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 Utah generally means you need authority to practice in Utah — via compact privilege or a Utah license. See telehealth: patient in another state.
The law that governs this in Utah
Caring for a patient located in Utah is practice in Utah, so it is Utah’s own nurse practice act that defines what you may do and the Utah Board of Nursing that applies it. That act is Utah nursing licensure law (DOPL).
The compact itself is separate law. Utah adopted it at Utah Code tit. 58, ch. 31e (Nurse Licensure Compact — Revised), § 58-31e-102, which is what allows a multistate license issued elsewhere to reach Utah at all — the practice act still decides what you may do once it does.
Compact status is not the only consideration
Even where a multistate license reaches Utah, your employer and the Utah Board of Nursing may impose additional requirements, and some roles carry their own rules. Compact status answers one question — it is not a blanket authorization to practice 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.
Since when has a compact license worked in Utah?
Nurses holding another state’s multistate license have been able to practice in Utah since January 19, 2018. It has been a member long enough that most guidance you find will be accurate on this point.