What compact privilege is
A multistate license from your primary state of residence carries compact privilege — the authority to practice in other compact states without licensing separately in each. It only exists between states that are live in the Nurse Licensure Compact.
Why privilege does not reach American Samoa
Since American Samoa is not part of the compact, there is no American Samoa compact privilege to grant. See non-compact states and working in a non-compact state with a compact license.
The law that governs this in American Samoa
Working in American Samoa on another state’s license is practice in American Samoa, so it is American Samoa’s own nurse practice act that defines what you may do and the American Samoa Health Services Regulatory Board that applies it. That act is A.S.C.A. § 31.1002 — Health Services Regulatory Board, created; purpose.
There is no compact statute to cite for American Samoa, which is the substantive point rather than a gap in our research: American Samoa has not adopted the compact, so the practice act above is the whole of the law that applies to you here.
Confirm before you rely on it
License status changes and the compact evolves. Confirm your own license type on Nursys and check American Samoa’s current rules with the American Samoa Health Services Regulatory Board. CompactStates.com is an independent guide, not a licensing authority.
Why compact privilege does not reach American Samoa
American Samoa has not adopted the compact. Either way the practical answer for working in American Samoa on a license from another state is the same today: a multistate license from another state does not authorize it, and you generally need an American Samoa license from the American Samoa Health Services Regulatory Board. Re-check before a start date rather than assuming — this is precisely the fact that changes.