealth in American Samoa?

No — not through the Nurse Licensure Compact. The compact covers RN and LPN/LVN licenses only. APRN authority (NP, CRNA, CNS, CNM) is separate and state-by-state, so an APRN telehealth role in American Samoa generally needs American Samoa APRN authorization regardless of compact status. See our APRN guide and confirm with the board.

CompactStates

Telehealth nursing license requirements in American Samoa

Telehealth licensing has one governing idea: you generally need authority where the patient is. Here is how that plays out for patients located in American Samoa.

Do I need an American Samoa license for telehealth nursing?

Generally, you need authority to practice where your patient is — so if your patient is in American Samoa, American Samoa licensure rules apply, even if you never leave home. American Samoa does not currently grant compact privilege, so a multistate license generally does not authorize telehealth to patients in American Samoa. You would typically need an American Samoa license by endorsement. Confirm with the American Samoa Health Services Regulatory Board before you take the role.

Last reviewed 2026-06-17

Licensure follows the patient

The location that matters for telehealth is generally the patient’s, not yours. Sitting in one state and caring for a patient in American Samoa generally means you need authority to practice in American Samoa — via compact privilege or an American Samoa license. See telehealth: patient in another state.

Compact status is not the only consideration

Even where a multistate license reaches American Samoa, your employer and the American Samoa Health Services Regulatory Board may impose additional requirements, and some roles carry their own rules. Compact status answers one question — it is not a blanket authorization to practise remotely.

APRN telehealth is separate

The compact covers RN and LPN/LVN licenses only. If you work as an APRN, your advanced-practice authority is granted state by state and is not carried by a multistate RN license — a point that catches out a lot of remote NP roles.

Next-step checklist

Identify where your patients are located — that generally drives licensure.
Confirm your license reads multistate on Nursys (nursys.com) if you rely on privilege.
Plan for an American Samoa license — privilege does not reach American Samoa today.
If you practise as an APRN, confirm American Samoa APRN authority separately with the board.

Frequently asked questions

Generally not on a compact license. American Samoa does not currently recognize compact privilege, so a multistate license does not authorize telehealth to patients located in American Samoa. You would typically need an American Samoa license. Confirm with the American Samoa Health Services Regulatory Board.