50-State Regulatory Atlas Data and maps Staffing agency rules
Workforce · Map layer
State rules for healthcare staffing agencies (2026)
13 states license or register healthcare staffing agencies (4 with rate caps; 10 verified); 1 has enacted registration not yet in effect; 5 have no staffing-specific law found (provisional); 28 are not researched.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
- License or registration, with rate caps 4
- License or registration required 9
- Registration enacted, not yet in effect 1
- No staffing-specific law found 5
- Other staffing rules; licensing not confirmed 4
- Not researched 28
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Every state
| State | Answer | Value | Verification |
|---|---|---|---|
| Alabama | Unresolved | Not researched | |
| Alaska | Unresolved | Not researched | |
| Arizona | Unresolved | Not researched | |
| Arkansas | Unresolved | Not researched | |
| California | Unresolved | Not researched | |
| Colorado | Unresolved | Not researched | |
| Connecticut | Yes | Temporary nursing services agency registration: Temporary nursing services agencies register annually with the Department of Public Health. | Provisional |
| Delaware | No | Staffing agency license: No Delaware license or registration for nurse staffing agencies was found; a 2023 bill to require registration for long-term care staffing (HB 199) wa | Provisional |
| District of Columbia | Unresolved | Not researched | |
| Florida | Yes | Nurse registry license: A nurse registry is licensed by AHCA, one license per operational site (Fla. | Verified |
| Georgia | Unresolved | Not researched | |
| Hawaii | Unresolved | Not researched | |
| Idaho | Unresolved | Not researched | |
| Illinois | Yes | Nurse agency license: Nurse agencies are licensed by the Illinois Department of Labor under the Nurse Agency Licensing Act (225 ILCS 510). | Disputed |
| Indiana | Yes | Temporary health care staffing agency registration: Since July 1, 2023, agencies providing or procuring temporary employment in health care facilities register annually with the Indiana Department of He | Verified |
| Iowa | Unresolved | Non-compete rules for agencies and platforms: Health care employment agencies and platforms may not bind workers with non-competes (Iowa Code 135Q.2(3), 135Q.3(3)). | Verified |
| Kansas | Yes | Supplemental health care services agency registration: A KDADS memo of June 28, 2024 says supplemental health care services agencies register from July 1, 2024 with a $2,035 fee per location and file quart | Provisional |
| Kentucky | Unresolved | Non-compete and conversion-fee rules: Health care services agencies may not use non-competes against temporary direct care staff, and conversion fees are limited (KRS 216.724(1), as amende | Verified |
| Louisiana | Unresolved | Not researched | |
| Maine | Yes | Temporary nurse agency registration: An entity that primarily provides or procures nurses, CNAs and other staff on a temporary basis in Maine, expressly including online platforms, regist | Verified |
| Maryland | Unresolved | Not researched | |
| Massachusetts | Yes | Temporary nursing service agency registration: Temporary nursing service agencies register with the Department of Public Health (M.G.L. | Verified |
| Michigan | Unresolved | Not researched | |
| Minnesota | Yes | Supplemental nursing services agency registration: A supplemental nursing services agency, which provides temporary nurses and aides to health care facilities, registers with the Minnesota Department o | Verified |
| Mississippi | Unresolved | Not researched | |
| Missouri | Unresolved | Not researched | |
| Montana | Unresolved | Not researched | |
| Nebraska | Conditional | Health care staffing agency registration: From July 1, 2027, health care staffing agencies, including app-based platforms, register annually with the Department of Labor; non-competes in staff | Verified |
| Nevada | Unresolved | Not researched | |
| New Hampshire | Unresolved | Not researched | |
| New Jersey | Yes | Health care service firm registration: A firm that places RNs, LPNs or home health aides in a patient’s residence registers as a Health Care Service Firm with the Division of Consumer Affai | Verified |
| New Mexico | Unresolved | Not researched | |
| New York | Unresolved | Staffing agency registration bill: S5462 (2025–26 session) would create a registration framework for staffing agencies; it was pending when last reviewed. | Provisional |
| North Carolina | Unresolved | Not researched | |
| North Dakota | Unresolved | Not researched | |
| Ohio | Unresolved | Not researched | |
| Oklahoma | Unresolved | Nurse registry: “A nurse registry which provides home care services shall function and be licensed as a home care agency” | Verified |
| Oregon | Yes | Temporary staffing agency license: Temporary staffing agencies that place nurses with in-home care agencies and facilities hold a Health Licensing Office authorization, renewed every ye | Verified |
| Pennsylvania | Yes | Temporary health care services agency registration: Agencies supplying RNs, LPNs, nurse aides or direct care staff to nursing facilities, personal care homes or assisted living residences register annua | Verified |
| Rhode Island | Yes | Nursing service agency license: Nursing service agencies are licensed by RIDOH, with an in-state office, accreditation, and a cap of 200% on what may be charged to nursing facilities | Verified |
| South Carolina | Unresolved | Not researched | |
| South Dakota | Unresolved | Not researched | |
| Tennessee | Unresolved | Not researched | |
| Texas | No | Staffing agency license: No Texas license or registration specific to nurse or health care staffing agencies was found. | Provisional |
| Utah | Unresolved | Not researched | |
| Vermont | No | Staffing agency license: No Vermont statute specific to health care staffing agencies was found. | Provisional |
| Virginia | Unresolved | Not researched | |
| Washington | Yes | Nursing pool registration: No one may run a business providing or referring health care personnel for temporary employment in health care facilities without first registering wi | Verified |
| West Virginia | No | Staffing agency license: No West Virginia statute specific to health care staffing agencies was found; a general employment-agency registration exists and exempts agencies tha | Provisional |
| Wisconsin | No | Staffing agency license: No Wisconsin statute specific to health care staffing agencies was found. | Provisional |
| Wyoming | Unresolved | Not researched |