Arizona 2024 2024 Regular Session

Arizona Senate Bill SB1295 Comm Sub / Analysis

Filed 06/14/2024

                      	SB 1295 
Initials AG 	Page 1 	House Engrossed 
 
ARIZONA HOUSE OF REPRESENTATIVES 
Fifty-sixth Legislature 
Second Regular Session 
Senate: HHS DP 5-2-0-0 | 3rd Read 17-11-2-0 
House: HHS DP 5-4-1-0 
 
SB 1295: advanced practice registered nurses; compact 
NOW: health professionals; compacts 
Sponsor: Senator Shamp, LD 29 
House Engrossed 
Overview 
Adopts the Advanced Practice Registered Nurse Compact (APRN Compact) and the Social 
Work Licensure Compact (SW Compact). 
History 
APRN 
An APRN is a registered nurse who meets all prescribed licensure or certification 
requirements and who has undergone graduate-level education to practice advanced practice 
nursing (American Nurses Association). Currently, Arizona provides for licensure for four 
types of APRNs: 1) registered nurse practitioner; 2) certified nurse midwife; 3) clinical nurse 
specialist; and 4) certified registered nurse anesthetist (A.R.S. Title 32, Chapter 15, Articles 
1 and 2). The Arizona State Board of Nursing (AZBN) is tasked with certifying APRN 
applicants in accordance with statutory requirements and AZBN rules (AZBN).  
The APRN Compact, a mutual recognition model of licensure for APRNs that allows 
an APRN to hold one multistate license with a privilege to practice in other Compact 
states, was adopted by the National Council of State Boards of Nursing (NCSBN) in 2002. 
The APRN Compact went through several revisions. In 2020, NCSBN introduced the newly 
revised APRN Compact. This revised APRN Compact, including mandatory 2,080 practice 
hours among other uniform licensure requirements, was adopted at the 2020 NCSBN 
Delegate Assembly (AZBN APRN Compact Survey).  
Laws 1988, Chapter 313 created the Arizona Board of Behavioral Health Examiners 
(AzBBHE) to regulate professionals in the fields of Social Work, Professional Counseling and 
Marriage and Family Therapy. There are three types of social workers licensed by AzBBHE: 
1) baccalaureate social workers (BSW); 2) master social workers (MSW); and 3) clinical social 
workers (CSW) (A.R.S. §§ 32-3251 and 32-3253).  
Social Work 
BSW licensees must obtain a baccalaureate degree in social work from a regionally accredited 
college or university in a program accredited by the Council on Social Work Education 
(CSWE) or an equivalent foreign degree as determined by the Foreign Equivalency 
Determination Service of the CSWE to be licensed. MSW and CSW licensees must have a 
master's or higher degree in social work from a regionally accredited college or university in 
a program accredited by the CSWE or an equivalent foreign degree as determined by the 
Foreign Equivalency Determination Service of the CSWE. All social work licensees must 
receive a passing score on an approved examination for the level of licensure requested within    	SB 1295 
Initials AG 	Page 2 	House Engrossed 
12 months after receiving written examination authorization from the AzBBHE (A.R.S. §§ 
32-3291, 32-3292 and 32-3293). 
AzBBHE administrative rules outline the supervised work experience requirements for 
CSWs. Specifically, CSWs must demonstrate completion of at least 3200 hours of supervised 
work experience in the practice of clinical social work in no less than 24 months. Supervised 
work experience in the practice of clinical social work includes: 1) at least 1600 hours of direct 
client contact involving the use of psychotherapy; 2) no more than 400 of the 1600 hours of 
direct client contact are in psychoeducation; 3) at least 100 hours of clinical supervision; and 
4) no more than 1600 hours of indirect client contact related to psychotherapy services. There 
is no supervised work experience requirement for licensure as a BSW or MSW. These 
professionals can only engage in clinical practice under direct supervision as prescribed by 
AzBBHE (4 A.A.C. 6).  
According to the Council of State Governments, Missouri and South Dakota are the only 
states that have adopted the Compact though legislation is currently pending in 25 states 
(Council of State Governments). 
 
Provisions 
General Provisions and Jurisdiction 
1. Requires a party state to implement procedures for considering the criminal history 
records of applicants for initial APRN licensure or APRN licensure by endorsement, which 
must include submitting fingerprints or other biometric-based information to obtain 
such records from the Federal Bureau of Investigation (FBI) and the agency responsible 
for retaining that state’s criminal records. (Sec. 1) 
2. Outlines the APRN uniform licensure requirements for an applicant to obtain or retain a 
multistate license in the home state as follows: 
a) meets the home state’s qualifications for licensure or renewal and all applicable 
state laws; 
b) completed either an accredited graduate-level education program that prepares the 
applicant for one of the four recognized roles and one of the six population foci or a 
foreign APRN education program as outlined;  
c) passed an English proficiency examination, if applicable; 
d) passed a national certification exam that measures APRN, role and population-
focused competencies; 
e) maintains continued competence as evidenced by recertification in the role and 
population focus through the national certification program; 
f) holds an active, unencumbered license as a registered nurse and an active, 
unencumbered authorization to practice as an APRN; 
g) passed an NCLEX-RN exam or recognized predecessor, as applicable; 
h) practiced for at least 2,080 hours as an APRN, not including hours obtained as part of 
enrollment in an APRN education program, as outlined; 
i) submitted fingerprints or other biometric data to obtain criminal history records from 
the FBI and agency responsible for retaining the state or, if applicable, foreign 
country’s criminal records; 
j) has not been convicted or found guilty, or entered into an agreed disposition of a felony 
offense under applicable state, federal or foreign criminal law, or a misdemeanor 
offense related to the practice of nursing as determined by rules adopted by 
the Commission of APRN Compact Administrators (Commission);    	SB 1295 
Initials AG 	Page 3 	House Engrossed 
k) is not currently enrolled in an alternative program; 
l) is subject to self-disclosure requirements regarding current participation in an 
alternative program; and 
m) has a valid U.S. social security number. (Sec. 1) 
3. Requires an APRN multistate licensee to:  
a) be licensed in an approved role and at least one approved population focus; and  
b) be recognized by each party state as authorizing the APRN to practice in each party 
state, under a multistate licensure privilege, in the same role and population focus as 
the APRN is licensed in the home state. (Sec. 1) 
4. Asserts that the APRN Compact does not affect the requirements established by a party 
state for the issuance of a single-state license, except that an individual may apply for a 
single-state license, instead of a multistate license, even if the individual is otherwise 
qualified for the multistate license. (Sec. 1) 
5. Requires the issuance of a multistate license to include prescriptive authority for 
noncontrolled prescription drugs. (Sec. 1) 
6. Stipulates that an APRN seeking authority to prescribe controlled substances must 
satisfy all requirements imposed by the state in which the APRN seeks such authority. 
(Sec. 1) 
7. Authorizes an APRN who is issued a multistate license to assume responsibility and 
accountability for patient care independent of any supervisory or collaborative 
relationship. (Sec. 1) 
8. Specifies that the authority may be exercised in the home state and in any remote state 
in which the APRN exercises a multistate licensure privilege. (Sec. 1) 
9. Authorizes all party states, in accordance with state due process laws, to take adverse 
action against an APRN’s multistate licensure privileges, including revocation, 
suspension, probation, cease and desist orders, or any other action that affects the 
multistate licensure privilege. (Sec. 1) 
10. Requires a party state that takes an adverse action to promptly notify the Administrator 
of the Coordinated License Information System (CLIS Administrator), who must 
promptly notify the home state. (Sec. 1) 
11. Requires an APRN practicing in a party state to comply with the state practice laws of 
the state in which the client is located at the time service is provided, except as otherwise 
expressly provided. (Sec. 1) 
12. Specifies that APRN practice includes all advanced nursing practice as defined by the 
state practice laws of the party state. (Sec. 1) 
13. Mandates that an APRN's practice in a party state under a multistate licensure privilege 
will subject the APRN to the jurisdiction of the licensing board, courts and laws of the 
party state in which the client is located at the time service is provided. (Sec. 1) 
14. Stipulates that the APRN Compact does not affect additional requirements imposed by 
states for advanced practice registered nursing, except as otherwise specified, but 
requires party states to recognize multistate licensure as satisfying any state law 
requirement for registered nurse (RN) licensure as a precondition for authorization to 
practice as an APRN in that state. (Sec. 1)    	SB 1295 
Initials AG 	Page 4 	House Engrossed 
15. Asserts that individuals who do not reside in a party state can continue to be able to apply 
for a party state's single-state APRN license, however, the single-state license granted to 
these individuals will not be recognized as granting the privilege to practice as an APRN 
in any other party state. (Sec. 1) 
Application for APRN Licensure in a Party State 
16. Requires the licensing board in the issuing party state, on application for a license, to 
ascertain through the CLIS whether: 
a) the applicant has ever held or is the holder of a licensed practical or vocational 
nursing, RN or APRN license issued by another state; 
b) there are any encumbrances on any license or multistate licensure privilege held by 
the applicant; 
c) any adverse action has been taken against any license or multistate licensure 
privilege held by the applicant; and 
d) the applicant is currently participating in an alternative program. (Sec. 1) 
17. Permits an APRN to hold a multistate APRN license issued by the home state in only one-
party state at a time. (Sec. 1) 
18. Requires an APRN who moves between two party states to apply for APRN licensure in 
the new home state and the license issued by the prior home state must be deactivated in 
accordance with applicable rules of the Commission, as follows: 
a) a multistate APRN license must not be issued by the new home state until the APRN 
provides satisfactory evidence of a change in primary state of residence to the new 
home state and satisfies all applicable requirements to obtain the APRN license in the 
new home state; and 
b) the APRN may apply for licensure in advance of a change in primary state of 
residence. (Sec. 1) 
19. Specifies that if an APRN moves from a party state to a nonparty state, the APRN 
multistate license converts to a single-state license valid only in the former home state. 
(Sec. 1) 
Additional Authorities Invested in Party State Licensing Boards 
20. Authorizes a licensing board, in addition to the other powers conferred by state law, to: 
a) take adverse action against an APRN’s multistate licensure privilege to practice in 
that party state, subject to the outlined limitations; 
b) issue cease and desist orders or impose an encumbrance on an APRN’s authority to 
practice within that party state; 
c) complete any pending investigations of an APRN who changes primary state of 
residence during an investigation and take action, then promptly report the 
conclusions of the investigation to the CLIS Administrator, who must promptly notify 
the new home state of any such actions; 
d) issue subpoenas for both hearings and investigations that require the attendance and 
testimony of witnesses and production of evidence; 
e) obtain and submit applicant fingerprints or other biometric-based information to the 
FBI for criminal background checks, receive the results and use them in making 
licensure decisions; 
f) recover from the affected APRN, if allowed by state law, the costs of investigations 
and disposition of cases resulting from any adverse action taken against that 
APRN; and    	SB 1295 
Initials AG 	Page 5 	House Engrossed 
g) take adverse action based on the factual findings of another party state if the licensing 
board follows its own procedures for taking such adverse action. (Sec. 1) 
21. Subjects adverse actions against an APRN's multistate licensure privilege to the 
following: 
a) only the home state must have power to take adverse action against an APRN's license 
issued by the home state; and 
b) for purposes of taking adverse action, the home state licensing board must give the 
same priority and effect to reported conduct that occurred outside of the home state 
as it would if such conduct has occurred within the home state and apply its own state 
laws to determine appropriate action. (Sec. 1) 
22. Mandates that subpoenas issued by a party state licensing board for the attendance and 
testimony of witnesses and production of evidence from another party state must be 
enforced in the latter state by any court of competent jurisdiction, according to that court's 
practice and procedure in considering subpoenas issued in its own proceedings. (Sec. 1) 
23. Directs the issuing licensing board to pay any witness fees, travel expenses, mileage and 
other fees required by the service statutes of the state in which the witnesses and evidence 
are located. (Sec. 1) 
24. Requires multistate licensure privilege to be deactivated if adverse action is taken by a 
home state against an APRN’s license until all encumbrances have been removed.        
(Sec. 1) 
25. States that all home state disciplinary orders that impose adverse action against a license 
to include a statement that the APRN’s licensure privilege is deactivated in all party 
states during the pendency of the order. (Sec. 1) 
26. Specifies that the APRN Compact does not override a party state’s decision that 
participation in an alternative program may be used in lieu of adverse action. (Sec. 1) 
27. Requires the home state licensing board to deactivate the multistate licensure privilege 
of any APRN for the duration of the APRN’s participation in an alternative program.  
(Sec. 1) 
CLIS and Information Exchange 
28. Requires party states to participate in CLIS of all APRNs, licensed RNs and practical or 
vocational nurses, including information on the licensure and disciplinary history of each 
APRN submitted by party states, to assist in the coordinated administration of APRN 
licensure and enforcement efforts.   
29. Requires the Commission, in coordination with the CLIS Administrator, to formulate 
procedures to identify, collect and exchange information under the APRN Compact. (Sec. 
1) 
30. Specifies that all licensing boards must promptly report the following to the CLIS: 
a) any adverse action and current significant investigative information; 
b) denials of applications with the reasons for the denial; and 
c) APRN participation in alternative programs known to the board, regardless of 
whether such participation is deemed nonpublic or confidential under state law.     
(Sec. 1)    	SB 1295 
Initials AG 	Page 6 	House Engrossed 
31. Allows all party state licensing boards contributing information to the CLIS to designate 
information that may not be shared with nonparty states or disclosed to others without 
the express permission of the contributing state. (Sec. 1) 
32. Prohibits any personally identifiable information obtained from the CLIS by a party state 
licensing board from being shared with nonparty states or disclosed to other entities or 
individuals except to the extent allowed by the laws of the party state contributing the 
information. (Sec. 1) 
33. Requires any information contributed to CLIS that is subsequently required to be 
expunged by the laws of the party state contributing the information to be removed from 
the CLIS. (Sec. 1) 
34. Requires the APRN Compact administrator of each party state to furnish a uniform data 
set to the administrator of each party state that includes at least the following: 
a) identifying information; 
b) licensure data; 
c) information related to alternative program participation; and 
d) other information that may facilitate the administration of the Compact, as 
determined by Commission rules. (Sec. 1) 
35. Requires the APRN Compact administrator of a party state to provide all investigative 
documents and information requested by another party state. (Sec. 1) 
Establishment of the Interstate Commission of APRN Compact Administrators 
36. Establishes the Commission as an instrumentality of the party states. (Sec. 1) 
37. Asserts that the venue is proper and judicial proceedings by or against the Commission 
be brought solely and exclusively in a court of competent jurisdiction where the principal 
office of the Commission is located. (Sec. 1) 
38. Allows the Commission to waive venue and jurisdictional defenses to the extent it adopts 
or consents to participate in alternative dispute resolution proceedings. (Sec. 1) 
39. States that the APRN Compact is not a waiver of sovereign immunity. (Sec. 1) 
40. Limits each party state to one APRN Compact administrator who is the head of the state 
licensing board or that person’s designee. (Sec. 1) 
41. Allows the administrator to be suspended, removed from office or replaced as allowed 
by state law. (Sec. 1) 
42. Requires any vacancy occurring in the Commission to be filled in accordance with the 
laws of the party state in which the vacancy exists. (Sec. 1) 
43. Entitles each administrator to: 
a) one vote related to rules and creation of bylaws; and 
b) having an opportunity to participate in the business and affairs of the Commission. 
(Sec. 1) 
44. Requires an administrator to vote in person or by such other means as provided in the 
bylaws. (Sec. 1) 
45. Allows the bylaws to provide for an administrator's participation in meetings by telephone 
or other means of communication. (Sec. 1)    	SB 1295 
Initials AG 	Page 7 	House Engrossed 
46. Requires the Commission to meet at least once during each calendar year and additional 
meetings to be held as set forth in the Commission's bylaws or rules. (Sec. 1) 
47. Requires Commission meetings to be open to the public and with public notice. (Sec. 1) 
48. Allows the Commission to discuss the following in a closed nonpublic meeting: 
a) noncompliance of a party state with APRN Compact obligations; 
b) personnel matters as specified; 
c) current, threatened or reasonably anticipated litigation; 
d) negotiation of contracts to purchase or sell goods, services or real estate; 
e) accusing any person of a crime or formally censuring any person; 
f) disclosure of trade secrets or commercial or financial information that is privileged 
or confidential; 
g) disclosure of personal information that would constitute a clearly unwarranted 
invasion of personal privacy; 
h) disclosure of information related to reports prepared by or on behalf of the 
Commission to investigate Compact compliance; and 
i) matters specifically exempt from disclosure by federal or state statute. (Sec. 1) 
49. Prescribes procedures for certifying closed meetings, referencing the 
relevant exemption and keeping of minutes.  (Sec. 1) 
50. Instructs the Commission, by a majority vote, to prescribe bylaws or rules, including, but 
not limited to: 
a) establishing a fiscal year; 
b) providing reasonable standards and procedures for establishing other committees and 
delegating Commission authority or function; 
c) providing reasonable procedures for calling and conducting meetings, including 
providing notice, public participation and closed meetings; 
d) establishing titles, duties and authority and reasonable procedures for 
electing officers; 
e) providing reasonable standards and procedures for establishing personnel policies 
and Commission programs; and 
f) providing a mechanism for winding up the operations and equitable disposition of 
surplus monies after paying and reserving all debts and obligations. (Sec. 1) 
51. Requires the Commission to publish its bylaws, rules and amendments in a convenient 
form on its website. (Sec. 1) 
52. Requires the Commission to maintain its financial records in accordance with its bylaws. 
(Sec. 1) 
53. Authorizes the APRN Commission to: 
a) create uniform rules for the Compact, which have the force and effect of law and are 
binding in all party states; 
b) bring and prosecute legal actions provided that the standing of any licensing board to 
sue or be sued under applicable law is not affected; 
c) purchase and maintain insurance and bonds; 
d) borrow, accept or contract for personnel, including employees of a party state or 
nonprofit organizations; 
e) cooperate with other organizations that administer state Compacts regarding 
nursing, as outlined;    	SB 1295 
Initials AG 	Page 8 	House Engrossed 
f) hire employees, elect or appoint officers, fix compensation, define duties, grant 
authority and establish policies regarding conflicts of interest, qualifications of 
personnel and other related personnel matters; 
g) accept appropriate donations, grants and gifts of monies, equipment, supplies, 
materials and services, striving to avoid any appearance of impropriety or conflict 
of interest; 
h) lease, purchase, accept appropriate gifts or donations of property, whether real, 
personal or mixed, striving to avoid any appearance of impropriety; 
i) sell, convey or otherwise dispose of any property, whether real, personal or mixed; 
j) establish a budget and make expenditures; 
k) borrow monies; 
l) appoint committees as specified; 
m) issue advisory opinions; 
n) provide and receive information from, and cooperate with, law enforcement agencies; 
o) adopt and use an official seal; and 
p) perform other functions as necessary to achieve the purposes of the Compact 
consistent with state regulation of APRN licensure and practice. (Sec. 1) 
54. Requires the Commission to pay or provide for the payment of reasonable expenses of its 
establishment, organization and ongoing activities. (Sec. 1) 
55. Allows the Commission to levy and collect an annual assessment from each party state to 
cover the cost of its operations, activities and staff in its annual budget as approved each 
year. (Sec. 1) 
56. Requires the aggregate annual assessment amount to be allocated based on a formula to 
be determined by the Commission by rule. (Sec. 1) 
57. Prohibits the Commission from incurring obligations before securing the monies adequate 
to meet those obligations or pledging the credit of any party state except by and with the 
authority of such party state. (Sec. 1) 
58. Requires the Commission to keep accurate accounts of all receipts and disbursements, 
which are subject to the audit and accounting procedures under its bylaws and requires 
a yearly audit by a certified or licensed public accountant and the report to be included in 
the Commission’s annual report. (Sec. 1) 
59. Details immunity from claims of civil liability as outlined for specified Commission-
related individuals. (Sec. 1) 
60. Requires the Commission to defend specified Commission-related individuals in any civil 
liability action arising out of prescribed circumstances. (Sec. 1) 
61. Requires the Commission to indemnify and hold harmless any specified Commission-
related individual for any settlement or judgment obtained against that person as 
outlined if the actual or alleged act, error or omission did not result from the 
intentional, wilful or wanton misconduct of that person. (Sec. 1) 
Rulemaking 
62. Specifies that rules and amendments have the same force and effect as the Compact.   
(Sec. 1) 
63. Requires rules or amendments to be adopted at a regular or special Commission meeting. 
(Sec. 1)    	SB 1295 
Initials AG 	Page 9 	House Engrossed 
64. Requires the Commission to file a notice of proposed rulemaking on the Commission’s 
website and the website of each licensing board or as each state would otherwise publish 
proposed rules before promulgation and adoption of a final rule and at least 60 days before 
the meeting at which the rule will be considered and voted on. (Sec. 1) 
65. Requires the notice of proposed rulemaking to include all of the following: 
a) the proposed time, date and location of the meeting in which the rule will be 
considered and voted on; 
b) the text of the proposed rule or amendment and the reason for the proposed rule;  
c) a request for comments on the proposed rule from any interested person; and 
d) the manner in which interested persons may submit notice to the Commission of their 
intention to attend the public hearing and any written comments. (Sec. 1) 
66. Directs the Commission to grant an opportunity for a public hearing before it adopts a 
rule or amendment. (Sec. 1) 
67. Requires the Commission to publish the place, time and date of the scheduled public 
hearings which must be conducted in a manner that provides each person who wishes to 
commend a fair and reasonable opportunity to comment orally or in writing. (Sec. 1)  
68. Requires all hearings to be recorded, with a copy made available on request. (Sec. 1) 
69. Allows rules to be grouped at hearings. (Sec. 1) 
70. Allows the Commission to proceed with promulgation of a proposed rule if no one appears 
at the public hearing. (Sec. 1) 
71. Instructs the Commission: 
a) following the scheduled hearing date or by the close of business on the scheduled 
hearing date if the hearing was not held, to consider all written and oral comments 
received; 
b) take final action on a proposed rule, but a majority vote of all Compact Administrators; 
and 
c) determine the effective date of the rule, if any, based on the rulemaking record and 
the full text of the rule. (Sec. 1) 
72. Permits the Commission, on determination that an emergency exists, to consider and 
adopt an emergency rule without prior notice, opportunity for comment or a hearing.    
(Sec. 1) 
73. Requires the usual rulemaking procedures provided in the Compact to be retroactively 
applied to the rule as soon as reasonable possible, but not later than 90 days after the 
effective date of the rule. (Sec. 1) 
74. Asserts that an emergency rule is one that must be adopted immediately to: 
a) meet an imminent threat to public health, safety or welfare; 
b) prevent a loss of Commission or party state monies; and 
c) meet a deadline for the promulgation of an administrative rule that is established by 
federal law or rule. (Sec. 1) 
75. Permits the Commission to direct revisions to a rule or amendment to correct 
typographical or formatting errors, errors in consistency or grammatical errors. (Sec. 1) 
76. Requires revisions to be posted on the Commissions website and are subject to challenge 
by any person for a period of 30 days after posting. (Sec. 1)    	SB 1295 
Initials AG 	Page 10 	House Engrossed 
77. Allows revisions to be challenged only on grounds that result in a material change to a 
rule. (Sec. 1) 
78. Requires a challenge to be made in writing and delivered to the Commission before the 
end of the notice period. (Sec. 1) 
79. Specifies that if no challenge is made, the revision will take effect without further action. 
(Sec. 1) 
80. Specifies that if the revision is challenged, the revision may not take effect without the 
approval of the Commission. (Sec. 1) 
Oversight, Dispute Resolution and Enforcement 
81. Requires each party state to enforce the Compact and take actions necessary and 
appropriate to effectuate the Compact’s purposes and intent. (Sec. 1) 
82. Entitles the Commission to receive service of process in proceedings that may affect the 
powers, responsibilities or actions of the Commission and has standing to intervene in 
such proceedings. (Sec. 1) 
83. States that failing to provide service of process to the Commission renders a judgment or 
order void as to the Commission, the Compact or rules. (Sec. 1) 
84. Specifies the Commission shall provide the following if it determines that a party state 
has defaulted in performing its obligations or responsibilities under the Compact or rules: 
a) written notice to the defaulting state and other party states of the nature of the 
default, the proposed means of curing the default and any other action to be taken by 
the Commission; and 
b) remedial training and specific technical assistance regarding the default. (Sec. 1) 
85. Allows the defaulting state’s membership in the Compact to be terminated if the state 
fails to cure the default, on the affirmative vote of a majority of the administrators and 
all rights, privileges and benefits conferred by the Compact to be terminated on the 
effective date of the termination. (Sec. 1) 
86. Specifies that a cure of the default does not relieve the offending state of obligations or 
liabilities incurred during the period of default. (Sec. 1) 
87. Allows termination of membership to be imposed only after all other means of securing 
compliance have been exhausted. (Sec. 1) 
88. Requires the Commission to give notice of intent to suspend or terminate to the governor 
of the defaulting state and to the executive officers of the licensing board, the licensing 
board and each of the party states. (Sec. 1) 
89. Specifies that a terminated state 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. (Sec. 1) 
90. Prohibits the Commission from bearing any costs related to a state found to be in default 
or whose membership has been terminated unless agreed in writing between the 
Commission and defaulting state. (Sec. 1) 
91. Outlines procedures for a defaulting state to appeal. (Sec. 1)    	SB 1295 
Initials AG 	Page 11 	House Engrossed 
92. Requires the Commission, on request by a party state, to attempt to resolve 
Compact disputes that arise among party states and between party and nonparty states. 
(Sec. 1) 
93. Requires the Commission to adopt a rule providing for mediation and binding dispute 
resolution for disputes, as appropriate. (Sec. 1) 
94. Outlines requirements if the Commission cannot resolve disputes, including 
for arbitration. (Sec. 1) 
95. Requires the Commission, in the reasonable exercise of its discretion, to enforce the 
Compact and related rules and specifies requirements for legal action. (Sec. 1) 
96. Stipulates the remedies in the Compact are not the exclusive remedies of the Commission, 
which may pursue other remedies available under federal or state law. (Sec. 1) 
Effective Date, Withdrawal and Amendment 
97. Specifies that the Compact comes into limited effect when it is enacted in seven party 
states for the sole purpose of establishing and convening the Commission to adopt rules 
relating to its operation. (Sec. 1) 
98. Subjects any state that joins the Compact after the Commission’s initial adoption of the 
APRN uniform licensure requirements to all Commission rules that were previously 
adopted. (Sec. 1) 
99.  Allows a party state to withdraw from the Compact by repealing the Compact 
but prohibits the withdrawal from taking effect until six months after enactment of the 
repealing statute. (Sec. 1) 
100. Prohibits a party state’s withdrawal or termination from affecting the continuing 
requirement of that state’s licensing board to report adverse actions and significant 
investigations occurring before the effective date of the withdrawal or termination. (Sec. 
1) 
101. Specifies that the Compact does not invalidate or prevent any APRN licensure 
agreement or other cooperative arrangement between a party state and a nonparty 
state that does not conflict with the Compact. (Sec. 1) 
102. Allows the Compact to be amended by the party states, which becomes effective and 
binding after enactment into law by all party states. (Sec. 1) 
103. Permits representatives of nonparty states to be invited to participate in Commission 
activities on a nonvoting basis before the adoption of the Compact by all states.       (Sec. 
1) 
Construction & Severability 
104. Requires the Compact to be liberally construed to effectuate its purposes. (Sec. 1) 
105. Deems the Compact provisions severable, and if any phrase, clause, sentence or 
provision of this Compact is declared to be contrary to the constitution of any party state 
or of the United States, or if the applicability thereof to any government, agency, person 
or circumstance is held invalid, the validity of the remainder of this Compact and the 
Compact's applicability to any government, agency, person or circumstance. (Sec. 1) 
106. Specifies that the Compact does not supersede state law related to the applicable APRN 
scope of practice or related rules and does not alter the scope of practice. (Sec. 1)    	SB 1295 
Initials AG 	Page 12 	House Engrossed 
107. Requires APRNs practicing in this state to comply with the applicable scope of practice 
pursuant to state law. (Sec. 1) 
108. Specifies that the Commission does not have the authority to alter the scope of practice 
for APRNs practicing in this state. (Sec. 1) 
109. Allows the Governor to withdraw the state from the Compact if: 
a) the Commission adopts a rule to change the scope of practice of APRNs in this state; 
and 
b) a law is enacted that repeals the Compact. (Sec. 1) 
 
Purpose of SW Compact 
110. Declares that the purpose of the Compact is to facilitate the interstate practice of social 
workers by improving public access to competent social work services. (Sec. 3) 
111. Declares that the Compact preserves the regulatory authority of the states to protect 
public health and safety through the current system of state licensure. (Sec. 3) 
112. Outlines the objectives the Compact is designed to achieve. (Sec. 3) 
State Participation in the Compact 
113. States that in order to participate in the Compact, a potential member state must 
currently meet all of the following criteria: 
a) license and regulate the practice of social work at either the clinical, master's or 
bachelor's category; 
b) require license applicants to graduate from a program that is operated by a 
recognized college or university or accredited by a recognized accrediting agency; 
c) require license applicants to complete a period of supervised practice; and 
d) have a mechanism in place for receiving, investigating and adjudicating complaints 
about licensees. (Sec. 3) 
114. States that in order to maintain membership in the Compact, a member state must do 
all of the following: 
a) require applicants for a multistate license to pass a qualifying national exam for the 
corresponding category of license sought; 
b) participate fully in the Commission's data system, including using the Commission's 
unique identifier; 
c) notify the Commission of any adverse action or the availability of investigative 
information regarding a licensee; 
d) implement or use procedures for considering the criminal history records of 
applicants for an initial privilege to practice, including 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, as outlined; 
e) comply with the rules of the Commission; 
f) require an applicant to obtain or retain a license in the home state and meet the 
home state's qualifications for licensure or renewal of licensure, as well as all other 
applicable home state laws; 
☐ Prop 105 (45 votes)     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes) ☒ Fiscal Note    	SB 1295 
Initials AG 	Page 13 	House Engrossed 
g) authorize a licensee holding a multistate license in any member state to practice in 
accordance with the terms of the Compact and Commission rules; and 
h) designate a delegate to participate in the Commission meetings. (Sec. 3) 
115. Requires a member state to designate the categories of social work licensure that are 
eligible for issuance of a multistate license. (Sec. 3) 
116. Permits a state that does not meet Compact requirements for participation in any 
particular category to choose to issue a multistate license to qualified applicants for 
licensure in such category. (Sec. 3) 
117. Permits a home state to charge a fee for a multistate license. (Sec. 3) 
Social Worker Participation in the Compact 
118. Specifies that in order to be eligible for a multistate license under the Compact, 
regardless of category, an applicant must: 
a) hold or be eligible for an active, unencumbered license in the home state; 
b) pay any applicable fees, including any state fee for the multistate license; 
c) submit fingerprints or other biometric data for purposes of a criminal records check; 
d) notify the home state of any adverse action, encumbrance or restriction on any 
professional license taken by any member state or nonmember state within 30 days 
after the date the action is taken; 
e) meet any continuing competence requirements established by the home state; and 
f) abide by the laws, regulations and applicable standards in the member state where 
the client is located at the time care is rendered. (Sec. 3) 
119. Instructs applicants for a clinical-category multistate license to meet all of the following 
requirements: 
a) fulfill a competency requirement, satisfied by passage of a clinical-category 
qualifying national exam, licensure in the applicant's home state or the substantial 
equivalent of foregoing competency requirements as determined by the Commission;  
b) attain at least a master's degree in social work from a program that is operated by 
a recognized college or university and accredited by a recognized accrediting agency 
as outlined; 
c) fulfill a practice requirement by way of postgraduate supervised clinical practice or 
the substantial equivalent of foregoing the practice requirements as determined by 
the Commission. (Sec. 3) 
120. Requires an applicant for a master's category multistate license to: 
a) fulfill a competency, satisfied by passage of a qualifying national exam, licensure in 
the applicant's home state or the substantial equivalent of foregoing competency 
requirements as determined by the Commission; and 
b) attain at least a master's degree in social work from a program that is operated by 
a recognized college or university and accredited by a recognized accrediting agency, 
as outlined. (Sec. 3) 
121. States that an applicant for a bachelor's-category multistate license must: 
a) fulfill a competency requirement, satisfied by passage of a qualifying national exam, 
licensure in the applicant's home state or the substantial equivalent of foregoing 
competency requirements as determined by the Commission; and    	SB 1295 
Initials AG 	Page 14 	House Engrossed 
b) attain at least a bachelor's degree in social work from a program that is operated by 
a recognized college or university and accredited by a recognized accrediting agency. 
(Sec. 3) 
122. Subjects multistate licenses to the renewal requirements of the social worker's home 
state. (Sec. 3) 
123. Directs a social worker to maintain compliance with Compact eligibility requirements 
to be eligible for renewal. (Sec. 3) 
124. Subjects the social worker's services in a remote state to that state's regulatory 
authority. (Sec. 3) 
125. Permits a remote state to remove a social worker's multistate authorization to practice 
in the state for a specified period of time, impose fines and take any other necessary 
actions to protect the health and safety of its citizens. (Sec. 3) 
126. Deactivates a social worker's multistate authorization to practice upon encumbrance of 
the social worker's multistate license, in all states, until the license is no longer 
encumbered. (Sec. 3) 
127. Specifies that, if a social worker's multistate authorization to practice is encumbered in 
a remote state, the social worker's multistate authorization to practice may be 
deactivated in that state until unencumbered. (Sec. 3) 
Issuance of Multistate License 
128. Requires the home state licensing authority to determine the applicant's eligibility for 
a multistate license on receipt of an application for a multistate license. (Sec. 3) 
129. Authorizes the home state licensing authority to issue a multistate license that enables 
the applicant or regulated social worker to practice in all member states under a 
multistate authorization to practice. (Sec. 3) 
130. States that on issuance of a multistate license the home state licensing authority must 
designate whether the regulated social worker holds a multistate license in the 
bachelor's, master's or clinical categories of social work. (Sec. 3) 
131. Asserts that a multistate license issued by the home state to a resident must be 
recognized by all Compact member states as authorizing social work practice under a 
multistate authorization to practice corresponding to each licensure category regulated 
in each member state. (Sec. 3) 
Authority of Interstate Compact Commission and Member State Licensing 
Authorities 
132. States that the Compact and any rule of the Commission does not limit, restrict or 
reduce the ability of: 
a) a member state to enact and enforce laws, regulations or other rules related to the 
practice of social work in that state if they are not inconsistent with the Compact;  
b) a member state to take adverse action against a licensee's single state license to 
practice social work in that state; 
c) a remote state to take adverse action against a licensee's multistate authorization 
to practice in that state; and  
d) a licensee's home state to take adverse action against a licensee's multistate license 
based on information provided by a remote state. (Sec. 3)    	SB 1295 
Initials AG 	Page 15 	House Engrossed 
133. Clarifies that the Compact does not affect requirements established by a member state 
for the issuance of a single state license. (Sec. 3) 
Reissuance of a Multistate License by a New Home State 
134. Permits a licensee to hold a multistate license in only one member state at a time.        
(Sec. 3) 
135. Requires, if a licensee changes home state by moving between two member states:  
a) the licensee to immediately apply for a reissued multistate license in the new home 
state and pay all applicable fees as well as notify the prior home state of the move;  
b) the new home state, on receipt of an application for reissuance, to verify that the 
multistate license is active, unencumbered and eligible for reissuance under the 
Compact; and  
c) the new home state, prior to reissuance of a multistate license, to conduct procedures 
for considering the criminal history records of the licensee. (Sec. 3) 
136. Permits a new home state to require completion of jurisprudence requirements for 
licensees who change home state. (Sec. 3) 
137. States that if a licensee does not meet the Compact requirements for reissuance, the 
licensee must be subject to the new home state requirements for issuance of a single-
state license.  (Sec. 3) 
138. Subjects a licensee that moves from a member state to a nonmember state to the 
requirements for issuance of a single state license in the new state. (Sec. 3) 
139. Clarifies that the Compact does not interfere with: 
a) a licensee's ability to hold a single state license in multiple states; or  
b) the requirements of a member state for the issuance of a single state license. (Sec. 
3) 
140. States that a licensee can have only one home state license and one multistate license. 
(Sec. 3) 
Adverse Actions 
141. Enables a home state the authority to: 
a) take adverse action against a social worker's multistate authorization to practice 
only within that member state; and 
b) issue subpoenas for both hearings and investigations that require attendance and 
testimony of witnesses, as well as the production of evidence. (Sec. 3) 
142. Requires subpoenas issued by a state licensing authority to be enforced by the latter 
state by any court of competent jurisdiction. (Sec. 3) 
143. Requires a state licensing authority issuing a subpoena to pay any witness fees, travel 
expenses, mileage and other fees required in the state the witness or evidence is located. 
(Sec. 3) 
144. Provides home states the power to impose adverse action against a social worker's 
multistate license. (Sec. 3) 
145. Specifies that, for purposes of taking adverse action, a home state must 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 and apply its own laws to determine 
appropriate action. (Sec. 3)    	SB 1295 
Initials AG 	Page 16 	House Engrossed 
146. Requires a home state to complete any pending investigations of a social worker who 
changes primary state of residence during the course of the investigations. (Sec. 3) 
147. Provides a home state the authority to take any appropriate action and promptly report 
the conclusions of the investigations to the administrator of the Commission data 
system. (Sec. 3) 
148. Requires the administrator of the Commission data system to promptly notify the new 
home state of any adverse actions. (Sec. 3) 
149. Permits member states to recover the costs of investigations and disposition of cases 
from the affected social worker. (Sec. 3) 
150. Authorizes a member state to take adverse action based on the factual findings of the 
remote state, provided that the member state follows its own procedures for taking the 
adverse action. (Sec. 3) 
151. Permits member states to conduct joint investigations of social workers. (Sec. 3) 
152. Requires member states to share any investigative, litigation or compliance materials 
in furtherance of any joint or individual investigation. (Sec. 3) 
153. Specifies that a social worker's multistate authorization is deactivated, if any adverse 
action is taken by the licensee's home state, until all encumbrances on the license have 
been removed. (Sec. 3) 
154. Directs that all home state disciplinary orders that impose adverse action against a 
social worker's license include a statement that the individual's multistate 
authorization is deactivated in all member states until all conditions of the decision, 
order or agreement are satisfied. (Sec. 3) 
155. Requires a member state that takes adverse action to promptly notify the data system 
administrator. (Sec. 3) 
156. Instructs the data system administrator to promptly notify the home state of any 
adverse actions by remote states. (Sec. 3) 
157. States that the Compact does not override a member state's decision that participation 
in an alternative program may be used in lieu of adverse action. (Sec. 3) 
158. Declares that the Compact does not authorize a member state to demand the issuance 
of subpoenas for attendance and testimony of witnesses or the production of evidence 
from another member state for lawful actions within that state. (Sec. 3) 
Compact Commission 
159. Creates and establishes a joint government agency whose membership consists of all 
member states that have enacted the Compact known as the Social Work Licensure 
Compact Commission. (Sec. 3) 
160. Establishes the Commission on or after the effective date of the Compact, as provided 
in the Compact. (Sec. 3) 
161. Specifies that the Commission is an instrumentality of all Compact states and not any 
one state. (Sec. 3) 
162. Sets membership, powers, duties and requirements of the Commission. (Sec. 3)    	SB 1295 
Initials AG 	Page 17 	House Engrossed 
163. Creates an executive committee with the power to act on behalf of the Commission. (Sec. 
3) 
164. Establishes membership, powers, duties and requirements of the executive committee. 
(Sec. 3) 
165. Requires Commission meetings to be open to the public, with properly provided public 
notice. (Sec. 3) 
166. Outlines hearing requirements and guidelines for meetings of the Commission and the 
executive committee. (Sec. 3) 
167. Permits the Commission and the executive committee to convene for a closed, nonpublic 
meeting for legal advice or to discuss outlined topics. (Sec. 3) 
168. Directs the Commission's presiding officer to state that a meeting will be closed and 
reference each relevant exempting provision. (Sec. 3) 
169. Directs the Commission to keep minutes of meetings and provide a full and accurate 
summary of actions taken. (Sec. 3) 
170. Outlines financial requirements and authorities of the Commission. (Sec. 3) 
171. Holds harmless from liability the members, officers, executive director, employees and 
representatives of the Commission for any claim for damage to or loss of property, 
personal injury or other civil liability caused by an act, error or omission that occurred, 
unless the damage, loss, injury or liability was caused by the intentional, willful or 
wanton misconduct of that person. (Sec. 3) 
172. Forbids insurance procured by the Commission from in any way compromising or 
limiting immunity granted under the Compact. (Sec. 3) 
173. Requires the Commission to defend any member, officer, executive director, employee 
or representative of the Commission in any civil action seeking to impose liability for 
an act, error or omission that occurred within the scope of Commission employment, 
duties or responsibilities. (Sec. 3) 
174. Permits a person to retain private counsel in any action against the person if the act 
was not a result of intentional, willful or wanton misconduct. (Sec. 3) 
175. Directs the Commission to indemnify and hold harmless any member, officer, executive 
director, employee or Commission representative for the amount of any settlement or 
judgment obtained against that person arising out of an act, error or omission that 
occurred within the scope of Commission employment, duties or responsibilities if the 
act was not a result of intentional, willful or wanton misconduct. (Sec. 3) 
176. Clarifies that the Compact: 
a) does not limit the liability of any licensee for professional malpractice or misconduct, 
which is governed solely by state law; 
b) does not waive or abrogate a member state's action immunity or state action 
affirmative defense with respect to antitrust claims under federal law or regulation; 
and  
c) is not a waiver of sovereign immunity by the member states or the Commission. 
(Sec. 3) 
Data System     	SB 1295 
Initials AG 	Page 18 	House Engrossed 
177. Directs the Commission to develop, maintain and utilize a coordinated database and 
reporting system containing licensure, adverse action and investigative information on 
all licensed individuals in member states. (Sec. 3) 
178. Requires member states to submit uniform data sets to the data system on all Compact 
individuals using a unique identifier that includes specified information.        (Sec. 3) 
179. Asserts that the certified records and information provided to member states under the 
Compact or through the data system constitute the authenticated business records of 
the Commission and are entitled to any associated hearsay exception in any proceeding 
in a member state. (Sec. 3) 
180. Restricts current significant investigative information pertaining to a licensee in any 
member state from being made available to nonmember states. (Sec. 3) 
181. Deems it the responsibility of the member states to report any adverse action against a 
licensee and to monitor the database to determine whether action has been taken 
against a licensee. (Sec. 3) 
182. Makes adverse action information for licensees available to all member states.       (Sec. 
3) 
183. Permits member states that contribute information to the data system to designate 
confidential information that may not be shared without express permission. (Sec. 3) 
184. Instructs any data system information that must be expunged to be removed from the 
data system. (Sec. 3) 
Rulemaking 
185. Requires the Commission to promulgate reasonable rules to implement and administer 
the purpose of the Compact effectively and efficiently. (Sec. 3) 
186. Declares a rule invalid and without force or effect if a court of competent jurisdiction 
holds the rule invalid because the Commission acted beyond the scope of the Compact. 
(Sec. 3) 
187. Stipulates that Commission rules have the force of law in each member state unless 
they conflict with the laws, regulations and standards of a member state. (Sec. 3) 
188. States that Commission rules are ineffective to the extent of a conflict with the laws, 
regulations and standards of a member state. (Sec. 3) 
189. Requires the Commission to exercise its rulemaking authorities pursuant to the 
Compact and rules established under the Compact. (Sec. 3) 
190. Deems that the rules and amendments to the rules become binding on the day following 
adoption or the date specified in the rule or amendment, whichever is later. (Sec. 3) 
191. Specifies that a rule has no further force or effect in any member state if a majority of 
the legislatures of the member states rejects a rule by enactment of a statute or 
resolution in the same manner used to adopt the Compact, within four years of the 
adoption of the rule. (Sec. 3) 
192. Requires rules to be adopted at a regular or special meeting. (Sec. 3)    	SB 1295 
Initials AG 	Page 19 	House Engrossed 
193. Directs the Commission, before adopting a proposed rule, to hold a public hearing and 
allows persons to provide oral and written comments, data, facts, opinions and 
arguments. (Sec. 3) 
194. Requires the Commission, before adopting a final rule, to file a notice of proposed 
rulemaking at least 30 days before the meeting at which the rule will be considered and 
voted on, with notice provided on the website of: 
a) the Commission or other publicly accessible platform; and  
b) each member state's professional counseling licensing board or other publicly 
accessible platform in which each state would otherwise publish proposed rules.     
(Sec. 3) 
195. Outlines requirements for notices of proposed rulemaking. (Sec. 3) 
196. Requires all hearings to be recorded and made available to the public, along with all 
written comments and documents received by the Commission in re sponse to the 
proposed rule. (Sec. 3) 
197. Directs the Commission to: 
a) take final action on a proposed rule by majority vote and determine the effective 
date of the rule, no longer than 30 days after noticing the adopted or amended rule; 
and 
b) provide an explanation of the reasons for the substantive changes made to the 
proposed rule as well as an explanation of why changes recommended by 
commenters were not made. (Sec. 3) 
198. Outlines Commission guidelines for convening hearings. (Sec. 3) 
199. Permits the Commission to proceed with adopting a proposed rule without a public 
hearing if no written notice of intent to attend the public hearing by interested parties 
is received. (Sec. 3) 
200. Allows the Commission to consider and adopt an emergency rule with 48-hours' notice, 
with an opportunity for comment, if the Commission determines that an emergency 
exists and usual rulemaking procedures provided in the Compact are retroactively 
applied as soon as reasonably possible, within 90 days. (Sec. 3) 
201. Asserts that an emergency rule is one that must be adopted immediately in order to: 
a) meet an imminent threat to public health, safety or welfare;  
b) prevent a loss of Commission or member state funds;  
c) meet a deadline for the adoption of an administrative rule established by federal 
law; or 
d) protect public health and safety. (Sec. 3) 
202. Permits the Commission or an authorized committee to direct revisions to a previously 
adopted rule or amendment for purposes of correcting typographical errors, errors in 
format, errors in consistency or grammatical errors. (Sec. 3) 
203. Requires public notice of any revisions to be posted on the Commission website.      (Sec. 
3) 
204. States that revisions are subject to challenge by any person for 30 days on the grounds 
that the revision results in a material change to a rule. (Sec. 3)    	SB 1295 
Initials AG 	Page 20 	House Engrossed 
205. Requires any challenge to be made in writing and delivered to the Chairperson of the 
Commission before the end of the notice period. (Sec. 3) 
206. Stipulates that the revision takes effect without further action if no challenge is made. 
(Sec. 3) 
207. Specifies that, if the revision is challenged, the revision may not take effect without the 
approval of the Commission. (Sec. 3) 
208. States that a member state's rulemaking requirements do not apply under the Compact. 
(Sec. 3) 
Oversight, Dispute Resolution and Enforcement 
209. Requires the executive and judicial branches of state government in each member state 
to enforce the Compact and take all actions necessary and appropriate to implement the 
Compact. (Sec. 3) 
210. Requires judicial proceedings by or against the Commission to be brought exclusively 
in a court of competent jurisdiction where the principal office of the Commission is 
located. (Sec. 3) 
211. Permits the Commission to waive venue and jurisdictional defenses to the extent it 
adopts or consents to participate in alternative dispute resolution proceedings. (Sec. 3) 
212. States that the Compact does not affect or limit the selection or proprietary of venue in 
any action against a licensee for professional malpractice, misconduct or a similar 
matter. (Sec. 3) 
213. Entitles the Commission to receive service of process as well as standing to intervene 
in a proceeding for all purposes. (Sec. 3) 
214. Specifies that failure to provide service of process to the Commission renders a 
judgment or order void. (Sec. 3) 
215. Directs the Commission, if a member state has defaulted in the performance of its 
obligations or responsibilities under the Compact, to: 
a) provide written notice of default to the defaulting state and other member states, 
including the proposed means of curing the default and any other action to be taken 
by the Commission; and  
b) provide remedial training and specific technical assistance regarding the default. 
(Sec. 3) 
216. Allows a defaulting state that fails to cure a default to be terminated from the Compact, 
upon a majority vote of member states. (Sec. 3) 
217. Specifies that curing a default does not relieve an offending state of obligations or 
liabilities incurred during the period of default. (Sec. 3) 
218. Permits termination of Compact membership only after all other means of securing 
compliance have been exhausted. (Sec. 3) 
219. Requires the Commission to provide notice of intent to suspend or terminate a state to 
the governor, the majority and minority leaders of the state's legislature and the 
licensing authorities of the defaulting state and each of the member states. (Sec. 3)    	SB 1295 
Initials AG 	Page 21 	House Engrossed 
220. Specifies that a terminated state is responsible for all assessments, obligations and 
liabilities incurred, including obligations that extend beyond the effective date of 
termination. (Sec. 3) 
221. Requires a state that terminates Compact membership to immediately provide notice 
to all licensees within the state. (Sec. 3) 
222. Directs the terminated state to continue to recognize all licenses granted under the 
Compact for at least six months after the date of termination. (Sec. 3) 
223. Prevents the Commission from bearing any costs related to a defaulting or terminated 
state, unless agreed to in writing between the Commission and the defaulting state.    
(Sec. 3) 
224. Allows a defaulting state to appeal an action of the Commission by petitioning the U.S. 
District Court for the District of Columbia or the federal district where the Commission 
has its principal offices. (Sec. 3) 
225. Grants all costs of litigation, including reasonable attorney fees, to the prevailing party. 
(Sec. 3) 
226. Requires the Commission to attempt to resolve Compact disputes between member 
states or member states and nonmember states upon request by a member state. (Sec. 
3) 
227. Requires the Commission to promulgate a rule providing for both mediation and binding 
dispute resolution. (Sec. 3) 
228. Allows the Commission, by majority vote, to initiate legal action and seek injunctive 
relief and damages, in the U.S. District Court for the District of Columbia or the federal 
district where the Commission has its principal offices, against a defaulting member 
state to enforce Compact compliance and rules. (Sec. 3) 
229. States that Compact remedies are not the exclusive remedies of the Commission and 
that the Commission may pursue any other remedies available under federal or state 
law. (Sec. 3) 
230. Authorizes a member state to initiate legal action and seek injunctive relief and 
damages against the Commission, in the U.S. District Court for the District of Columbia 
or the federal district where the Commission has its principal offices, to enforce 
compliance with Compact terms and adopted rules. (Sec. 3) 
231. Specifies that, if judicial enforcement is necessary, the prevailing party is awarded all 
costs of litigation, including reasonable attorney fees. (Sec. 3) 
232. Prohibits any person from enforcing the Compact against the Commission. (Sec. 3) 
Effective Date, Withdrawal and Amendment 
233. Declares the Compact effective on the date on which the Compact statute is enacted 
into law by the seventh member state.  (Sec. 3) 
234. Requires the Commission to convene, on or after the effective date, and review the 
enactment of each of the first seven member states, known as the charter member 
states, to determine if the statute enacted by each charter member state is materially 
different than the model Compact statute. (Sec. 3)    	SB 1295 
Initials AG 	Page 22 	House Engrossed 
235. Entitles a charter member state whose enactment is materially different than the model 
Compact statute to the default process established the Compact. (Sec. 3) 
236. Specifies that, if a charter member state is later found to be in default or is terminated 
or withdraws from the Compact, the Commission remains in existence and the Compact 
remains in effect. (Sec. 3) 
237. Subjects' member states enacting the Compact after the seven initial charter member 
states to the Compact process for determining if enactments are materially different 
from the model Compact statute and whether a state qualifies for participation in the 
Compact. (Sec. 3) 
238. Declares all actions taken prior to the effective date of the Compact or the Commission 
coming into existence, for the benefit of the Commission or in furtherance of Compact 
administration, to be actions of the Commission unless specifically repudiated by the 
Commission. (Sec. 3) 
239. Specifies that any state that joins the Compact subsequent to the Commission's initial 
adoption of rules is subject to the rules in place on the effective date of the Compact.      
(Sec. 3) 
240. States that any rule previously adopted by the Commission has the full force and effect 
of law on the effective date of the Compact. (Sec. 3) 
241. Authorizes any member state to withdraw from the Compact by enacting a statute 
repealing the Compact. (Sec. 3) 
242. Specifies that a member state's withdrawal does not: 
a) take effect until 180 days after repealing the enacting statute; or  
b) affect the continuing requirement of the withdrawing state's licensing authority to 
comply with the investigative and adverse action reporting requirements of the 
Compact before the date of withdrawal. (Sec. 3) 
243. Requires a withdrawing state to immediately notify all licensees of withdrawal and 
continue to recognize all licenses granted under the Compact for at least 180 days.        
(Sec. 3) 
244. States that the Compact does not invalidate or prevent any professional counseling 
licensure agreement or other cooperative arrangement between a member state and a 
nonmember state that does not conflict with the Compact. (Sec. 3) 
245. Allows the Compact to be amended by the member states. (Sec. 3) 
246. Specifies that a Compact amendment does not become effective until it is enacted by all 
member states. (Sec. 3) 
Construction and Severability 
247. Requires the Compact and the Commission's rulemaking authority to be liberally 
construed to effectuate the Compact's purposes, implementation and administration. 
(Sec. 3) 
248. Requires the provisions of the Compact to be severable. (Sec. 3) 
249. Asserts that, if any phrase, clause, sentence or provision of the Compact is declared to 
be contrary to the constitution of a member state, a state seeking Compact membership    	SB 1295 
Initials AG 	Page 23 	House Engrossed 
or the United States, the validity of the remainder of the Compact and the applicability 
to any government, agency, person or circumstance is not affected. (Sec. 3) 
250. Allows the Commission to deny a state's participation in the Compact or terminate a 
member state's participation if it determines that a state constitutional requirement is 
a material departure from the Compact. (Sec. 3) 
251. Specifies that, if the Compact is held to be contrary to the constitution of a member 
state, the Compact remains in full force and effect in:  
a) the remaining member states; and  
b) the affected member state as to all severable matters. (Sec. 3) 
Consistent Effect and Conflict with Other State Laws 
252. Directs licensees practicing with Compact privileges in a remote state to adhere to the 
laws and regulations, including scope of practice, of the remote state where the client 
is located at the time of care. (Sec. 3) 
253. Clarifies that the Compact does not prevent the enforcement of any other law of a 
member state that is not inconsistent with the Compact. (Sec. 3) 
254. States that any laws, statutes, regulations or other legal requirements of a member 
state that are in conflict with the Compact are superseded to the extent of the conflict. 
(Sec. 3) 
255. Specifies that all agreements between the Commission and member states are binding 
in accordance with their terms. (Sec. 3) 
Miscellaneous 
256. Outlines finding and purposes related to uniform APRN regulation and licensure.         
(Sec. 1) 
257. Requires an executive director of a health regulatory board that issues compact licenses 
to provide a report to the Legislature on the number of compact licenses issued in the 
preceding year by January 1 each year. (Sec. 2) 
258. Defines pertinent terms. (Sec. 1 and 3) 
 
☐ Prop 105 (45 votes)     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes) ☒ Fiscal Note