Kansas 2025-2026 Regular Session

Kansas House Bill HB2069 Latest Draft

Bill / Enrolled Version Filed 04/10/2025

                            HOUSE BILL No. 2069
AN ACT concerning public health licensure compacts; relating to school psychologists; 
enacting the school psychologist compact to provide interstate practice privileges; 
relating to dieticians; enacting the dietician compact to provide interstate practice 
privileges; relating to the practice of cosmetology; enacting the cosmetology 
licensure compact; relating to physician assistants; enacting the physician assistant 
licensure compact to provide interstate practice privileges.
Be it enacted by the Legislature of the State of Kansas:
Section 1. This section shall be known and may be cited as the 
school psychologist compact.
SECTION 1—PURPOSE
The purpose of this compact is to facilitate the interstate practice of 
school psychology in educational or school settings and in so doing to 
improve the availability of school psychological services to the public. 
This compact is intended to establish a pathway to allow school 
psychologists to obtain equivalent licenses to provide school 
psychological services in any member state. In this way, this compact 
shall enable the member states to ensure that safe and effective school 
psychological services are available and delivered by appropriately 
qualified professionals in their educational settings.
To facilitate the objectives described above, this compact:
(a) Enables school psychologists who qualify for receipt of an 
equivalent license to practice in other member states without first 
satisfying burdensome and duplicative requirements;
(b) promotes the mobility of school psychologists between and 
among the member states in order to address workforce shortages and 
to ensure that safe and reliable school psychological services are 
available in each member state;
(c) enhances the public accessibility of school psychological 
services by increasing the availability of qualified, licensed school 
psychologists through the establishment of an efficient and streamlined 
pathway for licensees to practice in other member states;
(d) preserves and respects the authority of each member state to 
protect the health and safety of its residents by ensuring that only 
qualified, licensed professionals are authorized to provide school 
psychological services within that state;
(e) requires school psychologists practicing within a member state 
to comply with the scope of practice laws present in the state where the 
school psychological services are being provided;
(f) promotes cooperation between the member states in regulating 
the practice of school psychology within those states; and
(g) facilitates the relocation of military members and their spouses 
who are licensed to provide school psychological services.
SECTION 2—DEFINITIONS
As used in this compact:
(a) "Active military member" means any person with full-time 
duty status in the armed forces of the United States, including members 
of the national guard and reserve.
(b) "Adverse action" means disciplinary action or encumbrance 
imposed on a license by a state licensing authority.
(c) "Alternative program" means a non-disciplinary, prosecutorial 
diversion, monitoring or practice remediation process entered into in 
lieu of an adverse action that is applicable to a school psychologist and 
approved by the state licensing authority of a member state where the 
participating school psychologist is licensed. This includes, but is not 
limited to, programs that licensees with substance abuse or addiction 
issues may be referred in lieu of an adverse action. HOUSE BILL No. 2069—page 2
(d) "Commissioner" means the individual appointed by a member 
state to serve as the representative to the commission for that member 
state.
(e) "Compact" means this school psychologist interstate licensure 
compact.
(f) "Continuing professional education" means a requirement, 
imposed by a member state as a condition of license renewal to provide 
evidence of successful participation in professional educational 
activities relevant to the provision of school psychological services.
(g) "Criminal background check" means the submission of 
fingerprints or other biometric information for a license applicant for 
the purpose of obtaining that applicant's criminal history record 
information, as defined in 28 C.F.R. § 20.3(d), and the state's criminal 
history record repository, as defined in 28 C.F.R. § 20.3(f).
(h) "Doctoral level degree" means a graduate degree program that 
consists of at least 90 graduate semester hours in the field of school 
psychology, including a supervised internship.
(i) "Encumbered license" means a license that a state licensing 
authority has limited in any way other than through an alternative 
program, including temporary or provisional licenses.
(j) "Executive Committee" means the commission's chair, vice 
chair, secretary and treasurer and any other commissioners as may be 
determined by commission rule or bylaw.
(k) "Equivalent license" means a license to practice school 
psychology that a member state has identified as a license that may be 
provided to school psychologists from other member states pursuant to 
this compact.
(l) "Home state" means the member state that issued the home 
state license to the licensee and is the licensee's primary state of 
practice.
(m) "Home state license" means the license that is not an 
encumbered license issued by the home state to provide school 
psychological services.
(n) "License" means a current license, certification or other 
authorization granted by a member state's licensing authority that 
permits an individual to provide school psychological services.
(o) "Licensee" means an individual who holds a license from a 
member state to provide school psychological services.
(p) "Member state" means a state that has enacted the compact and 
been admitted to the commission in accordance with the provisions 
herein and commission rules.
(q) "Model compact" means the model language for the school 
psychologist interstate licensure compact on file with the council of 
state governments or other entity as designated by the commission.
(r) "Practice of school psychology" means the delivery school 
psychological services.
(s) "Qualifying national exam" means a national licensing 
examination endorsed by the national association of school 
psychologists and any other exam as approved by the rules of the 
commission.
(t) "Qualifying school psychologist education program" means an 
education program that awards a specialist-level degree or doctoral-
level degree or equivalent upon completion and is approved by the 
rules of the commission as meeting the necessary minimum educational 
standards to ensure that its graduates are ready, qualified and able to 
engage in the practice of school psychology.
(u) "Remote state" means a member state other than the home 
state where a licensee holds a license through the compact.
(v) "Rule" means a regulation promulgated by an entity, including, 
but not limited to, the commission and the state licensing authority of 
each member state that has the force of law.
(w) "School psychological services" means academic, mental and 
behavioral health services, including assessment, prevention, 
consultation and collaboration, intervention and evaluation provided by  HOUSE BILL No. 2069—page 3
a school psychologist in a school, as outlined in applicable professional 
standards as determined by commission rule.
(x) "School psychologist" means an individual who has met the 
requirements to obtain a home state license that legally conveys the 
professional title of school psychologist or its equivalent as determined 
by the rules of the commission.
(y) "School psychologist interstate licensure compact 
commission" or "commission" means the joint government agency 
established by this compact whose membership consists of 
representatives from each member state that has enacted the compact, 
and as further described in section 7.
(z) "Scope of practice" means the procedures, actions and 
processes a school psychologist licensed in a state is permitted to 
undertake in that state and the circumstances under which that licensee 
is permitted to undertake those procedures, actions and processes. Such 
procedures, actions and processes, and the circumstances under which 
they may be undertaken, may be established through means including, 
but not limited to, statute, regulations, case law and other processes 
available to the state licensing authority or other government agency.
(aa) "Specialist-level degree" means a degree program that 
requires at least 60 graduate semester hours or equivalent in the field of 
school psychology, including a supervised internship.
(bb) "State" means any state, commonwealth, district or territory 
of the United States of America.
(cc) "State licensing authority" means a member state's regulatory 
body responsible for issuing licenses or otherwise overseeing the 
practice of school psychology.
(dd) "State specific requirement" means a requirement for 
licensure covered in coursework or examination that includes content 
of unique interest to the state.
(ee) "Unencumbered license" means a license that authorizes a 
licensee to engage in the full and unrestricted practice of school 
psychology.
SECTION 3—STATE PARTICPATION IN THE COMPACT
(a) To be eligible to join this compact and to maintain eligibility as 
a member state, a state must:
(1) Enact a compact statute that is not materially different from the 
model compact as defined in the commission's rules;
(2) participate in the sharing of information with other member 
states as reasonably necessary to accomplish the objectives of this 
compact and as further defined in section 8;
(3) identify and maintain with the commission a list of equivalent 
licenses available to licensees who hold a home state license under this 
compact;
(4) have a mechanism in place for receiving and investigating 
complaints about licensees;
(5) notify the commission, in compliance with the terms of the 
compact and the commission's rules, of any adverse action taken 
against a licensee or of the availability of investigative information that 
relates to a licensee or applicant for licensure;
(6) require that applicants for a home state license have:
(A) Taken and passed a qualifying national exam as defined by the 
rules of the commission; and
(B) completed a minimum of 1200 hours of supervised internship 
and at least 600 of such hours must have been completed in a school 
prior to being approved for licensure; and
(C) graduated from a qualifying school psychologist education 
program; and
(7) comply with the terms of this compact and the rules of the 
commission.
(b) Each member state shall grant an equivalent license to practice 
school psychology in that state upon application by a licensee who  HOUSE BILL No. 2069—page 4
satisfies the criteria of section 4(a). Each member state shall grant 
renewal of the equivalent license to a licensee who satisfies the criteria 
of section 4(b).
(c) Member states may set and collect a fee for granting an 
equivalent license.
SECTION 4—SCHOOL PSYCHOLOGIST PARTICIPATION IN THE 
COMPACT
(a) To obtain and maintain an equivalent license from a remote 
state under this compact, a licensee must:
(1) Hold and maintain an active home state license;
(2) satisfy any applicable state specific requirements established 
by the member state after an equivalent license is granted;
(3) complete any administrative or application requirements that 
the commission may establish by rule and pay any associated fees;
(4) complete any requirements for renewal in the home state, 
including applicable continuing professional education requirements; 
and
(5) upon their application to receive a license under this compact, 
undergo a criminal background check in the member state where the 
equivalent license is sought in accordance with the laws and regulations 
of such member state.
(b) To renew an equivalent license in a member state other than 
the home state, a licensee must only apply for renewal, complete a 
background check and pay renewal fees as determined by the licensing 
authority.
SECTION 5—ACTIVE MILITARY MEMBERS OR THEIR 
SPOUSES
A licensee who is an active military member or is the spouse of an 
active military member shall be deemed to hold a home state license in 
any of the following locations:
(a) The licensee's permanent residence;
(b) a member state that is the licensee's primary state of practice; 
or
(c) a member state where the licensee has relocated pursuant to a 
permanent change of station (PCS).
SECTION 6—DISCIPLINE AND ADVERSE ACTIONS
(a) Nothing in this compact shall be deemed or construed to limit 
the authority of a member state to investigate or impose disciplinary 
measures on licensees according to the state practice laws thereof.
(b) Member states shall be authorized to receive and shall provide, 
files and information regarding the investigation and discipline, if any, 
of licensees in other member states upon request. Any member state 
receiving such information or files shall protect and maintain the 
security and confidentiality of such information or files, in at least the 
same manner that it maintains its own investigatory or disciplinary files 
and information. Prior to disclosing any disciplinary or investigatory 
information received from another member state, the disclosing state 
shall communicate its intention and purpose for such disclosure to the 
member state that originally provided that information.
SECTION 7—ESTABLISHMENT OF THE SCHOOL 
PSYCHOLOGIST INTERSTATE LICENSURE COMPACT 
COMMISSION
(a) The member states hereby create and establish a joint 
government agency whose membership consists of all member states 
that have enacted the compact, and this agency shall be known as the 
school psychologist interstate licensure compact commission. The 
commission is an instrumentality of the member states acting jointly 
and not an instrumentality of any one state. The commission shall come  HOUSE BILL No. 2069—page 5
into existence on or after the effective date of the compact as set forth 
in section 11.
(b) Membership, voting and meetings.
(1) Each member state shall have and be limited to one delegate 
selected by that member state's state licensing authority.
(2) The delegate shall be the primary administrative officer of the 
member state licensing authority or their designee who is an employee 
of the member state licensing authority.
(3) The commission shall by rule or bylaw establish a term of 
office for delegates and may by rule or bylaw establish term limits.
(4) The commission may recommend removal or suspension of 
any delegate from office.
(5) A member state's licensing authority shall fill any vacancy of 
its delegate occurring on the commission within 60 days of the 
vacancy.
(6) Each delegate shall be entitled to one vote on all matters 
before the commission requiring a vote by commission delegates.
(7) A delegate shall vote in person or by such other means as 
provided in the bylaws. The bylaws may provide for delegates to meet 
by telecommunication, video conference or other means of 
communication.
(8) The commission shall meet at least once during each calendar 
year. Additional meetings may be held as set forth in the bylaws. The 
commission may meet by telecommunication, video conference or 
other similar electronic means.
(c) The commission shall have the following powers:
(1) Establish the fiscal year of the commission;
(2) establish code of conduct and conflict of interest policies;
(3) establish and amend rules and bylaws;
(4) establish the procedure through which a licensee may change 
their home state;
(5) maintain its financial records in accordance with the bylaws;
(6) meet and take such actions as are consistent with the 
provisions of this compact, the commission's rules and the bylaws;
(7) initiate and conclude legal proceedings or actions in the name 
of the commission, provided that the standing of any member state 
licensing authority to sue or be sued under applicable law shall not be 
affected;
(8) maintain and certify records and information provided to a 
member state as the authenticated business records of the commission 
and designate an agent to do so on the commission's behalf;
(9) purchase and maintain insurance and bonds;
(10) borrow, accept or contract for services of personnel, 
including, but not limited to, employees of a member state;
(11) conduct an annual financial review;
(12) hire employees, elect or appoint officers, fix compensation, 
define duties, grant such individuals appropriate authority to carry out 
the purposes of the compact and establish the commission's personnel 
policies and programs relating to conflicts of interest, qualifications of 
personnel and other related personnel matters;
(13) assess and collect fees;
(14) accept any and all appropriate gifts, donations, grants of 
money, other sources of revenue, equipment, supplies, materials and 
services, and receive, utilize and dispose of the same, provided that at 
all times the commission shall avoid any appearance of impropriety or 
conflict of interest;
(15) lease, purchase, retain, own, hold, improve or use any 
property, real, personal or mixed or any undivided interest in such 
property;
(16) sell, convey, mortgage, pledge, lease, exchange, abandon or 
otherwise dispose of any property real, personal or mixed;
(17) establish a budget and make expenditures;
(18) borrow money;
(19) appoint committees, including standing committees,  HOUSE BILL No. 2069—page 6
composed of members, state regulators, state legislators or their 
representatives, and consumer representatives, and such other interested 
persons as may be designated in this compact and the bylaws;
(20) provide and receive information from, and cooperate with, 
law enforcement agencies;
(21) establish and elect an executive committee, including a chair 
and a vice chair;
(22) determine whether a state's adopted language is materially 
different from the model compact language such that the state would 
not qualify for participation in the compact; and
(23) perform such other functions as may be necessary or 
appropriate to achieve the purposes of this compact.
(d) The executive committee.
(1) The executive committee shall have the power to act on behalf 
of the commission according to the terms of this compact. The powers, 
duties and responsibilities of the executive committee shall include:
(A) Oversee the day-to-day activities of the administration of the 
compact, including enforcement and compliance with the provisions of 
the compact, its rules and bylaws and other such duties as deemed 
necessary;
(B) recommend to the commission changes to the rules or bylaws, 
changes to this compact legislation, fees charged to member states, fees 
charged to licensees and other fees;
(C) ensure compact administration services are appropriately 
provided, including by contract;
(D) prepare and recommend the budget;
(E) maintain financial records on behalf of the commission;
(F) monitor compact compliance of member states and provide 
compliance reports to the commission;
(G) establish additional committees as necessary;
(H) exercise the powers and duties of the commission during the 
interim between commission meetings, except for adopting or 
amending rules, adopting or amending bylaws and exercising any other 
powers and duties expressly reserved to the commission by rule or 
bylaw; and
(I) other duties as provided in the rules or bylaws of the 
commission.
(2) The executive committee shall be composed of up to seven 
members:
(A) The chair and vice chair of the commission shall be voting 
members of the executive committee; and
(B) The commission shall elect five voting members from the 
current membership of the commission.
(2) The commission may remove any member of the executive 
committee as provided in the commission's bylaws.
(3) The executive committee shall meet at least annually.
(A) Executive committee meetings shall be open to the public, 
except that the executive committee may meet in a closed, nonpublic 
meeting as provided in subsection (f)(2).
(B) The executive committee shall give 30 days' notice of its 
meetings, posted on its website and as determined to provide notice to 
persons with an interest in the business of the commission.
(C) The executive committee may hold a special meeting in 
accordance with subsection (f)(1)(B).
(e) The commission shall adopt and provide to the member states 
an annual report.
(f) Meetings of the commission.
(1) All meetings shall be open to the public, except that the 
commission may meet in a closed, nonpublic meeting as provided in 
subsection (f)(2).
(A) Public notice for all meetings of the full commission of 
meetings shall be given in the same manner as required under the 
rulemaking provisions in section 9, except that the commission may 
hold a special meeting as provided in subsection (f)(1)(B). HOUSE BILL No. 2069—page 7
(B) The commission may hold a special meeting when it must 
meet to conduct emergency business by giving 48 hours' notice to all 
commissioners, on the commission's website, and other means as 
provided in the commission's rules. The commission's legal counsel 
shall certify that the commission's need to meet qualifies as an 
emergency.
(2) The commission or the executive committee or other 
committees of the commission may convene in a closed, nonpublic 
meeting for the commission or executive committee or other 
committees of the commission to receive legal advice or to discuss:
(A) Noncompliance of a member state with its obligations under 
the compact;
(B) the employment, compensation, discipline or other matters, 
practices or procedures related to specific employees;
(C) current or threatened discipline of a licensee by the 
commission or by a member state's licensing authority;
(D) current, threatened or reasonably anticipated litigation;
(E) negotiation of contracts for the purchase, lease or sale of 
goods, services or real estate;
(F) accusing any person of a crime or formally censuring any 
person;
(G) trade secrets or commercial or financial information that is 
privileged or confidential;
(H) information of a personal nature when disclosure would 
constitute a clearly unwarranted invasion of personal privacy;
(I) investigative records compiled for law enforcement purposes;
(J) information related to any investigative reports prepared by or 
on behalf of or for use of the commission or other committee charged 
with responsibility of investigation or determination of compliance 
issues pursuant to the compact;
(K) matters specifically exempted from disclosure by federal or 
member state law; or
(L) other matters as promulgated by the commission by rule.
(3) If a meeting, or portion of a meeting, is closed, the presiding 
officer shall state that the meeting will be closed and reference each 
relevant exempting provision, and such reference shall be recorded in 
the minutes.
(4) The commission shall keep minutes that fully and clearly 
describe all matters discussed in a meeting and shall provide a full and 
accurate summary of actions taken and the reasons for such actions, 
including a description of the views expressed. All documents 
considered in connection with an action shall be identified in such 
minutes. All minutes and documents of a closed meeting shall remain 
under seal, subject to release only by a majority vote of the commission 
or order of a court of competent jurisdiction.
(g) Financing of the commission.
(1) The commission shall pay, or provide for the payment of, the 
reasonable expenses of its establishment, organization and ongoing 
activities.
(2) The commission may accept any and all appropriate revenue 
sources as provided in subsection (c)(12).
(3) The commission may levy on and collect an annual assessment 
from each member state and impose fees on licensees practicing in the 
member states under an equivalent license to cover the cost of the 
operations and activities of the commission and its staff, that must be in 
a total amount sufficient to cover its annual budget as approved each 
year when revenue is not provided by other sources. The aggregate 
annual assessment amount for member states shall be allocated based 
upon a formula that the commission shall promulgate by rule.
(4) The commission shall not incur obligations of any kind prior to 
securing the funds adequate to meet the same, nor shall the commission 
pledge the credit of any of the member states, except by and with the 
authority of the member state.
(5) The commission shall keep accurate accounts of all receipts  HOUSE BILL No. 2069—page 8
and disbursements. The receipts and disbursements of the commission 
shall be subject to the financial review and accounting procedures 
established under its bylaws. However, all receipts and disbursements 
of funds handled by the commission shall be subject to an annual 
financial review by a certified or licensed public accountant, and the 
report of the financial review shall be included in and become part of 
the annual report of the commission.
(h) Qualified immunity, defense and indemnification.
(1) The members, officers, executive director, employees and 
representatives of the commission shall be immune from suit and 
liability, both personally and in their official capacity, for any claim for 
damage to or loss of property or personal injury or other civil liability 
caused by or arising out of any actual or alleged act, error or omission 
that occurred, or that the person against whom the claim is made had a 
reasonable basis for believing occurred within the scope of commission 
employment, duties or responsibilities. Nothing in this paragraph shall 
be construed to protect any such person from suit or liability for any 
damage, loss, injury or liability caused by the intentional or willful or 
wanton misconduct of that person. The procurement of insurance of 
any type by the commission shall not in any way compromise or limit 
the immunity granted in this paragraph.
(2) The commission shall defend any member, officer, executive 
director, employee and representative of the commission in any civil 
action seeking to impose liability arising out of any actual or alleged 
act, error or omission that occurred within the scope of commission 
employment, duties, or responsibilities, or as determined by the 
commission that the person against whom the claim is made had a 
reasonable basis for believing occurred within the scope of commission 
employment, duties, or responsibilities. Nothing in this paragraph shall 
be construed to prohibit that person from retaining their own counsel at 
their own expense and, provided further, that the actual or alleged act, 
error or omission did not result from that person's intentional or willful 
or wanton misconduct.
(3) The commission shall indemnify and hold harmless any 
member, officer, executive director, employee and representative of the 
commission for the amount of any settlement or judgment obtained 
against that person arising out of any actual or alleged act, error or 
omission that occurred within the scope of commission employment, 
duties or responsibilities or that such person had a reasonable basis for 
believing occurred within the scope of commission employment, duties 
or responsibilities, provided that the actual or alleged act, error or 
omission did not result from the intentional or willful or wanton 
misconduct of that person.
(4) Nothing in this compact shall be construed as a limitation on 
the liability of any licensee for professional malpractice or misconduct, 
that shall be governed solely by any other applicable state laws.
(5) Nothing in this compact shall be interpreted to waive or 
otherwise abrogate a member state's state action immunity or state 
action affirmative defense with respect to antitrust claims under the 
Sherman antitrust act of 1890, Clayton act 15 U.S.C. §§ 12-27 or any 
other state or federal antitrust or anticompetitive law or regulation.
(6) Nothing in this compact shall be construed to be a waiver of 
sovereign immunity by the member states or by the commission.
SECTION 8—FACILITATING INFORMATION EXCHANGE
(a) The commission shall provide for facilitating the exchange of 
information to administer and implement the provisions of this compact 
in accordance with the rules of the commission, consistent with 
generally accepted data protection principles.
(b) Notwithstanding any other provision of state law to the 
contrary, a member state shall agree to provide for the facilitation of the 
following licensee information as required by the rules of the 
commission, including: HOUSE BILL No. 2069—page 9
(1) Identifying information;
(2) licensure data;
(3) adverse actions against a license and information related 
thereto;
(4) nonconfidential information related to alternative program 
participation, the beginning and ending dates of such participation, and 
other information related to such participation not made confidential 
under member state law;
(5) any denial of application for licensure, and the reasons for 
such denial;
(6) the presence of investigative information; and
(7) other information that may facilitate the administration of this 
compact or the protection of the public, as determined by the rules of 
the commission.
(c) Nothing in this compact shall be deemed or construed to alter, 
limit or inhibit the power of a member state to control and maintain 
ownership of its licensee information or alter, limit or inhibit the laws 
or regulations governing licensee information in the member state.
SECTION 9—RULEMAKING
(a) The commission shall exercise its rulemaking powers pursuant 
to the criteria set forth in this interstate compact and the rules adopted 
thereunder. Rules and amendments shall become binding as of the date 
specified in each rule or amendment.
(b) The commission shall promulgate reasonable rules to achieve 
the intent and purpose of this interstate compact. In the event the 
commission exercises its rulemaking authority in a manner that is 
beyond purpose and intent of this interstate compact, or the powers 
granted hereunder, then such an action by the commission shall be 
invalid and have no force and effect of law in the member states.
(c) If a majority of the legislatures of the member states rejects a 
rule, by enactment of a statute or resolution in the same manner used to 
adopt the compact within four years of the date of adoption of the rule, 
then such rule shall have no further force and effect in any member 
state.
(d) Rules or amendments to the rules shall be adopted or ratified at 
a regular or special meeting of the commission in accordance with 
commission rules and bylaws.
(e) Prior to promulgation and adoption of a final rule or rules by 
the commission, and at least 30 days in advance of the meeting when 
the rule will be considered and voted upon, the commission shall file a 
notice of proposed rulemaking:
(1) On the website of the commission or other publicly accessible 
platform; and
(2) on the website of each member state licensing authority or 
other publicly accessible platform or the publication where each state 
would otherwise publish proposed rules.
(f) Upon determination that an emergency exists, the commission 
may consider and adopt an emergency rule with 48 hours' notice, with 
opportunity to comment, provided that the usual rulemaking procedures 
shall be retroactively applied to the rule as soon as reasonably possible, 
in no event later than 90 days after the effective date of the rule. For the 
purposes of this provision, an emergency rule is one that must be 
adopted immediately in order to:
(1) Meet an imminent threat to public health, safety or welfare.
(A) Prevent a loss of commission or member state funds;
(B) meet a deadline for the promulgation of an administrative rule 
that is established by federal law or rule; or
(C) protect public health and safety.
SECTION 10—OVERSIGHT, DISPUTE RESOLUTION AND 
ENFORCEMENT
(a) Oversight. HOUSE BILL No. 2069—page 10
(1) The executive and judicial branches of the state government in 
each member state shall enforce this compact and take all actions 
necessary and appropriate to implement the compact.
(2) Venue is proper and judicial proceedings by or against the 
commission shall be brought solely and exclusively in a court of 
competent jurisdiction where the principal office of the commission is 
located. The commission may waive venue and jurisdictional defenses 
to the extent it adopts or consents to participate in alternative dispute 
resolution proceedings. Nothing herein shall affect or limit the selection 
or propriety of venue in any action against a licensee for professional 
malpractice, misconduct or any such similar matter.
(3) The commission shall be entitled to receive service of process 
in any proceeding regarding the enforcement or interpretation of the 
compact and shall have standing to intervene in such a proceeding for 
all purposes. Failure to provide the commission service of process shall 
render a judgment or order void as to the commission, this compact or 
promulgated rules.
(b) Default, technical assistance and termination.
(1) If the commission determines that a member state has 
defaulted in the performance of its obligations or responsibilities under 
this compact or the promulgated rules, the commission shall provide 
written notice to the defaulting state. The notice of default shall 
describe the default, the proposed means of curing the default, and any 
other action that the commission may take, and shall offer training and 
specific technical assistance regarding the default.
(2) The commission shall provide a copy of the notice of default 
to the other member states.
(c) If a state in default fails to cure the default, the defaulting state 
may be terminated from the compact upon an affirmative vote of a 
supermajority of the delegates of the member states, and all rights, 
privileges and benefits conferred on that state by this compact may be 
terminated on the effective date of termination. A cure of the default 
does not relieve the offending state of obligations or liabilities incurred 
during the period of default.
(d) Termination of membership in the compact shall be imposed 
only after all other means of securing compliance have been exhausted. 
Notice of intent to suspend or terminate shall be given by the 
commission to the governor, the majority and minority leaders of the 
defaulting state's legislature, the defaulting state's licensing authority 
and each of the member states' licensing authorities.
(e) A state that has been terminated is responsible for all 
assessments, obligations and liabilities incurred through the effective 
date of termination, including obligations that extend beyond the 
effective date of termination.
(f) Upon the termination of a state's membership from this 
compact, that state shall immediately provide notice to all licensees 
within that state of such termination. The terminated state shall 
continue to recognize all licenses granted pursuant to this compact for a 
minimum of six months after the date of said notice of termination.
(g) The commission shall not bear any costs related to a state that 
is found to be in default or that has been terminated from the compact, 
unless agreed upon in writing between the commission and the 
defaulting state.
(h) The defaulting state may appeal the action of the commission 
by petitioning the United States district court for the District of 
Columbia or the federal district where the commission has its principal 
offices. The prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney fees.
(i) Dispute resolution.
(1) Upon request by a member state, the commission shall attempt 
to resolve disputes related to the compact that arise among member 
states and between member and nonmember states.
(2) The commission shall promulgate a rule providing for both 
mediation and binding dispute resolution for disputes as appropriate. HOUSE BILL No. 2069—page 11
(j) Enforcement.
(1) By majority vote as provided by rule, the commission may 
initiate legal action against a member state in default in the United 
States district court for the District of Columbia or the federal district 
where the commission has its principal offices to enforce compliance 
with the provisions of the compact and its promulgated rules. The relief 
sought may include both injunctive relief and damages. In the event 
judicial enforcement is necessary, the prevailing party shall be awarded 
all costs of such litigation, including reasonable attorney fees. The 
remedies herein shall not be the exclusive remedies of the commission. 
The commission may pursue any other remedies available under federal 
or the defaulting member state's law.
(2) A member state may initiate legal action against the 
commission in the United States district court for the District of 
Columbia or the federal district where the commission has its principal 
offices to enforce compliance with the provisions of the compact and 
its promulgated rules. The relief sought may include both injunctive 
relief and damages. In the event judicial enforcement is necessary, the 
prevailing party shall be awarded all costs of such litigation, including 
reasonable attorney fees.
(3) No person other than a member state shall enforce this 
compact against the commission.
SECTION 11—EFFECTIVE DATE, WITHDRAWAL AND 
AMENDMENT
(a) The compact shall come into effect on the date that the 
compact statute is enacted into law in the seventh member state.
(1) On or after the effective date of the compact indicated above, 
the commission shall convene and review the enactment of each of the 
charter member states to determine if the statute enacted by each such 
charter member state is materially different than the model compact 
statute.
(A) A charter member state whose enactment is found to be 
materially different from the model compact statute shall be entitled to 
the default process set forth in section 10.
(B) If any member state is later found to be in default, or is 
terminated or withdraws from the compact, the commission shall 
remain in existence and the compact shall remain in effect even if the 
number of member states should be less than seven.
(2) Member states enacting the compact subsequent to the charter 
member states shall be subject to the process set forth in section 7(c)
(21) to determine if their enactments are materially different from the 
model compact statute and whether they qualify for participation in the 
compact.
(3) All actions taken for the benefit of the commission or in 
furtherance of the purposes of the administration of the compact prior 
to the effective date of the compact or the commission coming into 
existence shall be considered to be actions of the commission unless 
specifically repudiated by the commission.
(A) Any state that joins the compact subsequent to the 
commission's initial adoption of the rules and bylaws shall be subject to 
the rules and bylaws as they exist on the date that the compact becomes 
law in that state. Any rule that has been previously adopted by the 
commission shall have the full force and effect of law on the day the 
compact becomes law in that state.
(B) Any member state may withdraw from this compact by 
enacting a statute repealing the same.
(b) A member state's withdrawal shall not take effect until 180 
days after enactment of the repealing statute.
(c) Withdrawal shall not affect the continuing requirement of the 
withdrawing state's licensing authority to comply with the investigative 
and adverse action reporting requirements of this compact prior to the 
effective date of withdrawal. HOUSE BILL No. 2069—page 12
(d) Upon the enactment of a statute withdrawing from this 
compact, a state shall immediately provide notice of such withdrawal to 
all licensees within that state. Notwithstanding any subsequent statutory 
enactment to the contrary, such withdrawing state shall continue to 
recognize all licenses granted pursuant to this compact for a minimum 
of six months after the date of such notice of withdrawal.
(1) Nothing contained in this compact shall be construed to 
invalidate or prevent any licensure agreement or other cooperative 
arrangement between a member state and a nonmember state that does 
not conflict with the provisions of this compact.
(2) This compact may be amended by the member states. No 
amendment to this compact shall become effective and binding upon 
any member state until it is enacted into the laws of all member states.
SECTION 12—CONSTRUCTION AND SEVERABILITY
(a) This compact and the commission's rulemaking authority shall 
be liberally construed so as to effectuate the purposes, implementation 
and administration of the compact. Provisions of the compact expressly 
authorizing or requiring the promulgation of rules shall not be 
construed to limit the commission's rulemaking authority solely for 
those purposes.
(b) The provisions of this compact shall be severable and if any 
phrase, clause, sentence or provision of this compact is held by a court 
of competent jurisdiction to be contrary to the constitution of any 
member state, a state seeking participation in the compact, or of the 
United States, or the applicability thereof to any government, agency, 
person or circumstance is held to be unconstitutional by a court of 
competent jurisdiction, the validity of the remainder of this compact 
and the applicability thereof to any other government, agency, person 
or circumstance shall not be affected thereby.
(c) Notwithstanding subsection (b), the commission may deny a 
state's participation in the compact or, in accordance with the 
requirements of section 10(b), terminate a member state's participation 
in the compact, if it determines that a constitutional requirement of a 
member state is a material departure from the compact. Otherwise, if 
this compact shall be held to be contrary to the constitution of any 
member state, the compact shall remain in full force and effect as to the 
remaining member states and in full force and effect as to the member 
state affected as to all severable matters.
SECTION 13—CONSISTENT EFFECT AND CONFLICT WITH 
OTHER STATE LAWS
(a) Nothing herein shall prevent or inhibit the enforcement of any 
other law of a member state that is not inconsistent with the compact.
(b) Any laws, statutes, regulations, or other legal requirements in a 
member state in conflict with the compact are superseded to the extent 
of the conflict.
(c) All permissible agreements between the commission and the 
member states are binding in accordance with their terms.
Sec. 2. This section shall be known and may be cited as the 
dietitian compact.
SECTION 1—PURPOSE
The purpose of this compact is to facilitate interstate practice of 
dietetics with the goal of improving public access to dietetics services. 
This compact preserves the regulatory authority of states to protect 
public health and safety through the current system of state licensure 
while also providing for licensure portability through a compact 
privilege granted to qualifying professionals. This compact is designed 
to achieve the following objectives:
(a) Increase public access to dietetics services; HOUSE BILL No. 2069—page 13
(b) provide opportunities for interstate practice by licensed 
dietitians who meet uniform requirements;
(c) eliminate the necessity for licenses in multiple states;
(d) reduce administrative burden on member states and licensees;
(e) enhance the states' ability to protect the public's health and 
safety;
(f) encourage the cooperation of member states in regulating 
multistate practice of licensed dietitians;
(g) support relocating active military members and their spouses;
(h) enhance the exchange of licensure, investigative and 
disciplinary information among member states; and
(i) vest all member states with the authority to hold a licensed 
dietitian accountable for meeting all state practice laws in the state 
where the patient is located at the time care is rendered.
SECTION 2—DEFINITIONS
As used in this compact, and except as otherwise provided, the 
following definitions apply:
(a) "ACEND" means the accreditation council for education in 
nutrition and dietetics or its successor organization.
(b) "Active military member" means any individual with full-time 
duty status in the active armed forces of the United States, including 
members of the national guard and reserve.
(c) "Adverse action" means any administrative, civil, equitable or 
criminal action permitted by a state's laws that is imposed by a 
licensing authority or other authority against a licensee, including 
actions against an individual's license or compact privilege such as 
revocation, suspension, probation, monitoring of the licensee, limitation 
on the licensee's practice or any other encumbrance on licensure 
affecting a licensee's authorization to practice, including issuance of a 
cease and desist action.
(d) "Alternative program" means a non-disciplinary monitoring or 
practice remediation process approved by a licensing authority.
(e) "CDR" means the commission on dietetic registration or its 
successor organization.
(f) "Charter member state" means any member state that enacted 
this compact by law before the effective date specified in section 12.
(g) "Continuing education" means a requirement as a condition of 
license renewal, to provide evidence of participation in, and completion 
of, educational and professional activities relevant to practice or area of 
work.
(h) "Compact commission" means the governmental agency 
whose membership consists of all states that have enacted this compact, 
which is known as the dietitian licensure compact commission, as 
described in section 8, and which shall operate as an instrumentality of 
the member states.
(i) "Compact privilege" means a legal authorization, which is 
equivalent to a license, permitting the practice of dietetics in a remote 
state.
(j) "Current significant investigative information" means:
(1) Investigative information that a licensing authority, after a 
preliminary inquiry that includes notification and an opportunity for the 
subject licensee to respond, if required by state law, has reason to 
believe is not groundless and, if proved true, would indicate more than 
a minor infraction; or
(2) investigative information that indicates that the subject 
licensee represents an immediate threat to public health and safety 
regardless of whether the subject licensee has been notified and had an 
opportunity to respond.
(k) "Data system" means a repository of information about 
licensees, including, but not limited to, continuing education, 
examination, licensure, investigative, compact privilege and adverse 
action information. HOUSE BILL No. 2069—page 14
(l) "Encumbered license" means a license in which an adverse 
action restricts a licensee's ability to practice dietetics.
(m) "Encumbrance" means a revocation or suspension of, or any 
limitation on, a licensee's full and unrestricted practice of dietetics by a 
licensing authority.
(n) "Executive committee" means a group of delegates elected or 
appointed to act on behalf of and within the powers granted to them by 
this compact and the compact commission.
(o) "Home state" means the member state that is the licensee's 
primary state of residence or that has been designated pursuant to 
section 6.
(p) "Investigative information" means information, records and 
documents received or generated by a licensing authority pursuant to an 
investigation.
(q) "Jurisprudence requirement" means an assessment of an 
individual's knowledge of the state laws and regulations governing the 
practice of dietetics in such state.
(r) "License" means an authorization from a member state to 
either:
(1) Engage in the practice of dietetics, including medical nutrition 
therapy; or
(2) use the title "dietitian," "licensed dietitian," "licensed dietitian 
nutritionist," "certified dietitian" or other title describing a substantially 
similar practitioner as the compact commission may further define by 
rule.
(s) "Licensee" or "licensed dietitian" means an individual who 
currently holds a license and who meets all of the requirements outlined 
in section 4.
(t) ”Licensing authority" means the board or agency of a state, or 
equivalent, that is responsible for the licensing and regulation of the 
practice of dietetics.
(u) "Member state" means a state that has enacted the compact.
(v) "Practice of dietetics" means the synthesis and application of 
dietetics as defined by state law and regulations, primarily for the 
provision of nutrition care services, including medical nutrition therapy, 
in person or via telehealth, to prevent, manage or treat diseases or 
medical conditions and promote wellness.
(w) "Registered dietitian" means a person who:
(1) Has completed applicable education, experience, examination 
and recertification requirements approved by CDR;
(2) is credentialed by CDR as a registered dietitian or a registered 
dietitian nutritionist; and
(3) is legally authorized to use the title registered dietitian or 
registered dietitian nutritionist and the corresponding abbreviations 
"RD" or "RDN."
(x) "Remote state" means a member state other than the home 
state where a licensee is exercising or seeking to exercise a compact 
privilege.
(y) "Rule" means a regulation promulgated by the compact 
commission that has the force of law.
(z) "Single state license" means a license issued by a member state 
within the issuing state and does not include a compact privilege in any 
other member state.
(aa) "State" means any state, commonwealth, district or territory 
of the United States of America.
(bb) "Unencumbered license" means a license that authorizes a 
licensee to engage in the full and unrestricted practice of dietetics.
SECTION 3—STATE PARTICIPATION IN THE COMPACT
(a) To participate in the compact, a state shall currently:
(1) License and regulate the practice of dietetics; and
(2) have a mechanism in place for receiving and investigating 
complaints concerning licensees. HOUSE BILL No. 2069—page 15
(b) A member state shall:
(1) Participate fully in the compact commission's data system, 
including using the unique identifier as defined in rules;
(2) notify the compact commission, in compliance with the terms 
of the compact and rules, of any adverse action or the availability of 
current significant investigative information regarding a licensee;
(3) implement or utilize procedures for considering the criminal 
history record information of applicants for an initial compact 
privilege. These procedures shall include the submission of fingerprints 
or other biometric-based information by applicants for the purpose of 
obtaining an applicant's criminal history record information from the 
federal bureau of investigation and the agency responsible for retaining 
that state's criminal records;
(A) a member state shall fully implement a criminal history record 
information requirement, within a time frame established by rule, that 
includes receiving the results of the federal bureau of investigation 
record search and shall use those results in determining compact 
privilege eligibility; and
(B) communication between a member state and the compact 
commission or among member states regarding the verification of 
eligibility for a compact privilege shall not include any information 
received from the federal bureau of investigation relating to a federal 
criminal history record information check performed by a member 
state;
(4) comply with and enforce the rules of the compact commission;
(5) require an applicant for a compact privilege to obtain or retain 
a license in the licensee's home state and meet the home state's 
qualifications for licensure or renewal of licensure, as well as all other 
applicable state laws; and
(6) recognize a compact privilege granted to a licensee who meets 
all of the requirements outlined in section 4 in accordance with the 
terms of the compact and rules.
(c) Member states may set and collect a fee for granting a compact 
privilege.
(d) Individuals not residing in a member state shall continue to be 
able to apply for a member state's single state license as provided under 
the laws of each member state. The single state license granted to these 
individuals shall not be recognized as granting a compact privilege to 
engage in the practice of dietetics in any other member state.
(e) Nothing in this compact shall affect the requirements 
established by a member state for the issuance of a single state license.
(f) At no point shall the compact commission have the power to 
define the requirements for the issuance of a single state license to 
practice dietetics. The member states shall retain sole jurisdiction over 
the provision of these requirements.
SECTION 4—COMPACT PRIVILEGE
(a) To exercise the compact privilege under the terms and 
provisions of the compact, the licensee shall:
(1) Satisfy one of the following:
(A) Hold a valid current registration that gives the applicant the 
right to use the term registered dietitian; or
(B) complete all of the following:
(i) An education program that is either:
(a) A master's degree or doctoral degree that is programmatically 
accredited by:
(1) ACEND; or
(2) a dietetics accrediting agency recognized by the United States 
department of education, which the compact commission may by rule 
determine, and from a college or university accredited at the time of 
graduation by the appropriate regional accrediting agency recognized 
by the council on higher education accreditation and the United States 
department of education; or HOUSE BILL No. 2069—page 16
(b) an academic degree from a college or university in a foreign 
country equivalent to the degree described in subclause (a) that is 
programmatically accredited by:
(1) ACEND; or
(2) a dietetics accrediting agency recognized by the United States 
department of education, which the compact commission may by rule 
determine;
(ii) planned, documented and supervised practice experience in 
dietetics that is programmatically accredited by:
(a) ACEND; or
(b) a dietetics accrediting agency recognized by the United States 
department of education which the compact commission may by rule 
determine, that involves at least 1000 hours of practice experience 
under the supervision of a registered dietitian or a licensed dietitian; 
and
(iii) successful completion of either:
(a) The registration examination for dietitians administered by 
CDR; or
(b) a national credentialing examination for dietitians approved by 
the compact commission by rule, such completion being not more than 
five years prior to the date of the licensee's application for initial 
licensure and accompanied by a period of continuous licensure 
thereafter, all of which may be further governed by the rules of the 
compact commission;
(2) hold an unencumbered license in the home state;
(3) notify the compact commission that the licensee is seeking a 
compact privilege within a remote state;
(4) pay any applicable fees, including any state fee, for the 
compact privilege;
(5) meet any jurisprudence requirements established by the remote 
state where the licensee is seeking a compact privilege; and
(6) report to the compact commission any adverse action, 
encumbrance or restriction on a license taken by any nonmember state 
within 30 days from the date the action is taken.
(b) The compact privilege shall be valid until the expiration date 
of the home state license. To maintain a compact privilege, renewal of 
the compact privilege shall be congruent with the renewal of the home 
state license as the compact commission may define by rule. The 
licensee shall comply with the requirements of subsection (a) to 
maintain the compact privilege in the remote state.
(c) A licensee exercising a compact privilege shall adhere to the 
laws and regulations of the remote state. Licensees shall be responsible 
for educating themselves on, and complying with, any and all state laws 
relating to the practice of dietetics in such remote state.
(d) Notwithstanding anything to the contrary provided in this 
compact or state law, a licensee exercising a compact privilege shall not 
be required to complete continuing education requirements required by 
a remote state. A licensee exercising a compact privilege shall only be 
required to meet any continuing education requirements as required by 
the home state.
SECTION 5—OBTAINING A NEW HOME STATE LICENSE 
BASED ON A COMPACT PRIVILEGE
(a) A licensee may hold a home state license that allows for a 
compact privilege in other member states in only one member state at a 
time.
(b) If a licensee changes home state by moving between two 
member states:
(1) The licensee shall file an application for obtaining a new home 
state license based on a compact privilege, pay all applicable fees and 
notify the current and new home state in accordance with the rules of 
the compact commission.
(2) Upon receipt of an application for obtaining a new home state  HOUSE BILL No. 2069—page 17
license by virtue of a compact privilege, the new home state shall verify 
that the licensee meets the criteria in section 4 via the data system and 
require that the licensee complete the following:
(A) Federal bureau of investigation fingerprint-based criminal 
history record information check;
(B) any other criminal history record information required by the 
new home state; and
(C) any jurisprudence requirements of the new home state.
(3) The former home state shall convert the former home state 
license into a compact privilege once the new home state has activated 
the new home state license in accordance with applicable rules adopted 
by the compact commission.
(4) Notwithstanding any other provision of this compact, if the 
licensee cannot meet the criteria in section 4, the new home state may 
apply its requirements for issuing a new single state license.
(5) The licensee shall pay all applicable fees to the new home state 
in order to be issued a new home state license.
(c) If a licensee changes their state of residence by moving from a 
member state to a nonmember state, or from a nonmember state to a 
member state, the state criteria shall apply for issuance of a single state 
license in the new state.
(d) Nothing in this compact shall interfere with a licensee's ability 
to hold a single state license in multiple states, except that for the 
purposes of this compact, a licensee shall have only one home state 
license.
(e) Nothing in this compact shall affect the requirements 
established by a member state for the issuance of a single state license.
SECTION 6—ACTIVE MILITARY MEMBERS OR THEIR 
SPOUSES
An active military member, or their spouse, shall designate a home 
state where the individual has a current license in good standing. The 
individual may retain the home state designation during the period the 
service member is on active duty.
SECTION 7—ADVERSE ACTIONS
(a) In addition to the other powers conferred by state law, a remote 
state shall have the authority, in accordance with existing state due 
process law, to:
(1) Take adverse action against a licensee's compact privilege 
within that member state; and
(2) issue subpoenas for both hearings and investigations that 
require the attendance and testimony of witnesses as well as the 
production of evidence. Subpoenas issued by a licensing authority in a 
member state for the attendance and testimony of witnesses or the 
production of evidence from another member state shall be enforced in 
the latter state by any court of competent jurisdiction, according to the 
practice and procedure applicable to subpoenas issued in proceedings 
pending before that court. The issuing authority shall pay any witness 
fees, travel expenses, mileage and other fees required by the service 
statutes of the state where the witnesses or evidence are located.
(b) Only the home state shall have the power to take adverse 
action against a licensee's home state license.
(c) For purposes of taking adverse action, the home state shall 
give the same priority and effect to reported conduct received from a 
member state as it would if the conduct had occurred within the home 
state. In so doing, the home state shall apply its own state laws to 
determine appropriate action.
(d) The home state shall complete any pending investigations of a 
licensee who changes home states during the course of the 
investigations. The home state shall also have authority to take 
appropriate action and promptly report the conclusions of the 
investigations to the administrator of the data system. The administrator  HOUSE BILL No. 2069—page 18
of the data system shall promptly notify the new home state of any 
adverse actions.
(e) A member state, if otherwise permitted by state law, may 
recover from the affected licensee the costs of investigations and 
dispositions of cases resulting from any adverse action taken against 
that licensee.
(f) A member state may take adverse action based on the factual 
findings of another remote state if the member state follows its own 
procedures for taking the adverse action.
(g) Joint investigations.
(1) In addition to the authority granted to a member state by its 
respective state law, any member state may participate with other 
member states in joint investigations of licensees.
(2) Member states shall share any investigative, litigation or 
compliance materials in furtherance of any joint investigation initiated 
under the compact.
(h) If adverse action is taken by the home state against a licensee's 
home state license resulting in an encumbrance on the home state 
license, the licensee's compact privilege in all other member states shall 
be revoked until all encumbrances have been removed from the home 
state license. All home state disciplinary orders that impose adverse 
action against a licensee shall include a statement that the licensee's 
compact privileges are revoked in all member states during the 
pendency of the order.
(i) Once an encumbered license in the home state is restored to an 
unencumbered license as certified by the home state's licensing 
authority, the licensee shall meet the requirements of section 4(a) and 
follow the administrative requirements to reapply to obtain a compact 
privilege in any remote state.
(j) If a member state takes adverse action, such state shall 
promptly notify the administrator of the data system. The administrator 
of the data system shall promptly notify the other member states state 
of any adverse actions.
(k) Nothing in this compact shall override a member state's 
decision that participation in an alternative program may be used in lieu 
of adverse action.
SECTION 8—ESTABLISHMENT OF THE DIETITIAN 
LICENSURE 
COMPACT COMMISSION
(a) The compact member states hereby create and establish a joint 
governmental agency whose membership consists of all member states 
that have enacted the compact known as the dietitian licensure compact 
commission. The compact commission is an instrumentality of the 
compact states acting jointly and not an instrumentality of any one 
state. The compact commission shall come into existence on or after 
the effective date of the compact as set forth in section 12.
(b) Membership, voting and meetings.
(1) Each member state shall have and be limited to one delegate 
selected by that member state's licensing authority.
(2) The delegate shall be the primary administrator of the 
licensing authority or their designee.
(3) The compact commission shall by rule or bylaw establish a 
term of office for delegates and may by rule or bylaw establish term 
limits.
(4) The compact commission may recommend removal or 
suspension of any delegate from office.
(5) A member state's licensing authority shall fill any vacancy of 
its delegate occurring on the compact commission within 60 days of the 
vacancy.
(6) Each delegate shall be entitled to one vote on all matters 
before the compact commission requiring a vote by the delegates.
(7) Delegates shall meet and vote by such means as set forth in the  HOUSE BILL No. 2069—page 19
bylaws. The bylaws may provide for delegates to meet and vote in 
person or by telecommunication, video conference or other means of 
communication.
(8) The compact commission shall meet at least once during each 
calendar year. Additional meetings may be held as set forth in the 
bylaws. The compact commission may meet in person or by 
telecommunication, video conference or other means of 
communication.
(c) The compact commission shall have the following powers:
(1) Establish the fiscal year of the compact commission;
(2) establish code of conduct and conflict of interest policies;
(3) establish and amend rules and bylaws;
(4) maintain its financial records in accordance with the bylaws;
(5) meet and take such actions as are consistent with the 
provisions of this compact, the compact commission's rules and the 
bylaws;
(6) initiate and conclude legal proceedings or actions in the name 
of the compact commission, except that the standing of any licensing 
authority to sue or be sued under applicable law shall not be affected;
(7) maintain and certify records and information provided to a 
member state as the authenticated business records of the compact 
commission and designate an agent to do so on the compact 
commission's behalf;
(8) purchase and maintain insurance and bonds;
(9) borrow, accept or contract for services of personnel, including, 
but not limited to, employees of a member state;
(10) conduct an annual financial review;
(11) hire employees, elect or appoint officers, fix compensation, 
define duties, grant such individuals appropriate authority to carry out 
the purposes of the compact and establish the compact commission's 
personnel policies and programs relating to conflicts of interest, 
qualifications of personnel and other related personnel matters;
(12) assess and collect fees;
(13) accept any and all appropriate donations, grants of money, 
other sources of revenue, equipment, supplies, materials, services and 
gifts, and receive, utilize and dispose of the same except that at all 
times the compact commission shall avoid any actual or appearance of 
impropriety or conflict of interest;
(14) lease, purchase, retain, own, hold, improve or use any 
property, real, personal or mixed or any undivided interest therein;
(15) sell, convey, mortgage, pledge, lease, exchange, abandon or 
otherwise dispose of any property real, personal or mixed;
(16) establish a budget and make expenditures;
(17) borrow money;
(18) appoint committees, including standing committees, 
composed of members, state regulators, state legislators or their 
representatives, consumer representatives and such other interested 
persons as may be designated in this compact or the bylaws;
(19) provide and receive information from, and cooperate with, 
law enforcement agencies;
(20) establish and elect an executive committee, including a chair 
and a vice chair;
(21) determine whether a state's adopted language is materially 
different from the model compact language such that the state would 
not qualify for participation in the compact; and
(22) perform such other functions as may be necessary or 
appropriate to achieve the purposes of this compact.
(d) The executive committee.
(1) The executive committee shall have the power to act on behalf 
of the compact commission according to the terms of this compact. The 
powers, duties and responsibilities of the executive committee shall 
include:
(A) Oversee the day-to-day activities of the administration of the 
compact including enforcement and compliance with the provisions of  HOUSE BILL No. 2069—page 20
the compact and its rules and bylaws and other such duties as deemed 
necessary;
(B) recommend to the compact commission changes to the rules 
or bylaws, changes to this compact legislation, fees charged to compact 
member states, fees charged to licensees and other fees;
(C) ensure compact administration services are appropriately 
provided, including by contract;
(D) prepare and recommend the budget;
(E) maintain financial records on behalf of the compact 
commission;
(F) monitor compact compliance of member states and provide 
compliance reports to the compact commission;
(G) establish additional committees as necessary;
(H) exercise the powers and duties of the compact commission 
during the interim between compact commission meetings, except for 
adopting or amending rules, adopting or amending bylaws and 
exercising any other powers and duties expressly reserved to the 
compact commission by rule or bylaw; and
(I) other duties as provided in the rules or bylaws of the compact 
commission.
(2) The executive committee shall be composed of nine members:
(A) The chair and vice chair of the compact commission shall be 
voting members of the executive committee;
(B) five voting members from the current membership of the 
compact commission, elected by the compact commission;
(C) one exofficio, nonvoting member from a recognized 
professional association representing dietitians; and
(D) one exofficio, nonvoting member from a recognized national 
credentialing organization for dietitians.
(3) The compact commission may remove any member of the 
executive committee as provided in the compact commission's bylaws.
(4) The executive committee shall meet at least annually.
(A) Executive committee meetings shall be open to the public, 
except that the executive committee may meet in a closed, nonpublic 
meeting as provided in subsection (f)(2).
(B) The executive committee shall give 30 days' notice of its 
meetings, posted on the website of the compact commission and as 
determined to provide notice to persons with an interest in the business 
of the compact commission.
(C) The executive committee may hold a special meeting in 
accordance with subsection (f)(1)(B).
(e) The compact commission shall adopt and provide to the 
member states an annual report.
(f) Meetings of the compact commission.
(1) All meetings shall be open to the public, except that the 
compact commission may meet in a closed, nonpublic meeting as 
provided in subsection (f)(2).
(A) Public notice for all meetings of the full compact commission 
shall be given in the same manner as required under the rulemaking 
provisions in section 10, except that the compact commission may hold 
a special meeting as provided in subsection (f)(1)(B).
(B) The compact commission may hold a special meeting when it 
shall meet to conduct emergency business by giving 24 hours' notice to 
all member states on the compact commission's website and other 
means as provided in the compact commission's rules. The compact 
commission's legal counsel shall certify that the compact commission's 
need to meet qualifies as an emergency.
(2) The compact commission or the executive committee or other 
committees of the compact commission may convene in a closed, 
nonpublic meeting for the compact commission or executive committee 
or other committees of the compact commission to receive legal advice 
or to discuss:
(A) Noncompliance of a member state with its obligations under 
the compact; HOUSE BILL No. 2069—page 21
(B) the employment, compensation, discipline or other matters, 
practices or procedures related to specific employees;
(C) current or threatened discipline of a licensee by the compact 
commission or by a member state's licensing authority;
(D) current, threatened or reasonably anticipated litigation;
(E) negotiation of contracts for the purchase, lease, or sale of 
goods, services or real estate;
(F) accusing any person of a crime or formally censuring any 
person;
(G) trade secrets or commercial or financial information that is 
privileged or confidential;
(H) information of a personal nature where disclosure would 
constitute a clearly unwarranted invasion of personal privacy;
(I) investigative records compiled for law enforcement purposes;
(J) information related to any investigative reports prepared by or 
on behalf of or for use of the compact commission or other committee 
charged with responsibility of investigation or determination of 
compliance issues pursuant to the compact;
(K) matters specifically exempted from disclosure by federal or 
member state law; or
(L) other matters as specified in the rules of the compact 
commission.
(3) If a meeting, or portion of a meeting, is closed, the presiding 
officer shall state that the meeting will be closed and reference each 
relevant exempting provision, and such reference shall be recorded in 
the minutes.
(4) The compact commission shall keep minutes that fully and 
clearly describe all matters discussed in a meeting and provide a full 
and accurate summary of actions taken, and the reasons therefore, 
including a description of the views expressed. All documents 
considered in connection with an action shall be identified in such 
minutes. All minutes and documents of a closed meeting shall remain 
under seal, subject to release only by a majority vote of the compact 
commission or order of a court of competent jurisdiction.
(g) Financing of the compact commission.
(1) The compact commission shall pay, or provide for the payment 
of, the reasonable expenses of its establishment, organization and 
ongoing activities.
(2) The compact commission may accept any and all appropriate 
revenue sources as provided in subsection (c)(13).
(3) The compact commission may levy on and collect an annual 
assessment from each member state and impose fees on licensees of 
member states to whom it grants a compact privilege to cover the cost 
of the operations and activities of the compact commission and its staff 
that shall, in a total amount, be sufficient to cover its annual budget as 
approved each year for which revenue is not provided by other sources. 
The aggregate annual assessment amount for member states shall be 
allocated based upon a formula that the compact commission shall 
promulgate by rule.
(4) The compact commission shall not incur obligations of any 
kind prior to securing the funds adequate to meet the same, nor shall 
the compact commission pledge the credit of any of the member states 
except by and with the authority of the member state.
(5) The compact commission shall keep accurate accounts of all 
receipts and disbursements. The receipts and disbursements of the 
compact commission shall be subject to the financial review and 
accounting procedures established under its bylaws. All receipts and 
disbursements of funds handled by the compact commission shall be 
subject to an annual financial review by a certified or licensed public 
accountant, and the report of the financial review shall be included in 
and become part of the annual report of the compact commission.
(h) Qualified immunity, defense and indemnification.
(1) The members, officers, executive director, employees and 
representatives of the compact commission shall be immune from suit  HOUSE BILL No. 2069—page 22
and liability, both personally and in their official capacity, for any claim 
for damage to or loss of property or personal injury or other civil 
liability caused by or arising out of any actual or alleged act, error or 
omission that occurred, or that the person against whom the claim is 
made had a reasonable basis for believing occurred within the scope of 
compact commission employment, duties or responsibilities, except 
that nothing in this paragraph shall be construed to protect any such 
person from suit or liability for any damage, loss, injury or liability 
caused by the intentional or willful or wanton misconduct of that 
person. The procurement of insurance of any type by the compact 
commission shall not in any way compromise or limit the immunity 
granted hereunder.
(2) The compact commission shall defend any member, officer, 
executive director, employee and representative of the compact 
commission in any civil action seeking to impose liability arising out of 
any actual or alleged act, error or omission that occurred within the 
scope of compact commission employment, duties or responsibilities or 
as determined by the compact commission that the person against 
whom the claim is made had a reasonable basis for believing occurred 
within the scope of compact commission employment, duties or 
responsibilities, except that nothing herein shall be construed to 
prohibit that person from retaining their own counsel at their own 
expense and that the actual or alleged act, error or omission did not 
result from that person's intentional or willful or wanton misconduct.
(3) The compact commission shall indemnify and hold harmless 
any member, officer, executive director, employee and representative of 
the compact commission for the amount of any settlement or judgment 
obtained against that person arising out of any actual or alleged act, 
error or omission that occurred within the scope of compact 
commission employment, duties or responsibilities, or that such person 
had a reasonable basis for believing occurred within the scope of 
compact commission employment, duties or responsibilities, except 
that the actual or alleged act, error or omission did not result from the 
intentional or willful or wanton misconduct of that person.
(4) Nothing in this compact shall be construed as a limitation on 
the liability of any licensee for professional malpractice or misconduct, 
which shall be governed solely by any other applicable state laws.
(5) Nothing in this compact shall be interpreted to waive or 
otherwise abrogate a member state's state action immunity or state 
action affirmative defense with respect to antitrust claims under the 
Sherman antitrust act of 1890, the Clayton act 15 U.S.C. §§ 12-27 or 
any other state or federal antitrust or anticompetitive law or regulation.
(6) Nothing in this compact shall be construed to be a waiver of 
sovereign immunity by the member states or by the compact 
commission.
SECTION 9—DATA SYSTEMS
(a) The compact commission shall provide for the development, 
maintenance, operation and utilization of a coordinated data system.
(b) The compact commission shall assign each applicant for a 
compact privilege a unique identifier, as determined by the rules of the 
compact commission.
(c) Notwithstanding any other provision of state law to the 
contrary, a member state shall submit a uniform data set to the data 
system on all individuals to whom this compact is applicable as 
required by the rules of the compact commission, including:
(1) Identifying information;
(2) licensure data;
(3) adverse actions against a license or compact privilege and 
information related thereto;
(4) nonconfidential information related to alternative program 
participation, the beginning and ending dates of such participation and 
other information related to such participation not made confidential  HOUSE BILL No. 2069—page 23
under member state law;
(5) any denial of application for licensure and the reason for such 
denial;
(6) the presence of current significant investigative information; 
and
(7) other information that may facilitate the administration of this 
compact or the protection of the public, as determined by the rules of 
the compact commission.
(d) The records and information provided to a member state 
pursuant to this compact or through the data system, when certified by 
the compact commission or an agent thereof, shall constitute the 
authenticated business records of the compact commission and shall be 
entitled to any associated hearsay exception in any relevant judicial, 
quasi-judicial or administrative proceedings in a member state.
(e) Current significant investigative information pertaining to a 
licensee in any member state shall only be available to other member 
states.
(f) Member states shall report any adverse action against a 
licensee and to monitor the data system to determine whether any 
adverse action has been taken against a licensee. Adverse action 
information pertaining to a licensee in any member state shall be 
available to any other member state.
(g) Member states contributing information to the data system 
may designate information that shall not be shared with the public 
without the express permission of the contributing state.
(h) Any information submitted to the data system that is 
subsequently expunged pursuant to federal law or the laws of the 
member state contributing the information shall be removed from the 
data system.
SECTION 10—RULEMAKING
(a) The compact commission shall promulgate reasonable rules in 
order to effectively and efficiently implement and administer the 
purposes and provisions of the compact. A rule shall be invalid and 
have no force or effect only if a court of competent jurisdiction holds 
that the rule is invalid because the compact commission exercised its 
rulemaking authority in a manner that is beyond the scope and purposes 
of the compact, or the powers granted hereunder, or based upon another 
applicable standard of review.
(b) The rules of the compact commission shall have the force of 
law in each member state, except that where the rules conflict with the 
laws or regulations of a member state that relate to the procedures, 
actions and processes a licensed dietitian is permitted to undertake in 
that state and the circumstances under which they may do so, as held by 
a court of competent jurisdiction, the rules of the compact commission 
shall be ineffective in that state to the extent of the conflict.
(c) The compact commission shall exercise its rulemaking powers 
pursuant to the criteria set forth in this section and the rules adopted 
thereunder. Rules shall become binding on the day following adoption 
or as of the date specified in the rule or amendment, whichever is later.
(d) If a majority of the legislatures of the member states rejects a 
rule or portion of a rule, by enactment of a statute or resolution in the 
same manner used to adopt the compact within four years of the date of 
adoption of the rule, then such rule shall have no further force and 
effect in any member state.
(e) Rules shall be adopted at a regular or special meeting of the 
compact commission.
(f) Prior to adoption of a proposed rule, the compact commission 
shall hold a public hearing and allow persons to provide oral and 
written comments, data, facts, opinions and arguments.
(g) Prior to adoption of a proposed rule by the compact 
commission and at least 30 days in advance of the meeting at which the 
compact commission will hold a public hearing on the proposed rule,  HOUSE BILL No. 2069—page 24
the compact commission shall provide a notice of proposed 
rulemaking:
(1) On the website of the compact commission or other publicly 
accessible platform;
(2) to persons who have requested notice of the compact 
commission's notices of proposed rulemaking; and
(3) in such other way as the compact commission may by rule 
specify.
(h) The notice of proposed rulemaking shall include:
(1) The time, date and location of the public hearing at which the 
compact commission will hear public comments on the proposed rule 
and, if different, the time, date and location of the meeting where the 
compact commission will consider and vote on the proposed rule;
(2) if the hearing is held via telecommunication, video conference 
or other means of communication, the compact commission shall 
include the mechanism for access to the hearing in the notice of 
proposed rulemaking;
(3) the text of the proposed rule and the reason therefor;
(4) a request for comments on the proposed rule from any 
interested person; and
(5) the manner in which interested persons may submit written 
comments.
(i) All hearings shall be recorded. A copy of the recording and all 
written comments and documents received by the compact commission 
in response to the proposed rule shall be available to the public.
(j) Nothing in this section shall be construed as requiring a 
separate hearing on each rule. Rules may be grouped for the 
convenience of the compact commission at hearings required by this 
section.
(k) The compact commission shall, by majority vote of all 
members, take final action on the proposed rule based on the 
rulemaking record and the full text of the rule.
(1) The compact commission may adopt changes to the proposed 
rule if the changes do not enlarge the original purpose of the proposed 
rule.
(2) The compact commission shall provide an explanation of the 
reasons for substantive changes made to the proposed rule as well as 
reasons for substantive changes not made that were recommended by 
commenters.
(3) The compact commission shall determine a reasonable 
effective date for the rule. Except for an emergency as provided in 
subsection (l), the effective date of the rule shall be not sooner than 30 
days after issuing the notice that it adopted or amended the rule.
(l) Upon determination that an emergency exists, the compact 
commission may consider and adopt an emergency rule with 24 hours' 
notice, with an opportunity to comment, except that the usual 
rulemaking procedures provided in the compact and this section shall 
be retroactively applied to the rule as soon as reasonably possible but 
not later than 90 days after the effective date of the rule. For the 
purposes of this provision, an emergency rule is one that shall be 
adopted immediately in order to:
(1) Meet an imminent threat to public health, safety or welfare;
(2) prevent a loss of compact commission or member state funds;
(3) meet a deadline for the promulgation of a rule that is 
established by federal law or rule; or
(4) protect public health and safety.
(m) The compact commission or an authorized committee of the 
compact commission may direct revision to a previously adopted rule 
for purposes of correcting typographical errors, errors in format, errors 
in consistency or grammatical errors. Public notice of any revision shall 
be posted on the website of the compact commission. The revision shall 
be subject to challenge by any person for a period of 30 days after 
posting. The revision may be challenged only on grounds that the 
revision results in a material change to a rule. A challenge shall be  HOUSE BILL No. 2069—page 25
made in writing and delivered to the compact commission prior to the 
end of the notice period. If no challenge is made, the revision shall take 
effect without further action. If the revision is challenged, the revision 
may not take effect without the approval of the compact commission. 
(n) No member state's rulemaking requirements shall apply under 
this compact.
SECTION 11—OVERSIGHT, DISPUTE RESOLUTION AND 
ENFORCEMENT
(a) Oversight.
(1) The executive and judicial branches of state government in 
each member state shall enforce this compact and take all actions 
necessary and appropriate to implement this compact.
(2) Except as otherwise provided in this compact, venue is proper 
and judicial proceedings by or against the compact commission shall be 
brought solely and exclusively in a court of competent jurisdiction 
where the principal office of the compact commission is located. The 
compact commission may waive venue and jurisdictional defenses to 
the extent it adopts or consents to participate in alternative dispute 
resolution proceedings. Nothing herein shall affect or limit the selection 
or propriety of venue in any action against a licensee for professional 
malpractice, misconduct or any such similar matter.
(3) The compact commission shall be entitled to receive service of 
process in any proceeding regarding the enforcement or interpretation 
of the compact and shall have standing to intervene in such a 
proceeding for all purposes. Failure to provide the compact commission 
service of process shall render a judgment or order void as to the 
compact commission, this compact or promulgated rules.
(b) Default, technical assistance and termination.
(1) If the compact commission determines that a member state has 
defaulted in the performance of its obligations or responsibilities under 
this compact or the promulgated rules, the compact commission shall 
provide written notice to the defaulting state. The notice of default shall 
describe the default, the proposed means of curing the default and any 
other action that the compact commission may take and shall offer 
training and specific technical assistance regarding the default.
(2) The compact commission shall provide a copy of the notice of 
default to the other member states.
(c) If a state in default fails to cure the default, the defaulting state 
may be terminated from the compact upon an affirmative vote of a 
majority of the delegates of the member states, and all rights, privileges 
and benefits conferred on that state by this compact may be terminated 
on the effective date of termination. A cure of the default does not 
relieve the offending state of obligations or liabilities incurred during 
the period of default.
(d) Termination of membership in the compact shall be imposed 
only after all other means of securing compliance have been exhausted. 
Notice of intent to suspend or terminate shall be given by the compact 
commission to the governor, the majority and minority leaders of the 
defaulting state's legislature, the defaulting state's licensing authority 
and each of the member states' licensing authority.
(e) A state that has been terminated is responsible for all 
assessments, obligations and liabilities incurred through the effective 
date of termination, including obligations that extend beyond the 
effective date of termination.
(f) Upon the termination of a state's membership from this 
compact, that state shall immediately provide notice to all licensees 
within that state of such termination. The terminated state shall 
continue to recognize all compact privileges granted pursuant to this 
compact for a minimum of six months after the date of said notice of 
termination.
(g) The compact commission shall not bear any costs related to a 
state that is found to be in default or that has been terminated from the  HOUSE BILL No. 2069—page 26
compact, unless agreed upon in writing between the compact 
commission and the defaulting state.
(h) The defaulting state may appeal the action of the compact 
commission by petitioning the United States district court for the 
District of Columbia or the federal district where the compact 
commission has its principal offices. The prevailing party shall be 
awarded all costs of such litigation, including reasonable attorney fees.
(i) Dispute resolution.
(1) Upon request by a member state, the compact commission 
shall attempt to resolve disputes related to the compact that arise among 
member states and among member and nonmember states.
(2) The compact commission shall promulgate a rule providing for 
both mediation and binding dispute resolution for disputes as 
appropriate.
(j) Enforcement.
(1) By supermajority vote, the compact commission may initiate 
legal action against a member state in default in the United States 
district court for the District of Columbia or the federal district where 
the compact commission has its principal offices to enforce compliance 
with the provisions of the compact and its promulgated rules. The relief 
sought may include both injunctive relief and damages. In the event 
that judicial enforcement is necessary, the prevailing party shall be 
awarded all costs of such litigation, including reasonable attorney fees. 
The remedies herein shall not be the exclusive remedies of the compact 
commission. The compact commission may pursue any other remedies 
available under federal or the defaulting member state's law.
(2) A member state may initiate legal action against the compact 
commission in the United States district court for the District of 
Columbia or the federal district where the compact commission has its 
principal offices to enforce compliance with the provisions of the 
compact and its promulgated rules. The relief sought may include both 
injunctive relief and damages. In the event that judicial enforcement is 
necessary, the prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney fees.
(3) No party other than a member state shall enforce this compact 
against the compact commission.
SECTION 12—EFFECTIVE DATE, WITHDRAWAL AND 
AMENDMENT
(a) The compact shall come into effect on the date that the 
compact statute is enacted into law in the seventh member state.
(1) On or after the effective date of the compact, the compact 
commission shall convene and review the enactment of each of the first 
seven member states, "charter member states," to determine if the 
statute enacted by each such charter member state is materially 
different than the model compact statute.
(A) A charter member state whose enactment is found to be 
materially different from the model compact statute shall be entitled to 
the default process set forth in section 11.
(B) If any member state is later found to be in default, or is 
terminated or withdraws from the compact, the compact commission 
shall remain in existence and the compact shall remain in effect even if 
the number of member states should be fewer than seven.
(2) Member states enacting the compact subsequent to the seven 
initial charter member states shall be subject to the process set forth in 
section 8(c)(21) to determine if their enactments are materially different 
from the model compact statute and whether they qualify for 
participation in the compact.
(3) All actions taken for the benefit of the compact commission or 
in furtherance of the purposes of the administration of the compact 
prior to the effective date of the compact or the compact commission 
coming into existence shall be considered to be actions of the compact 
commission unless specifically repudiated by the compact commission. HOUSE BILL No. 2069—page 27
(4) Any state that joins the compact subsequent to the compact 
commission's initial adoption of the rules and bylaws shall be subject to 
the rules and bylaws as they exist on the date that the compact becomes 
law in that state. Any rule that has been previously adopted by the 
compact commission shall have the full force and effect of law on the 
day the compact becomes law in that state.
(b) Any member state may withdraw from this compact by 
enacting a statute repealing such compact.
(1) A member state's withdrawal shall not take effect until 180 
days after enactment of the repealing statute.
(2) Withdrawal shall not affect the continuing requirement of the 
withdrawing state's licensing authority to comply with the investigative 
and adverse action reporting requirements of this compact prior to the 
effective date of withdrawal.
(3) Upon the enactment of a statute withdrawing from this 
compact, a state shall immediately provide notice of such withdrawal to 
all licensees within that state. Notwithstanding any subsequent 
statutory enactment to the contrary, such withdrawing state shall 
continue to recognize all compact privileges granted pursuant to this 
compact for a minimum of 180 days after the date of such notice of 
withdrawal.
(c) Nothing contained in this compact shall be construed to 
invalidate or prevent any licensure agreement or other cooperative 
arrangement between a member state and a nonmember state that does 
not conflict with the provisions of this compact.
(d) This compact may be amended by the member states. No 
amendment to this compact shall become effective and binding upon 
any member state until it is enacted into the laws of all member states.
SECTION 13—CONSTRUCTION AND SEVERABILITY
(a) This compact and the compact commission's rulemaking 
authority shall be liberally construed so as to effectuate the purposes 
and the implementation and administration of the compact. Provisions 
of the compact expressly authorizing or requiring the promulgation of 
rules shall not be construed to limit the compact commission's 
rulemaking authority solely for those purposes.
(b) The provisions of this compact shall be severable and if any 
phrase, clause, sentence or provision of this compact is held by a court 
of competent jurisdiction to be contrary to the constitution of any 
member state, a state seeking participation in the compact or of the 
United States, or the applicability thereof to any government, agency, 
person or circumstance is held to be unconstitutional by a court of 
competent jurisdiction, the validity of the remainder of this compact 
and the applicability thereof to any other government, agency, person 
or circumstance shall not be affected thereby.
(c) Notwithstanding subsection (b), the compact commission may 
deny a state's participation in the compact or, in accordance with the 
requirements of section 11(b), terminate a member state's participation 
in the compact if it determines that a constitutional requirement of a 
member state is a material departure from the compact. If this compact 
shall be held to be contrary to the constitution of any member state, the 
compact shall remain in full force and effect as to the remaining 
member states and in full force and effect as to the member state 
affected as to all severable matters.
SECTION 14—CONSISTENT EFFECT AND CONFLICT 
WITH OTHER STATE LAWS
(a) Nothing in this compact shall prevent or inhibit the 
enforcement of any other law of a member state that is not inconsistent 
with the compact.
(b) Any laws, statutes, rules and regulations or other legal 
requirements in a member state in conflict with the compact are 
superseded to the extent of the conflict. HOUSE BILL No. 2069—page 28
(c) All permissible agreements between the compact commission 
and the member states are binding in accordance with their terms.
Sec. 3. This section shall be known and may be cited as the 
cosmetologist licensure compact.
ARTICLE 1—PURPOSE
(a) The purpose of this compact is to facilitate the interstate 
practice and regulation of cosmetology with the goal of improving 
public access thereto, the safety of cosmetology services and reducing 
unnecessary burdens related to cosmetology licensure. Through this 
compact the member states seek to establish a regulatory framework 
that provides for a new multistate licensing program. Through this new 
licensing program, the member states seek to provide increased value 
and mobility to licensed cosmetologists in the member states, while 
ensuring the provision of safe, effective and reliable services to the 
public.
(b) This compact is designed to achieve the following objectives, 
which are ratified by the member states to this compact:
(1) Provide opportunities for interstate practice by cosmetologists 
who meet uniform requirements for multistate licensure;
(2) enhance the abilities of member states to protect public health 
and safety and prevent fraud and unlicensed activity within the 
profession;
(3) ensure and encourage cooperation between member states in 
the licensure and regulation of the practice of cosmetology;
(4) support relocating military members and their spouses;
(5) facilitate the exchange of information between member states 
related to the licensure, investigation and discipline of the practice of 
cosmetology; and
(6) provide for the licensure and mobility of the workforce in the 
profession while addressing the shortage of workers and lessening the 
associated burdens on the member states.
ARTICLE 2—DEFINITIONS
As used in this compact, and except as otherwise provided, the 
following definitions shall govern the terms herein:
(a) "Active military member" means any person with full-time 
duty status in the armed forces of the United States, including members 
of the national guard and reserve.
(b) "Adverse action" means any administrative, civil, equitable or 
criminal action permitted by a member state's laws that is imposed by a 
state licensing authority or other regulatory body against a 
cosmetologist, including actions against an individual's license or 
authorization to practice such as revocation, suspension, probation, 
monitoring of the licensee, limitation of the licensee's practice or any 
other encumbrance on a license affecting an individual's ability to 
participate in the cosmetology industry, including the issuance of a 
cease and desist order.
(c) "Authorization to practice" means a legal authorization 
associated with a multistate license permitting the practice of 
cosmetology in that remote state, which shall be subject to the 
enforcement jurisdiction of the state licensing authority in that remote 
state.
(d) "Alternative program" means a non-disciplinary monitoring or 
prosecutorial diversion program approved by a member state's state 
licensing authority.
(e) "Background check" means the submission of information for 
an applicant for the purpose of obtaining such applicant's criminal 
history record information, as further defined in C.F.R. § 20.3(d), from 
the federal bureau of investigation and the agency responsible for 
retaining state criminal or disciplinary history in the applicant's home 
state.
(f) "Charter member state" means member states that have enacted  HOUSE BILL No. 2069—page 29
legislation to adopt this compact where such legislation predates the 
effective date of this compact as defined in article 13.
(g) "Commission" means the governmental agency whose 
membership consists of all states that have enacted this compact, 
known as the cosmetology licensure compact commission, as defined 
in article 9, and shall operate as an instrumentality of the member 
states.
(h) "Cosmetologist" means an individual licensed in their home 
state to practice cosmetology.
(i) "Cosmetology", "cosmetology services" and the "practice of 
cosmetology" mean the care and services provided by a cosmetologist 
as set forth in the member state's statutes and regulations in the state 
where the services are being provided.
(j) "Current significant investigative information" means:
(1) Investigative information that a state licensing authority, after 
an inquiry or investigation that complies with a member state's due 
process requirements, has reason to believe is not groundless and, if 
proved true, would indicate a violation of that state's laws regarding 
fraud or the practice of cosmetology; or
(2) investigative information that indicates that a licensee has 
engaged in fraud or represents an immediate threat to public health and 
safety, regardless of whether the licensee has been notified and had an 
opportunity to respond.
(k) "Data system" means a repository of information about 
licensees, including, but not limited to, license status, investigative 
information and adverse actions.
(l) "Disqualifying event" means any event that shall disqualify an 
individual from holding a multistate license under this compact, which 
the commission may by rule or order specify.
(m) "Encumbered license" means a license in which an adverse 
action restricts the practice of cosmetology by a licensee, or where said 
adverse action has been reported to the commission.
(n) "Encumbrance" means a revocation or suspension of, or any 
limitation on, the full and unrestricted practice of cosmetology by a 
state licensing authority.
(o) "Executive committee" means a group of delegates elected or 
appointed to act on behalf of and within the powers granted to them by 
the commission.
(p) "Home state" means the member state that is a licensee's 
primary state of residence where such licensee holds an active and 
unencumbered license to practice cosmetology.
(q) "Investigative information" means information, records or 
documents received or generated by a state licensing authority pursuant 
to an investigation or other inquiry.
(r) "Jurisprudence requirement" means the assessment of an 
individual's knowledge of the laws and rules governing the practice of 
cosmetology in a state.
(s) "Licensee" means an individual who currently holds a license 
from a member state to practice as a cosmetologist.
(t) "Member state" means any state that has adopted this compact.
(u) "Multistate license" means a license issued by and subject to 
the enforcement jurisdiction of the state licensing authority in a 
licensee's home state that authorizes the practice of cosmetology in 
member states and includes authorizations to practice cosmetology in 
all remote states pursuant to this compact.
(v) "Remote state" means any member state other than the 
licensee's home state.
(w) "Rule" means any rule or regulation adopted by the 
commission under this compact that has the force of law.
(x) "Single-state license" means a cosmetology license issued by a 
member state that authorizes practice of cosmetology only within the 
issuing state and does not include any authorization outside of the 
issuing state.
(y) "State" means a state, territory or possession of the United  HOUSE BILL No. 2069—page 30
States and the District of Columbia.
(z) "State licensing authority" means a member state's regulatory 
body responsible for issuing cosmetology licenses or otherwise 
overseeing the practice of cosmetology in that state.
ARTICLE 3—MEMBER STATE REQUIREMENTS
(a) To be eligible to join this compact and maintain eligibility as a 
member state, a state shall:
(1) License and regulate cosmetology;
(2) have a mechanism or entity in place to receive and investigate 
complaints about licensees practicing in that state;
(3) require that licensees within the state pass a cosmetology 
competency examination prior to being licensed to provide 
cosmetology services to the public in that state;
(4) require that licensees satisfy educational or training 
requirements in cosmetology prior to being licensed to provide 
cosmetology services to the public in that state;
(5) implement procedures for considering one or more of the 
following categories of information from applicants for licensure: 
Criminal history; disciplinary history; or background check. Such 
procedures may include the submission of information by applicants 
for the purpose of obtaining an applicant's background check as defined 
herein;
(6) participate in the data system, including through the use of 
unique identifying numbers;
(7) share information related to adverse actions with the 
commission and other member states, both through the data system and 
otherwise;
(8) notify the commission and other member states, in compliance 
with the terms of the compact and rules of the commission, of the 
existence of investigative information or current significant 
investigative information in the state's possession regarding a licensee 
practicing in that state;
(9) comply with such rules as may be enacted by the commission 
to administer the compact; and
(10) accept licensees from other member states as established 
herein.
(b) Member states may charge a fee for granting a license to 
practice cosmetology.
(c) Individuals not residing in a member state shall continue to be 
able to apply for a member state's single-state license as provided under 
the laws of each member state, except that the single-state license 
granted to these individuals shall not be recognized as granting a 
multistate license to provide services in any other member state.
(d) Nothing in this compact shall affect the requirements 
established by a member state for the issuance of a single-state license.
(e) A multistate license issued to a licensee by a home state to a 
resident of that state shall be recognized by each member state as 
authorizing a licensee to practice cosmetology in each member state.
(f) At no point shall the commission have the power to define the 
educational or professional requirements for a license to practice 
cosmetology. The member states shall retain sole jurisdiction over the 
provision of these requirements.
ARTICLE 4—MULTISTATE LICENSE
(a) To be eligible to apply to their home state's state licensing 
authority for an initial multistate license under this compact, a licensee 
must hold an active and unencumbered single-state license to practice 
cosmetology in such licensee's home state.
(b) Upon the receipt of an application for a multistate license, 
according to the rules of the commission, a member state's state 
licensing authority shall ascertain whether the applicant meets the 
requirements for a multistate license under this compact. HOUSE BILL No. 2069—page 31
(c) If an applicant meets the requirements for a multistate license 
under this compact and any applicable rules of the commission, the 
state licensing authority in receipt of the application shall, within a 
reasonable time, grant a multistate license to that applicant and inform 
all member states of the grant of such multistate license.
(d) A multistate license to practice cosmetology issued by a 
member state's state licensing authority shall be recognized by each 
member state as authorizing the practice thereof as though that licensee 
held a single-state license to do so in each member state, subject to the 
restrictions herein.
(e) A multistate license granted pursuant to this compact may be 
effective for a definite period of time, concurrent with the licensure 
renewal period in the home state.
(f) To maintain a multistate license under this compact, a licensee 
shall:
(1) Agree to abide by the rules of the state licensing authority and 
the state scope of practice laws governing the practice of cosmetology 
of any member state where the licensee provides services;
(2) pay all required fees related to the application and process and 
any other fees that the commission may, by rule, require; and
(3) comply with any and all other requirements regarding 
multistate licenses that the commission may, by rule, provide.
(g) A licensee practicing in a member state is subject to all scope 
of practice laws governing cosmetology services in that state.
(h) The practice of cosmetology under a multistate license granted 
pursuant to this compact shall subject the licensee to the jurisdiction of 
the state licensing authority, the courts and the laws of the member state 
where the cosmetology services are provided.
ARTICLE 5—REISSUANCE OF A MULTISTATE LICENSE 
BY A NEW HOME STATE
(a) A licensee may hold a multistate license, issued by their home 
state, in only one member state at any given time.
(b) If a licensee changes such licensee's home state by moving 
between two member states:
(1) The licensee shall immediately apply for the reissuance of 
such multistate license in such licensee's new home state. The licensee 
shall pay all applicable fees and notify the prior home state in 
accordance with the rules of the commission;
(2) upon receipt of an application to reissue a multistate license, 
the new home state shall verify that the multistate license is active, 
unencumbered and eligible for reissuance under the terms of the 
compact and the rules of the commission. The multistate license issued 
by the prior home state shall be deactivated and all member states 
notified in accordance with the applicable rules adopted by the 
commission;
(3) if required for initial licensure, the new home state may require 
a background check as specified in the laws of that state, or the 
compliance with any jurisprudence requirements of the new home state; 
and
(4) notwithstanding any other provision of this compact, if a 
licensee does not meet the requirements set forth in this compact for the 
reissuance of a multistate license by the new home state, then such 
licensee shall be subject to the new home state requirements for the 
issuance of a single-state license in that state.
(c) If a licensee changes such licensee's primary state of residence 
by moving from a member state to a non-member state, or from a non-
member state to a member state, then the licensee shall be subject to the 
state requirements for the issuance of a single-state license in the new 
home state.
(d) Nothing in this compact shall interfere with a licensee's ability 
to hold a single-state license in multiple states, except that, for the 
purposes of this compact, a licensee shall have only one home state and  HOUSE BILL No. 2069—page 32
one multistate license.
(e) Nothing in this compact shall interfere with the requirements 
established by a member state for the issuance of a single-state license.
ARTICLE 6—AUTHORITY OF THE COMPACT COMMISSION 
AND MEMBER STATE LICENSING AUTHORITIES
(a) Nothing in this compact, nor any rule or regulation of the 
commission, shall be construed to limit, restrict or in any way reduce 
the ability of a member state to enact and enforce laws, rules or 
regulations related to the practice of cosmetology in that state where 
those laws, rules or regulations are not inconsistent with the provisions 
of this compact.
(b) Insofar as practicable, a member state's state licensing 
authority shall cooperate with the commission and with each entity 
exercising independent regulatory authority over the practice of 
cosmetology according to the provisions of this compact.
(c) Discipline shall be the sole responsibility of the state where 
cosmetology services are provided. Accordingly, each member state's 
state licensing authority shall be responsible for receiving complaints 
about individuals practicing cosmetology in that state and for 
communicating all relevant investigative information about any such 
adverse action to the other member states through the data system in 
addition to any other methods the commission may require by rule.
ARTICLE 7—ADVERSE ACTIONS
(a) A licensee's home state shall have exclusive power to impose 
an adverse action against a licensee's multistate license issued by the 
home state.
(b) A home state may take adverse action on a multistate license 
based on the investigative information, current significant investigative 
information or adverse action of a remote state.
(c) In addition to the powers conferred by state law, each remote 
state's state licensing authority shall have the power to:
(1) Take adverse action against a licensee's authorization to 
practice cosmetology through the multistate license in that member 
state, except that:
(A) Only the licensee's home state shall have the power to take 
adverse action against the multistate license issued by the home state; 
and
(B) for the purposes of taking adverse action, the home state's 
state licensing authority shall give the same priority and effect to 
reported conduct received from a remote state as it would if such 
conduct had occurred within the home state. In so doing, the home state 
shall apply its own state laws to determine the appropriate action;
(2) issue cease and desist orders or impose an encumbrance on a 
licensee's authorization to practice within that member state;
(3) complete any pending investigations of a licensee who changes 
their primary state of residence during the course of such an 
investigation. The state licensing authority shall also be empowered to 
report the results of such an investigation to the commission through 
the data system as described herein;
(4) issue subpoenas for both hearings and investigations that 
require the attendance and testimony of witnesses, as well as the 
production of evidence. Subpoenas issued by a state licensing authority 
in a member state for the attendance and testimony of witnesses or the 
production of evidence from another member state shall be enforced in 
the latter state by any court of competent jurisdiction, according to the 
practice and procedure of that court applicable to subpoenas issued in 
proceedings before it. The issuing state licensing authority shall pay 
any witness fees, travel expenses, mileage and other fees required by 
the service statutes of the state where the witnesses or evidence are 
located;
(5) if otherwise permitted by state law, recover from the affected  HOUSE BILL No. 2069—page 33
licensee the costs of investigations and disposition of cases resulting 
from any adverse action taken against that licensee; and
(6) take adverse action against the licensee's authorization to 
practice in that state based on the factual findings of another remote 
state.
(d) A licensee's home state shall complete any pending 
investigation of a cosmetologist who changes such licensee's primary 
state of residence during the course of the investigation. The home state 
shall also have the authority to take appropriate action and promptly 
report the conclusions of the investigations to the data system.
(e) If an adverse action is taken by the home state against a 
licensee's multistate license, the licensee's authorization to practice in 
all other member states shall be deactivated until all encumbrances 
have been removed from the home state license. All home state 
disciplinary orders that impose an adverse action against a licensee's 
multistate license shall include a statement that the cosmetologist's 
authorization to practice is deactivated in all member states during the 
pendency of the order.
(f) Nothing in this compact shall override a member state's 
authority to accept a licensee's participation in an alternative program 
in lieu of adverse action. A licensee's multistate license shall be 
suspended for the duration of the licensee's participation in any 
alternative program.
(g) Joint investigations.
(1) In addition to the authority granted to a member state by its 
respective scope of practice laws or other applicable state law, a 
member state may participate with other member states in joint 
investigations of licensees.
(2) Member states shall share any investigative, litigation or 
compliance materials in furtherance of any joint or individual 
investigation initiated under the compact.
ARTICLE 8—ACTIVE MILITARY MEMBERS AND THEIR 
SPOUSES
Active military members or their spouses shall designate a home 
state where the individual has a current license to practice cosmetology 
in good standing. The individual may retain their home state 
designation during any period of service when that individual or their 
spouse is on active duty assignment.
ARTICLE 9—ESTABLISHMENT AND OPERATION OF 
THE COSMETOLOGY LICENSURE COMPACT COMMISSION
(a) The compact member states create and establish a joint 
government agency whose membership consists of all member states 
that have enacted the compact, which shall be known as the 
cosmetology licensure compact commission. The commission is an 
instrumentality of the compact member states acting jointly and not an 
instrumentality of any one state. The commission shall come into 
existence on or after the effective date of the compact as set forth in 
article 13.
(b) Membership, voting and meetings.
(1) Each member state shall have and be limited to one delegate 
selected by such member state's state licensing authority.
(2) The delegate shall be an administrator of the state licensing 
authority of the member state or their designee.
(3) The commission shall by rule or bylaw establish a term of 
office for delegates and may by rule or bylaw establish term limits.
(4) The commission may recommend removal or suspension of 
any delegate from office.
(5) A member state's state licensing authority shall fill any 
vacancy of its delegate occurring on the commission within 60 days of 
the vacancy. Each delegate shall be entitled to one vote on all matters 
that are voted on by the commission. HOUSE BILL No. 2069—page 34
(6) The commission shall meet at least once during each calendar 
year. Additional meetings may be held as set forth in the bylaws. The 
commission may meet by telecommunication, video conference or 
other similar electronic means.
(c) The commission shall have the following powers:
(1) Establish the fiscal year of the commission;
(2) establish code of conduct and conflict of interest policies;
(3) adopt rules and bylaws;
(4) maintain the commission's financial records in accordance 
with the bylaws;
(5) meet and take such actions as are consistent with the 
provisions of this compact, the commission's rules and the bylaws;
(6) initiate and conclude legal proceedings or actions in the name 
of the commission, provided that the standing of any state licensing 
authority to sue or be sued under applicable law shall not be affected;
(7) maintain and certify records and information provided to a 
member state as the authenticated business records of the commission 
and designate an agent to do so on the commission's behalf;
(8) purchase and maintain insurance and bonds;
(9) borrow, accept or contract for services of personnel, including, 
but not limited to, employees of a member state;
(10) conduct an annual financial review;
(11) hire employees, elect or appoint officers, fix compensation, 
define duties, grant such individuals appropriate authority to carry out 
the purposes of the compact and establish the commission's personnel 
policies and programs relating to conflicts of interest, qualifications of 
personnel and other related personnel matters;
(12) as set forth in the commission rules, charge a fee to a licensee 
for the grant of a multistate license and thereafter, as may be 
established by commission rule, charge the licensee a multistate license 
renewal fee for each renewal period. Nothing herein shall be construed 
to prevent a home state from charging a licensee a fee for a multistate 
license or renewals of a multistate license or a fee for the jurisprudence 
requirement if the member state imposes such a requirement for the 
grant of a multistate license;
(13) assess and collect fees;
(14) accept any and all appropriate gifts, donations, grants of 
money, other sources of revenue, equipment, supplies, materials and 
services, and receive, utilize and dispose of the same, except that, at all 
times, the commission shall avoid any appearance of impropriety or 
conflict of interest;
(15) lease, purchase, retain, own, hold, improve or use any 
property, real, personal or mixed, or any undivided interest therein;
(16) sell, convey, mortgage, pledge, lease, exchange, abandon or 
otherwise dispose of any property real, personal or mixed;
(17) establish a budget and make expenditures;
(18) borrow money;
(19) appoint committees, including standing committees, 
composed of members, state regulators, state legislators or their 
representatives and consumer representatives and such other interested 
persons as may be designated in this compact and the bylaws;
(20) provide and receive information from, and cooperate with, 
law enforcement agencies;
(21) elect a chair, vice chair, secretary and treasurer and such other 
officers of the commission as provided in the commission's bylaws;
(22) establish and elect an executive committee, including a chair 
and a vice chair;
(23) adopt and provide an annual report to the member states;
(24) determine whether a state's adopted language is materially 
different from the model compact language such that the state would 
not qualify for participation in the compact; and
(25) perform such other functions as may be necessary or 
appropriate to achieve the purposes of this compact.
(d) The executive committee. HOUSE BILL No. 2069—page 35
(1) The executive committee shall have the power to act on behalf 
of the commission according to the terms of this compact. The powers, 
duties and responsibilities of the executive committee shall include:
(A) Overseeing the day-to-day activities of the administration of 
the compact including compliance with the provisions of the compact, 
the commission's rules and bylaws and other such duties as deemed 
necessary;
(B) recommending to the commission changes to the rules or 
bylaws, changes to this compact legislation, fees charged to compact 
member states, fees charged to licensees and other fees;
(C) ensuring compact administration services are appropriately 
provided, including by contract;
(D) preparing and recommending the budget;
(E) maintaining financial records on behalf of the commission;
(F) monitoring compact compliance of member states and 
providing compliance reports to the commission;
(G) establishing additional committees as necessary;
(H) exercising the powers and duties of the commission during the 
interim between commission meetings, except for adopting or 
amending rules, adopting or amending bylaws and exercising any other 
powers and duties expressly reserved to the commission by rule or 
bylaw; and
(I) other duties as provided in the rules or bylaws of the 
commission.
(2) The executive committee shall be composed of up to seven 
voting members:
(A) The chair and vice chairperson of the commission and any 
other members of the commission who serve on the executive 
committee shall be voting members of the executive committee.
(B) Other than the chair, vice chair, secretary and treasurer, the 
commission shall elect three voting members from the current 
membership of the commission.
(C) The commission may elect ex officio, nonvoting members 
from a recognized national cosmetology professional association as 
approved by the commission. The commission's bylaws shall identify 
qualifying organizations and the manner of appointment if the number 
of organizations seeking to appoint an ex officio member exceeds the 
number of members specified in this article.
(3) The commission may remove any member of the executive 
committee as provided in the commission's bylaws.
(4) The executive committee shall meet at least annually.
(A) Annual executive committee meetings, as well as any 
executive committee meeting at which the commission does not take or 
intend to take formal action on a matter for which a commission vote 
would otherwise be required, shall be open to the public, except that the 
executive committee may meet in a closed, non-public session of a 
public meeting when dealing with any of the matters specified in article 
9(f)(4).
(B) The executive committee shall give five business days 
advance notice of its public meetings, posted on its website and as 
determined to provide notice to persons with an interest in the public 
matters that the executive committee intends to address at those 
meetings.
(5) The executive committee may hold an emergency meeting 
when acting for the commission to:
(A) Meet an imminent threat to public health, safety or welfare;
(B) prevent a loss of commission or member state funds; or
(C) protect public health and safety.
(e) The commission shall adopt and provide an annual report to 
the member states.
(f) Meetings of the commission.
(1) All meetings of the commission that are not closed pursuant to 
article 9(f)(4) shall be open to the public. Notice of public meetings 
shall be posted on the commission's website at least 30 days prior to the  HOUSE BILL No. 2069—page 36
public meeting.
(2) Notwithstanding article 9(f)(1), the commission may convene 
an emergency public meeting by providing at least 24 hours' prior 
notice on the commission's website and any other means as provided in 
the commission's rules for any of the reasons it may dispense with 
notice of proposed rulemaking under article 11(l). The commission's 
legal counsel shall certify that one of the reasons justifying an 
emergency public meeting has been met.
(3) Notice of all commission meetings shall provide the time, date 
and location of the meeting, and if the meeting is to be held or 
accessible via telecommunication, video conference, or other electronic 
means, the notice shall include the mechanism for access to the 
meeting.
(4) The commission may convene in a closed, non-public meeting 
for the commission to discuss:
(A) Non-compliance of a member state with its obligations under 
the compact;
(B) the employment, compensation, discipline or other matters, 
practices or procedures related to specific employees or other matters 
related to the commission's internal personnel practices and procedures;
(C) current or threatened discipline of a licensee by the 
commission or by a member state's licensing authority;
(D) current, threatened or reasonably anticipated litigation;
(E) negotiation of contracts for the purchase, lease or sale of 
goods, services or real estate;
(F) accusing any person of a crime or formally censuring any 
person;
(G) trade secrets or commercial or financial information that is 
privileged or confidential;
(H) information of a personal nature if disclosure would constitute 
a clearly unwarranted invasion of personal privacy;
(I) investigative records compiled for law enforcement purposes;
(J) information related to any investigative reports prepared by or 
on behalf of or for use of the commission or other committee charged 
with responsibility of investigation or determination of compliance 
issues pursuant to the compact;
(K) legal advice;
(L) matters specifically exempted from disclosure to the public by 
federal or member state law; or
(M) other matters as adopted by the commission by rule. If a 
meeting, or portion of a meeting, is closed, the presiding officer shall 
state that such meeting will be closed and reference each relevant 
exempting provision, and such reference shall be recorded in the 
minutes.
(5) The commission shall keep minutes that fully and clearly 
describe all matters discussed in a meeting and shall provide a full and 
accurate summary of actions taken and the reasons therefore, including 
a description of the views expressed. All documents considered in 
connection with an action shall be identified in such minutes. All 
minutes and documents of a closed meeting shall remain under seal, 
subject to release only by a majority vote of the commission or order of 
a court of competent jurisdiction.
(g) Financing of the commission.
(1) The commission shall pay, or provide for the payment of, the 
reasonable expenses of its establishment, organization and ongoing 
activities.
(2) The commission may accept any and all appropriate sources of 
revenue, donations and grants of money, equipment, supplies, materials 
and services.
(3) The commission may levy on and collect an annual assessment 
from each member state and impose fees on licensees of member states 
to whom it grants a multistate license to cover the cost of the operations 
and activities of the commission and its staff, which shall be in a total 
amount sufficient to cover its annual budget as approved each year for  HOUSE BILL No. 2069—page 37
which revenue is not provided by other sources. The aggregate annual 
assessment amount for member states shall be allocated based upon a 
formula that the commission shall adopt by rule.
(4) The commission shall not incur obligations of any kind prior to 
securing the funds adequate to meet the same, nor shall the commission 
pledge the credit of any member states, except by and with the 
authority of such member state.
(5) The commission shall keep accurate accounts of all receipts 
and disbursements. The receipts and disbursements of the commission 
shall be subject to the financial review and accounting procedures 
established under its bylaws. All receipts and disbursements of funds 
handled by the commission shall be subject to an annual financial 
review by a certified or licensed public accountant, and the report of 
the financial review shall be included in and become part of the annual 
report of the commission.
(h) Qualified immunity, defense and indemnification.
(1) The members, officers, executive director, employees and 
representatives of the commission shall be immune from suit and 
liability, both personally and in their official capacity, for any claim for 
damage to or loss of property or personal injury or other civil liability 
caused by or arising out of any actual or alleged act, error or omission 
that occurred, or that the person against whom the claim is made had a 
reasonable basis for believing occurred, within the scope of 
commission employment, duties or responsibilities, except that nothing 
in this paragraph shall be construed to protect any such person from 
suit or liability for any damage, loss, injury or liability caused by the 
intentional or willful or wanton misconduct of that person. The 
procurement of insurance of any type by the commission shall not in 
any way compromise or limit such immunity granted in this paragraph.
(2) The commission shall defend any member, officer, executive 
director, employee and representative of the commission in any civil 
action seeking to impose liability arising out of any actual or alleged 
act, error or omission that occurred within the scope of commission 
employment, duties or responsibilities, or as determined by the 
commission that the person against whom the claim is made had a 
reasonable basis for believing occurred within the scope of commission 
employment, duties or responsibilities, except that nothing in this 
paragraph shall be construed to prohibit such person from retaining 
their own counsel at their own expense and that the actual or alleged 
act, error or omission did not result from such person's intentional or 
willful or wanton misconduct.
(3) The commission shall indemnify and hold harmless any 
member, officer, executive director, employee and representative of the 
commission for the amount of any settlement or judgment obtained 
against that person arising out of any actual or alleged act, error or 
omission that occurred within the scope of commission employment, 
duties or responsibilities, or that such person had a reasonable basis for 
believing occurred within the scope of commission employment, duties 
or responsibilities, if the actual or alleged act, error or omission did not 
result from the intentional or willful or wanton misconduct of that 
person.
(4) Nothing in this compact shall be construed as a limitation on 
the liability of any licensee for professional malpractice or misconduct, 
which shall be governed solely by any other applicable state laws.
(5) Nothing in this compact shall be interpreted to waive or 
otherwise abrogate a member state's state action immunity or state 
action affirmative defense with respect to antitrust claims under the 
Sherman antitrust act of 1890, the Clayton act 15 U.S.C. §§ 17-27 or 
any other state or federal antitrust or anticompetitive law or regulation.
(6) Nothing in this compact shall be construed to be a waiver of 
sovereign immunity by the member states or by the commission.
ARTICLE 10—DATA SYSTEM HOUSE BILL No. 2069—page 38
(a) The commission shall provide for the development, 
maintenance, operation and utilization of a coordinated database and 
reporting system.
(b) The commission shall assign each applicant for a multistate 
license a unique identifier, as determined by the rules of the 
commission.
(c) Notwithstanding any other provision of state law to the 
contrary, a member state shall submit a uniform data set to the data 
system on all individuals to whom this compact is applicable as 
required by the rules of the commission, including:
(1) Identifying information;
(2) licensure data;
(3) adverse actions against a license and information related 
thereto;
(4) non-confidential information related to alternative program 
participation, the beginning and ending dates of such participation and 
other information related to such participation;
(5) any denial of application for licensure and the reason for such 
denial, excluding the reporting of any criminal history record 
information when prohibited by law;
(6) the existence of investigative information;
(7) the existence of current significant investigative information; 
and
(8) other information that may facilitate the administration of this 
compact or the protection of the public, as determined by the rules of 
the commission.
(d) The records and information provided to a member state 
pursuant to this compact or through the data system, when certified by 
the commission or an agent thereof, shall constitute the authenticated 
business records of the commission and be entitled to any associated 
hearsay exception in any relevant judicial, quasi-judicial or 
administrative proceedings in a member state.
(e) The existence of current significant investigative information 
and the existence of investigative information pertaining to a licensee 
in any member state shall only be available to other member states.
(f) It shall be the responsibility of the member states to monitor 
the database to determine whether adverse action has been taken 
against such a licensee or license applicant. Adverse action information 
pertaining to a licensee or license applicant in any member state shall 
be available to any other member state.
(g) Member states contributing information to the data system 
may designate information that shall not be shared with the public 
without the express permission of the contributing state.
(h) Any information submitted to the data system that is 
subsequently expunged pursuant to federal law or the laws of the 
member state contributing the information shall be removed from the 
data system.
ARTICLE 11—RULEMAKING
(a) The commission shall adopt reasonable rules in order to 
effectively and efficiently implement and administer the purposes and 
provisions of the compact. A rule shall be invalid and have no force or 
effect only if a court of competent jurisdiction holds that the rule is 
invalid because the commission exercised its rulemaking authority in a 
manner that is beyond the scope and purposes of the compact, the 
powers granted under this compact or based upon another applicable 
standard of review.
(b) The rules of the commission shall have the force of law in each 
member state, except that where the rules of the commission conflict 
with the laws of the member state that establish the member state's 
scope of practice laws governing the practice of cosmetology as held 
by a court of competent jurisdiction, the rules of the commission shall 
be ineffective in such state to the extent of the conflict. HOUSE BILL No. 2069—page 39
(c) The commission shall exercise its rulemaking powers pursuant 
to the criteria set forth in this article and the rules adopted thereunder. 
Rules shall become binding as of the date specified by the commission 
for each rule.
(d) If a majority of the legislatures of the member states rejects a 
rule or a portion of a rule, by enactment of a statute or resolution in the 
same manner used to adopt the compact within four years of the date of 
adoption of the rule, then such rule shall have no further force and 
effect in any member state or to any state applying to participate in the 
compact.
(e) Rules shall be adopted at a regular or special meeting of the 
commission.
(f) Prior to adoption of a proposed rule, the commission shall hold 
a public hearing and allow persons to provide oral and written 
comments, data, facts, opinions and arguments.
(g) Prior to adoption of a proposed rule by the commission and at 
least 30 days in advance of the meeting at which the commission will 
hold a public hearing on the proposed rule, the commission shall 
provide a notice of proposed rulemaking:
(1) On the website of the commission or other publicly accessible 
platform;
(2) to persons who have requested notice of the commission's 
notices of proposed rulemaking; and
(3) in such other way as the commission may by rule specify.
(h) The notice of proposed rulemaking shall include:
(1) The time, date and location of the public hearing at which the 
commission will hear public comments on the proposed rule and, if 
different, the time, date and location of the meeting where the 
commission will consider and vote on the proposed rule;
(2) if the hearing is held via telecommunication, video conference 
or other electronic means, the commission shall include the mechanism 
for access to the hearing in the notice of proposed rulemaking;
(3) the text of the proposed rule and the reason therefor;
(4) a request for comments on the proposed rule from any 
interested person; and
(5) the manner in which interested persons may submit written 
comments.
(i) All hearings shall be recorded. A copy of the recording and all 
written comments and documents received by the commission in 
response to the proposed rule shall be available to the public.
(j) Nothing in this article shall be construed as requiring a separate 
hearing on each rule. Rules may be grouped for the convenience of the 
commission at hearings required by this article.
(k) The commission shall, by majority vote of all members, take 
final action on the proposed rule based on the rulemaking record and 
the full text of the rule.
(1) The commission may adopt changes to the proposed rule if the 
changes do not enlarge the original purpose of the proposed rule.
(2) The commission shall provide an explanation of the reasons 
for substantive changes made to the proposed rule as well as reasons 
for substantive changes not made that were recommended by 
commenters.
(3) The commission shall determine a reasonable effective date for 
the rule. Except for an emergency as provided in article 11(l), the 
effective date of the rule shall not be earlier than 45 days after the 
commission issues notice that it has adopted or amended such rule.
(l) Upon determination that an emergency exists, the commission 
may consider and adopt an emergency rule with five days' notice, with 
opportunity to comment, except the usual rulemaking procedures 
provided in the compact and this article shall be retroactively applied to 
the rule as soon as reasonably possible, not later than 90 days after the 
effective date of the rule. For the purposes of this provision, an 
emergency rule is one that shall be adopted immediately to:
(1) Meet an imminent threat to public health, safety or welfare; HOUSE BILL No. 2069—page 40
(2) prevent a loss of commission or member state funds;
(3) meet a deadline for the adoption of a rule that is established by 
federal law or rule; or
(4) protect public health and safety.
(m) The commission or an authorized committee of the 
commission may direct revisions to a previously adopted rule for 
purposes of correcting typographical errors, errors in format, errors in 
consistency or grammatical errors. Public notice of any revisions shall 
be posted on the website of the commission. The revision shall be 
subject to challenge by any person for a period of 30 days after posting. 
The revision may be challenged only on grounds that the revision 
results in a material change to a rule. A challenge shall be made in 
writing and delivered to the commission prior to the end of the notice 
period. If no challenge is made, the revision will take effect without 
further action. If the revision is challenged, the revision may not take 
effect without the approval of the commission.
(n) No member state's rulemaking requirements shall apply under 
this compact.
ARTICLE 12—OVERSIGHT, DISPUTE RESOLUTION AND 
ENFORCEMENT
(a) Oversight.
(1) The executive and judicial branches of state government in 
each member state shall enforce this compact and take all actions 
necessary and appropriate to implement the compact.
(2) Venue is proper and judicial proceedings by or against the 
commission shall be brought solely and exclusively in a court of 
competent jurisdiction where the principal office of the commission is 
located. The commission may waive venue and jurisdictional defenses 
to the extent it adopts or consents to participate in alternative dispute 
resolution proceedings. Nothing in this compact shall affect or limit the 
selection or propriety of venue in any action against a licensee for 
professional malpractice, misconduct or any such similar matter.
(3) The commission shall be entitled to receive service of process 
in any proceeding regarding the enforcement or interpretation of the 
compact and shall have standing to intervene in such a proceeding for 
all purposes. Failure to provide the commission service of process shall 
render a judgment or order void as to the commission, this compact or 
adopted rules.
(b) Default, technical assistance and termination.
(1) If the commission determines that a member state has 
defaulted in the performance of its obligations or responsibilities under 
this compact or adopted rules, the commission shall provide written 
notice to the defaulting state. The notice of default shall describe the 
default, the proposed means of curing the default, any other action that 
the commission may take and offer training and specific technical 
assistance regarding the default.
(2) The commission shall provide a copy of the notice of default 
to the other member states.
(3) If a state in default fails to cure the default, the defaulting state 
may be terminated from the compact upon an affirmative vote of a 
majority of the delegates of the member states, and all rights, privileges 
and benefits conferred on that state by this compact may be terminated 
on the effective date of termination. A cure of the default does not 
relieve the offending state of obligations or liabilities incurred during 
the period of default.
(4) Termination of membership in the compact shall be imposed 
only after all other means of securing compliance have been exhausted. 
Notice of intent to suspend or terminate shall be given by the 
commission to the governor, the majority and minority leaders of the 
defaulting state's legislature, the defaulting state's state licensing 
authority and each of the member states' state licensing authority.
(5) A state that has been terminated is responsible for all  HOUSE BILL No. 2069—page 41
assessments, obligations and liabilities incurred through the effective 
date of termination, including obligations that extend beyond the 
effective date of termination.
(6) Upon the termination of a state's membership from this 
compact, such state shall immediately provide notice to all licensees 
who hold a multistate license within that state of such termination. The 
terminated state shall continue to recognize all licenses granted 
pursuant to this compact for a minimum of 180 days after the date of 
said notice of termination.
(7) The commission shall not bear any costs related to a state that 
is found to be in default or that has been terminated from the compact 
unless agreed upon in writing between the commission and the 
defaulting state.
(8) The defaulting state may appeal the action of the commission 
by petitioning the United States district court for the District of 
Columbia or the federal district where the commission has its principal 
offices. The prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney fees.
(c) Dispute resolution.
(1) Upon request by a member state, the commission shall attempt 
to resolve disputes related to the compact that arise among member 
states and between member and non-member states.
(2) The commission shall adopt a rule providing for both 
mediation and binding dispute resolution for disputes as appropriate.
(d) Enforcement.
(1) The commission, in the reasonable exercise of its discretion, 
shall enforce the provisions of this compact and the commission's rules.
(2) By majority vote as provided by commission rule, the 
commission may initiate legal action against a member state in default 
in the United States district court for the District of Columbia or the 
federal district where the commission has its principal offices to 
enforce compliance with the provisions of the compact and its adopted 
rules. The relief sought may include both injunctive relief and damages. 
In the event that judicial enforcement is necessary, the prevailing party 
shall be awarded all costs of such litigation, including reasonable 
attorney fees. The remedies in this compact shall not be the exclusive 
remedies of the commission. The commission may pursue any other 
remedies available under federal or the defaulting member state's law.
(3) A member state may initiate legal action against the 
commission in the United States district court for the District of 
Columbia or the federal district where the commission has its principal 
offices to enforce compliance with the provisions of the compact and 
its adopted rules. The relief sought may include both injunctive relief 
and damages. In the event that judicial enforcement is necessary, the 
prevailing party shall be awarded all costs of such litigation, including 
reasonable attorney fees.
(4) No individual or entity other than a member state may enforce 
this compact against the commission.
ARTICLE 13—EFFECTIVE DATE, WITHDRAWAL AND 
AMENDMENT
(a) The compact shall come into effect on the date that the 
compact statute is enacted into law in the seventh member state. On or 
after the effective date of the compact, the commission shall convene 
and review the enactment of each of the charter member states to 
determine if the statute enacted by each such charter member state is 
materially different than the model compact statute.
(1) A charter member state whose enactment is found to be 
materially different from the model compact statute shall be entitled to 
the default process set forth in article 12.
(2) If any member state is later found to be in default, or is 
terminated or withdraws from the compact, the commission shall 
remain in existence, and the compact shall remain in effect even if the  HOUSE BILL No. 2069—page 42
number of member states should be fewer than seven.
(3) Member states enacting the compact subsequent to the charter 
member states shall be subject to the process set forth in article 9(c)(24) 
to determine if such enactments are materially different from the model 
compact statute and whether the enactments qualify for participation in 
the compact.
(4) All actions taken for the benefit of the commission or in 
furtherance of the purposes of the administration of the compact prior 
to the effective date of the compact or the commission coming into 
existence shall be considered to be actions of the commission unless 
specifically repudiated by the commission.
(5) Any state that joins the compact shall be subject to the 
commission's rules and bylaws as they exist on the date that the 
compact becomes law in that state. Any rule that has been previously 
adopted by the commission shall have the full force and effect of law 
on the date that the compact becomes law in that state.
(b) Any member state may withdraw from this compact by 
enacting a statute repealing that state's enactment of the compact.
(1) A member state's withdrawal shall not take effect until 180 
days after enactment of the repealing statute.
(2) Withdrawal shall not affect the continuing requirement of the 
withdrawing state's state licensing authority to comply with the 
investigative and adverse action reporting requirements of this compact 
prior to the effective date of withdrawal.
(3) Upon the enactment of a statute withdrawing from this 
compact, a state shall immediately provide notice of such withdrawal to 
all licensees within that state. Notwithstanding any subsequent 
statutory enactment to the contrary, such withdrawing state shall 
continue to recognize all licenses granted pursuant to this compact for a 
minimum of 180 days after the date of such notice of withdrawal.
(c) Nothing contained in this compact shall be construed to 
invalidate or prevent any licensure agreement or other cooperative 
arrangement between a member state and a non-member state that does 
not conflict with the provisions of this compact.
(d) This compact may be amended by the member states. No 
amendment to this compact shall become effective and binding upon 
any member state until it is enacted into the laws of all member states.
ARTICLE 14—CONSTRUCTION AND SEVERABILITY
(a) This compact and the commission's rulemaking authority shall 
be liberally construed so as to effectuate the purposes and the 
implementation and administration of the compact. Provisions of the 
compact expressly authorizing or requiring the adoption of rules shall 
not be construed to limit the commission's rulemaking authority solely 
for those purposes.
(b) The provisions of this compact shall be severable and if any 
phrase, clause, sentence or provision of this compact is held by a court 
of competent jurisdiction to be contrary to the constitution of any 
member state, a state seeking participation in the compact or of the 
United States or the applicability thereof to any government, agency, 
person or circumstance is held to be unconstitutional by a court of 
competent jurisdiction, the validity of the remainder of this compact 
and the applicability thereof to any other government, agency, person 
or circumstance shall not be affected thereby.
(c) Notwithstanding article 14(b), the commission may deny a 
state's participation in the compact or terminate a member state's 
participation in the compact, in accordance with the requirements of 
article 12, if the commission determines that a constitutional 
requirement of a member state is a material departure from the 
compact. Otherwise, if this compact shall be held to be contrary to the 
constitution of any member state, the compact shall remain in full force 
and effect as to the remaining member states and in full force and effect 
as to the member state affected as to all severable matters. HOUSE BILL No. 2069—page 43
ARTICLE 15—CONSISTENT EFFECT AND CONFLICT 
WITH OTHER STATE LAWS
(a) Nothing in this compact shall prevent or inhibit the 
enforcement of any other law of a member state that is not inconsistent 
with the compact.
(b) Any laws, statutes, regulations or other legal requirements in a 
member state in conflict with the compact are superseded to the extent 
of the conflict.
(c) All permissible agreements between the commission and the 
member states are binding in accordance with their terms.
Sec. 4.
 
SECTION 1—PURPOSE
In order to strengthen access to medical services and in recognition 
of the advances in the delivery of medical services, the participating 
states of the PA licensure compact have allied in common purpose to 
develop a comprehensive process that complements the existing 
authority of state licensing boards to license and discipline PAs and 
seeks to enhance the portability of a license to practice as a PA while 
safeguarding the safety of patients. This compact allows medical 
services to be provided by PAs, via the mutual recognition of the 
licensee's qualifying license by other compact-participating states. This 
compact also adopts the prevailing standard for PA licensure and 
affirms that the practice and delivery of medical services by the PA 
occurs where the patient is located at the time of the patient encounter 
and, therefore, requires the PA to be under the jurisdiction of the state 
licensing board where the patient is located. State licensing boards that 
participate in this compact retain the jurisdiction to impose adverse 
action against a compact privilege in that state issued to a PA through 
the procedures of this compact. The PA licensure compact will alleviate 
burdens for military families by allowing active duty military personnel 
and their spouses to obtain a compact privilege based on having an 
unrestricted license in good standing from a participating state.
SECTION 2—DEFINITIONS
As used in this compact:
(a) "Adverse action" means any administrative, civil, equitable or 
criminal action permitted by a state's laws that is imposed by a 
licensing board or other authority against a PA license, application for 
licensure or compact privilege such as license denial, censure, 
revocation, suspension, probation, monitoring of the licensee or 
restriction on the licensee's practice.
(b) "Compact privilege" means the authorization granted by a 
remote state to allow a licensee from another participating state to 
practice as a PA to provide medical services and other licensed activity 
to a patient located in the remote state under the remote state's laws and 
regulations.
(c) "Conviction" means a finding by a court that an individual is 
guilty of a felony or misdemeanor offense through adjudication or entry 
of a guilty plea or no contest to the charge by the offender.
(d) "Criminal background check" means the submission of 
fingerprints or other biometric-based information for an applicant for 
licensure for the purpose of obtaining that applicant's criminal history 
record information, as defined in 28 C.F.R. § 20.3(d), from the state's 
criminal history record repository as defined in 28 C.F.R. § 20.3(f).
(e) "Data system" means the repository of information concerning 
licensees, including, but not limited to, license status and adverse 
actions, that is created and administered under the terms of this 
compact.
(f) "Executive committee" means a group of directors and ex 
officio individuals elected or appointed pursuant to section 7(f)(2). HOUSE BILL No. 2069—page 44
(g) "Impaired practitioner" means a PA whose practice is 
adversely affected by a health-related condition that impacts such PA's 
ability to practice.
(h) "Investigative information" means information, records or 
documents received or generated by a licensing board pursuant to an 
investigation.
(i) "Jurisprudence requirement" means the assessment of an 
individual's knowledge of the laws and rules governing the practice of a 
PA in a state.
(j) "License" means current authorization by a state, other than 
authorization pursuant to a compact privilege, for a PA to provide 
medical services that would be unlawful without current authorization.
(k) "Licensee" means an individual who holds a license from a 
state to provide medical services as a PA.
(l) "Licensing board" means any state entity authorized to license 
and otherwise regulate PAs.
(m) "Medical services" means healthcare services provided for the 
diagnosis, prevention, treatment, cure or relief of a health condition, 
injury or disease, as defined by a state's laws and regulations.
(n) "Model compact" means the model for the PA licensure 
compact on file with the council of state governments or other entity as 
designated by the commission.
(o) "PA" means an individual who is licensed as a physician 
assistant in a state. For purposes of this compact, any other title or 
status adopted by a state to replace the term "physician assistant" shall 
be deemed synonymous with "physician assistant" and shall confer the 
same rights and responsibilities to the licensee under the provisions of 
this compact at the time of its enactment.
(p) "PA licensure compact commission," "compact commission" 
or "commission" means the national administrative body created 
pursuant to section 7(a).
(q) "Participating state" means a state that has enacted this 
compact.
(r) "Qualifying license" means an unrestricted license issued by a 
participating state to provide medical services as a PA.
(s) "Remote state" means a participating state where a licensee 
who is not licensed as a PA is exercising or seeking to exercise the 
compact privilege.
(t) "Rule" means any rule or regulation adopted by an entity that 
has the force and effect of law.
(u) "Significant investigative information" means investigative 
information that a licensing board, after an inquiry or investigation that 
includes notification and an opportunity for the PA to respond if 
required by state law, has reason to believe is not groundless and, if 
proven true, would indicate more than a minor infraction.
(v) "State" means any state, commonwealth, district or territory of 
the United States.
 SECTION 3—STATE PARTICIPATION IN THIS COMPACT
(a) To participate in this compact, a participating state shall:
(1) License PAs;
(2) participate in the compact commission's data system;
(3) have a mechanism in place for receiving and investigating 
complaints against licensees and applicants for licensure;
(4) notify the commission, in compliance with the terms of this 
compact and commission rules, of any adverse action against a licensee 
or applicant for licensure and the existence of significant investigative 
information regarding a licensee or applicant for licensure;
(5) fully implement a criminal background check requirement, 
within a time frame established by commission rule, by its licensing 
board receiving the results of a criminal background check and 
reporting to the commission whether the applicant for licensure has 
been granted a license; HOUSE BILL No. 2069—page 45
(6) comply with the rules of the compact commission;
(7) utilize passage of a recognized national examination such as 
the NCCPA PANCE as a requirement for PA licensure; and
(8) grant the compact privilege to a holder of a qualifying license 
in a participating state.
(b) Nothing in this compact shall be construed to prohibit a 
participating state from charging a fee for granting the compact 
privilege.
SECTION 4—COMPACT PRIVILEGE
(a) To exercise the compact privilege, a licensee shall:
(1) Have graduated from a PA program accredited by the 
accreditation review commission on education for the physician 
assistant, inc., or other programs authorized by commission rule;
(2) hold current NCCPA certification;
(3) have no felony or misdemeanor convictions;
(4) have never had a controlled substance license, permit or 
registration suspended or revoked by a state or by the United States 
drug enforcement administration;
(5) have a unique identifier as determined by commission rule;
(6) hold a qualifying license;
(7) have had no revocation of a license or limitation or restriction 
on any license currently held due to an adverse action;
(A) if a licensee has had a limitation or restriction on a license or 
compact privilege due to an adverse action, two years shall have 
elapsed from the date on which the license or compact privilege is no 
longer limited or restricted due to the adverse action;
(B) if a compact privilege has been revoked or is limited or 
restricted in a participating state for conduct that would not be a basis 
for disciplinary action in a participating state in which the licensee is 
practicing or applying to practice under a compact privilege, that 
participating state shall have the discretion not to consider such action 
as an adverse action requiring the denial or removal of a compact 
privilege in that state;
(8) notify the compact commission that the licensee is seeking the 
compact privilege in a remote state;
(9) meet any jurisprudence requirement of a remote state in which 
the licensee is seeking to practice under the compact privilege and pay 
any fees applicable to satisfying the jurisprudence requirement; and
(10) report to the commission any adverse action taken by a 
nonparticipating state within 30 days after such adverse action is taken.
(b) The compact privilege shall be valid until the expiration or 
revocation of the qualifying license unless terminated pursuant to an 
adverse action. The licensee shall comply with the requirements of 
subsection (a) to maintain the compact privilege in a remote state. If the 
participating state takes adverse action against a qualifying license, the 
licensee shall lose the compact privilege in any remote state in which 
the licensee has a compact privilege until the licensee meets the 
following conditions:
(1) The license is no longer limited or restricted; and
(2) two years have elapsed from the date on which the license is 
no longer limited or restricted due to the adverse action.
(c) Once a restricted or limited license satisfies the requirements 
of subsection (b), the licensee shall meet the requirements of subsection 
(a) to obtain a compact privilege in any remote state.
(d) For each remote state in which a PA seeks authority to 
prescribe controlled substances, the PA shall satisfy all the requirements 
imposed by such state in granting or renewing such authority.
SECTION 5—DESIGNATION OF THE STATE FROM WHICH 
THE LICENSEE IS APPLYING FOR A COMPACT PRIVILEGE
Upon a licensee's application for a compact privilege, the licensee 
shall identify to the commission the participating state from which the  HOUSE BILL No. 2069—page 46
licensee is applying, in accordance with applicable rules adopted by the 
commission and subject to the following requirements:
(a) When applying for a compact privilege, the licensee shall 
provide the commission with the address of the licensee's primary 
residence and, thereafter, shall immediately report to the commission 
any change in the address of the licensee's primary residence; and
(b) when applying for a compact privilege, the licensee is required 
to consent to accept service of process by mail at the licensee's primary 
residence on file with the commission with respect to any action 
brought against the licensee by the commission or a participating state, 
including a subpoena, with respect to any action brought or 
investigation conducted by the commission or a participating state.
SECTION 6—ADVERSE ACTIONS
(a) A participating state in which a licensee is licensed shall have 
exclusive power to impose adverse action against the qualifying license 
issued by that participating state.
(b) In addition to the other powers conferred by state law, a remote 
state shall have the authority, in accordance with existing state due 
process law, to:
(1) Take adverse action against a PA's compact privilege within 
that state to remove a licensee's compact privilege or take other action 
necessary under applicable law to protect the health and safety of its 
citizens; and
(2) issue subpoenas for both hearings and investigations that 
require the attendance and testimony of witnesses as well as the 
production of evidence. Subpoenas issued by a licensing board in a 
participating state for the attendance and testimony of witnesses or the 
production of evidence from another participating state shall be 
enforced in the latter state by any court of competent jurisdiction, 
according to the practice and procedure of such court applicable to 
subpoenas issued in proceedings pending before it. The issuing 
authority shall pay any witness fees, travel expenses, mileage and other 
fees required by the service statutes of the state in which the witnesses 
or evidence is located.
(c) Notwithstanding subsection (b)(2), subpoenas shall not be 
issued by a participating state to gather evidence of conduct in another 
state that is lawful in such other state for the purpose of taking adverse 
action against a licensee's compact privilege or application for a 
compact privilege in the participating state.
(d) Nothing in this compact shall be deemed to authorize a 
participating state to impose discipline against a PA's compact privilege 
or to deny an application for a compact privilege in that participating 
state for the individual's otherwise lawful practice in another state.
(e) For purposes of taking adverse action, the participating state 
that issued the qualifying license shall give the same priority and effect 
to reported conduct received from any other participating state as it 
would if the conduct had occurred within the participating state that 
issued the qualifying license. The participating state shall apply its own 
state laws to determine appropriate action.
(f) A participating state, if otherwise permitted by state law, may 
recover from the affected PA the costs of investigations and disposition 
of cases resulting from any adverse action taken against that PA.
(g) A participating state may take adverse action based on the 
factual findings of a remote state if the participating state follows its 
own procedures for taking the adverse action.
(h) Joint investigations.
(1) In addition to the authority granted to a participating state by 
such state's PA laws and regulations or other applicable state law, any 
participating state may participate with other participating states in joint 
investigations of licensees.
(2) Participating states shall share any investigative, litigation or 
compliance materials in furtherance of any joint or individual  HOUSE BILL No. 2069—page 47
investigation initiated under this compact.
(i) If an adverse action is taken against a PA's qualifying license, 
the PA's compact privilege in all remote states shall be deactivated until 
two years have elapsed after all restrictions have been removed from 
the state license. All disciplinary orders by the participating state that 
issued the qualifying license that impose adverse action against a PA's 
license shall include a statement that the PA's compact privilege is 
deactivated in all participating states during the pendency of the order.
(j) If any participating state takes adverse action, it promptly shall 
notify the administrator of the data system.
SECTION 7—ESTABLISHMENT OF THE PA LICENSURE 
COMPACT COMMISSION
(a) The participating states hereby create and establish a joint 
government agency and national administrative body known as the PA 
licensure compact commission. The commission is an instrumentality 
of the compact states acting jointly and not an instrumentality of any 
one state. The commission shall come into existence on or after the 
effective date of the compact as set forth in section 11(a).
(b) Membership, voting and meetings.
(1) Each participating state shall have and be limited to one 
delegate selected by such participating state's licensing board or, if such 
participating state has more than one licensing board, selected 
collectively by the participating state's licensing boards.
(2) A delegate shall be either:
(A) A current PA, physician or public member of a licensing board 
or PA council or committee; or
(B) an administrator of a licensing board.
(3) Any delegate may be removed or suspended from office as 
provided by the laws of the state from which the delegate is appointed.
(4) The participating state licensing board shall fill any vacancy 
occurring in the commission within 60 days.
(5) Each delegate shall be entitled to one vote on all matters voted 
on by the commission and shall otherwise have an opportunity to 
participate in the commission's business and affairs. A delegate shall 
vote in person or by such other means as provided in the bylaws. The 
bylaws may provide for delegates' participation in meetings by 
telecommunications, video conference or other means of 
communication.
(6) The commission shall meet at least once during each calendar 
year. Additional meetings shall be held as set forth in this compact and 
the bylaws.
(7) The commission shall establish by rule a term of office for 
delegates.
(c) The commission shall have the following powers and duties:
(1) Establish a code of ethics for the commission;
(2) establish the fiscal year of the commission;
(3) establish fees;
(4) establish bylaws;
(5) maintain its financial records in accordance with the bylaws;
(6) meet and take such actions as are consistent with the 
provisions of this compact and the bylaws;
(7) adopt rules to facilitate and coordinate implementation and 
administration of this compact, and such rules shall have the force and 
effect of law and shall be binding in all participating states;
(8) bring and prosecute legal proceedings or actions in the name of 
the commission, except that the standing of any state licensing board to 
sue or be sued under applicable law shall not be affected;
(9) purchase and maintain insurance and bonds;
(10) borrow, accept or contract for services of personnel, 
including, but not limited to, employees of a participating state;
(11) hire employees and engage contractors, elect or appoint 
officers, fix compensation, define duties, grant such individuals  HOUSE BILL No. 2069—page 48
appropriate authority to carry out the purposes of this compact and 
establish the commission's personnel policies and programs relating to 
conflicts of interest, qualifications of personnel and other related 
personnel matters;
(12) accept any and all appropriate donations and grants of money, 
equipment, supplies, materials and services and receive, utilize and 
dispose of the same. At all times the commission shall avoid any 
appearance of impropriety or conflict of interest;
(13) lease, purchase, accept appropriate gifts or donations of or 
otherwise own, hold, improve or use any property real, personal or 
mixed. In performing these actions, the commission shall avoid the 
appearance of impropriety at all times;
(14) sell, convey, mortgage, pledge, lease, exchange, abandon or 
otherwise dispose of any property real, personal or mixed;
(15) establish a budget and make expenditures;
(16) borrow money;
(17) appoint committees, including standing committees 
composed of members, state regulators, state legislators or their 
representatives, consumer representatives and such other interested 
persons as may be designated in this compact and the bylaws;
(18) provide and receive information from, and cooperate with, 
law enforcement agencies;
(19) elect a chairperson, vice chairperson, secretary and treasurer 
and such other officers of the commission as provided in the 
commission's bylaws;
(20) reserve for itself, in addition to those reserved exclusively to 
the commission under the compact, powers that the executive 
committee shall not exercise;
(21) approve or disapprove a state's participation in the compact 
based upon its determination as to whether the state's compact 
legislation materially departs from the model compact language;
(22) prepare and provide to the participating states an annual 
report; and
(23) perform such other functions as may be necessary or 
appropriate to achieve the purposes of this compact, consistent with the 
state regulation of PA licensure and practice.
(d) Meetings of the commission.
(1) All meetings of the commission that are not closed pursuant to 
this subsection shall be open to the public. Notice of public meetings 
shall be posted on the commission's website at least 30 days prior to the 
public meeting.
(2) Notwithstanding subsection (d)(1), the commission may 
convene a public meeting by providing at least 24 hours' prior notice on 
the commission's website and any other means as provided in the 
commission's rules for any of the reasons it may dispense, with notice 
of proposed rulemaking under section 9(l).
(3) The commission may convene in a closed, nonpublic meeting 
or nonpublic part of a public meeting to receive legal advice or to 
discuss:
(A) Noncompliance of a participating state with its obligations 
under this compact;
(B) the employment, compensation, discipline or other matters, 
practices or procedures related to specific employees or other matters 
related to the commission's internal personnel practices and procedures;
(C) any current, threatened or reasonably anticipated litigation;
(D) the negotiation of contracts for the purchase, lease or sale of 
goods, services or real estate;
(E) the accusation of any individual of a crime or the formal 
censure any individual;
(F) the disclosure of trade secrets or commercial or financial 
information that is privileged or confidential;
(G) the disclosure of information of a personal nature, if 
disclosure would constitute a clearly unwarranted invasion of personal 
privacy; HOUSE BILL No. 2069—page 49
(H) the disclosure of investigative records compiled for law 
enforcement purposes;
(I) the disclosure of information related to any investigative 
reports prepared by or on behalf of or for use of the commission or 
other committee charged with the responsibility of investigation or 
determination of compliance issues pursuant to this compact;
(J) legal advice; or
(K) any matters specifically exempted from disclosure by federal 
or a participating state's statutes.
(4) If a meeting, or portion of a meeting, is closed pursuant to 
subsection (d)(3), the chairperson of the meeting or the chairperson's 
designee shall certify that the meeting or portion of the meeting may be 
closed and shall reference each relevant exempting provision.
(5) The commission shall keep minutes that fully and clearly 
describe all matters discussed in a meeting and shall provide a full and 
accurate summary of actions taken, including a description of the views 
expressed. All documents considered in connection with an action shall 
be identified in such minutes. All minutes and documents of a closed 
meeting shall remain under seal, subject to release by a majority vote of 
the commission or order of a court of competent jurisdiction.
(e) Financing of the commission.
(1) The commission shall pay, or provide for the payment of, the 
reasonable expenses of its establishment, organization and ongoing 
activities.
(2) The commission may accept any and all appropriate revenue 
sources, donations and grants of money, equipment, supplies, materials 
and services.
(3) The commission may levy on and collect an annual assessment 
from each participating state and may impose compact privilege fees on 
licensees of participating states to which a compact privilege is granted 
to cover the cost of the operations and activities of the commission and 
its staff. Such assessment shall be in a total amount sufficient to cover 
the commission's annual budget as approved by the commission each 
year for which revenue is not provided by other sources. The aggregate 
annual assessment amount levied on participating states shall be 
allocated based upon a formula to be determined by commission rule. 
Compact privileges and such compact privilege's associated fees shall 
be governed as follows:
(A) A compact privilege expires when the licensee's qualifying 
license in the participating state from which the licensee applied for the 
compact privilege expires; and
(B) if the licensee terminates the qualifying license through which 
the licensee applied for the compact privilege before its scheduled 
expiration and the licensee has a qualifying license in another 
participating state, the licensee shall inform the commission that it is 
changing to that participating state through which it applies for a 
compact privilege to that participating state and pay to the commission 
any compact privilege fee required by commission rule.
(4) The commission shall not incur obligations of any kind prior to 
securing the funds adequate to meet such obligations, nor shall the 
commission pledge the credit of any of the participating states, except 
by and with the authority of the participating state.
(5) The commission shall keep accurate accounts of all receipts 
and disbursements. The receipts and disbursements of the commission 
shall be subject to the financial review and accounting procedures 
established under its bylaws. All receipts and disbursements of funds 
handled by the commission shall be subject to an annual financial 
review by a certified or licensed public accountant, and the report of 
the financial review shall be included in and become part of the annual 
report of the commission.
(f) The executive committee.
(1) The executive committee shall have to power to act on behalf 
of the commission according to the terms of this compact and 
commission rules. HOUSE BILL No. 2069—page 50
(2) The executive committee shall be composed of nine members 
described as follows:
(A) Seven voting members who are elected by the commission 
from the current membership of the commission;
(B) (i) (a) one ex officio, nonvoting member from a recognized 
national PA professional association; and
(b) one ex officio, nonvoting member from a recognized national 
PA certification organization.
(ii) The ex officio members shall be selected by their respective 
organizations.
(3) The commission may remove any member of the executive 
committee as provided in its bylaws.
(4) The executive committee shall meet at least annually.
(5) The executive committee shall have the following duties and 
responsibilities:
(A) Recommend to the commission changes to the commission's 
rules or bylaws, changes to this compact legislation, fees to be paid by 
compact-participating states such as annual dues and any commission 
compact fee charged to licensees for the compact privilege;
(B) ensure that compact administration services are appropriately 
provided, whether contractual or otherwise;
(C) prepare and recommend the budget;
(D) maintain financial records on behalf of the commission;
(E) monitor compact compliance of participating states and 
provide compliance reports to the commission;
(F) establish additional committees as necessary;
(G) exercise the powers and duties of the commission during the 
interim between commission meetings, except for issuing proposed 
rulemaking or adopting commission rules or bylaws or exercising any 
other powers and duties exclusively reserved to the commission by the 
commission's rules; and
(H) perform other duties as provided in the commission's rules or 
bylaws.
(6) All meetings of the executive committee at which it votes or 
plans to vote on matters in exercising the powers and duties of the 
commission shall be open to the public and public notice of such 
meetings shall be given as public meetings of the commission are 
given.
(7) The executive committee may convene in a closed, nonpublic 
meeting for the same reasons that the commission may convene in a 
nonpublic meeting as set forth in subsection (d)(3), and shall announce 
the closed meeting as the commission is required to do under 
subsection (d)(4) and keep minutes of the closed meeting as the 
commission is required to do under subsection (d)(5).
(g) Qualified immunity, defense and indemnification.
(1) The members, officers, executive director, employees and 
representatives of the commission shall be immune from suit and 
liability, both personally and in their official capacity, for any claim for 
damage to or loss of property or personal injury or other civil liability 
caused by or arising out of any actual or alleged act, error or omission 
that occurred or that the individual against whom the claim is made had 
a reasonable basis for believing occurred within the scope of 
commission employment, duties or responsibilities. Nothing in this 
paragraph shall be construed to protect any such individual from suit or 
liability for any damage, loss, injury or liability caused by the 
intentional or willful or wanton misconduct of such individual. The 
procurement of insurance of any type by the commission shall not in 
any way compromise or limit the immunity granted hereunder.
(2) The commission shall defend any member, officer, executive 
director, employee, and representative of the commission in any civil 
action seeking to impose liability arising out of any actual or alleged 
act, error or omission that occurred within the scope of commission 
employment, duties or responsibilities or as determined by the 
commission that the individual against whom the claim is made had a  HOUSE BILL No. 2069—page 51
reasonable basis for believing occurred within the scope of commission 
employment, duties or responsibilities. Nothing herein shall be 
construed to prohibit such individual from retaining such individual's 
own counsel at the individual's own expense or that the actual or 
alleged act, error or omission did not result from the individual's 
intentional, willful or wanton misconduct.
(3) The commission shall indemnify and hold harmless any 
member, officer, executive director, employee or representative of the 
commission for the amount of any settlement or judgment obtained 
against that individual arising out of any actual or alleged act, error or 
omission that occurred within the scope of commission employment, 
duties or responsibilities or that such individual had a reasonable basis 
for believing occurred within the scope of commission employment, 
duties or responsibilities, if the actual or alleged act, error or omission 
did not result from the intentional or willful or wanton misconduct of 
that individual.
(4) Venue is proper and judicial proceedings by or against the 
commission shall be brought solely and exclusively in a court of 
competent jurisdiction where the principal office of the commission is 
located. The commission may waive venue and jurisdictional defenses 
in any proceedings as authorized by commission rules.
(5) Nothing in this compact shall be construed as a limitation on 
the liability of any licensee for professional malpractice or misconduct, 
which shall be governed solely by any other applicable state laws.
(6) Nothing in this compact shall be construed to designate the 
venue or jurisdiction to bring actions for alleged acts of malpractice, 
professional misconduct, negligence or other such civil action 
pertaining to the practice of a PA. All such matters shall be determined 
exclusively by state law other than this compact.
(7) Nothing in this compact shall be interpreted to waive or 
otherwise abrogate a participating state's state action immunity or state 
action affirmative defense with respect to antitrust claims under the 
Sherman act, Clayton act or any other state or federal antitrust or 
anticompetitive law or regulation.
(8) Nothing in this compact shall be construed to be a waiver of 
sovereign immunity by the participating states or by the commission.
SECTION 8—DATA SYSTEM
(a) The commission shall provide for the development, 
maintenance, operation and utilization of a coordinated data and 
reporting system containing licensure, adverse action and the reporting 
of the existence of significant investigative information on all licensed 
PAs and applicants that are denied a license in participating states.
(b) Notwithstanding any other state law to the contrary, a 
participating state shall submit a uniform data set to the data system on 
all PAs to whom this compact is applicable, utilizing a unique 
identifier, as required by the rules of the commission, including:
(1) Identifying information;
(2) licensure data;
(3) adverse actions against a license or compact privilege;
(4) any denial of application for licensure and the reason for such 
denial, excluding the reporting of any criminal history record 
information where such reporting is prohibited by law;
(5) the existence of significant investigative information; and
(6) other information that may facilitate the administration of this 
compact, as determined by the rules of the commission.
(c) Significant investigative information pertaining to a licensee in 
any participating state shall only be available to other participating 
states.
(d) The commission shall promptly notify all participating states 
of any adverse action taken against a licensee or an individual applying 
for a license that has been reported to such commission. Such adverse 
action information shall be available to any other participating state. HOUSE BILL No. 2069—page 52
(e) Participating states contributing information to the data system 
may, in accordance with state or federal law, designate information that 
shall not be shared with the public without the express permission of 
the contributing state. Notwithstanding any such designation, such 
information shall be reported to the commission through the data 
system.
(f) Any information submitted to the data system that is 
subsequently expunged pursuant to federal law or the laws of the 
participating state contributing the information shall be removed from 
the data system upon reporting of such by the participating state to the 
commission.
(g) The records and information provided to a participating state 
pursuant to this compact or through the data system, when certified by 
the commission or an agent thereof, shall constitute the authenticated 
business records of the commission and shall be entitled to any 
associated hearsay exception in any relevant judicial, quasi-judicial or 
administrative proceedings in a participating state.
SECTION 9—RULEMAKING
(a) The commission shall exercise its rulemaking powers pursuant 
to the criteria set forth in this section and the rules adopted thereunder. 
Commission rules shall become binding as of the date specified by the 
commission for each rule.
(b) The commission shall adopt reasonable rules in order to 
effectively and efficiently implement and administer this compact and 
achieve its purposes. A commission rule shall be invalid and have no 
force or effect only if a court of competent jurisdiction holds that the 
rule is invalid because the commission exercised its rulemaking 
authority in a manner that is beyond the scope of the purposes of this 
compact, the powers granted hereunder or based upon another 
applicable standard of review.
(c) The rules of the commission shall have the force of law in each 
participating state, except that where the rules of the commission 
conflict with the laws of the participating state that establish the 
medical services, a PA may perform in the participating state, as held 
by a court of competent jurisdiction, and the rules of the commission 
shall be ineffective in that state to the extent of the conflict.
(d) If a majority of the legislatures of the participating states 
rejects a commission rule, by enactment of a statute or resolution in the 
same manner used to adopt this compact within four years of the date 
of adoption of the rule, then such rule shall have no further force and 
effect in any participating state or to any state applying to participate in 
the compact.
(e) Commission rules shall be adopted at a regular or special 
meeting of the commission.
(f) Prior to adoption of a final rule by the commission and at least 
30 days in advance of the meeting at which the rule will be considered 
and voted upon, the commission shall file a notice of proposed 
rulemaking:
(1) On the commission's website or other publicly accessible 
platform;
(2) to persons who have requested notice of the commission's 
notices of proposed rulemaking; and
(3) in such other ways as the commission may specify by rule.
(g) The notice of proposed rulemaking shall include:
(1) The time, date and location of the public hearing on the 
proposed rule and the proposed time, date and location of the meeting 
in which the proposed rule will be considered and voted upon;
(2) the text of and the reason for the proposed rule;
(3) a request for comments on the proposed rule from any 
interested person and the date by which written comments must be 
received; and
(4) the manner in which interested persons may submit notice to  HOUSE BILL No. 2069—page 53
the commission of their intention to attend the public hearing or 
provide any written comments.
(h) Prior to adoption of a proposed rule, the commission shall 
allow persons to submit written data, facts, opinions and arguments, 
which shall be made available to the public.
(i) If the hearing is to be held via electronic means, the 
commission shall publish the mechanism for access to the electronic 
hearing.
(1) All persons wishing to be heard at the hearing shall, as directed 
in the notice of proposed rulemaking published not less than five 
business days before the scheduled date of the hearing, notify the 
commission of their desire to appear and testify at the hearing.
(2) Hearings shall be conducted in a manner that provides each 
person who wishes to comment a fair and reasonable opportunity to 
comment orally or in writing.
(3) All hearings shall be recorded. A copy of the recording and the 
written comments, data, facts, opinions and arguments received in 
response to the proposed rulemaking shall be made available to a 
person upon request.
(4) Nothing in this section shall be construed as requiring a 
separate hearing on each proposed rule. Proposed rules may be grouped 
for the convenience of the commission at hearings required by this 
section.
(j) Following the public hearing, the commission shall consider all 
written and oral comments timely received.
(k) The commission shall, by majority vote of all delegates, take 
final action on the proposed rule and shall determine the effective date 
of the rule, if adopted, based on the rulemaking record and the full text 
of the rule.
(1) If adopted, the rule shall be posted on the commission's 
website.
(2) The commission may adopt changes to the proposed rule if the 
changes do not expand the original purpose of the proposed rule.
(3) The commission shall provide an explanation on its website of 
the reasons for any substantive changes made to the proposed rule as 
well as reasons for any substantive changes not made that were 
recommended by commenters.
(4) The commission shall determine a reasonable effective date for 
the rule. Except for an emergency as provided in subsection (l), the 
effective date of the rule shall be not sooner than 30 days after the 
commission issued the notice that it adopted the rule.
(l) Upon the determination that an emergency exists, the 
commission may consider and adopt an emergency rule with 24 hours' 
prior notice, without the opportunity for comment or hearing, expect 
that the usual rulemaking procedures provided in this compact and in 
this section shall be retroactively applied to the rule as soon as 
reasonably possible but in no event later than 90 days after the effective 
date of the rule. For the purposes of this provision, an emergency rule is 
one that shall be adopted immediately by the commission in order to:
(1) Address an imminent threat to public health, safety or welfare;
(2) prevent a loss of commission or participating state funds;
(3) meet a deadline for the adoption of a commission rule that is 
established by federal law or rule; or
(4) protect public health and safety.
(m) The commission, or an authorized committee of the 
commission, may direct revisions to a previously adopted commission 
rule for purposes of correcting typographical errors, errors in format, 
errors in consistency or grammatical errors. Public notice of any 
revisions shall be posted on the commission's website. The revision 
shall be subject to challenge by any person for a period of 30 days after 
posting. The revision may be challenged only on grounds that the 
revision results in a material change to a rule. A challenge shall be 
made as set forth in the notice of revisions and delivered to the 
commission prior to the end of the notice period. If no challenge is  HOUSE BILL No. 2069—page 54
made, the revision shall take effect without further action. If the 
revision is challenged, the revision shall not take effect without the 
approval of the commission.
(n) No participating state's rulemaking requirements shall apply 
under this compact.
SECTION 10—OVERSIGHT, DISPUTE RESOLUTION 
AND ENFORCEMENT
(a) Oversight.
(1) The executive and judicial branches of state government in 
each participating state shall enforce this compact and take all actions 
necessary and appropriate to implement the compact.
(2) Venue is proper and judicial proceedings by or against the 
commission shall be brought solely and exclusively in a court of 
competent jurisdiction where the principal office of the commission is 
located. The commission may waive venue and jurisdictional defenses 
to the extent that it adopts or consents to participate in alternative 
dispute resolution proceedings. Nothing herein shall affect or limit the 
selection or propriety of venue in any action against a licensee for 
professional malpractice, misconduct or any such similar matter.
(3) The commission shall be entitled to receive service of process 
in any proceeding regarding the enforcement or interpretation of the 
compact or the commission's rules and shall have standing to intervene 
in such a proceeding for all purposes. Failure to provide the 
commission with service of process shall render a judgment or order in 
such proceeding void as to the commission, this compact or 
commission rules.
(b) Default, technical assistance and termination.
(1) If the commission determines that a participating state has 
defaulted in the performance of its obligations or responsibilities under 
this compact or the commission rules, the commission shall provide 
written notice to the defaulting state and other participating states. The 
notice shall describe the default, the proposed means of curing the 
default and any other action that the commission may take and shall 
offer remedial training and specific technical assistance regarding the 
default.
(2) If a state in default fails to cure the default, the defaulting state 
may be terminated from this compact upon an affirmative vote of a 
majority of the delegates of the participating states, and all rights, 
privileges and benefits conferred by this compact upon such state may 
be terminated on the effective date of termination. A cure of the default 
shall not relieve the offending state of obligations or liabilities incurred 
during the period of default.
(3) Termination of participation in this compact shall be imposed 
only after all other means of securing compliance have been exhausted. 
Notice of intent to suspend or terminate shall be given by the 
commission to the governor, the majority and minority leaders of the 
defaulting state's legislature and to the licensing board of each of the 
participating states.
(4) A state that has been terminated is responsible for all 
assessments, obligations and liabilities incurred through the effective 
date of termination, including obligations that extend beyond the 
effective date of termination.
(5) The commission shall not bear any costs related to a state that 
is found to be in default or that has been terminated from this compact, 
unless agreed upon in writing between the commission and the 
defaulting state.
(6) The defaulting state may appeal its termination from the 
compact by the commission by petitioning the United States district 
court for the District of Columbia or the federal district where the 
commission has its principal offices. The prevailing member shall be 
awarded all costs of such litigation, including reasonable attorney fees.
(7) Upon the termination of a state's participation in the compact,  HOUSE BILL No. 2069—page 55
the state shall immediately provide notice to all licensees within that 
state of such termination:
(A) Licensees who have been granted a compact privilege in that 
state shall retain the compact privilege for 180 days following the 
effective date of such termination; and
(B) licensees who are licensed in that state who have been granted 
a compact privilege in a participating state shall retain the compact 
privilege for 180 days unless the licensee also has a qualifying license 
in a participating state or obtains a qualifying license in a participating 
state before the 180-day period ends, in which case, the compact 
privilege shall continue.
(c) Dispute resolution.
(1) Upon request by a participating state, the commission shall 
attempt to resolve disputes related to this compact that arise among 
participating states and between participating and nonparticipating 
states.
(2) The commission shall adopt a rule providing for both 
mediation and binding dispute resolution for disputes as appropriate.
(d) Enforcement.
(1) The commission, in the reasonable exercise of its discretion, 
shall enforce the provisions of this compact and rules of the 
commission.
(2) If compliance is not secured after all means to secure 
compliance have been exhausted, by majority vote, the commission 
may initiate legal action in the United States district court for the 
District of Columbia or the federal district where the commission has 
its principal offices against a participating state in default to enforce 
compliance with the provisions of this compact and the commission's 
adopted rules and bylaws. The relief sought may include both 
injunctive relief and damages. In the event that judicial enforcement is 
necessary, the prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney fees.
(3) The remedies herein shall not be the exclusive remedies of the 
commission. The commission may pursue any other remedies available 
under federal or state law.
(e) Legal action against the commission.
(1) A participating state may initiate legal action against the 
commission in the United States district court for the District of 
Columbia or the federal district where the commission has its principal 
offices to enforce compliance with the provisions of the compact and 
its rules. The relief sought may include both injunctive relief and 
damages. In the event that judicial enforcement is necessary, the 
prevailing party shall be awarded all costs of such litigation, including 
reasonable attorney fees.
(2) No person other than a participating state shall enforce this 
compact against the commission.
SECTION 11—DATE OF IMPLEMENTATION OF 
THE PA LICENSURE COMPACT COMMISSION
(a) This compact shall come into effect on the date that this 
compact statute is enacted into law in the seventh participating state.
(1) On or after the effective date of the compact, the commission 
shall convene and review the enactment of each of the states that 
enacted the compact prior to the commission convening, called charter-
participating states, to determine if the statute enacted by each such 
charter-participating state is materially different than the model 
compact.
(A) A charter-participating state whose enactment is found to be 
materially different from the model compact shall be entitled to the 
default process set forth in section 10(b).
(B) If any participating state later withdraws from the compact or 
its participation is terminated, the commission shall remain in existence 
and the compact shall remain in effect even if the number of  HOUSE BILL No. 2069—page 56
participating states should be fewer than seven. Participating states 
enacting the compact subsequent to the commission convening shall be 
subject to the process set forth in section 7(c)(21) to determine if their 
enactments are materially different from the model compact and 
whether they qualify for participation in the compact.
(2) Participating states enacting the compact subsequent to the 
seven initial charter-participating states shall be subject to the process 
set forth in section 7(c)(21) to determine if their enactments are 
materially different from the model compact and whether they qualify 
for participation in the compact.
(3) All actions taken for the benefit of the commission or in 
furtherance of the purposes of the administration of the compact prior 
to the effective date of the compact or the commission coming into 
existence shall be considered to be actions of the commission unless 
specifically repudiated by the commission.
(b) Any state that joins this compact shall be subject to the 
commission's rules and bylaws as they exist on the date that this 
compact becomes law in that state. Any rule that has been previously 
adopted by the commission shall have the full force and effect of law 
on the day that this compact becomes law in that state.
(c) Any participating state may withdraw from this compact by 
enacting a statute repealing the same.
(1) A participating state's withdrawal shall not take effect until 180 
days after enactment of the repealing statute. During the 180-day 
period, all compact privileges that were in effect in the withdrawing 
state and were granted to licensees licensed in the withdrawing state 
shall remain in effect. If any licensee licensed in the withdrawing state 
is also licensed in another participating state or obtains a license in 
another participating state within the 180 days, the licensee's compact 
privileges in other participating states shall not be affected by the 
passage of the 180 days.
(2) Withdrawal shall not affect the continuing requirement of the 
state licensing board of the withdrawing state to comply with the 
investigative and adverse action reporting requirements of this compact 
prior to the effective date of withdrawal.
(3) Upon the enactment of a statute withdrawing a state from this 
compact, the state shall immediately provide notice of such withdrawal 
to all licensees within that state. Such withdrawing state shall continue 
to recognize all licenses granted pursuant to this compact for a 
minimum of 180 days after the date of such notice of withdrawal.
(d) Nothing contained in this compact shall be construed to 
invalidate or prevent any PA licensure agreement or other cooperative 
arrangement between participating states and between a participating 
state and nonparticipating state that does not conflict with the 
provisions of this compact.
(e) This compact may be amended by the participating states. No 
amendment to this compact shall become effective and binding upon 
any participating state until it is enacted materially in the same manner 
into the laws of all participating states as determined by the 
commission.
SECTION 12—CONSTRUCTION AND SEVERABILITY
(a) This compact and the commission's rulemaking authority shall 
be liberally construed so as to effectuate the purposes and the 
implementation and administration of the compact. Provisions of the 
compact expressly authorizing or requiring the adoption of rules shall 
not be construed to limit the commission's rulemaking authority solely 
for those purposes.
(b) The provisions of this compact shall be severable, and if any 
phrase, clause, sentence or provision of this compact is held by a court 
of competent jurisdiction to be contrary to the constitution of any 
participating state, a state seeking participation in the compact or of the 
United States, or the applicability thereof to any government, agency,  HOUSE BILL No. 2069—page 57
person or circumstance is held to be unconstitutional by a court of 
competent jurisdiction, the validity of the remainder of this compact 
and the applicability thereof to any other government, agency, person 
or circumstance shall not be affected thereby.
(c) Notwithstanding the provisions of this subsection or subsection 
(b), the commission may deny a state's participation in the compact or, 
in accordance with the requirements of section 10(b), terminate a 
participating state's participation in the compact, if it determines that a 
constitutional requirement of a participating state is, or would be with 
respect to a state seeking to participate in the compact, a material 
departure from the compact. Otherwise, if this compact shall be held to 
be contrary to the constitution of any participating state, the compact 
shall remain in full force and effect as to the remaining participating 
states and in full force and effect as to the participating state affected as 
to all severable matters.
SECTION 13—BINDING EFFECT OF COMPACT
(a) Nothing herein prevents the enforcement of any other law of a 
participating state that is not inconsistent with this compact.
(b) Any laws in a participating state in conflict with this compact 
are superseded to the extent of the conflict.
(c) All agreements between the commission and the participating 
states are binding in accordance with their terms.
Sec. 5. This act shall take effect and be in force from and after its 
publication in the statute book.
I hereby certify that the above BILL originated in the HOUSE, and was 
adopted by that body
                                                                            
HOUSE adopted
Conference Committee Report                                                     
                                                                               
Speaker of the House.          
                                                                               
Chief Clerk of the House.     
Passed the SENATE
          as amended                                                      
SENATE adopted
Conference Committee Report                                                             
                                                                               
President of the Senate.       
                                                                               
Secretary of the Senate.       
APPROVED                                                                 
     
                                                                                                              
Governor.