Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H2563 Compare Versions

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22 HOUSE DOCKET, NO. 1446 FILED ON: 1/14/2025
33 HOUSE . . . . . . . . . . . . . . . No. 2563
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Bud L. Williams
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act establishing the dentist and dental hygienist compact.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Bud L. Williams11th Hampden1/14/2025Lindsay N. Sabadosa1st Hampshire2/11/2025Samantha Montaño15th Suffolk2/11/2025Natalie M. Higgins4th Worcester2/24/2025 1 of 36
1616 HOUSE DOCKET, NO. 1446 FILED ON: 1/14/2025
1717 HOUSE . . . . . . . . . . . . . . . No. 2563
1818 By Representative Williams of Springfield, a petition (accompanied by bill, House, No. 2563) of
1919 Bud L. Williams and others for legislation to establish a dentist and dental hygienist compact.
2020 Public Health.
2121 The Commonwealth of Massachusetts
2222 _______________
2323 In the One Hundred and Ninety-Fourth General Court
2424 (2025-2026)
2525 _______________
2626 An Act establishing the dentist and dental hygienist compact.
2727 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2828 of the same, as follows:
2929 1 The General Laws are hereby amended by inserting after chapter 112A the following
3030 2chapter:-
3131 3 Chapter 112B. Dentist and Dental Hygienist Compact
3232 4 Section 1. This chapter shall be known and cited as the Dentist and Dental Hygienist
3333 5Compact. The purposes of this compact are to facilitate the interstate practice of dentistry and
3434 6dental hygiene and improve public access to dentistry and dental hygiene services by providing
3535 7dentists and dental hygienists licensed in a participating state the ability to practice in
3636 8participating states in which they are not licensed. The compact does this by establishing a
3737 9pathway for dentists and dental hygienists licensed in a participating state to obtain a compact
3838 10privilege that authorizes them to practice in another participating state in which they are not
3939 11licensed. The compact enables participating states to protect the public health and safety with 2 of 36
4040 12respect to the practice of such dentists and dental hygienists, through the state’s authority to
4141 13regulate the practice of dentistry and dental hygiene in the state. The compact:
4242 14 (i) enables dentists and dental hygienists who qualify for a compact privilege to practice
4343 15in other participating states without satisfying burdensome and duplicative requirements
4444 16associated with securing a license to practice in those states;
4545 17 (ii) promotes mobility and addresses workforce shortages through each participating
4646 18state’s acceptance of a compact privilege to practice in that state;
4747 19 (iii) increases public access to qualified, licensed dentists and dental hygienists by
4848 20creating a responsible, streamlined pathway for licensees to practice in participating states.
4949 21 (iv) enhances the ability of participating states to protect the public’s health and safety;
5050 22 (v) does not interfere with licensure requirements established by a participating state;
5151 23 (vi) facilitates the sharing of licensure and disciplinary information among participating
5252 24states;
5353 25 (vii) requires dentists and dental hygienists who practice in a participating state pursuant
5454 26to a compact privilege to practice within the scope of practice authorized in that state;
5555 27 (viii) extends the authority of a participating state to regulate the practice of dentistry and
5656 28dental hygiene within its borders to dentists and dental hygienists who practice in the state
5757 29through a compact privilege;
5858 30 (ix) promotes the cooperation of participating state in regulating the practice of dentistry
5959 31and dental hygiene within those states; 3 of 36
6060 32 (x) facilitates the relocation of military members and their spouses who are licensed to
6161 33practice dentistry or dental hygiene;
6262 34 Section 2. As used in this chapter, unless the context requires otherwise, the following
6363 35words shall have the following meanings:
6464 36 “Active Military Member”, any person with full-time duty status in the armed forces of
6565 37the United States, including members of the National Guard and Reserve.
6666 38 “Adverse Action”, disciplinary action or encumbrance imposed on a license or compact
6767 39privilege by a state licensing authority.
6868 40 “Alternative Program”, a non-disciplinary monitoring or practice remediation process
6969 41applicable to a dentist or dental hygienist approved by a state licensing authority of a
7070 42participating state in which the dentist or dental hygienist is licensed, including, but not limited
7171 43to, programs to which licensees with substance abuse or addiction issues are referred in lieu of
7272 44adverse action.
7373 45 “Clinical Assessment”, an examination or process, required for licensure as a dentist or
7474 46dental hygienist, as applicable, that provides evidence of clinical competence in dentistry or
7575 47dental hygiene.
7676 48 “Commissioner”, the individual appointed by a participating state to serve as the member
7777 49of the commission for that participating state.
7878 50 “Compact”, this chapter, implementing the Dentist and Dental Hygienist Compact in the
7979 51commonwealth. 4 of 36
8080 52 “Compact Privilege”, the authorization granted by a remote state to allow a licensee from
8181 53a participating state to practice as a dentist or dental hygienist in a remote state.
8282 54 “Continuing Professional Development”, a requirement as a condition of license renewal
8383 55to provide evidence of successful participation in educational or professional activities relevant
8484 56to practice or area of work.
8585 57 “Criminal Background Check”, the submission of fingerprints or other biometric-based
8686 58information for a license applicant for the purpose of obtaining that applicant’s criminal history
8787 59record information, as defined in 28 C.F.R. § 20.3(d) from the Federal Bureau of Investigation
8888 60and the State’s criminal history record repository as defined in 28 C.F.R. § 20.3(f).
8989 61 “Data System”, the Commission’s repository of information about licensees, including,
9090 62but not limited to, examination, licensure, investigative, compact privilege, adverse action, and
9191 63alternative program.
9292 64 “Dental Hygienist”, an individual who is licensed by a state licensing authority to
9393 65practice dental hygiene.
9494 66 “Dentist”, an individual who is licensed by a state licensing authority to practice
9595 67dentistry.
9696 68 “Dentist and Dental Hygienist Compact Commission” or “Commission”, a joint
9797 69government agency established by this compact comprised of each state that has enacted the
9898 70compact and a national administrative body comprised of a commissioner from each state that
9999 71has enacted the compact. 5 of 36
100100 72 “Encumbered License”, a license that a state licensing authority has limited in any way
101101 73other than through an alternative program.
102102 74 “Executive Board”, the Chair, Vice Chair, Secretary and Treasurer and any other
103103 75commissioners as may be determined by commission rule or bylaw.
104104 76 “Jurisprudence Requirement”, the assessment of an individual’s knowledge of the laws
105105 77and rules governing the practice of dentistry or dental hygiene, as applicable, in a state.
106106 78 “License”, current authorization by a state, other than authorization pursuant to a compact
107107 79privilege, or other privilege, for an individual to practice as a dentist or dental hygienist in that
108108 80state.
109109 81 “Licensee”, an individual who holds an unrestricted license from a participating state to
110110 82practice as a dentist or dental hygienist in that state.
111111 83 “Model Compact”, the model for the Dentist and Dental Hygienist Compact on file with
112112 84the Council of State Governments or other entity as designated by the commission.
113113 85 “Participating State”, the commonwealth and any other state that has enacted the compact
114114 86and been admitted to the commission in accordance with this chapter and commission rules.
115115 87 “Qualifying License”, a license that is not an encumbered license issued by a
116116 88participating state to practice dentistry or dental hygiene.
117117 89 “Remote State”, a participating state where a licensee who is not licensed as a dentist or
118118 90dental hygienist is exercising or seeking to exercise the compact privilege.
119119 91 “Rule”, a regulation promulgated by an entity that has the force of law. 6 of 36
120120 92 “Scope of Practice”, the procedures, actions, and processes a dentist or dental hygienist
121121 93licensed in a state is permitted to undertake in that state and the circumstances under which the
122122 94licensee is permitted to undertake those procedures, actions and processes. Such procedures,
123123 95actions and processes and the circumstances under which they may be undertaken may be
124124 96established through means, including, but not limited to, statute, regulations, case law, and other
125125 97processes available to the state licensing authority or other government agency.
126126 98 “Significant Investigative Information”, information, records, and documents received or
127127 99generated by a state licensing authority pursuant to an investigation for which a determination
128128 100has been made that there is probable cause to believe that the licensee has violated a statute or
129129 101regulation that is considered more than a minor infraction for which the state licensing authority
130130 102could pursue adverse action against the licensee.
131131 103 “State”, any state, commonwealth, district, or territory of the United States of America
132132 104that regulates the practices of dentistry and dental hygiene.
133133 105 “State Licensing Authority,” an agency or other entity of a state that is responsible for the
134134 106licensing and regulation of dentists or dental hygienists.
135135 107 Section 3. (a) In order to join the compact and thereafter continue as a participating state,
136136 108a state shall:
137137 109 (1) enact a compact that is not materially different from the model compact as determined
138138 110in accordance with commission rules;
139139 111 (2) participate fully in the commission’s data system; 7 of 36
140140 112 (3) have a mechanism in place for receiving and investigating complaints about its
141141 113licensees and license applicants;
142142 114 (4) notify the commission, in compliance with the terms of the compact and commission
143143 115rules, of any adverse action or the availability of significant investigative information regarding a
144144 116licensee and license applicant;
145145 117 (5) fully implement a criminal background check requirement, within a time frame
146146 118established by commission rule, by receiving the results of a qualifying criminal background
147147 119check;
148148 120 (6) comply with the commission rules applicable to a participating state;
149149 121 (7) accept the National Board Examinations of the Joint Commission on National Dental
150150 122Examinations or another examination accepted by commission rule as a licensure examination;
151151 123 (8) accept for licensure that applicants for a dentist license graduate from a predoctoral
152152 124dental education program accredited by the Commission on Dental Accreditation, or another
153153 125accrediting agency recognized by the United States Department of Education for the
154154 126accreditation of dentistry and dental hygiene education programs, leading to the Doctor of Dental
155155 127Surgery (D.D.S.) or Doctor of Dental Medicine (D.M.D.) degree;
156156 128 (9) accept for licensure that applicants for a dental hygienist license graduate from a
157157 129dental hygiene education program accredited by the Commission on Dental Accreditation or
158158 130another accrediting agency recognized by the United States Department of Education for the
159159 131accreditation of dentistry and dental hygiene education programs;
160160 132 (10) require for licensure that applicants successfully complete a clinical assessment; 8 of 36
161161 133 (11) have continuing professional development requirements as a condition for license
162162 134renewal; and
163163 135 (12) pay a participation fee to the commission as established by commission rule.
164164 136 (b) Providing alternative pathways for an individual to obtain an unrestricted license shall
165165 137not disqualify a state from participating in the compact.
166166 138 (c) When conducting a criminal background check the state licensing authority shall:
167167 139 (1) consider that information in making a licensure decision;
168168 140 (2) maintain documentation of completion of the criminal background check and
169169 141background check information to the extent allowed by state and federal law; and
170170 142 (3) report to the commission whether it has completed the criminal background check and
171171 143whether the individual was granted or denied a license
172172 144 (d) A licensee of a participating state who has a qualifying license in that state and does
173173 145not hold an encumbered license in any other participating state shall be issued a compact
174174 146privilege in a remote state in accordance with the terms of the compact and commission rules. If
175175 147a remote state has a jurisprudence requirement a compact privilege will not be issued to the
176176 148licensee unless the licensee has satisfied the jurisprudence requirement.
177177 149 Section 4. (a) To obtain and exercise the compact privilege under the terms and
178178 150provisions of the compact, the licensee shall:
179179 151 (1) have a qualifying license as a dentist or dental hygienist in a participating state; 9 of 36
180180 152 (2) be eligible for a compact privilege in any remote State in accordance with paragraphs
181181 153(d), (g) and (h);
182182 154 (3) submit to an application process whenever the licensee is seeking a compact
183183 155privilege;
184184 156 (4) pay any applicable commission and remote state fees for a compact privilege in the
185185 157remote state;
186186 158 (5) meet any jurisprudence requirement established by a remote state in which the
187187 159licensee is seeking a compact privilege;
188188 160 (6) have passed a National Board Examination of the Joint Commission on National
189189 161Dental Examinations or another examination accepted by commission rule;
190190 162 (7) for a dentist, have graduated from a predoctoral dental education program accredited
191191 163by the Commission on Dental Accreditation, or another accrediting agency recognized by the
192192 164United States Department of Education for the accreditation of dentistry and dental hygiene
193193 165education programs, leading to the Doctor of Dental Surgery (D.D.S.) or Doctor of Dental
194194 166Medicine (D.M.D.) degree;
195195 167 (8) for a dental hygienist, have graduated from a dental hygiene education program
196196 168accredited by the Commission on Dental Accreditation or another accrediting agency recognized
197197 169by the United States Department of Education for the accreditation of dentistry and dental
198198 170hygiene education programs;
199199 171 (9) have successfully completed a clinical assessment for licensure; 10 of 36
200200 172 (10) report to the commission adverse action taken by any non-participating state when
201201 173applying for a compact privilege and, otherwise, within 30 days from the date the adverse action
202202 174is taken;
203203 175 (11) report to the commission when applying for a compact privilege the address of the
204204 176licensee’s primary residence and thereafter immediately report to the commission any change in
205205 177the address of the licensee’s primary residence; and
206206 178 (12) consent to accept service of process by mail at the licensee’s primary residence on
207207 179record with the commission with respect to any action brought against the licensee by the
208208 180commission or a participating state, and consent to accept service of a subpoena by mail at the
209209 181licensee’s primary residence on record with the commission with respect to any action brought or
210210 182investigation conducted by the commission or a participating state.
211211 183 (b) The licensee must comply with the requirements of subsection (a) to maintain the
212212 184compact privilege in the remote state. If those requirements are met, the compact privilege will
213213 185continue as long as the licensee maintains a qualifying license in the state through which the
214214 186licensee applied for the compact privilege and pays any applicable compact privilege renewal
215215 187fees.
216216 188 (c) A licensee providing dentistry or dental hygiene in a remote state under the compact
217217 189privilege shall function within the scope of practice authorized by the remote state for a dentist or
218218 190dental hygienist licensed in that state.
219219 191 (d) A licensee providing dentistry or dental hygiene pursuant to a compact privilege in a
220220 192remote state is subject to that state’s regulatory authority. A remote state may, in accordance
221221 193with due process and that state’s laws, by adverse action revoke or remove a licensee’s compact 11 of 36
222222 194privilege in the remote state for a specific period of time and impose fines or take any other
223223 195necessary actions to protect the health and safety of its citizens. If a remote state imposes an
224224 196adverse action against a compact privilege that limits the compact privilege, that adverse action
225225 197applies to all compact privileges in all remote states. A licensee whose compact privilege in a
226226 198remote state is removed for a specified period of time is not eligible for a compact privilege in
227227 199any other remote state until the specific time for removal of the compact privilege has passed and
228228 200all encumbrance requirements are satisfied.
229229 201 (e) If a license in a participating state is an encumbered license, the licensee shall lose the
230230 202compact privilege in a remote state and shall not be eligible for a compact privilege in any
231231 203remote state until the license is no longer encumbered.
232232 204 (f) Once an encumbered license in a participating state is restored to good standing, the
233233 205licensee must meet the requirements of subsection (a) to obtain a compact privilege in a remote
234234 206state.
235235 207 (g) If a licensee’s compact privilege in a remote state is removed by the remote state, the
236236 208individual shall lose or be ineligible for the compact privilege in any remote state until the
237237 209following occur:
238238 210 (1) the specific period of time for which the compact privilege was removed has ended;
239239 211and
240240 212 (2) all conditions for removal of the compact privilege have been satisfied.
241241 213 (h) Once the requirements of subsection (g) have been met, the licensee must meet the
242242 214requirements in subsection (a) to obtain a compact privilege in a remote state. 12 of 36
243243 215 Section 5. An active military member and their spouse shall not be required to pay to the
244244 216commission for a compact privilege the fee otherwise charged by the commission. If a remote
245245 217state chooses to charge a fee for a compact privilege, it may choose to charge a reduced fee or no
246246 218fee to an active military member and their spouse for a compact privilege.
247247 219 Section 6. (a) A participating state in which a licensee is licensed shall have exclusive
248248 220authority to impose adverse action against the qualifying license issued by that participating
249249 221state.
250250 222 (b) A participating state may take adverse action based on the significant investigative
251251 223information of a remote state, so long as the participating state follows its own procedures for
252252 224imposing adverse action.
253253 225 (c) Nothing in this compact shall override a participating state’s decision that
254254 226participation in an alternative program may be used in lieu of adverse action and that such
255255 227participation shall remain non-public if required by the participating state’s laws. Participating
256256 228states must require licensees who enter any alternative program in lieu of discipline to agree not
257257 229to practice pursuant to a compact privilege in any other participating state during the term of the
258258 230alternative program without prior authorization from such other participating state.
259259 231 (d) Any participating state in which a licensee is applying to practice or is practicing
260260 232pursuant to a compact privilege may investigate actual or alleged violations of the statutes and
261261 233regulations authorizing the practice of dentistry or dental hygiene in any other participating state
262262 234in which the dentist or dental hygienist holds a license or compact privilege.
263263 235 (e) A remote state shall have the authority to: 13 of 36
264264 236 (1) take adverse actions under subsection (d) of section 4 against a licensee’s compact
265265 237privilege in the state;
266266 238 (2) in furtherance of its rights and responsibilities under the compact and the
267267 239commission’s rules issue subpoenas for both hearings and investigations that require the
268268 240attendance and testimony of witnesses, and the production of evidence. Subpoenas issued by a
269269 241state licensing authority in a participating state for the attendance and testimony of witnesses, or
270270 242the production of evidence from another participating state, shall be enforced in the latter state by
271271 243any court of competent jurisdiction, according to the practice and procedure of that court
272272 244applicable to subpoenas issued in proceedings pending before it. The issuing authority shall pay
273273 245any witness fees, travel expenses, mileage, and other fees required by the service statutes of the
274274 246state where the witnesses or evidence are located; and
275275 247 (3) if otherwise permitted by state law, recover from the licensee the costs of
276276 248investigations and disposition of cases resulting from any adverse action taken against that
277277 249licensee.
278278 250 (f)(1) In addition to the authority granted to a participating state by its dentist or dental
279279 251hygienist licensure act or other applicable state law, a participating state may jointly investigate
280280 252licensees with other participating states.
281281 253 (2) Participating states shall share any significant investigative information, litigation, or
282282 254compliance materials in furtherance of any joint or individual investigation initiated under the
283283 255compact. 14 of 36
284284 256 (g) (1) After a licensee's compact privilege in a remote state is terminated, the remote
285285 257state may continue an investigation of the licensee that began when the licensee had a compact
286286 258privilege in that remote state.
287287 259 (2) If the investigation yields what would be significant investigative information had the
288288 260licensee continued to have a compact privilege in that remote state, the remote state shall report
289289 261the presence of such information to the data system as required by paragraph (6) of subsection
290290 262(b) of section 8 as if it was significant investigative information.
291291 263 Section 7. (a) The compact participating states hereby create and establish a joint
292292 264government agency whose membership consists of all participating states that have enacted the
293293 265compact. The commission is an instrumentality of the participating states acting jointly and not
294294 266an instrumentality of any one state. The commission shall come into existence on or after the
295295 267effective date of the compact as set forth in subsection (a) of section 11.
296296 268 (b) (1) Each participating state shall have and be limited to 1 commissioner selected by
297297 269that participating state’s state licensing authority or, if the state has more than 1 state licensing
298298 270authority, selected collectively by the state licensing authorities.
299299 271 (2) The commissioner shall be a member or designee of such authority or authorities.
300300 272 (3) The commission may by rule or bylaw establish a term of office for commissioners
301301 273and may by rule or bylaw establish term limits.
302302 274 (4) The commission may recommend to a state licensing authority or authorities, as
303303 275applicable, removal or suspension of an individual as the state’s commissioner. 15 of 36
304304 276 (5) A participating state’s state licensing authority, or authorities, as applicable, shall fill
305305 277any vacancy of its commissioner on the commission within 60 days of the vacancy.
306306 278 (6) Each commissioner shall be entitled to 1 vote on all matters that are voted upon by the
307307 279commission.
308308 280 (7) The commission shall meet at least once during each calendar year. Additional
309309 281meetings may be held as set forth in the bylaws. The commission may meet by
310310 282telecommunication, video conference or other similar electronic means.
311311 283 (c) The commission shall have the following powers:
312312 284 (1) establish the fiscal year of the commission;
313313 285 (2) establish a code of conduct and conflict of interest policies;
314314 286 (3) adopt rules and bylaws;
315315 287 (4) maintain its financial records in accordance with the bylaws;
316316 288 (5) meet and take such actions as are consistent with the provisions of this compact, the
317317 289commission’s rules, and the bylaws;
318318 290 (6) initiate and conclude legal proceedings or actions in the name of the commission;
319319 291provided, that the standing of any state licensing authority to sue or be sued under applicable law
320320 292shall not be affected;
321321 293 (7) maintain and certify records and information provided to a participating state as the
322322 294authenticated business records of the commission, and designate a person to do so on the
323323 295commission's behalf; 16 of 36
324324 296 (8) purchase and maintain insurance and bonds;
325325 297 (9) borrow, accept, or contract for services of personnel, including, but not limited to,
326326 298employees of a participating state;
327327 299 (10) conduct an annual financial review;
328328 300 (11) hire employees, elect or appoint officers, fix compensation, define duties, grant such
329329 301individuals appropriate authority to carry out the purposes of the compact, and establish the
330330 302commission’s personnel policies and programs relating to conflicts of interest, qualifications of
331331 303personnel, and other related personnel matters;
332332 304 (12) as set forth in the commission rules, charge a fee to a licensee for the grant of a
333333 305compact privilege in a remote state and thereafter, as may be established by commission rule,
334334 306charge the licensee a compact privilege renewal fee for each renewal period in which that
335335 307licensee exercises or intends to exercise the compact privilege in that remote state. Nothing
336336 308herein shall be construed to prevent a remote state from charging a licensee a fee for a compact
337337 309privilege or renewals of a compact privilege, or a fee for the jurisprudence requirement if the
338338 310remote state imposes such a requirement for the grant of a compact privilege;
339339 311
340340 312 (13) accept any and all appropriate gifts, donations, grants of money, other sources of
341341 313revenue, equipment, supplies, materials, and services, and receive, utilize, and dispose of the
342342 314same; provided that at all times the commission shall avoid any appearance of impropriety or
343343 315conflict of interest; 17 of 36
344344 316 (14) lease, purchase, retain, own, hold, improve, or use any property, real, personal, or
345345 317mixed, or any undivided interest therein;
346346 318 (15) sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of
347347 319any property real, personal, or mixed;
348348 320 (16) establish a budget and make expenditures;
349349 321 (17) borrow money;
350350 322 (18) appoint committees, including standing committees, which may be composed of
351351 323members, state regulators, state legislators or their representatives, and consumer representatives,
352352 324and such other interested persons as may be designated in this compact and the bylaws;
353353 325 (19) provide and receive information from, and cooperate with, law enforcement
354354 326agencies;
355355 327 (20) elect a chair, vice chair, secretary and treasurer and such other officers of the
356356 328commission as provided in the commission’s bylaws;
357357 329 (21) establish and elect an executive board;
358358 330 (22) adopt and provide to the participating states an annual report;
359359 331 (23) determine whether a state’s enacted compact is materially different from the model
360360 332compact language such that the state would not qualify for participation in the compact; and
361361 333 (24) perform such other functions as may be necessary or appropriate to achieve the
362362 334purposes of this compact. 18 of 36
363363 335 (d) (1) All meetings of the commission that are not closed pursuant to this subsection
364364 336shall be open to the public. Notice of public meetings shall be posted on the commission’s
365365 337website at least 30 days prior to the public meeting.
366366 338 (2) Notwithstanding paragraph 1 of subsection (d), the commission may convene an
367367 339emergency public meeting by providing at least 24 hours prior notice on the commission’s
368368 340website, and any other means as provided in the commission’s rules, for any of the reasons it
369369 341may dispense with notice of proposed rulemaking under section 9. The commission’s legal
370370 342counsel shall certify that 1 of the reasons justifying an emergency public meeting has been met.
371371 343 (3) Notice of all commission meetings shall provide the time, date, and location of the
372372 344meeting, and if the meeting is to be held or accessible via telecommunication, video conference,
373373 345or other electronic means, the notice shall include the mechanism for access to the meeting
374374 346through such means.
375375 347 (4) The commission may convene in a closed, non-public meeting for the commission to
376376 348receive legal advice or to discuss:
377377 349 (i) non-compliance of a participating state with its obligations under the compact;
378378 350 (ii) the employment, compensation, discipline or other matters, practices or procedures
379379 351related to specific employees or other matters related to the commission’s internal personnel
380380 352practices and procedures;
381381 353 (iii) current or threatened discipline of a licensee or compact privilege holder by the
382382 354commission or by a participating state’s licensing authority;
383383 355 (iv) current, threatened, or reasonably anticipated litigation; 19 of 36
384384 356 (v) negotiation of contracts for the purchase, lease, or sale of goods, services, or real
385385 357estate;
386386 358 (vi) accusing any person of a crime or formally censuring any person;
387387 359 (vii) trade secrets or commercial or financial information that is privileged or
388388 360confidential;
389389 361 (viii) information of a personal nature where disclosure would constitute a clearly
390390 362unwarranted invasion of personal privacy;
391391 363 (ix) investigative records compiled for law enforcement purposes;
392392 364 (x) information related to any investigative reports prepared by or on behalf of or for use
393393 365of the commission or other committee charged with responsibility of investigation or
394394 366determination of compliance issues pursuant to the compact;
395395 367 (xi) legal advice;
396396 368 (xii) matters specifically exempted from disclosure to the public by federal or
397397 369participating state law; and
398398 370 (xiii) other matters as promulgated by the commission by rule.
399399 371 (5) If a meeting, or portion of a meeting, is closed, the presiding officer shall state that the
400400 372meeting will be closed and reference each relevant exempting provision, and such reference shall
401401 373be recorded in the minutes.
402402 374 (6) The commission shall keep minutes that fully and clearly describe all matters
403403 375discussed in a meeting and shall provide a full and accurate summary of actions taken, and the 20 of 36
404404 376reasons therefore, including a description of the views expressed. All documents considered in
405405 377connection with an action shall be identified in such minutes. All minutes and documents of a
406406 378closed meeting shall remain under seal, subject to release only by a majority vote of the
407407 379commission or order of a court of competent jurisdiction.
408408 380 (e) (1) The commission shall pay, or provide for the payment of, the reasonable expenses
409409 381of its establishment, organization, and ongoing activities.
410410 382 (2) The commission may accept any and all appropriate sources of revenue, donations,
411411 383and grants of money, equipment, supplies, materials, and services.
412412 384 (3) The commission may levy on and collect an annual assessment from each
413413 385participating state and impose fees on licensees of participating states when a compact privilege
414414 386is granted to cover the cost of the operations and activities of the commission and its staff, which
415415 387must be in a total amount sufficient to cover its annual budget as approved each fiscal year for
416416 388which sufficient revenue is not provided by other sources. The aggregate annual assessment
417417 389amount for participating states shall be allocated based upon a formula that the commission shall
418418 390promulgate by rule.
419419 391 (4) The commission shall not incur obligations of any kind prior to securing the funds
420420 392adequate to meet the same; nor shall the commission pledge the credit of any participating state,
421421 393except by and with the authority of the participating state.
422422 394 (5) The commission shall keep accurate accounts of all receipts and disbursements. The
423423 395receipts and disbursements of the commission shall be subject to the financial review and
424424 396accounting procedures established under its bylaws. All receipts and disbursements of funds
425425 397handled by the commission shall be subject to an annual financial review by a certified or 21 of 36
426426 398licensed public accountant, and the report of the financial review shall be included in and
427427 399become part of the annual report of the commission.
428428 400 (f) (1) The executive board shall have the power to act on behalf of the commission
429429 401according to the terms of this compact. The powers, duties, and responsibilities of the executive
430430 402board shall include:
431431 403 (i) overseeing the day-to-day activities of the administration of the compact including
432432 404compliance with the provisions of the compact, the commission’s rules and bylaws;
433433 405 (ii) recommending to the commission changes to the rules or bylaws, changes to this
434434 406compact legislation, fees charged to compact participating states, fees charged to licensees, and
435435 407other fees;
436436 408 (iii) ensuring compact administration services are appropriately provided, including by
437437 409contract;
438438 410 (iv) preparing and recommending the budget;
439439 411 (v) maintaining financial records on behalf of the commission;
440440 412 (vi) monitoring compact compliance of participating states and providing compliance
441441 413reports to the commission;
442442 414 (vii) establishing additional committees as necessary;
443443 415 (viii) exercising the powers and duties of the commission during the interim between
444444 416commission meetings, except for adopting or amending rules, adopting or amending bylaws, and 22 of 36
445445 417exercising any other powers and duties expressly reserved to the commission by rule or bylaw;
446446 418and
447447 419 (ix) other duties as provided in the rules or bylaws of the commission.
448448 420 (2) The executive board shall be composed of up to 7 members:
449449 421 (i)The chair, vice chair, secretary and treasurer of the commission and any other members
450450 422of the commission who serve on the executive board shall be voting members of the executive
451451 423board;
452452 424 (ii) Other than the chair, vice chair, secretary, and treasurer, the commission may elect up
453453 425to 3 voting members from the current membership of the commission.
454454 426 (3) The commission may remove any member of the executive board as provided in the
455455 427commission’s bylaws.
456456 428 (4) The executive board shall meet at least annually.
457457 429 (i) An executive board meeting at which it takes or intends to take formal action on a
458458 430matter shall be open to the public, except that the executive board may meet in a closed, non-
459459 431public session of a public meeting when dealing with any of the matters covered under paragraph
460460 432(4) of subsection (d).
461461 433 (ii) The executive board shall give 5 business days’ notice of its public meetings, posted
462462 434on its website and as it may otherwise determine to provide notice to persons with an interest in
463463 435the public matters the executive board intends to address at those meetings. 23 of 36
464464 436 5. The executive board may hold an emergency meeting when acting for the commission
465465 437to:
466466 438 (i) meet an imminent threat to public health, safety, or welfare;
467467 439 (ii) prevent a loss of commission or participating state funds; or
468468 440 (iii) protect public health and safety.
469469 441 (g) (1) The members, officers, executive director, employees and representatives of the
470470 442commission shall be immune from suit and liability, both personally and in their official
471471 443capacity, for any claim for damage to or loss of property or personal injury or other civil liability
472472 444caused by or arising out of any actual or alleged act, error, or omission that occurred, or that the
473473 445person against whom the claim is made had a reasonable basis for believing occurred within the
474474 446scope of commission employment, duties or responsibilities; provided that nothing in this
475475 447paragraph shall be construed to protect any such person from suit or liability for any damage,
476476 448loss, injury, or liability caused by the intentional or willful or wanton misconduct of that person.
477477 449The procurement of insurance of any type by the commission shall not in any way compromise
478478 450or limit the immunity granted hereunder.
479479 451 (2) The commission shall defend any member, officer, executive director, employee, and
480480 452representative of the commission in any civil action seeking to impose liability arising out of any
481481 453actual or alleged act, error, or omission that occurred within the scope of commission
482482 454employment, duties, or responsibilities, or as determined by the commission that the person
483483 455against whom the claim is made had a reasonable basis for believing occurred within the scope
484484 456of commission employment, duties, or responsibilities; provided that nothing herein shall be
485485 457construed to prohibit that person from retaining their own counsel at their own expense; and 24 of 36
486486 458provided further, that the actual or alleged act, error, or omission did not result from that
487487 459person’s intentional or willful or wanton misconduct.
488488 460 (3) Notwithstanding paragraph (1), should any member, officer, executive director,
489489 461employee, or representative of the commission be held liable for the amount of any settlement or
490490 462judgment arising out of any actual or alleged act, error, or omission that occurred within the
491491 463scope of that individual's employment, duties, or responsibilities for the commission, or that the
492492 464person to whom that individual is liable had a reasonable basis for believing occurred within the
493493 465scope of the individual's employment, duties, or responsibilities for the commission, the
494494 466commission shall indemnify and hold harmless such individual, provided that the actual or
495495 467alleged act, error, or omission did not result from the intentional or willful or wanton misconduct
496496 468of the individual.
497497 469 (4) Nothing herein shall be construed as a limitation on the liability of any licensee for
498498 470professional malpractice or misconduct, which shall be governed solely by any other applicable
499499 471state laws.
500500 472 (5) Nothing in this compact shall be interpreted to waive or otherwise abrogate a
501501 473participating state’s state action immunity or state action affirmative defense with respect to
502502 474antitrust claims under the Sherman Act, Clayton Act, or any other state or federal antitrust or
503503 475anticompetitive law or regulation.
504504 476 (6) Nothing in this compact shall be construed to be a waiver of sovereign immunity by
505505 477the participating states or by the commission.
506506 478 Section 8. (a) The commission shall provide for the development, maintenance,
507507 479operation, and utilization of a coordinated database and reporting system containing licensure, 25 of 36
508508 480adverse action, and the presence of significant investigative information on all licensees and
509509 481applicants for a license in participating states.
510510 482 (b) Notwithstanding any other provision of state law to the contrary, a participating state
511511 483shall submit a uniform data set to the data system on all individuals to whom this compact is
512512 484applicable as required by the rules of the commission, including:
513513 485 (1) identifying information;
514514 486 (2) licensure data;
515515 487 (3) adverse actions against a licensee, license applicant or compact privilege and
516516 488information related thereto;
517517 489 (4) non-confidential information related to alternative program participation, the
518518 490beginning and ending dates of such participation, and other information related to such
519519 491participation;
520520 492 (5) any denial of an application for licensure, and the reason or reasons for such denial,
521521 493excluding the reporting of any criminal history record information where prohibited by law;
522522 494 (6) the presence of significant investigative information; and
523523 495 (7) other information that may facilitate the administration of this compact or the
524524 496protection of the public, as determined by the rules of the commission.
525525 497 (c) the records and information provided to a participating state pursuant to this compact
526526 498or through the data system, when certified by the commission or an agent thereof, shall constitute
527527 499the authenticated business records of the commission, and shall be entitled to any associated 26 of 36
528528 500hearsay exception in any relevant judicial, quasi-judicial or administrative proceedings in a
529529 501participating state.
530530 502 (d) Significant investigative information pertaining to a licensee in any participating state
531531 503will only be available to other participating states.
532532 504 (e) It shall be the responsibility of the participating states to monitor the database to
533533 505determine whether adverse action has been taken against a licensee or license applicant. Adverse
534534 506action information pertaining to a licensee or license applicant in any participating state will be
535535 507available to any other participating state.
536536 508 (f) Participating states contributing information to the data system may designate
537537 509information that may not be shared with the public without the express permission of the
538538 510contributing state.
539539 511 (g) Any information submitted to the data system that is subsequently expunged pursuant
540540 512to federal law or the laws of the participating state contributing the information shall be removed
541541 513from the data system.
542542 514 Section 9. (a) The commission shall promulgate reasonable rules in order to effectively
543543 515and efficiently implement and administer the purposes and provisions of the compact. A
544544 516commission rule shall be invalid and have no force or effect only if a court of competent
545545 517jurisdiction holds that the rule is invalid because the commission exercised its rulemaking
546546 518authority in a manner that is beyond the scope and purposes of the compact, or the powers
547547 519granted hereunder, or based upon another applicable standard of review. 27 of 36
548548 520 (b) The rules of the commission shall have the force of law in each participating state,
549549 521provided however that where the rules of the commission conflict with the laws of the
550550 522participating state that establish the participating state’s scope of practice as held by a court of
551551 523competent jurisdiction, the rules of the commission shall be ineffective in that state to the extent
552552 524of the conflict.
553553 525 (c) The commission shall exercise its rulemaking powers pursuant to the criteria in this
554554 526section and the rules adopted thereunder. Rules shall become binding as of the date specified by
555555 527the commission for each rule.
556556 528 (d) If a majority of the legislatures of the participating states rejects a commission rule or
557557 529portion of a commission rule, by enactment of a statute or resolution in the same manner used to
558558 530adopt the compact, within 4 years of the date of adoption of the rule, then such rule shall have no
559559 531further force and effect in any participating state or to any state applying to participate in the
560560 532compact.
561561 533 (e) Rules shall be adopted at a regular or special meeting of the commission.
562562 534 (f) Prior to adoption of a proposed rule, the commission shall hold a public hearing and
563563 535allow persons to provide oral and written comments, data, facts, opinions, and arguments.
564564 536 (g) Prior to adoption of a proposed rule by the commission, and at least 30 days in
565565 537advance of the meeting at which the commission will hold a public hearing on the proposed rule,
566566 538the commission shall provide a notice of proposed rulemaking:
567567 539 (1) on the website of the commission or other publicly accessible platform; 28 of 36
568568 540 (2) to persons who have requested notice of the commission’s notices of proposed
569569 541rulemaking, and
570570 542 (3) in such other ways as the commission may by rule specify.
571571 543 (h) The notice of proposed rulemaking shall include:
572572 544 (1) the time, date, and location of the public hearing at which the commission will hear
573573 545public comments on the proposed rule and, if different, the time, date, and location of the
574574 546meeting where the commission will consider and vote on the proposed rule;
575575 547 (2) if the hearing is held via telecommunication, video conference, or other electronic
576576 548means, the commission shall include the mechanism for access to the hearing in the notice of
577577 549proposed rulemaking;
578578 550 (3) the text of the proposed rule and the reason therefor;
579579 551 (4) a request for comments on the proposed rule from any interested person; and
580580 552 (5) the manner in which interested persons may submit written comments.
581581 553 (i) All hearings shall be recorded. A copy of the recording and all written comments and
582582 554documents received by the commission in response to the proposed rule shall be available to the
583583 555public.
584584 556 (j) Nothing in this section shall be construed as requiring a separate hearing on each
585585 557commission rule. Rules may be grouped for the convenience of the commission at hearings
586586 558required by this section. 29 of 36
587587 559 (k) The commission shall, by majority vote of all commissioners, take final action on the
588588 560proposed rule based on the rulemaking record.
589589 561 (1) The commission may adopt changes to the proposed rule provided the changes do not
590590 562enlarge the original purpose of the proposed rule.
591591 563 (2) The commission shall provide an explanation of the reasons for substantive changes
592592 564made to the proposed rule as well as reasons for substantive changes not made that were
593593 565recommended by commenters.
594594 566 (3) The commission shall determine a reasonable effective date for the rule. Except for an
595595 567emergency as provided in subsection (l), the effective date of the rule shall be no sooner than 30
596596 568days after the commission issuing the notice that it adopted or amended the rule.
597597 569 (l) Upon determination that an emergency exists, the commission may consider and adopt
598598 570an emergency rule with 24 hours’ notice, with opportunity to comment, provided that the usual
599599 571rulemaking procedures provided in the compact and in this section shall be retroactively applied
600600 572to the rule as soon as reasonably possible, in no event later than 90 days after the effective date
601601 573of the rule. For the purposes of this provision, an emergency rule is one that must be adopted
602602 574immediately in order to:
603603 575 (1) meet an imminent threat to public health, safety, or welfare;
604604 576 (2) prevent a loss of commission or participating state funds;
605605 577 (3) meet a deadline for the promulgation of a rule that is established by federal law or
606606 578rule; or
607607 579 (4) protect public health and safety. 30 of 36
608608 580 (m) The commission or an authorized committee of the commission may direct revisions
609609 581to a previously adopted rule for purposes of correcting typographical errors, errors in format,
610610 582errors in consistency, or grammatical errors. Public notice of any revisions shall be posted on the
611611 583website of the commission. The revision shall be subject to challenge by any person for a period
612612 584of 30 days after posting. The revision may be challenged only on grounds that the revision
613613 585results in a material change to a rule. A challenge shall be made in writing and delivered to the
614614 586commission prior to the end of the notice period. If no challenge is made, the revision will take
615615 587effect without further action. If the revision is challenged, the revision may not take effect
616616 588without the approval of the commission.
617617 589 (n) No participating state’s rulemaking requirements shall apply under this compact.
618618 590 Section 10. (a) (1) The executive and judicial branches of state government in each
619619 591participating state shall enforce this compact and take all actions necessary and appropriate to
620620 592implement the compact.
621621 593 (2) Venue is proper and judicial proceedings by or against the commission shall be
622622 594brought solely and exclusively in a court of competent jurisdiction where the principal office of
623623 595the commission is located. The commission may waive venue and jurisdictional defenses to the
624624 596extent it adopts or consents to participate in alternative dispute resolution proceedings. Nothing
625625 597herein shall affect or limit the selection or propriety of venue in any action against a licensee for
626626 598professional malpractice, misconduct or any such similar matter.
627627 599 (3) The commission shall be entitled to receive service of process in any proceeding
628628 600regarding the enforcement or interpretation of the compact or commission rule and shall have
629629 601standing to intervene in such a proceeding for all purposes. Failure to provide the commission 31 of 36
630630 602service of process shall render a judgment or order void as to the commission, this compact, or
631631 603promulgated rules.
632632 604 (b) (1) If the commission determines that a participating state has defaulted in the
633633 605performance of its obligations or responsibilities under this compact or the promulgated rules,
634634 606the commission shall provide written notice to the defaulting state. The notice of default shall
635635 607describe the default, the proposed means of curing the default, and any other action that the
636636 608commission may take, and shall offer training and specific technical assistance regarding the
637637 609default.
638638 610 (2) The commission shall provide a copy of the notice of default to the other participating
639639 611states.
640640 612 (c) If a state in default fails to cure the default, the defaulting state may be terminated
641641 613from the compact upon an affirmative vote of a majority of the commissioners, and all rights,
642642 614privileges and benefits conferred on that state by this compact may be terminated on the effective
643643 615date of termination. A cure of the default does not relieve the offending state of obligations or
644644 616liabilities incurred during the period of default.
645645 617 (d) Termination of participation in the compact shall be imposed only after all other
646646 618means of securing compliance have been exhausted. Notice of intent to suspend or terminate
647647 619shall be given by the commission to the governor, the majority and minority leaders of the
648648 620defaulting state’s legislature, the defaulting state’s state licensing authority or authorities, as
649649 621applicable, and each of the participating states’ state licensing authority or authorities, as
650650 622applicable. 32 of 36
651651 623 (e) A state that has been terminated is responsible for all assessments, obligations, and
652652 624liabilities incurred through the effective date of termination, including obligations that extend
653653 625beyond the effective date of termination.
654654 626 (f) Upon the termination of a state’s participation in this compact, that state shall
655655 627immediately provide notice to all licensees of the state, including licensees of other participating
656656 628states issued a compact privilege to practice within that state, of such termination. The
657657 629terminated state shall continue to recognize all compact privileges then in effect in that state for a
658658 630minimum of 180 days after the date of said notice of termination.
659659 631 (g) The commission shall not bear any costs related to a state that is found to be in default
660660 632or that has been terminated from the compact, unless agreed upon in writing between the
661661 633commission and the defaulting state.
662662 634 (h) The defaulting state may appeal the action of the commission by petitioning the U.S.
663663 635District Court for the District of Columbia or the federal district where the commission has its
664664 636principal offices. The prevailing party shall be awarded all costs of such litigation, including
665665 637reasonable attorney’s fees.
666666 638 (i) (1) Upon request by a participating state, the commission shall attempt to resolve
667667 639disputes related to the compact that arise among participating states and between participating
668668 640states and non-participating states.
669669 641 (2) The commission shall promulgate a rule providing for both mediation and binding
670670 642dispute resolution for disputes as appropriate. 33 of 36
671671 643 (j) (1) The commission, in the reasonable exercise of its discretion, shall enforce the
672672 644provisions of this compact and the commission’s rules.
673673 645 (2) By majority vote, the commission may initiate legal action against a participating
674674 646state in default in the United States District Court for the District of Columbia or the federal
675675 647district where the commission has its principal offices to enforce compliance with the provisions
676676 648of the compact and its promulgated rules. The relief sought may include both injunctive relief
677677 649and damages. In the event judicial enforcement is necessary, the prevailing party shall be
678678 650awarded all costs of such litigation, including reasonable attorney’s fees. The remedies herein
679679 651shall not be the exclusive remedies of the commission. The commission may pursue any other
680680 652remedies available under federal or the defaulting participating state’s law.
681681 653 (3) A participating state may initiate legal action against the commission in the U.S.
682682 654District Court for the District of Columbia or the federal district where the commission has its
683683 655principal offices to enforce compliance with the provisions of the compact and its promulgated
684684 656rules. The relief sought may include both injunctive relief and damages. In the event judicial
685685 657enforcement is necessary, the prevailing party shall be awarded all costs of such litigation,
686686 658including reasonable attorney’s fees.
687687 659 (4) No individual or entity other than a participating state may enforce this compact
688688 660against the commission.
689689 661 Section 11. (a) The compact shall come into effect on the date on which the compact
690690 662statute is enacted into law in the seventh participating state.
691691 663 (1) On or after the effective date of the compact, the commission shall convene and
692692 664review the enactment of each of the states that enacted the compact prior to the commission 34 of 36
693693 665convening, referred to as charter participating states, to determine if the statute enacted by each
694694 666such charter participating state is materially different than the model compact.
695695 667 (a) A charter participating state whose enactment is found to be materially different from
696696 668the model compact shall be entitled to the default process in section 10.
697697 669 (b) If any participating state is later found to be in default, or is terminated or withdraws
698698 670from the compact, the commission shall remain in existence and the compact shall remain in
699699 671effect even if the number of participating states is less than 7.
700700 672 (2) Participating states enacting the compact subsequent to the charter participating states
701701 673shall be subject to the process in paragraph 23 of subsection (c) of section 7 to determine if their
702702 674enactments are materially different from the model compact and whether they qualify for
703703 675participation in the compact.
704704 676 (3) All actions taken for the benefit of the commission or in furtherance of the purposes
705705 677of the administration of the compact prior to the effective date of the compact or the commission
706706 678coming into existence shall be considered to be actions of the commission unless specifically
707707 679repudiated by the commission.
708708 680 (4) Any state that joins the compact subsequent to the commission’s initial adoption of
709709 681the rules and bylaws shall be subject to the commission’s rules and bylaws as they exist on the
710710 682date on which the compact becomes law in that state. Any rule that has been previously adopted
711711 683by the commission shall have the full force and effect of law on the day the compact becomes
712712 684law in that state. 35 of 36
713713 685 (b) Any participating state may withdraw from this compact by enacting a statute
714714 686repealing that state’s enactment of the compact.
715715 687 (1) A participating state’s withdrawal shall not take effect until 180 days after enactment
716716 688of the repealing statute.
717717 689 (2) Withdrawal shall not affect the continuing requirement of the withdrawing state’s
718718 690licensing authority or authorities to comply with the investigative and adverse action reporting
719719 691requirements of this compact prior to the effective date of withdrawal.
720720 692 (3) Upon the enactment of a statute withdrawing from this compact, the state shall
721721 693immediately provide notice of such withdrawal to all licensees within that state. Notwithstanding
722722 694any subsequent statutory enactment to the contrary, such withdrawing state shall continue to
723723 695recognize all compact privileges to practice within that state granted pursuant to this compact for
724724 696a minimum of 180 days after the date of such notice of withdrawal.
725725 697 (c) Nothing contained in this compact shall be construed to invalidate or prevent any
726726 698licensure agreement or other cooperative arrangement between a participating state and a non-
727727 699participating state that does not conflict with the provisions of this compact.
728728 700 (d) This compact may be amended by the participating states. No amendment to this
729729 701compact shall become effective and binding upon any participating state until it is enacted into
730730 702the laws of all participating states.
731731 703 Section 12. (a) This compact and the commission’s rulemaking authority shall be
732732 704liberally construed so as to effectuate the purposes, and the implementation and administration of
733733 705the compact. Provisions of the compact expressly authorizing or requiring the promulgation of 36 of 36
734734 706rules shall not be construed to limit the commission’s rulemaking authority solely for those
735735 707purposes.
736736 708 (b) The provisions of this compact shall be severable and if any phrase, clause, sentence
737737 709or provision of this compact is held by a court of competent jurisdiction to be contrary to the
738738 710constitution of any participating state, a state seeking participation in the compact, or of the
739739 711United States, or the applicability thereof to any government, agency, person or circumstance is
740740 712held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of
741741 713this compact and the applicability thereof to any other government, agency, person or
742742 714circumstance shall not be affected thereby.
743743 715 (c) Notwithstanding subsection (b), the commission may deny a state’s participation in
744744 716the compact or, in accordance with the requirements of subsection (b) of section 10, terminate a
745745 717participating state’s participation in the compact, if it determines that a constitutional
746746 718requirement of a participating state is a material departure from the compact. Otherwise, if this
747747 719compact shall be held to be contrary to the constitution of any participating state, the compact
748748 720shall remain in full force and effect as to the remaining participating states and in full force and
749749 721effect as to the participating state affected as to all severable matters.
750750 722 Section 13. (a) Nothing herein shall prevent or inhibit the enforcement of any other law
751751 723of a participating state that is not inconsistent with the compact.
752752 724 (b) Any laws, statutes, regulations, or other legal requirements in a participating state in
753753 725conflict with the compact are superseded to the extent of the conflict.
754754 726 (c) All permissible agreements between the commission and the participating states are
755755 727binding in accordance with their terms.