Interstate licensing reciprocity in healthcare is an issue near and dear to my heart. Starting with the implementation of the Volunteer Health Services Act in 2013 and followed by a host of reciprocity reforms in recent years, Missouri has found itself at the forefront of licensing reform issues nationally.

But Missouri can do better, and that means updating state law to ensure that the objective of reciprocity—that is, the expansion of health care supply to patients by leveraging qualified individuals from other states—is in fact achieved.

Two areas, then, that require attention in Missouri are the six-month delay in reciprocity admission that's permitted under RSMo §324.009(3) and the compact exception in RSMo §324.009(10) that allows licensing boards to step in front of reciprocity reforms by entering into preemptive compacts. Both the six-month delay and compact exception can be easily corrected by deleting those provisions.

These tweaks to Missouri law may seem obscure and small, but they are important, and they should be implemented as quickly as possible for the benefit both of the professionals affected and the consumers and patients that will benefit from increased access to those professionals.