Texas lawmakers eye sharing health care workers with other states to address provider shortages

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Texas lawmakers eye sharing health care workers with other states to address provider shortages
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Advocates say interstate compacts, which allow professionals to use their work licenses in multiple states, can solve Texas’ workforce shortage. Skeptics fear Texas would send more workers than it would receive.

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“We have really good, robust licensing through the state board, and we want to maintain those standards, too, which sometimes with compacts, we’re not 100% sure can be guaranteed,” said Matt Roberts, a chair member of the Texas Dental Association. From an administrative and efficiency standpoint, licensing compacts can offer significant benefits, according to compact supporters.

“Oftentimes students, for example, at the University of Texas would be seeing a clinician, and then when they go home for vacations or the summer, they can’t see that therapist anymore because they aren’t licensed in the state they live in,” she said. “The compact eliminates many of these problems for people.”

“I would liken it to rearranging the deck chairs on a sinking ship,” he said. “Compacts don’t necessarily get you any more chairs.”The projected shortage of social workers and other professionals is most prevalent in the state's rural areas, an issue that interstate compacts aren’t designed to address, said Roberts with the dental association.

Bielamowicz said he recognizes a workforce issue in Texas, but a compact removes the state’s autonomy. Licensing boards would lose power at the expense of what a national board believes is best, he warns.

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