The act that defines APRN practice in Hawaii
The compact decides whether you may practice in Hawaii. What APRN practice actually means here — scope, titles, what you may do and delegate — is set by Hawaii’s own nurse practice act, HRS ch. 457 (Nurses), and interpreted by the Hawaii Board of Nursing. Two states can both recognize your license and still differ on what you may do with it.
Where Hawaii stands on the APRN Compact
We have found no APRN compact law on Hawaii’s books. Read that as a floor rather than a census: our own research turned up two jurisdictions that the published member lists we checked had omitted, so “we have not found it” is the honest claim rather than “it is not there”. Either way no APRN is practicing across state lines on that compact today, Hawaii included.
The compact does not cover APRN roles
The Nurse Licensure Compact covers RN and LPN/LVN licenses. It does not cover APRN authorization — NPs, CRNAs, CNSs, and CNMs. That has been the case since the compact began and applies in every state.
What that means in Hawaii
Hawaii does not currently issue multistate licenses to residents, so there is no Hawaii multistate license, and APRN authority is not portable through the compact either. To practice as an APRN in Hawaii, you work through the Hawaii Board of Nursing; to practice as an APRN elsewhere, you use that state’s process.
The separate APRN Compact
A distinct APRN Compact has been drafted to do for advanced practice what the NLC does for RNs and LPNs/LVNs, but it is not yet operational. Until enough states join and it is implemented, APRN privileges do not cross state lines automatically.