Maryland 2025 Regular Session

Maryland Senate Bill SB21 Latest Draft

Bill / Introduced Version Filed 01/02/2025

                             
 
EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. 
        [Brackets] indicate matter deleted from existing law. 
          *sb0021*  
  
SENATE BILL 21 
J2   	5lr0866 
  	(PRE–FILED) 	CF HB 45 
By: Senator Gile 
Requested: September 17, 2024 
Introduced and read first time: January 8, 2025 
Assigned to: Finance 
 
A BILL ENTITLED 
 
AN ACT concerning 1 
 
Dentist and Dental Hygienist Compact 2 
 
FOR the purpose of entering into the Dentist and Dental Hygienist Compact; authorizing 3 
a dentist or dental hygienist to practice in a participating state under certain scope 4 
of practice rules; establishing the Dentist and Dental Hygienist Compact 5 
Commission to oversee the Compact and its duties and powers; and generally 6 
relating to the Dentist and Dental Hygienist Compact.  7 
 
BY adding to 8 
 Article – Health Occupations 9 
Section 4–3A–01 to be under the new subtitle “Subtitle 3A. Dentist and Dental 10 
Hygienist Interstate Compact” 11 
 Annotated Code of Maryland 12 
 (2021 Replacement Volume and 2024 Supplement) 13 
 
 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 14 
That the Laws of Maryland read as follows: 15 
 
Article – Health Occupations 16 
 
SUBTITLE 3A. DENTIST AND DENTAL HYGIENIST INTERSTATE COMPACT. 17 
 
4–3A–01.  18 
 
SECTION 1. TITLE AND PURPOSE. 19 
 
 THIS STATUTE SHALL BE KNOWN AND CITED AS T HE DENTIST AND DENTAL 20 
HYGIENIST COMPACT. THE PURPOSES OF THIS COMPACT ARE TO FACILI TATE THE 21 
INTERSTATE PRACTICE OF DENTISTRY AND DEN TAL HYGIENE AND IMPR OVE PUBLIC 22  2 	SENATE BILL 21  
 
 
ACCESS TO DENTISTRY AND DENTAL HYGIENE S ERVICES BY PROVIDING DENTISTS 1 
AND DENTAL HYGIENIST S LICENSED IN A PART ICIPATING STATE THE ABILITY TO 2 
PRACTICE IN PARTICIP ATING STATES IN WHIC H THEY ARE NOT LICEN SED. THE 3 
COMPACT DOES THIS BY ESTABLISHING A PATHW AY FOR DENTISTS AND DENTAL 4 
HYGIENISTS LICENSED IN A PART ICIPATING STATE TO O BTAIN A COMPACT 5 
PRIVILEGE THAT AUTHO RIZES THEM TO PRACTI CE IN ANOTHER PARTIC IPATING 6 
STATE IN WHICH THEY ARE NOT LICENSED . THE COMPACT ENABLES PARTI CIPATING 7 
STATES TO PROTECT TH E PUBLIC HEALTH AND SAFETY WITH RESPECT TO THE 8 
PRACTICE OF S UCH DENTISTS AND DEN TAL HYGIENISTS , THROUGH THE STATE’S 9 
AUTHORITY TO REGULAT E THE PRACTICE OF DE NTISTRY AND DENTAL H YGIENE IN 10 
THE STATE. THE COMPACT:  11 
 
 (A) ENABLES DENTISTS AND DENTAL HYGIENISTS WH O QUALIFY FOR A 12 
COMPACT PRIVILEGE TO PRACTICE IN OTHER PA RTICIPATING STATES WI THOUT 13 
SATISFYING BURDENSOM E AND DUPLICATIVE RE QUIREMENTS ASSOCIATE D WITH 14 
SECURING A LICENSE T O PRACTICE IN THOSE STATES;  15 
 
 (B) PROMOTES MOBILITY AND ADDRESSES WORKFORCE SHORTAGES 16 
THROUGH EACH PARTICI PATING STATE’S ACCEPTANCE OF A CO MPACT PRIVILEGE 17 
TO PRACTICE IN THAT STATE;  18 
 
 (C) INCREASES PUBLIC ACCE SS TO QUALIFIED , LICENSED DENTISTS AN D 19 
DENTAL HYGIENISTS BY CREATING A RESPONSIB LE, STREAMLINED PATHWAY FOR 20 
LICENSEES TO PRACTIC E IN PARTICIPATING S TATES;  21 
 
 (D) ENHANCES THE ABILITY OF PARTICIPATING STA TES TO PROTECT THE 22 
PUBLIC’S HEALTH AND SAFETY ;  23 
 
 (E) DOES NOT INTERFERE WI TH LICENSURE REQUIRE MENTS ESTABLISHED 24 
BY A PARTICIPATING S TATE; 25 
 
 (F) FACILITATES THE SHARI NG OF LICENSURE AND DISCIPLINARY 26 
INFORMATION AMON G PARTICIPATING STAT ES;  27 
  
 (G) REQUIRES DENTISTS AND DENTAL HYGIENISTS WH O PRACTICE IN A 28 
PARTICIPATING STATE PURSUANT TO A COMPAC T PRIVILEGE TO PRACT ICE WITHIN 29 
THE SCOPE OF PRACTIC E AUTHORIZED IN THAT STATE;  30 
  
 (H) EXTENDS THE AUTHORITY OF A PARTICIPATIN G STATE TO REGULATE 31 
THE PRACTICE OF DENT ISTRY AND DENTAL HYG IENE WITHIN ITS BORD ERS TO 32 
DENTISTS AND DENTAL HYGIENISTS WHO PRACT ICE IN THE STATE THR OUGH A 33 
COMPACT PRIVILEGE ;  34 
   	SENATE BILL 21 	3 
 
 
 (I) PROMOTES THE COOPERAT ION OF PARTICIPATING STATES IN 1 
REGULATING THE PRACT ICE OF DENTISTRY AND DEN TAL HYGIENE WITHIN T HOSE 2 
STATES; AND 3 
 
 (J) FACILITATES THE RELOC ATION OF MILITARY ME MBERS AND THEIR 4 
SPOUSES WHO ARE LICE NSED TO PRACTICE DEN TISTRY OR DENTAL HYG IENE.  5 
 
SECTION 2. DEFINITIONS. 6 
 
 AS USED IN THIS COMPACT, UNLESS THE CONTEX T REQUIRES OTHERWISE , 7 
THE FOLLOWING DEFINI TIONS SHALL APPLY :  8 
 
 (A) “ACTIVE MILITARY MEMBER” MEANS ANY PERSON WITH FULL–TIME 9 
DUTY STATUS IN THE ARMED FORCES OF THE UNITED STATES INCLUDING MEMB ERS 10 
OF THE NATIONAL GUARD AND RESERVE.  11 
 
 (B) “ADVERSE ACTION ” MEANS DISCIPLINARY AC TION OR ENCUMBRANCES 12 
IMPOSED ON A LICENSE OR COMPACT PRIVILEGE BY A STATE LICENSING 13 
AUTHORITY.  14 
 
 (C) “ALTERNATIVE PROGRAM ” MEANS A NONDISCIPLIN ARY MONITORING 15 
OR PRACTICE REMEDIAT ION PROCESS APPLICAB LE TO A DENTIST OR D ENTAL 16 
HYGIENIST A PPROVED BY A STATE L ICENSING AUTHORITY O F A PARTICIPATING 17 
STATE IN WHICH THE D ENTIST OR DENTAL HYG IENIST IS LICENSED. THIS INCLUDES, 18 
BUT IS NOT LIMITED T O, PROGRAMS TO WHICH LI CENSEES WITH SUBSTAN CE ABUSE 19 
OR ADDICTION ISSUES ARE REFERRED IN LIEU OF ADVERSE ACTION. 20 
 
 (D) “CLINICAL ASSESSMENT ” MEANS AN EXAMINATION OR PROCESS , 21 
REQUIRED FOR LICENSU RE AS A DENTIST OR D ENTAL HYGIENIST AS A PPLICABLE, 22 
THAT PROVIDES EVIDEN CE OF CLINICAL COMPE TENCE IN DENTISTRY O R DENTAL 23 
HYGIENE.  24 
 
 (E) “COMMISSIONER ” MEANS THE INDIVIDUAL APPOINTED BY A 25 
PARTICIPATING STATE TO SERVE AS THE MEMB ER OF THE COMMISSION FOR THAT 26 
PARTICIPATING STATE .  27 
 
 (F) “COMPACT” MEANS THIS DENTIST AND DENTAL HYGIENIST COMPACT.  28 
 
 (G) “COMPACT PRIVILEGE ” MEANS THE AUTHORIZAT ION GRANTED BY T HE 29 
REMOTE STATE TO ALLO W A LICENSEE FROM A PARTICIPATING STATE TO PRACTICE 30 
AS A DENTIST OR DENT AL HYGIENIST IN A RE MOTE STATE.  31 
  4 	SENATE BILL 21  
 
 
 (H) “CONTINUING PROFESSION AL DEVELOPMENT ” MEANS A REQUIREMENT 1 
AS A CONDITION OF LI CENSE RENEWAL TO PRO VIDE EVIDENCE OF SUC CESSFUL 2 
PARTICIPATION IN EDU CATIONAL OR PROFESSI ONAL ACTIVITIES RELE VANT TO 3 
PRACTICE OR AREA OF WORK.  4 
 
 (I) “CRIMINAL BACKGROUND C HECK” MEANS THE SUBMISSION OF 5 
FINGERPRINTS OR OTHE R BIOMETRIC –BASED INFORMATION FO R A LICENSE 6 
APPLICANT FOR THE PU RPOSE OF OBTAIN ING THAT APPLICANT ’S CRIMINAL 7 
HISTORY RECORD INFOR MATION AS DEFINED IN 28 C.F.R. § 20.3(D) FROM THE 8 
FEDERAL BUREAU OF INVESTIGATION AND THE STATE’S CRIMINAL HISTORY 9 
RECORD REPOSITORY AS DEFINED IN 28 C.F.R. § 20.3(F).  10 
 
 (J) “DATA SYSTEM ” MEANS THE COMMISSION’S REPOSITORY OF 11 
INFORMATION ABOUT LI CENSEES, INCLUDING BUT NOT LIMITED TO EXAMINATION , 12 
LICENSURE, INVESTIGATIVE, COMPACT PRIVILEGE , ADVERSE ACTION , AND 13 
ALTERNATIVE PROGRAM .  14 
 
 (K) “DENTAL HYGIENIST ” MEANS AN INDIVIDUAL WHO IS LICENSED BY A 15 
STATE LICENS ING AUTHORITY TO PRA CTICE DENTAL HYGIENE .  16 
 
 (L) “DENTIST” MEANS AN INDIVIDUAL WHO IS LICENSED BY A STATE 17 
LICENSING AUTHORITY TO PRACTICE DENTISTR Y.  18 
 
 (M) “DENTIST AND DENTAL HYGIENIST COMPACT COMMISSION” OR 19 
“COMMISSION” MEANS A JOINT GOVERN MENT AGENCY ES TABLISHED BY THIS 20 
COMPACT COMPOSED OF E ACH STATE THAT HAS E NACTED THE COMPACT AND A 21 
NATIONAL ADMINISTRAT IVE BODY COMPOSED OF A COMMISSIONER FROM EACH 22 
STATE THAT HAS ENACT ED THE COMPACT.  23 
 
 (N) “ENCUMBERED LICENSE ” MEANS A LICENSE THAT A STATE LICENSING 24 
AUTHORITY HAS LIMITED I N ANY WAY OTHER THAN THROUGH AN ALTERNATI VE 25 
PROGRAM.  26 
 
 (O) “EXECUTIVE BOARD” MEANS THE CHAIR, VICE CHAIR, SECRETARY, 27 
AND TREASURER AND ANY OTH ER COMMISSIONERS AS MAY BE DETERMINED BY 28 
COMMISSION RULE OR BY LAW.  29 
 
 (P) “JURISPRUDENCE REQU IREMENT” MEANS THE ASSESSMENT OF AN 30 
INDIVIDUAL’S KNOWLEDGE OF THE L AWS AND RULES GOVERN ING THE PRACTICE OF 31 
DENTISTRY OR DENTAL HYGIENE, AS APPLICABLE, IN A STATE.  32 
   	SENATE BILL 21 	5 
 
 
 (Q) “LICENSE” MEANS CURRENT AUTHOR IZATION BY A STATE, OTHER THAN 1 
AUTHORIZATION PURSUA NT TO A COMPACT PRIVILEGE , OR OTHER PRIVILEGE , FOR 2 
AN INDIVIDUAL TO PRA CTICE AS A DENTIST O R DENTAL HYGIENIST I N THAT STATE.  3 
 
 (R) “LICENSEE” MEANS AN INDIVIDUAL WHO HOLDS AN UNRESTR ICTED 4 
LICENSE FROM A PARTI CIPATING STATE TO PR ACTICE AS A DENTIST OR DENTAL 5 
HYGIENIST IN THAT ST ATE.  6 
 
 (S) “MODEL COMPACT” MEANS THE MODEL FOR THE DENTIST AND 7 
DENTAL HYGIENIST COMPACT ON FILE WITH THE COUNCIL OF STATE 8 
GOVERNMENTS OR OTHER ENTITY AS DESIGNATED BY THE COMMISSION.  9 
 
 (T) “PARTICIPATING STATE ” MEANS A STATE THAT H AS ENACTED THE 10 
COMPACT AND BEEN ADMI TTED TO THE COMMISSION IN ACCORDA NCE WITH THE 11 
PROVISIONS HEREIN AN D COMMISSION RULES .  12 
 
 (U) “QUALIFYING LICENSE ” MEANS A LICENSE THAT IS NOT AN 13 
ENCUMBERED LICENSE I SSUED BY A PARTICIPA TING STATE TO PRACTI CE 14 
DENTISTRY OR DENTAL HYGIENE.  15 
 
 (V) “REMOTE STATE ” MEANS A PARTICIPATIN G STATE WHERE A LICE NSEE 16 
WHO IS NOT LICENSED AS A DENTIST OR DENT AL HYGIENIST IS EXERCISING OR 17 
SEEKING TO EXERCISE THE COMPACT PRIVILEG E.  18 
 
 (W) “RULE” MEANS A REGULATION P ROMULGATED BY AN ENT ITY THAT HAS 19 
THE FORCE OF LAW .  20 
 
 (X) “SCOPE OF PRACTICE ” MEANS THE PROCEDURES , ACTIONS, AND 21 
PROCESSES A DENTIST OR DENTAL HYGIENIST LICENSED IN A STATE IS PERMITTED 22 
TO UNDERTAKE IN THAT STATE AND THE CIRCUM STANCES UNDER WHICH THE 23 
LICENSEE IS PERMITTE D TO UNDERTAKE THOSE PROCEDURES , ACTIONS, AND 24 
PROCESSES. SUCH PROCEDURES , ACTIONS, AND PROCESSES AND TH	E 25 
CIRCUMSTANCES UNDER WHICH THEY MAY BE UNDERTAKEN MAY BE ESTABLISHED 26 
THROUGH MEANS , INCLUDING BUT NOT LIMITED TO STATUTE, REGULATIONS , CASE 27 
LAW, AND OTHER PROCESSES AVAILABLE TO THE STA TE LICENSING AUTHORI TY OR 28 
OTHER GOVERNMENT AGE NCY. 29 
 
 (Y) “SIGNIFICANT INVESTIGA TIVE INFORMATION ” MEANS INFO RMATION, 30 
RECORDS, AND DOCUMENTS RECEIV ED OR GENERATED BY A STATE LICENSING 31 
AUTHORITY PURSUANT T O AN INVESTIGATION F OR WHICH A DETERMINA TION HAS 32 
BEEN MADE THAT THERE IS PROBABLE CAUSE TO BELIEVE THAT THE LIC ENSEE HAS 33 
VIOLATED A STATUTE O R REGULATION THAT IS CONSIDERED MORE THAN A MINOR 34  6 	SENATE BILL 21  
 
 
INFRACTION FOR WHICH THE STATE LICENSING AUTHORITY COULD PURS UE 1 
ADVERSE ACTION AGAIN ST THE LICENSEE .  2 
 
 (Z) “STATE” MEANS ANY STATE , COMMONWEALTH , DISTRICT, OR 3 
TERRITORY OF THE UNITED STATES OF AMERICA THAT REGULATE S THE PRACTICES 4 
OF DENTISTRY AND DEN TAL HYGIENE.  5 
 
 (AA) “STATE LICENSING AUTHO RITY” MEANS AN AGENCY OR O THER ENTITY 6 
OF A STATE THAT IS R ESPONSIBLE FOR THE L ICENSING AND REGULAT ION OF 7 
DENTISTS OR DENTAL H YGIENISTS.  8 
 
SECTION 3. STATE PARTICIPATION IN THE COMPACT. 9 
 
 (A) IN ORDER TO JOIN THE COMPACT AND THEREAFTE R CONTINUE AS A 10 
PARTICIPATING STATE , A STATE MUST:  11 
 
 (1) ENACT A COMPACT THAT IS NOT MATERIALLY DI FFERENT FROM 12 
THE MODEL COMPACT AS DETERMINED IN ACCORDANCE WITH COMMISSION RULES ;  13 
 
 (2) PARTICIPATE FULLY IN THE COMMISSION’S DATA SYSTEM;  14 
 
 (3) HAVE A MECHANISM IN P	LACE FOR RECEIVING A ND 15 
INVESTIGATING COMPLA INTS ABOUT ITS LICEN SEES AND LICENSE APP LICANTS;  16 
 
 (4) NOTIFY THE COMMISSION, IN COMPLIANCE WITH T HE TERMS OF 17 
THE COMPACT AND COMMISSION RULES , OF ANY ADVERSE ACTIO N OR THE 18 
AVAILABILITY OF SIGN IFICANT INVESTIGATIV E INFORMATION REGARD ING A 19 
LICENSEE AND LICENSE APPLICANT;  20 
 
 (5) FULLY IMPLEMENT A CRI	MINAL BACKGROUND CHE	CK 21 
REQUIREMENT , WITHIN A TIME FRAME ESTABLISHED BY COMMISSION RULE , BY 22 
RECEIVING THE RESULT S OF A QUALIFYING CR IMINAL BACKGROUND CH ECK;  23 
 
 (6) COMPLY WITH THE COMMISSION RULES APPL ICABLE TO A 24 
PARTICIPATING STATE ; 25 
 
 (7) ACCEPT THE NATIONAL BOARD EXAMINATIONS OF THE JOINT 26 
COMMISSION ON NATIONAL DENTAL EXAMINATIONS OR ANOT HER EXAMINATION 27 
ACCEPTED BY COMMISSION RULE AS A LICENSURE EXAMINATIO N;  28 
 
 (8) ACCEPT FOR LICENSURE THAT APPLICANTS FOR A DENTIST 29 
LICENSE GRADUATE FRO M A PREDOCTORAL DENT AL EDUCATION PROGRAM 30 
ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION OR ANOT HER 31   	SENATE BILL 21 	7 
 
 
ACCREDITING AGENCY RECOGNIZED BY THE UNITED STATES DEPARTMENT OF 1 
EDUCATION FOR THE ACC REDITATION OF DENTIS TRY AND DENTAL HYGIE NE 2 
EDUCATION PROGRAMS , LEADING TO THE DOCTOR OF DENTAL SURGERY (D.D.S.) 3 
OR DOCTOR OF DENTAL MEDICINE (D.M.D.) DEGREE;  4 
 
 (9) ACCEPT FOR LICENSURE THAT APPLICANTS FOR A DENTAL 5 
HYGIENIST LICENSE GR ADUATE FROM A DENTAL HYGIENE EDUCATION PR OGRAM 6 
ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION OR ANOT HER 7 
ACCREDITING AGENCY RECOGNIZED BY THE UNITED STATES DEPARTMENT OF 8 
EDUCATION FOR THE ACCREDITATION OF DENTISTRY AND DEN TAL HYGIENE 9 
PROGRAMS;  10 
 
 (10) REQUIRE FOR LICENSURE THAT APPLICANTS SUCC ESSFULLY 11 
COMPLETE A CLINICAL ASSESSMENT;  12 
 
 (11) HAVE CONTINUING PROFE	SSIONAL DEVELOPMENT 13 
REQUIREMENTS AS A CO NDITION FOR LICENSE RENEWAL; AND  14 
 
 (12) PAY A PARTICIPATION F EE TO THE COMMISSION AS ESTABLI SHED 15 
BY COMMISSION RULE .  16 
 
 (B) PROVIDING ALTERNATIVE PATHWAYS FOR AN INDI VIDUAL TO OBTAIN 17 
AN UNRESTRICTED LICE NSE DOES NOT DISQUAL IFY A STATE FROM PAR TICIPATING 18 
IN THE COMPACT. 19 
 
 (C) WHEN CON DUCTING A CRIMINAL B ACKGROUND CHECK , THE STATE 20 
LICENSING AUTHORITY SHALL:  21 
 
 (1) CONSIDER THAT INFORMA TION IN MAKING A LIC ENSURE 22 
DECISION;  23 
  
 (2) MAINTAIN DOCUMENTATIO N OF COMPLETION OF T HE CRIMINAL 24 
BACKGROUND CHECK AND BACKGROUND CHECK INF ORMATION TO THE EXTE NT 25 
ALLOWED BY STATE AND FEDERAL LAW ; AND  26 
 
 (3) REPORT TO THE COMMISSION WHETHER IT HAS COMPLETED THE 27 
CRIMINAL BACKGROUND CHECK AND WHETHER T HE INDIVIDUAL WAS GR ANTED OR 28 
DENIED A LICENSE .  29 
 
 (D) A LICENSEE OF A PARTIC IPATING STATE WHO HA S A QUALIFYING 30 
LICENSE IN THAT STAT E AND DOES NOT HOLD AN ENCUMBERED LICENS E IN ANY 31 
OTHER PARTICIPATING STATE SHALL BE ISSUE D A COMPACT PRIVILEG E IN A 32 
REMOTE ST ATE IN ACCORDANCE WI TH THE TERMS OF THE COMPACT AND 33  8 	SENATE BILL 21  
 
 
COMMISSION RULES . IF A REMOTE STATE HAS A JURISPRUDENCE REQU IREMENT A 1 
COMPACT PRIVILEGE WI LL NOT BE ISSUED TO THE LICENSEE UNLESS THE LICENSEE 2 
HAS SATISFIED THE JU RISPRUDENCE REQUIREM ENT.  3 
 
SECTION 4. COMPACT PRIVILEGE. 4 
 
 (A) TO OBTAIN AND EXERCIS E THE COMPACT PRIVIL EGE UNDER THE TERMS 5 
AND PROVISIONS OF TH E COMPACT, THE LICENSEE SHALL :  6 
 
 (1) HAVE A QUALIFYING LIC ENSE AS A DENTIST OR DENTAL 7 
HYGIENIST IN A PARTI CIPATING STATE;  8 
 
 (2) BE ELIGIBLE FOR A COM PACT PRIVILEGE IN AN Y REMOTE STATE 9 
IN ACCORDANCE WITH S UBSECTIONS (D), (G), AND (H) OF THIS SECTION;  10 
 
 (3) SUBMIT TO AN APPLICAT ION PROCESS WHENEVER THE LICENSEE 11 
IS SEEKING THE COMPA CT PRIVILEGE WITHIN A REMOTE STATE ;  12 
 
 (4) PAY ANY APPLICABLE COMMISSION AND REMOTE STATE F EES 13 
FOR A COMPACT PRIVIL EGE IN THE REMOTE ST ATE;  14 
 
 (5) MEET ANY JURISPRUDENC E REQUIREMENT ESTABL ISHED BY A 15 
REMOTE STATE IN WHIC H THE LICENSEE IS SE EKING A COMPACT PRIV ILEGE;  16 
 
 (6) HAVE PASSED A NATIONAL BOARD EXAMINATION OF THE JOINT 17 
COMMISSION ON NATIONAL DENTAL EXAMINATIONS OR ANOTH ER EXAMINATION 18 
ACCEPTED BY COMMISSION RULE ;  19 
 
 (7) FOR A DENTIST , HAVE GRADUATED FROM A PREDOCTORAL 20 
DENTAL EDUCATION PRO GRAM ACCREDITED BY T HE COMMISSION ON DENTAL 21 
ACCREDITATION OR ANOT HER ACCREDITING AGENCY RECOGNIZED BY THE UNITED 22 
STATES DEPARTMENT OF EDUCATION FOR THE ACCREDITATION OF DENTISTRY 23 
AND DENTAL HYGIENE E DUCATION PROGRAMS , LEADING TO THE DOCTOR OF 24 
DENTAL SURGERY (D.D.S.) OR DOCTOR OF DENTAL MEDICINE (D.M.D.) DEGREE;  25 
 
 (8) FOR A DENTAL HYGIENIST, HAVE GRADUATED FROM A DENTAL 26 
HYGIENE EDUCATION PR OGRAM ACCREDITED BY THE COMMISSION ON DENTAL 27 
ACCREDITATION OR ANOT HER ACCREDITING AGENCY RECOGNIZED BY THE UNITED 28 
STATES DEPARTMENT OF EDUCATION FOR THE ACC REDITATION OF DENTIS TRY 29 
AND DENTAL HYGIE NE EDUCATION PROGRAM S;  30 
 
 (9) HAVE SUCCESSFULLY COM PLETED A CLINICAL AS SESSMENT FOR 31 
LICENSURE;  32   	SENATE BILL 21 	9 
 
 
 
 (10) REPORT TO THE COMMISSION ADVERSE AC TION TAKEN BY ANY 1 
NONPARTICIPATING STA TE WHEN APPLYING FOR A COMPACT PRIVILEGE AND 2 
OTHERWISE WITHIN THI RTY (30) DAYS FROM THE DATE T HE ADVERSE ACTION IS 3 
TAKEN;  4 
 
 (11) REPORT TO THE COMMISSION WHEN APPLY ING FOR A COMPACT 5 
PRIVILEGE THE ADDRES S OF THE LICENSEE ’S PRIMARY RESIDENCE AND 6 
THEREAFTER IMMEDIATE LY REPORT TO THE COMMISSION ANY CHANGE IN THE 7 
ADDRESS OF THE LICEN SEE’S PRIMARY RESIDENCE ; AND  8 
 
 (12) CONSENT TO ACCEPT SER VICE OF PROCESS BY M AIL AT THE 9 
LICENSEE’S PRIMAR Y RESIDENCE ON RECOR D WITH THE COMMISSION WITH 10 
RESPECT TO ANY ACTIO N BROUGHT AGAINST TH E LICENSEE BY THE COMMISSION 11 
OR A PARTICIPATING S TATE, AND CONSENT TO ACCEP T SERVICE OF A SUBPO ENA BY 12 
MAIL AT THE LICENSEE ’S PRIMARY RESIDENCE ON RECORD WITH THE COMMISSION 13 
WITH RESPECT TO ANY ACTION BROUGHT OR IN VESTIGATION CONDUCTE D BY THE 14 
COMMISSION OR A PARTI CIPATING STATE.  15 
 
 (B) THE LICENSEE MUST COM PLY WITH THE REQUIRE MENTS OF 16 
SUBSECTION (A) OF THIS SECTION TO M AINTAIN THE COMPACT PRIVILEGE IN THE 17 
REMOTE STATE . IF THOSE REQUIREMENTS A RE MET, THE COMPACT PRIVILEG E WILL 18 
CONTINUE AS LONG AS THE LICENSEE MAINTAI NS A QUALIFYING LICE NSE IN THE 19 
STATE THROUGH WHICH THE LICENSEE APPLIED FOR THE COMPACT PRIV ILEGE AND 20 
PAYS ANY APPLICABLE COMPACT PRIVILEGE RE NEWAL FEES.  21 
  
 (C) A LICENSEE PROVIDING D ENTISTRY OR DENTAL H YGIENE IN A REMOTE 22 
STATE UNDER THE COMP ACT PRIVILEGE SHALL FUNCTION WITHIN THE SCOPE OF 23 
PRACTICE AUTHORIZED BY THE REMOTE STATE FOR A DENTIST OR DEN TAL 24 
HYGIENIST LICENSED I N THAT STATE.  25 
 
 (D) A LICENSEE PROVIDING DENTISTRY OR DENTAL HYGIENE PURSUANT TO 26 
A COMPACT PRIVILEGE IN A REMOTE STATE IS SUBJECT TO THAT STAT E’S 27 
REGULATORY AUTHORITY . A REMOTE STATE MAY , IN ACCORDANCE WITH D UE 28 
PROCESS AND THAT STA TE’S LAWS, BY ADVERSE ACTION , REVOKE OR REMOVE A 29 
LICENSEE’S COMPACT PRIVILEGE IN THE REMOTE STATE FOR A S PECIFIC PERIOD 30 
OF TIME AND IMPOSE F INES OR TAKE ANY OTH ER NECESSARY ACTIONS TO PROTECT 31 
THE HEALTH AND SAFET Y OF ITS CITIZENS . IF A REMOTE STATE IMP OSES AN 32 
ADVERSE ACTION AGAIN ST A COMPACT PRIVILE GE THAT LIMITS THE C OMPACT 33 
PRIVILEGE, THAT ADVERSE ACTION APPLIES TO ALL COMPA CT PRIVILEGES IN ALL 34 
REMOTE STATES . A LICENSEE WHOSE COMPA CT PRIVILEGE IN A RE MOTE STATE IS 35 
REMOVED FOR A SPECIF IED PERIOD OF TIME I S NOT ELIGIBLE FOR A COMPACT 36 
PRIVILEGE IN ANY OTH ER REMOTE STATE UN TIL THE SPECIFIC TIM E FOR REMOVAL 37  10 	SENATE BILL 21  
 
 
OF THE COMPACT PRIVI LEGE HAS PASSED AND ALL ENCUMBRANCE REQU IREMENTS 1 
ARE SATISFIED.  2 
 
 (E) IF A LICENSE IN A PAR TICIPATING STATE IS AN ENCUMBERED LICENS E, 3 
THE LICENSEE SHALL L OSE THE COMPACT PRIV ILEGE IN A REMOTE ST ATE AND 4 
SHALL NOT BE ELIGIBL E FOR A COMPACT PRIV ILEGE IN ANY REMOTE STATE UNTIL 5 
THE LICENSE IS NO LO NGER ENCUMBERED .  6 
 
 (F) ONCE AN ENCUMBERED LI CENSE IN A PARTICIPA TING STATE IS 7 
RESTORED TO GOOD STA NDING, THE LICENSEE MUST ME ET THE REQUIREMENTS OF 8 
SUBSECTION (A) OF THIS SECTION TO O BTAIN A COMPACT PRIV ILEGE IN A REMOTE 9 
STATE.  10 
 
 (G) IF A LICENSEE’S COMPACT PRIVILEGE IN A REMOTE STATE IS REMOVED 11 
BY THE REMOTE STATE , THE INDIVIDUAL SHALL LOSE OR BE INELIGIBL E FOR THE 12 
COMPACT PRIVILEGE IN ANY REMOTE STATE UNT IL THE FOLLOWING OCCUR : 13 
 
 (1) THE SPECIFIC PERIOD O F TIME FOR WHICH THE COMPACT 14 
PRIVILEGE WAS REMOVE D HAS ENDED; AND  15 
 
 (2) ALL CONDITIONS FOR RE MOVAL OF THE COMPACT PRIVILEGE 16 
HAVE BEEN SATISFIED .  17 
 
 (H) ONCE THE REQUIREMENTS OF SUBSECTION (G) OF THIS SECTION H AVE 18 
BEEN MET, THE LICENSEE MUST ME ET THE REQUIREMENTS IN SUBSECTION (A) OF 19 
THIS SECTION TO OBTA IN A COMPACT PRIVILE GE IN A REMOTE STATE .  20 
 
SECTION 5. ACTIVE MILITARY MEMBER PERSONNEL OR THEIR 21 
SPOUSES. 22 
 
 AN ACTIVE MILITARY MEMBER AND THEIR SPOUSE SHA LL NOT BE REQUIRED 23 
TO PAY TO THE COMMISSION FOR A COMP ACT PRIVILEGE THE FE E OTHERWISE 24 
CHARGED BY THE COMMISSION. IF A REMOTE STATE CHO OSES TO CHARGE A FEE 25 
FOR A COMPACT PRIVIL EGE, IT MAY CHOOSE TO CHA RGE A REDUCED FEE OR NO FEE 26 
TO AN ACTIVE MILITARY MEMBER AND THEIR SPOUSE FOR A COMPACT PRIVILEGE .  27 
 
SECTION 6. ADVERSE ACTIONS. 28 
 
 (A) A PARTICIPATING STATE IN WHICH A LICENSEE IS LICENSED SHALL 29 
HAVE EXCLUSIVE AUTHO RITY TO IMPOSE ADVER SE ACTION AGAINST TH E 30 
QUALIFYING LICENSE I SSUED BY THAT P ARTICIPATING STATE .  31 
   	SENATE BILL 21 	11 
 
 
 (B) A PARTICIPATING STATE MAY TAKE ADVERSE ACT ION BASED ON THE 1 
SIGNIFICANT INVESTIG ATIVE INFORMATION OF A REMOTE STATE , SO LONG AS THE 2 
PARTICIPATING STATE FOLLOWS ITS OWN PROC EDURES FOR IMPOSING ADVERSE 3 
ACTION.  4 
 
 (C) NOTHING IN THIS COMPACT SHALL OVERRID E A PARTICIPATING 5 
STATE’S DECISION THAT PART ICIPATION IN AN ALTE RNATIVE PROGRAM MAY BE 6 
USED IN LIEU OF ADVE RSE ACTION AND THAT SUCH PARTICIPATION S HALL REMAIN 7 
NONPUBLIC IF REQUIRE D BY THE PARTICIPATI NG STATE’S LAWS. PARTICIPATING 8 
STATES MUST REQUIRE LICE NSEES WHO ENTER ANY ALTERNATIVE PROGRAM IN 9 
LIEU OF DISCIPLINE T O AGREE NOT TO PRACT ICE PURSUANT TO A CO MPACT 10 
PRIVILEGE IN ANY OTH ER PARTICIPATING STA TE DURING THE TERM O F THE 11 
ALTERNATIVE PROGRAM WITHOUT PRIOR AUTHOR IZATION FROM SUCH OT HER 12 
PARTICIPATING STATE .  13 
 
 (D) ANY PARTICIPATING STA TE IN WHICH A LICENS EE IS APPLYING TO 14 
PRACTICE OR IS PRACT ICING PURSUANT TO A COMPACT PRIVILEGE MA Y 15 
INVESTIGATE ACTUAL O R ALLEGED VIOLATIONS OF THE STATUTES AND 16 
REGULATIONS AUTHORIZ ING THE PRACTICE OF DENTISTRY OR DENTAL HYG IENE IN 17 
ANY OTHER PARTICIPAT ING STATE IN WHICH T HE DENTIST OR DENTAL HYGIENIST 18 
HOLDS A LICENSE OR C OMPACT PRIVILEGE . 19 
 
 (E) A REMOTE STATE SHALL H AVE THE AUTHORITY TO : 20 
 
 (1) TAKE ADVERSE ACTIONS AS SET FORTH IN SECTION 4(D) OF THIS 21 
COMPACT AGAINST A LICENS EE’S COMPACT PRIVILEGE IN THE STATE; 22 
 
 (2) IN FURTHERANCE OF ITS RIGHTS AND RESPONSIB ILITIES UNDER 23 
THE COMPACT AND THE COMMISSION’S RULES, ISSUE SUBPOENAS FOR BOTH 24 
HEARINGS AND INVESTI GATIONS THAT REQUIRE THE ATTENDANCE AND T ESTIMONY 25 
OF WITNESSES AND THE PRODUCTION OF EVIDEN CE. SUBPOENAS ISSUED BY A 26 
STATE LICENSING AUTH ORITY IN A PARTICIPA TING STATE FOR THE A TTENDANCE 27 
AND TESTIMONY OF WIT NESSES, OR THE PRODUCTION OF EVIDENCE FROM 28 
ANOTHER PARTICIPATIN G STATE, SHALL BE ENFORCED IN THE LATTER STATE BY 29 
ANY COURT OF COMPETE NT JURISDICTION , ACCORDING TO THE PRA CTICE AND 30 
PROCEDURE OF THAT CO URT APPLICABLE TO SU BPOENAS ISSUED IN PR OCEEDINGS 31 
PENDING BEFORE IT . THE ISSUING AUTHORITY SHALL PAY ANY WITNES S FEES, 32 
TRAVEL EXPENSES , MILEAGE, AND OTHER F EES REQUIRED BY THE SERVICE 33 
STATUTES OF THE STAT E WHERE THE WITNESSE S OR EVIDENCE IS LOC ATED; AND 34 
 
 (3) IF OTHERWISE PERMITTE D BY STATE LAW , RECOVER FROM THE 35 
LICENSEE THE COSTS O F INVESTIGATIONS AND DISPOSITION OF CASES RESULTING 36 
FROM ANY ADVERSE ACT ION TAKEN AGAINST THAT LI CENSEE. 37  12 	SENATE BILL 21  
 
 
 
 (F) (1) IN ADDITION TO THE AU THORITY GRANTED TO A PARTICIPATING 1 
STATE BY ITS DENTIST OR DENTAL HYGIENIST LICENSURE ACT OR OTH ER 2 
APPLICABLE STATE LAW , A PARTICIPATING STAT E MAY JOINTLY INVEST IGATE 3 
LICENSEES WITH OTHER PARTICIPATING STATES. 4 
 
 (2) PARTICIPATING STATES SHALL SHARE ANY SIGN IFICANT 5 
INVESTIGATIVE INFORM ATION, LITIGATION, OR COMPLIANCE MATERI ALS IN 6 
FURTHERANCE OF ANY J OINT OR INDIVIDUAL I NVESTIGATION INITIAT ED UNDER 7 
THE COMPACT. 8 
 
 (G) (1) AFTER A LICENSEE ’S COMPACT PRIVILEGE IN A REMOT E STATE IS 9 
TERMINATED , THE REMOTE STATE MAY CONTINUE AN INVESTIG ATION OF THE 10 
LICENSEE THAT BEGAN WHEN THE LICENSEE HA D A COMPACT PRIVILEG E IN THAT 11 
REMOTE STATE . 12 
 
 (2) IF THE INVESTIGATION YIELDS WHAT WOULD BE SIGNIFICANT 13 
INVESTIGATIVE INFORMATION HAD THE LICENSEE CONTINUED T O HAVE A COMPACT 14 
PRIVILEGE IN THAT RE MOTE STATE , THE REMOTE STATE SHA LL REPORT THE 15 
PRESENCE OF SUCH INF ORMATION TO THE DATA SYSTEM AS REQUIRED B Y SECTION 16 
8(B)(6) OF THIS COMPACT AS IF IT WAS SIGNIFICANT INVESTIG ATIVE INFORMATION . 17 
 
SECTION 7. ESTABLISHMENT AND OPERATION OF THE COMMISSION. 18 
 
 (A) THE COMPACT PARTICIPATING STATES HEREBY CREATE AND 19 
ESTABLISH A JOINT GO VERNMENT AGENCY WHOS E MEMBERSHIP CONSIST S OF ALL 20 
PARTICIPATING STATES THAT HAVE ENACTED TH E COMPACT. THE COMMISSION IS 21 
AN INSTRUMENTALITY O F THE PARTICIPATING STATES ACTING JOINTL Y AND NOT 22 
AN INSTRUMENTALITY O F ANY ONE STATE . THE COMMISSION SHALL COME INTO 23 
EXISTENCE ON OR AFTE R THE EFFECTIVE DATE OF THE COMPACT AS SET FORTH IN 24 
SECTION 11(A) OF THIS COMPACT.  25 
 
 (B) (1) EACH PARTICIPATING ST ATE SHALL HAVE AND B E LIMITED TO 26 
ONE (1) COMMISSIONER SELECTE D BY THAT PARTICIPAT ING STATE’S STATE 27 
LICENSING AUTHORITY OR, IF THE STATE HAS MOR E THAN ONE STATE LIC ENSING 28 
AUTHORITY, SELECTED COLLECTIVEL Y BY THE STATE LICEN SING AUTHORITIES.  29 
 
 (2) THE COMMISSIONER SHAL L BE A MEMBER OR DES IGNEE OF SUCH 30 
AUTHORITY OR AUTHORI TIES.  31 
 
 (3) THE COMMISSION MAY BY RUL E OR BYLAW ESTABLISH A TERM OF 32 
OFFICE FOR COMMISSIO NERS AND MAY BY RULE OR BYLAW ESTABLISH T ERM 33 
LIMITS. 34   	SENATE BILL 21 	13 
 
 
 
 (4) THE COMMISSION MAY RECOMMEND T O A STATE LICENSING 1 
AUTHORITY OR AUTHORI TIES, AS APPLICABLE , REMOVAL OR SUSPENSIO N OF AN 2 
INDIVIDUAL AS THE ST ATE’S COMMISSIONER .  3 
 
 (5) A PARTICIPATING STATE ’S STATE LICENSING AU THORITY OR 4 
AUTHORITIES, AS APPLICABLE, SHALL FILL ANY VAC ANCY OF ITS COMMISSI ONER ON 5 
THE COMMISSION WITHIN SIX TY (60) DAYS OF THE VACANCY .  6 
 
 (6) EACH COMMISSIONER SHA LL BE ENTITLED TO ON E VOTE ON ALL 7 
MATTERS THAT ARE VOT ED UPON BY THE COMMISSION.  8 
 
 (7) THE COMMISSION SHALL MEET AT LEAST ONCE DURING EACH 9 
CALENDAR YEAR. ADDITIONAL MEETINGS M AY BE HELD AS SET FO RTH IN THE 10 
BYLAWS. THE COMMISSION MAY MEET B Y TELECOMMUNICATION , VIDEO 11 
CONFERENCE , OR OTHER SIMILAR ELE CTRONIC MEANS .  12 
 
 (C) THE COMMISSION SHALL HAVE THE FOLLOWING POWERS :  13 
 
 (1) ESTABLISH THE FISCAL YEAR OF THE COMMISSION;  14 
 
 (2) ESTABLISH A CODE OF C ONDUCT AND CONFLICT OF INTEREST 15 
POLICIES;  16 
 
 (3) ADOPT RULES AND BYLAW S;  17 
  
 (4) MAINTAIN ITS FINANCIA L RECORDS IN ACCORDA NCE WITH THE 18 
BYLAWS;  19 
 
 (5) MEET AND TAKE SUCH AC TIONS AS ARE CONSIST ENT WITH THE 20 
PROVISIONS OF THIS COMPACT, THE COMMISSION’S RULES, AND THE BYLAWS ;  21 
 
 (6) INITIATE AND CONCLUDE LEGAL PROCEEDINGS OR ACTIONS IN 22 
THE NAME OF THE COMMISSION, PROVIDED THAT THE ST ANDING OF ANY STATE 23 
LICENSING AUTHORITY TO S UE OR BE SUED UNDER APPLICABLE LAW SHALL NOT BE 24 
AFFECTED;  25 
 
 (7) MAINTAIN AND CERTIFY RECORDS AND INFORMAT ION PROVIDED 26 
TO A PARTICIPATING S TATE AS THE AUTHENTI CATED BUSINESS RECOR DS OF THE 27 
COMMISSION, AND DESIGNATE A PERS ON TO DO SO ON THE COMMISSION’S BEHALF;  28 
 
 (8) PURCHASE AND MAINTAIN INSURANCE AND BONDS ;  29 
  14 	SENATE BILL 21  
 
 
 (9) BORROW, ACCEPT, OR CONTRACT FOR SERV ICES OF PERSONNEL , 1 
INCLUDING, BUT NOT LIMITED TO , EMPLOYEES OF A PARTI CIPATING STATE;  2 
 
 (10) CONDUCT AN ANNUAL FIN ANCIAL REVIEW ;  3 
 
 (11) HIRE EMPLOYEES , ELECT OR APPOINT OFF ICERS, FIX 4 
COMPENSATION , DEFINE DUTIES , GRANT SUCH INDIVIDUA LS APPROPRIATE 5 
AUTHORITY TO CARRY O UT THE PURPOSES OF T HE COMPACT, AND ESTABLISH THE 6 
COMMISSION’S PERSONNEL POLICIES AND PROGRAMS RELATIN G TO CONFLICTS OF 7 
INTEREST, QUALIFICATIONS OF PE RSONNEL, AND OTHER RELATED PE RSONNEL 8 
MATTERS;  9 
 
 (12) AS SET FORTH IN THE COMMISSION RULES , CHARGE A FEE TO A 10 
LICENSEE FOR THE GRA NT OF A COMPACT PRIV ILEGE IN A REMOTE ST ATE AND 11 
THEREAFTER , AS MAY BE ESTABLISHE D BY COMMISSION RULE, CHARGE THE 12 
LICENSEE A COMPACT P RIVILEGE RENEWAL FEE FOR EACH RENEWAL PER IOD IN 13 
WHICH THAT LICENSEE EXERCISES OR INTENDS TO EXERCISE THE COMP ACT 14 
PRIVILEGE IN THAT RE MOTE STATE. NOTHING HEREIN SHALL BE CONSTRUED TO 15 
PREVENT A REMOTE STA TE FROM CHARGING A LICENSEE A FEE FOR A COMPACT 16 
PRIVILEGE OR RENEWAL S OF A COMPACT PRIVI LEGE, OR A FEE FOR THE 17 
JURISPRUDENCE REQUIR EMENT IF THE REMOTE STATE IMPOSES SUCH A 18 
REQUIREMENT FOR THE GRANT OF A COMPACT P RIVILEGE;  19 
 
 (13) ACCEPT ANY AND ALL AP PROPRIATE GIFTS , DONATIONS, GRANTS 20 
OF MONEY, OTHER SOURCES OF REV ENUE, EQUIPMENT, SUPPLIES, MATERIALS, AND 21 
SERVICES, AND RECEIVE, UTILIZE, AND DISPOSE OF THE S AME, PROVIDED THAT AT 22 
ALL TIMES THE COMMISSION SHALL AVOI D ANY APPEARANCE OF IMPROPRIETY 23 
AND/OR CONFLICT OF INTER EST;  24 
 
 (14) LEASE, PURCHASE, RETAIN, OWN, HOLD, IMPROVE, OR USE ANY 25 
PROPERTY, REAL, PERSONAL, OR MIXED, OR ANY UNDIVIDED INT EREST THEREIN ;  26 
 
 (15) SELL, CONVEY, MORTGAGE , PLEDGE, LEASE, EXCHANGE, 27 
ABANDON, OR OTHERWISE DISPOSE OF ANY PROPERTY , REAL, PERSONAL, OR MIXED;  28 
 
 (16) ESTABLISH A BUDGET AN D MAKE EXPENDITURES ;  29 
 
 (17) BORROW MONEY ;  30 
 
 (18) APPOINT COMMITTEES , INCLUDING STANDING C OMMITTEES, 31 
WHICH MAY BE COMPOSE D OF MEMBERS , STATE REGULATORS , STATE LEGISLATORS 32 
OR THEIR REPRESENTAT IVES, AND CONSUMER REPRESE NTATIVES, AND SUCH 33   	SENATE BILL 21 	15 
 
 
OTHER INTERESTED PER SONS AS MAY BE DESIG NATED IN THIS COMPACT AND THE 1 
BYLAWS;  2 
 
 (19) PROVIDE AND RECEIVE I NFORMATION FROM , AND COOPERATE 3 
WITH, LAW ENFORCEMENT AGEN CIES;  4 
 
 (20) ELECT A CHAIR, VICE CHAIR, SECRETARY, AND TREASURER AND 5 
SUCH OTHER OFFICERS OF THE COMMISSION AS PROVIDE D IN THE COMMISSION’S 6 
BYLAWS;  7 
 
 (21) ESTABLISH AND ELECT AN EXECUTIVE BOARD;  8 
 
 (22) ADOPT AND PROVIDE TO THE PARTICIPATING ST ATES AN ANNUAL 9 
REPORT; 10 
 
 (23) DETERMINE WHETHER A S TATE’S ENACTED COMPACT IS 11 
MATERIALLY DIFFERENT FROM THE MODEL COMPACT LANGUAGE SUCH THAT THE 12 
STATE WOULD NOT QUAL IFY FOR PARTICIPATION IN THE COMPACT; AND  13 
 
 (24) PERFORM SUCH OTHER FU NCTIONS AS MAY BE NE CESSARY OR 14 
APPROPRIATE TO ACHIE VE THE PURPOSES OF T HIS COMPACT.  15 
 
 (D) (1) ALL MEETINGS OF THE COMMISSION THAT ARE N OT CLOSED 16 
PURSUANT TO THIS SUB SECTION SHALL BE OPE N TO THE PUBLIC . NOTICE OF 17 
PUBLIC MEETINGS SHAL L BE POSTED ON THE COMMISSION’S WEBSITE AT LEAST 18 
THIRTY (30) DAYS PRIOR TO THE PU BLIC MEETING.  19 
 
 (2) NOTWITHSTANDING PARAG RAPH (1) OF THIS SUBSECTION , THE 20 
COMMISSION MAY CONVEN E AN EMERGENCY PUBLI C MEETING BY PROVIDING AT 21 
LEAST TWENTY –FOUR (24) HOURS PRIOR NOTICE O N THE COMMISSION’S WEBSITE, 22 
AND BY ANY OTHER MEA NS AS PROVIDED IN TH E COMMISSION’S RULES, FOR ANY OF 23 
THE REASONS IT MAY D ISPENSE WITH NOTICE OF PROPOSED RULEMAKI NG UNDER 24 
SECTION 9(L) OF THIS COMPACT. THE COMMISSION’S LEGAL COUNSEL SHAL L 25 
CERTIFY THAT ONE OF THE REASONS JUSTIFYI NG AN EMERGENCY PUBL IC MEETING 26 
HAS BEEN MET.  27 
 
 (3) NOTICE OF ALL COMMISSION MEETINGS S HALL PROVIDE THE 28 
TIME, DATE, AND LOCATION OF THE MEETING, AND IF THE MEETING I S TO BE HELD 29 
OR ACCESSIBLE VIA TE LECOMMUNICATION , VIDEO CONFERENCE , OR OTHER 30 
ELECTRONIC MEANS , THE NOTICE SHALL INC LUDE THE MECHANISM F OR ACCESS TO 31 
THE MEETING THROUGH SUCH MEANS.  32 
  16 	SENATE BILL 21  
 
 
 (4) THE COMMISSION MAY CONVEN E IN A CLOSED , NONPUBLIC 1 
MEETING FOR THE COMMISSION TO R ECEIVE LEGAL ADVICE OR TO DISCUSS:  2 
 
 (I) NONCOMPLIANCE OF A PA RTICIPATING STATE WI TH ITS 3 
OBLIGATIONS UNDER TH E COMPACT;  4 
 
 (II) THE EMPLOYMENT , COMPENSATION , DISCIPLINE, OR 5 
OTHER MATTERS , PRACTICES, OR PROCEDURES RELATE D TO SPECIFIC EMPLOY EES 6 
OR OTHER MATTERS REL ATED TO THE COMMISSION’S INTERNAL PERSONNEL 7 
PRACTICES AND PROCED URES;  8 
 
 (III) CURRENT OR THREATENED DISCIPLINE OF A LI CENSEE OR 9 
COMPACT PRIVILEGE HO LDER BY THE COMMISSION OR BY A PA RTICIPATING 10 
STATE’S LICENSING AUTHORIT Y;  11 
 
 (IV) CURRENT, THREATENED , OR REASONABLY ANTICI PATED 12 
LITIGATION;  13 
 
 (V) NEGOTIATION OF CONTRA CTS FOR THE PURCHASE , LEASE, 14 
OR SALE OF GOODS , SERVICES, OR REAL ESTATE ;  15 
 
 (VI) ACCUSING ANY PERSON O F A CRIME OR FORMALL Y 16 
CENSURING ANY PERSON ;  17 
 
 (VII) TRADE SECRETS OR COMM	ERCIAL OR FINANCIAL 18 
INFORMATION THAT IS PRIVILEGED OR CONFID ENTIAL;  19 
 
 (VIII) INFORMATION OF A PERS	ONAL NATURE WHERE 20 
DISCLOSURE WOULD CONSTITUTE A C LEARLY UNWARRANTED I NVASION OF 21 
PERSONAL PRIVACY ;  22 
 
 (IX) INVESTIGATIVE RECORDS COMPILED FOR LAW 23 
ENFORCEMENT PURPOSES ;  24 
 
 (X) INFORMATION RELATED T O ANY INVESTIGATIVE REPORTS 25 
PREPARED BY OR ON BE HALF OF OR FOR USE O F THE COMMISSION OR OTHER 26 
COMMITTEE CHARGED WI	TH RESPONSIBILITY OF INVESTIGATION OR 27 
DETERMINATION OF COM PLIANCE ISSUES PURSU ANT TO THE COMPACT;  28 
 
 (XI) LEGAL ADVICE;  29 
 
 (XII) MATTERS SPECIFICALLY EXEMPTED FROM DISCLO SURE TO 30 
THE PUBLIC BY FEDERA L OR PARTICIPATING S TATE LAW; AND  31   	SENATE BILL 21 	17 
 
 
 
 (XIII) OTHER MATTERS AS PROM ULGATED BY THE COMMISSION 1 
BY RULE.  2 
 
 (5) IF A MEETING , OR PORTION OF A MEET ING, IS CLOSED, THE 3 
PRESIDING OFFICER SH ALL STATE THAT THE M EETING WILL BE CLOSE D AND 4 
REFERENCE EACH RELEV ANT EXEMPTING PROVIS ION, AND SUCH REFERENCE 5 
SHALL BE RECORDED IN THE MINUTES.  6 
 
 (6) THE COMMISSION SHALL KEEP MINUTES THAT FULLY A ND 7 
CLEARLY DESCRIBE ALL MATTERS DISCUSSED IN A MEETING AND SHALL PROVIDE A 8 
FULL AND ACCURATE SU MMARY OF ACTIONS TAK EN, AND THE REASONS THER EFOR, 9 
INCLUDING A DESCRIPT ION OF THE VIEWS EXP RESSED. ALL DOCUMENTS 10 
CONSIDERED IN CONNECTIO N WITH AN ACTION SHA LL BE IDENTIFIED IN SUCH 11 
MINUTES. ALL MINUTES AND DOCUM ENTS OF A CLOSED MEE TING SHALL REMAIN 12 
UNDER SEAL , SUBJECT TO RELEASE O NLY BY A MAJORITY VO TE OF THE 13 
COMMISSION OR ORDER O F A COURT OF COMPETE NT JURISDICTION .  14 
 
 (E) (1) THE COMMISSION SHALL PAY , OR PROVIDE FOR THE P AYMENT 15 
OF, THE REASONABLE EXPEN SES OF ITS ESTABLISH MENT, ORGANIZATION , AND 16 
ONGOING ACTIVITIES .  17 
 
 (2) THE COMMISSION MAY ACCEPT ANY AND ALL APPROPRI ATE 18 
SOURCES OF REVENUE , DONATIONS, AND GRANTS OF MONE Y, EQUIPMENT, 19 
SUPPLIES, MATERIALS, AND SERVICES.  20 
 
 (3) THE COMMISSION MAY LEVY O N AND COLLECT AN ANN UAL 21 
ASSESSMENT FROM EACH PARTICIPATING STATE AND IMPOSE FEES ON L ICENSEES 22 
OF PARTICIPATING STA TES WHEN A COMPACT P RIVILEGE IS GRANTED , TO COVER 23 
THE COST O F THE OPERATIONS AND ACTIVITIES OF THE COMMISSION AND ITS 24 
STAFF, WHICH MUST BE IN A T OTAL AMOUNT SUFFICIE NT TO COVER ITS ANNU AL 25 
BUDGET AS APPROVED E ACH FISCAL YEAR FOR WHICH SUFFICIENT REV ENUE IS NOT 26 
PROVIDED BY OTHER SO URCES. THE AGGREGATE ANNUAL ASSESSMENT AMOUNT 27 
FOR PARTICIPATING ST ATES SHALL BE ALLOCA TED BASED UPON A FOR MULA THAT 28 
THE COMMISSION SHALL PROM ULGATE BY RULE .  29 
 
 (4) THE COMMISSION SHALL NOT INCUR OBLIGATIONS OF ANY KIND 30 
PRIOR TO SECURING TH E FUNDS ADEQUATE TO MEET THE SAME , NOR SHALL THE 31 
COMMISSION PLEDGE THE C REDIT OF ANY PARTICI PATING STATE, EXCEPT BY AND 32 
WITH THE AUTHORITY O F THE PARTICIPATING STATE.  33 
 
 (5) THE COMMISSION SHALL KEEP ACCURATE ACCOUNTS OF ALL 34 
RECEIPTS AND DISBURS EMENTS. THE RECEIPTS AND DISB URSEMENTS OF THE 35  18 	SENATE BILL 21  
 
 
COMMISSION SHALL BE SUBJECT TO THE FI NANCIAL REVIEW AND A CCOUNTING 1 
PROCEDURES ESTABLISH ED UNDER ITS BYLAWS . ALL RECEIPTS AND 2 
DISBURSEMENTS OF FUN DS HANDLED BY THE COMMISSION SHALL BE S UBJECT TO 3 
AN ANNUAL FINANCIAL REVIEW BY A CERTIFIE D OR LICENSED PUBLIC 4 
ACCOUNTANT , AND THE REPORT OF THE FIN ANCIAL REVIEW SHALL BE INCLUDED IN 5 
AND BECOME PART OF T HE ANNUAL REPORT OF THE COMMISSION. 6 
 
 (F) (1) THE EXECUTIVE BOARD SHALL HAVE THE POWER TO ACT ON 7 
BEHALF OF THE COMMISSION ACCORDING TO THE TERMS OF THIS COMPACT. THE 8 
POWERS, DUTIES, AND RESPONSIBILITIES OF THE EXECUTIVE BOARD SHALL 9 
INCLUDE:  10 
 
 (I) OVERSEEING THE DAY –TO–DAY ACTIVITIES OF TH E 11 
ADMINISTRATION OF THE COMPACT INCLUDING COM PLIANCE WITH THE 12 
PROVISIONS OF THE COMPACT, THE COMMISSION’S RULES AND BYLAWS ;  13 
 
 (II) RECOMMENDING TO THE COMMISSION CHANGES TO THE 14 
RULES OR BYLAWS , CHANGES TO THIS COMPACT LEGISLATION , FEES CHARGED TO 15 
COMPACT PARTICIP ATING STATES , FEES CHARGED TO LICE NSEES, AND OTHER 16 
FEES;  17 
 
 (III) ENSURING COMPACT ADMINISTRATIO N SERVICES ARE 18 
APPROPRIATELY PROVID ED, INCLUDING BY CONTRAC T;  19 
 
 (IV) PREPARING AND RECOMME NDING THE BUDGET ;  20 
 
 (V) MAINTAINING FINANCIAL RECORDS ON BEHAL F OF THE 21 
COMMISSION;  22 
 
 (VI) MONITORING COMPACT COMPLIANCE OF PARTICIPATING 23 
STATES AND PROVIDING COMPLIANCE REPORTS T O THE COMMISSION;  24 
 
 (VII) ESTABLISHING ADDITION AL COMMITTEES AS NEC ESSARY; 25 
 
 (VIII) EXERCISING THE POWERS AND DUTIES OF THE 26 
COMMISSION DURING THE INTERIM BETWEEN COMMISSION MEETINGS , EXCEPT 27 
FOR ADOPTING OR AMEN DING RULES, ADOPTING OR AMENDING BYLAWS, AND 28 
EXERCISING ANY OTHER POWERS AND DUTIES EX PRESSLY RESERVED TO THE 29 
COMMISSION BY RULE O R BYLAW; AND  30 
 
 (IX) OTHER DUTIES AS PROVI DED IN THE RULES OR BYLAWS OF 31 
THE COMMISSION.  32 
   	SENATE BILL 21 	19 
 
 
 (2) THE EXECUTIVE BOARD SHALL BE COMPOS ED OF UP TO SEVEN 1 
(7) MEMBERS:  2 
 
 (I) THE CHAIR, VICE CHAIR, SECRETARY, AND TREASURER OF 3 
THE COMMISSION AND ANY OT HER MEMBERS OF THE COMMISSION WHO SERVE ON 4 
THE EXECUTIVE BOARD SHALL BE VOTING MEMBERS OF THE EXECUTIVE BOARD; 5 
AND  6 
 
 (II) OTHER THAN THE CHAIR, VICE CHAIR, SECRETARY, AND 7 
TREASURER, THE COMMISSION MAY ELECT UP TO THREE (3) VOTING MEMBERS 8 
FROM THE CURRENT MEM BERSHIP OF THE COMMISSION.  9 
 
 (3) THE COMMISSION MAY REMOVE ANY MEMBER OF THE EXECUTIVE 10 
BOARD AS PROVIDED IN THE COMMISSION’S BYLAWS.  11 
 
 (4) (I) THE EXECUTIVE BOARD SHALL MEET AT L EAST ANNUALLY .  12 
 
 (II) AN EXECUTIVE BOARD MEETING AT WHIC H IT TAKES OR 13 
INTENDS TO TAKE FORMAL ACTION ON A MATTER S HALL BE OPEN TO THE PUBLIC, 14 
EXCEPT THAT THE EXECUTIVE BOARD MAY MEET IN A C LOSED, NONPUBLIC SESSION 15 
OF A PUBLIC MEETING WHEN DEALING WITH AN Y OF THE MATTERS COV ERED UNDER 16 
SUBSECTION (D)(4) OF THIS SECTION. 17 
 
 (III) THE EXECUTIVE BOARD SHALL GIVE FIVE (5) BUSINESS 18 
DAYS’ NOTICE OF ITS PUBLIC MEETINGS, POSTED ON ITS WEBSIT E AND AS IT MAY 19 
OTHERWISE DETERMINE TO PROVIDE NOTICE TO PERSONS WITH AN INTE REST IN 20 
THE PUBLIC MATTERS T HE EXECUTIVE BOARD INTENDS TO ADDR ESS AT THOS E 21 
MEETINGS.  22 
 
 (5) THE EXECUTIVE BOARD MAY HOLD AN EME RGENCY MEETING 23 
WHEN ACTING FOR THE COMMISSION TO :  24 
 
 (I) MEET AN IMMINENT THRE AT TO PUBLIC HEALTH , SAFETY, 25 
OR WELFARE; 26 
 
 (II) PREVENT A LOSS OF COMMISSION OR PARTICI PATING 27 
STATE FUNDS; OR  28 
 
 (III) PROTECT PUBLIC HEALTH AND SAFETY.  29 
 
 (G) (1) THE MEMBERS , OFFICERS, EXECUTIVE DIRECTOR , EMPLOYEES, 30 
AND REPRESENTATIVES OF THE COMMISSION SHALL BE I MMUNE FROM SUIT AND 31 
LIABILITY, BOTH PERSONALLY AND IN THEIR OFFICIAL CA PACITY, FOR ANY CLAIM 32  20 	SENATE BILL 21  
 
 
FOR DAMAGE TO OR LOS S OF PROPERTY OR PER SONAL INJURY OR OTHE R CIVIL 1 
LIABILITY CAUSED BY OR ARISING OUT OF AN Y ACTUAL OR ALLEGED ACT, ERROR, 2 
OR OMISSION THAT OCC URRED, OR THAT THE PERSON A GAINST WHOM THE CLAI M 3 
IS MADE HAD A REASON ABLE BASIS FOR BELIE VING OCCURRED, WITHIN THE SCOPE 4 
OF COMMISSION EMPLOYMENT , DUTIES, OR RESPONSIBILITIES , PROVIDED THAT 5 
NOTHING IN THIS PARA GRAPH SHALL BE CONST RUED TO PROTECT ANY SUCH 6 
PERSON FROM SUIT OR LIABILITY FOR ANY DA MAGE, LOSS, INJURY, OR LIABILITY 7 
CAUSED BY THE INTENT IONAL OR WILLFUL OR WANT ON MISCONDUCT OF THA T 8 
PERSON. THE PROCUREMENT OF IN SURANCE OF ANY TYPE BY THE COMMISSION 9 
SHALL NOT IN ANY WAY COMPROMISE OR LIMIT THE IMMUNITY GRANTED 10 
HEREUNDER .  11 
 
 (2) THE COMMISSION SHALL DEFE ND ANY MEMBER , OFFICER, 12 
EXECUTIVE DIRECTO R, EMPLOYEE, AND REPRESENTATIVE O F THE COMMISSION IN 13 
ANY CIVIL ACTION SEE KING TO IMPOSE LIABI LITY ARISING OUT OF ANY ACTUAL OR 14 
ALLEGED ACT , ERROR, OR OMISSION THAT OCC URRED WITHIN THE SCO PE OF 15 
COMMISSION EMPLOYMENT , DUTIES, OR RESPONSIBILITIES , OR AS DETERMINED BY 16 
THE COMMISSION THAT THE P ERSON AGAINST WHOM T HE CLAIM IS MADE HAD A 17 
REASONABLE BASIS FOR BELIEVING OCCURRED W ITHIN THE SCOPE OF 18 
COMMISSION EMPLOYMENT , DUTIES, OR RESPONSIBILITIES , PROVIDED THAT 19 
NOTHING HEREIN SHALL BE CONSTRUED TO PROH IBIT THAT PE RSON FROM 20 
RETAINING THEIR OWN COUNSEL AT THEIR OWN EXPENSE, AND PROVIDED 21 
FURTHER, THAT THE ACTUAL OR A LLEGED ACT, ERROR, OR OMISSION DID NOT 22 
RESULT FROM THAT PER SON’S INTENTIONAL OR WIL LFUL OR WANTON 23 
MISCONDUCT . 24 
 
 (3) NOTWITHSTANDING SUBSE CTION (A) OF THIS SECTION, SHOULD 25 
ANY MEMBER , OFFICER, EXECUTIVE DIRECTOR , EMPLOYEE, OR REPRESENTATIVE 26 
OF THE COMMISSION BE HELD LI ABLE FOR THE AMOUNT OF ANY SETTLEMENT OR 27 
JUDGMENT ARISING OUT OF ANY ACTUAL OR ALL EGED ACT, ERROR, OR OMISSION 28 
THAT OCCURRED WITHIN THE SCOPE OF THAT INDIVIDUAL ’S EMPLOYMENT , DUTIES, 29 
OR RESPONSIBILITIES FOR THE COMMISSION, OR THAT THE PERSON T O WHOM THAT 30 
INDIVIDUAL IS LIABLE HAD A REASONABLE BAS IS FOR BELIEVING OCC URRED 31 
WITHIN THE SCOPE OF 	THE INDIVIDUAL ’S EMPLOYMENT , DUTIES, OR 32 
RESPONSIBILITIE S FOR THE COMMISSION, THE COMMISSION SHALL INDE MNIFY 33 
AND HOLD HARMLESS SU CH INDIVIDUAL, PROVIDED THAT THE AC TUAL OR ALLEGED 34 
ACT, ERROR, OR OMISSION DID NOT RESULT FROM THE INTE NTIONAL OR WILLFUL 35 
OR WANTON MISCONDUCT OF THE INDIVIDUAL .  36 
 
 (4) NOTHING HEREI N SHALL BE CONSTRUED AS A LIMITATION ON 37 
THE LIABILITY OF ANY LICENSEE FOR PROFESS IONAL MALPRACTICE OR 38 
MISCONDUCT , WHICH SHALL BE GOVER NED SOLELY BY ANY OT HER APPLICABLE 39 
STATE LAWS.  40   	SENATE BILL 21 	21 
 
 
 
 (5) NOTHING IN THIS COMPACT SHALL BE INTE RPRETED TO WAIVE 1 
OR OTHERWISE ABROGATE A PARTICIPA TING STATE’S STATE ACTION IMMUN ITY OR 2 
STATE ACTION AFFIRMA TIVE DEFENSE WITH RE SPECT TO ANTITRUST C LAIMS 3 
UNDER THE SHERMAN ACT, CLAYTON ACT, OR ANY OTHER STATE O R FEDERAL 4 
ANTITRUST OR ANTICOM PETITIVE LAW OR REGU LATION. 5 
 
 (6) NOTHING IN THIS COMPACT SHALL BE CONS TRUED TO BE A 6 
WAIVER OF SOVEREIGN IMMUNITY BY THE PART ICIPATING STATES OR BY THE 7 
COMMISSION.  8 
 
SECTION 8. DATA SYSTEM. 9 
 
 (A) THE COMMISSION SHALL PROV IDE FOR THE DEVELOPM	ENT, 10 
MAINTENANCE , OPERATION, AND UTILIZATION OF A COORDINATE D DATABASE AND 11 
REPORTING SYSTEM CON TAINING LICENSURE , ADVERSE ACTION , AND THE 12 
PRESENCE OF SIGNIFIC ANT INVESTIGATIVE IN FORMATION ON ALL LIC ENSEES AND 13 
APPLICANTS FOR A LIC ENSE IN PARTICIPATIN G STATES. 14 
 
 (B) NOTWITHSTANDING ANY O THER PROVISION OF ST ATE LAW TO THE 15 
CONTRARY, A PARTICIPATING STAT E SHALL SUBMIT A UNI FORM DATA SET TO THE 16 
DATA SYSTEM ON ALL I NDIVIDUALS TO WHOM T HIS COMPACT IS APPLICABLE AS 17 
REQUIRED BY THE RULE S OF THE COMMISSION, INCLUDING: 18 
 
 (1) IDENTIFYING INFORMATI ON;  19 
 
 (2) LICENSURE DATA ;  20 
 
 (3) ADVERSE ACTIONS AGAIN ST A LICENSEE, LICENSE APPLICANT , 21 
OR COMPACT PRIVILEGE AND INFORMATION RELA TED THERETO ;  22 
 
 (4) NONCONFIDENTIAL INFOR MATION RELATED TO AL TERNATIVE 23 
PROGRAM PARTICIPATIO N, THE BEGINNING AND EN DING DATES OF SUCH 24 
PARTICIPATION , AND OTHER INFORMATION RELA TED TO SUCH PARTICIP ATION;  25 
 
 (5) ANY DENIAL OF AN APPL ICATION FOR LICENSUR E, AND THE 26 
REASON(S) FOR SUCH DENIAL (EXCLUDING THE REPORT ING OF ANY CRIMINAL 27 
HISTORY RECORD INFOR MATION WHERE PROHIBI TED BY LAW);  28 
 
 (6) THE PRESENCE OF SIGNI FICANT INVESTIGATIVE INFORMATION ; 29 
AND  30 
  22 	SENATE BILL 21  
 
 
 (7) OTHER INFORMATION THA	T MAY FACILITATE THE 1 
ADMINISTRATION OF TH IS COMPACT OR THE PROTEC TION OF THE PUBLIC , AS 2 
DETERMINED BY THE RU LES OF THE COMMISSION.  3 
 
 (C) THE RECORDS AND INFOR MATION PROVIDED TO A PARTICIPATING 4 
STATE PURSUANT TO TH IS COMPACT OR THROUGH TH E DATA SYSTEM , WHEN 5 
CERTIFIED BY THE COMMISSION OR AN AGEN T THEREOF, SHALL CONSTITUTE THE 6 
AUTHENTICATED BUSINE SS RECORDS OF THE COMMISSION, AND SHALL BE 7 
ENTITLED TO ANY ASSOCIA TED HEARSAY EXCEPTIO N IN ANY RELEVANT JU DICIAL, 8 
QUASI–JUDICIAL, OR ADMINISTRATIVE PR OCEEDINGS IN A PARTI CIPATING STATE.  9 
 
 (D) SIGNIFICANT INVESTIGA TIVE INFORMATION PER TAINING TO A 10 
LICENSEE IN ANY PART ICIPATING STATE WILL ONLY BE AVAILA BLE TO OTHER 11 
PARTICIPATING STATES .  12 
 
 (E) IT IS THE RESPONSIBIL ITY OF THE PARTICIPA TING STATES TO MONIT OR 13 
THE DATABASE TO DETE RMINE WHETHER ADVERS E ACTION HAS BEEN TA KEN 14 
AGAINST A LICENSEE O R LICENSE APPLICANT . ADVERSE ACTION INFORM ATION 15 
PERTAINING TO A LI CENSEE OR LICENSE AP PLICANT IN ANY PARTI CIPATING STATE 16 
WILL BE AVAILABLE TO ANY OTHER PARTICIPAT ING STATE.  17 
 
 (F) PARTICIPATING STATES CONTRIBUTING INFORMA TION TO THE DATA 18 
SYSTEM MAY DESIGNATE INFORMATION THAT MAY NOT BE SHARED WITH T HE 19 
PUBLIC WITHOUT THE EXPRESS PERMISSION O F THE CONTRIBUTING S TATE.  20 
 
 (G) ANY INFORMATION SUBMI TTED TO THE DATA SYS TEM THAT IS 21 
SUBSEQUENTLY EXPUNGE D PURSUANT TO FEDERA L LAW OR THE LAWS OF THE 22 
PARTICIPATING STATE CONTRIBUTING THE INF ORMATION SHALL BE RE MOVED 23 
FROM THE DATA SYSTE M.  24 
 
SECTION 9. RULEMAKING. 25 
 
 (A) THE COMMISSION SHALL PROM ULGATE REASONABLE RU LES IN ORDER 26 
TO EFFECTIVELY AND E FFICIENTLY IMPLEMENT AND ADMINISTER THE P URPOSES 27 
AND PROVISIONS OF TH E COMPACT. A COMMISSION RULE SHALL BE INVALID AND 28 
HAVE NO FORCE OR EFF ECT ONLY IF A COURT OF CO MPETENT JURISDICTION HOLDS 29 
THAT THE RULE IS INV ALID BECAUSE THE COMMISSION EXERCISED ITS 30 
RULEMAKING AUTHORITY IN A MANNER THAT IS BEYOND THE SCOPE AND PURPOSES 31 
OF THE COMPACT, OR THE POWERS GRANTE D HEREUNDER , OR BASED UPON 32 
ANOTHER APPLI CABLE STANDARD OF RE VIEW.  33 
 
 (B) THE RULES OF THE COMMISSION SHALL HAVE THE FORCE OF LAW IN 34 
EACH PARTICIPATING S TATE, PROVIDED HOWEVER THA T WHERE THE RULES OF THE 35   	SENATE BILL 21 	23 
 
 
COMMISSION CONFLICT W ITH THE LAWS OF THE PARTICIPATING STATE THAT 1 
ESTABLISH THE PARTIC IPATING STATE’S SCOPE OF PRACTICE AS HELD BY A COURT 2 
OF COMPETENT JURISDI CTION, THE RULES OF THE COMMISSION SHALL BE 3 
INEFFECTIVE IN THAT STATE TO THE EXTENT OF THE CONFLICT . 4 
 
 (C) THE COMMISSION SHALL EXER CISE ITS RULEMAKING POWERS 5 
PURSUANT TO THE CRIT ERIA SET FORTH IN THIS SECTION AND THE RULES ADOPTE D 6 
THEREUNDER . RULES SHALL BECOME BI NDING AS OF THE DATE SPECIFIED BY THE 7 
COMMISSION FOR EACH R ULE. 8 
 
 (D) IF A MAJORITY OF THE LEGISLATURES OF THE PARTICIPATING STATES 9 
REJECTS A COMMISSION RULE OR PO RTION OF A COMMISSION RULE, BY 10 
ENACTMENT OF A STATU TE OR RESOLUTION IN THE SAME MANNER USED TO ADOPT 11 
THE COMPACT, WITHIN FOUR (4) YEARS OF THE DATE OF ADOPTION OF THE RULE , 12 
THEN SUCH RULE SHALL HAVE NO FURTHER FORC E AND EFFECT IN ANY 13 
PARTICIPATING STATE OR TO ANY STATE APPL YING TO PARTICIPATE IN THE 14 
COMPACT.  15 
 
 (E) RULES SHALL BE ADOPTE D AT A REGULAR OR SP ECIAL MEETING OF THE 16 
COMMISSION.  17 
 
 (F) PRIOR TO ADOPTION OF A PROPOSED RULE , THE COMMISSION SHALL 18 
HOLD A PUBLIC HEARIN G AND ALLOW PERSONS TO PROVIDE ORAL AND WRITTEN 19 
COMMENTS , DATA, FACTS, OPINIONS, AND ARGUMENTS .  20 
 
 (G) PRIOR TO ADOPTION OF A PROPOSED RULE BY T HE COMMISSION, AND 21 
AT LEAST THIRT Y (30) DAYS IN ADVANCE OF T HE MEETING AT WHICH THE 22 
COMMISSION WILL HOLD A PUBLIC HEARING ON THE PROPOSED RULE , THE 23 
COMMISSION SHALL PROV IDE A NOTICE OF PROP OSED RULEMAKING :  24 
 
 (1) ON THE WEBSITE OF THE COMMISSION OR OTHER P UBLICLY 25 
ACCESSIBLE PLATFORM ;  26 
 
 (2) TO PERSONS WHO HAVE R	EQUESTED NOTICE OF T HE 27 
COMMISSION’S NOTICES OF PROPOSE D RULEMAKING ; AND  28 
 
 (3) IN SUCH OTHER WAY (S) AS THE COMMISSION MAY BY RUL E 29 
SPECIFY.  30 
 
 (H) THE NOTICE OF PROPOSE D RULEMAKING SHALL I NCLUDE:  31 
 
 (1) THE TIME, DATE, AND LOCATI ON OF THE PUBLIC HEA RING AT 32 
WHICH THE COMMISSION WILL HEAR PUBLIC COMMENTS ON T HE PROPOSED RULE 33  24 	SENATE BILL 21  
 
 
AND, IF DIFFERENT, THE TIME, DATE, AND LOCATION OF THE MEETING WHERE THE 1 
COMMISSION WILL CONSI DER AND VOTE ON THE PROPOSED RULE ;  2 
 
 (2) IF THE HEARING IS HEL D VIA TELECOMMUNICATIO N, VIDEO 3 
CONFERENCE , OR OTHER ELECTRONIC MEANS, THE COMMISSION SHALL INCL UDE 4 
THE MECHANISM FOR AC CESS TO THE HEARING IN THE NOTICE OF PRO POSED 5 
RULEMAKING ;  6 
 
 (3) THE TEXT OF THE PROPO SED RULE AND THE REA SON THEREFOR ; 7 
 
 (4) A REQUEST FOR COMMENTS ON THE P ROPOSED RULE FROM AN Y 8 
INTERESTED PERSON ; AND 9 
 
 (5) THE MANNER IN WHICH I NTERESTED PERSONS MA Y SUBMIT 10 
WRITTEN COMMENTS .  11 
 
 (I) ALL HEARINGS WILL BE RECORDED. A COPY OF THE RECORDIN G AND 12 
ALL WRITTEN COMMENTS AND DOCUMENTS RECEIV ED BY THE COMMISSION IN 13 
RESPONSE TO THE PROP OSED RULE SHALL BE A VAILABLE TO THE PUBL IC.  14 
 
 (J) NOTHING IN THIS SECTI ON SHALL BE CONSTRUE D AS REQUIRING A 15 
SEPARATE HEARING ON EACH COMMISSION RULE . RULES MAY BE GROUPED FOR 16 
THE CONVENIENCE OF T HE COMMISSION AT HEARING S REQUIRED BY THIS SEC TION. 17 
 
 (K) (1) THE COMMISSION SHALL , BY MAJORITY VOTE OF 	ALL 18 
COMMISSIONERS , TAKE FINAL ACTION ON THE PROPOSED RULE BA SED ON THE 19 
RULEMAKING RECORD .  20 
 
 (2) THE COMMISSION MAY ADOPT CHANGES TO THE PROPO SED RULE 21 
PROVIDED THE CHANGES DO NOT ENLARGE THE ORIGI NAL PURPOSE OF THE 22 
PROPOSED RULE .  23 
 
 (3) THE COMMISSION SHALL PROV IDE AN EXPLANATION O F THE 24 
REASONS FOR SUBSTANT IVE CHANGES MADE TO THE PROPOSED RULE AS WELL AS 25 
REASONS FOR SUBSTANT IVE CHANGES NOT MADE THAT WERE RECOMMENDE D BY 26 
COMMENTE RS.  27 
 
 (4) THE COMMISSION SHALL DETE RMINE A REASONABLE E FFECTIVE 28 
DATE FOR THE RULE . EXCEPT FOR AN EMERGEN CY AS PROVIDED IN SU BSECTION (L) 29 
OF THIS SECTION, THE EFFECTIVE DATE O F THE RULE SHALL BE NO SOONER THAN 30 
THIRTY (30) DAYS AFTER THE COMMISSION ISSUING THE NOTICE THAT IT A DOPTED 31 
OR AMENDED THE RULE .  32 
   	SENATE BILL 21 	25 
 
 
 (L) UPON DETERMINATION TH AT AN EMERGENCY EXIS	TS, THE 1 
COMMISSION MAY CONSID ER AND ADOPT AN EMER GENCY RULE WITH 24 HOURS’ 2 
NOTICE, WITH OPPORTUNITY TO COMMENT, PROVIDED THAT THE US UAL 3 
RULEMAKING PROCEDURE S PROVIDED IN THE COMPACT AND IN THIS S ECTION 4 
SHALL BE RETROACTIVE LY APPLIED TO THE RU LE AS SOON AS REASON ABLY 5 
POSSIBLE, IN NO EVENT LATER TH AN NINETY (90) DAYS AFTER THE EFFEC TIVE DATE 6 
OF THE RULE. FOR THE PURPOSES OF T HIS PROVISION, AN EMERGENCY RULE IS ONE 7 
THAT MUST BE ADOPTED IMMEDIATELY IN ORDER TO:  8 
 
 (1) MEET AN IMMINENT THRE AT TO PUBLIC HEALTH , SAFETY, OR 9 
WELFARE;  10 
 
 (2) PREVENT A LOSS OF COMMISSION OR PARTICI PATING STATE 11 
FUNDS; 12 
 
 (3) MEET A DEADLINE FOR T HE PROMULGATION OF A RULE THAT IS 13 
ESTABLISHE D BY FEDERAL LAW OR RULE; OR  14 
 
 (4) PROTECT PUBLIC HEALTH AND SAFETY.  15 
 
 (M) THE COMMISSION OR AN AUTH ORIZED COMMITTEE OF THE 16 
COMMISSION MAY DIRECT REVISIONS TO A PREVI OUSLY ADOPTED RULE F OR 17 
PURPOSES OF CORRECTI NG TYPOGRAPHICAL ERR ORS, ERRORS IN FORMAT , 18 
ERRORS IN CONSISTENCY , OR GRAMMATICAL ERROR S. PUBLIC NOTICE OF ANY 19 
REVISIONS SHALL BE P OSTED ON THE WEBSITE OF THE COMMISSION. THE REVISION 20 
SHALL BE SUBJECT TO CHALLENGE BY ANY PER SON FOR A PERIOD OF THIRTY (30) 21 
DAYS AFTER POSTING . THE REVISION MAY BE C HALLENGED ONLY ON GROUND S 22 
THAT THE REVISION RE SULTS IN A MATERIAL CHANGE TO A RULE . A CHALLENGE 23 
SHALL BE MADE IN WRI TING AND DELIVERED T O THE COMMISSION PRIOR TO T HE 24 
END OF THE NOTICE PE RIOD. IF NO CHALLENGE IS MA DE, THE REVISION WILL TA KE 25 
EFFECT WITHOUT FURTH ER ACTION. IF THE REVISION IS CH ALLENGED, THE 26 
REVISION MAY NOT TAK E EFFECT WITHOUT THE APPROVAL OF THE COMMISSION.  27 
 
 (N) NO PARTICIPATING STAT E’S RULEMAKING REQUIRE MENTS SHALL 28 
APPLY UNDER THIS COMPACT. 29 
 
SECTION 10. OVERSIGHT, DISPUTE RESOLUTION, AND 30 
ENFORCEMENT. 31 
 
 (A) (1) THE EXECUTIVE AND JUD	ICIAL BRANCHES OF ST ATE 32 
GOVERNMENT IN EACH P ARTICIPATING STATE S HALL ENFORCE THIS COMPACT AND 33 
TAKE ALL ACTIONS NEC ESSARY AND APPROPRIA TE TO IMPLEMENT THE COMPACT.  34 
  26 	SENATE BILL 21  
 
 
 (2) VENUE IS PROPER AND J UDICIAL PROCEEDINGS BY OR AGAINST 1 
THE COMMISSION SHALL BE B ROUGHT SOLELY AND EX CLUSIVELY IN A COURT OF 2 
COMPETENT JURISDICTI ON WHERE THE PRINCIP AL OFFICE OF THE COMMISSION IS 3 
LOCATED. THE COMMISSION MAY WAIVE VENUE AND JURISDICTI ONAL DEFENSES 4 
TO THE EXTENT IT ADO PTS OR CONSENTS TO P ARTICIPATE IN ALTERN ATIVE 5 
DISPUTE RESOLUTION P ROCEEDINGS . NOTHING HEREIN SHALL AFFECT OR LIMIT 6 
THE SELECTION OR PRO PRIETY OF VENUE IN A NY ACTION AGAINST A LICENSEE FOR 7 
PROFESSIONAL MALPRAC TICE, MISCONDUCT , OR ANY SUCH SIMILAR MAT TER.  8 
 
 (3) THE COMMISSION SHALL BE E NTITLED TO RECEIVE S ERVICE OF 9 
PROCESS IN ANY PROCE	EDING REGARDING THE 	ENFORCEMENT OR 10 
INTERPRETATION OF TH E COMPACT OR COMMISSION RULE AND S HALL HAVE 11 
STANDING TO INTERVEN E IN SUCH A PROCEEDI NG FOR ALL PURPOSES. FAILURE TO 12 
PROVIDE THE COMMISSION SERVICE OF PROCESS SHALL RENDER A JUDGMENT OR 13 
ORDER VOID AS TO THE COMMISSION, THIS COMPACT, OR PROMULGATED RULES .  14 
 
 (B) (1) IF THE COMMISSION DETERMINES THAT A PARTICIPATING STATE 15 
HAS DEFAULTED IN THE PERFORM ANCE OF ITS OBLIGATI ONS OR RESPONSIBILIT IES 16 
UNDER THIS COMPACT OR THE PROMUL GATED RULES , THE COMMISSION SHALL 17 
PROVIDE WRITTEN NOTI CE TO THE DEFAULTING STATE. THE NOTICE OF DEFAULT 18 
SHALL DESCRIBE THE D EFAULT, THE PROPOSED MEANS O F CURING THE DEFAULT , 19 
AND ANY OTHER ACTION THAT THE COMMISSION MAY TAKE , AND SHALL OFFER 20 
TRAINING AND SPECIFI C TECHNICAL ASSISTAN CE REGARDING THE DEF AULT.  21 
 
 (2) THE COMMISSION SHALL PROV IDE A COPY OF THE NO TICE OF 22 
DEFAULT TO THE OTHER PARTICIPATING STATES .  23 
 
 (C) IF A STATE IN DEFAULT FAILS TO CURE TH E DEFAULT, THE DEFAULTING 24 
STATE MAY BE TERMINA TED FROM THE COMPACT UPON AN AFFIR MATIVE VOTE OF 25 
A MAJORITY OF THE CO MMISSIONERS , AND ALL RIGHTS, PRIVILEGES, AND BENEFITS 26 
CONFERRED ON THAT ST ATE BY THIS COMPACT MAY BE TERMIN ATED ON THE 27 
EFFECTIVE DATE OF TERM INATION. A CURE OF THE DEFAULT DOES NOT RELIEVE 28 
THE OFFENDING STATE OF OBLIGATIONS OR LI ABILITIES INCURRED D URING THE 29 
PERIOD OF DEFAULT .  30 
 
 (D) TERMINATION OF PARTIC IPATION IN THE COMPACT SHALL BE IMPO SED 31 
ONLY AFTER ALL OTHER MEANS OF S ECURING COMPLIANCE H AVE BEEN 32 
EXHAUSTED. NOTICE OF INTENT TO S USPEND OR TERMINATE SHALL BE GIVEN BY 33 
THE COMMISSION TO THE GOV ERNOR, THE MAJORITY AND MIN ORITY LEADERS OF 34 
THE DEFAULTING STATE ’S LEGISLATURE , THE DEFAULTING STATE ’S STATE 35 
LICENSING AUTHORITY OR AUTHORITIES, AS APPLICABLE , AND EACH OF THE 36 
PARTICIPATING STATES ’ STATE LICENSING AUTH ORITY OR AUTHORITIES , AS 37 
APPLICABLE.  38   	SENATE BILL 21 	27 
 
 
  
 (E) A STATE THAT HAS BEEN TERMINATED IS RESPON SIBLE FOR ALL 1 
ASSESSMENTS , OBLIGATIONS, AND LIABILITIES INCU RRED THROUGH THE 2 
EFFECTIVE DATE OF TERMINAT ION, INCLUDING OBLIGATION S THAT EXTEND 3 
BEYOND THE EFFECTIVE DATE OF TERMINATION .  4 
 
 (F) UPON THE TERMINATION OF A STATE ’S PARTICIPATION IN T HIS 5 
COMPACT, THAT STATE SHALL IMM EDIATELY PROVIDE NOT ICE TO ALL LICENSEES 6 
OF THE STATE, INCLUDING LICENSEES OF OTHER PARTICIPATING STATES ISSUED A 7 
COMPACT PRIVILEGE TO PRACTICE WITHIN THAT STATE, OF SUCH TERMINATION . 8 
THE TERMINATED STATE SHALL CONTINUE TO RE COGNIZE ALL COMPACT 9 
PRIVILEGES THEN IN E FFECT IN THAT STATE FOR A MINIMUM OF ONE HUNDRED 10 
EIGHTY (180) DAYS AFTER THE DATE OF SAID NOTICE OF TE RMINATION.  11 
 
 (G) THE COMMISSION SHALL NOT BEAR ANY COSTS RELAT ED TO A STATE 12 
THAT IS FOUND TO BE IN DEFAULT OR THAT H AS BEEN TERMINATED F ROM THE 13 
COMPACT, UNLESS AGREED UPON I N WRITING BETWEEN TH E COMMISSION A ND THE 14 
DEFAULTING STATE . 15 
 
 (H) THE DEFAULTING STATE MAY APPEAL THE ACTIO N OF THE COMMISSION 16 
BY PETITIONING THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF 17 
COLUMBIA OR THE FEDER AL DISTRICT WHERE TH E COMMISSION HAS ITS 18 
PRINCIPAL OFFICES . THE PREVAILING PARTY SHALL BE AWARD ED ALL COSTS OF 19 
SUCH LITIGATION , INCLUDING REASONABLE ATTORNEY’S FEES.  20 
 
 (I) (1) UPON REQUEST BY A PAR TICIPATING STATE , THE COMMISSION 21 
SHALL ATTEMPT TO RES OLVE DISPUTES RELATE D TO THE COMPACT THAT ARISE 22 
AMONG PARTICIPATING STATES AND B ETWEEN PARTICIPATING STATES AND  23 
NONPARTICIPATING STA TES.  24 
 
 (2) THE COMMISSION SHALL PROM ULGATE A RULE PROVID ING FOR 25 
BOTH MEDIATION AND B INDING DISPUTE RESOL UTION FOR DISPUTES A S 26 
APPROPRIATE .  27 
 
 (J) (1) THE COMMISSION, IN THE REASONABLE EX ERCISE OF ITS 28 
DISCRETION, SHALL ENFORCE THE PR OVISIONS OF THIS COMPACT AND THE 29 
COMMISSION’S RULES.  30 
 
 (2) BY MAJORITY VOTE , THE COMMISSION MAY INITIA TE LEGAL 31 
ACTION AGAINST A PAR TICIPATING STATE IN DEFAULT IN THE UNITED STATES 32 
DISTRICT COURT FOR THE DISTRICT OF COLUMBIA OR THE FEDER AL DISTRICT 33 
WHERE THE COMMISSION HAS ITS PR INCIPAL OFFICES TO E NFORCE COMPLIANC E 34 
WITH THE PROVISIONS OF THE COMPACT AND ITS PROMU LGATED RULES . THE 35  28 	SENATE BILL 21  
 
 
RELIEF SOUGHT MAY IN CLUDE BOTH INJUNCTIV E RELIEF AND DAMAGES . IN THE 1 
EVENT JUDICIAL ENFOR CEMENT IS NECESSARY , THE PREVAILING PARTY SHALL BE 2 
AWARDED ALL COSTS OF SUCH LITIGATION , INCLUDING REASONABLE ATTORNEY ’S 3 
FEES. THE REMEDIES HEREIN S HALL NOT BE THE EXCL USIVE REMEDIES OF TH E 4 
COMMISSION. THE COMMISSION MAY PURSUE ANY OTHER REMEDIES A VAILABLE 5 
UNDER FEDERAL OR THE DEFAULTING PARTICIPA TING STATE’S LAW.  6 
 
 (3) A PARTICIPATING STATE MAY INITIATE LEGAL ACTION AGA INST 7 
THE COMMISSION IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF 8 
COLUMBIA OR THE FEDER AL DISTRICT WHERE TH E COMMISSION HAS ITS 9 
PRINCIPAL OFFICES TO ENFORCE COMPLIANCE W ITH THE PROVISIONS O F THE 10 
COMPACT AND ITS PROMU LGATED RUL ES. THE RELIEF SOUGHT MAY INCLUDE BOTH 11 
INJUNCTIVE RELIEF AN D DAMAGES . IN THE EVENT JUDICIAL ENFORCEMENT IS 12 
NECESSARY, THE PREVAILING PARTY SHALL BE AWARDED ALL COSTS OF SUCH 13 
LITIGATION, INCLUDING REASONABLE ATTORNEY’S FEES.  14 
 
 (4) NO INDIVIDUAL OR ENTI TY OTHER THAN A PARTICI PATING STATE 15 
MAY ENFORCE THIS COMPACT AGAINST THE COMMISSION.  16 
 
SECTION 11. EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT. 17 
 
 (A) (1) THE COMPACT SHALL COME IN TO EFFECT ON THE DAT E ON 18 
WHICH THE COMPACT STATUTE IS EN ACTED INTO LAW IN TH E SEVENTH 19 
PARTICIPATING STATE .  20 
 
 (2) (I) ON OR AFTER THE EFFEC TIVE DATE OF THE COMPACT, THE 21 
COMMISSION SHALL CONV ENE AND REVIEW THE E NACTMENT OF EACH OF THE 22 
STATES THAT ENACTED THE COMPACT PRIOR TO THE COMMISSION CONVENING 23 
(“CHARTER PARTICIPATING STATES”) TO DETERMINE IF THE STAT UTE ENACTED BY 24 
EACH SUCH CHARTER PARTICIPATING STATE IS MATERIALLY D IFFERENT THAN THE 25 
MODEL COMPACT.  26 
 
 (II) A CHARTER PARTICIPATING STATE WHOSE ENACTMENT IS 27 
FOUND TO BE MATERIAL LY DIFFERENT FROM TH E MODEL COMPACT SHALL BE 28 
ENTITLED TO THE DEFAULT PROCESS SET FORTH IN SECTION 10 OF THIS COMPACT.  29 
 
 (III) IF ANY PARTICIPATING STATE IS LATER FOUND TO BE IN 30 
DEFAULT, OR IS TERMINATED OR WITHDRAWS FROM THE COMPACT, THE 31 
COMMISSION SHALL REMA IN IN EXISTENCE AND THE COMPACT SHALL REMAIN IN 32 
EFFECT EVEN IF THE NUM BER OF PARTICIPATING STATES SHOULD BE LES S THAN 33 
SEVEN (7).  34 
   	SENATE BILL 21 	29 
 
 
 (3) PARTICIPATING STATES ENACTING THE COMPACT SUBSEQUENT 1 
TO THE CHARTER PARTICIPATING STATES SHALL BE SUBJE CT TO THE PROCESS SE T 2 
FORTH IN SECTION 7(C) OF THIS COMPACT TO DET ERMINE IF THEIR ENAC TMENTS 3 
ARE MATERIALLY DIFFE RENT FROM THE MODEL COMPACT AND WHETHER T HEY 4 
QUALIFY FOR PARTICIP ATION IN THE COMPACT.  5 
 
 (4) ALL ACTIONS TAKEN FOR THE BENEFIT OF THE COMMISSION OR 6 
IN FURTHERANCE OF TH E PURPOSES OF THE AD MINISTRATION OF THE COMPACT 7 
PRIOR TO THE EFFECTI VE DATE OF THE COMPACT OR THE COMMISSION COMING 8 
INTO EXISTENCE SHALL BE CONSIDERED TO BE ACTIONS OF THE COMMISSION 9 
UNLESS SPECIFICALLY REPUDIATED BY THE COMMISSION.  10 
 
 (5) ANY STATE THAT JOINS THE COMPACT SUBSEQUENT TO THE 11 
COMMISSION’S INITIAL ADOPTION O F THE RULES AND BYLA WS SHALL BE SUBJECT 12 
TO THE COMMISSION’S RULES AND BYLAWS A S THEY EXIST ON THE DATE ON WHICH 13 
THE COMPACT BECOMES LAW I N THAT STATE . ANY RULE THAT HAS BEE N 14 
PREVIOUSLY ADOPTED B Y THE COMMISSION SHALL HAVE THE FULL FORCE AND 15 
EFFECT OF LAW ON THE DAY THE COMPACT BECOMES LAW I N THAT STATE.  16 
 
 (B) (1) ANY PARTICIPATING STA TE MAY WITHDRAW FROM THIS 17 
COMPACT BY ENACTING A STATUTE REPEALING TH AT STATE’S ENACTMENT OF THE 18 
COMPACT.  19 
 
 (2) A PARTICIPATING STATE ’S WITHDRAWAL SHALL NOT TAKE 20 
EFFECT UNTIL ONE HUN DRED EIGHTY (180) DAYS AFTER ENACTMENT OF THE 21 
REPEALING STATUTE .  22 
 
 (3) WITHDRAWAL SHALL NOT 	AFFECT THE CONTINUIN G 23 
REQUIREMENT OF THE W ITHDRAWING STATE ’S LICENSING AUTHORIT Y OR 24 
AUTHORITIES TO COMPL Y WITH THE INVESTIGA TIVE AND ADVERSE ACT ION 25 
REPORTING REQUIREMEN TS OF THIS COMPACT PRIOR TO THE EFFECTIVE DATE OF 26 
WITHDRAWAL .  27 
 
 (4) UPON THE ENACTMENT OF A STATUTE WITHDRAWIN G FROM THIS 28 
COMPACT, THE STATE SHALL IMME DIATELY PROVIDE NOTI CE OF SUCH 29 
WITHDRAWAL TO ALL LI CENSEES WITHIN THAT STATE. NOTWITHSTANDING ANY 30 
SUBSEQUENT STATUTORY ENACTMENT TO THE CON TRARY, SUCH WITHDRAWING 31 
STATE SHALL CONTINUE TO REC OGNIZE ALL COMPACT P RIVILEGES TO PRACTIC E 32 
WITHIN THAT STATE GR ANTED PURSUANT TO TH IS COMPACT FOR A MINIMUM OF 33 
ONE HUNDRED EIGHTY (180) DAYS AFTER THE DATE OF SUCH NOTICE OF 34 
WITHDRAWAL .  35 
  30 	SENATE BILL 21  
 
 
 (C) NOTHING CONTAINED IN THIS COMPACT SHALL BE C ONSTRUED TO 1 
INVALIDATE OR PREVEN T ANY LICENSURE AGRE EMENT OR OTHER COOPE RATIVE 2 
ARRANGEMENT BETWEEN A PARTICIPATING STAT E AND A NONPARTICIPA TING 3 
STATE THAT DOES NOT CONFLICT WITH THE PR OVISIONS OF THIS COMPACT.  4 
 
 (D) THIS COMPACT MAY BE AMENDE D BY THE PART ICIPATING STATES . NO 5 
AMENDMENT TO THIS COMPACT SHALL BECOME EFFECTIVE AND BINDIN G UPON 6 
ANY PARTICIPATING ST ATE UNTIL IT IS ENAC TED INTO THE LAWS OF ALL 7 
PARTICIPATING STATES .  8 
 
SECTION 12. CONSTRUCTION AND SEVERABILITY. 9 
 
 (A) THIS COMPACT AND THE COMMISSION’S RULEMAKING AUTHORI TY 10 
SHALL BE LIBERALLY C ONSTRUED SO AS TO EF FECTUATE THE PURPOSE S AND THE 11 
IMPLEMENTATION AND A DMINISTRATION OF THE COMPACT. PROVISIONS OF THE 12 
COMPACT EXPRESSLY AUT HORIZING OR REQUIRIN G THE PROMULGATION O F RULES 13 
SHALL NOT BE CONSTRU ED TO LIMIT THE COMMISSION’S RULEMAKING AUTHORI TY 14 
SOLELY FOR THOSE PUR POSES.  15 
 
 (B) THE PROVISIONS OF THI S COMPACT SHALL BE SEVE RABLE AND IF ANY 16 
PHRASE, CLAUSE, SENTENCE, OR PROVISION OF THIS COMPACT IS HELD BY A COURT 17 
OF COMPETENT JURISDI CTION TO BE CONTRARY TO THE CONSTITUTION O F ANY 18 
PARTICIPATING STATE , A STATE SEEKING PART ICIPATION IN THE COMPACT, OR OF 19 
THE UNITED STATES, OR THE APPLICABILITY THEREOF TO ANY GOVER NMENT, 20 
AGENCY, PERSON, OR CIRCUMSTANCE IS H ELD TO BE UNCONSTITU TIONAL BY A 21 
COURT OF COMPETENT J URISDICTION, THE VALIDITY OF THE REMAINDER OF THIS 22 
COMPACT AND THE APPLI CABILITY THEREOF TO ANY OTHER GOVERNMENT , 23 
AGENCY, PERSON, OR CIRCUMSTANCE SHAL L NOT BE AFFECTED TH EREBY.  24 
 
 (C) NOTWITHSTANDING SUBSE CTION (B) OF THIS SECTION , THE 25 
COMMISSION MAY DENY A STATE’S PARTICIPATION IN T HE COMPACT OR , IN 26 
ACCORDANCE WITH THE REQUIREMENTS OF SECTION 10(B) OF THIS COMPACT, 27 
TERMINATE A PARTICIP ATING STATE’S PARTICIPATION IN T HE COMPACT, IF IT 28 
DETERMINES THAT A CON STITUTIONAL REQUIREM ENT OF A PARTICIPATI NG STATE 29 
IS A MATERIAL DEPART URE FROM THE COMPACT. OTHERWISE, IF THIS COMPACT 30 
SHALL BE HELD TO BE CONTRARY TO THE CONS TITUTION OF ANY PART ICIPATING 31 
STATE, THE COMPACT SHALL REMAIN IN FULL FORCE AN D EFFECT AS TO THE 32 
REMAINING PARTICIPAT ING STATES AND IN FU LL FORCE AND EFFECT AS TO THE 33 
PARTICIPATING STATE AFFECTED AS TO ALL S EVERABLE MATTERS .  34 
 
SECTION 13. CONSISTENT EFFECT AND CONFLICT WITH OTHER 35 
STATE LAWS. 36 
   	SENATE BILL 21 	31 
 
 
 (A) NOTHING HEREIN SHALL PREVENT OR INH IBIT THE ENFORCEMENT OF 1 
ANY OTHER LAW OF A P ARTICIPATING STATE T HAT IS NOT INCONSIST ENT WITH THE 2 
COMPACT.  3 
 
 (B) ANY LAWS , STATUTES, REGULATIONS , OR OTHER LEGAL 4 
REQUIREMENTS IN A PA RTICIPATING STATE IN CONFLICT WITH THE COMPACT ARE 5 
SUPERSEDED TO THE EX TENT OF THE CONFLICT .  6 
 
 (C) ALL PERMISSIBLE AGREE MENTS BETWEEN THE COMMISSION AND THE 7 
PARTICIPATING STATES ARE BINDING IN ACCOR DANCE WITH THEIR TER MS.  8 
 
 SECTION 2. AND BE IT FURTHER ENACTED, That this Act is contingent on the 9 
enacting of substantially similar legislation in seven other states. The Maryland 10 
Department of Health shall notify the Department of Legislative Services within 10 days 11 
after seven states have enacted legislation that is substantially similar to this Act. 12 
 
 SECTION 3. AND BE IT FURTHER ENACTED, That, subject to Section 2 of this 13 
Act, this Act shall take effect October 1, 2025. 14