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.
Practicing in Guam on privilege
Because Guam participates, an active multistate license lets you work in Guam — common for travel nurses and telehealth. Privilege follows the patient’s location and your home-state license staying active and multistate.
The law that governs this in Guam
Working in Guam on another state’s license is practice in Guam, so it is Guam’s own nurse practice act that defines what you may do and the Guam Board of Nurse Examiners that applies it. That act is Guam nursing licensure law (Guam Board of Nurse Examiners, HPLO).
The compact itself is separate law. Guam adopted it at 10 GCA ch. 12, art. 3A (Nurse Licensure Compact); added by P.L. 36-006:1 (5 March 2021), which is what allows a multistate license issued elsewhere to reach Guam at all — the practice act still decides what you may do once it does.
Read off the compiled article published by Guam’s own Health Professional Licensing Office, headed “10 GCA Health and Safety, Ch. 12 Medical Practices” and sourced to P.L. 36-006:1. Guam did something almost no other jurisdiction did: it legislated ONGOING MEASUREMENT of the compact alongside joining it. P.L. 36-006 requires the Board of Nurse Examiners to report quarterly to the licensing office how many nurses hold a multistate license issued by Guam and how many licensed by other compact jurisdictions are working here, and to file an annual fiscal impact report on licensure fee revenue and operating costs with the Speaker. Most compact statutes are silent on what joining costs or achieves.
Confirm before you rely on it
License status changes and the compact evolves. Confirm your own license type on Nursys and check Guam’s current rules with the Guam Board of Nurse Examiners. CompactStates.com is an independent guide, not a licensing authority.
Compact privilege in Guam
Nurses holding another state’s multistate license may practice in Guam under compact privilege. We have not been able to confirm the date that started, so we do not print one — Guam has implemented the half of the compact that recognizes visiting nurses without completing the half that issues multistate licenses to its own residents, and the jurisdiction has published no clean date for the first. The Guam Board of Nurse Examiners is the authority if you need one.