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.