2020 Second Extraordinary Session ENROLLED SENATE BILL NO. 34 BY SENATOR PEACOCK AND REPRESENTATI VE CARPENTER 1 AN ACT 2 To enact Part II of Chapter 34 of Title 37 of the Louisiana Revised Statutes of 1950, to be 3 comprised of R.S. 37:2678.1, relative to the Audiology and Speech-Language 4 Pathology Interstate Compact; to provide for the model language required to 5 participate in the compact; to provide for the effectiveness of the compact upon 6 adoption by ten member states; to provide for the definitions, powers, duties, and 7 functions of the compact; to designate Chapter 34 of Title 37 of the Louisiana 8 Revised Statutes of 1950, comprised of R.S. 37:2650 through 2666, "PART I. 9 SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS"; to provide for 10 an effective date; and to provide for related matters. 11 Be it enacted by the Legislature of Louisiana: 12 Section 1. The provisions of Chapter 34 of Title 37 of the Louisiana Revised Statutes 13 of 1950, comprised of R.S. 37:2650 through 2666, are hereby designated "PART I. 14 SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS". 15 Section 2. Part II of Chapter 34 of Title 37 of the Louisiana Revised Statutes of 1950, 16 comprised of R.S. 37:2678.1, is hereby enacted to read as follows: 17 PART II. AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY 18 INTERSTATE COMP ACT 19 ยง2678.1. Audiology and Speech-Language Interstate Compact; adoption 20 The Audiology and Speech-Language Pathology Interstate Compact is 21 hereby recognized and enacted into law and entered into by this state with all 22 states legally joining therein in the form substantially as follows: 23 SECTION 1. PURPOSE 24 The purpose of this compact is to facilitate interstate practice of 25 audiology and speech-language pathology with the goal of improving public Page 1 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 access to audiology and speech-language pathology services. The practice of 2 audiology and speech-language pathology occurs in the state where the patient, 3 client, or student is located at the time of the patient, client, or student's 4 encounter. The compact preserves the regulatory authority of states to protect 5 public health and safety through the current system of state licensure. 6 This compact is designed to achieve the following objectives: 7 (1) Increase public access to audiology and speech-language pathology 8 services by providing for the mutual recognition of other member state licenses. 9 (2) Enhance the states' ability to protect the public's health and safety. 10 (3) Encourage the cooperation of member states in regulating multistate 11 audiology and speech-language pathology practice. 12 (4) Support spouses of relocating active duty military personnel. 13 (5) Enhance the exchange of licensure, investigative, and disciplinary 14 information between member states. 15 (6) Allow a remote state to hold a provider of services with a compact 16 privilege in that state accountable to that state's practice standards. 17 (7) Allow for the use of telehealth technology to facilitate increased 18 access to audiology and speech-language pathology services. 19 SECTION 2. DEFINITIONS 20 As used in this compact, and except as otherwise provided, the following 21 definitions shall apply: 22 A. "Active duty military" means full-time duty status in the active 23 uniformed service of the United States, including members of the National 24 Guard and Reserve on active duty orders pursuant to 10 U.S.C. Section 1209 25 and 1211. 26 B. "Adverse action" means any administrative, civil, equitable or 27 criminal action permitted by a state's laws which is imposed by a licensing 28 board or other authority against an audiologist or speech-language pathologist, 29 including actions against an individual's license or privilege to practice such as 30 revocation, suspension, probation, monitoring of the licensee, or restriction on Page 2 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 the licensee's practice. 2 C. "Alternative program" means a nondisciplinary monitoring process 3 approved by an audiology or speech-language pathology licensing board to 4 address impaired practitioners. 5 D. "Audiologist" means an individual who is licensed by a state to 6 practice audiology. 7 E. "Audiology" means the care and services provided by a licensed 8 audiologist as set forth in the member state's statutes and rules. 9 F. "Audiology and Speech-Language Pathology Compact Commission" 10 or "Commission" means the national administrative body whose membership 11 consists of all states that have enacted the compact. 12 G. "Audiology and speech-language pathology licensing board," 13 "audiology licensing board," "speech-language pathology licensing board," or 14 "licensing board" means the agency of a state that is responsible for the 15 licensing and regulation of audiologists or speech-language pathologists. 16 H. "Compact privilege" means the authorization granted by a remote 17 state to allow a licensee from another member state to practice as an audiologist 18 or speech-language pathologist in the remote state under its laws and rules. The 19 practice of audiology or speech-language pathology occurs in the member state 20 where the patient, client, or student is located at the time of the patient, client, 21 or student's encounter. 22 I. "Current significant investigative information" means investigative 23 information that a licensing board, after an inquiry or investigation that 24 includes notification and an opportunity for the audiologist or speech-language 25 pathologist to respond, if required by state law, has reason to believe is not 26 groundless and, if proved true, would indicate more than a minor infraction. 27 J. "Data system" means a repository of information about licensees, 28 including but not limited to continuing education, examination, licensure, 29 investigative, compact privilege, and adverse action. 30 K. "Encumbered license" means a license in which an adverse action Page 3 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 restricts the practice of audiology or speech-language pathology by the licensee 2 and said adverse action has been reported to the National Practitioners Data 3 Bank (NPDB). 4 L. "Executive Committee" means a group of directors elected or 5 appointed to act on behalf of, and within the powers granted to them by, the 6 commission. 7 M. "Home state" means the member state that is the licensee's primary 8 state of residence. 9 N. "Impaired practitioner" means individuals whose professional 10 practice is adversely affected by substance abuse, addiction, or other 11 health-related conditions. 12 O. "Licensee" means an individual who currently holds an authorization 13 from the state licensing board to practice as an audiologist or speech-language 14 pathologist. 15 P. "Member state" means a state that has enacted the compact. 16 Q. "Privilege to practice" means a legal authorization permitting the 17 practice of audiology or speech-language pathology in a remote state. 18 R. "Remote state" means a member state other than the home state 19 where a licensee is exercising or seeking to exercise the compact privilege. 20 S. "Rule" means a regulation, principle, or directive promulgated by the 21 commission that has the force of law. 22 T. "Single-state license" means an audiology or speech-language 23 pathology license issued by a member state that authorizes practice only within 24 the issuing state and does not include a privilege to practice in any other 25 member state. 26 U. "Speech-language pathologist" means an individual who is licensed 27 by a state to practice speech-language pathology. 28 V. "Speech-language pathology" means the care and services provided 29 by a licensed speech-language pathologist as set forth in the member state's 30 statutes and rules. Page 4 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 W. "State" means any state, commonwealth, district, or territory of the 2 United States of America that regulates the practice of audiology and 3 speech-language pathology. 4 X. "State practice laws" means a member state's laws, rules, and 5 regulations that govern the practice of audiology or speech-language pathology, 6 define the scope of audiology or speech-language pathology practice, and create 7 the methods and grounds for imposing discipline. 8 Y. "Telehealth" means the application of telecommunication technology 9 to deliver audiology or speech-language pathology services at a distance for 10 assessment, intervention, or consultation. 11 SECTION 3. STATE PARTICIPATION IN THE COMPACT 12 A. A license issued to an audiologist or speech-language pathologist by 13 a home state to a resident in that state shall be recognized by each member state 14 as authorizing an audiologist or speech-language pathologist to practice 15 audiology or speech-language pathology, under a privilege to practice, in each 16 member state where the licensee obtains such privilege. 17 B. A state must implement or utilize procedures for considering the 18 criminal history records of applicants for initial privilege to practice. These 19 procedures shall include the submission of fingerprints or other 20 biometric-based information by applicants for the purpose of obtaining an 21 applicant's criminal history record information from the Federal Bureau of 22 Investigation and the agency responsible for retaining that state's criminal 23 records. 24 (1) A member state must fully implement a criminal background check 25 requirement, within a timeframe established by rule, by receiving the results of 26 the Federal Bureau of Investigation record search on criminal background 27 checks and use the results in making licensure decisions. 28 (2) Communication between a member state, the Commission, and 29 among member states regarding the verification of eligibility for licensure 30 through the Compact shall not include any information received from the Page 5 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 Federal Bureau of Investigation relating to a federal criminal records check 2 performed by a member state under Public Law 92-544. 3 C. Upon application for a privilege to practice, the licensing board in the 4 issuing remote state shall ascertain, through the data system, whether the 5 applicant has ever held, or is the holder of, a license issued by any other state, 6 whether there are any encumbrances on any license or privilege to practice held 7 by the applicant, whether any adverse action has been taken against any license 8 or privilege to practice held by the applicant. 9 D. Each member state shall require an applicant to obtain or retain a 10 license in the home state and meet the home state's qualifications for licensure 11 or renewal of licensure, as well as, all other applicable state laws. 12 E. For an audiologist: 13 (1) Must meet one of the following educational requirements: 14 (a) On or before December 31, 2007, has graduated with a master's 15 degree or doctorate in audiology, or equivalent degree regardless of degree 16 name, from a program that is accredited by an accrediting agency recognized 17 by the Council for Higher Education Accreditation, or its successor, or by the 18 United States Department of Education and operated by a college or university 19 accredited by a regional or national accrediting organization recognized by the 20 board. 21 (b) On or after January 1, 2008, has graduated with a Doctoral degree 22 in audiology, or equivalent degree, regardless of degree name, from a program 23 that is accredited by an accrediting agency recognized by the Council for 24 Higher Education Accreditation, or its successor, or by the United States 25 Department of Education and operated by a college or university accredited by 26 a regional or national accrediting organization recognized by the board. 27 (c) Has graduated from an audiology program that is housed in an 28 institution of higher education outside of the United States (a) for which the 29 program and institution have been approved by the authorized accrediting body 30 in the applicable country and (b) the degree program has been verified by an Page 6 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 independent credentials review agency to be comparable to a state licensing 2 board-approved program. 3 (2) Has completed a supervised clinical practicum experience from an 4 accredited educational institution or its cooperating programs as required by 5 the board. 6 (3) Has successfully passed a national examination approved by the 7 Commission. 8 (4) Holds an active, unencumbered license. 9 (5) Has not been convicted or found guilty, and has not entered into an 10 agreed disposition, of a felony related to the practice of audiology, under 11 applicable state or federal criminal law. 12 (6) Has a valid United States Social Security or National Practitioner 13 Identification number. 14 F. For a speech-language pathologist: 15 (1) Must meet one of the following educational requirements: 16 (a) Has graduated with a master's degree from a speech-language 17 pathology program that is accredited by an organization recognized by the 18 United States Department of Education and operated by a college or university 19 accredited by a regional or national accrediting organization recognized by the 20 board. 21 (b) Has graduated from a speech-language pathology program that is 22 housed in an institution of higher education outside of the United States (a) for 23 which the program and institution have been approved by the authorized 24 accrediting body in the applicable country and (b) the degree program has been 25 verified by an independent credentials review agency to be comparable to a 26 state licensing board-approved program. 27 (2) Has completed a supervised clinical practicum experience from an 28 educational institution or its cooperating programs as required by the 29 Commission. 30 (3) Has completed a supervised postgraduate professional experience as Page 7 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 required by the Commission. 2 (4) Has successfully passed a national examination approved by the 3 Commission. 4 (5) Holds an active, unencumbered license. 5 (6) Has not been convicted or found guilty, and has not entered into an 6 agreed disposition, of a felony related to the practice of speech-language 7 pathology, under applicable state or federal criminal law. 8 (7) Has a valid United States Social Security or National Practitioner 9 Identification number. 10 G. The privilege to practice is derived from the home state license. 11 H. An audiologist or speech-language pathologist practicing in a member 12 state must comply with the state practice laws of the state in which the client is 13 located at the time service is provided. The practice of audiology and 14 speech-language pathology shall include all audiology and speech-language 15 pathology practice as defined by the state practice laws of the member state in 16 which the client is located. The practice of audiology and speech-language 17 pathology in a member state under a privilege to practice shall subject an 18 audiologist or speech-language pathologist to the jurisdiction of the licensing 19 board, the courts, and the laws of the member state in which the client is located 20 at the time service is provided. 21 I. Individuals not residing in a member state shall continue to be able to 22 apply for a member state's single-state license as provided under the laws of 23 each member state. However, the single-state license granted to these 24 individuals shall not be recognized as granting the privilege to practice 25 audiology or speech-language pathology in any other member state. Nothing in 26 this compact shall affect the requirements established by a member state for the 27 issuance of a single-state license. 28 J. Member states may charge a fee for granting a compact privilege. 29 K. Member states must comply with the bylaws and rules and 30 regulations of the commission. Page 8 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 SECTION 4. COMPACT PRIVILEGE 2 A. To exercise the compact privilege under the terms and provisions of 3 the compact, the audiologist or speech-language pathologist shall: 4 (1) Hold an active license in the home state. 5 (2) Have no encumbrance on any state license. 6 (3) Be eligible for a compact privilege in any member state in accordance 7 with Section 3. 8 (4) Have not had any adverse action against any license or compact 9 privilege within the previous two years from date of application. 10 (5) Notify the commission that the licensee is seeking the compact 11 privilege within a remote state or states. 12 (6) Pay any applicable fees, including any state fee, for the compact 13 privilege. 14 (7) Report to the commission adverse action taken by any nonmember 15 state within thirty days from the date the adverse action is taken. 16 B. For the purposes of the compact privilege, an audiologist or 17 speech-language pathologist shall only hold one home state license at a time. 18 C. Except as provided in Section 6, if an audiologist or speech-language 19 pathologist changes primary state of residence by moving between two-member 20 states, the audiologist or speech-language pathologist must apply for licensure 21 in the new home state, and the license issued by the prior home state shall be 22 deactivated in accordance with applicable rules adopted by the commission. 23 D. The audiologist or speech-language pathologist may apply for 24 licensure in advance of a change in primary state of residence. 25 E. A license shall not be issued by the new home state until the 26 audiologist or speech-language pathologist provides satisfactory evidence of a 27 change in primary state of residence to the new home state and satisfies all 28 applicable requirements to obtain a license from the new home state. 29 F. If an audiologist or speech-language pathologist changes primary state 30 of residence by moving from a member state to a nonmember state, the license Page 9 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 issued by the prior home state shall convert to a single-state license, valid only 2 in the former home state. 3 G. The compact privilege is valid until the expiration date of the home 4 state license. The licensee must comply with the requirements of Section 4A to 5 maintain the compact privilege in the remote state. 6 H. A licensee providing audiology or speech-language pathology services 7 in a remote state under the compact privilege shall function within the laws and 8 regulations of the remote state. 9 I. A licensee providing audiology or speech-language pathology services 10 in a remote state is subject to that state's regulatory authority. A remote state 11 may, in accordance with due process and that state's laws, remove a licensee's 12 compact privilege in the remote state for a specific period of time, impose fines, 13 and take any other necessary actions to protect the health and safety of its 14 citizens. 15 J. If a home state license is encumbered, the licensee shall lose the 16 compact privilege in any remote state until the following occur: 17 (1) The home state license is no longer encumbered. 18 (2) Two years have elapsed from the date of the adverse action. 19 K. Once an encumbered license in the home state is restored to good 20 standing, the licensee must meet the requirements of Section 4A to obtain a 21 compact privilege in any remote state. 22 L. Once the requirements of Section 4J have been met, the licensee must 23 meet the requirements in Section 4A to obtain a compact privilege in a remote 24 state. 25 SECTION 5. COMPACT PRIVILEGE TO 26 PRACTICE TELEHEALTH 27 Member states shall recognize the right of an audiologist or 28 speech-language pathologist, licensed by a home state in accordance with 29 Section 3 and under rules promulgated by the commission, to practice audiology 30 or speech-language pathology in any member state via telehealth under a Page 10 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 privilege to practice as provided in the compact and rules promulgated by the 2 commission. 3 SECTION 6. ACTIVE DUTY MILITARY P ERSONNEL 4 OR THEIR SPOUSES 5 Active duty military personnel, or their spouses, shall designate a home 6 state where the individual has a current license in good standing. The individual 7 may retain the home state designation during the period the service member is 8 on active duty. Subsequent to designating a home state, the individual shall only 9 change their home state through application for licensure in the new state. 10 SECTION 7. ADVERSE ACTIONS 11 A. In addition to the other powers conferred by state law, a remote state 12 shall have the authority, in accordance with existing state due process law, to: 13 (1) Take adverse action against an audiologist's or speech-language 14 pathologist's privilege to practice within that member state. 15 (2) Issue subpoenas for both hearings and investigations that require the 16 attendance and testimony of witnesses as well as the production of evidence. 17 Subpoenas issued by a licensing board in a member state for the attendance and 18 testimony of witnesses or the production of evidence from another member state 19 shall be enforced in the latter state by any court of competent jurisdiction, 20 according to the practice and procedure of that court applicable to subpoenas 21 issued in proceedings pending before it. The issuing authority shall pay any 22 witness fees, travel expenses, mileage, and other fees required by the service 23 statutes of the state in which the witnesses or evidence are located. 24 (3) Only the home state shall have the power to take adverse action 25 against an audiologist's or speech-language pathologist's license issued by the 26 home state. 27 B. For purposes of taking adverse action, the home state shall give the 28 same priority and effect to reported conduct received from a member state as 29 it would if the conduct had occurred within the home state. In so doing, the 30 home state shall apply its own state laws to determine appropriate action. Page 11 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 C. The home state shall complete any pending investigations of an 2 audiologist or speech-language pathologist who changes primary state of 3 residence during the course of the investigations. The home state shall also have 4 the authority to take appropriate action or actions and shall promptly report 5 the conclusions of the investigations to the administrator of the data system. The 6 administrator of the coordinated licensure information system shall promptly 7 notify the new home state of any adverse actions. 8 D. If otherwise permitted by state law, recover from the affected 9 audiologist or speech-language pathologist the costs of investigations and 10 disposition of cases resulting from any adverse action taken against that 11 audiologist or speech-language pathologist. 12 E. Take adverse action based on the factual findings of the remote state, 13 provided that the home state follows its own procedures for taking the adverse 14 action. 15 F. Joint Investigations: 16 (1) In addition to the authority granted to a member state by its 17 respective audiology or speech-language pathology practice act or other 18 applicable state law, any member state may participate with other member 19 states in joint investigations of licensees. 20 (2) Member states shall share any investigative, litigation, or compliance 21 materials in furtherance of any joint or individual investigation initiated under 22 the compact. 23 G. If adverse action is taken by the home state against an audiologist's 24 or speech-language pathologist's license, the audiologist's or speech-language 25 pathologist's privilege to practice in all other member states shall be deactivated 26 until all encumbrances have been removed from the state license. All home state 27 disciplinary orders that impose adverse action against an audiologist's or 28 speech-language pathologist's license shall include a statement that the 29 audiologist's or speech-language pathologist's privilege to practice is deactivated 30 in all member states during the pendency of the order. Page 12 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 H. If a member state takes adverse action, it shall promptly notify the 2 administrator of the data system. The administrator of the data system shall 3 promptly notify the home state of any adverse actions by remote states. 4 I. Nothing in this compact shall override a member state's decision that 5 participation in an alternative program may be used in lieu of adverse action. 6 SECTION 8. ESTABLISHMENT OF THE AUDIOLOGY 7 AND SPEECH-LANGUAGE PATHOLOGY COMPACT COMMISSION 8 A. The compact member states hereby create and establish a joint public 9 agency known as the Audiology and Speech-Language Pathology Compact 10 Commission: 11 (1) The commission is an instrumentality of the compact states. 12 (2) Venue is proper and judicial proceedings by or against the 13 commission shall be brought solely and exclusively in a court of competent 14 jurisdiction where the principal office of the commission is located. The 15 commission may waive venue and jurisdictional defenses to the extent it adopts 16 or consents to participate in alternative dispute resolution proceedings. 17 (3) Nothing in this compact shall be construed to be a waiver of sovereign 18 immunity. 19 B. Membership, Voting, and Meetings: 20 (1) Each member state shall have two delegates selected by that member 21 state's licensing board. The delegates shall be current members of the licensing 22 board. One shall be an audiologist and one shall be a speech-language 23 pathologist. 24 (2) An additional five delegates, who are either a public member or 25 board administrator from a state licensing board, shall be chosen by the 26 executive committee from a pool of nominees provided by the commission 27 at-large. 28 (3) Any delegate may be removed or suspended from office as provided 29 by the law of the state from which the delegate is appointed. 30 (4) The member state board shall fill any vacancy occurring on the Page 13 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 commission, within ninety days. 2 (5) Each delegate shall be entitled to one vote with regard to the 3 promulgation of rules and creation of bylaws and shall otherwise have an 4 opportunity to participate in the business and affairs of the commission. 5 (6) A delegate shall vote in person or by other means as provided in the 6 bylaws. The bylaws may provide for delegates' participation in meetings by 7 telephone or other means of communication. 8 (7) The commission shall meet at least once during each calendar year. 9 Additional meetings shall be held as set forth in the bylaws. 10 C. The commission shall have the following powers and duties: 11 (1) Establish the fiscal year of the commission. 12 (2) Establish bylaws. 13 (3) Establish a code of ethics. 14 (4) Maintain its financial records in accordance with the bylaws. 15 (5) Meet and take actions as are consistent with the provisions of this 16 compact and the bylaws. 17 (6) Promulgate uniform rules to facilitate and coordinate implementation 18 and administration of this compact. The rules shall have the force and effect of 19 law and shall be binding in all member states. 20 (7) Bring and prosecute legal proceedings or actions in the name of the 21 commission, provided that the standing of any state audiology or 22 speech-language pathology licensing board to sue or be sued under applicable 23 law shall not be affected. 24 (8) Purchase and maintain insurance and bonds. 25 (9) Borrow, accept, or contract for services of personnel, including but 26 not limited to employees of a member state. 27 (10) Hire employees, elect or appoint officers, fix compensation, define 28 duties, grant individuals appropriate authority to carry out the purposes of the 29 compact, and to establish the commission's personnel policies and programs 30 relating to conflicts of interest, qualifications of personnel, and other related Page 14 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 personnel matters. 2 (11) Accept any and all appropriate donations and grants of money, 3 equipment, supplies, materials and services, and to receive, utilize, and dispose 4 of the same; provided that at all times the commission shall avoid any 5 appearance of impropriety or conflict of interest. 6 (12) Lease, purchase, accept appropriate gifts or donations of, or 7 otherwise to own, hold, improve or use, any property, real, personal or mixed, 8 provided that at all times the commission shall avoid any appearance of 9 impropriety. 10 (13) Sell, convey, mortgage, pledge, lease, exchange, abandon, or 11 otherwise dispose of any property real, personal or mixed. 12 (14) Establish a budget and make expenditures. 13 (15) Borrow money. 14 (16) Appoint committees, including standing committees composed of 15 members, and other interested persons as may be designated in this compact 16 and the bylaws. 17 (17) Provide and receive information from, and cooperate with, law 18 enforcement agencies. 19 (18) Establish and elect an executive committee. 20 (19) Perform other functions as may be necessary or appropriate to 21 achieve the purposes of this compact consistent with the state regulation of 22 audiology and speech-language pathology licensure and practice. 23 D. The Executive Committee: 24 The executive committee shall have the power to act on behalf of the 25 commission according to the terms of this compact. 26 (1) The executive committee shall be composed of ten members: 27 (a) Seven voting members who are elected by the commission from the 28 current membership of the commission. 29 (b) Two ex-officios, consisting of one nonvoting member from a 30 recognized national audiology professional association and one nonvoting Page 15 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 member from a recognized national speech-language pathology association. 2 (c) One ex-officio, nonvoting member from the recognized membership 3 organization of the audiology and speech-language pathology licensing boards. 4 E. The ex-officio members shall be selected by their respective 5 organizations. 6 (1) The commission may remove any member of the executive committee 7 as provided in bylaws. 8 (2) The executive committee shall meet at least annually. 9 (3) The executive committee shall have the following duties and 10 responsibilities: 11 (a) Recommend to the entire commission changes to the rules or bylaws, 12 changes to this compact legislation, fees paid by compact member states such 13 as annual dues, and any commission compact fee charged to licensees for the 14 compact privilege. 15 (b) Ensure compact administration services are appropriately provided, 16 contractual or otherwise. 17 (c) Prepare and recommend the budget. 18 (d) Maintain financial records on behalf of the Commission. 19 (e) Monitor compact compliance of member states and provide 20 compliance reports to the commission. 21 (f) Establish additional committees as necessary. 22 (g) Other duties as provided in rules or bylaws. 23 (4) Meetings of the Commission: 24 All meetings shall be open to the public, and public notice of meetings 25 shall be given in the same manner as required under the rulemaking provisions 26 in Section 10. 27 (5) The commission or the executive committee or other committees of 28 the commission may convene in a closed, nonpublic meeting if the commission 29 or executive committee or other committees of the commission must discuss: 30 (a) Noncompliance of a member state with its obligations under the Page 16 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 compact. 2 (b) The employment, compensation, discipline or other matters, practices 3 or procedures related to specific employees, or other matters related to the 4 commission's internal personnel practices and procedures. 5 (c) Current, threatened, or reasonably anticipated litigation. 6 (d) Negotiation of contracts for the purchase, lease, or sale of goods, 7 services, or real estate. 8 (e) Accusing any person of a crime or formally censuring any person. 9 (f) Disclosure of trade secrets or commercial or financial information 10 that is privileged or confidential. 11 (g) Disclosure of information of a personal nature where disclosure 12 would constitute a clearly unwarranted invasion of personal privacy. 13 (h) Disclosure of investigative records compiled for law enforcement 14 purposes. 15 (i) Disclosure of information related to any investigative reports 16 prepared by or on behalf of or for use of the commission or other committee 17 charged with responsibility of investigation or determination of compliance 18 issues pursuant to the compact. 19 (j) Matters specifically exempted from disclosure by federal or member 20 state statute. 21 (6) If a meeting, or portion of a meeting, is closed pursuant to this 22 provision, the commission's legal counsel or designee shall certify that the 23 meeting may be closed and shall reference each relevant exempting provision. 24 (7) The commission shall keep minutes that fully and clearly describe all 25 matters discussed in a meeting and shall provide a full and accurate summary 26 of actions taken, and the reasons therefore, including a description of the views 27 expressed. All documents considered in connection with an action shall be 28 identified in the minutes. All minutes and documents of a closed meeting shall 29 remain under seal, subject to release by a majority vote of the commission or 30 order of a court of competent jurisdiction. Page 17 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 (8) Financing of the Commission: 2 (a) The commission shall pay, or provide for the payment of, the 3 reasonable expenses of its establishment, organization, and ongoing activities. 4 (b) The commission may accept any and all appropriate revenue sources, 5 donations, and grants of money, equipment, supplies, materials, and services. 6 (c) The commission may levy on and collect an annual assessment from 7 each member state or impose fees on other parties to cover the cost of the 8 operations and activities of the commission and its staff, which must be in a 9 total amount sufficient to cover its annual budget as approved each year for 10 which revenue is not provided by other sources. The aggregate annual 11 assessment amount shall be allocated based upon a formula to be determined 12 by the commission, which shall promulgate a rule binding upon all member 13 states. 14 (9) The commission shall not incur obligations of any kind prior to 15 securing the funds adequate to meet the same; nor shall the commission pledge 16 the credit of any of the member states, except by and with the authority of the 17 member state. 18 (10) The commission shall keep accurate accounts of all receipts and 19 disbursements. The receipts and disbursements of the commission shall be 20 subject to the audit and accounting procedures established under its bylaws. 21 However, all receipts and disbursements of funds handled by the commission 22 shall be audited yearly by a certified or licensed public accountant, and the 23 report of the audit shall be included in and become part of the annual report of 24 the commission. 25 F. Qualified Immunity, Defense, and Indemnification: 26 (1) The members, officers, executive director, employees, and 27 representatives of the commission shall be immune from suit and liability, either 28 personally or in their official capacity, for any claim for damage to or loss of 29 property or personal injury or other civil liability caused by or arising out of 30 any actual or alleged act, error or omission that occurred, or that the person Page 18 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 against whom the claim is made had a reasonable basis for believing occurred 2 within the scope of commission employment, duties, or responsibilities; 3 provided that nothing in this paragraph shall be construed to protect any 4 person from suit or liability for any damage, loss, injury, or liability caused by 5 the intentional and/or willful or wanton misconduct or gross negligence of that 6 person. 7 (2) The commission shall defend any member, officer, executive director, 8 employee, or representative of the commission in any civil action seeking to 9 impose liability arising out of any actual or alleged act, error or omission that 10 occurred within the scope of commission employment, duties, or responsibilities, 11 or that the person against whom the claim is made had a reasonable basis for 12 believing occurred within the scope of commission employment, duties, or 13 responsibilities; provided that nothing herein shall be construed to prohibit that 14 person from retaining his or her own counsel; and provided further, that the 15 actual or alleged act, error or omission did not result from that person's gross 16 negligence or intentional or willful or wanton misconduct. 17 (3) The commission shall indemnify and hold harmless any member, 18 officer, executive director, employee, or representative of the commission for 19 the amount of any settlement or judgment obtained against that person arising 20 out of any actual or alleged act, error or omission that occurred within the scope 21 of commission employment, duties, or responsibilities, or that person had a 22 reasonable basis for believing occurred within the scope of commission 23 employment, duties, or responsibilities, provided that the actual or alleged act, 24 error or omission did not result from the gross negligence or intentional or 25 willful or wanton misconduct of that person. 26 SECTION 9. DATA SYSTEM 27 A. The commission shall provide for the development, maintenance, and 28 utilization of a coordinated database and reporting system containing licensure, 29 adverse action, and investigative information on all licensed individuals in 30 member states. Page 19 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 B. Notwithstanding any other provision of state law to the contrary, a 2 member state shall submit a uniform data set to the data system on all 3 individuals to whom this compact is applicable as required by the rules of the 4 commission including: 5 (1) Identifying information. 6 (2) Licensure data. 7 (3) Adverse actions against a license or compact privilege. 8 (4) Nonconfidential information related to alternative program 9 participation. 10 (5) Any denial of application for licensure and the reason or reasons for 11 denial. 12 (6) Other information that may facilitate the administration of this 13 compact, as determined by the rules of the commission. 14 C. Investigative information pertaining to a licensee in any member state 15 shall only be available to other member states. 16 D. The commission shall promptly notify all member states of any 17 adverse action taken against a licensee or an individual applying for a license. 18 Adverse action information pertaining to a licensee in any member state shall 19 be available to any other member state. 20 E. Member states contributing information to the data system may 21 designate information that may not be shared with the public without the 22 express permission of the contributing state. 23 F. Any information submitted to the data system that is subsequently 24 required to be expunged by the laws of the member state contributing the 25 information shall be removed from the data system. 26 SECTION 10. RULEMAKING 27 A. The commission shall exercise its rulemaking powers pursuant to the 28 criteria set forth in this Section and the rules adopted thereunder. Rules and 29 amendments shall become binding as of the date specified in each rule or 30 amendment. Page 20 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 B. If a majority of the legislatures of the member states rejects a rule, by 2 enactment of a statute or resolution in the same manner used to adopt the 3 compact within four years of the date of adoption of the rule, the rule shall have 4 no further force and effect in any member state. 5 C. Rules or amendments to the rules shall be adopted at a regular or 6 special meeting of the commission. 7 D. Prior to promulgation and adoption of a final rule or rules by the 8 commission, and at least thirty days in advance of the meeting at which the rule 9 shall be considered and voted upon, the commission shall file a notice of 10 proposed rulemaking: 11 (1) On the website of the commission or other publicly accessible 12 platform. 13 (2) On the website of each member state's audiology or speech-language 14 pathology licensing board or other publicly accessible platform or the 15 publication in which each state would otherwise publish proposed rules. 16 E. The notice of proposed rulemaking shall include: 17 (1) The proposed time, date, and location of the meeting in which the rule 18 shall be considered and voted upon. 19 (2) The text of the proposed rule or amendment and the reason for the 20 proposed rule. 21 (3) A request for comments on the proposed rule from any interested 22 person. 23 (4) The manner in which interested persons may submit notice to the 24 commission of their intention to attend the public hearing and any written 25 comments. 26 F. Prior to the adoption of a proposed rule, the commission shall allow 27 persons to submit written data, facts, opinions, and arguments, which shall be 28 made available to the public. 29 G. The commission shall grant an opportunity for a public hearing 30 before it adopts a rule or amendment if a hearing is requested by: Page 21 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 (1) At least twenty-five persons. 2 (2) A state or federal governmental subdivision or agency. 3 (3) An association having at least twenty-five members. 4 H. If a hearing is held on the proposed rule or amendment, the 5 commission shall publish the place, time, and date of the scheduled public 6 hearing. If the hearing is held via electronic means, the commission shall 7 publish the mechanism for access to the electronic hearing. 8 (1) All persons wishing to be heard at the hearing shall notify the 9 executive director of the commission or other designated member in writing of 10 their desire to appear and testify at the hearing not less than five business days 11 before the scheduled date of the hearing. 12 (2) Hearings shall be conducted in a manner providing each person who 13 wishes to comment a fair and reasonable opportunity to comment orally or in 14 writing. 15 (3) All hearings shall be recorded. A copy of the recording shall be made 16 available on request. 17 (4) Nothing in this section shall be construed as requiring a separate 18 hearing on each rule. Rules may be grouped for the convenience of the 19 commission at hearings required by this section. 20 I. Following the scheduled hearing date, or by the close of business on the 21 scheduled hearing date if the hearing was not held, the commission shall 22 consider all written and oral comments received. 23 J. If no written notice of intent to attend the public hearing by interested 24 parties is received, the commission may proceed with promulgation of the 25 proposed rule without a public hearing. 26 K. The commission shall, by majority vote of all members, take final 27 action on the proposed rule and shall determine the effective date of the rule, 28 if any, based on the rulemaking record and the full text of the rule. 29 L. Upon determination that an emergency exists, the commission may 30 consider and adopt an emergency rule without prior notice, opportunity for Page 22 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 comment, or hearing, provided that the usual rulemaking procedures provided 2 in the compact and in this section shall be retroactively applied to the rule as 3 soon as reasonably possible, in no event later than ninety days after the effective 4 date of the rule. For the purposes of this provision, an emergency rule is one 5 that must be adopted immediately in order to: 6 (1) Meet an imminent threat to public health, safety, or welfare. 7 (2) Prevent a loss of commission or member state funds. 8 (3) Meet a deadline for the promulgation of an administrative rule that 9 is established by federal law or rule. 10 M. The commission or an authorized committee of the commission may 11 direct revisions to a previously adopted rule or amendment for purposes of 12 correcting typographical errors, errors in format, errors in consistency, or 13 grammatical errors. Public notice of any revisions shall be posted on the website 14 of the commission. The revision shall be subject to challenge by any person for 15 a period of thirty days after posting. The revision may be challenged only on 16 grounds that the revision results in a material change to a rule. A challenge 17 shall be made in writing and delivered to the chair of the commission prior to 18 the end of the notice period. If no challenge is made, the revision shall take 19 effect without further action. If the revision is challenged, the revision may not 20 take effect without the approval of the commission. 21 SECTION 11. OVERSIGHT, DISPUTE RESOLUTION, 22 AND ENFORCEMENT 23 A. Dispute Resolution: 24 (1) Upon request by a member state, the commission shall attempt to 25 resolve disputes related to the compact that arise among member states and 26 between member and nonmember states. 27 (2) The commission shall promulgate a rule providing for both mediation 28 and binding dispute resolution for disputes as appropriate. 29 B. Enforcement: 30 (1) The commission, in the reasonable exercise of its discretion, shall Page 23 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 enforce the provisions and rules of this compact. 2 (2) By majority vote, the commission may initiate legal action in the 3 United States District Court for the District of Columbia or the federal district 4 where the commission has its principal offices against a member state in default 5 to enforce compliance with the provisions of the compact and its promulgated 6 rules and bylaws. The relief sought may include both injunctive relief and 7 damages. In the event judicial enforcement is necessary, the prevailing member 8 shall be awarded all costs of litigation, including reasonable attorney's fees. 9 (3) The remedies herein shall not be the exclusive remedies of the 10 commission. The commission may pursue any other remedies available under 11 federal or state law. 12 SECTION 12. DATE OF IMPLEMENTATION OF THE INTERSTATE 13 COMMISSION FOR AUDIOLOGY AND SPEECH-LANGUAGE 14 PATHOLOGY PRACTICE AND ASSOCIATED RULES, WITHDRAWAL, 15 AND AMENDMENT 16 A. The compact shall come into effect on the date on which the compact 17 statute is enacted into law in the tenth member state. The provisions, which 18 become effective at that time, shall be limited to the powers granted to the 19 commission relating to assembly and the promulgation of rules. Thereafter, the 20 commission shall meet and exercise rulemaking powers necessary to the 21 implementation and administration of the compact. 22 B. Any state that joins the compact subsequent to the commission's 23 initial adoption of the rules shall be subject to the rules as they exist on the date 24 on which the compact becomes law in that state. Any rule that has been 25 previously adopted by the commission shall have the full force and effect of law 26 on the day the compact becomes law in that state. 27 C. Any member state may withdraw from this compact by enacting a 28 statute repealing the same. 29 (1) A member state's withdrawal shall not take effect until six months 30 after enactment of the repealing statute. Page 24 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 (2) Withdrawal shall not affect the continuing requirement of the 2 withdrawing state's audiology or speech-language pathology licensing board to 3 comply with the investigative and adverse action reporting requirements of this 4 act prior to the effective date of withdrawal. 5 D. Nothing contained in this compact shall be construed to invalidate or 6 prevent any audiology or speech-language pathology licensure agreement or 7 other cooperative arrangement between a member state and a nonmember state 8 that does not conflict with the provisions of this compact. 9 E. This compact may be amended by the member states. No amendment 10 to this compact shall become effective and binding upon any member state until 11 it is enacted into the laws of all member states. 12 SECTION 13. CONSTRUCTION AND SEVERABILITY 13 This compact shall be liberally construed so as to effectuate the purposes 14 thereof. The provisions of this compact shall be severable and if any phrase, 15 clause, sentence, or provision of this compact is declared to be contrary to the 16 constitution of any member state or of the United States or the applicability 17 thereof to any government, agency, person, or circumstance is held invalid, the 18 validity of the remainder of this compact and the applicability thereof to any 19 government, agency, person, or circumstance shall not be affected thereby. If 20 this compact shall be held contrary to the constitution of any member state, the 21 compact shall remain in full force and effect as to the remaining member states 22 and in full force and effect as to the member state affected as to all severable 23 matters. 24 SECTION 14. BINDING EFFECT OF COMPACT AND OTHER LAWS 25 A. Nothing herein prevents the enforcement of any other law of a 26 member state that is not inconsistent with the compact. 27 B. All laws in a member state in conflict with the compact are superseded 28 to the extent of the conflict. 29 C. All lawful actions of the commission, including all rules and bylaws 30 promulgated by the commission, are binding upon the member states. Page 25 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 34 ENROLLED 1 D. All agreements between the commission and the member states are 2 binding in accordance with their terms. 3 E. In the event any provision of the compact exceeds the constitutional 4 limits imposed on the legislature of any member state, the provision shall be 5 ineffective to the extent of the conflict with the constitutional provision in 6 question in that member state. 7 Section 3. This Act shall become effective on July 1, 2021. PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 26 of 26 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.