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As part of our ongoing mission to improve health care quality, protect the public, and reduce health care fraud and abuse in the U.S., the Health Resources Services Administration (HRSA) reviews the completeness and accuracy of reports that state licensing and certification agencies (state licensing boards) submit to the National Practitioner Data Bank (NPDB). HRSA gathers data regarding adverse actions taken by state licensing boards and compares it with the actions submitted by the boards to the NPDB.

Compliance Review and Attestation Results

We share state licensing board compliance review results with the public. The interactive map shows the latest attestation and compliance review results for all reviewed boards in the 50 states, D.C., and U.S. territories.

See Map


All state licensing boards in the U.S. and its territories renew their registration every two years and attest to their compliance with NPDB reporting requirements. Federal law requires state licensing boards to report certain adverse actions within 30 days of the date the action was taken.

Boards that fail to submit their required reports may be subject to the sanctions outlined in 45 CFR 60.

Compliance Review Process

Mini image of the State Board Compliance Overview Infographic

State Board Compliance Overview

An infographic that explains the compliance review process.

See the full infographic

In addition to attestation, state licensing boards are selected to participate in compliance reviews. We review publicly available data and compare actions the board took with submitted reports.

The review includes professions that hospitals and health care organizations query most often:

  • Physicians
  • Dentists
  • Nurses
  • Physician Assistants
  • Social Workers

We also include a random sample of professions. All regulated health care professions are subject to review at the discretion of HRSA.