Hawaii is an IMLC member but not a State of Principal Licensure, blocking expedited cross-state licensing via a Hawaii license

The Interstate Medical Licensure Compact allows physicians to obtain expedited licenses in member states. However, Hawaii (like Vermont) is not designated a State of Principal Licensure, meaning a physician cannot use a Hawaii license as their qualifying license to enter the compact. This limits Hawaii-based clinicians' ability to expand cross-state telehealth practice through the expedited pathway, even though out-of-state physicians can obtain a Hawaii license via the compact.

Source: Interstate Medical Licensure Compact, participating-states roster.