State-based genetic counseling licensure creates standardization, ensures high-quality care, and supports the credentialing of genetic counselors (GCs) in the United States. However, it also has the unintended consequence of requiring substantial time and resources from genetic counselors who need to obtain licensure in multiple states. There is a wide range of variability among state licensure applications, required supporting documentation, verification processes, and cost—all of which are barriers for genetic counselors. New licensure laws are being passed on a regular basis, further complicating this process. Resources may be available to some genetic counselors such as employer reimbursement and administrative support; however, access to this support is not universal. This paper reviews the current condition of genetic counseling multi-state licensure, including barriers, unique challenges, and possible solutions for increased efficiencies, based on the authors’ experiences and examples found in other healthcare fields.

中文翻译：

---

减轻美国多州遗传咨询执照的负担：过程、陷阱和可能的解决方案

基于州的遗传咨询执照创建标准化，确保高质量的护理，并支持美国遗传咨询师 (GC) 的认证。然而，它也有一个意想不到的后果，即需要需要在多个州获得执照的遗传咨询师提供大量时间和资源。州许可申请、所需的支持文件、验证过程和成本之间存在广泛的差异——所有这些都是遗传咨询师的障碍。新的执照法正在定期通过，使这一过程进一步复杂化。一些遗传咨询师可能可以获得资源，例如雇主报销和行政支持；然而，获得这种支持并不普遍。