Stricken language would be deleted from and underlined language would be added to present law. Act 301 of the Regular Session *JMB044* 03-02-2023 09:13:21 JMB044 State of Arkansas As Engrossed: S3/2/23 1 94th General Assembly A Bill 2 Regular Session, 2023 SENATE BILL 91 3 4 By: Senators K. Hammer, J. Boyd, F. Love 5 By: Representatives C. Fite, L. Johnson, Pilkington, Eubanks, D. Garner 6 7 For An Act To Be Entitled 8 AN ACT TO ESTABLISH THE AUDIOLOGY AND SP EECH-LANGUAGE 9 PATHOLOGY INTERSTATE COMPACT IN ARKANSAS; AND FOR 10 OTHER PURPOSES. 11 12 13 Subtitle 14 TO ESTABLISH THE AUDIOLOGY AND SPEECH -15 LANGUAGE PATHOLOGY INTERSTATE COMPACT IN 16 ARKANSAS. 17 18 19 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 20 21 SECTION 1. Arkansas Code Title 17, Chapter 100, is amended to add an 22 additional subchapter to read as follows: 23 Subchapter 4 — Audiology and Speech -Language Pathology Interstate Compact 24 25 17-100-401. Text of compact. 26 The Audiology and Speech -Language Pathology Interstate Compact is 27 enacted into law and entered into by this state with all states le gally 28 joining therein and in the form substantially as follows: 29 30 Audiology and Speech -Language Pathology Interstate Compact 31 32 SECTION 1: PURPOSE 33 The purpose of this Compact is to facilitate interstate practice of audiology 34 and speech-language pathology with the goal of improving public access to 35 audiology and speech -language pathology services. The practice of audiology 36 As Engrossed: S3/2/23 SB91 2 03-02-2023 09:13:21 JMB044 and speech-language pathology occurs in the state where the 1 patient/client/student is located at the time of the patient/client/student 2 encounter. The Compact preserves the regulatory authority of states to 3 protect public health and safety through the current system of state 4 licensure. This Compact is designed to achieve the following objectives: 5 1. Increase public access to audiology and sp eech-language 6 pathology services by providing for the mutual recognition of other member 7 state licenses; 8 2. Enhance the states’ ability to protect the public’s health and 9 safety; 10 3. Encourage the cooperation of member states in regulating 11 multistate audiology and speech-language pathology practice; 12 4. Support spouses of relocating active duty military personnel; 13 5. Enhance the exchange of licensure, investigative and 14 disciplinary information between member states; 15 6. Allow a remote state to hold a provider of services with a 16 compact privilege in that state accountable to that state’s practice 17 standards; and 18 7. Allow for the use of telehealth technology to facilitate 19 increased access to audiology and speech -language pathology services. 20 21 SECTION 2: DEFINITIONS 22 As used in this Compact, and except as otherwise provided, the 23 following definitions shall apply: 24 A. “Active duty military” means full -time duty status in the active 25 uniformed service of the United States, including members of the National 26 Guard and Reserve on active duty orders pursuant to 10 U.S.C. Chapter 1209 27 and 1211. 28 B. “Adverse action” means any administrative, civil, equitable or 29 criminal action permitted by a state’s laws which is imposed by a licensing 30 board or other authority aga inst an audiologist or speech -language 31 pathologist, including actions against an individual’s license or privilege 32 to practice such as revocation, suspension, probation, monitoring of the 33 licensee, or restriction on the licensee’s practice. 34 C. “Alternative program” means a non -disciplinary monitoring process 35 approved by an audiology or speech -language pathology licensing board to 36 As Engrossed: S3/2/23 SB91 3 03-02-2023 09:13:21 JMB044 address impaired practitioners. 1 D. “Audiologist” means an individual who is licensed by a state to 2 practice audiology. 3 E. “Audiology” means the care and services provided by a licensed 4 audiologist as set forth in the member state’s statutes and rules. 5 F. “Audiology and Speech -Language Pathology Compact Commission” or 6 “Commission” means the national administrative body whose memb ership consists 7 of all states that have enacted the Compact. 8 G. “Audiology and speech -language pathology licensing board,” 9 “audiology licensing board,” “speech -language pathology licensing board,” or 10 “licensing board” means the agency of a state that is r esponsible for the 11 licensing and regulation of audiologists and/or speech -language pathologists. 12 H. “Compact privilege” means the authorization granted by a remote 13 state to allow a licensee from another member state to practice as an 14 audiologist or speech -language pathologist in the remote state under its laws 15 and rules. The practice of audiology or speech -language pathology occurs in 16 the member state where the patient/client/student is located at the time of 17 the patient/client/student encounter. 18 I. “Current significant investigative information” means investigative 19 information that a licensing board, after an inquiry or investigation that 20 includes notification and an opportunity for the audiologist or speech -21 language pathologist to respond, if required by state law, has reason to 22 believe is not groundless and, if proved true, would indicate more than a 23 minor infraction. 24 J. “Data system” means a repository of information about licensees, 25 including, but not limited to, continuing education, examination, lic ensure, 26 investigative, compact privilege and adverse action. 27 K. “Encumbered license” means a license in which an adverse action 28 restricts the practice of audiology or speech -language pathology by the 29 licensee and said adverse action has been reported to t he National 30 Practitioners Data Bank (NPDB). 31 L. “Executive Committee” means a group of directors elected or 32 appointed to act on behalf of, and within the powers granted to them by, the 33 Commission. 34 M. “Home state” means the member state that is the license e’s primary 35 state of residence. 36 As Engrossed: S3/2/23 SB91 4 03-02-2023 09:13:21 JMB044 N. “Impaired practitioner” means individuals whose professional 1 practice is adversely affected by substance abuse, addiction, or other 2 health-related conditions. 3 O. “Licensee” means an individual who currently holds an aut horization 4 from the state licensing board to practice as an audiologist or speech -5 language pathologist. 6 P. “Member state” means a state that has enacted the Compact. 7 Q. “Privilege to practice” means a legal authorization permitting the 8 practice of audiology or speech-language pathology in a remote state. 9 R. “Remote state” means a member state other than the home state where 10 a licensee is exercising or seeking to exercise the compact privilege. 11 S. “Rule” means a regulation, principle or directive promulg ated by the 12 Commission that has the force of law. 13 T. “Single-state license” means an audiology or speech -language 14 pathology license issued by a member state that authorizes practice only 15 within the issuing state and does not include a privilege to practic e in any 16 other member state. 17 U. “Speech-language pathologist” means an individual who is licensed by 18 a state to practice speech -language pathology. 19 V. “Speech-language pathology means the care and services provided by a 20 licensed speech-language pathologist as set forth in the member state’s 21 statutes and rules. 22 W. “State” means any state, commonwealth, district or territory of the 23 United States of America that regulates the practice of audiology and speech -24 language pathology. 25 X. “State practice laws” means a member state’s laws, rules and 26 regulations that govern the practice of audiology or speech -language 27 pathology, define the scope of audiology or speech -language pathology 28 practice, and create the methods and grounds for imposing discipline. 29 Y. “Telehealth” means the application of telecommunication technology 30 to deliver audiology or speech -language pathology services at a distance for 31 assessment, intervention and/or consultation. 32 33 SECTION 3. STATE PARTICIPATION IN THE COMPACT 34 A. A license issued to an audiologist or speech -language pathologist by 35 a home state to a resident in that state shall be recognized by each member 36 As Engrossed: S3/2/23 SB91 5 03-02-2023 09:13:21 JMB044 state as authorizing an audiologist or speech -language pathologist to 1 practice audiology or speech -language pathology, under a privilege to 2 practice, in each member state. 3 B. A state must implement or utilize procedures for considering the 4 criminal history records of applicants for initial privilege to practice. 5 These procedures shall include the submission of fingerprints or other 6 biometric-based information by applicants for the purpose of obtaining an 7 applicant’s criminal history record information from the Federal Bureau of 8 Investigation and the agency responsible for retaining that state’s criminal 9 records 10 1. A member state must fully implement a criminal background 11 check requirement, within a time frame established by rule, by receiving the 12 results of the Federal Bureau of Investigation record search on criminal 13 background checks and use the results in making licensure decisions. 14 2. Communication between a member state, the Commission and among 15 member states regarding the verification of eligibility for licensure through 16 the compact shall not include any information received from the Federal 17 Bureau of Investigation re lating to a federal criminal records check 18 performed by a member state under Public Law 92 -544. 19 C. Upon application for a privilege to practice, the licensing board in 20 the issuing remote state shall ascertain, through the data system, whether 21 the applicant has ever held, or is the holder of, a license issued by any 22 other state, whether there are any encumbrances on any license or privilege 23 to practice held by the applicant, whether any adverse action has been taken 24 against any license or privilege to pract ice held by the applicant. 25 D. Each member state shall require an applicant to obtain or retain a 26 license in the home state and meet the home state’s qualifications for 27 licensure or renewal of licensure, as well as, all other applicable state 28 laws. 29 E. For an audiologist: 30 1. Must meet one of the following educational requirements: 31 a. On or before, Dec. 31, 2007, has graduated with a 32 master’s degree or doctorate in audiology, or equivalent degree regardless of 33 degree name, from a program that is accredi ted by an accrediting agency 34 recognized by the Council for Higher Education Accreditation, or its 35 successor, or by the United States Department of Education and operated by a 36 As Engrossed: S3/2/23 SB91 6 03-02-2023 09:13:21 JMB044 college or university accredited by a regional or national accrediting 1 organization recognized by the board; or 2 b. On or after, Jan. 1, 2008, has graduated with a doctoral 3 degree in audiology, or equivalent degree, regardless of degree name, from a 4 program that is accredited by an accrediting agency recognized by the Council 5 for Higher Education Accreditation, or its successor, or by the United States 6 Department of Education and operated by a college or university accredited by 7 a regional or national accrediting organization recognized by the board; or 8 c. Has graduated from an aud iology program that is housed 9 in an institution of higher education outside of the United States (a) for 10 which the program and institution have been approved by the authorized 11 accrediting body in the applicable country and (b) the degree program has 12 been verified by an independent credentials review agency to be comparable to 13 a state licensing board -approved program. 14 2. Has completed a supervised clinical practicum experience from 15 an accredited educational institution or its cooperating programs as requir ed 16 by the Commission; 17 3. Has successfully passed a national examination approved by the 18 Commission; 19 4. Holds an active, unencumbered license; 20 5. Has not been convicted or found guilty, and has not entered 21 into an agreed disposition, of a felony relat ed to the practice of audiology, 22 under applicable state or federal criminal law; 23 6. Has a valid United States Social Security or National 24 Practitioner Identification number. 25 F. For a speech-language pathologist: 26 1. Must meet one of the following educa tional requirements: 27 a. Has graduated with a master’s degree from a speech -28 language pathology program that is accredited by an organization recognized 29 by the United States Department of Education and operated by a college or 30 university accredited by a r egional or national accrediting organization 31 recognized by the board; or 32 b. Has graduated from a speech -language pathology program 33 that is housed in an institution of higher education outside of the United 34 States (a) for which the program and institutio n have been approved by the 35 authorized accrediting body in the applicable country and (b) the degree 36 As Engrossed: S3/2/23 SB91 7 03-02-2023 09:13:21 JMB044 program has been verified by an independent credentials review agency to be 1 comparable to a state licensing board -approved program. 2 2. Has completed a su pervised clinical practicum experience from 3 an educational institution or its cooperating programs as required by the 4 Commission; 5 3. Has completed a supervised postgraduate professional 6 experience as required by the Commission 7 4. Has successfully passe d a national examination approved by the 8 Commission; 9 5. Holds an active, unencumbered license; 10 6. Has not been convicted or found guilty, and has not entered 11 into an agreed disposition, of a felony related to the practice of speech -12 language pathology, under applicable state or federal criminal law; 13 7. Has a valid United States Social Security or National 14 Practitioner Identification number. 15 G. The privilege to practice is derived from the home state license. 16 H. An audiologist or speech -language pathologist practicing in a member 17 state must comply with the state practice laws of the state in which the 18 client is located at the time service is provided. The practice of audiology 19 and speech-language pathology shall include all audiology and speech -language 20 pathology practice as defined by the state practice laws of the member state 21 in which the client is located. The practice of audiology and speech -language 22 pathology in a member state under a privilege to practice shall subject an 23 audiologist or speech -language pathologist to the jurisdiction of the 24 licensing board, the courts and the laws of the member state in which the 25 client is located at the time service is provided. 26 I. Individuals not residing in a member state shall continue to be able 27 to apply for a member state’s single -state license as provided under the laws 28 of each member state. However, the single -state license granted to these 29 individuals shall not be recognized as granting the privilege to practice 30 audiology or speech-language pathology in a ny other member state. Nothing in 31 this compact shall affect the requirements established by a member state for 32 the issuance of a single -state license. 33 J. Member states may charge a fee for granting a compact privilege. 34 K. Member states must comply with t he bylaws and rules and regulations 35 of the commission. 36 As Engrossed: S3/2/23 SB91 8 03-02-2023 09:13:21 JMB044 1 SECTION 4. COMPACT PRIVILEGE 2 A. To exercise the compact privilege under the terms and provisions of 3 the compact, the audiologist or speech -language pathologist shall: 4 1. Hold an active license in the home state; 5 2. Have no encumbrance on any state license; 6 3. Be eligible for a compact privilege in any member state in 7 accordance with Section 3; 8 4. Have not had any adverse action against any license or compact 9 privilege within the previous 2 ye ars from date of application; 10 5. Notify the commission that the licensee is seeking the compact 11 privilege within a remote state(s); 12 6. Pay any applicable fees, including any state fee, for the 13 compact privilege; 14 7. Report to the commission adverse ac tion taken by any non -15 member state within 30 days from the date the adverse action is taken. 16 B. For the purposes of the compact privilege, an audiologist or speech -17 language pathologist shall only hold one home state license at a time. 18 C. Except as provided in Section 6, if an audiologist or speech -19 language pathologist changes primary state of residence by moving between 20 two-member states, the audiologist or speech -language pathologist must apply 21 for licensure in the new home state, and the license issued by the prior home 22 state shall be deactivated in accordance with applicable rules adopted by the 23 commission. 24 D. The audiologist or speech -language pathologist may apply for 25 licensure in advance of a change in primary state of residence. 26 E. A license shall not be issued by the new home state until the 27 audiologist or speech -language pathologist provides satisfactory evidence of 28 a change in primary state of residence to the new home state and satisfies 29 all applicable requirements to obtain a license from the new home state. 30 F. If an audiologist or speech -language pathologist changes primary 31 state of residence by moving from a member state to a non -member state, the 32 license issued by the prior home state shall convert to a single -state 33 license, valid only in t he former home state. 34 G. The compact privilege is valid until the expiration date of the home 35 state license. The licensee must comply with the requirements of Section 4A 36 As Engrossed: S3/2/23 SB91 9 03-02-2023 09:13:21 JMB044 to maintain the compact privilege in the remote state. 1 H. A licensee providing audio logy or speech-language pathology services 2 in a remote state under the compact privilege shall function within the laws 3 and regulations of the remote state. 4 I. A licensee providing audiology or speech -language pathology services 5 in a remote state is subje ct to that state’s regulatory authority. A remote 6 state may, in accordance with due process and that state’s laws, remove a 7 licensee’s compact privilege in the remote state for a specific period of 8 time, impose fines, and/or take any other necessary action s to protect the 9 health and safety of its citizens. 10 J. If a home state license is encumbered, the licensee shall lose the 11 compact privilege in any remote state until the following occur: 12 1. The home state license is no longer encumbered; and 13 2. Two years have elapsed from the date of the adverse action. 14 K. Once an encumbered license in the home state is restored to good 15 standing, the licensee must meet the requirements of Section 4A to obtain a 16 compact privilege in any remote state. 17 L. Once the requirements of Section 4J have been met, the licensee must 18 meet the requirements in Section 4A to obtain a compact privilege in a remote 19 state. 20 21 SECTION 5. COMPACT PRIVILEGE TO PRACTICE TELEHEALTH 22 Member states shall recognize the right of an audiologist or sp eech-language 23 pathologist, licensed by a home state in accordance with Section 3 and under 24 rules promulgated by the commission, to practice audiology or speech -language 25 pathology in any member state via telehealth under a privilege to practice as 26 provided in the compact and rules promulgated by the commission. 27 28 SECTION 6. ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSES 29 Active duty military personnel, or their spouse, shall designate a home state 30 where the individual has a current license in good standing. T he individual 31 may retain the home state designation during the period the service member is 32 on active duty. Subsequent to designating a home state, the individual shall 33 only change their home state through application for licensure in the new 34 state. 35 36 As Engrossed: S3/2/23 SB91 10 03-02-2023 09:13:21 JMB044 SECTION 7. ADVERSE ACTIONS 1 A. In addition to the other powers conferred by state law, a remote 2 state shall have the authority, in accordance with existing state due process 3 law, to: 4 1. Take adverse action against an audiologist’s or speech -5 language pathologist’s privilege to practice within that member state. 6 2. Issue subpoenas for both hearings and investigations that 7 require the attendance and testimony of witnesses as well as the production 8 of evidence. Subpoenas issued by a licensing board in a mem ber state for the 9 attendance and testimony of witnesses or the production of evidence from 10 another member state shall be enforced in the latter state by any court of 11 competent jurisdiction, according to the practice and procedure of that court 12 applicable to subpoenas issued in proceedings pending before it. The issuing 13 authority shall pay any witness fees, travel expenses, mileage and other fees 14 required by the service statutes of the state in which the witnesses or 15 evidence are located. 16 3. Only the home state shall have the power to take adverse 17 action against a audiologist’s or speech -language pathologist’s license 18 issued by the home state. 19 B. For purposes of taking adverse action, the home state shall give the 20 same priority and effect to reported condu ct received from a member state as 21 it would if the conduct had occurred within the home state. In so doing, the 22 home state shall apply its own state laws to determine appropriate action. 23 C. The home state shall complete any pending investigations of an 24 audiologist or speech-language pathologist who changes primary state of 25 residence during the course of the investigations. The home state shall also 26 have the authority to take appropriate action(s) and shall promptly report 27 the conclusions of the investigati ons to the administrator of the data 28 system. The administrator of the coordinated licensure information system 29 shall promptly notify the new home state of any adverse actions. 30 D. If otherwise permitted by state law, the member state may recover 31 from the affected audiologist or speech -language pathologist the costs of 32 investigations and disposition of cases resulting from any adverse action 33 taken against that audiologist or speech -language pathologist. 34 E. The member state may take adverse action based on t he factual 35 findings of the remote state, provided that the member state follows the 36 As Engrossed: S3/2/23 SB91 11 03-02-2023 09:13:21 JMB044 member state's own procedures for taking the adverse action. 1 F. Joint Investigations 2 1. In addition to the authority granted to a member state by its 3 respective audiology or speech-language pathology practice act or other 4 applicable state law, any member state may participate with other member 5 states in joint investigations of licensees. 6 2. Member states shall share any investigative, litigation, or 7 compliance materials in furtherance of any joint or individual investigation 8 initiated under the compact. 9 G. If adverse action is taken by the home state against an 10 audiologist’s or speech language pathologist’s license, the audiologist’s or 11 speech-language pathologist’s pri vilege to practice in all other member 12 states shall be deactivated until all encumbrances have been removed from the 13 state license. All home state disciplinary orders that impose adverse action 14 against an audiologist’s or speech language pathologist’s lice nse shall 15 include a statement that the audiologist’s or speech -language pathologist’s 16 privilege to practice is deactivated in all member states during the pendency 17 of the order. 18 H. If a member state takes adverse action, it shall promptly notify the 19 administrator of the data system. The administrator of the data system shall 20 promptly notify the home state of any adverse actions by remote states. 21 I. Nothing in this compact shall override a member state’s decision 22 that participation in an alternative progra m may be used in lieu of adverse 23 action. 24 25 SECTION 8. ESTABLISHMENT OF THE AUDIOLOGY AND SPEECH -LANGUAGE 26 PATHOLOGY COMPACT COMMISSION 27 A. The compact member states hereby create and establish a joint public 28 agency known as the audiology and speech -language pathology compact 29 commission: 30 1. The commission is an instrumentality of the compact states. 31 2. Venue is proper and judicial proceedings by or against the 32 commission shall be brought solely and exclusively in a court of competent 33 jurisdiction where the principal office of the commission is located. The 34 commission may waive venue and jurisdictional defenses to the extent it 35 adopts or consents to participate in alternative dispute resolution 36 As Engrossed: S3/2/23 SB91 12 03-02-2023 09:13:21 JMB044 proceedings. 1 3. Nothing in this compact shall be construed to be a waiver of 2 sovereign immunity. 3 B. Membership, voting and meetings 4 1. Each member state shall have two (2) delegates selected by 5 that member state’s licensing board. The delegates shall be current members 6 of the licensing board. One shall be an audio logist and one shall be a 7 speech-language pathologist. 8 2. An additional five (5) delegates, who are either a public 9 member or board administrator from a state licensing board, shall be chosen 10 by the executive committee from a pool of nominees provided by the commission 11 at large. 12 3. Any delegate may be removed or suspended from office as 13 provided by the law of the state from which the delegate is appointed. 14 4. The member state board shall fill any vacancy occurring on the 15 commission, within 90 days. 16 5. Each delegate shall be entitled to one (1) vote with regard to 17 the promulgation of rules and creation of bylaws and shall otherwise have an 18 opportunity to participate in the business and affairs of the commission. 19 6. A delegate shall vote in person or by other means as provided 20 in the bylaws. The bylaws may provide for delegates’ participation in 21 meetings by telephone or other means of communication. 22 7. The commission shall meet at least once during each calendar 23 year. Additional meetings shall be he ld as set forth in the bylaws. 24 C. The commission shall have the following powers and duties: 25 1. Establish the fiscal year of the commission; 26 2. Establish bylaws; 27 3. Establish a Code of Ethics; 28 4. Maintain its financial records in accordance with t he bylaws; 29 5. Meet and take actions as are consistent with the provisions of 30 this compact and the bylaws; 31 6. Promulgate uniform rules to facilitate and coordinate 32 implementation and administration of this compact. The rules shall have the 33 force and effect of law and shall be binding in all member states; 34 7. Bring and prosecute legal proceedings or actions in the name 35 of the commission, provided that the standing of any state audiology or 36 As Engrossed: S3/2/23 SB91 13 03-02-2023 09:13:21 JMB044 speech-language pathology licensing board to sue or be sued unde r applicable 1 law shall not be affected; 2 8. Purchase and maintain insurance and bonds; 3 9. Borrow, accept, or contract for services of personnel, 4 including, but not limited to, employees of a member state; 5 10. Hire employees, elect or appoint officers, fix compensation, 6 define duties, grant individuals appropriate authority to carry out the 7 purposes of the compact, and to establish the commission’s personnel policies 8 and programs relating to conflicts of interest, qualifications of personnel, 9 and other related personnel matters; 10 11. Accept any and all appropriate donations and grants of money, 11 equipment, supplies, materials and services, and to receive, utilize and 12 dispose of the same; provided that at all times the commission shall avoid 13 any appearance of impropriety and/or conflict of interest; 14 12. Lease, purchase, accept appropriate gifts or donations of, or 15 otherwise to own, hold, improve or use, any property, real, personal or 16 mixed; provided that at all times the commission shall avoid any appea rance 17 of impropriety; 18 13. Sell convey, mortgage, pledge, lease, exchange, abandon, or 19 otherwise dispose of any property real, personal, or mixed; 20 14. Establish a budget and make expenditures; 21 15. Borrow money; 22 16. Appoint committees, including stan ding committees composed of 23 members, and other interested persons as may be designated in this compact 24 and the bylaws; 25 17. Provide and receive information from, and cooperate with, law 26 enforcement agencies; 27 18. Establish and elect an executive committe e; and 28 19. Perform other functions as may be necessary or appropriate to 29 achieve the purposes of this Compact consistent with the state regulation of 30 audiology and speech -language pathology licensure and practice. 31 D. The Executive committee 32 The executive committee shall have the power to act on behalf of the 33 commission according to the terms of this compact: 34 1. The Executive Committee shall be composed of ten (10) members: 35 a. Seven (7) voting members who are elected by the 36 As Engrossed: S3/2/23 SB91 14 03-02-2023 09:13:21 JMB044 commission from the curre nt membership of the commission; 1 b. Two (2) ex-officios, consisting of one nonvoting member 2 from a recognized national audiology professional association and one 3 nonvoting member from a recognized national speech -language pathology 4 association; and 5 c. One (1) ex-officio, nonvoting member from the recognized 6 membership organization of the audiology and speech -language pathology 7 licensing boards. 8 E. The ex-officio members shall be selected by their respective 9 organizations. 10 1. The commission may remove any member of the executive 11 committee as provided in bylaws. 12 2. The executive committee shall meet at least annually. 13 3. The executive committee shall have the following duties and 14 responsibilities: 15 a. Recommend to the entire commission chang es to the rules 16 or bylaws, changes to this compact legislation, fees paid by compact member 17 states such as annual dues, and any commission compact fee charged to 18 licensees for the compact privilege; 19 b. Ensure compact administration services are appropri ately 20 provided, contractual or otherwise; 21 c. Prepare and recommend the budget; 22 d. Maintain financial records on behalf of the commission; 23 e. Monitor compact compliance of member states and provide 24 compliance reports to the commission; 25 f. Establish additional committees as necessary; and 26 g. Other duties as provided in rules or bylaws. 27 4. Meetings of the commission 28 All meetings shall be open to the public, and public notice of meetings 29 shall be given in the same manner as required under the rulemaking provisions 30 in Section 10. 31 5. The commission or the executive committee or other committees 32 of the commission may convene in a closed, non -public meeting if the 33 commission or executive committee or other committees of the commission must 34 discuss: 35 a. Non-compliance of a member state with its obligations 36 As Engrossed: S3/2/23 SB91 15 03-02-2023 09:13:21 JMB044 under the compact; 1 b. The employment, compensation, discipline or other 2 matters, practices or procedures related to specific employees or other 3 matters related to the commission’s internal p ersonnel practices and 4 procedures; 5 c. Current, threatened, or reasonably anticipated 6 litigation; 7 d. Negotiation of contracts for the purchase, lease, or 8 sale of goods, services, or real estate; 9 e. Accusing any person of a crime or formally censuri ng any 10 person; 11 f. Disclosure of trade secrets or commercial or financial 12 information that is privileged or confidential; 13 g. Disclosure of information of a personal nature where 14 disclosure would constitute a clearly unwarranted invasion of personal 15 privacy; 16 h. Disclosure of investigative records compiled for law 17 enforcement purposes; 18 i. Disclosure of information related to any investigative 19 reports prepared by or on behalf of or for use of the commission or other 20 committee charged with responsibi lity of investigation or determination of 21 compliance issues pursuant to the compact; or 22 j. Matters specifically exempted from disclosure by federal 23 or member state statute. 24 6. If a meeting, or portion of a meeting, is closed pursuant to 25 this provision, the commission’s legal counsel or designee shall certify that 26 the meeting may be closed and shall reference each relevant exempting 27 provision. 28 7. The commission shall keep minutes that fully and clearly 29 describe all matters discussed in a meeting and s hall provide a full and 30 accurate summary of actions taken, and the reasons therefore, including a 31 description of the views expressed. All documents considered in connection 32 with an action shall be identified in minutes. All minutes and documents of a 33 closed meeting shall remain under seal, subject to release by a majority vote 34 of the commission or order of a court of competent jurisdiction. 35 8. Financing of the commission 36 As Engrossed: S3/2/23 SB91 16 03-02-2023 09:13:21 JMB044 a. The commission shall pay, or provide for the payment of, 1 the reasonable expense s of its establishment, organization, and ongoing 2 activities. 3 b. The commission may accept any and all appropriate 4 revenue sources, donations, and grants of money, equipment, supplies, 5 materials, and services. 6 c. The commission may levy on and collec t an annual 7 assessment from each member state or impose fees on other parties to cover 8 the cost of the operations and activities of the commission and its staff, 9 which must be in a total amount sufficient to cover its annual budget as 10 approved each year fo r which revenue is not provided by other sources. The 11 aggregate annual assessment amount shall be allocated based upon a formula to 12 be determined by the commission, which shall promulgate a rule binding upon 13 all member states. 14 9. The commission shall not incur obligations of any kind prior 15 to securing the funds adequate to meet the same; nor shall the commission 16 pledge the credit of any of the member states, except by and with the 17 authority of the member state. 18 10. The commission shall keep accurate acc ounts of all receipts 19 and disbursements. The receipts and disbursements of the commission shall be 20 subject to the audit and accounting procedures established under its bylaws. 21 However, all receipts and disbursements of funds handled by the commission 22 shall be audited yearly by a certified or licensed public accountant, and the 23 report of the audit shall be included in and become part of the annual report 24 of the commission. 25 F. Qualified immunity, defense, and indemnification 26 1. The members, officers, execu tive director, employees and 27 representatives of the commission shall be immune from suit and liability, 28 either personally or in their official capacity, for any claim for damage to 29 or loss of property or personal injury or other civil liability caused by o r 30 arising out of any actual or alleged act, error or omission that occurred, or 31 that the person against whom the claim is made had a reasonable basis for 32 believing occurred within the scope of commission employment, duties or 33 responsibilities; provided tha t nothing in this paragraph shall be construed 34 to protect any person from suit and/or liability for any damage, loss, 35 injury, or liability caused by the intentional or willful or wanton 36 As Engrossed: S3/2/23 SB91 17 03-02-2023 09:13:21 JMB044 misconduct of that person. 1 2. The commission shall defend any member , officer, executive 2 director, employee or representative of the commission in any civil action 3 seeking to impose liability arising out of any actual or alleged act, error, 4 or omission that occurred within the scope of commission employment, duties, 5 or responsibilities, or that the person against whom the claim is made had a 6 reasonable basis for believing occurred within the scope of commission 7 employment, duties, or responsibilities; provided that nothing herein shall 8 be construed to prohibit that person f rom retaining his or her own counsel; 9 and provided further, that the actual or alleged act, error, or omission did 10 not result from that person’s intentional or willful or wanton misconduct. 11 3. The commission shall indemnify and hold harmless any member, 12 officer, executive director, employee, or representative of the commission 13 for the amount of any settlement or judgment obtained against that person 14 arising out of any actual or alleged act, error or omission that occurred 15 within the scope of commission em ployment, duties, or responsibilities, or 16 that person had a reasonable basis for believing occurred within the scope of 17 commission employment, duties, or responsibilities, provided that the actual 18 or alleged act, error, or omission did not result from the intentional or 19 willful or wanton misconduct of that person. 20 21 SECTION 9. DATA SYSTEM 22 A. The commission shall provide for the development, maintenance, and 23 utilization of a coordinated database and reporting system containing 24 licensure, adverse action, and investigative information on all licensed 25 individuals in member states. 26 B. Notwithstanding any other provision of state law to the contrary, a 27 member state shall submit a uniform data set to the data system on all 28 individuals to whom this compact is appli cable as required by the rules of 29 the commission, including: 30 1. Identifying information; 31 2. Licensure data; 32 3. Adverse actions against a license or compact privilege; 33 4. Non-confidential information related to alternative program 34 participation; 35 5. Any denial of application for licensure, and the reason(s) for 36 As Engrossed: S3/2/23 SB91 18 03-02-2023 09:13:21 JMB044 denial; and 1 6. Other information that may facilitate the administration of 2 this compact, as determined by the rules of the commission. 3 C. Investigative information pertaining to a licensee in any member 4 state shall only be available to other member states. 5 D. The commission shall promptly notify all member states of any 6 adverse action taken against a licensee or an individual applying for a 7 license. Adverse action information pertaining to a licensee in any member 8 state shall be available to any other member state. 9 E. Member states contributing information to the data system may 10 designate information that may not be shared with the public without the 11 express permission of the contributing state. 12 F. Any information submitted to the data system that is subsequently 13 required to be expunged by the laws of the member state contributing the 14 information shall be removed from the data system. 15 16 SECTION 10. RULEMAKING 17 A. The commission shall exerci se its rulemaking powers pursuant to the 18 criteria set forth in this section and the rules adopted thereunder. Rules 19 and amendments shall become binding as of the date specified in each rule or 20 amendment. 21 B. If a majority of the legislatures of the member states rejects a 22 rule, by enactment of a statute or resolution in the same manner used to 23 adopt the compact within 4 years of the date of adoption of the rule, the 24 rule shall have no further force and effect in any member state. 25 C. Rules or amendments to the rules shall be adopted at a regular or 26 special meeting of the commission. 27 D. Prior to promulgation and adoption of a final rule or rules by the 28 commission, and at least thirty (30) days in advance of the meeting at which 29 the rule shall be considered a nd voted upon, the commission shall file a 30 notice of proposed rulemaking: 31 1. On the website of the commission or other publicly accessible 32 platform; and 33 2. On the website of each member state audiology or speech -34 language pathology licensing board or ot her publicly accessible platform or 35 the publication in which each state would otherwise publish proposed rules. 36 As Engrossed: S3/2/23 SB91 19 03-02-2023 09:13:21 JMB044 E. The notice of proposed rulemaking shall include: 1 1. The proposed time, date, and location of the meeting in which 2 the rule shall be considered and voted upon; 3 2. The text of the proposed rule or amendment and the reason for 4 the proposed rule; 5 3. A request for comments on the proposed rule from any 6 interested person; and 7 4. The manner in which interested persons may submit notice to 8 the commission of their intention to attend the public hearing and any 9 written comments. 10 F. Prior to the adoption of a proposed rule, the commission shall allow 11 persons to submit written data, facts, opinions and arguments, which shall be 12 made available to the public. 13 G. The commission shall grant an opportunity for a public hearing 14 before it adopts a rule or amendment if a hearing is requested by: 15 1. At least twenty-five (25) persons; 16 2. A state or federal governmental subdivision or agency; or 17 3. An association having at least twenty -five (25) members. 18 H. If a hearing is held on the proposed rule or amendment, the 19 commission shall publish the place, time, and date of the scheduled public 20 hearing. If the hearing is held via electronic means, the commission shall 21 publish the mechanism for access to the electronic hearing. 22 1. All persons wishing to be heard at the hearing shall notify 23 the executive director of the Commission or other designated member in 24 writing of their desire to appear and test ify at the hearing not less than 25 five (5) business days before the scheduled date of the hearing. 26 2. Hearings shall be conducted in a manner providing each person 27 who wishes to comment a fair and reasonable opportunity to comment orally or 28 in writing. 29 3. All hearings shall be recorded. A copy of the recording shall 30 be made available on request. 31 4. Nothing in this section shall be construed as requiring a 32 separate hearing on each rule. Rules may be grouped for the convenience of 33 the commission at heari ngs required by this section. 34 I. Following the scheduled hearing date, or by the close of business on 35 the scheduled hearing date if the hearing was not held, the commission shall 36 As Engrossed: S3/2/23 SB91 20 03-02-2023 09:13:21 JMB044 consider all written and oral comments received. 1 J. If no written notice of intent to attend the public hearing by 2 interested parties is received, the commission may proceed with promulgation 3 of the proposed rule without a public hearing. 4 K. The commission shall, by majority vote of all members, take final 5 action on the proposed rule and shall determine the effective date of the 6 rule, if any, based on the rulemaking record and the full text of the rule. 7 L. Upon determination that an emergency exists, the commission may 8 consider and adopt an emergency rule without prior notice, o pportunity for 9 comment, or hearing, provided that the usual rulemaking procedures provided 10 in the compact and in this section shall be retroactively applied to the rule 11 as soon as reasonably possible, in no event later than ninety (90) days after 12 the effective date of the rule. For the purposes of this provision, an 13 emergency rule is one that must be adopted immediately in order to: 14 1. Meet an imminent threat to public health, safety, or welfare; 15 2. Prevent a loss of commission or member state funds; or 16 3. Meet a deadline for the promulgation of an administrative rule 17 that is established by federal law or rule. 18 M. The commission or an authorized committee of the commission may 19 direct revisions to a previously adopted rule or amendment for purposes of 20 correcting typographical errors, errors in format, errors in consistency, or 21 grammatical errors. Public notice of any revisions shall be posted on the 22 website of the commission. The revision shall be subject to challenge by any 23 person for a period of thirt y (30) days after posting. The revision may be 24 challenged only on grounds that the revision results in a material change to 25 a rule. A challenge shall be made in writing and delivered to the chair of 26 the commission prior to the end of the notice period. If no challenge is 27 made, the revision shall take effect without further action. If the revision 28 is challenged, the revision may not take effect without the approval of the 29 commission. 30 31 SECTION 11. OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT 32 A. Dispute resolution 33 1. Upon request by a member state, the commission shall attempt 34 to resolve disputes related to the compact that arise among member states and 35 between member and non -member states. 36 As Engrossed: S3/2/23 SB91 21 03-02-2023 09:13:21 JMB044 2. The commission shall promulgate a rule providing for both 1 mediation and binding dispute resolution for disputes as appropriate. 2 B. Enforcement 3 1. The commission, in the reasonable exercise of its discretion, 4 shall enforce the provisions and rules of this compact. 5 2. By majority vote, the commission may initiate legal action in 6 the United States District Court for the District of Columbia or the federal 7 district where the commission has its principal offices against a member 8 state in default to enforce compliance with the provisions of the compact and 9 its promulgated rules and bylaws. The relief sought may include both 10 injunctive relief and damages. In the event judicial enforcement is 11 necessary, the prevailing member shall be awarded all costs of litigation, 12 including reasonable attorney’s fees. 13 3. The remedies herein shall not be the exclusive remedies of the 14 commission. The commission may pursue any other remedies available under 15 federal or state law. 16 17 SECTION 12. DATE OF IMPLEMENTATION OF THE INTERSTATE COMMISSION FOR 18 AUDIOLOGY AND SPEECH -LANGUAGE PATHOLOGY P RACTICE AND ASSOCIATED 19 RULES, WITHDRAWAL, AND AMENDMENT 20 A. The compact shall come into effect on the date on which the compact 21 statute is enacted into law in the 10th member state. The provisions, which 22 become effective at that time, shall be limited to t he powers granted to the 23 commission relating to assembly and the promulgation of rules. Thereafter, 24 the commission shall meet and exercise rulemaking powers necessary to the 25 implementation and administration of the compact. 26 B. Any state that joins the com pact subsequent to the commission’s 27 initial adoption of the rules shall be subject to the rules as they exist on 28 the date on which the compact becomes law in that state. Any rule that has 29 been previously adopted by the commission shall have the full force and 30 effect of law on the day the compact becomes law in that state. 31 C. Any member state may withdraw from this compact by enacting a 32 statute repealing the same. 33 1. A member state’s withdrawal shall not take effect until six 34 (6) months after enactment of the repealing statute. 35 2. Withdrawal shall not affect the continuing requirement of the 36 As Engrossed: S3/2/23 SB91 22 03-02-2023 09:13:21 JMB044 withdrawing state’s audiology or speech -language pathology licensing board to 1 comply with the investigative and adverse action reporting requirements of 2 this act prior to the effective date of withdrawal. 3 D. Nothing contained in this compact shall be construed to invalidate 4 or prevent any audiology or speech -language pathology licensure agreement or 5 other cooperative arrangement between a member state and a non -member state 6 that does not conflict with the provisions of this compact. 7 E. This compact may be amended by the member states. No amendment to 8 this compact shall become effective and binding upon any member state until 9 it is enacted into the laws of all member states. 10 11 SECTION 13. CONSTRUCTION AND SEVERABILITY 12 This compact shall be liberally construed so as to effectuate the 13 purposes thereof. The provisions of this compact shall be severable and if 14 any phrase, clause, sentence or provision of this compact is de clared to be 15 contrary to the constitution of any member state or of the United States or 16 the applicability thereof to any government, agency, person or circumstance 17 is held invalid, the validity of the remainder of this compact and the 18 applicability thereo f to any government, agency, person or circumstance shall 19 not be affected thereby. If this compact shall be held contrary to the 20 constitution of any member state, the compact shall remain in full force and 21 effect as to the remaining member states and in fu ll force and effect as to 22 the member state affected as to all severable matters. 23 24 SECTION 14. BINDING EFFECT OF COMPACT AND OTHER LAWS 25 A. Nothing herein prevents the enforcement of any other law of a member 26 state that is not inconsistent with the compact. 27 B. All laws in a member state in conflict with the compact are 28 superseded to the extent of the conflict. 29 C. All lawful actions of the commission, including all rules and bylaws 30 promulgated by the commission, are binding upon the member states. 31 D. All agreements between the commission and the member states are 32 binding in accordance with their terms. 33 E. In the event any provision of the compact exceeds the constitutional 34 limits imposed on the legislature of any member state, the provision shall be 35 ineffective to the extent of the conflict with the constitutional provision 36 As Engrossed: S3/2/23 SB91 23 03-02-2023 09:13:21 JMB044 in question in that member state. 1 2 17-100-402. Administration of compact — Rules. 3 (a) The Board of Examiners in Speech -Language Pathology and Audiology 4 is the Audiology and Speech -Language Pathology Interstate Compact 5 administrator for this state. 6 (b) The board may adopt rules that are consistent with the Audiology 7 and Speech-Language Pathology Interstate Compact necessary to implement this 8 subchapter. 9 (c) The board is not requir ed to adopt the rules of the Audiology and 10 Speech-Language Pathology Interstate Compact Commission for those rules to be 11 effective in this state. 12 (d) For the purposes of the member state’s ability to reject a rule 13 under Section 10(B) of the Audiology and Speech-Language Pathology Interstate 14 Compact, Arkansas delegates its authority in this provision to the General 15 Assembly or the Legislative Council. 16 17 SECTION 2. Arkansas Code § 17 -100-302(b), concerning the eligibility 18 criteria for licensure as a speech-language pathologist or audiologist, is 19 amended to read as follows: 20 (b) To be eligible for licensure by the board as a speech -language 21 pathologist or audiologist, a person shall: 22 (1) Possess at least a master's degree in the area of speech -23 language pathology or a master's degree in audiology obtained on or before 24 December 30, 2006, or a doctoral degree obtained after January 1, 2007, from 25 an educational institution recognized by the board; 26 (2) Submit evidence of the completion of the educatio nal, 27 clinical experience, and employment requirements, which shall be based on 28 appropriate national standards and prescribed by the rules adopted under this 29 chapter; and 30 (3) Apply for a criminal background check and meet the 31 qualifications for issuance of a license under § 17 -100-309 if he or she 32 affirmatively indicates that he or she intends to participate in the 33 Audiology and Speech -Language Pathology Interstate Compact; and 34 (4) Pass an examination approved by the board before the board 35 approves a license. 36 As Engrossed: S3/2/23 SB91 24 03-02-2023 09:13:21 JMB044 1 SECTION 3. Arkansas Code § 17 -100-305, concerning annual renewals for 2 speech-language pathologists and audiologists, is amended to add an 3 additional subsection to read as follows: 4 (f) If a person affirmatively indicates on his or her renewal t hat he 5 or she intends to participate in the Audiology and Speech -Language Pathology 6 Interstate Compact, then he or she shall apply for a criminal background 7 check and meet the qualifications for issuance of a license under § 17 -100-8 309. 9 10 SECTION 4. Arkansas Code Title 17, Chapter 100, Subchapter 3, is 11 amended to add an additional section to read as follows: 12 17-100-309. Criminal background checks. 13 (a) Each applicant or licensee for a license issued by the Board of 14 Examiners in Speech-Language Pathology and Audiology under the Audiology and 15 Speech-Language Pathology Interstate Compact is required to apply for a state 16 and national criminal background check, to be conducted by the Identification 17 Bureau of the Division of Arkansas State Police and the Fede ral Bureau of 18 Investigation. 19 (b) The criminal background check shall conform to the applicable 20 federal standards and shall include the taking of fingerprints. 21 (c) The applicant or licensee shall sign a release of information to 22 the board and shall be r esponsible for the payment of any fee associated with 23 the criminal background check. 24 (d) Upon completion of the criminal background check, the 25 Identification Bureau of the Division of Arkansas State Police shall forward 26 to the board all releasable inform ation obtained concerning the applicant or 27 licensee. 28 (e) For purposes of this section, the board shall follow the licensing 29 restrictions based on criminal records under § 17 -3-102. 30 (f)(1) Information received by the board from the Identification 31 Bureau of the Division of Arkansas State Police under this section shall not 32 be available for examination except by the affected applicant or licensee for 33 licensure or his or her authorized representative or the person whose license 34 is subject to revocation or h is or her authorized representative. 35 (2) A record, file, or document shall not be removed from the 36 As Engrossed: S3/2/23 SB91 25 03-02-2023 09:13:21 JMB044 custody of the division. 1 (g) Information made available to the affected applicant or licensee 2 for licensure or the person whose license is subject to re vocation shall be 3 information pertaining to that person only. 4 (h) Rights of privilege and confidentiality established in this 5 section do not extend to any document created for purposes other than the 6 criminal background check under the Audiology and Spee ch-Language Pathology 7 Interstate Compact. 8 (i) The board shall adopt the necessary rules to fully implement the 9 provisions of this section . 10 11 /s/K. Hammer 12 13 14 APPROVED: 3/16/23 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36