244 CMR 8.04
Initial Licensure as a Registered Nurse or Practical Nurse by Reciprocity
The Board maylicense byreciprocity(without examination) an applicant who is, or has been,
licensed as a Registered Nurse or Practical Nurse in another state, the District of Columbia, a
U.S. Territory, or Canada under laws which, in the opinion of the Board, maintain standards
substantially the same as those required for licensure as a Registered Nurse or Practical Nurse
in Massachusetts, as applicable.
For the purposes of 244 CMR 8.04, the Board may find an applicant for licensure by
reciprocity has met "standards substantially the same" as those required for licensure as a
Registered Nurse or Practical Nurse in Massachusetts if the applicant meets all the requirements
set forth under 244 CMR 8.04(1), (2), or (3), as applicable.
(1) Registered Nurse Licensed in Another State, the District of Columbia, or a U.S. Territory.
The Board may license as a Registered Nurse by reciprocity an applicant who is, or has been,
licensed as a Registered Nurse in another state, the District of Columbia, or a U.S. Territoryafter
receipt, review, and approval by the Board or its designee of the following documentation:
M.G.L. c. 112, § 74, and as established by Board policy;
(b) proof satisfactory to the Board of the applicant's graduation from an approved nursing
1. if the nursing education program is located in United States, the District of Columbia,
a U.S. Territory, or Canada, an official transcript from the Registered Nurse education
program from which the applicant graduated verifying date of graduation and credential
conferred; or
2. if the nursing education program is not located in United States, the District of
Columbia, a U.S. Territory, or Canada, a CGFNS Certificate, a CGFNS credentials
review, or other Board-designated credentials review;
(c) proof satisfactory to the Board that the applicant has achieved a minimum score as
specified by the Board on a Board-designated test of English proficiency where the applicant
(d) proof satisfactory to the Board that the applicant has passed the NCLEX-RN or the
SBTPE for Registered Nurses as evidenced bythe applicant's licensure as a Registered Nurse
by examination in another state, the District of Columbia, or a U.S. Territory;
(e) proof satisfactory to the Board that the applicant is, or has been, licensed as a Registered
Nurse by examination in another state, the District of Columbia, or a U.S. Territory; and
(f) payment of all required fees, unless waived in accordance with M.G.L. c. 112, § 1B.
(2) Practical Nurse Licensed in the Another State, the District of Columbia, or a U.S. Territory.
The Board may license as a Licensed Practical Nurse by reciprocity an applicant who is, or has
been, licensed as a Practical Nurse in another state, the District of Columbia, or a U.S. Territory
after receipt, review, and approval by the Board or its designee of the following documentation:
M.G.L. c. 112, § 74A, and as established by Board policy;
(b) proof satisfactory to the Board of the applicant's graduation from an approved nursing
1. if the nursing education program is located in United States, the District of Columbia,
a U.S. Territory, or Canada, an official transcript from the Registered Nurse education
program from which the applicant graduated verifying date of graduation and credential
conferred; or
2. if the nursing education program is not located in United States, the District of
Columbia, a U.S. Territory, or Canada, a CGFNS Certificate, a CGFNS credentials
review, or other Board-designated credentials review;
(c) if the applicant was a former student at an approved nursing education program for
Registered Nurses, withdrew from such program in good standing and, as of the applicant's
withdrawal date, had completed a program of study, theory, and clinical practice equivalent
to that required for graduation from an approved nursing education program for Practical
Nurses, the applicant shall provide arrange for the following items to be sent directly to the
Board from the program as proof satisfactory to the Board of completion of such equivalent
program:
1. certification by the program administrator or the program administrator's designee of
completion of a program of study, theory, and clinical practice equivalent to that required
for graduation from an approved nursing education program for Practical Nurses; and
2. an original transcript from the Registered Nurse education program from which the
applicant withdrew verifying date of withdrawal;
(d) proof satisfactory to the Board that the applicant has achieved a minimum score as
specified by the Board on a Board-designated test of English proficiencywhere the applicant
(e) proof satisfactory to the Board that the applicant has passed the NCLEX-PN or the
SBTPE for Practical Nurses as evidenced by the applicant's licensure as a Practical Nurse by
examination in another state, the District of Columbia, or a U.S. Territory;
(f) proof satisfactory to the Board of the applicant's licensure as a Practical Nurse in another
state, the District of Columbia, or a U.S. Territory; and
(g) payment of all required fees, unless waived in accordance with M.G.L. c. 112, § 1B.
(3) Registered Nurse Licensed in Canada. The Board may license as a Registered Nurse by
reciprocity an applicant who is, or has been, licensed as a Registered Nurse in Canada after
receipt, review, and approval by the Board or its designee of the following documentation:
M.G.L. c. 112, § 76B, and as established by Board policy;
(b) proof satisfactory to the Board of the applicant's graduation from a nursing education
program for Registered Nurses approved by the nursing board or corresponding body in the
province of Canada where the applicant was licensed as a Registered Nurse by examination;
(c) proof satisfactory to the Board that the applicant has passed one of the following
Canadian licensure examinations:
1. if examined before August 1, 1970, the SBTPE;
2. if examined after August 1, 1970, the Canadian Nurses Association Testing Service
(CNATS) Examination with a score greater than 400 in each component of the
examination; or
3. if examined in August 1980 or thereafter, the CNATS Comprehensive Examination
with a comprehensive score of greater than 400;
(d) if the applicant took the CNATS Examination or the CNATS Comprehensive
Examination in French, proof satisfactory to the Board that the applicant has achieved a
minimum score of 550 on the Test of English as a Foreign Language (TOEFL) or has
achieved a minimum score as specified by the Board on a Board-designated test of English
proficiency;
(e) proof satisfactory to the Board of the applicant's licensure as a Registered Nurse in
Canada; and
(f) payment of all required fees, unless waived in accordance with M.G.L. c. 112, § 1B.