转照这件事，先搞懂三个词
Reciprocity（互认）和 Endorsement（凭资历核照），实务上讲的都是同一件事：你已经在别州持照，目标州愿不愿意认。真正的「互认」其实很少 —— 绝大多数州走的是「凭资历」，也就是逐案审查你的学时、考试成绩和执业纪录。
没有一个州是「拿旧执照换新执照」这么简单的。就算你完全符合条件，通常还是要重新递件、重做背景调查、重付一次费用。
最常卡住人的三关
- 学时不够。各州从 500 到 1,000 小时都有。从低时数的州搬去高时数的州，很可能要补课。
- 没有考过目标州认的那份考试。如果你原本那一州根本不考试（例如加州）或考的是自己的州考（例如纽约、夏威夷），那你手上多半没有按摩联邦考试的成绩，去到认这份考试的州，通常就得补考。
- 目标州的法规考试跑不掉。这一关几乎不看你从哪来 —— 考的是那一州自己的法律，人人都要考。
这一页不能替你做的事
转照的最终认定权在目标州的按摩委员会，而且他们是逐案审查的。这一页帮你把差距先看清楚、少跑冤枉路，但不能代替委员会的审核，也不保证结果。递件前请一定打开目标州委员会的官网自己确认一次。
Three words to get straight first
Reciprocity and endorsement describe the same practical thing: you already hold a licence elsewhere and the destination state decides whether to recognise it. True reciprocity is rare — most states run a case-by-case endorsement review of your hours, exam scores and practice record.
No state simply swaps an old licence for a new one. Even when you qualify cleanly, expect a fresh application, a fresh background check and a fresh fee.
The three things that usually block people
- Not enough education hours. States range from 500 to 1,000. Moving from a low-hour state to a high-hour one often means additional coursework.
- Not holding the exam the destination accepts. If your current state requires no exam (California) or uses its own (New York, Hawaii), you likely have no MBLEx score — and states that require it will generally expect you to sit it.
- The destination's state law exam. This one rarely cares where you came from — it covers that state's own statutes, and nearly everyone has to take it.
What this page cannot do for you
The destination state board decides, case by case. This page shows you the gap so you don't waste time — it does not replace their review and it guarantees nothing. Confirm on the destination board's own site before you apply.