Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-0461.01 Josh Schultz x5486 SENATE BILL 24-018 Senate Committees House Committees Health & Human Services A BILL FOR AN ACT C ONCERNING THE ENACTMENT OF THE "PHYSICIAN ASSISTANT101 L ICENSURE COMPACT".102 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill enacts the "Physician Assistant Licensure Compact" (compact). The compact is designed to enable a physician assistant with a license in a state that has signed the compact (participating state) to more easily become authorized to practice in any other participating state. Participating states and physician assistants must meet specific conditions enumerated in the compact to participate in the compact. The SENATE SPONSORSHIP Simpson and Michaelson Jenet, HOUSE SPONSORSHIP Amabile and Winter T., Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. compact allows only the participating state where a physician assistant is licensed to discipline the physician assistant, but allows a participating state where the physician assistant is practicing, but is not licensed, to revoke the physician assistant's authority to practice in that state. The bill authorizes the Colorado medical board (board) to promulgate rules and to facilitate Colorado's participation in the compact, including notifying the Compact Commission (commission) established by the compact of any adverse action taken by the board against a physician assistant licensed in Colorado or practicing in Colorado under the compact. The commission includes a delegate from each participating state and has the powers and duties set forth in the bill. The compact becomes effective on the date the compact is enacted in the seventh participating state. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, add part 45 to article2 60 of title 24 as follows:3 PART 454 PHYSICIAN ASSISTANT LICENSURE COMPACT5 24-60-4501. Short title. T HE SHORT TITLE OF THIS PART 45 IS THE6 "P HYSICIAN ASSISTANT LICENSURE COMPACT".7 24-60-4502. Compact approved and ratified. T HE GENERAL8 ASSEMBLY APPROVES AND RATIFIES , AND THE GOVERNOR SHALL ENTER9 INTO, A COMPACT ON BEHALF OF THE STATE OF COLORADO AND ANY OF10 THE UNITED STATES OR OTHER JURISDICTIONS LEGALLY JOINING THE11 COMPACT IN THE FORM SUBSTANTIALLY AS FOLLOWS :12 Section 1. Purpose13 I N ORDER TO STRENGTHEN ACCESS TO MEDICAL SERVICES, AND IN14 RECOGNITION OF ADVANCES IN THE DELIVERY OF MEDICAL SERVICES, THE15 P ARTICIPATING STATES OF THE PA LICENSURE COMPACT HAVE ALLIED IN16 COMMON PURPOSE TO DEVELOP A COMPREHENSIVE PROCESS THAT17 COMPLEMENTS THE EXISTING AUTHORITY OF STATE LICENSING BOARDS18 SB24-018-2- TO LICENSE AND DISCIPLINE PAS AND SEEKS TO ENHANCE THE1 PORTABILITY OF A LICENSE TO PRACTICE AS A PA WHILE SAFEGUARDING2 THE SAFETY OF PATIENTS. THIS COMPACT ALLOWS MEDICAL SERVICES TO3 BE PROVIDED BY PAS, VIA THE MUTUAL RECOGNITION OF THE LICENSEE'S4 Q UALIFYING LICENSE BY OTHER COMPACT PARTICIPATING STATES. THIS5 C OMPACT ALSO ADOPTS THE PREVAILING STANDARD FOR PA LICENSURE6 AND AFFIRMS THAT THE PRACTICE AND DELIVERY OF MEDICAL SERVICES7 BY THE PA OCCURS WHERE THE PATIENT IS LOCATED AT THE TIME OF THE8 PATIENT ENCOUNTER, AND THEREFORE REQUIRES THE PA TO BE UNDER9 THE JURISDICTION OF THE STATE LICENSING BOARD WHERE THE PATIENT10 IS LOCATED. STATE LICENSING BOARDS THAT PARTICIPATE IN THIS11 C OMPACT RETAIN THE JURISDICTION TO IMPOSE ADVERSE ACTION12 AGAINST A COMPACT PRIVILEGE IN THAT STATE ISSUED TO A PA THROUGH13 THE PROCEDURES OF THIS COMPACT. THE PA LICENSURE COMPACT WILL14 ALLEVIATE BURDENS FOR MILITARY FAMILIES BY ALLOWING ACTIVE DUTY15 MILITARY PERSONNEL AND THEIR SPOUSES TO OBTAIN A COMPACT16 P RIVILEGE BASED ON HAVING AN UNRESTRICTED LICENSE IN GOOD17 STANDING FROM A PARTICIPATING STATE.18 Section 2. Definitions19 I N THIS COMPACT:20 A. "A DVERSE ACTION" MEANS ANY ADMINISTRATIVE , CIVIL,21 EQUITABLE, OR CRIMINAL ACTION PERMITTED BY A STATE'S LAWS22 WHICH IS IMPOSED BY A LICENSING BOARD OR OTHER AUTHORITY23 AGAINST A PA LICENSE OR LICENSE APPLICATION OR COMPACT24 P RIVILEGE SUCH AS LICENSE DENIAL, CENSURE, REVOCATION,25 SUSPENSION, PROBATION, MONITORING OF THE LICENSEE, OR26 RESTRICTION ON THE LICENSEE'S PRACTICE.27 SB24-018 -3- B. "COMPACT PRIVILEGE" MEANS THE AUTHORIZATION GRANTED BY1 A REMOTE STATE TO ALLOW A LICENSEE FROM ANOTHER2 P ARTICIPATING STATE TO PRACTICE AS A PA TO PROVIDE MEDICAL3 S ERVICES AND OTHER LICENSED ACTIVITY TO A PATIENT LOCATED4 IN THE REMOTE STATE UNDER THE REMOTE STATE'S LAWS AND5 REGULATIONS.6 C. "C ONVICTION" MEANS A FINDING BY A COURT THAT AN INDIVIDUAL7 IS GUILTY OF A FELONY OR MISDEMEANOR OFFENSE THROUGH8 ADJUDICATION OR ENTRY OF A PLEA OF GUILT OR NO CONTEST TO9 THE CHARGE BY THE OFFENDER .10 D. "C RIMINAL BACKGROUND CHECK" MEANS THE SUBMISSION OF11 FINGERPRINTS OR OTHER BIOMETRIC -BASED INFORMATION FOR A12 L ICENSE APPLICANT FOR THE PURPOSE OF OBTAINING THAT13 APPLICANT'S CRIMINAL HISTORY RECORD INFORMATION , AS14 DEFINED IN 28 CFR 20.3 (d), FROM THE STATE'S CRIMINAL HISTORY15 RECORD REPOSITORY AS DEFINED IN 28 CFR 20.3 (f).16 E. "D ATA SYSTEM" MEANS THE REPOSITORY OF INFORMATION ABOUT17 L ICENSEES, INCLUDING BUT NOT LIMITED TO LICENSE STATUS AND18 A DVERSE ACTIONS, WHICH IS CREATED AND ADMINISTERED UNDER19 THE TERMS OF THIS COMPACT.20 F. "E XECUTIVE COMMITTEE" MEANS A GROUP OF DIRECTORS AND EX21 OFFICIO INDIVIDUALS ELECTED OR APPOINTED PURSUANT TO22 S ECTION 7.F.2.23 G. "I MPAIRED PRACTITIONER" MEANS A PA WHOSE PRACTICE IS24 ADVERSELY AFFECTED BY HEALTH -RELATED CONDITION(S) THAT25 IMPACT THEIR ABILITY TO PRACTICE.26 H. "I NVESTIGATIVE INFORMATION" MEANS INFORMATION, RECORDS,27 SB24-018 -4- OR DOCUMENTS RECEIVED OR GENERATED BY A LICENSING BOARD1 PURSUANT TO AN INVESTIGATION .2 I. "J URISPRUDENCE REQUIREMENT" MEANS THE ASSESSMENT OF AN3 INDIVIDUAL'S KNOWLEDGE OF THE LAWS AND RULES GOVERNING4 THE PRACTICE OF A PA IN A STATE.5 J. "L ICENSE" MEANS CURRENT AUTHORIZATION BY A STATE, OTHER6 THAN AUTHORIZATION PURSUANT TO A COMPACT PRIVILEGE, FOR7 A PA TO PROVIDE MEDICAL SERVICES, WHICH WOULD BE8 UNLAWFUL WITHOUT CURRENT AUTHORIZATION .9 K. "L ICENSEE" MEANS AN INDIVIDUAL WHO HOLDS A LICENSE FROM10 A STATE TO PROVIDE MEDICAL SERVICES AS A PA.11 L. "L ICENSING BOARD" MEANS ANY STATE ENTITY AUTHORIZED TO12 LICENSE AND OTHERWISE REGULATE PAS.13 M. "M EDICAL SERVICES" MEANS HEALTH CARE SERVICES PROVIDED14 FOR THE DIAGNOSIS, PREVENTION, TREATMENT, CURE, OR RELIEF OF15 A HEALTH CONDITION, INJURY, OR DISEASE, AS DEFINED BY A16 S TATE'S LAWS AND REGULATIONS.17 N. "M ODEL COMPACT" MEANS THE MODEL FOR THE PA LICENSURE18 C OMPACT ON FILE WITH THE COUNCIL OF STATE GOVERNMENTS OR19 OTHER ENTITY AS DESIGNATED BY THE COMMISSION.20 O. "P ARTICIPATING STATE" MEANS A STATE THAT HAS ENACTED THIS21 C OMPACT.22 P. "PA" MEANS AN INDIVIDUAL WHO IS LICENSED AS A PHYSICIAN23 ASSISTANT IN A STATE. FOR PURPOSES OF THIS COMPACT, ANY24 OTHER TITLE OR STATUS ADOPTED BY A STATE TO REPLACE THE25 TERM "PHYSICIAN ASSISTANT" SHALL BE DEEMED SYNONYMOUS26 WITH "PHYSICIAN ASSISTANT" AND SHALL CONFER THE SAME27 SB24-018 -5- RIGHTS AND RESPONSIBILITIES TO THE LICENSEE UNDER THE1 PROVISIONS OF THIS COMPACT AT THE TIME OF ITS ENACTMENT .2 Q. "PA LICENSURE COMPACT COMMISSION," "COMPACT3 C OMMISSION," OR "COMMISSION" MEANS THE NATIONAL4 ADMINISTRATIVE BODY CREATED PURSUANT TO SECTION 7.A OF5 THIS COMPACT.6 R. "Q UALIFYING LICENSE" MEANS AN UNRESTRICTED LICENSE ISSUED7 BY A PARTICIPATING STATE TO PROVIDE MEDICAL SERVICES AS A8 PA.9 S. "R EMOTE STATE" MEANS A PARTICIPATING STATE WHERE A10 L ICENSEE WHO IS NOT LICENSED AS A PA IS EXERCISING OR11 SEEKING TO EXERCISE THE COMPACT PRIVILEGE.12 T. "R ULE" MEANS A REGULATION PROMULGATED BY AN ENTITY THAT13 HAS THE FORCE AND EFFECT OF LAW.14 U. "S IGNIFICANT INVESTIGATIVE INFORMATION" MEANS15 I NVESTIGATIVE INFORMATION THAT A LICENSING BOARD, AFTER16 AN INQUIRY OR INVESTIGATION THAT INCLUDES NOTIFICATION AND17 AN OPPORTUNITY FOR THE PA TO RESPOND IF REQUIRED BY STATE18 LAW, HAS REASON TO BELIEVE IS NOT GROUNDLESS AND, IF PROVEN19 TRUE, WOULD INDICATE MORE THAN A MINOR INFRACTION .20 V. "S TATE" MEANS ANY STATE , COMMONWEALTH , DISTRICT, OR21 TERRITORY OF THE UNITED STATES.22 Section 3. State Participation in this Compact23 A. T O PARTICIPATE IN THIS COMPACT, A PARTICIPATING STATE SHALL:24 1. L ICENSE PAS;25 2. P ARTICIPATE IN THE COMPACT COMMISSION'S DATA26 S YSTEM;27 SB24-018 -6- 3. HAVE A MECHANISM IN PLACE FOR RECEIVING AND1 INVESTIGATING COMPLAINTS AGAINST LICENSEES AND2 L ICENSE APPLICANTS;3 4. N OTIFY THE COMMISSION, IN COMPLIANCE WITH THE TERMS4 OF THIS COMPACT AND COMMISSION RULES, OF ANY5 A DVERSE ACTION AGAINST A LICENSEE OR LICENSE6 APPLICANT AND THE EXISTENCE OF SIGNIFICANT7 I NVESTIGATIVE INFORMATION REGARDING A LICENSEE OR8 L ICENSE APPLICANT;9 5. F ULLY IMPLEMENT A CRIMINAL BACKGROUND CHECK10 REQUIREMENT, WITHIN A TIME FRAME ESTABLISHED BY11 C OMMISSION RULE, BY ITS LICENSING BOARD RECEIVING12 THE RESULTS OF A CRIMINAL BACKGROUND CHECK AND13 REPORTING TO THE COMMISSION WHETHER THE LICENSE14 APPLICANT HAS BEEN GRANTED A LICENSE;15 6. C OMPLY WITH THE RULES OF THE COMPACT COMMISSION;16 7. U TILIZE PASSAGE OF A RECOGNIZED NATIONAL EXAM SUCH17 AS THE NATIONAL COMMISSION ON CERTIFICATION OF18 P HYSICIAN ASSISTANTS PHYSICIAN ASSISTANT NATIONAL19 C ERTIFYING EXAMINATION AS A REQUIREMENT FOR PA20 LICENSURE;21 8. G RANT THE COMPACT PRIVILEGE TO A HOLDER OF A22 Q UALIFYING LICENSE IN A PARTICIPATING STATE.23 B. N OTHING IN THIS COMPACT PROHIBITS A PARTICIPATING STATE24 FROM CHARGING A FEE FOR GRANTING THE COMPACT PRIVILEGE.25 Section 4. Compact Privilege26 A. T O EXERCISE THE COMPACT PRIVILEGE, A LICENSEE MUST:27 SB24-018 -7- 1. HAVE GRADUATED FROM A PA PROGRAM ACCREDITED BY1 THE ACCREDITATION REVIEW COMMISSION ON EDUCATION2 FOR THE PHYSICIAN ASSISTANT, INC., OR OTHER PROGRAMS3 AUTHORIZED BY COMMISSION RULE;4 2. H OLD CURRENT NATIONAL COMMISSION ON CERTIFICATION5 OF PHYSICIAN ASSISTANTS CERTIFICATION;6 3. H AVE NO FELONY OR MISDEMEANOR CONVICTION;7 4. H AVE NEVER HAD A CONTROLLED SUBSTANCE LICENSE ,8 PERMIT, OR REGISTRATION SUSPENDED OR REVOKED BY A9 S TATE OR BY THE UNITED STATES DRUG ENFORCEMENT10 A DMINISTRATION;11 5. H AVE A UNIQUE IDENTIFIER AS DETERMINED BY12 C OMMISSION RULE;13 6. H OLD A QUALIFYING LICENSE;14 7. H AVE HAD NO REVOCATION OF A LICENSE OR LIMITATION15 OR RESTRICTION ON ANY LICENSE CURRENTLY HELD DUE TO16 AN ADVERSE ACTION;17 8. I F A LICENSEE HAS HAD A LIMITATION OR RESTRICTION ON18 A LICENSE OR COMPACT PRIVILEGE DUE TO AN ADVERSE19 A CTION, TWO YEARS MUST HAVE ELAPSED FROM THE DATE20 ON WHICH THE LICENSE OR COMPACT PRIVILEGE IS NO21 LONGER LIMITED OR RESTRICTED DUE TO THE ADVERSE22 A CTION;23 9. I F A COMPACT PRIVILEGE HAS BEEN REVOKED OR IS LIMITED24 OR RESTRICTED IN A PARTICIPATING STATE FOR CONDUCT25 THAT WOULD NOT BE A BASIS FOR DISCIPLINARY ACTION IN26 A PARTICIPATING STATE IN WHICH THE LICENSEE IS27 SB24-018 -8- PRACTICING OR APPLYING TO PRACTICE UNDER A COMPACT1 P RIVILEGE, THAT PARTICIPATING STATE SHALL HAVE THE2 DISCRETION NOT TO CONSIDER SUCH ACTION AS AN3 A DVERSE ACTION REQUIRING THE DENIAL OR REMOVAL OF4 A COMPACT PRIVILEGE IN THAT STATE; 5 10. N OTIFY THE COMPACT COMMISSION THAT THE LICENSEE IS6 SEEKING THE COMPACT PRIVILEGE IN A REMOTE STATE;7 11. M EET ANY JURISPRUDENCE REQUIREMENT OF A REMOTE8 S TATE IN WHICH THE LICENSEE IS SEEKING TO PRACTICE9 UNDER THE COMPACT PRIVILEGE AND PAY ANY FEES10 APPLICABLE TO SATISFYING THE JURISPRUDENCE11 R EQUIREMENT;12 12. R EPORT TO THE COMMISSION ANY ADVERSE ACTION TAKEN13 BY A NON-PARTICIPATING STATE WITHIN THIRTY (30) DAYS14 AFTER THE ACTION IS TAKEN.15 B. T HE COMPACT PRIVILEGE IS VALID UNTIL THE EXPIRATION OR16 REVOCATION OF THE QUALIFYING LICENSE UNLESS TERMINATED17 PURSUANT TO AN ADVERSE ACTION. THE LICENSEE MUST ALSO18 COMPLY WITH ALL OF THE REQUIREMENTS OF SUBSECTION A OF19 THIS SECTION TO MAINTAIN THE COMPACT PRIVILEGE IN A REMOTE20 S TATE. IF THE PARTICIPATING STATE TAKES ADVERSE ACTION21 AGAINST A QUALIFYING LICENSE, THE LICENSEE SHALL LOSE THE22 C OMPACT PRIVILEGE IN ANY REMOTE STATE IN WHICH THE23 L ICENSEE HAS A COMPACT PRIVILEGE UNTIL ALL OF THE24 FOLLOWING OCCUR:25 1. T HE LICENSE IS NO LONGER LIMITED OR RESTRICTED; AND26 2. T WO (2) YEARS HAVE ELAPSED FROM THE DATE ON WHICH27 SB24-018 -9- THE LICENSE IS NO LONGER LIMITED OR RESTRICTED DUE TO1 THE ADVERSE ACTION.2 C. O NCE A RESTRICTED OR LIMITED LICENSE SATISFIES THE3 REQUIREMENTS OF SUBSECTIONS B.1 AND B.2 OF THIS SECTION,4 THE LICENSEE MUST MEET THE REQUIREMENTS OF SUBSECTION A5 OF THIS SECTION TO OBTAIN A COMPACT PRIVILEGE IN ANY6 R EMOTE STATE.7 D. F OR EACH REMOTE STATE IN WHICH A PA SEEKS AUTHORITY TO8 PRESCRIBE CONTROLLED SUBSTANCES , THE PA SHALL SATISFY ALL9 REQUIREMENTS IMPOSED BY SUCH STATE IN GRANTING OR10 RENEWING SUCH AUTHORITY .11 Section 5. Designation of the State from Which Licensee is12 Applying for a Compact Privilege13 A. U PON A LICENSEE'S APPLICATION FOR A COMPACT PRIVILEGE, THE14 L ICENSEE SHALL IDENTIFY TO THE COMMISSION THE15 P ARTICIPATING STATE FROM WHICH THE LICENSEE IS APPLYING, IN16 ACCORDANCE WITH APPLICABLE RULES ADOPTED BY THE17 C OMMISSION, AND SUBJECT TO THE FOLLOWING REQUIREMENTS :18 1. W HEN APPLYING FOR A COMPACT PRIVILEGE, THE LICENSEE19 SHALL PROVIDE THE COMMISSION WITH THE ADDRESS OF20 THE LICENSEE'S PRIMARY RESIDENCE AND THEREAFTER21 SHALL IMMEDIATELY REPORT TO THE COMMISSION ANY22 CHANGE IN THE ADDRESS OF THE LICENSEE'S PRIMARY23 RESIDENCE.24 2. W HEN APPLYING FOR A COMPACT PRIVILEGE, THE LICENSEE25 IS REQUIRED TO CONSENT TO ACCEPT SERVICE OF PROCESS26 BY MAIL AT THE LICENSEE'S PRIMARY RESIDENCE ON FILE27 SB24-018 -10- WITH THE COMMISSION WITH RESPECT TO ANY ACTION1 BROUGHT AGAINST THE LICENSEE BY THE COMMISSION OR2 A PARTICIPATING STATE, INCLUDING A SUBPOENA, WITH3 RESPECT TO ANY ACTION BROUGHT OR INVESTIGATION4 CONDUCTED BY THE COMMISSION OR A PARTICIPATING5 S TATE.6 Section 6. Adverse Actions7 A. A PARTICIPATING STATE IN WHICH A LICENSEE IS LICENSED SHALL8 HAVE EXCLUSIVE POWER TO IMPOSE ADVERSE ACTION AGAINST9 THE QUALIFYING LICENSE ISSUED BY THAT PARTICIPATING STATE.10 B. I N ADDITION TO THE OTHER POWERS CONFERRED BY STATE LAW, A11 R EMOTE STATE SHALL HAVE THE AUTHORITY , IN ACCORDANCE12 WITH EXISTING STATE DUE PROCESS LAW , TO DO ALL OF THE13 FOLLOWING:14 1. T AKE ADVERSE ACTION AGAINST A PA'S COMPACT15 P RIVILEGE WITHIN THAT STATE TO REMOVE A LICENSEE'S16 C OMPACT PRIVILEGE OR TAKE OTHER ACTION NECESSARY17 UNDER APPLICABLE LAW TO PROTECT THE HEALTH AND18 SAFETY OF ITS CITIZENS.19 2. I SSUE SUBPOENAS FOR BOTH HEARINGS AND20 INVESTIGATIONS THAT REQUIRE THE ATTENDANCE AND21 TESTIMONY OF WITNESSES AS WELL AS THE PRODUCTION OF22 EVIDENCE. SUBPOENAS ISSUED BY A LICENSING BOARD IN23 A PARTICIPATING STATE FOR THE ATTENDANCE AND24 TESTIMONY OF WITNESSES OR THE PRODUCTION OF25 EVIDENCE FROM ANOTHER PARTICIPATING STATE SHALL BE26 ENFORCED IN THE LATTER STATE BY ANY COURT OF27 SB24-018 -11- COMPETENT JURISDICTION, ACCORDING TO THE PRACTICE1 AND PROCEDURE OF THAT COURT APPLICABLE TO2 SUBPOENAS ISSUED IN PROCEEDINGS PENDING BEFORE IT .3 T HE ISSUING AUTHORITY SHALL PAY ANY WITNESS FEES ,4 TRAVEL EXPENSES, MILEAGE, AND OTHER FEES REQUIRED BY5 THE SERVICE STATUTES OF THE STATE IN WHICH THE6 EVIDENCE OR WITNESSES ARE LOCATED .7 3. N OTWITHSTANDING SUBSECTION A.2 OF THIS SECTION,8 SUBPOENAS MAY NOT BE ISSUED BY A PARTICIPATING9 S TATE TO GATHER EVIDENCE OF CONDUCT IN ANOTHER10 S TATE THAT IS LAWFUL IN THAT OTHER STATE FOR THE11 PURPOSE OF TAKING ADVERSE ACTION AGAINST A12 L ICENSEE'S COMPACT PRIVILEGE OR APPLICATION FOR A13 C OMPACT PRIVILEGE IN THAT PARTICIPATING STATE.14 4. N OTHING IN THIS COMPACT AUTHORIZES A PARTICIPATING15 S TATE TO IMPOSE DISCIPLINE AGAINST A PA'S COMPACT16 P RIVILEGE OR TO DENY AN APPLICATION FOR A COMPACT17 P RIVILEGE IN THAT PARTICIPATING STATE FOR THE18 INDIVIDUAL'S OTHERWISE LAWFUL PRACTICE IN ANOTHER19 S TATE.20 C. F OR PURPOSES OF TAKING ADVERSE ACTION, THE PARTICIPATING21 S TATE WHICH ISSUED THE QUALIFYING LICENSE SHALL GIVE THE22 SAME PRIORITY AND EFFECT TO REPORTED CONDUCT RECEIVED23 FROM ANY OTHER PARTICIPATING STATE AS IT WOULD IF THE24 CONDUCT HAD OCCURRED WITHIN THE PARTICIPATING STATE25 WHICH ISSUED THE QUALIFYING LICENSE. IN SO DOING, THAT26 P ARTICIPATING STATE SHALL APPLY ITS OWN STATE LAWS TO27 SB24-018 -12- DETERMINE APPROPRIATE ACTION .1 D. A PARTICIPATING STATE, IF OTHERWISE PERMITTED BY STATE LAW,2 MAY RECOVER FROM THE AFFECTED PA THE COSTS OF3 INVESTIGATIONS AND DISPOSITION OF CASES RESULTING FROM ANY4 A DVERSE ACTION TAKEN AGAINST THAT PA.5 E. A PARTICIPATING STATE MAY TAKE ADVERSE ACTION BASED ON6 THE FACTUAL FINDINGS OF A REMOTE STATE, PROVIDED THAT THE7 P ARTICIPATING STATE FOLLOWS ITS OWN PROCEDURES FOR TAKING8 THE ADVERSE ACTION.9 F. J OINT INVESTIGATIONS10 1. I N ADDITION TO THE AUTHORITY GRANTED TO A11 P ARTICIPATING STATE BY ITS RESPECTIVE STATE PA LAWS12 AND REGULATIONS OR OTHER APPLICABLE STATE LAW, ANY13 P ARTICIPATING STATE MAY PARTICIPATE WITH OTHER14 P ARTICIPATING STATES IN JOINT INVESTIGATIONS OF15 L ICENSEES.16 2. P ARTICIPATING STATES SHALL SHARE ANY INVESTIGATIVE ,17 LITIGATION, OR COMPLIANCE MATERIALS IN FURTHERANCE18 OF ANY JOINT OR INDIVIDUAL INVESTIGATION INITIATED19 UNDER THIS COMPACT.20 G. I F AN ADVERSE ACTION IS TAKEN AGAINST A PA'S QUALIFYING21 L ICENSE, THE PA'S COMPACT PRIVILEGE IN ALL REMOTE STATES22 SHALL BE DEACTIVATED UNTIL TWO (2) YEARS HAVE ELAPSED23 AFTER ALL RESTRICTIONS HAVE BEEN REMOVED FROM THE STATE24 L ICENSE. ALL DISCIPLINARY ORDERS BY THE PARTICIPATING STATE25 WHICH ISSUED THE QUALIFYING LICENSE THAT IMPOSE ADVERSE26 A CTION AGAINST A PA'S LICENSE SHALL INCLUDE A STATEMENT27 SB24-018 -13- THAT THE PA'S COMPACT PRIVILEGE IS DEACTIVATED IN ALL1 P ARTICIPATING STATES DURING THE PENDENCY OF THE ORDER .2 H. I F ANY PARTICIPATING STATE TAKES ADVERSE ACTION, IT3 PROMPTLY SHALL NOTIFY THE ADMINISTRATOR OF THE DATA4 S YSTEM.5 Section 7. Establishment of the6 PA Licensure Compact Commission7 A. T HE PARTICIPATING STATES HEREBY CREATE AND ESTABLISH A8 JOINT GOVERNMENT AGENCY AND NATIONAL ADMINISTRATIVE9 BODY KNOWN AS THE PA LICENSURE COMPACT COMMISSION. THE10 C OMMISSION IS AN INSTRUMENTALITY OF THE COMPACT STATES11 ACTING JOINTLY AND NOT AN INSTRUMENTALITY OF ANY ONE12 S TATE. THE COMMISSION SHALL COME INTO EXISTENCE ON OR13 AFTER THE EFFECTIVE DATE OF THE COMPACT AS SET FORTH IN14 S ECTION 11.A OF THIS COMPACT.15 B. M EMBERSHIP, VOTING, AND MEETINGS16 1. E ACH PARTICIPATING STATE SHALL HAVE AND BE LIMITED17 TO ONE (1) DELEGATE SELECTED BY THAT PARTICIPATING18 S TATE'S LICENSING BOARD OR, IF THE STATE HAS MORE19 THAN ONE LICENSING BOARD, SELECTED COLLECTIVELY BY20 THE PARTICIPATING STATE'S LICENSING BOARDS.21 2. T HE DELEGATE SHALL BE EITHER:22 a. A CURRENT PA, PHYSICIAN, OR PUBLIC MEMBER OF23 A LICENSING BOARD OR PA COUNCIL/COMMITTEE;24 OR25 b. A N ADMINISTRATOR OF A LICENSING BOARD.26 3. A NY DELEGATE MAY BE REMOVED OR SUSPENDED FROM27 SB24-018 -14- OFFICE AS PROVIDED BY THE LAWS OF THE STATE FROM1 WHICH THE DELEGATE IS APPOINTED.2 4. T HE PARTICIPATING STATE LICENSING BOARD SHALL FILL3 ANY VACANCY OCCURRING IN THE COMMISSION WITHIN4 SIXTY (60) DAYS.5 5. E ACH DELEGATE SHALL BE ENTITLED TO ONE (1) VOTE ON6 ALL MATTERS VOTED ON BY THE COMMISSION AND SHALL7 OTHERWISE HAVE AN OPPORTUNITY TO PARTICIPATE IN THE8 BUSINESS AND AFFAIRS OF THE COMMISSION. A DELEGATE9 SHALL VOTE IN PERSON OR BY SUCH OTHER MEANS AS10 PROVIDED IN THE BYLAWS. THE BYLAWS MAY PROVIDE FOR11 DELEGATES' PARTICIPATION IN MEETINGS BY12 TELECOMMUNICATIONS , VIDEO CONFERENCE, OR OTHER13 MEANS OF COMMUNICATION .14 6. T HE COMMISSION SHALL MEET AT LEAST ONCE DURING15 EACH CALENDAR YEAR. ADDITIONAL MEETINGS SHALL BE16 HELD AS SET FORTH IN THIS COMPACT AND THE BYLAWS .17 7. T HE COMMISSION SHALL ESTABLISH BY RULE A TERM OF18 OFFICE FOR DELEGATES.19 C. T HE COMMISSION SHALL HAVE THE FOLLOWING POWERS AND20 DUTIES:21 1. E STABLISH A CODE OF ETHICS FOR THE COMMISSION;22 2. E STABLISH THE FISCAL YEAR OF THE COMMISSION;23 3. E STABLISH FEES;24 4. E STABLISH BYLAWS;25 5. M AINTAIN ITS FINANCIAL RECORDS IN ACCORDANCE WITH26 THE BYLAWS;27 SB24-018 -15- 6. M EET AND TAKE SUCH ACTIONS AS ARE CONSISTENT WITH1 THE PROVISIONS OF THIS COMPACT AND THE BYLAWS ;2 7. P ROMULGATE RULES TO FACILITATE AND COORDINATE3 IMPLEMENTATION AND ADMINISTRATION OF THIS COMPACT.4 T HE RULES SHALL HAVE THE FORCE AND EFFECT OF LAW5 AND SHALL BE BINDING IN ALL PARTICIPATING STATES.6 8. B RING AND PROSECUTE LEGAL PROCEEDINGS OR ACTIONS IN7 THE NAME OF THE COMMISSION, PROVIDED THAT THE8 STANDING OF ANY STATE LICENSING BOARD TO SUE OR BE9 SUED UNDER APPLICABLE LAW SHALL NOT BE AFFECTED ;10 9. P URCHASE AND MAINTAIN INSURANCE AND BONDS ;11 10. B ORROW, ACCEPT, OR CONTRACT FOR SERVICES OF12 PERSONNEL, INCLUDING, BUT NOT LIMITED TO, EMPLOYEES13 OF A PARTICIPATING STATE;14 11. H IRE EMPLOYEES AND ENGAGE CONTRACTORS , ELECT OR15 APPOINT OFFICERS, FIX COMPENSATION, DEFINE DUTIES,16 GRANT SUCH INDIVIDUALS APPROPRIATE AUTHORITY TO17 CARRY OUT THE PURPOSES OF THIS COMPACT, AND18 ESTABLISH THE COMMISSION'S PERSONNEL POLICIES AND19 PROGRAMS RELATING TO CONFLICTS OF INTEREST ,20 QUALIFICATIONS OF PERSONNEL , AND OTHER RELATED21 PERSONNEL MATTERS;22 12. A CCEPT ANY AND ALL APPROPRIATE DONATIONS AND23 GRANTS OF MONEY, EQUIPMENT, SUPPLIES, MATERIALS, AND24 SERVICES, AND RECEIVE, UTILIZE, AND DISPOSE OF THE25 SAME; PROVIDED THAT AT ALL TIMES THE COMMISSION26 SHALL AVOID ANY APPEARANCE OF IMPROPRIETY OR27 SB24-018 -16- CONFLICT OF INTEREST;1 13. L EASE, PURCHASE, ACCEPT APPROPRIATE GIFTS OR2 DONATIONS OF, OR OTHERWISE OWN, HOLD, IMPROVE, OR3 USE, ANY PROPERTY, REAL, PERSONAL, OR MIXED; PROVIDED4 THAT AT ALL TIMES THE COMMISSION SHALL AVOID ANY5 APPEARANCE OF IMPROPRIETY;6 14. S ELL, CONVEY, MORTGAGE, PLEDGE, LEASE, EXCHANGE,7 ABANDON, OR OTHERWISE DISPOSE OF ANY PROPERTY, REAL,8 PERSONAL, OR MIXED;9 15. E STABLISH A BUDGET AND MAKE EXPENDITURES ;10 16. B ORROW MONEY;11 17. A PPOINT COMMITTEES, INCLUDING STANDING COMMITTEES12 COMPOSED OF MEMBERS , STATE REGULATORS, STATE13 LEGISLATORS OR THEIR REPRESENTATIVES , AND CONSUMER14 REPRESENTATIVES, AND SUCH OTHER INTERESTED PERSONS15 AS MAY BE DESIGNATED IN THIS COMPACT AND THE16 BYLAWS;17 18. P ROVIDE AND RECEIVE INFORMATION FROM , AND18 COOPERATE WITH, LAW ENFORCEMENT AGENCIES ;19 19. E LECT A CHAIR, VICE CHAIR, SECRETARY, AND TREASURER20 AND SUCH OTHER OFFICERS OF THE COMMISSION AS21 PROVIDED IN THE COMMISSION'S BYLAWS;22 20. R ESERVE FOR ITSELF, IN ADDITION TO THOSE RESERVED23 EXCLUSIVELY TO THE COMMISSION UNDER THE COMPACT,24 POWERS THAT THE EXECUTIVE COMMITTEE MAY NOT25 EXERCISE;26 21. A PPROVE OR DISAPPROVE A STATE'S PARTICIPATION IN THE27 SB24-018 -17- COMPACT BASED UPON ITS DETERMINATION AS TO WHETHER1 THE STATE'S COMPACT LEGISLATION DEPARTS IN A2 MATERIAL MANNER FROM THE MODEL COMPACT3 LANGUAGE;4 22. P REPARE AND PROVIDE TO THE PARTICIPATING STATES AN5 ANNUAL REPORT; AND6 23. P ERFORM SUCH OTHER FUNCTIONS AS MAY BE NECESSARY7 OR APPROPRIATE TO ACHIEVE THE PURPOSES OF THIS8 C OMPACT CONSISTENT WITH THE STATE REGULATION OF PA9 LICENSURE AND PRACTICE.10 D. M EETINGS OF THE COMMISSION11 1. A LL MEETINGS OF THE COMMISSION THAT ARE NOT CLOSED12 PURSUANT TO THIS SUBSECTION D.1 SHALL BE OPEN TO THE13 PUBLIC. NOTICE OF PUBLIC MEETINGS SHALL BE POSTED ON14 THE COMMISSION'S WEBSITE AT LEAST THIRTY (30) DAYS15 PRIOR TO THE PUBLIC MEETING.16 2. N OTWITHSTANDING SUBSECTION D.1 OF THIS SECTION, THE17 C OMMISSION MAY CONVENE A PUBLIC MEETING BY18 PROVIDING AT LEAST TWENTY -FOUR (24) HOURS PRIOR19 NOTICE ON THE COMMISSION'S WEBSITE, AND ANY OTHER20 MEANS AS PROVIDED IN THE COMMISSION'S RULES, FOR ANY21 OF THE REASONS IT MAY DISPENSE WITH NOTICE OF22 PROPOSED RULEMAKING UNDER SECTION 9.L OF THIS23 C OMPACT.24 3. T HE COMMISSION MAY CONVENE IN A CLOSED , NON-PUBLIC25 MEETING OR NON-PUBLIC PART OF A PUBLIC MEETING TO26 RECEIVE LEGAL ADVICE OR TO DISCUSS:27 SB24-018 -18- a. NON-COMPLIANCE OF A PARTICIPATING STATE WITH1 ITS OBLIGATIONS UNDER THIS COMPACT;2 b. T HE EMPLOYMENT, COMPENSATION, DISCIPLINE OR3 OTHER ENFORCEMENT MATTERS , PRACTICES, OR4 PROCEDURES RELATED TO SPECIFIC EMPLOYEES OR5 OTHER MATTERS RELATED TO THE COMMISSION'S6 INTERNAL PERSONNEL PRACTICES AND PROCEDURES ;7 c. C URRENT, THREATENED , OR REASONABLY8 ANTICIPATED LITIGATION;9 d. N EGOTIATION OF CONTRACTS FOR THE PURCHASE ,10 LEASE, OR SALE OF GOODS, SERVICES, OR REAL11 ESTATE;12 e. A CCUSING ANY PERSON OF A CRIME OR FORMALLY13 CENSURING ANY PERSON;14 f. D ISCLOSURE OF TRADE SECRETS OR COMMERCIAL OR15 FINANCIAL INFORMATION THAT IS PRIVILEGED OR16 CONFIDENTIAL;17 g. D ISCLOSURE OF INFORMATION OF A PERSONAL18 NATURE WHERE DISCLOSURE WOULD CONSTITUTE A19 CLEARLY UNWARRANTED INVASION OF PERSONAL20 PRIVACY;21 h. D ISCLOSURE OF INVESTIGATIVE RECORDS COMPILED22 FOR LAW ENFORCEMENT PURPOSES ;23 i. D ISCLOSURE OF INFORMATION RELATED TO ANY24 INVESTIGATIVE REPORTS PREPARED BY OR ON25 BEHALF OF OR FOR USE OF THE COMMISSION OR26 OTHER COMMITTEE CHARGED WITH RESPONSIBILITY27 SB24-018 -19- OF INVESTIGATION OR DETERMINATION OF1 COMPLIANCE ISSUES PURSUANT TO THIS COMPACT;2 j. L EGAL ADVICE; OR3 k. M ATTERS SPECIFICALLY EXEMPTED FROM4 DISCLOSURE BY FEDERAL OR PARTICIPATING STATES'5 STATUTES.6 4. I F A MEETING, OR PORTION OF A MEETING , IS CLOSED7 PURSUANT TO THIS SUBSECTION D, THE CHAIR OF THE8 MEETING OR THE CHAIR'S DESIGNEE SHALL CERTIFY THAT9 THE MEETING OR PORTION OF THE MEETING MAY BE CLOSED10 AND SHALL REFERENCE EACH RELEVANT EXEMPTING11 PROVISION.12 5. T HE COMMISSION SHALL KEEP MINUTES THAT FULLY AND13 CLEARLY DESCRIBE ALL MATTERS DISCUSSED IN A MEETING14 AND SHALL PROVIDE A FULL AND ACCURATE SUMMARY OF15 ACTIONS TAKEN, INCLUDING A DESCRIPTION OF THE VIEWS16 EXPRESSED. ALL DOCUMENTS CONSIDERED IN CONNECTION17 WITH AN ACTION SHALL BE IDENTIFIED IN SUCH MINUTES .18 A LL MINUTES AND DOCUMENTS OF A CLOSED MEETING19 SHALL REMAIN UNDER SEAL , SUBJECT TO RELEASE BY A20 MAJORITY VOTE OF THE COMMISSION OR ORDER OF A COURT21 OF COMPETENT JURISDICTION.22 E. F INANCING OF THE COMMISSION23 1. T HE COMMISSION SHALL PAY , OR PROVIDE FOR THE24 PAYMENT OF, THE REASONABLE EXPENSES OF ITS25 ESTABLISHMENT, ORGANIZATION, AND ONGOING ACTIVITIES.26 2. T HE COMMISSION MAY ACCEPT ANY AND ALL APPROPRIATE27 SB24-018 -20- REVENUE SOURCES, DONATIONS, AND GRANTS OF MONEY,1 EQUIPMENT, SUPPLIES, MATERIALS, AND SERVICES.2 3. T HE COMMISSION MAY LEVY ON AND COLLECT AN ANNUAL3 ASSESSMENT FROM EACH PARTICIPATING STATE AND MAY4 IMPOSE COMPACT PRIVILEGE FEES ON LICENSEES OF5 P ARTICIPATING STATES TO WHOM A COMPACT PRIVILEGE IS6 GRANTED TO COVER THE COST OF THE OPERATIONS AND7 ACTIVITIES OF THE COMMISSION AND ITS STAFF, WHICH8 MUST BE IN A TOTAL AMOUNT SUFFICIENT TO COVER ITS9 ANNUAL BUDGET AS APPROVED BY THE COMMISSION EACH10 YEAR FOR WHICH REVENUE IS NOT PROVIDED BY OTHER11 SOURCES. THE AGGREGATE ANNUAL ASSESSMENT AMOUNT12 LEVIED ON PARTICIPATING STATES SHALL BE ALLOCATED13 BASED UPON A FORMULA TO BE DETERMINED BY14 C OMMISSION RULE.15 a. A COMPACT PRIVILEGE EXPIRES WHEN THE16 L ICENSEE'S QUALIFYING LICENSE IN THE17 P ARTICIPATING STATE FROM WHICH THE LICENSEE18 APPLIED FOR THE COMPACT PRIVILEGE EXPIRES.19 b. I F THE LICENSEE TERMINATES THE QUALIFYING20 L ICENSE THROUGH WHICH THE LICENSEE APPLIED21 FOR THE COMPACT PRIVILEGE BEFORE ITS22 SCHEDULED EXPIRATION, AND THE LICENSEE HAS A23 Q UALIFYING LICENSE IN ANOTHER PARTICIPATING24 S TATE, THE LICENSEE SHALL INFORM THE25 C OMMISSION THAT THE LICENSEE IS CHANGING TO26 THAT PARTICIPATING STATE THE PARTICIPATING27 SB24-018 -21- STATE THROUGH WHICH IT APPLIES FOR A COMPACT1 P RIVILEGE AND PAY TO THE COMMISSION ANY2 C OMPACT PRIVILEGE FEE REQUIRED BY COMMISSION3 R ULE.4 4. T HE COMMISSION SHALL NOT INCUR OBLIGATIONS OF ANY5 KIND PRIOR TO SECURING THE FUNDS ADEQUATE TO MEET6 THE SAME; NOR SHALL THE COMMISSION PLEDGE THE7 CREDIT OF ANY OF THE PARTICIPATING STATES, EXCEPT BY8 AND WITH THE AUTHORITY OF THE PARTICIPATING STATE.9 5. T HE COMMISSION SHALL KEEP ACCURATE ACCOUNTS OF ALL10 RECEIPTS AND DISBURSEMENTS . THE RECEIPTS AND11 DISBURSEMENTS OF THE COMMISSION SHALL BE SUBJECT TO12 THE FINANCIAL REVIEW AND ACCOUNTING PROCEDURES13 ESTABLISHED UNDER ITS BYLAWS . ALL RECEIPTS AND14 DISBURSEMENTS OF FUNDS HANDLED BY THE COMMISSION15 SHALL BE SUBJECT TO AN ANNUAL FINANCIAL REVIEW BY A16 CERTIFIED OR LICENSED PUBLIC ACCOUNTANT , AND THE17 REPORT OF THE FINANCIAL REVIEW SHALL BE INCLUDED IN18 AND BECOME PART OF THE ANNUAL REPORT OF THE19 C OMMISSION.20 F. T HE EXECUTIVE COMMITTEE21 1. T HE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO22 ACT ON BEHALF OF THE COMMISSION ACCORDING TO THE23 TERMS OF THIS COMPACT AND COMMISSION RULES.24 2. T HE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF NINE25 (9) MEMBERS:26 a. S EVEN (7) VOTING MEMBERS WHO ARE ELECTED BY27 SB24-018 -22- THE COMMISSION FROM THE CURRENT MEMBERSHIP1 OF THE COMMISSION;2 b. O NE (1) EX OFFICIO, NONVOTING MEMBER FROM A3 RECOGNIZED NATIONAL PA PROFESSIONAL4 ASSOCIATION; AND5 c. O NE (1) EX OFFICIO, NONVOTING MEMBER FROM A6 RECOGNIZED NATI ONAL PA CERTIFICATION7 ORGANIZATION.8 3. T HE EX OFFICIO MEMBERS WILL BE SELECTED BY THEIR9 RESPECTIVE ORGANIZATIONS.10 4. T HE COMMISSION MAY REMOVE ANY MEMBER OF THE11 E XECUTIVE COMMITTEE AS PROVIDED IN ITS BYLAWS .12 5. T HE EXECUTIVE COMMITTEE SHALL MEET AT LEAST13 ANNUALLY.14 6. T HE EXECUTIVE COMMITTEE SHALL HAVE THE FOLLOWING15 DUTIES AND RESPONSIBILITIES:16 a. R ECOMMEND TO THE COMMISSION CHANGES TO THE17 C OMMISSION'S RULES OR BYLAWS, CHANGES TO THIS18 C OMPACT LEGISLATION, FEES TO BE PAID BY19 C OMPACT PARTICIPATING STATES SUCH AS ANNUAL20 DUES, AND ANY COMMISSION COMPACT FEE21 CHARGED TO LICENSEES FOR THE COMPACT22 P RIVILEGE;23 b. E NSURE COMPACT ADMINISTRATION SERVICES ARE24 APPROPRIATELY PROVIDED , CONTRACTUAL OR25 OTHERWISE;26 c. P REPARE AND RECOMMEND THE BUDGET ;27 SB24-018 -23- d. M AINTAIN FINANCIAL RECORDS ON BEHALF OF THE1 C OMMISSION;2 e. M ONITOR COMPACT COMPLIANCE OF PARTICIPATING3 S TATES AND PROVIDE COMPLIANCE REPORTS TO THE4 C OMMISSION;5 f. E STABLISH ADDITIONAL COMMITTEES AS6 NECESSARY;7 g. E XERCISE THE POWERS AND DUTIES OF THE8 C OMMISSION DURING THE INTERIM BETWEEN9 C OMMISSION MEETINGS , EXCEPT FOR ISSUING10 PROPOSED RULEMAKING OR ADOPTING COMMISSION11 R ULES OR BYLAWS, OR EXERCISING ANY OTHER12 POWERS AND DUTIES EXCLUSIVELY RESERVED TO13 THE COMMISSION BY THE COMMISSION'S RULES;14 AND15 h. P ERFORM OTHER DUTIES AS PROVIDED IN THE16 C OMMISSION'S RULES OR BYLAWS.17 7. A LL MEETINGS OF THE EXECUTIVE COMMITTEE AT WHICH18 IT VOTES OR PLANS TO VOTE ON MATTERS IN EXERCISING19 THE POWERS AND DUTIES OF THE COMMISSION SHALL BE20 OPEN TO THE PUBLIC , AND PUBLIC NOTICE OF SUCH21 MEETINGS SHALL BE GIVEN AS PUBLIC MEETINGS OF THE22 C OMMISSION ARE GIVEN.23 8. T HE EXECUTIVE COMMITTEE MAY CONVENE IN A CLOSED ,24 NON-PUBLIC MEETING FOR THE SAME REASONS THAT THE25 C OMMISSION MAY CONVENE IN A NON -PUBLIC MEETING AS26 SET FORTH IN SUBSECTION D.3 OF THIS SECTION AND SHALL27 SB24-018 -24- ANNOUNCE THE CLOSED MEETING AS THE COMMISSION IS1 REQUIRED TO UNDER SUBSECTION D.4 OF THIS SECTION AND2 KEEP MINUTES OF THE CLOSED MEETING AS THE3 C OMMISSION IS REQUIRED TO UNDER SUBSECTION D.5 OF4 THIS SECTION.5 G. Q UALIFIED IMMUNITY, DEFENSE, AND INDEMNIFICATION6 1. T HE MEMBERS , OFFICERS, EXECUTIVE DIRECTOR ,7 EMPLOYEES, AND REPRESENTATIVES OF THE COMMISSION8 SHALL BE IMMUNE FROM SUIT AND LIABILITY , BOTH9 PERSONALLY AND IN THEIR OFFICIAL CAPACITY , FOR ANY10 CLAIM FOR DAMAGE TO OR LOSS OF PROPERTY OR PERSONAL11 INJURY OR OTHER CIVIL LIABILITY CAUSED BY OR ARISING12 OUT OF ANY ACTUAL OR ALLEGED ACT, ERROR, OR OMISSION13 THAT OCCURRED, OR THAT THE PERSON AGAINST WHOM THE14 CLAIM IS MADE HAD A REASONABLE BASIS FOR BELIEVING15 OCCURRED WITHIN THE SCOPE OF COMMISSION16 EMPLOYMENT, DUTIES, OR RESPONSIBILITIES; PROVIDED17 THAT NOTHING HEREIN SHALL BE CONSTRUED TO PROTECT18 ANY SUCH PERSON FROM SUIT OR LIABILITY FOR ANY19 DAMAGE, LOSS, INJURY, OR LIABILITY CAUSED BY THE20 INTENTIONAL OR WILLFUL OR WANTON MISCONDUCT OF21 THAT PERSON. THE PROCUREMENT OF INSURANCE OF ANY22 TYPE BY THE COMMISSION SHALL NOT IN ANY WAY23 COMPROMISE OR LIMIT THE IMMUNITY GRANTED24 HEREUNDER. 25 2. T HE COMMISSION SHALL DEFEND ANY MEMBER , OFFICER,26 EXECUTIVE DIRECTOR, EMPLOYEE, AND REPRESENTATIVE OF27 SB24-018 -25- THE COMMISSION IN ANY CIVIL ACTION SEEKING TO IMPOSE1 LIABILITY ARISING OUT OF ANY ACTUAL OR ALLEGED ACT ,2 ERROR, OR OMISSION THAT OCCURRED WITHIN THE SCOPE OF3 C OMMISSION EMPLOYMENT , DUTIES, OR RESPONSIBILITIES,4 OR AS DETERMINED BY THE COMMISSION THAT THE PERSON5 AGAINST WHOM THE CLAIM IS MADE HAD A REASONABLE6 BASIS FOR BELIEVING OCCURRED WITHIN THE SCOPE OF7 C OMMISSION EMPLOYMENT , DUTIES, OR RESPONSIBILITIES;8 PROVIDED THAT NOTHING HEREIN SHALL BE CONSTRUED TO9 PROHIBIT THAT PERSON FROM RETAINING THEIR OWN10 COUNSEL AT THEIR OWN EXPENSE; AND PROVIDED FURTHER,11 THAT THE ACTUAL OR ALLEGED ACT , ERROR, OR OMISSION12 DID NOT RESULT FROM THAT PERSON 'S INTENTIONAL OR13 WILLFUL OR WANTON MISCONDUCT .14 3. T HE COMMISSION SHALL INDEMNIFY AND HOLD HARMLESS15 ANY MEMBER, OFFICER, EXECUTIVE DIRECTOR, EMPLOYEE,16 AND REPRESENTATIVE OF THE COMMISSION FOR THE17 AMOUNT OF ANY SETTLEMENT OR JUDGMENT OBTAINED18 AGAINST THAT PERSON ARISING OUT OF ANY ACTUAL OR19 ALLEGED ACT, ERROR, OR OMISSION THAT OCCURRED20 WITHIN THE SCOPE OF COMMISSION EMPLOYMENT , DUTIES,21 OR RESPONSIBILITIES, OR THAT SUCH PERSON HAD A22 REASONABLE BASIS FOR BELIEVING OCCURRED WITHIN THE23 SCOPE OF COMMISSION EMPLOYMENT , DUTIES, OR24 RESPONSIBILITIES, PROVIDED THAT THE ACTUAL OR25 ALLEGED ACT, ERROR, OR OMISSION DID NOT RESULT FROM26 THE INTENTIONAL OR WILLFUL OR WANTON MISCONDUCT OF27 SB24-018 -26- THAT PERSON.1 4. V ENUE IS PROPER AND JUDICIAL PROCEEDINGS BY OR2 AGAINST THE COMMISSION SHALL BE BROUGHT SOLELY AND3 EXCLUSIVELY IN A COURT OF COMPETENT JURISDICTION4 WHERE THE PRINCIPAL OFFICE OF THE COMMISSION IS5 LOCATED. THE COMMISSION MAY WAIVE VENUE AND6 JURISDICTIONAL DEFENSES IN ANY PROCEEDINGS AS7 AUTHORIZED BY COMMISSION RULES.8 5. N OTHING HEREIN SHALL BE CONSTRUED AS A LIMITATION9 ON THE LIABILITY OF ANY LICENSEE FOR PROFESSIONAL10 MALPRACTICE OR MISCONDUCT , WHICH SHALL BE11 GOVERNED SOLELY BY ANY OTHER APPLICABLE STATE12 LAWS.13 6. N OTHING HEREIN SHALL BE CONSTRUED TO DESIGNATE THE14 VENUE OR JURISDICTION TO BRING ACTIONS FOR ALLEGED15 ACTS OF MALPRACTICE , PROFESSIONAL MISCONDUCT ,16 NEGLIGENCE, OR OTHER SUCH CIVIL ACTION PERTAINING TO17 THE PRACTICE OF A PA. ALL SUCH MATTERS SHALL BE18 DETERMINED EXCLUSIVELY BY STATE LAW OTHER THAN19 THIS COMPACT.20 7. N OTHING IN THIS COMPACT SHALL BE INTERPRETED TO21 WAIVE OR OTHERWISE ABROGATE A PARTICIPATING STATE'S22 STATE ACTION IMMUNITY OR STATE ACTION AFFIRMATIVE23 DEFENSE WITH RESPECT TO ANTITRUST CLAIMS UNDER THE24 S HERMAN ACT, CLAYTON ACT, OR ANY OTHER STATE OR25 FEDERAL ANTITRUST OR ANTICOMPETITIVE LAW OR26 REGULATION.27 SB24-018 -27- 8. NOTHING IN THIS COMPACT SHALL BE CONSTRUED TO BE A1 WAIVER OF SOVEREIGN IMMUNITY BY THE PARTICIPATING2 S TATES OR BY THE COMMISSION.3 Section 8. Data System4 A. T HE COMMISSION SHALL PROVIDE FOR THE DEVELOPMENT ,5 MAINTENANCE, OPERATION, AND UTILIZATION OF A COORDINATED6 DATA AND REPORTING SYSTEM CONTAINING LICENSURE7 INFORMATION, ADVERSE ACTION INFORMATION , AND THE8 REPORTING OF THE EXISTENCE OF SIGNIFICANT INVESTIGATIVE9 I NFORMATION ON ALL LICENSED PAS AND APPLICANTS DENIED A10 L ICENSE IN PARTICIPATING STATES.11 B. N OTWITHSTANDING ANY OTHER STATE LAW TO THE CONTRARY, A12 P ARTICIPATING STATE SHALL SUBMIT A UNIFORM DATA SET TO THE13 D ATA SYSTEM ON ALL PAS TO WHOM THIS COMPACT IS14 APPLICABLE (UTILIZING A UNIQUE IDENTIFIER) AS REQUIRED BY THE15 R ULES OF THE COMMISSION, INCLUDING:16 1. I DENTIFYING INFORMATION;17 2. L ICENSURE DATA;18 3. A DVERSE ACTIONS AGAINST A LICENSE OR COMPACT19 P RIVILEGE;20 4. A NY DENIAL OF APPLICATION FOR LICENSURE , AND THE21 REASON(S) FOR SUCH DENIAL (EXCLUDING THE REPORTING22 OF ANY CRIMINAL HISTORY RECORD INFORMATION WHERE23 PROHIBITED BY LAW);24 5. T HE EXISTENCE OF SIGNIFICANT INVESTIGATIVE25 I NFORMATION; AND26 6. O THER INFORMATION THAT MAY FACILITATE THE27 SB24-018 -28- ADMINISTRATION OF THIS COMPACT, AS DETERMINED BY1 THE RULES OF THE COMMISSION.2 C. S IGNIFICANT INVESTIGATIVE INFORMATION PERTAINING TO A3 L ICENSEE IN ANY PARTICIPATING STATE SHALL ONLY BE4 AVAILABLE TO OTHER PARTICIPATING STATES.5 D. T HE COMMISSION SHALL PROMPTLY NOTIFY ALL PARTICIPATING6 S TATES OF ANY ADVERSE ACTION TAKEN AGAINST A LICENSEE OR7 AN INDIVIDUAL APPLYING FOR A LICENSE THAT HAS BEEN8 REPORTED TO IT. THIS ADVERSE ACTION INFORMATION SHALL BE9 AVAILABLE TO ANY OTHER PARTICIPATING STATE.10 E. P ARTICIPATING STATES CONTRIBUTING INFORMATION TO THE11 D ATA SYSTEM MAY, IN ACCORDANCE WITH STATE OR FEDERAL12 LAW, DESIGNATE INFORMATION THAT MAY NOT BE SHARED WITH13 THE PUBLIC WITHOUT THE EXPRESS PERMISSION OF THE14 CONTRIBUTING STATE. NOTWITHSTANDING ANY SUCH15 DESIGNATION, SUCH INFORMATION SHALL BE REPORTED TO THE16 C OMMISSION THROUGH THE DATA SYSTEM.17 F. A NY INFORMATION SUBMITTED TO THE DATA SYSTEM THAT IS18 SUBSEQUENTLY EXPUNGED PURSUANT TO FEDERAL LAW OR THE19 LAWS OF THE PARTICIPATING STATE CONTRIBUTING THE20 INFORMATION SHALL BE REMOVED FROM THE DATA SYSTEM UPON21 REPORTING OF SUCH BY THE PARTICIPATING STATE TO THE22 C OMMISSION.23 G. T HE RECORDS AND INFORMATION PROVIDED TO A PARTICIPATING24 S TATE PURSUANT TO THIS COMPACT OR THROUGH THE DATA25 S YSTEM, WHEN CERTIFIED BY THE COMMISSION OR AN AGENT26 THEREOF, SHALL CONSTITUTE THE AUTHENTICATED BUSINESS27 SB24-018 -29- RECORDS OF THE COMMISSION, AND SHALL BE ENTITLED TO ANY1 ASSOCIATED HEARSAY EXCEPTION IN ANY RELEVANT JUDICIAL ,2 QUASI-JUDICIAL, OR ADMINISTRATIVE PROCEEDINGS IN A3 P ARTICIPATING STATE.4 Section 9. Rulemaking5 A. T HE COMMISSION SHALL EXERCISE ITS RULEMAKING POWERS6 PURSUANT TO THE CRITERIA SET FORTH IN THIS SECTION AND THE7 R ULES ADOPTED THEREUNDER . COMMISSION RULES SHALL8 BECOME BINDING AS OF THE DATE SPECIFIED BY THE COMMISSION9 FOR EACH RULE.10 B. T HE COMMISSION SHALL PROMULGATE REASONABLE RULES IN11 ORDER TO EFFECTIVELY AND EFFICIENTLY IMPLEMENT AND12 ADMINISTER THIS COMPACT AND ACHIEVE ITS PURPOSES . A13 C OMMISSION RULE SHALL BE INVALID AND HAVE NO FORCE OR14 EFFECT ONLY IF A COURT OF COMPETENT JURISDICTION HOLDS THAT15 THE RULE IS INVALID BECAUSE THE COMMISSION EXERCISED ITS16 RULEMAKING AUTHORITY IN A MANNER THAT IS BE YOND THE SCOPE17 OF THE PURPOSES OF THIS COMPACT, OR THE POWERS GRANTED18 HEREUNDER, OR BASED UPON ANOTHER APPLICABLE STANDARD OF19 REVIEW.20 C. T HE RULES OF THE COMMISSION SHALL HAVE THE FORCE OF LAW21 IN EACH PARTICIPATING STATE, PROVIDED HOWEVER THAT WHERE22 THE RULES OF THE COMMISSION CONFLICT WITH THE LAWS OF THE23 P ARTICIPATING STATE THAT ESTABLISH THE MEDICAL SERVICES A24 PA MAY PERFORM IN THE PARTICIPATING STATE, AS HELD BY A25 COURT OF COMPETENT JURISDICTION , THE RULES OF THE26 C OMMISSION SHALL BE INEFFECTIVE IN THAT STATE TO THE27 SB24-018 -30- EXTENT OF THE CONFLICT.1 D. I F A MAJORITY OF THE LEGISLATURES OF THE PARTICIPATING2 S TATES REJECTS A COMMISSION RULE, BY ENACTMENT OF A3 STATUTE OR RESOLUTION IN THE SAME MANNER USED TO ADOPT4 THIS COMPACT WITHIN FOUR (4) YEARS OF THE DATE OF ADOPTION5 OF THE RULE, THEN SUCH RULE SHALL HAVE NO FURTHER FORCE6 AND EFFECT IN ANY PARTICIPATING STATE OR TO ANY STATE7 APPLYING TO PARTICIPATE IN THE COMPACT.8 E. C OMMISSION RULES SHALL BE ADOPTED AT A REGULAR OR SPECIAL9 MEETING OF THE COMMISSION.10 F. P RIOR TO PROMULGATION AND ADOPTION OF A FINAL RULE OR11 R ULES BY THE COMMISSION, AND AT LEAST THIRTY (30) DAYS IN12 ADVANCE OF THE MEETING AT WHICH THE RULE WILL BE13 CONSIDERED AND VOTED UPON , THE COMMISSION SHALL FILE A14 NOTICE OF PROPOSED RULEMAKING : 15 1. O N THE WEBSITE OF THE COMMISSION OR OTHER PUBLICLY16 ACCESSIBLE PLATFORM;17 2. T O PERSONS WHO HAVE REQUESTED THE COMMISSION'S18 NOTICES OF PROPOSED RULEMAKING ; AND19 3. I N SUCH OTHER WAY(S) AS THE COMMISSION MAY BY RULE20 SPECIFY.21 G. T HE NOTICE OF PROPOSED RULEMAKING SHALL INCLUDE :22 1. T HE TIME, DATE, AND LOCATION OF THE PUBLIC HEARING ON23 THE PROPOSED RULE AND THE PROPOSED TIME, DATE, AND24 LOCATION OF THE MEETING IN WHICH THE PROPOSED RULE25 WILL BE CONSIDERED AND VOTED UPON ;26 2. T HE TEXT OF THE PROPOSED RULE AND THE REASON FOR27 SB24-018 -31- THE PROPOSED RULE;1 3. A REQUEST FOR COMMENTS ON THE PROPOSED RULE FROM2 ANY INTERESTED PERSON AND THE DATE BY WHICH3 WRITTEN COMMENTS MUST BE RECEIVED ; AND4 4. T HE MANNER IN WHICH INTERESTED PERSONS MAY SUBMIT5 NOTICE TO THE COMMISSION OF THEIR INTENTION TO6 ATTEND THE PUBLIC HEARING OR PROVIDE ANY WRITTEN7 COMMENTS.8 H. P RIOR TO ADOPTION OF A PROPOSED RULE, THE COMMISSION SHALL9 ALLOW PERSONS TO SUBMIT WRITTEN DATA , FACTS, OPINIONS, AND10 ARGUMENTS, WHICH SHALL BE MADE AVAILABLE TO THE PUBLIC .11 I. I F THE HEARING IS TO BE HELD VIA ELECTRONIC MEANS , THE12 C OMMISSION SHALL PUBLISH THE MECHANISM FOR ACCESS TO THE13 ELECTRONIC HEARING.14 1. A LL PERSONS WISHING TO BE HEARD AT THE HEARING15 SHALL AS DIRECTED IN THE NOTICE OF PROPOSED16 RULEMAKING, NOT LESS THAN FIVE (5) BUSINESS DAYS17 BEFORE THE SCHEDULED DATE OF THE HEARING , NOTIFY THE18 C OMMISSION OF THEIR DESIRE TO APPEAR AND TESTIFY AT19 THE HEARING.20 2. H EARINGS SHALL BE CONDUCTED IN A MANNER PROVIDING21 EACH PERSON WHO WISHES TO COMMENT A FAIR AND22 REASONABLE OPPORTUNITY TO COMMENT ORALLY OR IN23 WRITING.24 3. A LL HEARINGS SHALL BE RECORDED . A COPY OF THE25 RECORDING AND THE WRITTEN COMMENTS , DATA, FACTS,26 OPINIONS, AND ARGUMENTS RECEIVED IN RESPONSE TO THE27 SB24-018 -32- PROPOSED RULEMAKING SHALL BE MADE AVAILABLE TO A1 PERSON UPON REQUEST.2 4. N OTHING IN THIS SECTION SHALL BE CONSTRUED AS3 REQUIRING A SEPARATE HEARING ON EACH PROPOSED RULE.4 P ROPOSED RULES MAY BE GROUPED FOR THE CONVENIENCE5 OF THE COMMISSION AT HEARINGS REQUIRED BY THIS6 SECTION.7 J. F OLLOWING THE PUBLIC HEARING THE COMMISSION SHALL8 CONSIDER ALL WRITTEN AND ORAL COMMENTS TIMELY RECEIVED .9 K. T HE COMMISSION SHALL, BY MAJORITY VOTE OF ALL DELEGATES,10 TAKE FINAL ACTION ON THE PROPOSED RULE AND SHALL11 DETERMINE THE EFFECTIVE DATE OF THE RULE, IF ADOPTED, BASED12 ON THE RULEMAKING RECORD AND THE FULL TEXT OF THE RULE.13 1. I F ADOPTED, THE RULE SHALL BE POSTED ON THE14 C OMMISSION'S WEBSITE.15 2. T HE COMMISSION MAY ADOPT CHANGES TO THE PROPOSED16 R ULE PROVIDED THE CHANGES DO NOT ENLARGE THE17 ORIGINAL PURPOSE OF THE PROPOSED RULE.18 3. T HE COMMISSION SHALL PROVIDE ON ITS WEBSITE AN19 EXPLANATION OF THE REASONS FOR SUBSTANTIVE C HANGES20 MADE TO THE PROPOSED RULE AS WELL AS REASONS FOR21 SUBSTANTIVE CHANGES NOT MADE THAT WERE22 RECOMMENDED BY COMMENTERS .23 4. T HE COMMISSION SHALL DETERMINE A REASONABLE24 EFFECTIVE DATE FOR THE RULE. EXCEPT FOR AN25 EMERGENCY AS PROVIDED IN SUBSECTION L OF THIS26 SECTION, THE EFFECTIVE DATE OF THE RULE SHALL BE NO27 SB24-018 -33- SOONER THAN THIRTY (30) DAYS AFTER THE COMMISSION1 ISSUED THE NOTICE THAT IT ADOPTED THE RULE. 2 L. U PON DETERMINATION THAT AN EMERGENCY EXISTS , THE3 C OMMISSION MAY CONSIDER AND ADOPT AN EMERGENCY RULE4 WITH TWENTY-FOUR (24) HOURS PRIOR NOTICE, WITHOUT THE5 OPPORTUNITY FOR COMMENT OR HEARING , PROVIDED THAT THE6 USUAL RULEMAKING PROCEDURES PROVIDED IN THIS COMPACT7 AND IN THIS SECTION SHALL BE RETROACTIVELY APPLIED TO THE8 R ULE AS SOON AS REASONABLY POSSIBLE , IN NO EVENT LATER9 THAN NINETY (90) DAYS AFTER THE EFFECTIVE DATE OF THE RULE.10 F OR THE PURPOSES OF THIS SUBSECTION L, AN EMERGENCY RULE11 IS ONE THAT MUST BE ADOPTED IMMEDIATELY BY THE COMMISSION12 IN ORDER TO:13 1. M EET AN IMMINENT THREAT TO PUBLIC HEALTH , SAFETY,14 OR WELFARE;15 2. P REVENT A LOSS OF COMMISSION OR PARTICIPATING STATE16 FUNDS;17 3. M EET A DEADLINE FOR THE PROMULGATION OF A18 C OMMISSION RULE THAT IS ESTABLISHED BY FEDERAL LAW19 OR RULE; OR20 4. P ROTECT PUBLIC HEALTH AND SAFETY .21 M. T HE COMMISSION OR AN AUTHORIZED COMMITTEE OF THE22 C OMMISSION MAY DIRECT REVISIONS TO A PREVIOUSLY ADOPTED23 C OMMISSION RULE FOR PURPOSES OF CORRECTING TYPOGRAPHICAL24 ERRORS, ERRORS IN FORMAT , ERRORS IN CONSISTENCY , OR25 GRAMMATICAL ERRORS . PUBLIC NOTICE OF ANY REVISIONS SHALL26 BE POSTED ON THE WEBSITE OF THE COMMISSION. THE REVISION27 SB24-018 -34- SHALL BE SUBJECT TO CHALLENGE BY ANY PERSON FOR A PERIOD1 OF THIRTY (30) DAYS AFTER POSTING. THE REVISION MAY BE2 CHALLENGED ONLY ON GROUNDS THAT THE REVISION RESULTS IN3 A MATERIAL CHANGE TO A RULE. A CHALLENGE SHALL BE MADE AS4 SET FORTH IN THE NOTICE OF REVISIONS AND DELIVERED TO THE5 C OMMISSION PRIOR TO THE END OF THE NOTICE PERIOD . IF NO6 CHALLENGE IS MADE, THE REVISION WILL TAKE EFFECT WITHOUT7 FURTHER ACTION. IF THE REVISION IS CHALLENGED, THE REVISION8 MAY NOT TAKE EFFECT WITHOUT THE APPROVAL OF THE9 C OMMISSION.10 N. N O PARTICIPATING STATE'S RULEMAKING REQUIREMENTS SHALL11 APPLY UNDER THIS COMPACT.12 Section 10. Oversight, Dispute Resolution, and Enforcement13 A. O VERSIGHT14 1. T HE EXECUTIVE AND JUDICIAL BRANCHES OF STATE15 GOVERNMENT IN EACH PARTICIPATING STATE SHALL16 ENFORCE THIS COMPACT AND TAKE ALL ACTIONS17 NECESSARY AND APPROPRIATE TO IMPLEMENT THE18 C OMPACT.19 2. V ENUE IS PROPER AND JUDICIAL PROCEEDINGS BY OR20 AGAINST THE COMMISSION SHALL BE BROUGHT SOLELY AND21 EXCLUSIVELY IN A COURT OF COMPETENT JURISDICTION22 WHERE THE PRINCIPAL OFFICE OF THE COMMISSION IS23 LOCATED. THE COMMISSION MAY WAIVE VENUE AND24 JURISDICTIONAL DEFENSES TO THE EXTENT IT ADOPTS OR25 CONSENTS TO PARTICIPATE IN ALTERNATIVE DISPUTE26 RESOLUTION PROCEEDINGS. NOTHING HEREIN SHALL AFFECT27 SB24-018 -35- OR LIMIT THE SELECTION OR PROPRIETY OF VENUE IN ANY1 ACTION AGAINST A LICENSEE FOR PROFESSI ONAL2 MALPRACTICE, MISCONDUCT, OR ANY SUCH SIMILAR3 MATTER.4 3. T HE COMMISSION SHALL BE ENTITLED TO RECEIVE SERVICE5 OF PROCESS IN ANY PROCEEDING REGARDING THE6 ENFORCEMENT OR INTERPRETATION OF THE COMPACT OR7 THE COMMISSION'S RULES AND SHALL HAVE STANDING TO8 INTERVENE IN SUCH A PROCEEDING FOR ALL PURPOSES .9 F AILURE TO PROVIDE THE COMMISSION WITH SERVICE OF10 PROCESS SHALL RENDER A JUDGMENT OR ORDER IN SUCH11 PROCEEDING VOID AS TO THE COMMISSION, THIS COMPACT,12 OR COMMISSION RULES.13 B. D EFAULT, TECHNICAL ASSISTANCE, AND TERMINATION14 1. I F THE COMMISSION DETERMINES THAT A PARTICIPATING15 S TATE HAS DEFAULTED IN THE PERFORMANCE OF ITS16 OBLIGATIONS OR RESPONSIBILITIES UNDER THIS COMPACT17 OR THE COMMISSION RULES, THE COMMISSION SHALL18 PROVIDE WRITTEN NOTICE TO THE DEFAULTING STATE AND19 OTHER PARTICIPATING STATES. THE NOTICE SHALL20 DESCRIBE THE DEFAULT, THE PROPOSED MEANS OF CURING21 THE DEFAULT, AND ANY OTHER ACTION THAT THE22 C OMMISSION MAY TAKE AND SHALL OFFER REMEDIAL23 TRAINING AND SPECIFIC TECHNICAL ASSISTANCE REGARDING24 THE DEFAULT. 25 2. I F A STATE IN DEFAULT FAILS TO CURE THE DEFAULT , THE26 DEFAULTING STATE MAY BE TERMINATED FROM THIS27 SB24-018 -36- COMPACT UPON AN AFFIRMATIVE VOTE OF A MAJORITY OF1 THE DELEGATES OF THE PARTICIPATING STATES, AND ALL2 RIGHTS, PRIVILEGES, AND BENEFITS CONFERRED BY THIS3 C OMPACT UPON SUCH STATE MAY BE TERMINATED ON THE4 EFFECTIVE DATE OF TERMINATION. A CURE OF THE DEFAULT5 DOES NOT RELIEVE THE OFFENDING STATE OF OBLIGATIONS6 OR LIABILITIES INCURRED DURING THE PERIOD OF DEFAULT .7 3. T ERMINATION OF PARTICIPATION IN THIS COMPACT SHALL8 BE IMPOSED ONLY AFTER ALL OTHER MEANS OF SECURING9 COMPLIANCE HAVE BEEN EXHAUSTED . NOTICE OF INTENT TO10 SUSPEND OR TERMINATE SHALL BE GIVEN BY THE11 C OMMISSION TO THE GOVERNOR , THE MAJORITY AND12 MINORITY LEADERS OF THE DEFAULTING STATE'S13 LEGISLATURE, AND THE LICENSING BOARD(S) OF EACH OF14 THE PARTICIPATING STATES.15 4. A STATE THAT HAS BEEN TERMINATED IS RESPONSIBLE FOR16 ALL ASSESSMENTS , OBLIGATIONS, AND LIABILITIES17 INCURRED THROUGH THE EFFECTIVE DATE OF TERMINATION ,18 INCLUDING OBLIGATIONS THAT EXTEND BEYOND THE19 EFFECTIVE DATE OF TERMINATION.20 5. T HE COMMISSION SHALL NOT BEAR ANY COSTS RELATED TO21 A STATE THAT IS FOUND TO BE IN DEFAULT OR THAT HAS22 BEEN TERMINATED FROM THIS COMPACT, UNLESS AGREED23 UPON IN WRITING BETWEEN THE COMMISSION AND THE24 DEFAULTING STATE.25 6. T HE DEFAULTING STATE MAY APPEAL ITS TERMINATION26 FROM THE COMPACT BY THE COMMISSION BY PETITIONING27 SB24-018 -37- THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF1 C OLUMBIA OR THE FEDERAL DISTRICT WHERE THE2 C OMMISSION HAS ITS PRINCIPAL OFFICES. THE PREVAILING3 PARTY SHALL BE AWARDED ALL COSTS OF SUCH LITIGATION ,4 INCLUDING REASONABLE ATTORNEY 'S FEES.5 7. U PON THE TERMINATION OF A STATE'S PARTICIPATION IN6 THE COMPACT, THE STATE SHALL IMMEDIATELY PROVIDE7 NOTICE TO ALL LICENSEES WITHIN THAT STATE OF SUCH8 TERMINATION:9 a. L ICENSEES WHO HAVE BEEN GRANTED A COMPACT10 P RIVILEGE IN THAT STATE SHALL RETAIN THE11 C OMPACT PRIVILEGE FOR ONE HUNDRED EIGHTY12 (180) DAYS FOLLOWING THE EFFECTIVE DATE OF13 SUCH TERMINATION.14 b. L ICENSEES WHO ARE LICENSED IN THAT STATE WHO15 HAVE BEEN GRANTED A COMPACT PRIVILEGE IN A16 P ARTICIPATING STATE SHALL RETAIN THE COMPACT17 P RIVILEGE FOR ONE HUNDRED EIGHTY (180) DAYS18 UNLESS THE LICENSEE ALSO HAS A QUALIFYING19 L ICENSE IN A PARTICIPATING STATE OR OBTAINS A20 Q UALIFYING LICENSE IN A PARTICIPATING STATE21 BEFORE THE ONE HUNDRED EIGHTY (180)-DAY22 PERIOD ENDS, IN WHICH CASE THE COMPACT23 P RIVILEGE SHALL CONTINUE.24 C. D ISPUTE RESOLUTION25 1. U PON REQUEST BY A PARTICIPATING STATE, THE26 C OMMISSION SHALL ATTEMPT TO RESOLVE DISPUTES27 SB24-018 -38- RELATED TO THIS COMPACT THAT ARISE AMONG1 P ARTICIPATING STATES AND BETWEEN PARTICIPATING AND2 NON-PARTICIPATING STATES.3 2. T HE COMMISSION SHALL PROMULGATE A RULE PROVIDING4 FOR BOTH MEDIATION AND BINDING DISPUTE RESOLUTION5 FOR DISPUTES AS APPROPRIATE.6 D. E NFORCEMENT7 1. T HE COMMISSION, IN THE REASONABLE EXERCISE OF ITS8 DISCRETION, SHALL ENFORCE THE PROVISIONS OF THIS9 C OMPACT AND RULES OF THE COMMISSION.10 2. I F COMPLIANCE IS NOT SECURED AFTER ALL MEANS TO11 SECURE COMPLIANCE HAVE BEEN E XHAUSTED , BY MAJORITY12 VOTE, THE COMMISSION MAY INITIATE LEGAL ACTION IN13 THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF14 C OLUMBIA OR THE FEDERAL DISTRICT WHERE THE15 C OMMISSION HAS ITS PRINCIPAL OFFICES , AGAINST A16 P ARTICIPATING STATE IN DEFAULT TO ENFORCE17 COMPLIANCE WITH THE PROVISIONS OF THIS COMPACT AND18 THE COMMISSION'S PROMULGATED RULES AND BYLAWS.19 T HE RELIEF SOUGHT MAY INCLUDE BOTH INJUNCTIVE RELIEF20 AND DAMAGES. IN THE EVENT JUDICIAL ENFORCEMENT IS21 NECESSARY, THE PREVAILING PARTY SHALL BE AWARDED22 ALL COSTS OF SUCH LITIGATION, INCLUDING REASONABLE23 ATTORNEY'S FEES.24 3. T HE REMEDIES HEREIN SHALL NOT BE THE EXCLUSIVE25 REMEDIES OF THE COMMISSION. THE COMMISSION MAY26 PURSUE ANY OTHER REMEDIES AVAILABLE UNDER FEDERAL27 SB24-018 -39- OR STATE LAW.1 E. L EGAL ACTION AGAINST THE COMMISSION2 1. A PARTICIPATING STATE MAY INITIATE LEGAL ACTION3 AGAINST THE COMMISSION IN THE UNITED STATES DISTRICT4 C OURT FOR THE DISTRICT OF COLUMBIA OR THE FEDERAL5 DISTRICT WHERE THE COMMISSION HAS ITS PRINCIPAL6 OFFICES TO ENFORCE COMPLIANCE WITH THE PROVISIONS OF7 THE COMPACT AND ITS RULES. THE RELIEF SOUGHT MAY8 INCLUDE BOTH INJUNCTIVE RELIEF AND DAMAGES . IN THE9 EVENT JUDICIAL ENFORCEMENT IS NECESSARY , THE10 PREVAILING PARTY SHALL BE AWARDED ALL COSTS OF SUCH11 LITIGATION, INCLUDING REASONABLE ATTORNEY 'S FEES. 12 2. N O PERSON OTHER THAN A PARTICIPATING STATE SHALL13 ENFORCE THIS COMPACT AGAINST THE COMMISSION.14 Section 11. Date of Implementation of the15 PA Licensure Compact Commission16 A. T HIS COMPACT SHALL COME INTO EFFECT ON THE DATE ON WHICH17 THIS COMPACT STATUTE IS ENACTED INTO LAW IN THE SEVENTH18 P ARTICIPATING STATE. 19 1. O N OR AFTER THE EFFECTIVE DATE OF THIS COMPACT, THE20 C OMMISSION SHALL CONVENE AND REVIEW THE21 ENACTMENT OF EACH OF THE STATES THAT ENACTED THIS22 C OMPACT PRIOR TO THE COMMISSION CONVENING23 ("C HARTER PARTICIPATING STATES") TO DETERMINE IF THE24 STATUTE ENACTED BY EACH SUCH CHARTER PARTICIPATING25 S TATE IS MATERIALLY DIFFERENT THAN THE MODEL26 C OMPACT.27 SB24-018 -40- a. A CHARTER PARTICIPATING STATE WHOSE1 ENACTMENT IS FOUND TO BE MATERIALLY2 DIFFERENT FROM THE MODEL COMPACT SHALL BE3 ENTITLED TO THE DEFAULT PROCESS SET FORTH IN4 S ECTION 10.B OF THIS COMPACT.5 b. I F ANY PARTICIPATING STATE LATER WITHDRAWS6 FROM THE COMPACT OR ITS PARTICIPATION IS7 TERMINATED, THE COMMISSION SHALL REMAIN IN8 EXISTENCE AND THE COMPACT SHALL REMAIN IN9 EFFECT EVEN IF THE NUMBER OF PARTICIPATING10 S TATES SHOULD BE LESS THAN SEVEN .11 P ARTICIPATING STATES ENACTING THE COMPACT12 SUBSEQUENT TO THE COMMISSION CONVENING13 SHALL BE SUBJECT TO THE PROCESS SET FORTH IN14 S ECTION 7.C.21 OF THIS COMPACT TO DETERMINE IF15 THEIR ENACTMENTS ARE MATERIALLY DIFFERENT16 FROM THE MODEL COMPACT AND WHETHER THEY17 QUALIFY FOR PARTICIPATION IN THE COMPACT.18 2. P ARTICIPATING STATES ENACTING THIS COMPACT19 SUBSEQUENT TO THE SEVEN INITIAL CHARTER20 P ARTICIPATING STATES SHALL BE SUBJECT TO THE PROCESS21 SET FORTH IN SECTION 7.C.21 OF THIS COMPACT TO22 DETERMINE IF THEIR ENACTMENTS ARE MATERIALLY23 DIFFERENT FROM THE MODEL COMPACT AND WHETHER24 THEY QUALIFY FOR PARTICIPATION IN THE COMPACT.25 3. A LL ACTIONS TAKEN FOR THE BENEFIT OF THE COMMISSION26 OR IN FURTHERANCE OF THE PURPOSES OF THE27 SB24-018 -41- ADMINISTRATION OF THIS COMPACT PRIOR TO THE1 EFFECTIVE DATE OF THIS COMPACT OR THE COMMISSION2 COMING INTO EXISTENCE SHALL BE CONSIDERED TO BE3 ACTIONS OF THE COMMISSION UNLESS SPECIFICALLY4 REPUDIATED BY THE COMMISSION.5 B. A NY STATE THAT JOINS THIS COMPACT SHALL BE SUBJECT TO THE6 C OMMISSION'S RULES AND BYLAWS AS THEY EXIST ON THE DATE7 ON WHICH THIS COMPACT BECOMES LAW IN THAT STATE. ANY8 R ULE THAT HAS BEEN PREVIOUSLY ADOPTED BY THE COMMISSION9 SHALL HAVE THE FULL FORCE AND EFFECT OF LAW ON THE DAY10 THIS COMPACT BECOMES LAW IN THAT STATE.11 C. A NY PARTICIPATING STATE MAY WITHDRAW FROM THIS COMPACT12 BY ENACTING A STATUTE REPEALING THE SAME .13 1. A PARTICIPATING STATE'S WITHDRAWAL SHALL NOT TAKE14 EFFECT UNTIL ONE HUNDRED EIGHTY (180) DAYS AFTER15 ENACTMENT OF THE REPEALING STATUTE . DURING THIS ONE16 HUNDRED EIGHTY (180)-DAY PERIOD, ALL COMPACT17 P RIVILEGES THAT WERE IN EFFECT IN THE WITHDRAWING18 S TATE AND WERE GRANTED TO LICENSEES LICENSED IN THE19 WITHDRAWING STATE SHALL REMAIN IN EFFECT . IF ANY20 L ICENSEE LICENSED IN THE WITHDRAWING STATE IS ALSO21 LICENSED IN ANOTHER PARTICIPATING STATE OR OBTAINS22 A LICENSE IN ANOTHER PARTICIPATING STATE WITHIN THE23 ONE HUNDRED EIGHTY (180) DAYS, THE LICENSEE'S24 C OMPACT PRIVILEGES IN OTHER PARTICIPATING STATES25 SHALL NOT BE AFFECTED BY THE PASSAGE OF THE ONE26 HUNDRED EIGHTY (180) DAYS.27 SB24-018 -42- 2. W ITHDRAWAL SHALL NOT AFFECT THE CONTINUING1 REQUIREMENT OF THE STATE LICENSING BOARD(S) OF THE2 WITHDRAWING STATE TO COMPLY WITH THE INVESTIGATIVE3 AND ADVERSE ACTION REPORTING REQUIREMENTS OF THIS4 C OMPACT PRIOR TO THE EFFECTIVE DATE OF WITHDRAWAL .5 3. U PON THE ENACTMENT OF A STATUTE WITHDRAWING A6 S TATE FROM THIS COMPACT, THE STATE SHALL7 IMMEDIATELY PROVIDE NOTICE OF SUCH WITHDRAWAL TO8 ALL LICENSEES WITHIN THAT STATE. SUCH WITHDRAWING9 S TATE SHALL CONTINUE TO RECOGNIZE ALL LICENSES10 GRANTED PURSUANT TO THIS COMPACT FOR A MINIMUM OF11 ONE HUNDRED EIGHTY (180) DAYS AFTER THE DATE OF12 SUCH NOTICE OF WITHDRAWAL .13 D. N OTHING CONTAINED IN THIS COMPACT SHALL BE CONSTRUED TO14 INVALIDATE OR PREVENT ANY PA LICENSURE AGREEMENT OR15 OTHER COOPERATIVE ARRANGEMENT BETWEEN PARTICIPATING16 S TATES AND BETWEEN A PARTICIPATING STATE AND17 NON-PARTICIPATING STATE THAT DOES NOT CONFLICT WITH THE18 PROVISIONS OF THIS COMPACT.19 E. T HIS COMPACT MAY BE AMENDED BY THE PARTICIPATING STATES.20 N O AMENDMENT TO THIS COMPACT SHALL BECOME EFFECTIVE AND21 BINDING UPON ANY PARTICIPATING STATE UNTIL IT IS ENACTED22 MATERIALLY IN THE SAME MANNER INTO THE LAWS OF ALL23 P ARTICIPATING STATES AS DETERMINED BY THE COMMISSION.24 Section 12. Construction and Severability25 A. T HIS COMPACT AND THE COMMISSION'S RULEMAKING AUTHORITY26 SHALL BE LIBERALLY CONSTRUED SO AS TO EFFECTUATE THE27 SB24-018 -43- PURPOSES, AND THE IMPLEMENTATION AND ADMINISTRATION OF1 THIS COMPACT. PROVISIONS OF THIS COMPACT EXPRESSLY2 AUTHORIZING OR REQUIRING THE PROMULGATION OF RULES SHALL3 NOT BE CONSTRUED TO LIMIT THE COMMISSION'S RULEMAKING4 AUTHORITY SOLELY FOR THOSE PURPOSES . 5 B. T HE PROVISIONS OF THIS COMPACT SHALL BE SEVERABLE AND IF6 ANY PHRASE, CLAUSE, SENTENCE, OR PROVISION OF THIS COMPACT7 IS HELD BY A COURT OF COMPETENT JURISDICTION TO BE8 CONTRARY TO THE CONSTITUTION OF ANY PARTICIPATING STATE,9 A STATE SEEKING PARTICIPATION IN THIS COMPACT, OR OF THE10 U NITED STATES, OR THE APPLICABILITY THEREOF TO ANY11 GOVERNMENT, AGENCY, PERSON, OR CIRCUMSTANCE IS HELD TO BE12 UNCONSTITUTIONAL BY A COURT OF COMPETENT JURISDICTION , THE13 VALIDITY OF THE REMAINDER OF THIS COMPACT AND THE14 APPLICABILITY THEREOF TO ANY OTHER GOVERNMENT , AGENCY,15 PERSON, OR CIRCUMSTANCE SHALL NOT BE AFFECTED THEREBY . 16 C. N OTWITHSTANDING SUBSECTION B OF THIS SECTION, THE17 C OMMISSION MAY DENY A STATE'S PARTICIPATION IN THE18 C OMPACT OR, IN ACCORDANCE WITH THE REQUIREMENTS OF19 S ECTION 10.B OF THIS COMPACT, TERMINATE A PARTICIPATING20 S TATE'S PARTICIPATION IN THE COMPACT, IF IT DETERMINES THAT21 A CONSTITUTIONAL REQUIREMENT OF A PARTICIPATING STATE IS,22 OR WOULD BE WITH RESPECT TO A STATE SEEKING TO PARTICIPATE23 IN THIS COMPACT, A MATERIAL DEPARTURE FROM THE COMPACT.24 O THERWISE, IF THIS COMPACT SHALL BE HELD TO BE CONTRARY TO25 THE CONSTITUTION OF ANY PARTICIPATING STATE, THIS COMPACT26 SHALL REMAIN IN FULL FORCE AND EFFECT AS TO THE REMAINING27 SB24-018 -44- PARTICIPATING STATES AND IN FULL FORCE AND EFFECT AS TO THE1 P ARTICIPATING STATE AFFECTED AS TO ALL SEVERABLE MATTERS . 2 Section 13. Binding Effect of Compact3 A. N OTHING HEREIN PREVENTS THE ENFORCEMENT OF ANY OTHER4 LAW OF A PARTICIPATING STATE THAT IS NOT INCONSISTENT WITH5 THIS COMPACT.6 B. A NY LAWS IN A PARTICIPATING STATE IN CONFLICT WITH THIS7 C OMPACT ARE SUPERSEDED TO THE EXTENT OF THE CONFLICT .8 C. A LL AGREEMENTS BETWEEN THE COMMISSION AND THE9 P ARTICIPATING STATES ARE BINDING IN ACCORDANCE WITH THEIR10 TERMS.11 24-60-4503. Notice to revisor of statutes - effective date of12 compact. T HIS PART 45 TAKES EFFECT ON THE DATE THIS COMPACT IS13 ENACTED INTO LAW IN THE SEVENTH COMPACT STATE . THE DIRECTOR OF14 THE DIVISION OF PROFESSIONS AND OCCUPATIONS IN THE DEPARTMENT OF15 REGULATORY AGENCIES SHALL NOTIFY THE REVISOR OF STATUTES IN16 WRITING WHEN THE CONDITION SPECIFIED IN THIS SECTION HAS OCCURRED17 BY E-MAILING THE NOTICE TO REVISOROFSTATUTES .GA@COLEG.GOV. THIS18 PART 45 TAKES EFFECT UPON THE DATE IDENTIFIED IN THE NOTICE THAT19 THE COMPACT IS ENACTED INTO LAW IN THE SEVENTH COMPACT STATE OR20 UPON THE DATE OF THE NOTICE TO THE REVISOR OF STATUTES IF THE21 NOTICE DOES NOT SPECIFY A DIFFERENT DATE . 22 SECTION 2. In Colorado Revised Statutes, add 12-240-146 as23 follows:24 12-240-146. Interstate compact - powers and duties of the25 board - rules - definitions. (1) A S USED IN THIS SECTION:26 (a) "A DVERSE ACTION" HAS THE MEANING SET FORTH IN SECTION27 SB24-018 -45- 24-60-4502.1 (b) "C OMMISSION" MEANS THE PA LICENSURE COMPACT2 COMMISSION CREATED IN SECTION 24-60-4502.3 (c) "C OMPACT" MEANS THE PHYSICIAN ASSISTANT LICENSURE4 COMPACT AUTHORIZED IN PART 45 OF ARTICLE 60 OF TITLE 24.5 (d) "C OMPACT PRIVILEGE" HAS THE MEANING SET FORTH IN6 SECTION 24-60-4502.7 (e) "D ATA SYSTEM" HAS THE MEANING SET FORTH IN SECTION8 24-60-4502.9 (f) "I NVESTIGATIVE INFORMATION" HAS THE MEANING SET FORTH10 IN SECTION 24-60-4502.11 (g) "L ICENSEE" HAS THE MEANING SET FORTH IN SECTION12 24-60-4502.13 (h) "L ICENSING BOARD" HAS THE MEANING SET FORTH IN SECTION14 24-60-4502.15 (i) "P ARTICIPATING STATE" MEANS A STATE THAT HAS ENACTED16 THE COMPACT.17 (j) "S IGNIFICANT INVESTIGATIVE INFORMATION" HAS THE MEANING18 SET FORTH IN SECTION 24-60-4502.19 (2) I N ADDITION TO ANY POWERS AND DUTIES SPECIFIED IN THE20 COMPACT FOR PARTICIPATING STATES , THE BOARD HAS THE FOLLOWING21 POWERS AND DUTIES WITH REGARD TO THE COMPACT :22 (a) T O FACILITATE COLORADO'S PARTICIPATION IN THE COMPACT;23 (b) T O COMPLY WITH THE RULES OF THE COMMISSION ;24 (c) T O PROMULGATE RULES IN ACCORDANCE WITH ARTICLE 4 OF25 TITLE 24 AS NECESSARY FOR THE IMPLEMENTATION , ADMINISTRATION,26 AND ENFORCEMENT OF THE COMPACT ;27 SB24-018 -46- (d) TO APPOINT A PERSON TO SERVE AS A DELEGATE ON AND1 ATTEND MEETINGS OF THE COMMISSION IN ACCORDANCE WITH THE TERMS2 OF THE COMPACT;3 (e) T O NOTIFY THE COMMISSION, IN COMPLIANCE WITH THE TERMS4 OF THE COMPACT AND COMMISSION RULES , OF ANY ADVERSE ACTION OR5 THE AVAILABILITY OF SIGNIFICANT INVESTIGATIVE INFORMATION6 REGARDING A LICENSEE;7 (f) T O REQUIRE A LICENSEE TO SUBMIT TO A FINGERPRINT -BASED8 CRIMINAL HISTORY RECORD CHECK IN ACCORDANCE WITH THE9 FOLLOWING:10 (I) T HE APPLICANT MUST PAY THE COSTS ASSOCIATED WITH THE11 FINGERPRINT-BASED CRIMINAL HISTORY RECORD CHECK ;12 (II) A FTER SUBMITTING AN APPLICATION FOR A COMPACT13 PRIVILEGE, THE APPLICANT SHALL HAVE THE APPLICANT 'S FINGERPRINTS14 TAKEN BY A LOCAL LAW ENFORCEMENT AGENCY OR ANY THIRD PARTY15 APPROVED BY THE COLORADO BUREAU OF INVESTIGATION FOR THE16 PURPOSE OF OBTAINING A FINGERPRINT-BASED CRIMINAL HISTORY RECORD17 CHECK. THE APPLICANT SHALL AUTHORIZE THE ENTITY TAKING THE18 APPLICANT'S FINGERPRINTS TO SUBMIT, AND THE ENTITY SHALL SUBMIT,19 THE COMPLETE SET OF THE APPLICANT'S FINGERPRINTS TO THE COLORADO20 BUREAU OF INVESTIGATION FOR THE PURPOSE OF CONDUCTING A21 FINGERPRINT-BASED CRIMINAL HISTORY RECORD CHECK .22 (III) I F AN APPROVED THIRD PARTY TAKES THE PERSON 'S23 FINGERPRINTS, THE FINGERPRINTS MAY BE ELECTRONICALLY CAPTURED24 USING COLORADO BUREAU OF INVESTIGATION -APPROVED LIVESCAN25 EQUIPMENT. THIRD-PARTY VENDORS SHALL NOT KEEP THE APPLICANT 'S26 INFORMATION FOR MORE THAN THIRTY DAYS .27 SB24-018 -47- (IV) THE COLORADO BUREAU OF INVESTIGATION SHALL USE THE1 APPLICANT'S FINGERPRINTS TO CONDUCT A CRIMINAL HISTORY RECORD2 CHECK USING THE BUREAU 'S RECORDS. THE COLORADO BUREAU OF3 INVESTIGATION SHALL ALSO FORWARD THE FINGERPRINTS TO THE FEDERAL4 BUREAU OF INVESTIGATION FOR THE PURPOSE OF CONDUCTING A5 FINGERPRINT-BASED CRIMINAL HISTORY RECORD CHECK . THE COLORADO6 BUREAU OF INVESTIGATION , APPLICANT, BOARD, AND ENTITY TAKING7 FINGERPRINTS SHALL COMPLY WITH THE FEDERAL BUREAU OF8 INVESTIGATION'S REQUIREMENTS TO CONDUCT A CRIMINAL HISTORY9 RECORD CHECK.10 (V) T HE COLORADO BUREAU OF INVESTIGATION SHALL RETURN11 THE RESULTS OF ITS CRIMINAL HISTORY RECORD CHECK TO THE BOARD ,12 AND THE BOARD IS AUTHORIZED TO RECEIVE THE RESULTS OF THE FEDERAL13 BUREAU OF INVESTIGATION'S CRIMINAL HISTORY RECORD CHECK . THE14 BOARD SHALL USE THE INFORMATION RESULTING FROM THE CRIMINAL15 HISTORY RECORD CHECKS TO INVESTIGATE AND DETERMINE WHETHER AN16 APPLICANT IS QUALIFIED FOR A COMPACT PRIVILEGE .17 (VI) T HE RESULTS OF THE RECORD CHECK ARE CONFIDENTIAL . THE18 BOARD SHALL NOT RELEASE THE RESULTS OF THE RECORD CHECK TO THE19 PUBLIC, THE COMMISSION, A PARTICIPATING STATE, OR OTHER STATE20 LICENSING BOARDS.21 (g) T O GRANT A COMPACT PRIVILEGE TO A LICENSEE OF A22 PARTICIPATING STATE IN ACCORDANCE WITH THE TERMS OF THE COMPACT23 AND TO CHARGE A FEE TO INDIVIDUALS APPLYING FOR THE COMPACT24 PRIVILEGE;25 (h) T O PARTICIPATE FULLY IN THE DATA SYSTEM CONSISTENT WITH26 THE COMPACT REQUIREMENTS AND THE RULES OF THE COMMISSION ; AND27 SB24-018 -48- (i) TO APPROVE PAYMENT OF ASSESSMENTS LEVIED BY THE1 COMMISSION TO COVER THE COST OF OPERATIONS AND ACTIVITIES OF THE2 COMMISSION AND ITS STAFF.3 SECTION 3. Act subject to petition - effective date. This act4 takes effect at 12:01 a.m. on the day following the expiration of the5 ninety-day period after final adjournment of the general assembly; except6 that, if a referendum petition is filed pursuant to section 1 (3) of article V7 of the state constitution against this act or an item, section, or part of this8 act within such period, then the act, item, section, or part will not take9 effect unless approved by the people at the general election to be held in10 November 2024 and, in such case, will take effect on the date of the11 official declaration of the vote thereon by the governor.12 SB24-018 -49-