Introduced Version SENATE BILL No. 375 _____ DIGEST OF INTRODUCED BILL Citations Affected: IC 25-14.7; IC 34-30-2.1-367.7. Synopsis: Dietitian licensure compact. Adopts the dietitian licensure compact. Effective: July 1, 2025. Goode January 13, 2025, read first time and referred to Committee on Health and Provider Services. 2025 IN 375—LS 6951/DI 148 Introduced First Regular Session of the 124th General Assembly (2025) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2024 Regular Session of the General Assembly. SENATE BILL No. 375 A BILL FOR AN ACT to amend the Indiana Code concerning professions and occupations. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 25-14.7 IS ADDED TO THE INDIANA CODE AS 2 A NEW ARTICLE TO READ AS FOLLOWS [EFFECTIVE JULY 1, 3 2025]: 4 ARTICLE 14.7. DIETITIAN LICENSURE COMPACT 5 Chapter 1. Purpose 6 Sec. 1. The purpose of this compact is to facilitate interstate 7 practice of dietetics with the goal of improving public access to 8 dietetics services. This compact preserves the regulatory authority 9 of states to protect public health and safety through the current 10 system of state licensure, while also providing for licensure 11 portability through a compact privilege granted to qualifying 12 professionals. This compact is designed to achieve the following 13 objectives: 14 (1) Increase public access to dietetics services. 15 (2) Provide opportunities for interstate practice by licensed 16 dietitians who meet uniform requirements. 17 (3) Eliminate the necessity for licenses in multiple states. 2025 IN 375—LS 6951/DI 148 2 1 (4) Reduce administrative burden on member states and 2 licensees. 3 (5) Enhance the states' ability to protect the public's health 4 and safety. 5 (6) Encourage the cooperation of member states in regulating 6 multistate practice of licensed dietitians. 7 (7) Support relocating active military members and their 8 spouses. 9 (8) Enhance the exchange of licensure, investigative, and 10 disciplinary information among member states. 11 (9) Vest all member states with the authority to hold a 12 licensed dietitian accountable for meeting all state practice 13 laws in the state in which the patient is located at the time 14 care is rendered. 15 Chapter 2. Definitions 16 Sec. 1. As used in this compact, and except as otherwise 17 provided, the following definitions apply: 18 (1) "ACEND" means the Accreditation Council for Education 19 in Nutrition and Dietetics or its successor organization. 20 (2) "Active military member" means any individual with 21 full-time duty status in the active armed forces of the United 22 States, including members of the National Guard and 23 Reserve. 24 (3) "Adverse action" means any administrative, civil, 25 equitable or criminal action permitted by a state's laws which 26 is imposed by a licensing authority or other authority against 27 a licensee, including actions against an individual's license or 28 compact privilege such as: 29 (A) revocation; 30 (B) suspension; 31 (C) probation; 32 (D) monitoring of the licensee; 33 (E) limitation on the licensee's practice; or 34 (F) any other encumbrance on licensure affecting a 35 licensee's authorization to practice, including issuance of 36 a cease and desist action. 37 (4) "Alternative program" means a nondisciplinary 38 monitoring or practice remediation process approved by a 39 licensing authority. 40 (5) "Charter member state" means any member state which 41 enacted this compact by law before the effective date specified 42 in IC 25-14.7-12. 2025 IN 375—LS 6951/DI 148 3 1 (6) "Continuing education" means a requirement, as a 2 condition of license renewal, to provide evidence of 3 participation in, and completion of, educational and 4 professional activities relevant to practice or area of work. 5 (7) "CDR" means the commission on dietetic registration or 6 its successor organization. 7 (8) "Compact commission" means the government agency 8 whose membership consists of all states that have enacted this 9 compact, which is known as the dietitian licensure compact 10 commission established by IC 25-14.7-8-1, and which operates 11 as an instrumentality of the member states. 12 (9) "Compact privilege" means a legal authorization, which 13 is equivalent to a license, permitting the practice of dietetics 14 in a remote state. 15 (10) "Current significant investigative information" means 16 investigative information: 17 (A) that a licensing authority, after a preliminary inquiry 18 that includes notification and an opportunity for the 19 subject licensee to respond, if required by state law, has 20 reason to believe is not groundless and, if proved true, 21 would indicate more than a minor infraction; or 22 (B) that indicates that the subject licensee represents an 23 immediate threat to public health and safety regardless of 24 whether the subject licensee has been notified and had an 25 opportunity to respond. 26 (11) "Data system" means a repository of information about 27 licensees, including continuing education, examination, 28 licensure, investigative, compact privilege, and adverse action 29 information. 30 (12) "Encumbered license" means a license in which an 31 adverse action restricts a licensee's ability to practice 32 dietetics. 33 (13) "Encumbrance" means: 34 (A) a revocation of; 35 (B) a suspension of; or 36 (C) any limitation on; 37 a licensee's full and unrestricted practice of dietetics by a 38 licensing authority. 39 (14) "Executive committee" means a group of delegates 40 elected or appointed to act on behalf of, and within the powers 41 granted to them by, this compact, and the compact 42 commission. 2025 IN 375—LS 6951/DI 148 4 1 (15) "Home state" means the member state that is the 2 licensee's primary state of residence or that has been 3 designated under IC 25-14.7-6. 4 (16) "Investigative information" means information, records, 5 and documents received or generated by a licensing authority 6 during an investigation. 7 (17) "Jurisprudence requirement" means an assessment of an 8 individual's knowledge of the state laws and regulations 9 governing the practice of dietetics in the state. 10 (18) "License" means an authorization from a member state 11 to either: 12 (A) engage in the practice of dietetics (including medical 13 nutrition therapy); or 14 (B) use the title "dietitian", "licensed dietitian", "licensed 15 dietitian nutritionist", "certified dietitian", or other title 16 describing a substantially similar practitioner as the 17 compact commission may further define by rule. 18 (19) "Licensee" or "licensed dietitian" means an individual 19 who currently holds a license and who meets all of the 20 requirements outlined in IC 25-14.7-4. 21 (20) "Licensing authority" means the board or agency of a 22 state, or equivalent, that is responsible for the licensing and 23 regulation of the practice of dietetics. 24 (21) "Member state" means a state that has enacted the 25 compact. 26 (22) "Practice of dietetics" means the synthesis and 27 application of dietetics, primarily for the provision of 28 nutrition care services, including medical nutrition therapy, 29 in person or via telehealth, to prevent, manage, or treat 30 diseases or medical conditions and promote wellness. 31 (23) "Registered dietitian" means a person who: 32 (A) has completed applicable education, experience, 33 examination, and recertification requirements approved by 34 CDR; 35 (B) is credentialed by CDR as a registered dietitian or a 36 registered dietitian nutritionist; and 37 (C) is legally authorized to use the title "registered 38 dietitian" or "registered dietitian nutritionist" and the 39 corresponding abbreviations "RD" or "RDN". 40 (24) "Remote state" means a member state other than the 41 home state, where a licensee is exercising or seeking to 42 exercise a compact privilege. 2025 IN 375—LS 6951/DI 148 5 1 (25) "Rule" means a regulation promulgated by the compact 2 commission that has the force of law. 3 (26) "Single state license" means a license issued by a member 4 state within the issuing state and does not include a compact 5 privilege in any other member state. 6 (27) "State" means any state, commonwealth, district, or 7 territory of the United States of America. 8 (28) "Unencumbered license" means a license that authorizes 9 a licensee to engage in the full and unrestricted practice of 10 dietetics. 11 Chapter 3. State Participation 12 Sec. 1. To participate in the compact, a state must currently: 13 (1) license and regulate the practice of dietetics; and 14 (2) have a mechanism in place for receiving and investigating 15 complaints about licensees. 16 Sec. 2. (a) A member state shall do all of the following: 17 (1) Participate fully in the compact commission's data system, 18 including using the unique identifier as defined in rules. 19 (2) Notify the compact commission, in compliance with the 20 terms of the compact and rules, of any adverse action or the 21 availability of current significant investigative information 22 regarding a licensee. 23 (3) Implement a procedure for considering the criminal 24 history record information of an applicant for an initial 25 compact privilege. 26 (4) Comply with and enforce the rules of the compact 27 commission. 28 (5) Require an applicant for a compact privilege to obtain or 29 retain a license in the licensee's home state and meet the home 30 state's qualifications for licensure or renewal of licensure, as 31 well as all other applicable state laws. 32 (6) Recognize a compact privilege granted to a licensee who 33 meets all of the requirements outlined in IC 25-14.7-4 34 according to the terms of the compact and rules. 35 (b) The procedure described in subsection (a)(3) must include a 36 fingerprint submission or other biometric based information by an 37 applicant to obtain the applicant's criminal history record 38 information from the Federal Bureau of Investigation and the 39 agency responsible for retaining that state's criminal records. 40 (c) A member state must fully implement a criminal history 41 record information requirement, within a time frame established 42 by rule, which includes receiving the results of the Federal Bureau 2025 IN 375—LS 6951/DI 148 6 1 of Investigation record search and must use those results in 2 determining compact privilege eligibility. 3 (d) Communication between a member state and the compact 4 commission or among member states regarding the verification of 5 eligibility for a compact privilege must not include any information 6 received from the Federal Bureau of Investigation relating to a 7 federal criminal history record information check performed by a 8 member state. 9 Sec. 3. A member state may set and collect a fee for granting a 10 compact privilege. 11 Sec. 4. (a) An individual who does not reside in a member state 12 may apply for a member state's single state license as provided 13 under the laws of each member state. However, the single state 14 license granted to an individual does not include a compact 15 privilege to engage in the practice of dietetics in any other member 16 state. 17 (b) The compact commission may not define the requirements 18 for a single state license to practice dietetics. A member state 19 retains sole jurisdiction over the provision of these requirements. 20 (c) This compact does not affect the requirements established by 21 a member state for the issuance of a single state license. 22 Chapter 4. Compact Privilege 23 Sec. 1. (a) Except as provided in subsection (b), to exercise the 24 compact privilege under the compact, a licensee shall satisfy all of 25 the following: 26 (1) Complete an education program which is either: 27 (A) a master's degree or doctoral degree that is: 28 (i) from a program accredited by ACEND or a dietetics 29 accrediting agency recognized by the United States 30 Department of Education, which the compact 31 commission may by rule determine; and 32 (ii) from a college or university accredited at the time of 33 graduation by the appropriate regional accrediting 34 agency recognized by the Council on Higher Education 35 Accreditation and the United States Department of 36 Education; or 37 (B) an academic degree from a college or university in a 38 foreign country equivalent to the requirements described 39 in clause (A). 40 (2) Complete a planned, documented, supervised practice 41 experience in dietetics that is programmatically accredited 42 by: 2025 IN 375—LS 6951/DI 148 7 1 (A) ACEND; or 2 (B) a dietetics accrediting agency recognized by the United 3 States Department of Education which the compact 4 commission may by rule determine; 5 which involves at least one thousand (1,000) hours of practice 6 experience under the supervision of a registered dietitian or 7 a licensed dietitian. 8 (3) Successful completion of either: 9 (A) the registration examination for dietitians 10 administered by CDR; or 11 (B) a national credentialing examination for dietitians 12 approved by the compact commission by rule; 13 the completion being no more than five (5) years before the 14 date of the licensee's application for initial licensure and 15 accompanied by a period of continuous licensure thereafter, 16 all of which may be further governed by the rules of the 17 compact commission. 18 (4) Hold an unencumbered license in the home state. 19 (5) Notify the compact commission that the licensee is seeking 20 a compact privilege within a remote state. 21 (6) Pay any applicable fees, including any state fee, for the 22 compact privilege. 23 (7) Meet any jurisprudence requirements established by the 24 remote state in which the licensee is seeking a compact 25 privilege. 26 (8) Report to the compact commission any adverse action, 27 encumbrance, or restriction on a license taken by any 28 nonmember state not later than thirty (30) days after the date 29 the action is taken. 30 (b) An applicant may exercise the compact privilege under the 31 compact if the applicant holds a valid current registration that 32 gives the applicant the right to use the term "registered dietitian". 33 Sec. 2. (a) The compact privilege is valid until the expiration 34 date of the home state license. 35 (b) To maintain a compact privilege, renewal of the compact 36 privilege must be congruent with the renewal of the home state 37 license as the compact commission may define by rule. 38 (c) The licensee must comply with the requirements of section 39 1 of this chapter to maintain the compact privilege in the remote 40 state. 41 Sec. 3. A licensee exercising a compact privilege shall comply 42 with the remote state's laws. Licensees must educate themselves on, 2025 IN 375—LS 6951/DI 148 8 1 and comply with, any state law relating to the practice of dietetics 2 in the remote state. 3 Sec. 4. (a) A licensee exercising a compact privilege is only 4 required to complete continuing education requirements as 5 required by the licensee's home state. 6 (b) A remote state may not require a licensee exercising a 7 compact privilege to complete any additional continuing education 8 requirements. 9 Chapter 5. Obtaining a New Home State License Based on a 10 Compact Privilege 11 Sec. 1. A licensee may hold a home state license, which allows 12 for a compact privilege in other member states, in only one (1) 13 member state at a time. 14 Sec. 2. (a) If a licensee changes home state by moving between 15 two member states the licensee shall: 16 (1) file an application for obtaining a new home state license 17 based on a compact privilege; 18 (2) pay all applicable fees; and 19 (3) notify the current and new home state according to the 20 rules of the compact commission. 21 (b) Upon receipt of an application for obtaining a new home 22 state license by virtue of a compact privilege: 23 (1) the new home state shall: 24 (A) verify that the licensee meets the criteria in 25 IC 25-14.7-4 via the data system; and 26 (B) require that the licensee complete: 27 (i) a Federal Bureau of Investigation fingerprint based 28 criminal history record information check; 29 (ii) any other criminal history record information 30 required by the new home state; and 31 (iii) any jurisprudence requirements of the new home 32 state; 33 (2) the former home state shall convert the former home state 34 license into a compact privilege once the new home state has 35 activated the new home state license according to applicable 36 rules adopted by the compact commission; 37 (3) notwithstanding any other provision of this compact, the 38 new home state may apply its requirements for issuing a new 39 single state license if the licensee cannot meet the criteria in 40 IC 25-14.7-4; and 41 (4) the licensee shall pay all applicable fees to the new home 42 state in order to be issued a new home state license. 2025 IN 375—LS 6951/DI 148 9 1 Sec. 3. If a licensee changes their state of residence by moving 2 from a member state to a nonmember state, or from a nonmember 3 state to a member state, the new state's criteria applies for issuance 4 of a single state license in the new state. 5 Sec. 4. A licensee may hold a single state license in multiple 6 states. However, for the purposes of this compact, a licensee may 7 only hold one (1) home state license. 8 Sec. 5. This compact does not affect the requirements 9 established by a member state for the issuance of a single state 10 license. 11 Chapter 6. Active Military Members or Their Spouses 12 Sec. 1. (a) An active military member, or the active military 13 member's spouse, shall designate a home state where the individual 14 has a current license in good standing. 15 (b) The individual may retain the home state designation during 16 the period the service member is on active duty. 17 Chapter 7. Adverse Actions 18 Sec. 1. (a) In addition to the other powers conferred by state 19 law, a remote state may, according to existing state due process 20 law: 21 (1) take adverse action against a licensee's compact privilege 22 within that remote state; and 23 (2) issue subpoenas for: 24 (A) both hearings and investigations that require the 25 attendance and testimony of witnesses; and 26 (B) the production of evidence. 27 (b) Subpoenas issued by a licensing authority in a remote state 28 for the attendance and testimony of witnesses or the production of 29 evidence from another member state must be enforced in the 30 receiving member state by any court of competent jurisdiction, 31 according to the practice and procedure applicable to subpoenas 32 issued in proceedings pending before that court. 33 (c) The issuing authority shall pay any witness fees, travel 34 expenses, mileage, and other fees required by the service statutes 35 of the receiving member state in which the witnesses or evidence 36 are located. 37 Sec. 2. Only the home state may take adverse action against a 38 licensee's home state license. 39 Sec. 3. For purposes of taking adverse action, the home state 40 shall give the same priority and effect to reported conduct received 41 from a member state as it would if the conduct had occurred within 42 the home state. In so doing, the home state shall apply its own state 2025 IN 375—LS 6951/DI 148 10 1 laws to determine appropriate action. 2 Sec. 4. (a) The home state shall complete any pending 3 investigations of a licensee who changes home states during the 4 course of the investigations. 5 (b) The home state may take appropriate action and promptly 6 report the conclusions of the investigations to the administrator of 7 the data system. 8 (c) The administrator of the data system shall promptly notify 9 the new home state of any adverse action. 10 Sec. 5. A member state, if otherwise permitted by state law, may 11 recover from the affected licensee the costs of investigations and 12 dispositions of cases resulting from any adverse action taken 13 against that licensee. 14 Sec. 6. A member state may take adverse action based on the 15 factual findings of another remote state if the member state follows 16 its own procedures for taking the adverse action. 17 Sec. 7. (a) In addition to the authority granted to a member state 18 by its respective state law, a member state may participate with 19 another member state in a joint investigation of a licensee. 20 (b) A member state shall share any investigative, litigation, or 21 compliance materials in furtherance of the joint investigation 22 initiated under the compact. 23 Sec. 8. (a) If a home state takes adverse action against a 24 licensee's home state license resulting in an encumbrance on the 25 home state license, the licensee's compact privilege in all other 26 member states must be revoked until all encumbrances have been 27 removed from the home state license. 28 (b) A home state disciplinary order that imposes adverse action 29 against a licensee must include a statement that the licensee's 30 compact privileges are revoked in all member states during the 31 pendency of the order. 32 Sec. 9. Once an encumbered license in the home state is restored 33 to an unencumbered license (as certified by the home state's 34 licensing authority), the licensee must meet the requirements of 35 IC 25-14.7-4 and follow the administrative requirements to reapply 36 to obtain a compact privilege in any remote state. 37 Sec. 10. (a) If a member state takes adverse action, the member 38 state shall promptly notify the administrator of the data system. 39 (b) The administrator of the data system shall promptly notify 40 the other member states of any adverse actions. 41 Sec. 11. A member state may require a licensee to participate in 42 an alternative program instead of taking adverse action. 2025 IN 375—LS 6951/DI 148 11 1 Chapter 8. Dietitian Licensure Compact Commission 2 Sec. 1. The dietitian licensure compact commission, whose 3 membership consists of all member states that have enacted the 4 compact, is established. The compact commission is an 5 instrumentality of the compact states acting jointly and not an 6 instrumentality of any one (1) state. The compact commission 7 comes into existence on or after the effective date of the compact 8 as set forth in IC 25-14.7-12. 9 Sec. 2. (a) Each member state shall have one (1) delegate 10 selected by that member state's licensing authority. 11 (b) The delegate must be the primary administrator of the 12 licensing authority or the administrator's designee. 13 (c) The compact commission: 14 (1) shall establish a term of office for a delegate; and 15 (2) may establish term limits. 16 (d) The compact commission may recommend removal or 17 suspension of any delegate from office. 18 (e) A member state's licensing authority shall fill any vacancy 19 of the member state's delegate occurring on the compact 20 commission not more than sixty (60) days after the vacancy occurs. 21 (f) Each delegate is entitled to one (1) vote on all matters before 22 the compact commission requiring a vote by the delegates. 23 (g) A delegate shall meet and vote according to the bylaws. The 24 bylaws may provide for delegates to meet and vote: 25 (1) in-person; 26 (2) by telecommunication; 27 (3) by video conference; or 28 (4) by any other means of communication. 29 (h) The compact commission shall meet at least once during 30 each calendar year. Additional meetings may be held as set forth 31 in the bylaws. The compact commission may meet: 32 (1) in-person; 33 (2) by telecommunication; 34 (3) by video conference; or 35 (4) by any other means of communication. 36 Sec. 3. The compact commission has the following powers: 37 (1) Establish the fiscal year of the compact commission. 38 (2) Establish code of conduct and conflict of interest policies. 39 (3) Establish and amend rules and bylaws. 40 (4) Maintain its financial records according to the bylaws. 41 (5) Meet and take actions consistent with this compact, the 42 compact commission's rules, and the bylaws. 2025 IN 375—LS 6951/DI 148 12 1 (6) Initiate and conclude legal proceedings or actions in the 2 name of the compact commission unless doing so affects the 3 standing of any licensing authority to sue or be sued under 4 applicable law. 5 (7) Maintain and certify records and information provided to 6 a member state as the authenticated business records of the 7 compact commission and designate an agent to do so on the 8 compact commission's behalf. 9 (8) Purchase and maintain insurance and bonds. 10 (9) Borrow, accept, or contract for services of personnel, 11 including employees of a member state. 12 (10) Conduct an annual financial review. 13 (11) Hire employees, elect or appoint officers, fix 14 compensation, define duties, grant the individuals appropriate 15 authority to carry out the purposes of the compact, and 16 establish the compact commission's personnel policies and 17 programs relating to conflicts of interest, qualifications of 18 personnel, and other related personnel matters. 19 (12) Assess and collect fees. 20 (13) Accept any and all appropriate donations, grants of 21 money, other sources of revenue, equipment, supplies, 22 materials, services, and gifts, and receive, utilize, and dispose 23 of the same, provided that at all times the compact 24 commission shall avoid any actual or appearance of 25 impropriety or conflict of interest. 26 (14) Lease, purchase, retain, own, hold, improve, or use any 27 property or any undivided interest in the property. 28 (15) Sell, convey, mortgage, pledge, lease, exchange, abandon, 29 or otherwise dispose of any property. 30 (16) Establish a budget and make expenditures. 31 (17) Borrow money. 32 (18) Appoint committees, including standing committees, 33 composed of members, state regulators, state legislators or 34 their representatives, and consumer representatives, and the 35 other interested persons as may be designated in this compact 36 or the bylaws. 37 (19) Provide and receive information from, and cooperate 38 with, law enforcement agencies. 39 (20) Establish and elect an executive committee, including a 40 chair and a vice chair. 41 (21) Determine whether a state's adopted language is 42 materially different from the model compact language such 2025 IN 375—LS 6951/DI 148 13 1 that the state would not qualify for participation in the 2 compact. 3 (22) Perform the other functions as may be necessary or 4 appropriate to achieve the purposes of this compact. 5 Sec. 4. (a) The executive committee may act on behalf of the 6 compact commission according to the terms of this compact. The 7 executive committee has the following powers, duties, and 8 responsibilities: 9 (1) Oversee the day to day activities of the administration of 10 the compact including enforcement and compliance with the 11 provisions of the compact, its rules and bylaws, and other 12 duties as deemed necessary. 13 (2) Recommend to the compact commission changes to the 14 rules or bylaws, changes to this compact legislation, fees 15 charged to compact member states, fees charged to licensees, 16 and other fees. 17 (3) Ensure compact administration services are appropriately 18 provided, including by contract. 19 (4) Prepare and recommend the budget. 20 (5) Maintain financial records on behalf of the compact 21 commission. 22 (6) Monitor compact compliance of member states and 23 provide compliance reports to the compact commission. 24 (7) Establish additional committees as necessary. 25 (8) Exercise the powers and duties of the compact commission 26 during the interim between compact commission meetings, 27 except for adopting or amending rules, adopting or amending 28 bylaws, and exercising any other powers and duties expressly 29 reserved to the compact commission by rule or bylaw. 30 (9) Other duties as provided in the rules or bylaws of the 31 compact commission. 32 (b) The executive committee consists of the following nine (9) 33 members: 34 (1) The chair and vice chair of the compact commission, who 35 are both voting members of the executive committee. 36 (2) Five (5) voting members from the current membership of 37 the compact commission, elected by the compact commission. 38 (3) One (1) ex officio, nonvoting member from a recognized 39 professional association representing dietitians. 40 (4) One (1) ex officio, nonvoting member from a recognized 41 national credentialing organization for dietitians. 42 (c) The compact commission may remove any member of the 2025 IN 375—LS 6951/DI 148 14 1 executive committee as provided in the compact commission's 2 bylaws. 3 (d) The: 4 (1) executive committee shall: 5 (A) meet at least annually; 6 (B) give thirty (30) days notice of its meetings, posted on 7 the website of the compact commission and as determined 8 to provide notice to persons with an interest in the business 9 of the compact commission; and 10 (C) adopt and provide to the member states an annual 11 report; 12 (2) executive committee meetings must be open to the public, 13 except that the executive committee may meet in a closed, 14 nonpublic meeting as provided in section 5(d) of this chapter; 15 and 16 (3) executive committee may hold a special meeting according 17 to section 5(b) of this chapter. 18 Sec. 5. (a) All meetings shall be open to the public, except that 19 the compact commission may meet in a closed, nonpublic meeting 20 as provided in subsection (d). 21 (b) Public notice for all meetings of the full compact commission 22 must be given in the same manner as required under the 23 rulemaking provisions in IC 25-14.7-10, except that the compact 24 commission may hold a special meeting as provided in this section. 25 (c) The compact commission or the executive committee may 26 hold a special meeting when it must meet to conduct emergency 27 business by giving twenty-four (24) hours notice to all member 28 states, on the compact commission's website, and other means as 29 provided in the compact commission's rules. The compact 30 commission's legal counsel shall certify that the compact 31 commission's need to meet qualifies as an emergency. 32 (d) The compact commission or the executive committee or 33 other committees of the compact commission may convene in a 34 closed, nonpublic meeting for the compact commission or executive 35 committee or other committees of the compact commission to 36 receive legal advice or to discuss any of the following: 37 (1) Noncompliance of a member state with its obligations 38 under the compact. 39 (2) The employment, compensation, discipline, or other 40 matters, practices, or procedures related to specific 41 employees. 42 (3) Current or threatened discipline of a licensee by the 2025 IN 375—LS 6951/DI 148 15 1 compact commission or by a member state's licensing 2 authority. 3 (4) Current, threatened, or reasonably anticipated litigation. 4 (5) Negotiation of contracts for the purchase, lease, or sale of 5 goods, services, or real estate. 6 (6) Accusing any person of a crime or formally censuring any 7 person. 8 (7) Trade secrets or commercial or financial information that 9 is privileged or confidential. 10 (8) Information of a personal nature where disclosure would 11 constitute a clearly unwarranted invasion of personal privacy. 12 (9) Investigative records compiled for law enforcement 13 purposes. 14 (10) Information related to any investigative reports prepared 15 by or on behalf of or for use of the compact commission or 16 other committee charged with responsibility of investigation 17 or determination of compliance issues under the compact. 18 (11) Matters specifically exempted from disclosure by federal 19 or member state law. 20 (12) Other matters as specified in the rules of the compact 21 commission. 22 (e) If a meeting, or portion of a meeting, is closed, the presiding 23 officer shall state that the meeting will be closed and reference each 24 relevant exempting provision, and the reference must be recorded 25 in the minutes. 26 (f) The compact commission shall: 27 (1) keep minutes that fully and clearly describe all matters 28 discussed in a meeting; and 29 (2) provide a full and accurate summary of actions taken, and 30 the reasons therefore, including a description of the views 31 expressed. 32 All documents considered in connection with an action must be 33 identified in the minutes. All minutes and documents of a closed 34 meeting must remain under seal, subject to release only by a 35 majority vote of the compact commission or order of a court of 36 competent jurisdiction. 37 Sec. 6. (a) The compact commission shall pay, or provide for the 38 payment of, the reasonable expenses of its establishment, 39 organization, and ongoing activities. 40 (b) The compact commission may accept any appropriate 41 revenue sources as provided in section 3(13) of this chapter. 42 (c) The compact commission may: 2025 IN 375—LS 6951/DI 148 16 1 (1) levy on and collect an annual assessment from each 2 member state; and 3 (2) impose fees on licensees of member states to whom it 4 grants a compact privilege to cover the cost of the operations 5 and activities of the compact commission and its staff, which 6 must, in a total amount, be sufficient to cover its annual 7 budget as approved each year for which revenue is not 8 provided by other sources. 9 The aggregate annual assessment amount for member states must 10 be allocated based on a formula that the compact commission must 11 promulgate by rule. 12 (d) The compact commission shall not do either of the following: 13 (1) Incur obligations of any kind before securing adequate 14 funds. 15 (2) Pledge the credit of any of the member states, except by 16 and with the authority of the member state. 17 (e) The compact commission shall keep accurate accounts of all 18 receipts and disbursements. The receipts and disbursements of the 19 compact commission are subject to the financial review and 20 accounting procedures established under the bylaws. However, all 21 receipts and disbursements of funds handled by the compact 22 commission are subject to an annual financial review by a certified 23 or licensed public accountant, and the report of the financial 24 review must be included in and become part of the annual report 25 of the compact commission. 26 Sec. 7. (a) Except as provided in subsection (b), the members, 27 officers, executive director, employees, and representatives of the 28 compact commission are immune from suit and liability, both 29 personally and in their official capacity, for a claim for damage to 30 or loss of property, personal injury, or other civil liability caused 31 by or arising out of: 32 (1) an actual or alleged act, error, or omission that occurred; 33 or 34 (2) as determined by the commission, that the person against 35 whom the claim is made had a reasonable basis for believing 36 occurred within the scope of compact commission 37 employment, duties, or responsibilities. 38 (b) An individual is not immune under subsection (a) for the 39 individual's: 40 (1) intentional misconduct; or 41 (2) willful or wanton misconduct. 42 (c) The commission's procurement of insurance of any type does 2025 IN 375—LS 6951/DI 148 17 1 not in any way compromise or limit the immunity granted in this 2 section. 3 (d) Except as provided in subsection (e), the compact 4 commission shall defend any member, officer, executive director, 5 employee, and representative of the compact commission in a civil 6 action seeking to impose liability arising out of any actual or 7 alleged act, error, or omission: 8 (1) that occurred within the scope of compact commission 9 employment, duties, or responsibilities; or 10 (2) as determined by the compact commission, that the person 11 against whom the claim is made had a reasonable basis for 12 believing occurred within the scope of compact commission 13 employment, duties, or responsibilities. 14 However, this subsection does not prohibit that person from 15 retaining their own counsel at their own expense. 16 (e) The commission is not required to defend an individual 17 described in subsection (d) if the individual's actual or alleged act, 18 error, or omission was: 19 (1) intentional misconduct; or 20 (2) willful or wanton misconduct. 21 (f) Subject to subsection (g), the compact commission shall 22 indemnify and hold harmless any member, officer, executive 23 director, employee, and representative of the compact commission 24 for the amount of any settlement or judgment obtained against that 25 person arising out of any actual or alleged act, error, or omission: 26 (1) that occurred within the scope of compact commission 27 employment, duties, or responsibilities; or 28 (2) that the person had a reasonable basis for believing 29 occurred within the scope of compact commission 30 employment, duties, or responsibilities. 31 (g) The commission is not required to indemnify and hold 32 harmless a person described in subsection (f) if the actual or 33 alleged act, error, or omission was: 34 (1) intentional misconduct; or 35 (2) willful or wanton misconduct. 36 (h) This compact does not limit the liability of any licensee for 37 professional malpractice or misconduct, which is governed solely 38 by any other applicable state laws. 39 (i) This compact does not waive or otherwise abrogate a 40 member state's state action immunity or state action affirmative 41 defense with respect to antitrust claims under the Sherman Act, 42 Clayton Act, or any other state or federal antitrust or 2025 IN 375—LS 6951/DI 148 18 1 anticompetitive law or regulation. 2 (j) This compact is not a waiver of sovereign immunity by the 3 member states or by the compact commission. 4 Chapter 9. Data System 5 Sec. 1. The compact commission shall provide for the 6 development, maintenance, operation, and utilization of a 7 coordinated data system. 8 Sec. 2. The compact commission shall assign each applicant for 9 a compact privilege a unique identifier, as determined by the rules. 10 Sec. 3. Notwithstanding any other provision of state law to the 11 contrary, a member state shall submit a uniform data set to the 12 data system on all individuals to whom this compact is applicable 13 as required by the rules of the compact commission, including: 14 (1) identifying information; 15 (2) licensure data; 16 (3) adverse actions against a license or compact privilege and 17 any related information; 18 (4) nonconfidential information related to alternative 19 program participation, the beginning and ending dates of the 20 participation, and other information related to the 21 participation not made confidential under member state law; 22 (5) any denial of application for licensure, and the reason for 23 the denial; 24 (6) the presence of current significant investigative 25 information; and 26 (7) other information that may facilitate the administration of 27 this compact or the protection of the public, as determined by 28 the rules of the compact commission. 29 Sec. 4. The records and information provided to a member state 30 under this compact or through the data system, when certified by 31 the compact commission or an agent thereof, constitute the 32 authenticated business records of the compact commission, and are 33 entitled to any associated hearsay exception in any relevant 34 judicial, quasi-judicial, or administrative proceedings in a member 35 state. 36 Sec. 5. (a) Current significant investigative information 37 pertaining to a licensee in any member state will be available only 38 to other member states. 39 (b) It is the responsibility of the member states to: 40 (1) report any adverse action against a licensee; and 41 (2) monitor the data system to determine whether any adverse 42 action has been taken against a licensee. 2025 IN 375—LS 6951/DI 148 19 1 Adverse action information pertaining to a licensee in any member 2 state will be available to any other member state. 3 Sec. 6. (a) Member states contributing information to the data 4 system may designate information that may not be shared with the 5 public without the express permission of the contributing state. 6 (b) The compact commission shall remove from the data system 7 any information submitted to the data system that is subsequently 8 expunged under federal law or the laws of the member state 9 contributing the information. 10 Chapter 10. Rulemaking 11 Sec. 1. (a) The compact commission shall promulgate reasonable 12 rules to effectively and efficiently implement and administer the 13 purposes and provisions of the compact. A rule is invalid and has 14 no force or effect only if a court of competent jurisdiction holds 15 that the rule is invalid because the compact commission exercised 16 its rulemaking authority in a manner that is: 17 (1) beyond the scope and purposes of the compact; 18 (2) beyond the powers granted by the compact; or 19 (3) based on another applicable standard of review. 20 (b) The rules of the compact commission have the force of law 21 in each member state. However, where the rules conflict with the 22 laws or regulations of a member state that relate to the procedures, 23 actions, and processes a licensed dietitian is permitted to undertake 24 in that state and the circumstances under which they may do so, as 25 held by a court of competent jurisdiction, the rules of the compact 26 commission are ineffective in that state to the extent of the conflict. 27 (c) The compact commission shall exercise its rulemaking 28 powers according to the criteria set forth in this chapter and the 29 rules adopted thereunder. Rules are binding on: 30 (1) the day following adoption; or 31 (2) the date specified in the rule or amendment; 32 whichever is later. 33 (d) If a majority of the legislatures of the member states rejects 34 a rule or portion of a rule, by enactment of a statute or resolution 35 in the same manner used to adopt the compact within four (4) 36 years of the date of adoption of the rule, then the rule has no 37 further force and effect in any member state. 38 (e) Rules are adopted at a regular or special meeting of the 39 compact commission. 40 Sec. 2. (a) Before adoption of a proposed rule, the compact 41 commission shall: 42 (1) hold a public hearing and allow persons to provide oral 2025 IN 375—LS 6951/DI 148 20 1 and written comments, data, facts, opinions, and arguments; 2 and 3 (2) provide at least thirty (30) days in advance of the meeting 4 at which the compact commission will hold a public hearing 5 on the proposed rule, a notice of proposed rulemaking: 6 (A) on the website of the compact commission or other 7 publicly accessible platform; 8 (B) to persons who have requested notice of the compact 9 commission's notices of proposed rulemaking; and 10 (C) in any other way as the compact commission may by 11 rule specify. 12 (b) The compact commission shall include in the notice of 13 proposed rulemaking the following: 14 (1) The time, date, and location of the public hearing at which 15 the compact commission will hear public comments on the 16 proposed rule and, if different, the time, date, and location of 17 the meeting where the compact commission will consider and 18 vote on the proposed rule. 19 (2) If the hearing is held via telecommunication, video 20 conference, or other means of communication, the compact 21 commission shall include the mechanism for access to the 22 hearing in the notice of proposed rulemaking. 23 (3) The text of the proposed rule and the reason therefore. 24 (4) A request for comments on the proposed rule from any 25 interested person. 26 (5) The manner in which interested persons may submit 27 written comments. 28 (c) All hearings are recorded. A copy of the recording and all 29 written comments and documents received by the compact 30 commission in response to the proposed rule are available to the 31 public. 32 (d) This section does not require a separate hearing on each 33 rule. Rules may be grouped for the convenience of the compact 34 commission at hearings required by this section. 35 (e) The compact commission shall, by majority vote of all 36 members, take final action on the proposed rule based on the 37 rulemaking record and the full text of the rule. 38 (f) The compact commission: 39 (1) may adopt changes to the proposed rule if the changes do 40 not enlarge the original purpose of the proposed rule; and 41 (2) shall: 42 (A) provide an explanation of the reasons for: 2025 IN 375—LS 6951/DI 148 21 1 (i) substantive changes made to the proposed rule; and 2 (ii) substantive changes not made that were 3 recommended by commenters; and 4 (B) determine a reasonable effective date for the rule. 5 Except for an emergency as provided in section 3 of this 6 chapter, the effective date of the rule must be not sooner 7 than thirty (30) days after issuing the notice that it adopted 8 or amended the rule. 9 Sec. 3. Upon determination that an emergency exists, the 10 compact commission may consider and adopt an emergency rule 11 with twenty-four (24) hours notice, with opportunity to comment, 12 if the usual rulemaking procedures provided in the compact and in 13 this section are retroactively applied to the rule as soon as 14 reasonably possible, in no event later than ninety (90) days after 15 the effective date of the rule. For the purposes of this section, an 16 emergency rule is one that must be adopted immediately in order 17 to: 18 (1) meet an imminent threat to public health, safety, or 19 welfare; 20 (2) prevent a loss of compact commission or member state 21 funds; 22 (3) meet a deadline for the promulgation of a rule that is 23 established by federal law or rule; or 24 (4) protect public health and safety. 25 Sec. 4. (a) The compact commission or an authorized committee 26 of the compact commission may direct revision to a previously 27 adopted rule for purposes of correcting typographical errors, 28 errors in format, errors in consistency, or grammatical errors. 29 (b) Public notice of any revision must be posted on the compact 30 commission's website. 31 (c) A revision under this section is subject to challenge by any 32 person for a period of thirty (30) days after posting. 33 (d) The revision may be challenged only on grounds that the 34 revision results in a material change to a rule. 35 (e) A challenge must be: 36 (1) made in writing; and 37 (2) delivered to the compact commission before the end of the 38 notice period. 39 (f) If no challenge is made, the revision takes effect without 40 further action. 41 (g) If the revision is challenged, the revision does not take effect 42 unless the compact commission approves the revision. 2025 IN 375—LS 6951/DI 148 22 1 Sec. 5. A member state's rulemaking requirements do not apply 2 under this compact. 3 Chapter 11. Oversight, Dispute Resolution, and Enforcement 4 Sec. 1. The executive and judicial branches of state government 5 in each member state shall enforce this compact and take all 6 actions necessary and appropriate to implement this compact. 7 Sec. 2. (a) Except as otherwise provided in this compact, venue 8 is proper and judicial proceedings by or against the compact 9 commission must be brought solely and exclusively in a court of 10 competent jurisdiction where the principal office of the compact 11 commission is located. 12 (b) The compact commission may waive venue and 13 jurisdictional defenses to the extent it adopts or consents to 14 participate in alternative dispute resolution proceedings. 15 (c) This section does not affect or limit the selection or propriety 16 of venue in any action against a licensee for professional 17 malpractice, misconduct, or any similar matter. 18 Sec. 3. (a) The compact commission: 19 (1) is entitled to receive service of process in any proceeding 20 regarding the enforcement or interpretation of the compact; 21 and 22 (2) has standing to intervene in the proceeding for all 23 purposes. 24 (b) Failure to provide the compact commission service of 25 process renders a judgment or order void as to the compact 26 commission, this compact, or promulgated rules. 27 Sec. 4. (a) If the compact commission determines that a member 28 state has defaulted in the performance of its obligations or 29 responsibilities under this compact or the promulgated rules, the 30 compact commission shall provide written notice to the defaulting 31 state. The notice of default must: 32 (1) describe the default, the proposed means of curing the 33 default, and any other action that the compact commission 34 may take; and 35 (2) offer training and specific technical assistance regarding 36 the default. 37 (b) The compact commission shall provide a copy of the notice 38 of default to the other member states. 39 (c) If a state in default fails to cure the default, the defaulting 40 state may be terminated from the compact upon an affirmative 41 vote of a majority of the delegates of the member states, and all 42 rights, privileges, and benefits conferred on the defaulting state by 2025 IN 375—LS 6951/DI 148 23 1 this compact may be terminated on the effective date of 2 termination. A cure of the default does not relieve the offending 3 state of obligations or liabilities incurred during the period of 4 default. 5 (d) Termination of membership in the compact shall be imposed 6 only after all other means of securing compliance have been 7 exhausted. The compact commission shall give notice of intent to 8 suspend or terminate to: 9 (1) the governor; 10 (2) the majority and minority leaders of the defaulting state's 11 legislature; 12 (3) the defaulting state's licensing authority; and 13 (4) each member state's licensing authority. 14 (e) A state that has been terminated is responsible for all 15 assessments, obligations, and liabilities incurred through the 16 effective date of termination, including obligations that extend 17 beyond the effective date of termination. 18 (f) If a state's membership from this compact is terminated, that 19 state shall: 20 (1) immediately provide notice to all licensees within that state 21 of the termination; and 22 (2) continue to recognize all compact privileges granted under 23 this compact for a minimum of six (6) months after the date 24 of the notice of termination. 25 (g) The compact commission shall not bear any costs related to 26 a state that is found to be in default or that has been terminated 27 from the compact, unless agreed upon in writing between the 28 compact commission and the defaulting state. 29 (h) The defaulting state may appeal the action of the compact 30 commission by petitioning the United States District Court for the 31 District of Columbia or the federal district where the compact 32 commission has its principal offices. The prevailing party shall be 33 awarded all costs of the litigation, including reasonable attorney's 34 fees. 35 Sec. 5. (a) Upon request by a member state, the compact 36 commission shall attempt to resolve disputes related to the compact 37 that arise among member states and between member and 38 nonmember states. 39 (b) The compact commission shall promulgate a rule providing 40 for both mediation and binding dispute resolution for disputes as 41 appropriate. 42 Sec. 6. (a) By supermajority vote, the compact commission may 2025 IN 375—LS 6951/DI 148 24 1 initiate legal action against a member state in default in the United 2 States District Court for the District of Columbia or the federal 3 district where the compact commission has its principal offices to 4 enforce compliance with the provisions of the compact and its 5 promulgated rules. The relief sought may include both injunctive 6 relief and damages. In the event judicial enforcement is necessary, 7 the prevailing party shall be awarded all costs of the litigation, 8 including reasonable attorney's fees. The remedies under this 9 subsection are not the exclusive remedies of the compact 10 commission. The compact commission may pursue any other 11 remedies available under federal or the defaulting member state's 12 law. 13 (b) A member state may initiate legal action against the compact 14 commission in the United States District Court for the District of 15 Columbia or the federal district where the compact commission 16 has its principal offices to enforce compliance with the provisions 17 of the compact and its promulgated rules. The relief sought may 18 include both injunctive relief and damages. In the event judicial 19 enforcement is necessary, the prevailing party shall be awarded all 20 costs of the litigation, including reasonable attorney's fees. 21 (c) Only a member state may enforce this compact against the 22 compact commission. 23 Chapter 12. Effective Date, Withdrawal, and Amendment 24 Sec. 1. (a) The compact comes into effect on the date on which 25 the compact statute is enacted into law in the seventh member 26 state. 27 (b) On or after the effective date of the compact, the compact 28 commission shall convene and review the enactment of each of the 29 first seven (7) member states (charter member states) to determine 30 if the statute enacted by each charter member state is materially 31 different than the model compact statute. 32 (c) A charter member state whose enactment is found to be 33 materially different from the model compact statute is entitled to 34 the default process set forth in IC 25-14.7-11. 35 (d) If any member state is later found to be in default, or is 36 terminated, or withdraws from the compact, the compact 37 commission remains in existence and in effect even if the number 38 of member states should be less than seven (7). 39 Sec. 2. Member states enacting the compact after the seven (7) 40 initial charter member states are subject to review by the compact 41 commission under IC 25-14.7-8-3(21) to determine if their 42 enactments are materially different from the model compact 2025 IN 375—LS 6951/DI 148 25 1 statute and whether they qualify for participation in the compact. 2 Sec. 3. All actions taken for the benefit of the compact 3 commission or in furtherance of the purposes of the administration 4 of the compact before the effective date of the compact or the 5 compact commission coming into existence are considered to be 6 actions of the compact commission unless specifically repudiated 7 by the compact commission. 8 Sec. 4. Any state that joins the compact after the compact 9 commission's initial adoption of the rules and bylaws is subject to 10 the rules and bylaws as they exist on the date on which the compact 11 becomes law in that state. Any rule that has been previously 12 adopted by the compact commission has the full force and effect of 13 law on the day the compact becomes law in that state. 14 Sec. 5. (a) A member state may withdraw from this compact by 15 enacting a statute repealing the compact statute. 16 (b) A member state's withdrawal does not take effect until one 17 hundred eighty (180) days after enactment of the repealing statute. 18 (c) Withdrawal does not affect the continuing requirement of 19 the withdrawing state's licensing authority to comply with the 20 investigative and adverse action reporting requirements of this 21 compact before the effective date of withdrawal. 22 (d) Upon the enactment of a statute withdrawing from this 23 compact, a state shall immediately provide notice of the 24 withdrawal to all licensees within that state. 25 (e) Notwithstanding any subsequent statutory enactment to the 26 contrary, the withdrawing state shall continue to recognize all 27 compact privileges granted under this compact for a minimum of 28 one hundred eighty (180) days after the date of the notice of 29 withdrawal. 30 Sec. 6. This compact does not invalidate or prevent any 31 licensure agreement or other cooperative arrangement between a 32 member state and a nonmember state that does not conflict with 33 the provisions of this compact. 34 Sec. 7. (a) This compact may be amended by the member states. 35 (b) An amendment to this compact is not effective and binding 36 on any member state until it is enacted into the laws of all member 37 states. 38 Chapter 13. Construction and Severability 39 Sec. 1. This compact and the compact commission's rulemaking 40 authority must be liberally construed to effectuate the purposes 41 and the implementation and administration of the compact. 42 Provisions of the compact expressly authorizing or requiring the 2025 IN 375—LS 6951/DI 148 26 1 promulgation of rules do not limit the compact commission's 2 rulemaking authority solely for those purposes. 3 Sec. 2. The provisions of this compact are severable, and if: 4 (1) any phrase, clause, sentence, or provision of this compact 5 is held to be contrary to the constitution of any member state, 6 a state seeking participation in the compact, or of the United 7 States; or 8 (2) the applicability thereof to any government, agency, 9 person, or circumstance is held to be unconstitutional; 10 by a court of competent jurisdiction, the validity of the remainder 11 of this compact and the applicability to any other government, 12 agency, person, or circumstance remains valid. 13 Sec. 3. Notwithstanding section 2 of this chapter, the compact 14 commission may deny a state's participation in the compact or, 15 according to the requirements of IC 25-14.7-11-4, terminate a 16 member state's participation in the compact, if it determines that 17 a constitutional requirement of a member state is a material 18 departure from the compact. Otherwise, if this compact is held to 19 be contrary to the constitution of any member state, the compact 20 remains in full force and effect as to the remaining member states 21 and in full force and effect as to the member state affected as to all 22 severable matters. 23 Chapter 14. Consistent Effect and Conflict with Other State 24 Laws 25 Sec. 1. This compact does not prevent or inhibit the enforcement 26 of any other law of a member state that is not inconsistent with the 27 compact. 28 Sec. 2. Any laws in a member state that conflict with the 29 compact are superseded to the extent of the conflict. 30 Sec. 3. All permissible agreements between the compact 31 commission and the member states are binding according to their 32 terms. 33 SECTION 2. IC 34-30-2.1-367.7 IS ADDED TO THE INDIANA 34 CODE AS A NEW SECTION TO READ AS FOLLOWS 35 [EFFECTIVE JULY 1, 2025]: Sec. 367.7. IC 25-14.7-8-7 (Concerning 36 the members, officers, executive director, employees, and 37 representatives of the dietitian licensure compact commission). 2025 IN 375—LS 6951/DI 148