Mental health policy reform

Therapy shouldn't stop at state lines

Every year, thousands of people lose access to their therapist — not because they stopped needing help, but because they crossed a state line. A college student moves for school. A military family relocates. A remote worker changes addresses. And the therapeutic relationship ends.

Therapy Without Borders works to change the laws that make this happen. We research state-level barriers, build advocacy tools, and push for policies that let care follow people — not zip codes.

Check your state's grade → What we do
Highway stretching across state lines
160M+
Americans live in states with zero mental health compacts
8
States received a failing Easy Score on mental health access
90+
Days average wait for licensure in the slowest states
3
Interstate compacts now exist for mental health providers
The Easy Score v2.0  ·  35-point framework  ·  51 jurisdictions rated

How easy is it to get mental health care where you live?

Mental health access isn't just about having enough therapists — it's about wait times, cost, quality of care, and whether providers can even practice across state lines. We graded all 51 U.S. jurisdictions on 35 points across four categories.

35pts
Framework
4
Categories
51
Jurisdictions
Start here
Check your state's access grade.
Quick compare
National Overview
All 51 U.S. Jurisdictions
Easy Score v2.0
Data as of Feb 2026
24.2/35
Average Score
12
B-Grade States
8
F-Grade States
Grade Distribution
→ Select a state to see how it compares.
Inside the framework
01
Find a Therapist
Compact participation, out-of-state practice rights
12 points
02
Wait Times
Processing speed, practice-pending rules, application complexity
8 points
03
Costs
Licensing fees and affordable entry pathways
5 points
04
Quality & Access
Telehealth parity, scope of practice, supervision rules
10 points