Licensing Policy

Healthcare vs Financial Services Licensing Compliance

Healthcare and financial services represent two of the most heavily regulated professional licensing environments. While both require rigorous compliance, they differ significantly in structure, verification systems, and regulatory frameworks. Organizations operating in both sectors face distinct challenges requiring tailored compliance approaches.

Regulatory Framework Comparison

Healthcare Licensing

Primary regulators:

  • State boards of nursing
  • State medical boards
  • State boards for allied health
  • CMS (federal oversight)

Key characteristics:

  • State-by-state licensing
  • Interstate compacts growing
  • Scope of practice varies by state
  • Federal quality oversight

Financial Services Licensing

Primary regulators:

  • State banking/financial regulators
  • NMLS (coordination system)
  • Federal agencies (OCC, SEC, FINRA)
  • CFPB (consumer protection)

Key characteristics:

  • NMLS centralizes mortgage licensing
  • Federal/state dual system for some roles
  • Securities licensing through FINRA
  • More uniform national standards

License Types Comparison

Healthcare License Types

TypeExampleLicensing Body
NursingRN, LPN, APRNState board of nursing
MedicalMD, DO, PAState medical board
Allied HealthPT, OT, RTProfession-specific boards
Behavioral HealthPsychologist, LCSWState-specific boards

Financial Services License Types

TypeExampleLicensing Body
MortgageMLO, brokerNMLS + state
BankingLoan officerEmployer + federal
SecuritiesSeries 7, 63FINRA + state
InsuranceLife, P&CState insurance dept

Verification Systems

Healthcare Verification

Primary sources:

  • State board websites
  • Nursys (nursing, 45+ states)
  • FSMB (physicians)
  • NPDB (disciplinary database)

Challenges:

  • 50+ separate state systems
  • Variable API availability
  • Inconsistent data formats
  • Different update frequencies

Financial Services Verification

Primary sources:

  • NMLS Consumer Access (mortgage)
  • FINRA BrokerCheck (securities)
  • State insurance lookups
  • Federal registry

Advantages:

  • NMLS provides centralized access
  • FINRA offers comprehensive data
  • More standardized formats
  • Better API infrastructure

Interstate Practice

Healthcare: Compact Growth

Nurse Licensure Compact:

  • 43 member states
  • Single multistate license
  • Must be resident of compact state
  • Significant simplification

Other healthcare compacts:

  • IMLC for physicians
  • PSYPACT for psychologists
  • PT Compact for physical therapists

Non-compact challenges:

  • Separate license per state
  • Individual board applications
  • Varying requirements

Financial Services: NMLS Coordination

NMLS structure:

  • Centralized application system
  • State licenses still separate
  • Uniform exam (SAFE)
  • Standardized requirements

Advantages:

  • Single platform for all states
  • Consistent process
  • Streamlined multi-state licensing
  • Better data accessibility

Compliance Requirements

Healthcare Compliance

RequirementFrequencyComplexity
License verificationAt hire + ongoingHigh
CE trackingAnnual/biennialHigh
Privilege verificationPer facilityVery high
Exclusion screeningMonthlyMedium
Background checkVariesHigh

Healthcare-specific:

  • Primary source verification required
  • CMS exclusion list checking
  • Credentialing for privileges
  • Peer review requirements

Financial Services Compliance

RequirementFrequencyComplexity
License verificationAt hire + ongoingMedium
CE trackingAnnualMedium
NMLS statusContinuousLow
Background checkAt licensingMedium
Call monitoringOngoingHigh

Financial-specific:

  • NMLS provides status
  • Surety bond requirements
  • Net worth requirements
  • SAR filing obligations

Technology Implications

Healthcare Compliance Technology

Needed capabilities:

  • Multi-source verification
  • Compact status tracking
  • CE management
  • Credentialing workflows
  • Primary source documentation

Integration complexity:

  • 50+ state board systems
  • Multiple national databases
  • Varied data formats
  • Frequent manual fallback

Financial Services Technology

Needed capabilities:

  • NMLS integration
  • FINRA connectivity
  • CE tracking
  • License renewal management
  • Compliance reporting

Integration advantages:

  • Centralized NMLS access
  • Standardized APIs
  • Better data quality
  • Fewer manual processes

Dual-Industry Considerations

Organizations in Both Sectors

Some organizations span both:

  • Banks with wealth management and mortgage
  • Health systems with financial counseling
  • Integrated service providers

Compliance challenges:

  • Different systems and processes
  • Separate compliance teams often
  • Unified reporting difficult
  • Different audit expectations

Unified Approach

Recommendations:

  • Centralized compliance function
  • Integrated credential tracking
  • Common reporting framework
  • Specialized expertise by sector

Cost Comparison

Healthcare Compliance Costs

ElementAnnual Cost (500 employees)
Verification technology$30,000-75,000
Credentialing staff$150,000-300,000
CE tracking$15,000-30,000
Audit and compliance$50,000-100,000
Total$245,000-505,000

Financial Services Compliance Costs

ElementAnnual Cost (500 employees)
NMLS fees$25,000-50,000
Verification/monitoring$15,000-40,000
CE management$10,000-25,000
Compliance staff$100,000-200,000
Total$150,000-315,000

Healthcare typically higher due to:

  • More complex verification
  • Primary source requirements
  • Credentialing obligations
  • More regulatory bodies
  • Compact expansion continuing
  • Telehealth licensure evolution
  • Interoperability requirements
  • AI credentialing exploration
  • NMLS modernization
  • Trigger lead scrutiny
  • State uniformity efforts
  • Digital verification expansion

Best Practices by Industry

Healthcare Best Practices

  1. Primary source verification always
  2. Comprehensive compact tracking
  3. Robust CE management
  4. Strong credentialing processes
  5. Regular exclusion screening

Financial Services Best Practices

  1. NMLS integration essential
  2. Continuous status monitoring
  3. CE deadline management
  4. Bond and net worth tracking
  5. Regulatory change monitoring

Key Takeaways

  • Healthcare licensing is more fragmented, financial more centralized
  • Both require systematic compliance approaches
  • Technology needs differ significantly
  • Compacts are transforming healthcare licensing
  • NMLS provides financial services advantages
  • Dual-industry organizations face unique challenges

Explore our licensing resources for profession-specific compliance guidance.