SB207ENROLLED Page 0 SB207 YCQ8626-2 By Senators Hatcher, Jones, Smitherman, Butler, Allen, Givhan, Melson, Sessions, Carnley, Bell, Kelley, Shelnutt, Kitchens, Stutts, Elliott, Roberts, Waggoner, Orr, Stewart, Coleman, Coleman-Madison, Beasley RFD: Veterans and Military Affairs First Read: 06-Mar-24 1 2 3 4 5 6 7 8 SB207 Enrolled Page 1 First Read: 06-Mar-24 Enrolled, An Act, Relating to the Alabama Board of Examiners for Dietetics/Nutrition Practice; to enter into the Dietician Licensure Compact by adopting Chapter 34B of Title 34, Code of Alabama 1975. BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: Section 1. Chapter 34B, commencing with Section 34-34B-1, is added to Title 34, Code of Alabama 1975, to read as follows: CHAPTER 34B. DIETITIAN LICENSURE COMPACT §34-34B-1. Purpose. (a) The purpose of this compact is to facilitate interstate practice of dietetics with the goal of improving public access to dietetics services. This compact preserves the regulatory authority of states to protect public health and safety through the current system of state licensure, while also providing for licensure portability through a compact privilege granted to qualifying professionals. (b) This compact is designed to achieve the following objectives: (1) Increase public access to dietetics services. (2) Provide opportunities for interstate practice by licensed dietitians who meet uniform requirements. (3) Eliminate the necessity for licenses in multiple states. (4) Reduce the administrative burden on member states 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 SB207 Enrolled Page 2 (4) Reduce the administrative burden on member states and licensees. (5) Enhance the states' ability to protect the public's health and safety. (6) Encourage the cooperation of member states in regulating multistate practice of licensed dietitians. (7) Support relocating active military members and their spouses. (8) Enhance the exchange of licensure, investigative, and disciplinary information among member states. (9) Vest all member states with the authority to hold a licensed dietitian accountable for meeting all state practice laws in the state in which the patient is located at the time care is rendered. §34-34B-2. Definitions. As used in this compact, the following terms have the following meanings: (1) ACEND. The Accreditation Council for Education in Nutrition and Dietetics or its successor organization. (2) ACTIVE MILITARY MEMBER. Any individual with full-time duty status in the active armed forces of the United States, including members of the National Guard and Reserve. (3) ADVERSE ACTION. Any administrative, civil, equitable, or criminal action permitted by a state's laws which is imposed by a licensing authority or other authority against a licensee, including actions against an individual's license or compact privilege such as revocation, suspension, probation, monitoring of the licensee, limitation on the licensee's practice, or any other encumbrance on a licensure 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 SB207 Enrolled Page 3 licensee's practice, or any other encumbrance on a licensure affecting a licensee's authorization to practice, including issuance of a cease and desist action. (4) ALTERNATIVE PROGRAM. A nondisciplinary monitoring or practice remediation process approved by a licensing authority. (5) CDR. The Commission on Dietetic Registration or its successor organization. (6) CHARTER MEMBER STATE. Any member state which enacted this compact by law before the effective date specified in Section 34-34B-12. (7) COMPACT COMMISSION. The governmental agency whose membership consists of all states that have enacted this compact, which is known as the Dietitian Licensure Compact Commission, as described in Section 34-34B-8, and which shall operate as an instrumentality of the member states. (8) COMPACT PRIVILEGE. A legal authorization, which is equivalent to a license, permitting the practice of dietetics in a remote state. (9) CONTINUING EDUCATION. A requirement, as a condition of license renewal, to provide evidence of participation in, and completion of, educational and professional activities relevant to practice or area of work. (10) CURRENT SIGNIFICANT INVESTIGATIVE INFORMATION. a. Investigative information that a licensing authority, after a preliminary inquiry that includes notification and an opportunity for the subject licensee to respond, if required by state law, has reason to believe is not groundless and, if proved true, would indicate more than a 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 SB207 Enrolled Page 4 not groundless and, if proved true, would indicate more than a minor infraction. b. Investigative information that indicates that the subject licensee represents an immediate threat to public health and safety regardless of whether he or she has been notified and had an opportunity to respond. (11) DATA SYSTEM. A repository of information about licensees, including, but not limited to, continuing education, examination, licensure, investigative, compact privilege, and adverse action information. (12) ENCUMBERED LICENSE. A license in which an adverse action restricts a licensee's ability to practice dietetics. (13) ENCUMBRANCE. A revocation or suspension of, or any limitation on a licensee's full and unrestricted practice of dietetics by a licensing authority. (14) EXECUTIVE COMMITTEE. A group of delegates elected or appointed to act on behalf of, and within the powers granted to them by, this compact and the compact commission. (15) HOME STATE. The member state that is the licensee's primary state of residence or that has been designated pursuant to Section 34-34B-6. (16) INVESTIGATIVE INFORMATION. Information, records, and documents received or generated by a licensing authority pursuant to an investigation. (17) JURISPRUDENCE REQUIREMENT. An assessment of an individual's knowledge of the state laws and rules governing the practice of dietetics in such state. (18) LICENSE. An authorization from a member state to do one of the following: 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 SB207 Enrolled Page 5 do one of the following: a. Engage in the practice of dietetics, including medical nutrition therapy. b. Use the title "dietitian," "licensed dietitian," "licensed dietitian nutritionist," "certified dietitian," or other title describing a substantially similar practitioner as the compact commission may further define by rule. (19) LICENSEE or LICENSED DIETITIAN. An individual who currently holds a license and who meets all of the requirements outlined in Section 34-34B-4. (20) LICENSING AUTHORITY. The board or agency of a state, or equivalent, that is responsible for the licensing and regulation of the practice of dietetics. (21) MEMBER STATE. A state that has enacted the compact. (22) PRACTICE OF DIETETICS. The synthesis and application of dietetics, primarily for the provision of nutrition care services, including medical nutrition therapy, in person or via telehealth, to prevent, manage, or treat diseases or medical conditions and promote wellness. (23) REGISTERED DIETITIAN. A person who meets all of the following requirements: a. Has completed applicable education, experience, examination, and recertification requirements approved by CDR. b. Is credentialed by CDR as a registered dietitian or a registered dietitian nutritionist. c. Is legally authorized to use the title registered dietitian or registered dietitian nutritionist and the corresponding abbreviations "RD" or "RDN." 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 SB207 Enrolled Page 6 corresponding abbreviations "RD" or "RDN." (24) REMOTE STATE. A member state other than the home state, where a licensee is exercising or seeking to exercise a compact privilege. (25) RULE. A regulation adopted by the compact commission that has the force of law. (26) SINGLE-STATE LICENSE. A license issued by a member state within the issuing state. The term does not include a compact privilege in any other member state. (27) STATE. Any state, commonwealth, district, or territory of the United States of America. (28) UNENCUMBERED LICENSE. A license that authorizes a licensee to engage in the full and unrestricted practice of dietetics. §34-34B-3. State Participation in the Compact. (a) To participate in the compact, a state must currently license and regulate the practice of dietetics and have a mechanism in place for receiving and investigating complaints about licensees. (b) A member state shall do all of the following: (1) Participate fully in the compact commission's data system, including using the unique identifier as defined in rules. (2) Notify the compact commission, in compliance with the terms of the compact and rules, of any adverse action or the availability of current significant investigative information regarding a licensee. (3) Implement or utilize procedures for considering the criminal history record information of applicants for an 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 SB207 Enrolled Page 7 criminal history record information of applicants for an initial compact privilege. These procedures shall include the submission of fingerprints or other biometric-based information by applicants for the purpose of obtaining an applicant's criminal history record information from the Federal Bureau of Investigation and the agency responsible for retaining that state's criminal records. a. A member state must fully implement a criminal history record information requirement, within a timeframe established by rule, which includes receiving the results of the Federal Bureau of Investigation record search and shall use those results in determining compact privilege eligibility. b. Communication between a member state and the compact commission or among member states regarding the verification of eligibility for a compact privilege shall not include any information received from the Federal Bureau of Investigation relating to a federal criminal history record information check performed by a member state. (4) Comply with and enforce the rules of the compact commission. (5) Require an applicant for a compact privilege to obtain or retain a license in the licensee's home state and meet the home state's qualifications for licensure or renewal of licensure, as well as all other applicable state laws. (6) Recognize a compact privilege granted to a licensee who meets all of the requirements outlined in Section 34-34B-4 in accordance with the terms of the compact and rules. (c) Member states may set and collect a fee for 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 SB207 Enrolled Page 8 (c) Member states may set and collect a fee for granting a compact privilege. (d) Individuals not residing in a member state shall continue to be able to apply for a member state's single state license as provided under the laws of each member state. However, the single state license granted to these individuals shall not be recognized as granting a compact privilege to engage in the practice of dietetics in any other member state. (e) Nothing in this compact shall affect the requirements established by a member state for the issuance of a single state license. (f) At no point shall the compact commission have the power to define the requirements for the issuance of a single state license to practice dietetics. The member states shall retain sole jurisdiction over the provision of these requirements. §34-34B-4. Compact Privilege. (a) To exercise the compact privilege under the terms and provisions of the compact, the licensee shall do all of the following: (1) The licensee must do one of the following: a. Hold a valid current registration that gives the applicant the right to use the term "registered dietitian." b. Complete all of the following: 1. An education program which is either: (i) A master's degree or doctoral degree that is programatically accredited by ACEND or any other dietetics accrediting agency recognized by the United States Department of Education, which the compact commission may determine by 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 SB207 Enrolled Page 9 of Education, which the compact commission may determine by rule, and from a college or university accredited at the time of graduation by the appropriate regional accrediting agency recognized by the Council on Higher Education Accreditation and the United States Department of Education. (ii) An academic degree from a college or university in a foreign country equivalent to the degree described in Item (i) that is programmatically accredited by ACEND or any other dietetics accrediting agency recognized by the United States Department of Education, which the compact commission may determine by rule. 2. A planned, documented, and supervised practice experience in dietetics that is programmatically accredited by ACEND or any other dietetics accrediting agency recognized by the United States Department of Education which the compact commission may determine by rule and which involves at least 1000 hours of practice experience under the supervision of a registered dietitian or a licensed dietitian. 3. Successful completion of either the Registration Examination for Dietitians administered by CDR or a national credentialing examination for dietitians approved by the compact commission by rule; provided, the completion must be no more than five years prior to the date of the licensee's application for initial licensure and accompanied by a period of continuous licensure thereafter, all of which may be further governed by the rules of the compact commission. (2) Hold an unencumbered license in the home state. (3) Notify the compact commission that the licensee is seeking a compact privilege within one or more remote states. 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 SB207 Enrolled Page 10 seeking a compact privilege within one or more remote states. (4) Pay any applicable fees, including any state fee, for the compact privilege. (5) Meet any jurisprudence requirements established by the remote state in which the licensee is seeking a compact privilege. (6) Report to the compact commission any adverse action, encumbrance, or restriction on a license taken by any non-member state within 30 days from the date the action is taken. (b) The compact privilege is valid until the expiration date of the home state license. To maintain a compact privilege, renewal of the compact privilege shall be congruent with the renewal of the home state license as the compact commission may define by rule. The licensee must comply with the requirements of subsection (a) to maintain the compact privilege in the remote state. (c) A licensee exercising a compact privilege shall adhere to the laws and rules of the remote state. Licensees shall be responsible for educating themselves on, and complying with, any and all state laws relating to the practice of dietetics in the remote state. (d) Notwithstanding anything to the contrary provided in this compact or state law, a licensee exercising a compact privilege shall not be required to complete continuing education requirements required by a remote state. A licensee exercising a compact privilege is only required to meet any continuing education requirements as required by the home state. 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 SB207 Enrolled Page 11 state. §34-34B-5. Obtaining a New Home State License Based on a Compact Privilege. (a) A licensee may hold a home state license, which allows for a compact privilege in other member states, in only one member state at a time. (b) If a licensee changes his or her home state by moving between two member states: (1) The licensee shall file an application for obtaining a new home state license based on a compact privilege, pay all applicable fees, and notify the current and new home state in accordance with the rules of the compact commission. (2) Upon receipt of an application for obtaining a new home state license by virtue of a compact privilege, the new home state shall verify that the licensee meets the criteria in Section 34-34B-4 via the data system and require that the licensee complete all of the following: a. Federal Bureau of Investigation fingerprint-based criminal history record information check. b. Any other criminal history record information required by the new home state. c. Any jurisprudence requirements of the new home state. (3) The former home state shall convert the former home state license into a compact privilege once the new home state has activated the new home state license in accordance with applicable rules adopted by the compact commission. (4) Notwithstanding any other provision of this 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 SB207 Enrolled Page 12 (4) Notwithstanding any other provision of this compact, if the licensee cannot meet the criteria in Section 34-34B-4, the new home state may apply its requirements for issuing a new single-state license. (5) The licensee shall pay all applicable fees to the new home state in order to be issued a new home state license. (c) If a licensee changes his or her state of residence by moving from a member state to a non-member state, or from a non-member state to a member state, the state criteria shall apply for issuance of a single state license in the new state. (d) Nothing in this compact shall interfere with a licensee's ability to hold a single-state license in multiple states; however, for the purposes of this compact, a licensee shall have only one home state license. (e) Nothing in this compact shall affect the requirements established by a member state for the issuance of a single-state license. §34-34B-6. Active Military Members or Their Spouses. An active military member, or his or her spouse, shall designate a home state where the individual has a current license in good standing. The individual may retain the home state designation during the period the service member is on active duty. §34-34B-7. Adverse Actions. (a) In addition to the other powers conferred by state law, a remote state shall have the authority, in accordance with existing state due process law, to do both of the following: (1) Take adverse action against a licensee's compact 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 SB207 Enrolled Page 13 (1) Take adverse action against a licensee's compact privilege within that member state. (2) Issue subpoenas for both hearings and investigations that require the attendance and testimony of witnesses, as well as the production of evidence. Subpoenas issued by a licensing authority in a member state for the attendance and testimony of witnesses or the production of evidence from another member state shall be enforced in the latter state by any court of competent jurisdiction, according to the practice and procedure applicable to subpoenas issued in proceedings pending before that court. The issuing authority shall pay any witness fees, travel expenses, mileage, and other fees required by the service statutes of the state in which the witnesses or evidence are located. (b) Only the home state shall have the power to take adverse action against a licensee's home state license. (c) For purposes of taking adverse action, the home state shall give the same priority and effect to reported conduct received from a member state as it would if the conduct had occurred within the home state. In so doing, the home state shall apply its own state laws to determine appropriate action. (d) The home state shall complete any pending investigations of a licensee who changes home states during the course of the investigations. The home state shall also have authority to take appropriate action and shall promptly report the conclusions of the investigations to the administrator of the data system. The administrator of the data system shall promptly notify the new home state of any 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 SB207 Enrolled Page 14 data system shall promptly notify the new home state of any adverse actions. (e) A member state, if otherwise permitted by state law, may recover from the affected licensee the costs of investigations and dispositions of cases resulting from any adverse action taken against that licensee. (f) A member state may take adverse action based on the factual findings of another remote state, provided that the member state follows its own procedures for taking the adverse action. (g) Joint investigations. (1) In addition to the authority granted to a member state by its respective state law, any member state may participate with other member states in joint investigations of licensees. (2) Member states shall share any investigative, litigation, or compliance materials in furtherance of any joint investigation initiated under the compact. (h) If adverse action is taken by the home state against a licensee's home state license resulting in an encumbrance on the home state license, the licensee's compact privilege in all other member states shall be revoked until all encumbrances have been removed from the home state license. All home state disciplinary orders that impose adverse action against a licensee shall include a statement that the licensee's compact privileges are revoked in all member states during the pendency of the order. (i) Once an encumbered license in the home state is restored to an unencumbered license, as certified by the home 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 SB207 Enrolled Page 15 restored to an unencumbered license, as certified by the home state's licensing authority, the licensee must meet the requirements of Section 34-34B-4(a) and follow the administrative requirements to reapply to obtain a compact privilege in any remote state. (j) If a member state takes adverse action, it shall promptly notify the administrator of the data system. The administrator of the data system shall promptly notify the other member states of any adverse actions. (k) Nothing in this compact shall override a member state's decision that participation in an alternative program may be used in lieu of adverse action. §34-34B-8. Establishment of the Dietitian Licensure Compact Commission. (a) The compact member states hereby create and establish a joint governmental agency whose membership consists of all member states that have enacted the compact known as the Dietitian Licensure Compact Commission. The compact commission is an instrumentality of the compact states acting jointly and not an instrumentality of any one state. The compact commission shall come into existence on or after the effective date of the compact as set forth in Section 34-34B-12. (b) Membership, voting, and meetings. (1) Each member state shall have and be limited to one delegate selected by that member state's licensing authority. (2) The delegate shall be the primary administrator of the licensing authority or his or her designee. (3) The compact commission shall by rule or bylaw 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 SB207 Enrolled Page 16 (3) The compact commission shall by rule or bylaw establish a term of office for delegates and may by rule or bylaw establish term limits. (4) The compact commission may recommend removal or suspension of any delegate from office. (5) A member state's licensing authority shall fill any vacancy of its delegate occurring on the compact commission within 60 days of the vacancy. (6) Each delegate shall be entitled to one vote on all matters before the compact commission requiring a vote by the delegates. (7) Delegates shall meet and vote by such means as set forth in the bylaws. The bylaws may provide for delegates to meet and vote in-person or by telecommunication, video conference, or other means of communication. (8) The compact commission shall meet at least once during each calendar year. Additional meetings may be held as set forth in the bylaws. The compact commission may meet in person or by telecommunication, video conference, or other means of communication. (c) The compact commission shall have all of the following powers: (1) Establish the fiscal year of the compact commission. (2) Establish code of conduct and conflict of interest policies. (3) Establish and amend rules and bylaws. (4) Maintain its financial records in accordance with the bylaws. 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 SB207 Enrolled Page 17 the bylaws. (5) Meet and take action consistent with the provisions of this compact, the compact commission's rules, and the bylaws. (6) Initiate and conclude legal proceedings or actions in the name of the compact commission, provided that the standing of any licensing authority to sue or be sued under applicable law shall not be affected. (7) Maintain and certify records and information provided to a member state as the authenticated business records of the compact commission, and designate an agent to do so on behalf of the compact commission. (8) Purchase and maintain insurance and bonds. (9) Borrow, accept, or contract for services of personnel, including, but not limited to, employees of a member state. (10) Conduct an annual financial review. (11) Hire employees, elect or appoint officers, fix compensation, define duties, grant those individuals appropriate authority to carry out the purposes of the compact, and establish the compact commission's personnel policies and programs relating to conflicts of interest, qualifications of personnel, and other related personnel matters. (12) Assess and collect fees. (13) Accept any and all appropriate donations, grants of money, other sources of revenue, equipment, supplies, materials, services, and gifts, and receive, utilize, and dispose of the same; provided, that at all times the compact 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 SB207 Enrolled Page 18 dispose of the same; provided, that at all times the compact commission shall avoid any actual or appearance of impropriety or conflict of interest. (14) Lease, purchase, retain, own, hold, improve, or use any property, real, personal, or mixed, or any undivided interest in property. (15) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any property real, personal, or mixed. (16) Establish a budget and make expenditures. (17) Borrow money. (18) Appoint committees, including standing committees, composed of members, state regulators, state legislators or his or her representatives, consumer representatives, and other interested persons as may be designated in this compact or the bylaws. (19) Provide and receive information from, and cooperate with, law enforcement agencies. (20) Establish and elect an executive committee, including a chair and a vice chair. (21) Determine whether a state's adopted language is materially different from the model compact language such that the state would not qualify for participation in the compact. (22) Perform other functions as may be necessary or appropriate to achieve the purposes of this compact. (d) The Executive Committee. (1) The executive committee shall have the power to act on behalf of the compact commission according to the terms of this compact. The powers, duties, and responsibilities of the 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 SB207 Enrolled Page 19 this compact. The powers, duties, and responsibilities of the executive committee shall include all of the following: a. Oversee the day-to-day activities of the administration of the compact, including enforcement and compliance with the provisions of the compact, its rules and bylaws, and other duties as deemed necessary. b. Recommend to the compact commission changes to the rules or bylaws, changes to this compact legislation, fees charged to compact member states, fees charged to licensees, and other fees. c. Ensure compact administration services are appropriately provided, including by contract. d. Prepare and recommend the budget. e. Maintain financial records on behalf of the compact commission. f. Monitor compact compliance of member states and provide compliance reports to the compact commission. g. Establish additional committees as necessary. h. Exercise the powers and duties of the compact commission during the interim between compact commission meetings, except for adopting or amending rules, adopting or amending bylaws, and exercising any other powers and duties expressly reserved to the compact commission by rule or bylaw. i. Other duties as provided in the rules or bylaws of the compact commission. (2) The executive committee shall be composed of nine members: a. The chair and vice chair of the compact commission shall be voting members of the executive committee. 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 SB207 Enrolled Page 20 shall be voting members of the executive committee. b. Five voting members from the current membership of the compact commission, elected by the compact commission. c. One ex officio, nonvoting member from a recognized professional association representing dietitians. d. One ex officio, nonvoting member from a recognized national credentialing organization for dietitians. (3) The compact commission may remove any member of the executive committee as provided in the compact commission's bylaws. (4) The executive committee shall meet at least annually. a. Executive committee meetings shall be open to the public, except that the executive committee may meet in a closed, nonpublic meeting as provided in subdivision (f)(2). b. The executive committee shall give 30-days' notice of its meetings, posted on the website of the compact commission and as determined to provide notice to persons with an interest in the business of the compact commission. c. The executive committee may hold a special meeting in accordance with paragraph (f)(1)b. (e) The compact commission shall adopt and provide to the member states an annual report. (f) Meetings of the Compact Commission. (1) All meetings shall be open to the public, except that the compact commission may meet in a closed, non-public meeting as provided in subdivision (2). a. Public notice for all meetings of the full compact commission shall be given in the same manner as required under 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 SB207 Enrolled Page 21 commission shall be given in the same manner as required under the rulemaking provisions in Section 34-34B-10, except that the compact commission may hold a special meeting as provided in paragraph (f)(1)b. b. The compact commission may hold a special meeting when it must meet to conduct emergency business by giving 24- hours' notice to all member states, on the compact commission's website, and other means as provided in the compact commission's rules. The compact commission's legal counsel shall certify that the compact commission's need to meet qualifies as an emergency. (2) The compact commission, the executive committee, or other committees of the compact commission may convene in a closed, nonpublic meeting for the compact commission, executive committee, or other committees of the compact commission to receive legal advice or to discuss the following: a. Noncompliance of a member state with its obligations under the compact. b. The employment, compensation, discipline, or other matters, practices, or procedures related to specific employees. c. Current or threatened discipline of a licensee by the compact commission or by a member state's licensing authority. d. Current, threatened, or reasonably anticipated litigation. e. Negotiation of contracts for the purchase, lease, or sale of goods, services, or real estate. 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 SB207 Enrolled Page 22 sale of goods, services, or real estate. f. Accusing any individual of a crime or formally censuring any individual. g. Trade secrets or commercial or financial information that is privileged or confidential. h. Information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy. i. Investigative records compiled for law enforcement purposes. j. Information related to any investigative reports prepared by or on behalf of or for use of the compact commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to the compact. k. Matters specifically exempted from disclosure by federal or member state law. l. Other matters as specified in the rules of the compact commission. (3) If a meeting, or portion of a meeting, is closed, the presiding officer shall state that the meeting will be closed and reference each relevant exempting provision, and such reference shall be recorded in the minutes. (4) The compact commission shall keep minutes that fully and clearly describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, and the reasons therefore, including a description of the views expressed. All documents considered in connection with an action shall be identified in such minutes. All 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 SB207 Enrolled Page 23 with an action shall be identified in such minutes. All minutes and documents of a closed meeting shall remain under seal, subject to release only by a majority vote of the compact commission or order of a court of competent jurisdiction. (g) Financing of the compact commission. (1) The compact commission shall pay, or provide for the payment of, the reasonable expenses of its establishment, organization, and ongoing activities. (2) The compact commission may accept any and all appropriate revenue sources as provided in subdivision (c)(13). (3) The compact commission may levy on and collect an annual assessment from each member state and impose fees on licensees of member states to whom it grants a compact privilege to cover the cost of the operations and activities of the compact commission and its staff, which must, in a total amount, be sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources. The aggregate annual assessment amount for member states shall be allocated based upon a formula that the compact commission shall adopt by rule. (4) The compact commission shall not incur obligations of any kind prior to securing the funds adequate to meet those obligations; nor shall the compact commission pledge the credit of any of the member states, except by and with the authority of the member state. (5) The compact commission shall keep accurate accounts of all receipts and disbursements. The receipts and 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 SB207 Enrolled Page 24 of all receipts and disbursements. The receipts and disbursements of the compact commission shall be subject to the financial review and accounting procedures established under its bylaws. However, all receipts and disbursements of funds handled by the compact commission shall be subject to an annual financial review by a certified or licensed public accountant, and the report of the financial review shall be included in and become part of the annual report of the compact commission. (h) Qualified immunity, defense, and indemnification. (1) The members, officers, executive director, employees, and representatives of the compact commission shall be immune from suit and liability, both personally and in their official capacities, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error, or omission that occurred, or that the individual against whom the claim is made had a reasonable basis for believing occurred within the scope of compact commission employment, duties, or responsibilities; provided, that nothing in this subdivision shall be construed to protect any individual from suit or liability for any damage, loss, injury, or liability caused by the intentional, willful, or wanton misconduct of that individual. The procurement of insurance of any type by the compact commission shall not in any way compromise or limit the immunity granted under this subsection. (2) The compact commission shall defend any member, officer, executive director, employee, and representative of the compact commission in any civil action seeking to impose 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 SB207 Enrolled Page 25 the compact commission in any civil action seeking to impose liability arising out of any actual or alleged act, error, or omission that occurred within the scope of compact commission employment, duties, or responsibilities, or as determined by the compact commission that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of compact commission employment, duties, or responsibilities; provided, that nothing in this subdivision shall be construed to prohibit that individual from retaining his or her own counsel at his or her own expense; and provided further, that the actual or alleged act, error, or omission did not result from that individual's intentional, willful, or wanton misconduct. (3) The compact commission shall indemnify and hold harmless any member, officer, executive director, employee, and representative of the compact commission for the amount of any settlement or judgment obtained against that individual arising out of any actual or alleged act, error, or omission that occurred within the scope of compact commission employment, duties, or responsibilities, or that such individual had a reasonable basis for believing occurred within the scope of compact commission employment, duties, or responsibilities; provided, that the actual or alleged act, error, or omission did not result from the intentional, willful, or wanton misconduct of that individual. (4) Nothing in this subsection shall be construed as a limitation on the liability of any licensee for professional malpractice or misconduct, which shall be governed solely by any other applicable state laws. 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 SB207 Enrolled Page 26 any other applicable state laws. (5) Nothing in this compact shall be interpreted to waive or otherwise abrogate a member state's state action immunity or state action affirmative defense with respect to antitrust claims under the Sherman Act, Clayton Act, or any other state or federal antitrust or anticompetitive law or rule. (6) Nothing in this compact shall be construed to be a waiver of sovereign immunity by the member states or by the compact commission. §34-34B-9. Data System. (a) The compact commission shall provide for the development, maintenance, operation, and utilization of a coordinated data system. (b) The compact commission shall assign each applicant for a compact privilege a unique identifier, as determined by the rules. (c) Notwithstanding any other provision of state law to the contrary, a member state shall submit a uniform data set to the data system on all individuals to whom this compact is applicable as required by the rules of the compact commission, including all of the following: (1) Identifying information. (2) Licensure data. (3) Adverse actions against a license or compact privilege and information related thereto. (4) Nonconfidential information related to alternative program participation, the beginning and ending dates of participation, and other information related to participation 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 SB207 Enrolled Page 27 participation, and other information related to participation not made confidential under member state law. (5) Any denial of application for licensure, and the reason or reasons for the denial. (6) The presence of current significant investigative information. (7) Other information that may facilitate the administration of this compact or the protection of the public, as determined by the rules of the compact commission. (d) The records and information provided to a member state pursuant to this compact or through the data system, when certified by the compact commission or its agent, shall constitute the authenticated business records of the compact commission, and shall be entitled to any associated hearsay exception in any relevant judicial, quasi-judicial, or administrative proceedings in a member state. (e) Current significant investigative information pertaining to a licensee in any member state will only be available to other member states. (f) It is the responsibility of the member states to report any adverse action against a licensee and to monitor the data system to determine whether any adverse action has been taken against a licensee. Adverse action information pertaining to a licensee in any member state will be available to any other member state. (g) Member states contributing information to the data system may designate information that may not be shared with the public without the express permission of the contributing state. 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 SB207 Enrolled Page 28 state. (h) Any information submitted to the data system that is subsequently expunged pursuant to federal law or the laws of the member state contributing the information shall be removed from the data system. §34-34B-10. Rulemaking. (a) The compact commission shall adopt reasonable rules in order to effectively and efficiently implement and administer the purposes and provisions of this compact. A rule shall be invalid and have no force or effect only if a court of competent jurisdiction holds that the rule is invalid because the compact commission exercised its rulemaking authority in a manner that is beyond the scope and purposes of the compact, or the powers granted under the contract, or based upon another applicable standard of review. (b) The rules of the compact commission shall have the force of law in each member state; provided, however, that where the rules conflict with the laws or rules of a member state that relate to the procedures, actions, and processes a licensed dietitian is permitted to undertake in that state and the circumstances under which he or she may do so, as held by a court of competent jurisdiction, the rules of the compact commission shall be ineffective in that state to the extent of the conflict. (c) The compact commission shall exercise its rulemaking powers pursuant to the criteria set forth in this section and the rules adopted thereunder. Rules shall become binding on the day following adoption or as of the date specified in the rule or amendment, whichever is later. 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 SB207 Enrolled Page 29 specified in the rule or amendment, whichever is later. (d) If a majority of the legislatures of the member states rejects a rule or portion of a rule, by enactment of a statute or resolution in the same manner used to adopt the compact within four years of the date of adoption of the rule, then the rule shall have no further force and effect in any member state. (e) Rules shall be adopted at a regular or special meeting of the compact commission. (f) Prior to adoption of a proposed rule, the compact commission shall hold a public hearing and allow persons to provide oral and written comments, data, facts, opinions, and arguments. (g) Prior to adoption of a proposed rule by the compact commission, and at least 30 days in advance of the meeting at which the compact commission will hold a public hearing on the proposed rule, the compact commission shall provide a notice of proposed rulemaking: (1) On the website of the compact commission or other publicly accessible platform. (2) To individuals who have requested notice of the compact commission's notices of proposed rulemaking. (3) In such other ways as the compact commission may specify by rule. (h) The notice of proposed rulemaking shall include all of the following: (1) The time, date, and location of the public hearing at which the compact commission will hear public comments on the proposed rule and, if different, the time, date, and 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 SB207 Enrolled Page 30 the proposed rule and, if different, the time, date, and location of the meeting where the compact commission will consider and vote on the proposed rule. (2) If the hearing is held via telecommunication, video conference, or other means of communication, the compact commission shall include the mechanism for access to the hearing in the notice of proposed rulemaking. (3) The text of the proposed rule and the reason supporting it. (4) A request for comments on the proposed rule from any interested person. (5) The manner in which interested persons may submit written comments. (i) All hearings shall be recorded. A copy of the recording and all written comments and documents received by the compact commission in response to the proposed rule shall be available to the public. (j) Nothing in this section shall be construed as requiring a separate hearing on each rule. Rules may be grouped for the convenience of the compact commission at hearings required by this section. (k) The compact commission, by majority vote of all members, shall take final action on the proposed rule based on the rulemaking record and the full text of the rule. (1) The compact commission may adopt changes to the proposed rule provided the changes do not enlarge the original purpose of the proposed rule. (2) The compact commission shall provide an explanation of the reasons for substantive changes made to the proposed 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 SB207 Enrolled Page 31 of the reasons for substantive changes made to the proposed rule, as well as reasons for substantive changes not made that were recommended by commenters. (3) The compact commission shall determine a reasonable effective date for the rule. Except for an emergency as provided in subsection (l), the effective date of the rule shall be no sooner than 30 days after issuing the notice that it adopted or amended the rule. (l) Upon determination that an emergency exists, the compact commission may consider and adopt an emergency rule with 24-hours' notice, with opportunity to comment; provided, that the usual rulemaking procedures provided in the compact and in this section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule. For the purposes of this provision, an emergency rule is one that must be adopted immediately in order to do all of the following: (1) Meet an imminent threat to public health, safety, or welfare. (2) Prevent a loss of compact commission or member state funds. (3) Meet a deadline for the adoption of a rule that is established by federal law or rule. (4) Protect public health and safety. (m) The compact commission or an authorized committee of the compact commission may direct revision to a previously adopted rule for purposes of correcting typographical errors, errors in format, errors in consistency, or grammatical errors. Public notice of any revision shall be posted on the 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868 SB207 Enrolled Page 32 errors. Public notice of any revision shall be posted on the website of the compact commission. The revision shall be subject to challenge by any person for a period of 30 days after posting. The revision may be challenged only on grounds that the revision results in a material change to a rule. A challenge shall be made in writing and delivered to the compact commission prior to the end of the notice period. If no challenge is made, the revision will take effect without further action. If the revision is challenged, the revision may not take effect without the approval of the compact commission. (n) No member state's rulemaking requirements shall apply under this compact. §34-34B-11 Oversight, Dispute Resolution, and Enforcement. (a) Oversight. (1) The executive and judicial branches of state government in each member state shall enforce this compact and take all actions necessary and appropriate to implement this compact. (2) Except as otherwise provided in this compact, venue is proper and judicial proceedings by or against the compact commission shall be brought solely and exclusively in a court of competent jurisdiction where the principal office of the compact commission is located. The compact commission may waive venue and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute resolution proceedings. Nothing in this section shall affect or limit the selection or propriety of venue in any action 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 SB207 Enrolled Page 33 or limit the selection or propriety of venue in any action against a licensee for professional malpractice, misconduct, or any similar matter. (3) The compact commission shall be entitled to receive service of process in any proceeding regarding the enforcement or interpretation of the compact and shall have standing to intervene in such a proceeding for all purposes. Failure to provide the compact commission service of process shall render a judgment or order void as to the compact commission, this compact, or adopted rules. (b) Default, technical assistance, and termination. (1) If the compact commission determines that a member state has defaulted in the performance of its obligations or responsibilities under this compact or the adopted rules, the compact commission shall provide written notice to the defaulting state. The notice of default shall describe the default, the proposed means of curing the default, any other action that the compact commission may take, and shall offer training and specific technical assistance regarding the default. (2) The compact commission shall provide a copy of the notice of default to the other member states. (c) If a state in default fails to cure the default, the defaulting state may be terminated from the compact upon an affirmative vote of a majority of the delegates of the member states, and all rights, privileges, and benefits conferred on that state by this compact may be terminated on the effective date of termination. A cure of the default does not relieve the offending state of obligations or liabilities 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 SB207 Enrolled Page 34 not relieve the offending state of obligations or liabilities incurred during the period of default. (d) Termination of membership in the compact shall be imposed only after all other means of securing compliance have been exhausted. Notice of intent to suspend or terminate shall be given by the compact commission to the governor, the majority and minority leaders of the defaulting state's legislature, the defaulting state's licensing authority, and each of the member states' licensing authority. (e) A state that has been terminated is responsible for all assessments, obligations, and liabilities incurred through the effective date of termination, including obligations that extend beyond the effective date of termination. (f) Upon the termination of a state's membership from this compact, that state shall immediately provide notice to all licensees within that state of such termination. The terminated state shall continue to recognize all compact privileges granted pursuant to this compact for a minimum of six months after the date of the notice of termination. (g) The compact commission shall not bear any costs related to a state that is found to be in default or that has been terminated from the compact, unless agreed upon in writing between the compact commission and the defaulting state. (h) The defaulting state may appeal the action of the compact commission by petitioning the United States District Court for the District of Columbia or the federal district where the compact commission has its principal offices. The prevailing party shall be awarded all costs of litigation, 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943 944 945 946 947 948 949 950 951 952 SB207 Enrolled Page 35 prevailing party shall be awarded all costs of litigation, including reasonable attorney fees. (i) Dispute resolution. (1) Upon request by a member state, the compact commission shall attempt to resolve disputes related to the compact that arise among member states and between member and non-member states. (2) The compact commission shall adopt a rule providing for both mediation and binding dispute resolution for disputes as appropriate. (j) Enforcement. (1) By super majority vote, the compact commission may initiate legal action against a member state in default in the United States District Court for the District of Columbia or the federal district where the compact commission has its principal offices to enforce compliance with the provisions of the compact and its adopted rules. The relief sought may include both injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing party shall be awarded all costs of litigation, including reasonable attorney fees. The remedies herein shall not be the exclusive remedies of the compact commission. The compact commission may pursue any other remedies available under federal or the defaulting member state's law. (2) A member state may initiate legal action against the compact commission in the United States District Court for the District of Columbia or the federal district where the compact commission has its principal offices to enforce compliance with the provisions of the compact and its adopted 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 980 SB207 Enrolled Page 36 compliance with the provisions of the compact and its adopted rules. The relief sought may include both injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing party shall be awarded all costs of such litigation, including reasonable attorney fees. (3) No party other than a member state shall enforce this compact against the compact commission. §34-34B-12. Effective Date, Withdrawal, and Amendment. (a) The compact shall come into effect on the date on which the compact statute is enacted into law in the seventh member state. (1) On or after the effective date of the compact, the compact commission shall convene and review the enactment of each of the first seven member states referred to as "charter member states", to determine if the statute enacted by each such charter member state is materially different than the model compact statute. a. A charter member state whose enactment is found to be materially different from the model compact statute shall be entitled to the default process set forth in Section 34-34B-11. b. If any member state is later found to be in default, is terminated, or withdraws from the compact, the compact commission shall remain in existence and the compact shall remain in effect even if the number of member states should be less than seven. (2) Member states enacting the compact subsequent to the seven initial charter member states shall be subject to the process set forth in Section 34-34B-8(c)(21) to determine 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008 SB207 Enrolled Page 37 the process set forth in Section 34-34B-8(c)(21) to determine if their enactments are materially different from the model compact statute and whether they qualify for participation in the compact. (3) All actions taken for the benefit of the compact commission or in furtherance of the purposes of the administration of the compact prior to the effective date of the compact or the compact commission coming into existence shall be considered to be actions of the compact commission unless specifically repudiated by the compact commission. (4) Any state that joins the compact subsequent to the compact commission's initial adoption of the rules and bylaws shall be subject to the rules and bylaws as they exist on the date on which the compact becomes law in that state. Any rule that has been previously adopted by the compact commission shall have the full force and effect of law on the day the compact becomes law in that state. (b) Any member state may withdraw from this compact by enacting a statute to repeal it. (1) A member state's withdrawal shall not take effect until 180 days after enactment of the repealing statute. (2) Withdrawal shall not affect the continuing requirement of the withdrawing state's licensing authority to comply with the investigative and adverse action reporting requirements of this compact prior to the effective date of withdrawal. (3) Upon the enactment of a state withdrawing from this compact, a state shall immediately provide notice of the withdrawal to all licensees within that state. Notwithstanding 1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 SB207 Enrolled Page 38 withdrawal to all licensees within that state. Notwithstanding any subsequent statutory enactment to the contrary, the withdrawing state shall continue to recognize all compact privileges granted pursuant to this compact for a minimum of 180 days after the date of such notice of withdrawal. (c) Nothing contained in this compact shall be construed to invalidate or prevent any licensure agreement or other cooperative arrangement between a member state and a non-member state that does not conflict with the provisions of this compact. (d) This compact may be amended by the member states. No amendment to this compact shall become effective and binding upon any member state until it is enacted into the laws of all member states. §34-34B-13. Construction and Severability. (a) This compact and the compact commission's rulemaking authority shall be liberally construed so as to effectuate the purposes, implementation, and administration of the compact. Provisions of the compact expressly authorizing or requiring the adoption of rules shall not be construed to limit the compact commission's rulemaking authority solely for those purposes. (b) The provisions of this compact shall be severable and if any phrase, clause, sentence, or provision of this compact is held by a court of competent jurisdiction to be contrary to the constitution of any member state, a state seeking participation in the compact, or of the United States, or the applicability to any government, agency, person, or circumstance is held to be unconstitutional by a court of 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 SB207 Enrolled Page 39 circumstance is held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of this compact and the applicability to any other government, agency, person, or circumstance shall not be affected. (c) Notwithstanding subsection (b), the compact commission may deny a state's participation in the compact or, in accordance with the requirements of Section 34-34B-11(b), terminate a member state's participation in the compact, if it determines that a constitutional requirement of a member state is a material departure from the compact. Otherwise, if this compact shall be held to be contrary to the constitution of any member state, the compact shall remain in full force and effect as to the remaining member states and in full force and effect as to the member state affected as to all severable matters. §34-34B-14. Consistent Effect and Conflict With Other State Laws. (a) Nothing in this compact shall prevent or inhibit the enforcement of any other law of a member state that is not inconsistent with the compact. (b) Any laws, statutes, rules, or other legal requirements in a member state in conflict with the compact are superseded to the extent of the conflict. (c) All permissible agreements between the compact commission and the member states are binding in accordance with their terms. §34-34B-15. Judicial Proceedings by Individuals. Except as to judicial proceedings for the enforcement of this compact among member states, individuals may pursue 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 SB207 Enrolled Page 40 of this compact among member states, individuals may pursue judicial proceedings related to this compact in any Alabama state or federal court that would otherwise have competent jurisdiction. Section 2. This act shall become effective on October 1, 2024. 1093 1094 1095 1096 1097 SB207 Enrolled Page 41 1, 2024. ________________________________________________ President and Presiding Officer of the Senate ________________________________________________ Speaker of the House of Representatives SB207 Senate 11-Apr-24 I hereby certify that the within Act originated in and passed the Senate. Patrick Harris, Secretary. House of Representatives Passed: 08-May-24 By: Senator Hatcher 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130