AMTA Supports the Revised Massage Compact, Following Finalization of Updates by CSG and DoD

In August 2025, the U.S. Department of Defense (DoD) reached out to AMTA seeking feedback on the Interstate Massage Therapy Compact (Original Compact). AMTA responded by reiterating previously communicated concerns and recommendations aimed at strengthening the Compact and increasing support across the profession as well as among state legislators.

After receiving AMTA’s input, the Council of State Governments (CSG) and the DoD drafted proposed revisions addressing several of the key issues that we raised. These updates were then released for public comment in November and have now been officially adopted with overwhelming support—resulting in a more flexible, inclusive and effective Revised Massage Therapy Compact for the profession. Importantly, the revisions align with some of the intent outlined in the joint AMTA–FSMTB letter issued in September 2024, and are designed to build broader support for the Compact among massage therapists and state lawmakers without compromising public safety.

Highlights from CSG’s public comment period in November 2025 include:

• 71% of respondents said they are more likely to support the Revised Compact.
  
  
• 69% believe the changes to the Revised Compact provide greater flexibility.
  
  
• 83% of survey respondents were licensed massage therapists, highlighting strong engagement from those most directly affected.

What Is the Interstate Massage Therapy Compact?

The Compact allows qualified licensed massage therapists to practice across multiple participating states without obtaining separate licenses. The Compact is intended to reduce administrative barriers, promote professional mobility, and maintain public protection through consistent standards for eligibility, background checks and verification.

Two Versions of the Interstate Massage Therapy Compact

There are now two versions of the Massage Therapy Compact legislation:

1. The IMpact (Original Version) – The original version of the legislation which is rigid and relies on a future commission to address additional eligibility through rulemaking to realize some of the intent defined in a joint letter issued by AMTA and FSMTB (Federation of State Massage Therapy Boards).
   
   
2. The Revised Compact – The updated version establishes clearer, more inclusive eligibility pathways directly in statute, enabling more massage therapists to participate without jeopardizing public safety. These revisions reflect a more practical and equitable approach to multistate licensure.

AMTA strongly encourages massage therapists, educators, stakeholders and policymakers to support the Revised Compact. 

Key Updates Strengthening the Revised Massage Therapy Compact

To encourage broader adoption and build trust within the profession and among states, the CSG and DoD made the following statutory revisions to the Compact:

• Legacy Exam Provision
  Massage therapists who passed a National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) licensure exam before January 1, 2015, are now eligible for a multistate license.
  
  
• Flexible Education Requirements
  Therapists who have fewer than 625 clock hours of massage education may qualify for a multistate license if they have held a license in good standing for at least two years.
  
  
• Support for Active Military Members and Their Spouses
  Only the Revised Compact offers flexible education requirements for active military members and their spouses, helping them maintain licensure across state lines.
  
  
• Maintaining Public Safety
  All multistate license holders must still meet high standards of education and pass a national licensing exam. These updates do not compromise public safety.
  
  
• Expanded Commissioner Eligibility
  Licensing boards now have more flexibility in appointing Compact commissioners. Boards may designate either a board member or staff member, rather than being limited to the primary administrative officer or their designee. This change, brought forward by CSG, addresses concerns about workload and staffing capacity and follows best practices as laid out in other compacts.

Why AMTA Supports the Revised Massage Therapy Compact

AMTA believes the Revised Compact reflects the values of today’s massage therapy profession: flexibility, fairness, mobility and public safety. Survey results further affirm that the massage community supports these improvements— with 71% of respondents reporting they are more likely to support the Revised Compact.

By advancing more inclusive and practitioner-centered legislation, the Revised Compact has stronger potential for nationwide adoption and meaningful impact.

Take Action:  Support the Revised Compact

Supporting the Revised Massage Therapy Compact means advocating for a forward-thinking approach to multistate licensure that benefits practitioners, strengthens workforce mobility and upholds high safety standards.

Together, we can help ensure this improved version of the Compact is adopted across the country. Contact your legislators today to express your support for the Revised Massage Therapy Compact.