FIRSTREGULARSESSION
HOUSECOMMITTEESUBSTITUTEFOR
SENATESUBSTITUTEFOR
SENATECOMMITTEESUBSTITUTEFOR
SENATEBILLNO.157
102NDGENERALASSEMBLY
0779H.05C DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsections191.500,191.505,191.510,191.515,191.520,191.525,191.530,191.535,
191.540,191.545,191.550,191.600,191.828,191.831,195.070,195.100,324.520,
329.010,334.036,334.043,334.100,334.104,334.506,334.613,334.735,334.747,
335.016,335.019,335.036,335.046,335.051,335.056,335.076,335.086,335.175,
335.203,335.212,335.215,335.218,335.221,335.224,335.227,335.230,335.233,
335.236,335.239,335.242,335.245,335.248,335.251,335.254,335.257,337.510,
337.615,337.644,and337.665,RSMo,andtoenactinlieuthereofseventy-eightnew
sectionsrelatingtoprofessionsrequiringlicensure,withpenaltyprovisions.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Sections191.500,191.505,191.510,191.515,191.520,191.525,191.530,
2191.535,191.540,191.545,191.550,191.600,191.828,191.831,195.070,195.100,324.520,
3329.010,334.036,334.043,334.100,334.104,334.506,334.613,334.735,334.747,335.016,
4335.019,335.036,335.046,335.051,335.056,335.076,335.086,335.175,335.203,335.212,
5335.215,335.218,335.221,335.224,335.227,335.230,335.233,335.236,335.239,335.242,
6335.245,335.248,335.251,335.254,335.257,337.510,337.615,337.644,and337.665,
7RSMo,arerepealedandseventy-eightnewsectionsenactedinlieuthereof,tobeknownas
8sections191.430,191.435,191.440,191.445,191.450,191.600,191.828,191.831,195.070,
9195.100,324.520,329.010,329.280,334.036,334.043,334.100,334.104,334.506,334.613,
10334.735,334.747,334.1600,334.1605,334.1610,334.1615,334.1620,334.1625,334.1630,
11334.1635,334.1640,334.1645,334.1650,334.1655,334.1660,334.1665,334.1670,
12334.1675,334.1680,334.1685,334.1690,334.1695,334.1700,334.1705,334.1710,
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 13334.1715,334.1720,335.016,335.019,335.036,335.046,335.051,335.056,335.076,
14335.086,335.175,335.203,335.205,337.510,337.550,337.615,337.644,337.665,
15337.1000,337.1005,337.1010,337.1015,337.1020,337.1025,337.1030,337.1035,
16337.1040,337.1045,337.1050,337.1055,337.1060,337.1065,337.1070,and337.1075,to
17readasfollows:
191.430.1.Thereisherebyestablishedwithinthedepartmentofhealthand
2seniorservicesthe"HealthProfessionalLoanRepaymentProgram"toprovide
3forgivableloansforthepurposeofrepayingexistingloansrelatedtoapplicable
4educationalexpensesforhealthcare,mentalhealth,andpublichealthprofessionals.
5Thedepartmentofhealthandseniorservicesshallbetheadministrativeagencyforthe
6implementationoftheprogramestablishedbythissection.
7 2.Thedepartmentofhealthandseniorservicesshallprescribetheformandthe
8timeandmethodoffilingapplicationsandsupervisetheprocessing,includingoversight
9andmonitoringoftheprogram,andshallpromulgaterulestoimplementtheprovisions
10ofsections191.430to191.450.Anyruleorportionofarule,asthattermisdefinedin
11section536.010,thatiscreatedundertheauthoritydelegatedinthissectionshall
12becomeeffectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter
13536and,ifapplicable,section536.028.Thissectionandchapter536arenonseverable
14andifanyofthepowersvestedwiththegeneralassemblypursuanttochapter536to
15review,todelaytheeffectivedate,ortodisapproveandannularulearesubsequently
16heldunconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor
17adoptedafterAugust28,2023,shallbeinvalidandvoid.
18 3.Thedirectorofthedepartmentofhealthandseniorservicesshallhavethe
19discretiontodeterminethehealthprofessionalsandpractitionerswhowillreceive
20forgivablehealthprofessionalloansfromthedepartmenttopaytheirexistingloans.
21Thedirectorshallmakesuchdeterminationseachfiscalyearbasedonevidence
22associatedwiththegreatestneedsinthebestinterestsofthepublic.Thehealthcare,
23mentalhealth,andpublichealthprofessionalsordisciplinesfundedinanygivenyear
24shallbecontingentuponconsultationwiththeofficeofworkforcedevelopmentinthe
25departmentofhighereducationandworkforcedevelopmentandthedepartmentof
26mentalhealth,ortheirsuccessoragencies.
27 4.Thedepartmentofhealthandseniorservicesshallenterintoacontractwith
28eachselectedapplicantwhoreceivesahealthprofessionalloanunderthissection.Each
29selectedapplicantshallapplytheloanawardtohisorhereducationaldebt.The
30contractshalldetailthemethodsofforgivenessassociatedwithaserviceobligationand
31thetermsassociatedwiththeprincipalandinterestaccruingontheloanatthetimeof
32theaward.Thecontractshallcontaindetailsconcerninghowforgivenessisearned,
HCSSSSCSSB157 2 33includingwhenpartialforgivenessisearnedthroughaserviceobligation,andtheterms
34andconditionsassociatedwithrepaymentoftheloansforanyobligationnotserved.
35 5.Allhealthprofessionalloansshallbemadefromfundsappropriatedbythe
36generalassemblytothehealthprofessionalloanincentivefundestablishedinsection
37191.445.
191.435.Thedepartmentofhealthandseniorservicesshalldesignatecounties,
2communities,orsectionsofareasinthestateasareasofdefinedneedforhealthcare,
3mentalhealth,andpublichealthservices.Ifacounty,community,orsectionofanarea
4hasbeendesignatedordeterminedasaprofessionalshortagearea,ashortagearea,ora
5healthcare,mentalhealth,orpublichealthprofessionalshortageareabythefederal
6DepartmentofHealthandHumanServicesoritssuccessoragency,thedepartmentof
7healthandseniorservicesshalldesignateitasanareaofdefinedneedunderthissection.
8Ifthedirectorofthedepartmentofhealthandseniorservicesdeterminesthatacounty,
9community,orsectionofanareahasanextraordinaryneedforhealthcareprofessional
10serviceswithoutacorrespondingsupplyofsuchprofessionals,thedepartmentofhealth
11andseniorservicesmaydesignateitasanareaofdefinedneedunderthissection.
191.440.1.Thedepartmentofhealthandseniorservicesshallenterintoa
2contractwitheachindividualqualifyingforaforgivableloanundersections191.430to
3191.450.Thewrittencontractbetweenthedepartmentandtheindividualshallcontain,
4butnotbelimitedto,thefollowing:
5 (1)Anagreementthatthestateagreestoawardaloanandtheindividualagrees
6toserveforaperiodequaltotwoyears,oralongerperiodastheindividualmayagree
7to,inanareaofdefinedneedasdesignatedbythedepartment,withsuchserviceperiod
8tobeginonthedateidentifiedonthesignedcontract;
9 (2)Aprovisionthatanyfinancialobligationsarisingoutofacontractentered
10intoandanyobligationoftheindividualthatisconditionedthereoniscontingentupon
11fundsbeingappropriatedforloans;
12 (3)Theareaofdefinedneedwherethepersonwillpractice;
13 (4)Astatementofthedamagestowhichthestateisentitledfortheindividual's
14breachofthecontract;and
15 (5)Suchotherstatementsoftherightsandliabilitiesofthedepartmentandof
16theindividualnotinconsistentwithsections191.430to191.450.
17 2.Thedepartmentofhealthandseniorservicesmaystipulatespecificpractice
18sites,contingentupondepartment-generatedhealthcare,mentalhealth,andpublic
19healthprofessionalneedpriorities,whereapplicantsshallagreetopracticeforthe
20durationoftheirparticipationintheprogram.
HCSSSSCSSB157 3 191.445.Thereisherebycreatedinthestatetreasurythe"HealthProfessional
2LoanIncentiveFund",whichshallconsistofanyappropriationsmadebythegeneral
3assembly,allfundsrecoveredfromanindividualundersection191.450,andallfunds
4generatedbyloanrepaymentsreceivedundersections191.430to191.450.Thestate
5treasurershallbecustodianofthefund.Inaccordancewithsections30.170and30.180,
6thestatetreasurermayapprovedisbursements.Thefundshallbeadedicatedfundand,
7uponappropriation,moneysinthisfundshallbeusedsolelybythedepartmentof
8healthandseniorservicestoprovideloansundersections191.430to191.450.
9Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys
10remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe
11generalrevenuefund.Thestatetreasurershallinvestmoneysinthefundinthesame
12mannerasotherfundsareinvested.Anyinterestandmoneysearnedonsuch
13investmentsshallbecreditedtothefund.
191.450.1.Anindividualwhoentersintoawrittencontractwiththe
2departmentofhealthandseniorservices,asdescribedinsection191.440,andwhofails
3tomaintainanacceptableemploymentstatusshallbeliabletothestateforanyamount
4awardedasaloanbythedepartmentdirectlytotheindividualwhoenteredintothe
5contractthathasnotyetbeenforgiven.
6 2.Anindividualfailstomaintainanacceptableemploymentstatusunderthis
7sectionwhenthecontractedindividualinvoluntarilyorvoluntarilyterminates
8qualifyingemployment,isdismissedfromsuchemploymentbeforecompletionofthe
9contractualserviceobligationwithinthespecifictimeframeoutlinedinthecontract,or
10failstorespondtorequestsmadebythedepartment.
11 3.Ifanindividualbreachesthewrittencontractoftheindividualbyfailingto
12beginorcompletesuchindividual'sserviceobligation,thestateshallbeentitledto
13recoverfromtheindividualanamountequaltothesumof:
14 (1)Thetotalamountoftheloanawardedbythedepartmentor,ifthe
15departmenthadalreadyawardedpartialforgivenessatthetimeofthebreach,the
16amountoftheloannotyetforgiven;
17 (2)Theinterestontheamountthatwouldbepayableifatthetimetheloanwas
18awardeditwasaloanbearinginterestatthemaximumprevailingrateasdeterminedby
19theTreasureroftheUnitedStates;
20 (3)Anamountequaltoanydamagesincurredbythedepartmentasaresultof
21thebreach;and
22 (4)Anylegalfeesorassociatedcostsincurredbythedepartmentorthestateof
23Missouriinthecollectionofdamages.
HCSSSSCSSB157 4 191.600.1.Sections191.600to191.615establishaloanrepaymentprogramfor
2graduatesofapprovedmedicalschools,schoolsofosteopathicmedicine,schoolsofdentistry
3andaccreditedchiropracticcollegeswhopracticeinareasofdefinedneedandshallbeknown
4asthe"HealthProfessionalStudentLoanRepaymentProgram".Sections191.600to191.615
5shallapplytograduatesofaccreditedchiropracticcollegeswhenfederalguidelinesfor
6chiropracticshortageareasaredeveloped.
7 2.The"HealthProfessionalStudentLoanandLoanRepaymentProgramFund"is
8herebycreatedinthestatetreasury.Allfundsrecoveredfromanindividualpursuantto
9section191.614andallfundsgeneratedbyloanrepaymentsandpenaltiesreceivedpursuant
10tosection191.540shallbecreditedtothefund.Themoneysinthefundshallbeusedbythe
11departmentofhealthandseniorservicestoprovideloanrepaymentspursuanttosection
12191.611inaccordancewithsections191.600to191.614[andtoprovideloanspursuantto
13sections191.500to191.550].
191.828.1.Thefollowingdepartmentsshallconducton-goingevaluationsofthe
2effectoftheinitiativesenactedbythefollowingsections:
3 (1)Thedepartmentofcommerceandinsuranceshallevaluatetheeffectofrevising
4section376.782andsections143.999,208.178,374.126,and376.891to376.894;
5 (2)Thedepartmentofhealthandseniorservicesshallevaluatetheeffectofrevising
6sections105.711and[sections191.520and]191.600andenactingsection191.411,and
7sections167.600to167.621,191.231,208.177,431.064,and660.016.Incollaborationwith
8thestateboardofregistrationforthehealingarts,thestateboardofnursing,andthestate
9boardofpharmacy,thedepartmentofhealthandseniorservicesshallalsoevaluatetheeffect
10ofrevisingsection195.070,section334.100,andsection335.016,andofsections334.104
11and334.112,andsection338.095and338.198;
12 (3)Thedepartmentofsocialservicesshallevaluatetheeffectofrevisingsection
13198.090,andsections208.151,208.152and208.215,andsection383.125,andofsections
14167.600to167.621,208.177,208.178,208.179,208.181,and211.490;
15 (4)Theofficeofadministrationshallevaluatetheeffectofrevisingsections105.711
16and105.721;
17 (5)TheMissouriconsolidatedhealthcareplanshallevaluatetheeffectofsection
18103.178;and
19 (6)Thedepartmentofmentalhealthshallevaluatetheeffectofsection191.831asit
20relatestosubstanceabusetreatmentandofsection191.835.
21 2.Thedepartmentofrevenueandofficeofadministrationshallmakebiannualreports
22tothegeneralassemblyandthegovernorconcerningtheincomereceivedintothehealth
23initiativesfundandtheleveloffundingrequiredtooperatetheprogramsandinitiatives
24fundedbythehealthinitiativesfundatanoptimallevel.
HCSSSSCSSB157 5 191.831.1.Thereisherebyestablishedinthestatetreasurya"HealthInitiatives
2Fund",towhichshallbedepositedallrevenuesdesignatedforthefundundersubsection8of
3section149.015,andsubsection3ofsection149.160,andsection167.609,andallotherfunds
4donatedtothefundorotherwisedepositedpursuanttolaw.Thestatetreasurershall
5administerthefund.Moneyinthefundshallbeappropriatedtoprovidefundingfor
6implementingthenewprogramsandinitiativesestablishedbysections105.711and105.721.
7Themoneysinthefundmayfurtherbeusedtofundthoseprogramsestablishedbysections
8191.411[,191.520] and191.600,sections208.151and208.152,andsections103.178,
9143.999,167.600to167.621,188.230,191.211,191.231,191.825to191.839,192.013,
10208.177,208.178,208.179and208.181,211.490,285.240,337.093,374.126,376.891to
11376.894,431.064,660.016,660.017and660.018;inaddition,notlessthanfifteenpercentof
12theproceedsdepositedtothehealthinitiativefundpursuanttosections149.015and149.160
13shallbeappropriatedannuallytoprovidefundingfortheC-STARsubstanceabuse
14rehabilitationprogramofthedepartmentofmentalhealth,oritssuccessorprogram,andaC-
15STARpilotprojectdevelopedbythedirectorofthedivisionofalcoholanddrugabuseand
16thedirectorofthedepartmentofcorrectionsasanalternativetoincarceration,asprovidedin
17subsections2,3,and4ofthissection.Suchpilotprojectshallbeknownasthe"Alt-care"
18program.Inaddition,someoftheproceedsdepositedtothehealthinitiativesfundpursuantto
19sections149.015and149.160shallbeappropriatedannuallytothedivisionofalcoholand
20drugabuseofthedepartmentofmentalhealthtobeusedfortheadministrationandoversight
21ofthesubstanceabusetraffic[offenders] offenderprogramdefinedinsection302.010[and
22section577.001]. Theprovisionsofsection33.080tothecontrarynotwithstanding,moneyin
23thehealthinitiativesfundshallnotbetransferredatthecloseofthebienniumtothegeneral
24revenuefund.
25 2.Thedirectorofthedivisionofalcoholanddrugabuseandthedirectorofthe
26departmentofcorrectionsshalldevelopandadministerapilotprojecttoprovidea
27comprehensivesubstanceabusetreatmentandrehabilitationprogramasanalternativeto
28incarceration,hereinafterreferredtoas"Alt-care".Alt-careshallbefundedusingmoney
29providedundersubsection1ofthissectionthroughtheMissouriMedicaidprogram,theC-
30STARprogramofthedepartmentofmentalhealth,andthedivisionofalcoholanddrug
31abuse'spurchase-of-servicesystem.Alt-careshallofferaflexiblecombinationofclinical
32servicesandlivingarrangementsindividuallyadaptedtoeachclientandherchildren.Alt-
33careshallconsistofthefollowingcomponents:
34 (1)Assessmentandtreatmentplanning;
35 (2)Communitysupporttoprovidecontinuity,monitoringofprogressandaccessto
36servicesandresources;
37 (3)Counselingfromindividualtofamilytherapy;
HCSSSSCSSB157 6 38 (4)Daytreatmentserviceswhichincludeaccessibilitysevendaysperweek,
39transportationtoandfromtheAlt-careprogram,weeklydrugtesting,leisureactivities,
40weeklyeventsforfamiliesandcompanions,jobandeducationpreparednesstraining,peer
41supportandself-helpanddailylivingskills;and
42 (5)Livingarrangementoptionswhicharepermanent,substance-freeandconducive
43totreatmentandrecovery.
44 3.Anyfemalewhoispregnantoristhecustodialparentofachildorchildrenunder
45theageoftwelveyears,andwhohaspleadedguiltytoorfoundguiltyofviolatingthe
46provisionsofchapter195,andwhosecontrolledsubstanceabusewasaprecipitatingor
47contributingfactorinthecommissionoftheoffense,andwhoisplacedonprobationmaybe
48required,asaconditionofprobation,toparticipateinAlt-care,ifspaceisavailableinthe
49pilotprojectarea.Determinationsofeligibilityfortheprogram,placement,andcontinued
50participationshallbemadebythedivisionofalcoholanddrugabuse,inconsultationwiththe
51departmentofcorrections.
52 4.TheavailabilityofspaceinAlt-careshallbedeterminedbythedirectorofthe
53divisionofalcoholanddrugabuseinconjunctionwiththedirectorofthedepartmentof
54corrections.Ifthesentencingcourtisadvisedthatthereisnospaceavailable,thecourtshall
55considerotherauthorizeddispositions.
195.070.1.Aphysician,podiatrist,dentist,aregisteredoptometristcertifiedto
2administerpharmaceuticalagentsasprovidedinsection336.220,oranassistantphysicianin
3accordancewithsection334.037oraphysicianassistantinaccordancewithsection334.747
4ingoodfaithandinthecourseofhisorherprofessionalpracticeonly,mayprescribe,
5administer,anddispensecontrolledsubstancesorheorshemaycausethesametobe
6administeredordispensedbyanindividualasauthorizedbystatute.
7 2.Anadvancedpracticeregisterednurse,asdefinedinsection335.016,butnota
8certifiedregisterednurseanesthetistasdefinedinsubdivision(8)ofsection335.016,who
9holdsacertificateofcontrolledsubstanceprescriptiveauthorityfromtheboardofnursing
10undersection335.019andwhoisdelegatedtheauthoritytoprescribecontrolledsubstances
11underacollaborativepracticearrangementundersection334.104mayprescribeany
12controlledsubstanceslistedinSchedulesIII,IV,andVofsection195.017,andmayhave
13restrictedauthorityinScheduleII.PrescriptionsforScheduleIImedicationsprescribedbyan
14advancedpracticeregisterednursewhohasacertificateofcontrolledsubstanceprescriptive
15authorityarerestrictedtoonlythosemedicationscontaininghydrocodoneandScheduleII
16controlledsubstancesforhospicepatientspursuanttotheprovisionsofsection334.104.
17However,nosuchcertifiedadvancedpracticeregisterednurseshallprescribecontrolled
18substanceforhisorherownselforfamily.ScheduleIIInarcoticcontrolledsubstanceand
HCSSSSCSSB157 7 19ScheduleII-hydrocodoneprescriptionsshallbelimitedtoaonehundredtwenty-hoursupply
20withoutrefill.
21 3.Aveterinarian,ingoodfaithandinthecourseoftheveterinarian'sprofessional
22practiceonly,andnotforusebyahumanbeing,mayprescribe,administer,anddispense
23controlledsubstancesandtheveterinarianmaycausethemtobeadministeredbyanassistant
24ororderlyunderhisorherdirectionandsupervision.
25 4.Apractitionershallnotacceptanyportionofacontrolledsubstanceunusedbya
26patient,foranyreason,ifsuchpractitionerdidnotoriginallydispensethedrug,except:
27 (1)Whenthecontrolledsubstanceisdeliveredtothepractitionertoadministertothe
28patientforwhomthemedicationisprescribedasauthorizedbyfederallaw.Practitioners
29shallmaintainrecordsandsecurethemedicationasrequiredbythischapterandregulations
30promulgatedpursuanttothischapter;or
31 (2)Asprovidedinsection195.265.
32 5.Anindividualpractitionershallnotprescribeordispenseacontrolledsubstancefor
33suchpractitioner'spersonaluseexceptinamedicalemergency.
195.100.1.Itshallbeunlawfultodistributeanycontrolledsubstanceina
2commercialcontainerunlesssuchcontainerbearsalabelcontaininganidentifyingsymbolfor
3suchsubstanceinaccordancewithfederallaws.
4 2.Itshallbeunlawfulforanymanufacturerofanycontrolledsubstancetodistribute
5suchsubstanceunlessthelabelingthereofconformstotherequirementsoffederallawand
6containstheidentifyingsymbolrequiredinsubsection1ofthissection.
7 3.ThelabelofacontrolledsubstanceinScheduleII,IIIorIVshall,whendispensed
8toorforapatient,containaclear,concisewarningthatitisacriminaloffensetotransfersuch
9narcoticordangerousdrugtoanypersonotherthanthepatient.
10 4.Wheneveramanufacturersellsordispensesacontrolledsubstanceandwhenevera
11wholesalersellsordispensesacontrolledsubstanceinapackagepreparedbyhimorher,the
12manufacturerorwholesalershallsecurelyaffixtoeachpackageinwhichthatdrugis
13containedalabelshowinginlegibleEnglishthenameandaddressofthevendorandthe
14quantity,kind,andformofcontrolledsubstancecontainedtherein.Nopersonexcepta
15pharmacistforthepurposeoffillingaprescriptionunderthischapter,shallalter,deface,or
16removeanylabelsoaffixed.
17 5.Wheneverapharmacistorpractitionersellsordispensesanycontrolledsubstance
18onaprescriptionissuedbyaphysician,physicianassistant,dentist,podiatrist,veterinarian,or
19advancedpracticeregisterednurse,thepharmacistorpractitionershallaffixtothecontainer
20inwhichsuchdrugissoldordispensedalabelshowinghisorherownnameandaddressof
21thepharmacyorpractitionerforwhomheorsheislawfullyacting;thenameofthepatientor,
22ifthepatientisananimal,thenameoftheowneroftheanimalandthespeciesoftheanimal;
HCSSSSCSSB157 8 23thenameofthephysician,physicianassistant,dentist,podiatrist,advancedpracticeregistered
24nurse,orveterinarianbywhomtheprescriptionwaswritten;[thenameofthecollaborating
25physicianiftheprescriptioniswrittenbyanadvancedpracticeregisterednurseoraphysician
26assistant,] andsuchdirectionsasmaybestatedontheprescription.Nopersonshallalter,
27deface,orremoveanylabelsoaffixed.
324.520.1.Asusedinsections324.520to324.524,thefollowingtermsmean:
2 (1)"Bodypiercing",theperforationofhumantissueotherthananearfora
3nonmedicalpurpose;
4 (2)"Branding",apermanentmarkmadeonhumantissuebyburningwithahotiron
5orotherinstrument;
6 (3)"Controlledsubstance",anysubstancedefinedinsection195.010;
7 (4)"Minor",apersonundertheageofeighteen;
8 (5)"Tattoo",oneormoreofthefollowing:
9 (a)[Anindelible] Amarkmadeonthebodyofanotherpersonbytheinsertionofa
10pigment, ink,orbothpigmentandinkundertheskinwiththeaidofneedlesorblades
11usinghand-heldormachine-poweredinstruments; [or]
12 (b)Amarkmadeonthefaceorbodyofanotherpersonforcosmeticpurposesor
13toanypartofthebodyforscarcoverageorothercorrectivepurposesbytheinsertionof
14apigment,ink,orbothpigmentandinkundertheskinwiththeaidofneedles;or
15 (c)Anindelibledesignmadeonthebodyofanotherpersonbyproductionofscars
16otherthanbybranding.
17 2.Nopersonshallknowinglytattoo,brandorperformbodypiercingonaminor
18unlesssuchpersonobtainsthepriorwritteninformedconsentoftheminor'sparentorlegal
19guardian.Theminor'sparentorlegalguardianshallexecutethewritteninformedconsent
20requiredpursuanttothissubsectioninthepresenceofthepersonperformingthetattooing,
21brandingorbodypiercingontheminor,orinthepresenceofanemployeeoragentofsuch
22person.Anypersonwhofraudulentlymisrepresentshimselforherselfasaparentisguiltyof
23aclassBmisdemeanor.
24 3.Apersonshallnottattoo,brandorperformbodypiercingonanotherpersonifthe
25otherpersonisundertheinfluenceofintoxicatingliquororacontrolledsubstance.
26 4.Apersonwhoviolatesanyprovisionsofsections324.520to324.526isguiltyofa
27misdemeanorandshallbefinednotmorethanfivehundreddollars.Ifthereisasubsequent
28violationwithinoneyearoftheinitialviolation,suchpersonshallbefinednotlessthanfive
29hundreddollarsormorethanonethousanddollars.
30 5.Nopersonundertheageofeighteenshalltattoo,brandorperformbodypiercing
31onanotherperson.
HCSSSSCSSB157 9 329.010.Asusedinthischapter,unlessthecontextclearlyindicatesotherwise,the
2followingwordsandtermsmean:
3 (1)"Accreditedschoolofcosmetologyorschoolofmanicuring",anestablishment
4operatedforthepurposeofteachingcosmetologyasdefinedinthissectionandmeetingthe
5criteriasetforthunder34C.F.R.Part600,Sections600.1and600.2;
6 (2)"Apprentice"or"student",apersonwhoisengagedintrainingwithina
7cosmetologyestablishmentorschool,andwhilesotrainingperformsanyofthepracticesof
8theclassifiedoccupationswithinthischapterundertheimmediatedirectionandsupervision
9ofalicensedcosmetologistorinstructor;
10 (3)"Board",thestateboardofcosmetologyandbarberexaminers;
11 (4)"Cosmetologist",anypersonwho,forcompensation,engagesinthepracticeof
12cosmetology,asdefinedinsubdivision(5)ofthissection;
13 (5)"Cosmetology"includesperformingorofferingtoengageinanyactsofthe
14classifiedoccupationsofcosmetologyforcompensation,whichshallinclude:
15 (a)"ClassCH-hairdresser"includesarranging,dressing,curling,singeing,waving,
16permanentwaving,cleansing,cutting,bleaching,tinting,coloringorsimilarworkuponthe
17hairofanypersonbyanymeans;orremovingsuperfluoushairfromthebodyofanyperson
18bymeansotherthanelectricity,oranyothermeansofarchingortintingeyebrowsortinting
19eyelashes.ClassCH-hairdresseralsoincludesanypersonwhoeitherwiththeperson'shands
20orwithmechanicalorelectricalapparatusesorappliances,orbytheuseofcosmetic
21preparations,antiseptics,tonics,lotionsorcreamsengagesforcompensationinanyoneor
22anycombinationofthefollowing:massaging,cleaning,stimulating,manipulating,
23exercising,beautifyingorsimilarworkuponthescalp,face,neck,armsorbust;
24 (b)"ClassMO-manicurist"includescutting,trimming,polishing,coloring,tinting,
25cleaningorotherwisebeautifyingaperson'sfingernails,applyingartificialfingernails,
26massaging,cleaningaperson'shandsandarms;pedicuring,whichincludescutting,trimming,
27polishing,coloring,tinting,cleaningorotherwisebeautifyingaperson'stoenails,applying
28artificialtoenails,massagingandcleaningaperson'slegsandfeet;
29 (c)"ClassCA-hairdressingandmanicuring"includesallpracticesofcosmetology,
30asdefinedinparagraphs(a)and(b)ofthissubdivision;
31 (d)"ClassE-estheticians"includestheuseofmechanical,electricalapparatusesor
32appliances,orbytheuseofcosmeticpreparations,antiseptics,tonics,lotionsorcreams,not
33toexceedtenpercentphenol,engagesforcompensation,eitherdirectlyorindirectly,inany
34one,oranycombination,ofthefollowingpractices:massaging,cleansing,stimulating,
35manipulating,exercising,beautifyingorsimilarworkuponthescalp,face,neck,ears,arms,
36hands,bust,torso,legsorfeetandremovingsuperfluoushairbymeansotherthanelectric
HCSSSSCSSB157 10 37needleoranyothermeansofarchingortintingeyebrowsortintingeyelashes,ofanyperson;
38and
39 (e)"Personalserviceregistration",aregistrationobtainedfromtheboardto
40provideservicestoplaceboundclients;
41 (6)"Cosmetologyestablishment",thatpartofanybuildingwhereinorwhereuponany
42oftheclassifiedoccupationsarepracticedincludinganyspacerentedwithinalicensed
43establishmentbyapersonlicensedunderthischapter,forthepurposeofrendering
44cosmetologyservices;
45 (7)"Cross-overlicense",alicensethatisissuedtoanypersonwhohasmetthe
46licensureandexaminationrequirementsforbothbarberingandcosmetology;
47 (8)"Hairbraider",anypersonwho,forcompensation,engagesinthepracticeofhair
48braiding;
49 (9)"Hairbraiding",inaccordancewiththerequirementsofsection329.275,theuse
50oftechniquesthatresultintensiononhairstrandsorrootsbytwisting,wrapping,waving,
51extending,locking,orbraidingofthehairbyhandormechanicaldevice,butdoesnotinclude
52theapplicationofdyes,reactivechemicals,orotherpreparationstoalterthecolorofthehair
53ortostraighten,curl,oralterthestructureofthehair;
54 (10)"Hairdresser",anypersonwho,forcompensation,engagesinthepracticeof
55cosmetologyasdefinedinparagraph(a)ofsubdivision(5)ofthissection;
56 (11)"Instructor",anypersonwhoislicensedtoteachcosmetologyoranypracticesof
57cosmetologypursuanttothischapter;
58 (12)"Manicurist",anypersonwho,forcompensation,engagesinanyorallofthe
59practicesinparagraph(b)ofsubdivision(5)ofthissection;
60 (13)"Parentalconsent",thewritteninformedconsentofaminor'sparentorlegal
61guardianthatmustbeobtainedpriortoprovidingbodywaxingonornearthegenitalia;
62 (14)"Placeboundclient",aclientwhoisill,disabled,orotherwiseunableto
63traveltoacosmetologyestablishment;
64 (15)"Schoolofcosmetology"or"schoolofmanicuring",anestablishmentoperated
65forthepurposeofteachingcosmetologyasdefinedinsubdivision(5)ofthissection.
329.280.1.Anycosmetologistholdingacurrentandactivelicensetopractice
2thecategoriesofcosmetologydescribedinparagraphs(a)to(d)ofsubdivision(5)of
3section329.010mayregisterwiththeboardforapersonalserviceregistrationto
4provideservicestoplaceboundclientsoutsideofacosmetologyestablishment.An
5applicantforapersonalserviceregistrationshallsubmittotheboardanapplication,a
6feeassetbytheboard,andacopyoftheapplicant'scurrentandactivelicense.An
7applicantforapersonalserviceregistrationmaybedeniedsuchregistrationifthe
HCSSSSCSSB157 11 8applicanthaspledguiltyto,enteredapleaofnolocontendereto,orbeenfoundguiltyof
9anyoftheoffensessetforthinsubsection5ofsection329.050.
10 2.Apersonalserviceregistrantshallkeephisorherinformationthattheboard
11requiresintheinitialregistrationcurrentanduptodatewiththeboard.
12 3.Apersonalserviceregistrantshallprovidetotheclientorcustomeracopyof
13thepersonalserviceregistrationandlicenseuponrequest.
14 4.Theboardmay:
15 (1)Inspectthetools,equipment,andimplementsofanypersonalservice
16registrantonetimeeachyeartoensurethattheregistrantisfollowingallsanitation
17standardssetbytheboardbyrule;
18 (2)Inspectthetools,equipment,andimplementsofanypersonalservice
19registrantifacustomerorclientsubmitsacomplainttotheboardabouttheregistrant;
20and
21 (3)Followingallrequirementssetforthinsection329.140,revokethepersonal
22serviceregistrationofaregistrant,disciplinearegistrant'slicense,orrevokethe
23registrationanddisciplinethelicenseofaregistrantforanyviolationsetforthinsection
24329.140orforfailuretofollowtherequirementsofthissection.
25 5.Theboardmaypromulgateregulationsnecessaryfortheadministrationof
26thissection.Anyruleorportionofarule,asthattermisdefinedinsection536.010,that
27iscreatedundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit
28complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
29section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
30vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
31effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional,
32thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust
3328,2023,shallbeinvalidandvoid.
334.036.1.Forpurposesofthissection,thefollowingtermsshallmean:
2 (1)"Assistantphysician",anygraduateofamedicalschool[graduate] accredited
3bytheLiaisonCommitteeonMedicalEducation,theCommissiononOsteopathic
4CollegeAccreditation,oranorganizationaccreditedbytheEducationalCommission
5forForeignMedicalGraduateswho:
6 (a)IsaresidentandcitizenoftheUnitedStatesorisalegalresidentalien;
7 (b)HassuccessfullycompletedStep2oftheUnitedStatesMedicalLicensing
8Examinationortheequivalentofsuchstepofanyotherboard-approvedmedicallicensing
9examinationwithinthethree-yearperiodimmediatelyprecedingapplicationforlicensureas
10anassistantphysician,orwithinthreeyearsaftergraduationfromamedicalcollegeor
11osteopathicmedicalcollege,whicheverislater;
HCSSSSCSSB157 12 12 (c)Hasnotcompletedanapprovedpostgraduateresidencyandhassuccessfully
13completedStep2oftheUnitedStatesMedicalLicensingExaminationortheequivalentof
14suchstepofanyotherboard-approvedmedicallicensingexaminationwithintheimmediately
15precedingthree-yearperiodunlesswhensuchthree-yearanniversaryoccurredheorshewas
16servingasaresidentphysicianinanaccreditedresidencyintheUnitedStatesandcontinued
17todosowithinthirtydayspriortoapplicationforlicensureasanassistantphysician;and
18 (d)HasproficiencyintheEnglishlanguage.
19
20Anygraduateofamedicalschool[graduate] whocouldhaveappliedforlicensureand
21compliedwiththeprovisionsofthissubdivisionatanytimebetweenAugust28,2014,and
22August28,2017,mayapplyforlicensureandshallbedeemedincompliancewiththe
23provisionsofthissubdivision;
24 (2)"Assistantphysiciancollaborativepracticearrangement",anagreementbetweena
25physicianandanassistantphysicianthatmeetstherequirementsofthissectionandsection
26334.037[;
27 (3)"Medicalschoolgraduate",anypersonwhohasgraduatedfromamedicalcollege
28orosteopathicmedicalcollegedescribedinsection334.031].
29 2.(1)Anassistantphysiciancollaborativepracticearrangementshalllimitthe
30assistantphysiciantoprovidingonlyprimarycareservicesandonlyinmedicallyunderserved
31ruralorurbanareasofthisstate[orinanypilotprojectareasestablishedinwhichassistant
32physiciansmaypractice].
33 (2)Foraphysician-assistantphysicianteamworkinginaruralhealthclinicunderthe
34federalRuralHealthClinicServicesAct,P.L.95-210,asamended:
35 (a)Anassistantphysicianshallbeconsideredaphysicianassistantforpurposesof
36regulationsoftheCentersforMedicareandMedicaidServices(CMS);and
37 (b)Nosupervisionrequirementsinadditiontotheminimumfederallawshallbe
38required.
39 3.(1)Forpurposesofthissection,thelicensureofassistantphysiciansshalltake
40placewithinprocessesestablishedbyrulesofthestateboardofregistrationforthehealing
41arts.Theboardofhealingartsisauthorizedtoestablishrulesunderchapter536establishing
42licensureandrenewalprocedures,supervision,collaborativepracticearrangements,fees,and
43addressingsuchothermattersasarenecessarytoprotectthepublicanddisciplinethe
44profession.Nolicensurefeeforanassistantphysicianshallexceedtheamountofany
45licensurefeeforaphysicianassistant.Anapplicationforlicensuremaybedeniedorthe
46licensureofanassistantphysicianmaybesuspendedorrevokedbytheboardinthesame
47mannerandforviolationofthestandardsassetforthbysection334.100,orsuchother
48standardsofconductsetbytheboardbyrule.Noruleorregulationshallrequireanassistant
HCSSSSCSSB157 13 49physiciantocompletemorehoursofcontinuingmedicaleducationthanthatofalicensed
50physician.
51 (2)Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
52createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifitcomplies
53withandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.
54Thissectionandchapter536arenonseverableandifanyofthepowersvestedwiththe
55generalassemblyunderchapter536toreview,todelaytheeffectivedate,ortodisapprove
56andannularulearesubsequentlyheldunconstitutional,thenthegrantofrulemaking
57authorityandanyruleproposedoradoptedafterAugust28,2014,shallbeinvalidandvoid.
58 (3)Anyrulesorregulationsregardingassistantphysiciansineffectasoftheeffective
59dateofthissectionthatconflictwiththeprovisionsofthissectionandsection334.037shall
60benullandvoidasoftheeffectivedateofthissection.
61 4.Anassistantphysicianshallclearlyidentifyhimselforherselfasanassistant
62physicianandshallbepermittedtousetheterms"doctor","Dr.",or"doc".Noassistant
63physicianshallpracticeorattempttopracticewithoutanassistantphysiciancollaborative
64practicearrangement,exceptasotherwiseprovidedinthissectionandinanemergency
65situation.
66 5.Thecollaboratingphysicianisresponsibleatalltimesfortheoversightofthe
67activitiesofandacceptsresponsibilityforprimarycareservicesrenderedbytheassistant
68physician.
69 6.Theprovisionsofsection334.037shallapplytoallassistantphysician
70collaborativepracticearrangements.Anyrenewaloflicensureunderthissectionshall
71includeverificationofactualpracticeunderacollaborativepracticearrangementin
72accordancewiththissubsectionduringtheimmediatelyprecedinglicensureperiod.
73 7.Eachhealthcarrierorhealthbenefitplanthatoffersorissueshealthbenefitplans
74thataredelivered,issuedfordelivery,continued,orrenewedinthisstateshallreimbursean
75assistantphysicianforthediagnosis,consultation,ortreatmentofaninsuredorenrolleeon
76thesamebasisthatthehealthcarrierorhealthbenefitplancoverstheservicewhenitis
77deliveredbyanothercomparablemid-levelhealthcareproviderincluding,butnotlimitedto,
78aphysicianassistant.
334.043.[Upontheapplicantpayingafeeequivalenttotherequiredexaminationfee
2andfurnishingtheboardwithalllocationsofpreviouspracticeandlicensureinchronological
3order,theboardshall,underregulationsprescribedbyit,admitwithoutexaminationqualified
4personswhomeettherequirementsofthisstateincluding,butnotlimitedto,sections
5334.031,334.035and334.040,andwhoholdcertificatesoflicensureinanystateorterritory
6oftheUnitedStatesortheDistrictofColumbiaauthorizingthemtopracticeinthesame
7mannerandtothesameextentasphysiciansandsurgeonsareauthorizedtopracticebythis
HCSSSSCSSB157 14 8chapter.Withinthelimitsofthissection,theboardisauthorizedandempoweredtonegotiate
9reciprocalcompactswithlicensingboardsofotherstatesforadmissionoflicensed
10practitionersfromMissouriinotherstates] 1.Forpurposesofthissection,thefollowing
11termsmean:
12 (1)"Board",thestateboardofregistrationforthehealingartsinthestateof
13Missouri;
14 (2)"License",alicense,certificate,registration,permit,accreditation,or
15militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
16professioninaparticularjurisdiction;
17 (3)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce,
18Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
19militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
20UnitedStates,andallreservecomponentsandauxiliaries.Theterm"military"also
21includesthemilitaryreservesandmilitiaofanyUnitedStatesterritoryorstate;
22 (4)"Nonresidentmilitaryspouse",anonresidentspouseofanactiveduty
23memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
24scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris
25scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
26Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
27 (5)"Oversightbody",anyboard,department,agency,orofficeofajurisdiction
28thatissueslicenses;
29 (6)"Residentmilitaryspouse",aspouseofanactivedutymemberoftheArmed
30ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
31thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof
32Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher
33homeofrecord.
34 2.Anypersonwhoholdsavalidcurrentphysicianandsurgeonlicenseissuedby
35anotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,orthe
36DistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother
37jurisdiction,maysubmittotheboardanapplicationforaphysicianandsurgeonlicense
38inMissourialongwithproofofcurrentlicensureandproofoflicensureforatleastone
39yearintheotherjurisdiction.
40 3.Theboardshall:
41 (1)Withinsixmonthsofreceivinganapplicationdescribedinsubsection2of
42thissection,waiveanyexamination,educational,orexperiencerequirementsfor
43licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
44educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
HCSSSSCSSB157 15 45requirementsineffectandtheotherjurisdictionverifiesthatthepersonmetthose
46requirementsinordertobelicensedorcertifiedinthatjurisdiction.Theboardmay
47requireanapplicanttotakeandpassanexaminationspecifictothelawsofthisstate;or
48 (2)Withinthirtydaysofreceivinganapplicationdescribedinsubsection2of
49thissectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waiveany
50examination,educational,orexperiencerequirementsforlicensureinthisstateforthe
51applicantandissuesuchapplicantalicenseunderthissectionifsuchapplicant
52otherwisemeetstherequirementsofthissection.
53 4.(1)Theboardshallnotwaiveanyexamination,educational,orexperience
54requirementsforanyapplicantwhohashadhisorherlicenserevokedbyanoversight
55bodyoutsidethestate;whoiscurrentlyunderinvestigation,whohasacomplaint
56pending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedinsubdivision
57(2)ofthissubsection,withanoversightbodyoutsidethestate;whodoesnotholda
58licenseingoodstandingwithanoversightbodyoutsidethestate;whohasacriminal
59recordthatwoulddisqualifyhimorherforlicensureinMissouri;orwhodoesnothold
60avalidcurrentlicenseintheotherjurisdictiononthedatetheboardreceiveshisorher
61applicationunderthissection.
62 (2)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
63boardshalldetermineifthecausefortheactionwascorrectedandthematterresolved.
64Ifthematterhasnotbeenresolvedbythatjurisdiction,theboardmaydenyalicense
65untilthematterisresolved.
66 5.Nothinginthissectionshallprohibittheboardfromdenyingalicensetoan
67applicantunderthissectionforanyreasondescribedinsection334.100.
68 6.Anypersonwhoislicensedundertheprovisionsofthissectionshallbesubject
69totheboard'sjurisdictionandallrulesandregulationspertainingtothepracticeasa
70physicianandsurgeoninthisstate.
71 7.Thissectionshallnotbeconstruedtowaiveanyrequirementforanapplicant
72topayanyfees.
334.100.1.Theboardmayrefusetoissueorrenewanycertificateofregistrationor
2authority,permitorlicenserequiredpursuanttothischapterforoneoranycombinationof
3causesstatedinsubsection2ofthissection.Theboardshallnotifytheapplicantinwritingof
4thereasonsfortherefusalandshalladvisetheapplicantoftheapplicant'srighttofilea
5complaintwiththeadministrativehearingcommissionasprovidedbychapter621.Asan
6alternativetoarefusaltoissueorrenewanycertificate,registrationorauthority,theboard
7may,atitsdiscretion,issuealicensewhichissubjecttoprobation,restrictionorlimitationto
8anapplicantforlicensureforanyoneoranycombinationofcausesstatedinsubsection2of
9thissection.Theboard'sorderofprobation,limitationorrestrictionshallcontainastatement
HCSSSSCSSB157 16 10ofthedisciplineimposed,thebasistherefor,thedatesuchactionshallbecomeeffective,anda
11statementthattheapplicanthasthirtydaystorequestinwritingahearingbeforethe
12administrativehearingcommission.Iftheboardissuesaprobationary,limitedorrestricted
13licensetoanapplicantforlicensure,eitherpartymayfileawrittenpetitionwiththe
14administrativehearingcommissionwithinthirtydaysoftheeffectivedateoftheprobationary,
15limitedorrestrictedlicenseseekingreviewoftheboard'sdetermination.Ifnowrittenrequest
16forahearingisreceivedbytheadministrativehearingcommissionwithinthethirty-day
17period,therighttoseekreviewoftheboard'sdecisionshallbeconsideredaswaived.
18 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
19commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
20authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
21hassurrenderedtheperson'scertificateofregistrationorauthority,permitorlicenseforany
22oneoranycombinationofthefollowingcauses:
23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
25licensedorregulatedbythischapter;
26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
28UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
29anyprofessionlicensedorregulatedpursuanttothischapter,foranyoffenseinvolvingfraud,
30dishonestyoranactofviolence,orforanyoffenseinvolvingmoralturpitude,whetherornot
31sentenceisimposed;
32 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
33registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
34permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
35 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconductor
36unprofessionalconductintheperformanceofthefunctionsordutiesofanyprofession
37licensedorregulatedbythischapter,including,butnotlimitedto,thefollowing:
38 (a)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
39byfraud,deceptionormisrepresentation;willfullyandcontinuallyoverchargingor
40overtreatingpatients;orchargingforvisitstothephysician'sofficewhichdidnotoccur
41unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
42documentedinthepatient'srecords;
43 (b)Attempting,directlyorindirectly,bywayofintimidation,coercionordeception,
44toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
45 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatment,
46diagnostictestsormedicalorsurgicalservices;
HCSSSSCSSB157 17 47 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
48training,skill,competency,age,experienceorlicensuretoperformsuchresponsibilities;
49 (e)Misrepresentingthatanydisease,ailmentorinfirmitycanbecuredbyamethod,
50procedure,treatment,medicineordevice;
51 (f)Performingorprescribingmedicalserviceswhichhavebeendeclaredbyboard
52ruletobeofnomedicalorosteopathicvalue;
53 (g)Finaldisciplinaryactionbyanyprofessionalmedicalorosteopathicassociationor
54societyorlicensedhospitalormedicalstaffofsuchhospitalinthisoranyotherstateor
55territory,whetheragreedtovoluntarilyornot,andincluding,butnotlimitedto,anyremoval,
56suspension,limitation,orrestrictionoftheperson'slicenseorstafforhospitalprivileges,
57failuretorenewsuchprivilegesorlicenseforcause,orotherfinaldisciplinaryaction,ifthe
58actionwasinanywayrelatedtounprofessionalconduct,professionalincompetence,
59malpracticeoranyotherviolationofanyprovisionofthischapter;
60 (h)Signingablankprescriptionform;ordispensing,prescribing,administeringor
61otherwisedistributinganydrug,controlledsubstanceorothertreatmentwithoutsufficient
62examinationincludingfailingtoestablishavalidphysician-patientrelationshippursuantto
63section334.108,orforotherthanmedicallyacceptedtherapeuticorexperimentalor
64investigativepurposesdulyauthorizedbyastateorfederalagency,ornotinthecourseof
65professionalpractice,ornotingoodfaithtorelievepainandsuffering,ornottocurean
66ailment,physicalinfirmityordisease,exceptasauthorizedinsection334.104;
67 (i)Exercisinginfluencewithinaphysician-patientrelationshipforpurposesof
68engagingapatientinsexualactivity;
69 (j)Beinglistedonanystateorfederalsexualoffenderregistry;
70 (k)Terminatingthemedicalcareofapatientwithoutadequatenoticeorwithout
71makingotherarrangementsforthecontinuedcareofthepatient;
72 (l)Failingtofurnishdetailsofapatient'smedicalrecordstoothertreatingphysicians
73orhospitalsuponproperrequest;orfailingtocomplywithanyotherlawrelatingtomedical
74records;
75 (m)Failureofanyapplicantorlicenseetocooperatewiththeboardduringany
76investigation;
77 (n)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
78anorderoftheboard;
79 (o)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
80 (p)Violatingaprobationagreement,order,orothersettlementagreementwiththis
81boardoranyotherlicensingagency;
82 (q)Failingtoinformtheboardofthephysician'scurrentresidenceandbusiness
83address;
HCSSSSCSSB157 18 84 (r)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
85violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
86disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
87physician.Anapplicantorlicenseeshallalsobeinviolationofthisprovisioniftheapplicant
88orlicenseehasafinancialinterestinanyorganization,corporationorassociationwhichissues
89orconductssuchadvertising;
90 (s)Anyotherconductthatisunethicalorunprofessionalinvolvingaminor;
91 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
92orphysicalhealthofapatientorthepublic;orincompetency,grossnegligenceorrepeated
93negligenceintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
94regulatedbythischapter.Forthepurposesofthissubdivision,"repeatednegligence"means
95thefailure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
96underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
97profession;
98 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
99enablinganypersontoviolate,anyprovisionofthischapterorchapter324,orofanylawful
100ruleorregulationadoptedpursuanttothischapterorchapter324;
101 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
102permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
103authority,permit,licenseordiplomafromanyschool;
104 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
105censure,probationorotherfinaldisciplinaryactionagainsttheholderoforapplicantfora
106licenseorotherrighttopracticeanyprofessionregulatedbythischapterbyanotherstate,
107territory,federalagencyorcountry,whetherornotvoluntarilyagreedtobythelicenseeor
108applicant,including,butnotlimitedto,thedenialoflicensure,surrenderofthelicense,
109allowingthelicensetoexpireorlapse,ordiscontinuingorlimitingthepracticeofmedicine
110whilesubjecttoaninvestigationorwhileactuallyunderinvestigationbyanylicensing
111authority,medicalfacility,branchoftheArmedForcesoftheUnitedStatesofAmerica,
112insurancecompany,court,agencyofthestateorfederalgovernment,oremployer;
113 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
114jurisdiction;
115 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
116licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
117pursuanttothischapter;orknowinglyperforminganyactwhichinanywayaids,assists,
118procures,advises,orencouragesanypersontopracticemedicinewhoisnotregisteredand
119currentlyeligibletopracticepursuanttothischapter.Aphysicianwhoworksinaccordance
HCSSSSCSSB157 19 120withstandingordersorprotocolsorinaccordancewiththeprovisionsofsection334.104
121shallnotbeinviolationofthissubdivision;
122 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
123amaterialmistakeoffact;
124 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
125anyrulepromulgatedpursuanttothischapter;
126 (13)Violationofthedruglawsorrulesandregulationsofthisstate,includingbutnot
127limitedtoanyprovisionofchapter195,anyotherstate,orthefederalgovernment;
128 (14)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
129of,afalsestatementinanybirth,deathorothercertificateordocumentexecutedin
130connectionwiththepracticeoftheperson'sprofession;
131 (15)Knowinglymakingafalsestatement,orallyorinwritingtotheboard;
132 (16)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
133meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
134concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
135totheneedornecessityfororappropriatenessofhealthcareservicesforallpatients,orthe
136qualificationsofanindividualpersonorpersonstodiagnose,render,orperformhealthcare
137services;
138 (17)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
139"Doctor","Dr.","M.D.",or"D.O.",oranysimilardesignationwithreferencetothe
140commercialexploitationofanygoods,waresormerchandise;
141 (18)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
142ofamaterialfact,withintenttodefraud,forpaymentpursuanttotheprovisionsofchapter
143208orchapter630orforpaymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
144 (19)Failureorrefusaltoproperlyguardagainstcontagious,infectiousor
145communicablediseasesorthespreadthereof;maintaininganunsanitaryofficeor
146performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
147existenceofanunsanitaryconditionintheofficeofaphysicianorinanyhealthcarefacility
148totheboard,inwriting,withinthirtydaysafterthediscoverythereof;
149 (20)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
150payingorofferingtopayareferralfeeor[,notwithstandingsection334.010tothecontrary,
151practicingorofferingtopracticeprofessionalphysicaltherapyindependentoftheprescription
152anddirectionofapersonlicensedandregisteredasaphysicianandsurgeonpursuanttothis
153chapter,asadentistpursuanttochapter332,asapodiatristpursuanttochapter330,asan
154advancedpracticeregisterednurseunderchapter335,oranylicensedandregistered
155physician,dentist,podiatrist,oradvancedpracticeregisterednursepracticinginanother
HCSSSSCSSB157 20 156jurisdiction,whoselicenseisingoodstanding] evaluatingortreatingapatientina
157mannerinconsistentwithsection334.506;
158 (21)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
159treatingorattemptingtotreatailmentsorotherhealthconditionsofhumanbeingsotherthan
160byprofessionalphysicaltherapyandasauthorizedbysections334.500to334.620;
161 (22)Anypersonlicensedtopracticeasaphysicianorsurgeon,requiring,asa
162conditionofthephysician-patientrelationship,thatthepatientreceiveprescribeddrugs,
163devicesorotherprofessionalservicesdirectlyfromfacilitiesofthatphysician'sofficeorother
164entitiesunderthatphysician'sownershiporcontrol.Aphysicianshallprovidethepatient
165withaprescriptionwhichmaybetakentothefacilityselectedbythepatientandaphysician
166knowinglyfailingtodisclosetoapatientonaformapprovedbytheadvisorycommissionfor
167professionalphysicaltherapistsasestablishedbysection334.625whichisdatedandsigned
168byapatientorguardianacknowledgingthatthepatientorguardianhasreadandunderstands
169thatthephysicianhasapecuniaryinterestinaphysicaltherapyorrehabilitationservice
170providingprescribedtreatmentandthattheprescribedtreatmentisavailableonacompetitive
171basis.Thissubdivisionshallnotapplytoareferralbyonephysiciantoanotherphysician
172withinagroupofphysicianspracticingtogether;
173 (23)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
174prescribed,dispensedoradministeredbyanotherphysicianwhoisauthorizedbylawtodoso;
175 (24)Habitualintoxicationordependenceonalcohol,evidenceofwhichmayinclude
176morethanonealcohol-relatedenforcementcontactasdefinedbysection302.525;
177 (25)Failuretocomplywithatreatmentprogramoranaftercareprogramenteredinto
178aspartofaboardorder,settlementagreementorlicensee'sprofessionalhealthprogram;
179 (26)Revocation,suspension,limitation,probation,orrestrictionofanykind
180whatsoeverofanycontrolledsubstanceauthority,whetheragreedtovoluntarilyornot,or
181voluntaryterminationofacontrolledsubstanceauthoritywhileunderinvestigation;
182 (27)Foraphysiciantooperate,conduct,manage,orestablishanabortionfacility,or
183foraphysiciantoperformanabortioninanabortionfacility,ifsuchfacilitycomesunderthe
184definitionofanambulatorysurgicalcenterpursuanttosections197.200to197.240,andsuch
185facilityhasfailedtoobtainorrenewalicenseasanambulatorysurgicalcenter.
186 3.Collaborativepracticearrangements,protocolsandstandingordersshallbein
187writingandsignedanddatedbyaphysicianpriortotheirimplementation.
188 4.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
189theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
190findingbytheadministrativehearingcommissionthatthegrounds,providedinsubsection2
191ofthissection,fordisciplinaryactionaremet,theboardmay,singlyorincombination,warn,
192censureorplacethepersonnamedinthecomplaintonprobationonsuchtermsand
HCSSSSCSSB157 21 193conditionsastheboarddeemsappropriateforaperiodnottoexceedtenyears,ormay
194suspendtheperson'slicense,certificateorpermitforaperiodnottoexceedthreeyears,or
195restrictorlimittheperson'slicense,certificateorpermitforanindefiniteperiodoftime,or
196revoketheperson'slicense,certificate,orpermit,oradministerapublicorprivatereprimand,
197ordenytheperson'sapplicationforalicense,orpermanentlywithholdissuanceofalicenseor
198requirethepersontosubmittothecare,counselingortreatmentofphysiciansdesignatedby
199theboardattheexpenseoftheindividualtobeexamined,orrequirethepersontoattendsuch
200continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
201 5.Inanyorderofrevocation,theboardmayprovidethatthepersonmaynotapplyfor
202reinstatementoftheperson'slicenseforaperiodoftimerangingfromtwotosevenyears
203followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
204 6.Beforerestoringtogoodstandingalicense,certificateorpermitissuedpursuantto
205thischapterwhichhasbeeninarevoked,suspendedorinactivestateforanycauseformore
206thantwoyears,theboardmayrequiretheapplicanttoattendsuchcontinuingmedical
207educationcoursesandpasssuchexaminationsastheboardmaydirect.
208 7.Inanyinvestigation,hearingorotherproceedingtodeterminealicensee'sor
209applicant'sfitnesstopractice,anyrecordrelatingtoanypatientofthelicenseeorapplicant
210shallbediscoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
211commonlawprivilegewhichsuchlicensee,applicant,recordcustodianorpatientmight
212otherwiseinvoke.Inaddition,nosuchlicensee,applicant,orrecordcustodianmaywithhold
213recordsortestimonybearinguponalicensee'sorapplicant'sfitnesstopracticeontheground
214ofprivilegebetweensuchlicensee,applicantorrecordcustodianandapatient.
215 8.Theactoflawfullydispensing,prescribing,administering,orotherwise
216distributingivermectintabletsorhydroxychloroquinesulfatetabletsforhumanuseshall
217notbegroundsfordenial,suspension,revocation,orotherdisciplinaryactionbytheboard.
334.104.1.Aphysicianmayenterintocollaborativepracticearrangementswith
2registeredprofessionalnurses.Collaborativepracticearrangementsshallbeintheformof
3writtenagreements,jointlyagreed-uponprotocols,orstandingordersforthedeliveryof
4healthcareservices.Collaborativepracticearrangements,whichshallbeinwriting,may
5delegatetoaregisteredprofessionalnursetheauthoritytoadministerordispensedrugsand
6providetreatmentaslongasthedeliveryofsuchhealthcareservicesiswithinthescopeof
7practiceoftheregisteredprofessionalnurseandisconsistentwiththatnurse'sskill,training
8andcompetence.
9 2.(1)Collaborativepracticearrangements,whichshallbeinwriting,maydelegateto
10aregisteredprofessionalnursetheauthoritytoadminister,dispenseorprescribedrugsand
11providetreatmentiftheregisteredprofessionalnurseisanadvancedpracticeregisterednurse
12asdefinedinsubdivision(2)ofsection335.016.Collaborativepracticearrangementsmay
HCSSSSCSSB157 22 13delegatetoanadvancedpracticeregisterednurse,asdefinedinsection335.016,theauthority
14toadminister,dispense,orprescribecontrolledsubstanceslistedinSchedulesIII,IV,andVof
15section195.017,andScheduleII-hydrocodone;exceptthat,thecollaborativepractice
16arrangementshallnotdelegatetheauthoritytoadministeranycontrolledsubstanceslistedin
17SchedulesIII,IV,andVofsection195.017,orScheduleII-hydrocodoneforthepurposeof
18inducingsedationorgeneralanesthesiafortherapeutic,diagnostic,orsurgicalprocedures.
19ScheduleIIInarcoticcontrolledsubstanceandScheduleII-hydrocodoneprescriptionsshall
20belimitedtoaonehundredtwenty-hoursupplywithoutrefill.
21 (2)Notwithstandinganyotherprovisionofthissectiontothecontrary,a
22collaborativepracticearrangementmaydelegatetoanadvancedpracticeregistered
23nursetheauthoritytoadminister,dispense,orprescribeScheduleIIcontrolled
24substancesforhospicepatients;provided,thattheadvancedpracticeregisterednurseis
25employedbyahospiceprovidercertifiedpursuanttochapter197andtheadvanced
26practiceregisterednurseisprovidingcaretohospicepatientspursuanttoa
27collaborativepracticearrangementthatdesignatesthecertifiedhospiceasalocation
28wheretheadvancedpracticeregisterednurseisauthorizedtopracticeandprescribe.
29 (3)Suchcollaborativepracticearrangementsshallbeintheformofwritten
30agreements,jointlyagreed-uponprotocolsorstandingordersforthedeliveryofhealthcare
31services.
32 (4)Anadvancedpracticeregisterednursemayprescribebuprenorphineforuptoa
33thirty-daysupplywithoutrefillforpatientsreceivingmedication-assistedtreatmentfor
34substanceusedisordersunderthedirectionofthecollaboratingphysician.
35 3.Thewrittencollaborativepracticearrangementshallcontainatleastthefollowing
36provisions:
37 (1)Completenames,homeandbusinessaddresses,zipcodes,andtelephonenumbers
38ofthecollaboratingphysicianandtheadvancedpracticeregisterednurse;
39 (2)Alistofallotherofficesorlocationsbesidesthoselistedinsubdivision(1)ofthis
40subsectionwherethecollaboratingphysicianauthorizedtheadvancedpracticeregistered
41nursetoprescribe;
42 (3)Arequirementthatthereshallbepostedateveryofficewheretheadvanced
43practiceregisterednurseisauthorizedtoprescribe,incollaborationwithaphysician,a
44prominentlydisplayeddisclosurestatementinformingpatientsthattheymaybeseenbyan
45advancedpracticeregisterednurseandhavetherighttoseethecollaboratingphysician;
46 (4)Allspecialtyorboardcertificationsofthecollaboratingphysicianandall
47certificationsoftheadvancedpracticeregisterednurse;
HCSSSSCSSB157 23 48 (5)Themannerofcollaborationbetweenthecollaboratingphysicianandthe
49advancedpracticeregisterednurse,includinghowthecollaboratingphysicianandthe
50advancedpracticeregisterednursewill:
51 (a)Engageincollaborativepracticeconsistentwitheachprofessional'sskill,training,
52education,andcompetence;
53 (b)Maintaingeographicproximity,exceptasspecifiedinthisparagraph.The
54followingprovisionsshallapplywithrespecttothisrequirement:
55 a.UntilAugust28,2025,anadvancedpracticeregisterednurseproviding
56servicesinacorrectionalcenter,asdefinedinsection217.010,andhisorher
57collaboratingphysicianshallsatisfythegeographicproximityrequirementifthey
58practicewithintwohundredmilesbyroadofoneanother.Anincarceratedpatientwho
59requestsorrequiresaphysicianconsultationshallbetreatedbyaphysicianassoonas
60appropriate;
61 b.Thecollaborativepracticearrangementmayallowforgeographicproximitytobe
62waivedforamaximumoftwenty-eightdayspercalendaryearforruralhealthclinicsas
63definedbyP.L.95-210(42U.S.C.Section1395x,asamended), aslongasthecollaborative
64practicearrangementincludesalternativeplansasrequiredinparagraph(c)ofthis
65subdivision.Thisexceptiontogeographicproximityshallapplyonlytoindependentrural
66healthclinics,provider-basedruralhealthclinicswheretheproviderisacriticalaccess
67hospitalasprovidedin42U.S.C.Section1395i-4,andprovider-basedruralhealthclinics
68wherethemainlocationofthehospitalsponsorisgreaterthanfiftymilesfromtheclinic[.];
69 c.Thecollaborativepracticearrangementmayallowforgeographicproximity
70tobewaivedwhenthearrangementoutlinestheuseoftelehealth,asdefinedinsection
71191.1145;
72 d.Inadditiontothewaiversandexemptionsprovidedinthissubsection,an
73applicationforawaiverforanyotherreasonofanyapplicablegeographicproximity
74shallbeavailableifaphysicianiscollaboratingwithanadvancedpracticeregistered
75nurseinexcessofanygeographicproximitylimit.Theboardofnursingandthestate
76boardofregistrationforthehealingartsshallrevieweachapplicationforawaiverof
77geographicproximityandapprovetheapplicationiftheboardsdeterminethat
78adequatesupervisionexistsbetweenthecollaboratingphysicianandtheadvanced
79practiceregisterednurse.Theboardsshallhaveforty-fivecalendardaystoreviewthe
80completedapplicationforthewaiverofgeographicproximity.Ifnoactionistakenby
81theboardswithinforty-fivedaysafterthesubmissionoftheapplicationforawaiver,
82thentheapplicationshallbedeemedapproved.Iftheapplicationisdeniedbythe
83boards,theprovisionsofsection536.063forcontestedcasesshallapplyandgovern
84proceedingsforappellatepurposes;and
HCSSSSCSSB157 24 85 e.Thecollaboratingphysicianisrequiredtomaintaindocumentationrelatedtothis
86requirementandtopresentittothestateboardofregistrationforthehealingartswhen
87requested;and
88 (c)Providecoverageduringabsence,incapacity,infirmity,oremergencybythe
89collaboratingphysician;
90 (6)Adescriptionoftheadvancedpracticeregisterednurse'scontrolledsubstance
91prescriptiveauthorityincollaborationwiththephysician,includingalistofthecontrolled
92substancesthephysicianauthorizesthenursetoprescribeanddocumentationthatitis
93consistentwitheachprofessional'seducation,knowledge,skill,andcompetence;
94 (7)Alistofallotherwrittenpracticeagreementsofthecollaboratingphysicianand
95theadvancedpracticeregisterednurse;
96 (8)Thedurationofthewrittenpracticeagreementbetweenthecollaborating
97physicianandtheadvancedpracticeregisterednurse;
98 (9)Adescriptionofthetimeandmannerofthecollaboratingphysician'sreviewof
99theadvancedpracticeregisterednurse'sdeliveryofhealthcareservices.Thedescriptionshall
100includeprovisionsthattheadvancedpracticeregisterednurseshallsubmitaminimumoften
101percentofthechartsdocumentingtheadvancedpracticeregisterednurse'sdeliveryofhealth
102careservicestothecollaboratingphysicianforreviewbythecollaboratingphysician,orany
103otherphysiciandesignatedinthecollaborativepracticearrangement,everyfourteendays;
104[and]
105 (10)Thecollaboratingphysician,oranyotherphysiciandesignatedinthe
106collaborativepracticearrangement,shallrevieweveryfourteendaysaminimumoftwenty
107percentofthechartsinwhichtheadvancedpracticeregisterednurseprescribescontrolled
108substances.Thechartsreviewedunderthissubdivisionmaybecountedinthenumberof
109chartsrequiredtobereviewedundersubdivision(9)ofthissubsection; and
110 (11)Ifacollaborativepracticearrangementisusedinclinicalsituationswherea
111collaboratingadvancedpracticeregisterednurseprovideshealthcareservicesthat
112includethediagnosisandinitiationoftreatmentforacutelyorchronicallyillorinjured
113persons,thenthecollaboratingphysicianoranyotherphysiciandesignatedinthe
114collaborativepracticearrangementshallbepresentforsufficientperiodsoftime,at
115leastonceeverytwoweeks,exceptinextraordinarycircumstancesthatshallbe
116documented,toparticipateinachartreviewandtoprovidenecessarymedicaldirection,
117medicalservices,consultations,andsupervisionofthehealthcarestaff.
118 4.Thestateboardofregistrationforthehealingartspursuanttosection334.125and
119theboardofnursingpursuanttosection335.036mayjointlypromulgaterulesregulatingthe
120useofcollaborativepracticearrangements.Suchrulesshallbelimitedto[specifying
121geographicareastobecovered,] themethodsoftreatmentthatmaybecoveredby
HCSSSSCSSB157 25 122collaborativepracticearrangementsandtherequirementsforreviewofservicesprovided
123pursuanttocollaborativepracticearrangementsincludingdelegatingauthoritytoprescribe
124controlledsubstances.Anyrulesrelatingtogeographicproximityshallallowa
125collaboratingphysicianandacollaboratingadvancedpracticeregisterednurseto
126practicewithintwohundredmilesbyroadofoneanotheruntilAugust28,2025,ifthe
127nurseisprovidingservicesinacorrectionalcenter,asdefinedinsection217.010.Any
128rulesrelatingtodispensingordistributionofmedicationsordevicesbyprescriptionor
129prescriptiondrugordersunderthissectionshallbesubjecttotheapprovalofthestateboard
130ofpharmacy.Anyrulesrelatingtodispensingordistributionofcontrolledsubstancesby
131prescriptionorprescriptiondrugordersunderthissectionshallbesubjecttotheapprovalof
132thedepartmentofhealthandseniorservicesandthestateboardofpharmacy.Inordertotake
133effect,suchrulesshallbeapprovedbyamajorityvoteofaquorumofeachboard.Neitherthe
134stateboardofregistrationforthehealingartsnortheboardofnursingmayseparately
135promulgaterulesrelatingtocollaborativepracticearrangements.Suchjointlypromulgated
136rulesshallbeconsistentwithguidelinesforfederallyfundedclinics.Therulemaking
137authoritygrantedinthissubsectionshallnotextendtocollaborativepracticearrangementsof
138hospitalemployeesprovidinginpatientcarewithinhospitalsasdefinedpursuanttochapter
139197orpopulation-basedpublichealthservicesasdefinedby20CSR2150-5.100asofApril
14030,2008.
141 5.Thestateboardofregistrationforthehealingartsshallnotdeny,revoke,suspend
142orotherwisetakedisciplinaryactionagainstaphysicianforhealthcareservicesdelegatedtoa
143registeredprofessionalnurseprovidedtheprovisionsofthissectionandtherules
144promulgatedthereunderaresatisfied.Uponthewrittenrequestofaphysiciansubjecttoa
145disciplinaryactionimposedasaresultofanagreementbetweenaphysicianandaregistered
146professionalnurseorregisteredphysicianassistant,whetherwrittenornot,priortoAugust
14728,1993,allrecordsofsuchdisciplinarylicensureactionandallrecordspertainingtothe
148filing,investigationorreviewofanallegedviolationofthischapterincurredasaresultof
149suchanagreementshallberemovedfromtherecordsofthestateboardofregistrationforthe
150healingartsandthedivisionofprofessionalregistrationandshallnotbedisclosedtoany
151publicorprivateentityseekingsuchinformationfromtheboardorthedivision.Thestate
152boardofregistrationforthehealingartsshalltakeactiontocorrectreportsofalleged
153violationsanddisciplinaryactionsasdescribedinthissectionwhichhavebeensubmittedto
154theNationalPractitionerDataBank.Insubsequentapplicationsorrepresentationsrelatingto
155hisorhermedicalpractice,aphysiciancompletingformsordocumentsshallnotberequired
156toreportanyactionsofthestateboardofregistrationforthehealingartsforwhichthe
157recordsaresubjecttoremovalunderthissection.
HCSSSSCSSB157 26 158 6.Withinthirtydaysofanychangeandoneachrenewal,thestateboardof
159registrationforthehealingartsshallrequireeveryphysiciantoidentifywhetherthephysician
160isengagedinanycollaborativepractice[agreement] arrangement, includingcollaborative
161practice[agreements] arrangementsdelegatingtheauthoritytoprescribecontrolled
162substances,orphysicianassistant[agreement] collaborativepracticearrangementand
163alsoreporttotheboardthenameofeachlicensedprofessionalwithwhomthephysicianhas
164enteredintosuch[agreement] arrangement. Theboard[may] shallmakethisinformation
165availabletothepublic.Theboardshalltrackthereportedinformationandmayroutinely
166conductrandomreviewsofsuch[agreements] arrangementstoensurethat[agreements]
167arrangementsarecarriedoutforcomplianceunderthischapter.
168 7.Notwithstandinganylawtothecontrary,acertifiedregisterednurseanesthetistas
169definedinsubdivision(8)ofsection335.016shallbepermittedtoprovideanesthesiaservices
170withoutacollaborativepracticearrangementprovidedthatheorsheisunderthesupervision
171ofananesthesiologistorotherphysician,dentist,orpodiatristwhoisimmediatelyavailableif
172needed.Nothinginthissubsectionshallbeconstruedtoprohibitorpreventacertified
173registerednurseanesthetistasdefinedinsubdivision(8)ofsection335.016fromenteringinto
174acollaborativepracticearrangementunderthissection,exceptthatthecollaborativepractice
175arrangementmaynotdelegatetheauthoritytoprescribeanycontrolledsubstanceslistedin
176SchedulesIII,IV,andVofsection195.017,orScheduleII-hydrocodone.
177 8.Acollaboratingphysicianshallnotenterintoacollaborativepracticearrangement
178withmorethansixfull-timeequivalentadvancedpracticeregisterednurses,full-time
179equivalentlicensedphysicianassistants,orfull-timeequivalentassistantphysicians,orany
180combinationthereof.Thislimitationshallnotapplytocollaborativearrangementsofhospital
181employeesprovidinginpatientcareserviceinhospitalsasdefinedinchapter197or
182population-basedpublichealthservicesasdefinedby20CSR2150-5.100asofApril30,
1832008,ortoacertifiedregisterednurseanesthetistprovidinganesthesiaservicesunderthe
184supervisionofananesthesiologistorotherphysician,dentist,orpodiatristwhoisimmediately
185availableifneededassetoutinsubsection7ofthissection.
186 9.Itistheresponsibilityofthecollaboratingphysiciantodetermineanddocument
187thecompletionofatleastaone-monthperiodoftimeduringwhichtheadvancedpractice
188registerednurseshallpracticewiththecollaboratingphysiciancontinuouslypresentbefore
189practicinginasettingwherethecollaboratingphysicianisnotcontinuouslypresent.This
190limitationshallnotapplytocollaborativearrangementsofprovidersofpopulation-based
191publichealthservicesasdefinedby20CSR2150-5.100asofApril30,2008, orto
192collaborativepracticearrangementsbetweenaprimarycarephysicianandaprimary
193careadvancedpracticeregisterednurseorabehavioralhealthphysiciananda
194behavioralhealthadvancedpracticeregisterednurse,wherethecollaboratingphysician
HCSSSSCSSB157 27 195isnewtoapatientpopulationtowhichtheadvancedpracticeregisterednurseis
196familiar.
197 10.Noagreementmadeunderthissectionshallsupersedecurrenthospitallicensing
198regulationsgoverninghospitalmedicationordersunderprotocolsorstandingordersforthe
199purposeofdeliveringinpatientoremergencycarewithinahospitalasdefinedinsection
200197.020ifsuchprotocolsorstandingordershavebeenapprovedbythehospital'smedical
201staffandpharmaceuticaltherapeuticscommittee.
202 11.Nocontractorother[agreement] termofemploymentshallrequireaphysician
203toactasacollaboratingphysicianforanadvancedpracticeregisterednurseagainstthe
204physician'swill.Aphysicianshallhavetherighttorefusetoactasacollaboratingphysician,
205withoutpenalty,foraparticularadvancedpracticeregisterednurse.Nocontractorother
206agreementshalllimitthecollaboratingphysician'sultimateauthorityoveranyprotocolsor
207standingordersorinthedelegationofthephysician'sauthoritytoanyadvancedpractice
208registerednurse,butthisrequirementshallnotauthorizeaphysicianinimplementingsuch
209protocols,standingorders,ordelegationtoviolateapplicablestandardsforsafemedical
210practiceestablishedbyhospital'smedicalstaff.
211 12.Nocontractorother[agreement] termofemploymentshallrequireany
212advancedpracticeregisterednursetoserveasacollaboratingadvancedpracticeregistered
213nurseforanycollaboratingphysicianagainsttheadvancedpracticeregisterednurse'swill.
214Anadvancedpracticeregisterednurseshallhavetherighttorefusetocollaborate,without
215penalty,withaparticularphysician.
334.506.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"Approvedhealthcareprovider"[means], apersonholdingacurrentandactive
3licenseasaphysicianandsurgeonunderthischapter,achiropractorunderchapter331,a
4dentistunderchapter332,apodiatristunderchapter330,aphysicianassistantunderthis
5chapter,anadvancedpracticeregisterednurseunderchapter335,oranylicensedand
6registeredphysician,chiropractor,dentist,orpodiatristpracticinginanotherjurisdiction
7whoselicenseisingoodstanding;
8 (2)"Consult"or"consultation",communicationbytelephone,byfax,in
9writing,orinpersonwiththepatient'spersonallyapprovedlicensedhealthcare
10provideroralicensedhealthcareproviderofthepatient'sdesignation.
11 2.Aphysicaltherapist[shallnot]mayevaluateandinitiatetreatment[foranew
12injuryorillness] onapatientwithoutaprescriptionorreferralfromanapprovedhealthcare
13provider, providedthatthephysicaltherapisthasadoctorateofphysicaltherapydegree
14orhasfiveyearsofclinicalpracticeasaphysicaltherapist.
15 3.Aphysicaltherapistmayprovideeducationalresourcesandtraining,develop
16fitnessorwellnessprograms[forasymptomaticpersons], orprovidescreeningorconsultative
HCSSSSCSSB157 28 17serviceswithinthescopeofphysicaltherapypracticewithout[the]aprescription[and
18directionof]orreferralfromanapprovedhealthcareprovider.
19 4.[Aphysicaltherapistmayexamineandtreatwithouttheprescriptionanddirection
20ofanapprovedhealthcareprovideranypersonwitharecurringself-limitedinjurywithinone
21yearofdiagnosisbyanapprovedhealthcareproviderorachronicillnessthathasbeen
22previouslydiagnosedbyanapprovedhealthcareprovider.Thephysicaltherapistshall:]
23 (1)[Contactthepatient'scurrentapprovedhealthcareproviderwithinsevendaysof
24initiatingphysicaltherapyservicesunderthissubsection;] Aphysicaltherapistshallrefer
25toanapprovedhealthcareprovideranypatientwhoseconditionatthetimeof
26evaluationortreatmentisdeterminedtobebeyondthescopeofpracticeofphysical
27therapy.Thephysicaltherapistshallnotprovidephysicaltherapyservicesortreatment
28afterthisreferralhasbeenmade.
29 (2)[Notchangeanexistingphysicaltherapyreferralavailabletothephysical
30therapistwithoutapprovalofthepatient'scurrentapprovedhealthcareprovider;] Aphysical
31therapistshallrefertoanapprovedhealthcareprovideranypatientwhodoesnot
32demonstratemeasurableorfunctionalimprovementaftertenvisitsorthirtydays,
33whicheveroccursfirst.Thephysicaltherapistshallnotprovidefurthertherapyservices
34ortreatmentafterthisreferralhasbeenmade.
35 (3)[Refertoanapprovedhealthcareprovideranypatientwhosemedicalconditionat
36thetimeofexaminationortreatmentisdeterminedtobebeyondthescopeofpracticeof
37physicaltherapy;
38 (4)Refertoanapprovedhealthcareprovideranypatientwhoseconditionforwhich
39physicaltherapyservicesarerenderedunderthissubsectionhasnotbeendocumentedtobe
40progressingtowarddocumentedtreatmentgoalsaftersixvisitsorfourteendays,whichever
41firstoccurs;
42 (5)Notifythepatient'scurrentapprovedhealthcareproviderpriortothecontinuation
43oftreatmentiftreatmentrenderedunderthissubsectionistocontinuebeyondthirtydays.
44Thephysicaltherapistshallprovidesuchnotificationforeachsuccessiveperiodofthirty
45days.] (a)Aphysicaltherapistshallconsultwithanapprovedhealthcareproviderif,
46aftereverytenvisitsorthirtydays,whicheveroccursfirst,thepatienthasdemonstrated
47measurableorfunctionalimprovementfromthecourseofphysicaltherapyservicesor
48treatmentprovidedandthephysicaltherapistbelievesthatcontinuationofthecourseof
49physicaltherapyservicesortreatmentisreasonableandnecessarybasedonthephysical
50therapist'sevaluationofthepatient.Thephysicaltherapistshallnotprovidefurther
51physicaltherapyservicesortreatmentuntiltheconsultationhasoccurred.
52 (b)Theconsultationwiththeapprovedhealthcareprovidershallinclude
53informationconcerning:
HCSSSSCSSB157 29 54 a.Thepatient'sconditionforwhichphysicaltherapyservicesortreatmentswere
55provided;
56 b.Thebasisforthecourseofservicesortreatmentindicated,asdetermined
57fromthephysicaltherapyevaluationofthepatient;
58 c.Thephysicaltherapyservicesortreatmentprovidedbeforethedateofthe
59consultation;
60 d.Thepatient'sdemonstratedmeasurableorfunctionalimprovementfromthe
61servicesortreatmentprovidedbeforethedateoftheconsultation;
62 e.Thecontinuingphysicaltherapyservicesortreatmentproposedtobe
63providedfollowingtheconsultation;and
64 f.Theprofessionalphysicaltherapybasisforthecontinuedphysicaltherapy
65servicesortreatmenttobeprovided.
66 (c)Continuedphysicaltherapyservicesortreatmentfollowingtheconsultation
67withandapprovalbyanapprovedhealthcareprovidershallproceedinaccordance
68withanyfeedback,advice,opinion,ordirectionoftheapprovedhealthcareprovider.
69Thephysicaltherapistshallnotifytheconsultingapprovedhealthcareproviderof
70continuingphysicaltherapyservicesortreatmentandthepatient'sprogressatleast
71everytenvisitsorthirtydaysaftertheinitialconsultationunlesstheconsulting
72approvedhealthcareproviderdirectsotherwise.
73 (d)Theprovisionsofthissubdivisionshallnotapplytophysicaltherapyservices
74performedwithinaprimaryorsecondaryschoolforindividualswithinagesnotin
75excessoftwenty-oneyears.
76 5.Theprovisionofphysicaltherapyservicesofevaluationandscreeningpursuantto
77thissectionshallbelimitedtoaphysicaltherapist,andanyauthorityforevaluationand
78screeninggrantedwithinthissectionmaynotbedelegated.Uponeachreinitiationof
79physicaltherapyservices,aphysicaltherapistshallprovideafullphysicaltherapyevaluation
80priortothereinitiationofphysicaltherapytreatment.[Physicaltherapytreatmentprovided
81pursuanttotheprovisionsofsubsection4ofthissectionmaybedelegatedbyphysical
82therapiststophysicaltherapistassistantsonlyifthepatient'scurrentapprovedhealthcare
83providerhasbeensoinformedaspartofthephysicaltherapist'sseven-daynotificationupon
84reinitiationofphysicaltherapyservicesasrequiredinsubsection4ofthissection.] Nothing
85inthissubsectionshallbeconstruedastolimittheabilityofphysicaltherapistsorphysical
86therapistassistantstoprovidephysicaltherapyservicesinaccordancewiththeprovisionsof
87thischapter,anduponthereferralofanapprovedhealthcareprovider.Nothinginthis
88subsectionshallprohibitanapprovedhealthcareproviderfromactingwithinthescopeof
89theirpracticeasdefinedbytheapplicablechaptersofRSMo.
HCSSSSCSSB157 30 90 6.Nopersonlicensedtopractice,orapplicantforlicensure,asaphysicaltherapistor
91physicaltherapistassistantshallmakeamedicaldiagnosis.
92 7.Aphysicaltherapistshallonlydelegatephysicaltherapytreatmenttoaphysical
93therapistassistantortoapersoninanentrylevelofaprofessionaleducationprogram
94approvedbytheCommissiononAccreditationinPhysicalTherapyEducation(CAPTE)who
95satisfiessupervisedclinicaleducationrequirementsrelatedtotheperson'sphysicaltherapist
96orphysicaltherapistassistanteducation.Theentry-levelpersonshallbeunderthe
97supervisionofaphysicaltherapist.
334.613.1.Theboardmayrefusetoissueorrenewalicensetopracticeasaphysical
2therapistorphysicaltherapistassistantforoneoranycombinationofcausesstatedin
3subsection2ofthissection.Theboardshallnotifytheapplicantinwritingofthereasonsfor
4therefusalandshalladvisetheapplicantoftheapplicant'srighttofileacomplaintwiththe
5administrativehearingcommissionasprovidedbychapter621.Asanalternativetoarefusal
6toissueorrenewalicensetopracticeasaphysicaltherapistorphysicaltherapistassistant,the
7boardmay,atitsdiscretion,issuealicensewhichissubjecttoprobation,restriction,or
8limitationtoanapplicantforlicensureforanyoneoranycombinationofcausesstatedin
9subsection2ofthissection.Theboard'sorderofprobation,limitation,orrestrictionshall
10containastatementofthedisciplineimposed,thebasistherefor,thedatesuchactionshall
11becomeeffective,andastatementthattheapplicanthasthirtydaystorequestinwritinga
12hearingbeforetheadministrativehearingcommission.Iftheboardissuesaprobationary,
13limited,orrestrictedlicensetoanapplicantforlicensure,eitherpartymayfileawritten
14petitionwiththeadministrativehearingcommissionwithinthirtydaysoftheeffectivedateof
15theprobationary,limited,orrestrictedlicenseseekingreviewoftheboard'sdetermination.If
16nowrittenrequestforahearingisreceivedbytheadministrativehearingcommissionwithin
17thethirty-dayperiod,therighttoseekreviewoftheboard'sdecisionshallbeconsideredas
18waived.
19 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
20commissionasprovidedbychapter621againstanyholderofalicensetopracticeasa
21physicaltherapistorphysicaltherapistassistantwhohasfailedtoreneworhassurrendered
22hisorherlicenseforanyoneoranycombinationofthefollowingcauses:
23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofaphysicaltherapist
25orphysicaltherapistassistant;
26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystate,oftheUnited
28States,orofanycountry,foranyoffensedirectlyrelatedtothedutiesandresponsibilitiesof
HCSSSSCSSB157 31 29theoccupation,assetforthinsection324.012,regardlessofwhetherornotsentenceis
30imposed;
31 (3)Useoffraud,deception,misrepresentation,orbriberyinsecuringanycertificate
32ofregistrationorauthority,permit,orlicenseissuedunderthischapterorinobtaining
33permissiontotakeanyexaminationgivenorrequiredunderthischapter;
34 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconduct,or
35unprofessionalconductintheperformanceofthefunctionsordutiesofaphysicaltherapist
36orphysicaltherapistassistant,includingbutnotlimitedtothefollowing:
37 (a)Obtainingorattemptingtoobtainanyfee,charge,tuition,orothercompensation
38byfraud,deception,ormisrepresentation;willfullyandcontinuallyoverchargingor
39overtreatingpatients;orchargingforsessionsofphysicaltherapywhichdidnotoccur
40unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
41documentedinthepatient'srecords;
42 (b)Attempting,directlyorindirectly,bywayofintimidation,coercion,ordeception,
43toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
44 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatmentor
45services;
46 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
47training,skill,competency,age,experience,orlicensuretoperformsuchresponsibilities;
48 (e)Misrepresentingthatanydisease,ailment,orinfirmitycanbecuredbyamethod,
49procedure,treatment,medicine,ordevice;
50 (f)Performingserviceswhichhavebeendeclaredbyboardruletobeofnophysical
51therapyvalue;
52 (g)Finaldisciplinaryactionbyanyprofessionalassociation,professionalsociety,
53licensedhospitalormedicalstaffofthehospital,orphysicaltherapyfacilityinthisorany
54otherstateorterritory,whetheragreedtovoluntarilyornot,andincludingbutnotlimitedto
55anyremoval,suspension,limitation,orrestrictionoftheperson'sprofessionalemployment,
56malpractice,oranyotherviolationofanyprovisionofthischapter;
57 (h)Administeringtreatmentwithoutsufficientexamination,orforotherthan
58medicallyacceptedtherapeuticorexperimentalorinvestigativepurposesdulyauthorizedbya
59stateorfederalagency,ornotinthecourseofprofessionalphysicaltherapypractice;
60 (i)Engaginginorsolicitingsexualrelationships,whetherconsensualor
61nonconsensual,whileaphysicaltherapistorphysicaltherapistassistant/patientrelationship
62exists;makingsexualadvances,requestingsexualfavors,orengaginginotherverbalconduct
63orphysicalcontactofasexualnaturewithpatientsorclients;
64 (j)Terminatingthecareofapatientwithoutadequatenoticeorwithoutmakingother
65arrangementsforthecontinuedcareofthepatient;
HCSSSSCSSB157 32 66 (k)Failingtofurnishdetailsofapatient'sphysicaltherapyrecordstotreating
67physicians,otherphysicaltherapists,orhospitalsuponproperrequest;orfailingtocomply
68withanyotherlawrelatingtophysicaltherapyrecords;
69 (l)Failureofanyapplicantorlicensee,otherthanthelicenseesubjecttothe
70investigation,tocooperatewiththeboardduringanyinvestigation;
71 (m)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
72anorderoftheboard;
73 (n)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
74 (o)Violatingaprobationagreementwiththisboardoranyotherlicensingagency;
75 (p)Failingtoinformtheboardofthephysicaltherapist'sorphysicaltherapist
76assistant'scurrenttelephonenumber,residence,andbusinessaddress;
77 (q)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
78violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
79disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
80physicaltherapistorphysicaltherapistassistant.Anapplicantorlicenseeshallalsobein
81violationofthisprovisioniftheapplicantorlicenseehasafinancialinterestinany
82organization,corporation,orassociationwhichissuesorconductssuchadvertising;
83 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
84orphysicalhealthofapatientorthepublic;orincompetency,grossnegligence,orrepeated
85negligenceintheperformanceofthefunctionsordutiesofaphysicaltherapistorphysical
86therapistassistant.Forthepurposesofthissubdivision,"repeatednegligence"meansthe
87failure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
88underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
89profession;
90 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
91enablinganypersontoviolate,anyprovisionofthischapter,orofanylawfulruleadopted
92underthischapter;
93 (7)Impersonationofanypersonlicensedasaphysicaltherapistorphysicaltherapist
94assistantorallowinganypersontousehisorherlicenseordiplomafromanyschool;
95 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
96censure,probation,orotherfinaldisciplinaryactionagainstaphysicaltherapistorphysical
97therapistassistantforalicenseorotherrighttopracticeasaphysicaltherapistorphysical
98therapistassistantbyanotherstate,territory,federalagencyorcountry,whetherornot
99voluntarilyagreedtobythelicenseeorapplicant,includingbutnotlimitedtothedenialof
100licensure,surrenderofthelicense,allowingthelicensetoexpireorlapse,ordiscontinuingor
101limitingthepracticeofphysicaltherapywhilesubjecttoaninvestigationorwhileactually
102underinvestigationbyanylicensingauthority,medicalfacility,branchoftheArmedForces
HCSSSSCSSB157 33 103oftheUnitedStatesofAmerica,insurancecompany,court,agencyofthestateorfederal
104government,oremployer;
105 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
106jurisdiction;
107 (10)Assistingorenablinganypersontopracticeoroffertopracticewhoisnot
108licensedandcurrentlyeligibletopracticeunderthischapter;orknowinglyperforminganyact
109whichinanywayaids,assists,procures,advises,orencouragesanypersontopractice
110physicaltherapywhoisnotlicensedandcurrentlyeligibletopracticeunderthischapter;
111 (11)Issuanceofalicensetopracticeasaphysicaltherapistorphysicaltherapist
112assistantbaseduponamaterialmistakeoffact;
113 (12)Failuretodisplayavalidlicensepursuanttopracticeasaphysicaltherapistor
114physicaltherapistassistant;
115 (13)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
116of,afalsestatementinanydocumentexecutedinconnectionwiththepracticeofphysical
117therapy;
118 (14)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
119meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
120concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
121totheneedornecessityfororappropriatenessofphysicaltherapyservicesforallpatients,or
122thequalificationsofanindividualpersonorpersonstorender,orperformphysicaltherapy
123services;
124 (15)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
125"physicaltherapist","physiotherapist","registeredphysicaltherapist","P.T.","Ph.T.",
126"P.T.T.","D.P.T.","M.P.T."or"R.P.T.","physicaltherapistassistant","P.T.A.","L.P.T.A.",
127"C.P.T.A.",oranysimilardesignationwithreferencetothecommercialexploitationofany
128goods,waresormerchandise;
129 (16)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
130ofamaterialfact,withintenttodefraud,forpaymentunderchapter208orchapter630orfor
131paymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
132 (17)Failureorrefusaltoproperlyguardagainstcontagious,infectious,or
133communicablediseasesorthespreadthereof;maintaininganunsanitaryfacilityor
134performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
135existenceofanunsanitaryconditioninanyphysicaltherapyfacilitytotheboard,inwriting,
136withinthirtydaysafterthediscoverythereof;
137 (18)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
138orphysicaltherapistassistantpayingorofferingtopayareferralfeeor[,notwithstanding
139section334.010tothecontrary,practicingorofferingtopracticeprofessionalphysical
HCSSSSCSSB157 34 140therapyindependentoftheprescriptionanddirectionofapersonlicensedandregisteredasa
141physicianandsurgeonunderthischapter,asaphysicianassistantunderthischapter,asa
142chiropractorunderchapter331,asadentistunderchapter332,asapodiatristunderchapter
143330,asanadvancedpracticeregisterednurseunderchapter335,oranylicensedand
144registeredphysician,chiropractor,dentist,podiatrist,oradvancedpracticeregisterednurse
145practicinginanotherjurisdiction,whoselicenseisingoodstanding] evaluatingortreatinga
146patientinamannerinconsistentwithsection334.506;
147 (19)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
148orphysicaltherapistassistanttreatingorattemptingtotreatailmentsorotherhealth
149conditionsofhumanbeingsotherthanbyprofessionalphysicaltherapyandasauthorizedby
150sections334.500to334.685;
151 (20)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
152prescribed,dispensed,oradministeredbyaphysicianwhoisauthorizedbylawtodoso;
153 (21)Failingtomaintainadequatepatientrecordsundersection334.602;
154 (22)Attemptingtoengageinconductthatsubvertsorunderminestheintegrityofthe
155licensingexaminationorthelicensingexaminationprocess,includingbutnotlimitedto
156utilizinginanymannerrecalledormemorizedlicensingexaminationquestionsfromorwith
157anypersonorentity,failingtocomplywithalltestcentersecurityprocedures,communicating
158orattemptingtocommunicatewithanyotherexamineesduringthetest,orcopyingorsharing
159licensingexaminationquestionsorportionsofquestions;
160 (23)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
161orphysicaltherapistassistantwhorequests,receives,participatesorengagesdirectlyor
162indirectlyinthedivision,transferring,assigning,rebatingorrefundingoffeesreceivedfor
163professionalservicesorprofitsbymeansofacreditorothervaluableconsiderationsuchas
164wages,anunearnedcommission,discountorgratuitywithanypersonwhoreferredapatient,
165orwithanyrelativeorbusinessassociateofthereferringperson;
166 (24)Beingunabletopracticeasaphysicaltherapistorphysicaltherapistassistant
167withreasonableskillandsafetytopatientsbyreasonsofincompetency,orbecauseofillness,
168drunkenness,excessiveuseofdrugs,narcotics,chemicals,orasaresultofanymentalor
169physicalcondition.Thefollowingshallapplytothissubdivision:
170 (a)Inenforcingthissubdivisiontheboardshall,afterahearingbytheboard,upona
171findingofprobablecause,requireaphysicaltherapistorphysicaltherapistassistanttosubmit
172toareexaminationforthepurposeofestablishinghisorhercompetencytopracticeasa
173physicaltherapistorphysicaltherapistassistantconductedinaccordancewithrulesadopted
174forthispurposebytheboard,includingrulestoallowtheexaminationofthepatternand
175practiceofsuchphysicaltherapist'sorphysicaltherapistassistant'sprofessionalconduct,orto
HCSSSSCSSB157 35 176submittoamentalorphysicalexaminationorcombinationthereofbyafacilityor
177professionalapprovedbytheboard;
178 (b)Forthepurposeofthissubdivision,everyphysicaltherapistandphysicaltherapist
179assistantlicensedunderthischapterisdeemedtohaveconsentedtosubmittoamentalor
180physicalexaminationwhendirectedinwritingbytheboard;
181 (c)Inadditiontoorderingaphysicalormentalexaminationtodeterminecompetency,
182theboardmay,notwithstandinganyotherlawlimitingaccesstomedicalorotherhealthdata,
183obtainmedicaldataandhealthrecordsrelatingtoaphysicaltherapist,physicaltherapist
184assistantorapplicantwithoutthephysicaltherapist's,physicaltherapistassistant'sor
185applicant'sconsent;
186 (d)Writtennoticeofthereexaminationorthephysicalormentalexaminationshallbe
187senttothephysicaltherapistorphysicaltherapistassistant,byregisteredmail,addressedto
188thephysicaltherapistorphysicaltherapistassistantatthephysicaltherapist'sorphysical
189therapistassistant'slastknownaddress.Failureofaphysicaltherapistorphysicaltherapist
190assistanttosubmittotheexaminationwhendirectedshallconstituteanadmissionofthe
191allegationsagainstthephysicaltherapistorphysicaltherapistassistant,inwhichcasethe
192boardmayenterafinalorderwithoutthepresentationofevidence,unlessthefailurewasdue
193tocircumstancesbeyondthephysicaltherapist'sorphysicaltherapistassistant'scontrol.A
194physicaltherapistorphysicaltherapistassistantwhoserighttopracticehasbeenaffected
195underthissubdivisionshall,atreasonableintervals,beaffordedanopportunityto
196demonstratethatthephysicaltherapistorphysicaltherapistassistantcanresumethe
197competentpracticeasaphysicaltherapistorphysicaltherapistassistantwithreasonableskill
198andsafetytopatients;
199 (e)Inanyproceedingunderthissubdivisionneithertherecordofproceedingsnorthe
200ordersenteredbytheboardshallbeusedagainstaphysicaltherapistorphysicaltherapist
201assistantinanyotherproceeding.Proceedingsunderthissubdivisionshallbeconductedby
202theboardwithoutthefilingofacomplaintwiththeadministrativehearingcommission;
203 (f)Whentheboardfindsanypersonunqualifiedbecauseofanyofthegroundsset
204forthinthissubdivision,itmayenteranorderimposingoneormoreofthedisciplinary
205measuressetforthinsubsection3ofthissection.
206 3.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
207theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
208findingbytheadministrativehearingcommissionthatthegroundsprovidedinsubsection2
209ofthissectionfordisciplinaryactionaremet,theboardmay,singlyorincombination:
210 (1)Warn,censureorplacethephysicaltherapistorphysicaltherapistassistantnamed
211inthecomplaintonprobationonsuchtermsandconditionsastheboarddeemsappropriate
212foraperiodnottoexceedtenyears;
HCSSSSCSSB157 36 213 (2)Suspendthephysicaltherapist'sorphysicaltherapistassistant'slicensefora
214periodnottoexceedthreeyears;
215 (3)Restrictorlimitthephysicaltherapist'sorphysicaltherapistassistant'slicensefor
216anindefiniteperiodoftime;
217 (4)Revokethephysicaltherapist'sorphysicaltherapistassistant'slicense;
218 (5)Administerapublicorprivatereprimand;
219 (6)Denythephysicaltherapist'sorphysicaltherapistassistant'sapplicationfora
220license;
221 (7)Permanentlywithholdissuanceofalicense;
222 (8)Requirethephysicaltherapistorphysicaltherapistassistanttosubmittothecare,
223counselingortreatmentofphysiciansdesignatedbytheboardattheexpenseofthephysical
224therapistorphysicaltherapistassistanttobeexamined;
225 (9)Requirethephysicaltherapistorphysicaltherapistassistanttoattendsuch
226continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
227 4.Inanyorderofrevocation,theboardmayprovidethatthephysicaltherapistor
228physicaltherapistassistantshallnotapplyforreinstatementofthephysicaltherapist'sor
229physicaltherapistassistant'slicenseforaperiodoftimerangingfromtwotosevenyears
230followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
231 5.Beforerestoringtogoodstandingalicenseissuedunderthischapterwhichhas
232beeninarevoked,suspended,orinactivestateforanycauseformorethantwoyears,the
233boardmayrequiretheapplicanttoattendsuchcontinuingmedicaleducationcoursesandpass
234suchexaminationsastheboardmaydirect.
235 6.Inanyinvestigation,hearingorotherproceedingtodetermineaphysical
236therapist's,physicaltherapistassistant'sorapplicant'sfitnesstopractice,anyrecordrelatingto
237anypatientofthephysicaltherapist,physicaltherapistassistant,orapplicantshallbe
238discoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
239commonlawprivilegewhichsuchphysicaltherapist,physicaltherapistassistant,applicant,
240recordcustodian,orpatientmightotherwiseinvoke.Inaddition,nosuchphysicaltherapist,
241physicaltherapistassistant,applicant,orrecordcustodianmaywithholdrecordsortestimony
242bearinguponaphysicaltherapist's,physicaltherapistassistant's,orapplicant'sfitnessto
243practiceonthegroundsofprivilegebetweensuchphysicaltherapist,physicaltherapist
244assistant,applicant,orrecordcustodianandapatient.
334.735.1.Asusedinsections334.735to334.749,thefollowingtermsmean:
2 (1)"Applicant",anyindividualwhoseekstobecomelicensedasaphysician
3assistant;
HCSSSSCSSB157 37 4 (2)"Certification"or"registration",aprocessbyacertifyingentitythatgrants
5recognitiontoapplicantsmeetingpredeterminedqualificationsspecifiedbysuchcertifying
6entity;
7 (3)"Certifyingentity",thenongovernmentalagencyorassociationwhichcertifiesor
8registersindividualswhohavecompletedacademicandtrainingrequirements;
9 (4)"Collaborativepracticearrangement",writtenagreements,jointlyagreedupon
10protocols,orstandingorders,allofwhichshallbeinwriting,forthedeliveryofhealthcare
11services;
12 (5)"Department",thedepartmentofcommerceandinsuranceoradesignatedagency
13thereof;
14 (6)"License",adocumentissuedtoanapplicantbytheboardacknowledgingthatthe
15applicantisentitledtopracticeasaphysicianassistant;
16 (7)"Physicianassistant",apersonwhohasgraduatedfromaphysicianassistant
17programaccreditedbytheAccreditationReviewCommissiononEducationforthePhysician
18Assistantoritssuccessoragency,priorto2001,ortheCommitteeonAlliedHealthEducation
19andAccreditationortheCommissiononAccreditationofAlliedHealthEducationPrograms,
20whohaspassedthecertifyingexaminationadministeredbytheNationalCommissionon
21CertificationofPhysicianAssistantsandhasactivecertificationbytheNationalCommission
22onCertificationofPhysicianAssistantswhoprovideshealthcareservicesdelegatedbya
23licensedphysician.Apersonwhohasbeenemployedasaphysicianassistantforthreeyears
24priortoAugust28,1989,whohaspassedtheNationalCommissiononCertificationof
25PhysicianAssistantsexamination,andhasactivecertificationoftheNationalCommissionon
26CertificationofPhysicianAssistants;
27 (8)"Recognition",theformalprocessofbecomingacertifyingentityasrequiredby
28theprovisionsofsections334.735to334.749.
29 2.Thescopeofpracticeofaphysicianassistantshallconsistonlyofthefollowing
30servicesandprocedures:
31 (1)Takingpatienthistories;
32 (2)Performingphysicalexaminationsofapatient;
33 (3)Performingorassistingintheperformanceofroutineofficelaboratoryandpatient
34screeningprocedures;
35 (4)Performingroutinetherapeuticprocedures;
36 (5)Recordingdiagnosticimpressionsandevaluatingsituationscallingforattentionof
37aphysiciantoinstitutetreatmentprocedures;
38 (6)Instructingandcounselingpatientsregardingmentalandphysicalhealthusing
39proceduresreviewedandapprovedbyacollaboratingphysician;
HCSSSSCSSB157 38 40 (7)Assistingthesupervisingphysicianininstitutionalsettings,includingreviewing
41oftreatmentplans,orderingoftestsanddiagnosticlaboratoryandradiologicalservices,and
42orderingoftherapies,usingproceduresreviewedandapprovedbyalicensedphysician;
43 (8)Assistinginsurgery;and
44 (9)Performingsuchothertasksnotprohibitedbylawunderthecollaborativepractice
45arrangementwithalicensedphysicianasthephysicianassistanthasbeentrainedandis
46proficienttoperform.
47 3.Physicianassistantsshallnotperformorprescribeabortions.
48 4.Physicianassistantsshallnotprescribeanydrug,medicine,deviceortherapy
49unlesspursuanttoacollaborativepracticearrangementinaccordancewiththelaw,nor
50prescribelenses,prismsorcontactlensesfortheaid,relieforcorrectionofvisionorthe
51measurementofvisualpowerorvisualefficiencyofthehumaneye,noradministerormonitor
52generalorregionalblockanesthesiaduringdiagnostictests,surgeryorobstetricprocedures.
53Prescribingofdrugs,medications,devicesortherapiesbyaphysicianassistantshallbe
54pursuanttoacollaborativepracticearrangementwhichisspecifictotheclinicalconditions
55treatedbythesupervisingphysicianandthephysicianassistantshallbesubjecttothe
56following:
57 (1)Aphysicianassistantshallonlyprescribecontrolledsubstancesinaccordance
58withsection334.747;
59 (2)Thetypesofdrugs,medications,devicesortherapiesprescribedbyaphysician
60assistantshallbeconsistentwiththescopesofpracticeofthephysicianassistantandthe
61collaboratingphysician;
62 (3)Allprescriptionsshallconformwithstateandfederallawsandregulationsand
63shallincludethename,addressandtelephonenumberofthephysicianassistant[andthe
64supervisingphysician];
65 (4)Aphysicianassistant,oradvancedpracticeregisterednurseasdefinedinsection
66335.016mayrequest,receiveandsignfornoncontrolledprofessionalsamplesandmay
67distributeprofessionalsamplestopatients;and
68 (5)Aphysicianassistantshallnotprescribeanydrugs,medicines,devicesor
69therapiesthecollaboratingphysicianisnotqualifiedorauthorizedtoprescribe.
70 5.Aphysicianassistantshallclearlyidentifyhimselforherselfasaphysician
71assistantandshallnotuseorpermittobeusedinthephysicianassistant'sbehalftheterms
72"doctor","Dr."or"doc"norholdhimselforherselfoutinanywaytobeaphysicianor
73surgeon.Nophysicianassistantshallpracticeorattempttopracticewithoutphysician
74collaborationorinanylocationwherethecollaboratingphysicianisnotimmediately
75availableforconsultation,assistanceandintervention,exceptasotherwiseprovidedinthis
76section,andinanemergencysituation,norshallanyphysicianassistantbillapatient
HCSSSSCSSB157 39 77independentlyordirectlyforanyservicesorprocedurebythephysicianassistant;exceptthat,
78nothinginthissubsectionshallbeconstruedtoprohibitaphysicianassistantfromenrolling
79withathird-partyplanorthedepartmentofsocialservicesasaMOHealthNetorMedicaid
80providerwhileactingunderacollaborativepracticearrangementbetweenthephysicianand
81physicianassistant.
82 6.Thelicensingofphysicianassistantsshalltakeplacewithinprocessesestablished
83bythestateboardofregistrationforthehealingartsthroughruleandregulation.Theboard
84ofhealingartsisauthorizedtoestablishrulespursuanttochapter536establishinglicensing
85andrenewalprocedures,collaboration,collaborativepracticearrangements,fees,and
86addressingsuchothermattersasarenecessarytoprotectthepublicanddisciplinethe
87profession.Anapplicationforlicensingmaybedeniedorthelicenseofaphysicianassistant
88maybesuspendedorrevokedbytheboardinthesamemannerandforviolationofthe
89standardsassetforthbysection334.100,orsuchotherstandardsofconductsetbytheboard
90byruleorregulation.Personslicensedpursuanttotheprovisionsofchapter335shallnotbe
91requiredtobelicensedasphysicianassistants.Allapplicantsforphysicianassistantlicensure
92whocompleteaphysicianassistanttrainingprogramafterJanuary1,2008,shallhavea
93master'sdegreefromaphysicianassistantprogram.
94 7.Atalltimesthephysicianisresponsiblefortheoversightoftheactivitiesof,and
95acceptsresponsibilityfor,healthcareservicesrenderedbythephysicianassistant.
96 8.(1)Aphysicianmayenterintocollaborativepracticearrangementswithphysician
97assistants.Collaborativepracticearrangements,whichshallbeinwriting,maydelegatetoa
98physicianassistanttheauthoritytoprescribe,administer,ordispensedrugsandprovide
99treatmentwhichiswithintheskill,training,andcompetenceofthephysicianassistant.
100Collaborativepracticearrangementsmaydelegatetoaphysicianassistant,asdefinedin
101section334.735,theauthoritytoadminister,dispense,orprescribecontrolledsubstances
102listedinSchedulesIII,IV,andVofsection195.017,andScheduleII-hydrocodone.
103ScheduleIIInarcoticcontrolledsubstancesandScheduleII-hydrocodoneprescriptionsshall
104belimitedtoaonehundredtwenty-hoursupplywithoutrefill.Suchcollaborativepractice
105arrangementsshallbeintheformofawrittenarrangement,jointlyagreed-uponprotocols,or
106standingordersforthedeliveryofhealthcareservices.
107 (2)Notwithstandinganyotherprovisionofthissectiontothecontrary,a
108collaborativepracticearrangementmaydelegatetoaphysicianassistanttheauthority
109toadminister,dispense,orprescribeScheduleIIcontrolledsubstancesforhospice
110patients;provided,thatthephysicianassistantisemployedbyahospiceprovider
111certifiedpursuanttochapter197andthephysicianassistantisprovidingcaretohospice
112patientspursuanttoacollaborativepracticearrangementthatdesignatesthecertified
HCSSSSCSSB157 40 113hospiceasalocationwherethephysicianassistantisauthorizedtopracticeand
114prescribe.
115 9.Thewrittencollaborativepracticearrangementshallcontainatleastthefollowing
116provisions:
117 (1)Completenames,homeandbusinessaddresses,zipcodes,andtelephonenumbers
118ofthecollaboratingphysicianandthephysicianassistant;
119 (2)Alistofallotherofficesorlocations,otherthanthoselistedinsubdivision(1)of
120thissubsection,wherethecollaboratingphysicianhasauthorizedthephysicianassistantto
121prescribe;
122 (3)Arequirementthatthereshallbepostedateveryofficewherethephysician
123assistantisauthorizedtoprescribe,incollaborationwithaphysician,aprominentlydisplayed
124disclosurestatementinformingpatientsthattheymaybeseenbyaphysicianassistantand
125havetherighttoseethecollaboratingphysician;
126 (4)Allspecialtyorboardcertificationsofthecollaboratingphysicianandall
127certificationsofthephysicianassistant;
128 (5)Themannerofcollaborationbetweenthecollaboratingphysicianandthe
129physicianassistant,includinghowthecollaboratingphysicianandthephysicianassistant
130will:
131 (a)Engageincollaborativepracticeconsistentwitheachprofessional'sskill,training,
132education,andcompetence;
133 (b)Maintaingeographicproximity,asdeterminedbytheboardofregistrationforthe
134healingarts;and
135 (c)Providecoverageduringabsence,incapacity,infirmity,oremergencyofthe
136collaboratingphysician;
137 (6)Alistofallotherwrittencollaborativepracticearrangementsofthecollaborating
138physicianandthephysicianassistant;
139 (7)Thedurationofthewrittenpracticearrangementbetweenthecollaborating
140physicianandthephysicianassistant;
141 (8)Adescriptionofthetimeandmannerofthecollaboratingphysician'sreviewof
142thephysicianassistant'sdeliveryofhealthcareservices.Thedescriptionshallinclude
143provisionsthatthephysicianassistantshallsubmitaminimumoftenpercentofthecharts
144documentingthephysicianassistant'sdeliveryofhealthcareservicestothecollaborating
145physicianforreviewbythecollaboratingphysician,oranyotherphysiciandesignatedinthe
146collaborativepracticearrangement,everyfourteendays.Reviewsmaybeconducted
147electronically;
148 (9)Thecollaboratingphysician,oranyotherphysiciandesignatedinthe
149collaborativepracticearrangement,shallrevieweveryfourteendaysaminimumoftwenty
HCSSSSCSSB157 41 150percentofthechartsinwhichthephysicianassistantprescribescontrolledsubstances.The
151chartsreviewedunderthissubdivisionmaybecountedinthenumberofchartsrequiredtobe
152reviewedundersubdivision(8)ofthissubsection;and
153 (10)Astatementthatnocollaborationrequirementsinadditiontothefederallaw
154shallberequiredforaphysician-physicianassistantteamworkinginacertifiedcommunity
155behavioralhealthclinicasdefinedbyPub.L.113-93,oraruralhealthclinicunderthefederal
156RuralHealthServicesAct,Pub.L.95-210,asamended,orafederallyqualifiedhealthcenter
157asdefinedin42U.S.C.Section[1395ofthePublicHealthServiceAct]1395x, asamended.
158 10.Thestateboardofregistrationforthehealingartsundersection334.125may
159promulgaterulesregulatingtheuseofcollaborativepracticearrangements.
160 11.Thestateboardofregistrationforthehealingartsshallnotdeny,revoke,suspend,
161orotherwisetakedisciplinaryactionagainstacollaboratingphysicianforhealthcareservices
162delegatedtoaphysicianassistant,providedthattheprovisionsofthissectionandtherules
163promulgatedthereunderaresatisfied.
164 12.Withinthirtydaysofanychangeandoneachrenewal,thestateboardof
165registrationforthehealingartsshallrequireeveryphysiciantoidentifywhetherthephysician
166isengagedinanycollaborativepracticearrangement,includingcollaborativepractice
167arrangementsdelegatingtheauthoritytoprescribecontrolledsubstances,andalsoreportto
168theboardthenameofeachphysicianassistantwithwhomthephysicianhasenteredintosuch
169arrangement.Theboardmaymakesuchinformationavailabletothepublic.Theboardshall
170trackthereportedinformationandmayroutinelyconductrandomreviewsofsuch
171arrangementstoensurethatthearrangementsarecarriedoutincompliancewiththischapter.
172 13.Thecollaboratingphysicianshalldetermineanddocumentthecompletionofa
173periodoftimeduringwhichthephysicianassistantshallpracticewiththecollaborating
174physiciancontinuouslypresentbeforepracticinginasettingwherethecollaborating
175physicianisnotcontinuouslypresent.Thislimitationshallnotapplytocollaborative
176arrangementsofprovidersofpopulation-basedpublichealthservicesasdefinedby20CSR
1772150-5.100asofApril30,2009.
178 14.Nocontractorotherarrangementshallrequireaphysiciantoactasa
179collaboratingphysicianforaphysicianassistantagainstthephysician'swill.Aphysician
180shallhavetherighttorefusetoactasasupervisingphysician,withoutpenalty,foraparticular
181physicianassistant.Nocontractorotheragreementshalllimitthecollaboratingphysician's
182ultimateauthorityoveranyprotocolsorstandingordersorinthedelegationofthephysician's
183authoritytoanyphysicianassistant.Nocontractorotherarrangementshallrequireany
184physicianassistanttocollaboratewithanyphysicianagainstthephysicianassistant'swill.A
185physicianassistantshallhavetherighttorefusetocollaborate,withoutpenalty,witha
186particularphysician.
HCSSSSCSSB157 42 187 15.Physicianassistantsshallfilewiththeboardacopyoftheircollaborating
188physicianform.
189 16.Nophysicianshallbedesignatedtoserveasacollaboratingphysicianformore
190thansixfull-timeequivalentlicensedphysicianassistants,full-timeequivalentadvanced
191practiceregisterednurses,orfull-timeequivalentassistantphysicians,oranycombination
192thereof.Thislimitationshallnotapplytophysicianassistantcollaborativepractice
193arrangementsofhospitalemployeesprovidinginpatientcareserviceinhospitalsasdefinedin
194chapter197,ortoacertifiedregisterednurseanesthetistprovidinganesthesiaservicesunder
195thesupervisionofananesthesiologistorotherphysician,dentist,orpodiatristwhois
196immediatelyavailableifneededassetoutinsubsection7ofsection334.104.
197 17.Noarrangementmadeunderthissectionshallsupercedecurrenthospitallicensing
198regulationsgoverninghospitalmedicationordersunderprotocolsorstandingordersforthe
199purposeofdeliveringinpatientoremergencycarewithinahospital,asdefinedinsection
200197.020,ifsuchprotocolsorstandingordershavebeenapprovedbythehospital'smedical
201staffandpharmaceuticaltherapeuticscommittee.
334.747.1.(1)Aphysicianassistantwithacertificateofcontrolledsubstance
2prescriptiveauthorityasprovidedinthissectionmayprescribeanycontrolledsubstance
3listedinScheduleIII,IV,orVofsection195.017,andmayhaverestrictedauthorityin
4ScheduleII,whendelegatedtheauthoritytoprescribecontrolledsubstancesinacollaborative
5practicearrangement.Suchauthorityshallbelistedonthecollaboratingphysicianformon
6filewiththestateboardofhealingarts.Thecollaboratingphysicianshallmaintaintheright
7tolimitaspecificscheduleddrugorscheduleddrugcategorythatthephysicianassistantis
8permittedtoprescribe.Anylimitationsshallbelistedonthecollaboratingphysicianform.
9PrescriptionsforScheduleIImedicationsprescribedbyaphysicianassistantwithauthorityto
10prescribedelegatedinacollaborativepracticearrangementarerestrictedtoonlythose
11medicationscontaininghydrocodone.Physicianassistantsshallnotprescribecontrolled
12substancesforthemselvesormembersoftheirfamilies.ScheduleIIInarcoticcontrolled
13substancesandScheduleII-hydrocodoneprescriptionsshallbelimitedtoafive-daysupply
14withoutrefill,exceptthatbuprenorphinemaybeprescribedforuptoathirty-daysupply
15withoutrefillforpatientsreceivingmedication-assistedtreatmentforsubstanceusedisorders
16underthedirectionofthecollaboratingphysician.Physicianassistantswhoareauthorizedto
17prescribecontrolledsubstancesunderthissectionshallregisterwiththefederalDrug
18EnforcementAdministrationandthestatebureauofnarcoticsanddangerousdrugs,andshall
19includetheDrugEnforcementAdministrationregistrationnumberonprescriptionsfor
20controlledsubstances.
21 (2)Notwithstandinganyotherprovisionofthissectiontothecontrary,a
22collaborativepracticearrangementmaydelegatetoaphysicianassistanttheauthority
HCSSSSCSSB157 43 23toadminister,dispense,orprescribeScheduleIIcontrolledsubstancesforhospice
24patients;provided,thatthephysicianassistantisemployedbyahospiceprovider
25certifiedpursuanttochapter197andthephysicianassistantisprovidingcaretohospice
26patientspursuanttoacollaborativepracticearrangementthatdesignatesthecertified
27hospiceasalocationwherethephysicianassistantisauthorizedtopracticeand
28prescribe.
29 2.Thecollaboratingphysicianshallberesponsibletodetermineanddocumentthe
30completionofatleastonehundredtwentyhoursinafour-monthperiodbythephysician
31assistantduringwhichthephysicianassistantshallpracticewiththecollaboratingphysician
32on-sitepriortoprescribingcontrolledsubstanceswhenthecollaboratingphysicianisnoton-
33site.Suchlimitationshallnotapplytophysicianassistantsofpopulation-basedpublichealth
34servicesasdefinedin20CSR2150-5.100asofApril30,2009.
35 3.Aphysicianassistantshallreceiveacertificateofcontrolledsubstanceprescriptive
36authorityfromtheboardofhealingartsuponverificationofthecompletionofthefollowing
37educationalrequirements:
38 (1)Successfulcompletionofanadvancedpharmacologycoursethatincludesclinical
39trainingintheprescriptionofdrugs,medicines,andtherapeuticdevices.Acourseorcourses
40withadvancedpharmacologicalcontentinaphysicianassistantprogramaccreditedbythe
41AccreditationReviewCommissiononEducationforthePhysicianAssistant(ARC-PA)orits
42predecessoragencyshallsatisfysuchrequirement;
43 (2)Completionofaminimumofthreehundredclockhoursofclinicaltrainingbythe
44collaboratingphysicianintheprescriptionofdrugs,medicines,andtherapeuticdevices;
45 (3)Completionofaminimumofoneyearofsupervisedclinicalpracticeor
46supervisedclinicalrotations.Oneyearofclinicalrotationsinaprogramaccreditedbythe
47AccreditationReviewCommissiononEducationforthePhysicianAssistant(ARC-PA)orits
48predecessoragency,whichincludespharmacotherapeuticsasacomponentofitsclinical
49training,shallsatisfysuchrequirement.Proofofsuchtrainingshallservetodocument
50experienceintheprescribingofdrugs,medicines,andtherapeuticdevices;
51 (4)Aphysicianassistantpreviouslylicensedinajurisdictionwherephysician
52assistantsareauthorizedtoprescribecontrolledsubstancesmayobtainastatebureauof
53narcoticsanddangerousdrugsregistrationifacollaboratingphysiciancanattestthatthe
54physicianassistanthasmettherequirementsofsubdivisions(1)to(3)ofthissubsectionand
55providesdocumentationofexistingfederalDrugEnforcementAgencyregistration.
334.1600.Sections334.1600to334.1720shallbeknownandmaybecitedasthe
2"InterstateMedicalLicensureCompact".
334.1605.Inordertostrengthenaccesstohealthcare,andinrecognitionofthe
2advancesinthedeliveryofhealthcare,thememberstatesoftheInterstateMedical
HCSSSSCSSB157 44 3LicensureCompacthavealliedincommonpurposetodevelopacomprehensiveprocess
4thatcomplementstheexistinglicensingandregulatoryauthorityofstatemedical
5boards,providesastreamlinedprocessthatallowsphysicianstobecomelicensedin
6multiplestates,therebyenhancingtheportabilityofamedicallicenseandensuringthe
7safetyofpatients.TheCompactcreatesanotherpathwayforlicensureanddoesnot
8otherwisechangeastate'sexistingMedicalPracticeAct.TheCompactalsoadoptsthe
9prevailingstandardforlicensureandaffirmsthatthepracticeofmedicineoccurswhere
10thepatientislocatedatthetimeofthephysician-patientencounter,andtherefore,
11requiresthephysiciantobeunderthejurisdictionofthestatemedicalboardwherethe
12patientislocated.StatemedicalboardsthatparticipateintheCompactretainthe
13jurisdictiontoimposeanadverseactionagainstalicensetopracticemedicineinthat
14stateissuedtoaphysicianthroughtheproceduresintheCompact.
334.1610.Inthiscompact:
2 (1)"Bylaws"meansthosebylawsestablishedbytheInterstateCommission
3pursuanttosection334.1655.
4 (2)"Commissioner"meansthevotingrepresentativeappointedbyeachmember
5boardpursuanttosection334.1655.
6 (3)"Conviction"meansafindingbyacourtthatanindividualisguiltyofa
7criminaloffensethroughadjudication,orentryofapleaofguiltornocontesttothe
8chargebytheoffender.Evidenceofanentryofaconvictionofacriminaloffensebythe
9courtshallbeconsideredfinalforpurposesofdisciplinaryactionbyamemberboard.
10 (4)"ExpeditedLicense"meansafullandunrestrictedmedicallicensegranted
11byamemberstatetoaneligiblephysicianthroughtheprocesssetforthintheCompact.
12 (5)"InterstateCommission"meanstheinterstatecommissioncreatedpursuant
13tosection334.1655.
14 (6)"License"meansauthorizationbyamemberstateforaphysiciantoengage
15inthepracticeofmedicine,whichwouldbeunlawfulwithoutauthorization.
16 (7)"MedicalPracticeAct"meanslawsandregulationsgoverningthepracticeof
17allopathicandosteopathicmedicinewithinamemberstate.
18 (8)"MemberBoard"meansastateagencyinamemberstatethatactsinthe
19sovereigninterestsofthestatebyprotectingthepublicthroughlicensure,regulation,
20andeducationofphysiciansasdirectedbythestategovernment.
21 (9)"MemberState"meansastatethathasenactedtheCompact.
22 (10)"PracticeofMedicine"meansthatclinicalprevention,diagnosis,or
23treatmentofhumandisease,injury,orconditionrequiringaphysiciantoobtainand
24maintainalicenseincompliancewiththeMedicalPracticeActofamemberstate.
25 (11)"Physician"meansanypersonwho:
HCSSSSCSSB157 45 26 (a)IsagraduateofamedicalschoolaccreditedbytheLiaisonCommitteeon
27MedicalEducation,theCommissiononOsteopathicCollegeAccreditation,oramedical
28schoollistedintheInternationalMedicalEducationDirectoryoritsequivalent;
29 (b)PassedeachcomponentoftheUnitedStatesMedicalLicensingExamination
30(USMLE)ortheComprehensiveOsteopathicMedicalLicensingExamination
31(COMLEX-USA) withinthreeattempts,oranyofitspredecessorexaminations
32acceptedbyastatemedicalboardasanequivalentexaminationforlicensurepurposes;
33 (c)Successfullycompletedgraduatemedicaleducationapprovedbythe
34AccreditationCouncilforGraduateMedicalEducationortheAmericanOsteopathic
35Association;
36 (d)Holdsspecialtycertificationoratime-unlimitedspecialtycertificate
37recognizedbytheAmericanBoardofMedicalSpecialtiesortheAmerican
38OsteopathicAssociation'sBureauofOsteopathicSpecialists;
39 (e)Possessesafullandunrestrictedlicensetoengageinthepracticeofmedicine
40issuedbyamemberboard;
41 (f)Hasneverbeenconvicted,receivedadjudication,deferredadjudication,
42communitysupervision,ordeferreddispositionforanyoffensebyacourtof
43appropriatejurisdiction;
44 (g)Hasneverheldalicenseauthorizingthepracticeofmedicinesubjectedto
45disciplinebyalicensingagencyinanystate,federal,orforeignjurisdiction,excluding
46anyactionrelatedtonon-paymentoffeesrelatedtoalicense;
47 (h)Hasneverhadacontrolledsubstancelicenseorpermitsuspendedorrevoked
48byastateortheUnitedStatesDrugEnforcementAdministration;and
49 (i)Isnotunderactiveinvestigationbyalicensingagencyorlawenforcement
50authorityinanystate,federal,orforeignjurisdiction.
51 (12)"Offense"meansafelony,grossmisdemeanor,orcrimeofmoralturpitude.
52 (13)"Rule"meansawrittenstatementbytheInterstateCommission
53promulgatedpursuanttosection334.1660oftheCompactthatisofgeneral
54applicability,implements,interprets,orprescribesapolicyorprovisionofthe
55Compact,oranorganizational,procedural,orpracticerequirementoftheInterstate
56Commission,andhastheforceandeffectofstatutorylawinamemberstate,and
57includestheamendment,repeal,orsuspensionofanexistingrule.
58 (14)"State"meansanystate,commonwealth,district,orterritoryoftheUnited
59States.
60 (15)"StateofPrincipalLicense"meansamemberstatewhereaphysicianholds
61alicensetopracticemedicineandwhichhasbeendesignatedassuchbythephysician
62forpurposesofregistrationandparticipationintheCompact.
HCSSSSCSSB157 46 334.1615.1.Aphysicianmustmeettheeligibilityrequirementsasdefinedin
2subdivision(11)ofsection334.1610toreceiveanexpeditedlicenseunderthetermsand
3provisionsoftheCompact.
4 2.Aphysicianwhodoesnotmeettherequirementsofsubdivision(11)ofsection
5334.1610mayobtainalicensetopracticemedicineinamemberstateiftheindividual
6complieswithalllawsandrequirements,otherthantheCompact,relatingtothe
7issuanceofalicensetopracticemedicineinthatstate.
334.1620.1.Aphysicianshalldesignateamemberstateasthestateofprincipal
2licenseforpurposesofregistrationforexpeditedlicensurethroughtheCompactifthe
3physicianpossessesafullandunrestrictedlicensetopracticemedicineinthatstate,and
4thestateis:
5 (1)Thestateofprincipalresidenceforthephysician,or
6 (2)Thestatewhereatleast25%ofthepracticeofmedicineoccurs,or
7 (3)Thelocationofthephysician'semployer,or
8 (4)Ifnostatequalifiesundersubdivision(1),(2),or(3)ofthissubsection,the
9statedesignatedasstateofresidenceforpurposeoffederalincometax.
10 2.Aphysicianmayredesignateamemberstateasstateofprincipallicenseat
11anytime,aslongasthestatemeetstherequirementsofsubsection1ofthissection.
12 3.TheInterstateCommissionisauthorizedtodeveloprulestofacilitate
13redesignationofanothermemberstateasthestateofprincipallicense.
334.1625.1.AphysicianseekinglicensurethroughtheCompactshallfilean
2applicationforanexpeditedlicensewiththememberboardofthestateselectedbythe
3physicianasthestateofprincipallicense.
4 2.Uponreceiptofanapplicationforanexpeditedlicense,thememberboard
5withinthestateselectedasthestateofprincipallicenseshallevaluatewhetherthe
6physicianiseligibleforexpeditedlicensureandissuealetterofqualification,verifying
7ordenyingthephysician'seligibility,totheInterstateCommission.
8 (1)Staticqualifications,whichincludeverificationofmedicaleducation,
9graduatemedicaleducation,resultsofanymedicalorlicensingexamination,andother
10qualificationsasdeterminedbytheInterstateCommissionthroughrule,shallnotbe
11subjecttoadditionalprimarysourceverificationwherealreadyprimarysourceverified
12bythestateofprincipallicense.
13 (2)Thememberboardwithinthestateselectedasthestateofprincipallicense
14shall,inthecourseofverifyingeligibility,performacriminalbackgroundcheckofan
15applicant,includingtheuseoftheresultsoffingerprintorotherbiometricdatachecks
16compliantwiththerequirementsoftheFederalBureauofInvestigation,withthe
HCSSSSCSSB157 47 17exceptionoffederalemployeeswhohavesuitabilitydeterminationinaccordancewith5
18C.F.R.§731.202.
19 (3)Appealonthedeterminationofeligibilityshallbemadetothememberstate
20wheretheapplicationwasfiledandshallbesubjecttothelawofthatstate.
21 3.Uponverificationinsubsection2ofthissection,physicianseligibleforan
22expeditedlicenseshallcompletetheregistrationprocessestablishedbytheInterstate
23Commissiontoreceivealicenseinamemberstateselectedpursuanttosubsection1of
24thissection,includingthepaymentofanyapplicablefees.
25 4.Afterreceivingverificationofeligibilityundersubsection2ofthissectionand
26anyfeesundersubsection3ofthissection,amemberboardshallissueanexpedited
27licensetothephysician.Thislicenseshallauthorizethephysiciantopracticemedicine
28intheissuingstateconsistentwiththeMedicalPracticeActandallapplicablelawsand
29regulationsoftheissuingmemberboardandmemberstate.
30 5.Anexpeditedlicenseshallbevalidforaperiodconsistentwiththelicensure
31periodinthememberstateandinthesamemannerasrequiredforotherphysicians
32holdingafullandunrestrictedlicensewithinthememberstate.
33 6.AnexpeditedlicenseobtainedthroughtheCompactshallbeterminatedifa
34physicianfailstomaintainalicenseinthestateofprincipallicensureforanon-
35disciplinaryreason,withoutredesignationofanewstateofprincipallicensure.
36 7.TheInterstateCommissionisauthorizedtodeveloprulesregardingthe
37applicationprocess,includingpaymentofanyapplicablefees,andtheissuanceofan
38expeditedlicense.
334.1630.1.Amemberstateissuinganexpeditedlicenseauthorizingthe
2practiceofmedicineinthatstatemayimposeafeeforalicenseissuedorrenewed
3throughtheCompact.
4 2.TheInterstateCommissionisauthorizedtodeveloprulesregardingfeesfor
5expeditedlicenses.
334.1635.1.Aphysicianseekingtorenewanexpeditedlicensegrantedina
2memberstateshallcompletearenewalprocesswiththeInterstateCommissionifthe
3physician:
4 (1)Maintainsafullandunrestrictedlicenseinastateofprincipallicense;
5 (2)Hasnotbeenconvicted,receivedadjudication,deferredadjudication,
6communitysupervision,ordeferreddispositionforanyoffensebyacourtof
7appropriatejurisdiction;
8 (3)Hasnothadalicenseauthorizingthepracticeofmedicinesubjectto
9disciplinebyalicensingagencyinanystate,federal,orforeignjurisdiction,excluding
10anyactionrelatedtonon-paymentoffeesrelatedtoalicense;and
HCSSSSCSSB157 48 11 (4)Hasnothadacontrolledsubstancelicenseorpermitsuspendedorrevoked
12byastateortheUnitedStatesDrugEnforcementAdministration.
13 2.Physiciansshallcomplywithallcontinuingprofessionaldevelopmentor
14continuingmedicaleducationrequirementsforrenewalofalicenseissuedbyamember
15state.
16 3.TheInterstateCommissionshallcollectanyrenewalfeeschargedforthe
17renewalofalicenseanddistributethefeestotheapplicablememberboard.
18 4.Uponreceiptofanyrenewalfeescollectedinsubsection3ofthissection,a
19memberboardshallrenewthephysician'slicense.
20 5.PhysicianinformationcollectedbytheInterstateCommissionduringthe
21renewalprocesswillbedistributedtoallmemberboards.
22 6.TheInterstateCommissionisauthorizedtodeveloprulestoaddressrenewal
23oflicensesobtainedthroughtheCompact.
334.1640.1.TheInterstateCommissionshallestablishadatabaseofall
2physicianslicensed,orwhohaveappliedforlicensure,undersection334.1625.
3 2.Notwithstandinganyotherprovisionoflaw,memberboardsshallreportto
4theInterstateCommissionanypublicactionorcomplaintsagainstalicensedphysician
5whohasappliedorreceivedanexpeditedlicensethroughtheCompact.
6 3.Memberboardsshallreportdisciplinaryorinvestigatoryinformation
7determinedasnecessaryandproperbyruleoftheInterstateCommission.
8 4.Memberboardsmayreportanynon-publiccomplaint,disciplinary,or
9investigatoryinformationnotrequiredbysubsection3ofthissectiontotheInterstate
10Commission.
11 5.Memberboardsshallsharecomplaintordisciplinaryinformationabouta
12physicianuponrequestofanothermemberboard.
13 6.AllinformationprovidedtotheInterstateCommissionordistributedby
14memberboardsshallbeconfidential,filedunderseal,andusedonlyforinvestigatoryor
15disciplinarymatters.
16 7.TheInterstateCommissionisauthorizedtodeveloprulesformandatedor
17discretionarysharingofinformationbymemberboards.
334.1645.1.Licensureanddisciplinaryrecordsofphysiciansaredeemed
2investigative.
3 2.Inadditiontotheauthoritygrantedtoamemberboardbyitsrespective
4MedicalPracticeActorotherapplicablestatelaw,amemberboardmayparticipate
5withothermemberboardsinjointinvestigationsofphysicianslicensedbythemember
6boards.
HCSSSSCSSB157 49 7 3.Asubpoenaissuedbyamemberstateshallbeenforceableinothermember
8states.
9 4.Memberboardsmayshareanyinvestigative,litigation,orcompliance
10materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthe
11Compact.
12 5.Anymemberstatemayinvestigateactualorallegedviolationsofthestatutes
13authorizingthepracticeofmedicineinanyothermemberstateinwhichaphysician
14holdsalicensetopracticemedicine.
334.1650.1.Anydisciplinaryactiontakenbyanymemberboardagainsta
2physicianlicensedthroughtheCompactshallbedeemedunprofessionalconductwhich
3maybesubjecttodisciplinebyothermemberboards,inadditiontoanyviolationofthe
4MedicalPracticeActorregulationsinthatstate.
5 2.Ifalicensegrantedtoaphysicianbythememberboardinthestateof
6principallicenseisrevoked,surrenderedorrelinquishedinlieuofdiscipline,or
7suspended,thenalllicensesissuedtothephysicianbymemberboardsshall
8automaticallybeplaced,withoutfurtheractionnecessarybyanymemberboard,on
9thesamestatus.Ifthememberboardinthestateofprincipallicensesubsequently
10reinstatesthephysician'slicense,alicenseissuedtothephysicianbyanyothermember
11boardshallremainencumbereduntilthatrespectivememberboardtakesactionto
12reinstatethelicenseinamannerconsistentwiththeMedicalPracticeActofthatstate.
13 3.Ifdisciplinaryactionistakenagainstaphysicianbyamemberboardnotin
14thestateofprincipallicense,anyothermemberboardmaydeemtheactionconclusive
15astomatteroflawandfactdecided,and:
16 (1)Imposethesameorlessersanction(s)againstthephysiciansolongassuch
17sanctionsareconsistentwiththeMedicalPracticeActofthatstate;or
18 (2)Pursueseparatedisciplinaryactionagainstthephysicianunderitsrespective
19MedicalPracticeAct,regardlessoftheactiontakeninothermemberstates.
20 4.Ifalicensegrantedtoaphysicianbyamemberboardisrevoked,surrendered
21orrelinquishedinlieuofdiscipline,orsuspended,thenanylicense(s)issuedtothe
22physicianbyanyothermemberboard(s)shallbesuspended,automaticallyand
23immediatelywithoutfurtheractionnecessarybytheothermemberboard(s),forninety
24(90)daysuponentryoftheorderbythediscipliningboard,topermitthememberboard
25(s)toinvestigatethebasisfortheactionundertheMedicalPracticeActofthatstate.A
26memberboardmayterminatetheautomaticsuspensionofthelicenseitissuedpriorto
27thecompletionoftheninety(90)daysuspensionperiodinamannerconsistentwiththe
28MedicalPracticeActofthatstate.
HCSSSSCSSB157 50 334.1655.1.Thememberstatesherebycreatethe"InterstateMedicalLicensure
2CompactCommission".
3 2.ThepurposeoftheInterstateCommissionistheadministrationofthe
4InterstateMedicalLicensureCompact,whichisadiscretionarystatefunction.
5 3.TheInterstateCommissionshallbeabodycorporateandjointagencyofthe
6memberstatesandshallhavealltheresponsibilities,powers,anddutiessetforthinthe
7Compact,andsuchadditionalpowersasmaybeconferreduponitbyasubsequent
8concurrentactionoftherespectivelegislaturesofthememberstatesinaccordancewith
9thetermsoftheCompact.
10 4.TheInterstateCommissionshallconsistoftwovotingrepresentatives
11appointedbyeachmemberstatewhoshallserveasCommissioners.Instateswhere
12allopathicandosteopathicphysiciansareregulatedbyseparatememberboards,orif
13thelicensinganddisciplinaryauthorityissplitbetweenseparatememberboards,orif
14thelicensinganddisciplinaryauthorityissplitbetweenmultiplememberboardswithin
15amemberstate,thememberstateshallappointonerepresentativefromeachmember
16board.ACommissionershallbea(n):
17 (1)Allopathicorosteopathicphysicianappointedtoamemberboard;
18 (2)Executivedirector,executivesecretary,orsimilarexecutiveofamember
19board;or
20 (3)Memberofthepublicappointedtoamemberboard.
21 5.TheInterstateCommissionshallmeetatleastonceeachcalendaryear.A
22portionofthismeetingshallbeabusinessmeetingtoaddresssuchmattersasmay
23properlycomebeforetheCommission,includingtheelectionofofficers.The
24chairpersonmaycalladditionalmeetingsandshallcallforameetinguponthe
25requestofamajorityofthememberstates.
26 6.ThebylawsmayprovideformeetingsoftheInterstateCommissiontobe
27conductedbytelecommunicationorelectroniccommunication.
28 7.EachCommissionerparticipatingatameetingoftheInterstateCommissionis
29entitledtoonevote.AmajorityofCommissionersshallconstituteaquorumforthe
30transactionofbusiness,unlessalargerquorumisrequiredbythebylawsofthe
31InterstateCommission.ACommissionershallnotdelegateavotetoanother
32Commissioner.IntheabsenceofitsCommissioner,amemberstatemaydelegate
33votingauthorityforaspecifiedmeetingtoanotherpersonfromthatstatewhoshall
34meettherequirementsofsubsection4ofthissection.
35 8.TheInterstateCommissionshallprovidepublicnoticeofallmeetingsandall
36meetingsshallbeopentothepublic.TheInterstateCommissionmaycloseameeting,in
HCSSSSCSSB157 51 37fullorinportion,whereitdeterminesbyatwo-thirdsvoteoftheCommissionerspresent
38thatanopenmeetingwouldbelikelyto:
39 (1)Relatesolelytotheinternalpersonnelpracticeandproceduresofthe
40InterstateCommission;
41 (2)Discussmattersspecificallyexemptedfromdisclosurebyfederalstatute;
42 (3)Discusstradesecrets,commercial,orfinancialinformationthatisprivileged
43orconfidential;
44 (4)Involveaccusingapersonofacrime,orformallycensuringaperson;
45 (5)Discussinformationofapersonalnaturewheredisclosurewouldconstitutea
46clearlyunwarrantedinvasionofpersonalprivacy;
47 (6)Discussinvestigativerecordscompiledforlawenforcementpurposes;or
48 (7)Specificallyrelatetotheparticipationinacivilactionorotherlegal
49proceeding.
50 9.TheInterstateCommissionshallkeepminuteswhichshallfullydescribeall
51mattersdiscussedinameetingandshallprovideafullandaccuratesummaryofactions
52taken,includingrecordofanyrollcallvotes.
53 10.TheInterstateCommissionshallmakeitsinformationandofficialrecords,to
54theextentnototherwisedesignatedintheCompactorbyitsrules,availabletothe
55publicforinspection.
56 11.TheInterstateCommissionshallestablishanexecutivecommittee,which
57shallincludeofficers,members,andothersasdeterminedbythebylaws.Theexecutive
58committeeshallhavethepowertoactonbehalfoftheInterstateCommission,withthe
59exceptionofrulemaking,duringperiodswhentheInterstateCommissionisnotin
60session.WhenactingonbehalfoftheInterstateCommission,theexecutivecommittee
61shalloverseetheadministrationoftheCompactincludingenforcementandcompliance
62withtheprovisionsoftheCompact,itsbylawsandrules,andothersuchdutiesas
63necessary.
64 12.TheInterstateCommissionshallestablishothercommitteesforgovernance
65andadministrationoftheCompact.
334.1660.ThepowersanddutiesoftheInterstateCommissionshallbeto:
2 (1)OverseeandmaintaintheadministrationoftheCompact;
3 (2)Promulgateruleswhichshallbebindingtotheextentandinthemanner
4providedforintheCompact;
5 (3)Issue,upontherequestofamemberstateormemberboard,advisory
6opinionsconcerningthemeaningorinterpretationoftheCompact,itsbylaws,rules,
7andactions;
HCSSSSCSSB157 52 8 (4)EnforcecompliancewithCompactprovisions,therulespromulgatedbythe
9InterstateCommission,andthebylaws,usingallnecessaryandpropermeans,including
10butnotlimitedtotheuseofjudicialprocess;
11 (5)Establishandappointcommitteesincluding,butnotlimitedto,anexecutive
12committeeasrequiredbysection334.1655,whichshallhavethepowertoactonbehalf
13oftheInterstateCommissionincarryingoutitspowersandduties;
14 (6)Pay,orprovideforthepaymentoftheexpensesrelatedtotheestablishment,
15organization,andongoingactivitiesoftheInterstateCommission;
16 (7)Establishandmaintainoneormoreoffices;
17 (8)Borrow,accept,hire,orcontractforservicesofpersonnel;
18 (9)Purchaseandmaintaininsuranceandbonds;
19 (10)Employanexecutivedirectorwhoshallhavesuchpowerstoemploy,select
20orappointemployees,agents,orconsultants,andtodeterminetheirqualifications,
21definetheirduties,andfixtheircompensation;
22 (11)Establishpersonnelpoliciesandprogramsrelatingtoconflictsofinterest,
23ratesofcompensation,andqualificationsofpersonnel;
24 (12)Acceptdonationsandgrantsofmoney,equipment,supplies,materials,and
25servicesandtoreceive,utilize,anddisposeofitinamannerconsistentwiththeconflict
26ofinterestpoliciesestablishedbytheInterstateCommission;
27 (13)Lease,purchase,acceptcontributionsordonationsof,orotherwisetoown,
28hold,improveoruse,anyproperty,real,personal,ormixed;
29 (14)Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise
30disposeofanyproperty,real,personal,ormixed;
31 (15)Establishabudgetandmakeexpenditures;
32 (16)Adoptasealandbylawsgoverningthemanagementandoperationofthe
33InterstateCommission;
34 (17)Reportannuallytothelegislaturesandgovernorsofthememberstates
35concerningtheactivitiesoftheInterstateCommissionduringtheprecedingyear.Such
36reportsshallalsoincludereportsoffinancialauditsandanyrecommendationsthatmay
37havebeenadoptedbytheInterstateCommission;
38 (18)Coordinateeducation,training,andpublicawarenessregardingthe
39Compact,itsimplementation,anditsoperation;
40 (19)Maintainrecordsinaccordancewiththebylaws;
41 (20)Seekandobtaintrademarks,copyrights,andpatents;and
42 (21)Performsuchfunctionsasmaybenecessaryorappropriatetoachievethe
43purposeoftheCompact.
HCSSSSCSSB157 53 334.1665.1.TheInterstateCommissionmaylevyonandcollectanannual
2assessmentfromeachmemberstatetocoverthecostoftheoperationsandactivitiesof
3theInterstateCommissionanditsstaff.Thetotalassessmentmustbesufficienttocover
4theannualbudgetapprovedeachyearforwhichrevenueisnotprovidedbyother
5sources.Theaggregateannualassessmentamountshallbeallocateduponaformulato
6bedeterminedbytheInterstateCommission,whichshallpromulgatearulebinding
7uponallmemberstates.
8 2.TheInterstateCommissionshallnotincurobligationsofanykindpriorto
9securingthefundsadequatetomeetthesame.
10 3.TheInterstateCommissionshallnotpledgethecreditofanyofthemember
11states,exceptby,andwiththeauthorityof,thememberstate.
12 4.TheInterstateCommissionshallbesubjecttoayearlyfinancialaudit
13conductedbyacertifiedorlicensedaccountantandthereportoftheauditshallbe
14includedintheannualreportoftheInterstateCommission.
334.1670.1.TheInterstateCommissionshall,byamajorityofCommissioners
2presentandvoting,adoptbylawstogovernitsconductasmaybenecessaryor
3appropriatetocarryoutthepurposesoftheCompactwithintwelve(12)monthsofthe
4firstInterstateCommissionmeeting.
5 2.TheInterstateCommissionshallelectorappointannuallyfromamongits
6Commissionersachairperson,avice-chairperson,andatreasurer,eachofwhomshall
7havesuchauthorityanddutiesasmaybespecifiedinthebylaws.Thechairperson,orin
8thechairperson'sabsenceordisability,thevice-chairperson,shallpresideatall
9meetingsoftheInterstateCommission.
10 3.Officersselectedinsubsection2ofthissectionshallservewithout
11remunerationfortheInterstateCommission.
12 4.TheofficersandemployeesoftheInterstateCommissionshallbeimmune
13fromsuitandliability,eitherpersonallyorintheirofficialcapacity,foraclaimfor
14damagetoorlossofpropertyorpersonalinjuryorothercivilliabilitycausedorarising
15outof,orrelatingto,anactualorallegedact,error,oromissionthatoccurred,orthat
16suchpersonhadareasonablebasisforbelievingoccurred,withinthescopeofInterstate
17Commissionemployment,duties,orresponsibilities;providedthatsuchpersonshallnot
18beprotectedfromsuitorliabilityfordamage,loss,injury,orliabilitycausedbythe
19intentionalorwillfulandwantonmisconductofsuchperson.
20 5.TheliabilityoftheexecutivedirectorandemployeesoftheInterstate
21CommissionorrepresentativesoftheInterstateCommission,actingwithinthescopeof
22suchperson'semploymentordutiesforacts,errors,oromissionsoccurringwithinsuch
23person'sstate,maynotexceedthelimitsofliabilitysetforthundertheconstitutionand
HCSSSSCSSB157 54 24lawsofthatstateforstateofficials,employees,andagents.TheInterstateCommission
25isconsideredtobeaninstrumentalityofthestatesforthepurposeofanysuchaction.
26Nothinginthissubsectionshallbeconstruedtoprotectsuchpersonfromsuitorliability
27fordamage,loss,injury,orliabilitycausedbytheintentionalorwillfulandwanton
28misconductofsuchperson.
29 6.TheInterstateCommissionshalldefendtheexecutivedirector,itsemployees,
30andsubjecttotheapprovaloftheattorneygeneralorotherappropriatelegalcounselof
31thememberstaterepresentedbyanInterstateCommissionrepresentative,shalldefend
32suchInterstateCommissionrepresentativeinanycivilactionseekingtoimposeliability
33arisingoutofanactualorallegedact,errororomissionthatoccurredwithinthescope
34ofInterstateCommissionemployment,dutiesorresponsibilities,orthatthedefendant
35hadareasonablebasisforbelievingoccurredwithinthescopeofInterstateCommission
36employment,duties,orresponsibilities,providedthattheactualorallegedact,error,or
37omissiondidnotresultfromintentionalorwillfulandwantonmisconductonthepartof
38suchperson.
39 7.Totheextentnotcoveredbythestateinvolved,memberstate,ortheInterstate
40Commission,therepresentativesoremployeesoftheInterstateCommissionshallbe
41heldharmlessintheamountofasettlementorjudgement,includingattorney'sfeesand
42costs,obtainedagainstsuchpersonsarisingoutofanactualorallegedact,error,or
43omissionthatoccurredwithinthescopeoftheInterstateCommissionemployment,
44duties,orresponsibilities,orthatsuchpersonshadareasonablebasisforbelieving
45occurredwithinthescopeofInterstateCommissionemployment,duties,or
46responsibilities,providedthattheactualorallegedact,error,oromissiondidnot
47resultfromintentionalorwillfulandwantonmisconductonthepartofsuchperson.
334.1675.1.TheInterstateCommissionshallpromulgatereasonablerulesin
2ordertoeffectivelyandefficientlyachievethepurposeoftheCompact.
3Notwithstandingtheforegoing,intheeventtheInterstateCommissionexercisesits
4rulemakingauthorityinamannerthatisbeyondthescopeofthepurposesofthe
5Compact,orthepowersgrantedhereunder,thensuchanactionbytheInterstate
6Commissionshallbeinvalidandhavenoforceoreffect.
7 2.RulesdeemedappropriatefortheoperationsoftheInterstateCommission
8shallbemadepursuanttoarulemakingprocessthatsubstantiallyconformstothe
9"ModelStateAdministrativeProcedureAct"of2010,andsubsequentamendments
10thereto.
11 3.Notlaterthanthirty(30)daysafteraruleispromulgated,anypersonmayfile
12apetitionforjudicialreviewoftheruleintheUnitedStatesDistrictCourtforthe
13DistrictofColumbiaorthefederaldistrictwheretheInterstateCommissionhasits
HCSSSSCSSB157 55 14principaloffices,providedthatthefilingofsuchapetitionshallnotstayorotherwise
15preventtherulefrombecomingeffectiveunlessthecourtfindsthatthepetitionerhasa
16substantiallikelihoodofsuccess.Thecourtshallgivedeferencetotheactionsofthe
17InterstateCommissionconsistentwithapplicablelawandshallnotfindtheruletobe
18unlawfuliftherulerepresentsareasonableexerciseoftheauthoritygrantedtothe
19InterstateCommission.
334.1680.1.Theexecutive,legislative,andjudicialbranchesofstate
2governmentineachmemberstateshallenforcetheCompactandshalltakeall
3actionsnecessaryandappropriatetoeffectuatetheCompact'spurposesandintent.The
4provisionsoftheCompactandtherulespromulgatedhereundershallhavestandingas
5statutorylawbutshallnotoverrideexistingstateauthoritytoregulatethepracticeof
6medicine.
7 2.AllcourtsshalltakejudicialnoticeoftheCompactandtherulesinany
8judicialoradministrativeproceedinginamemberstatepertainingtothesubjectmatter
9oftheCompactwhichmayaffectthepowers,responsibilitiesoractionsoftheInterstate
10Commission.
11 3.TheInterstateCommissionshallbeentitledtoreceiveallservicesofprocessin
12anysuchproceeding,andshallhavestandingtointerveneintheproceedingforall
13purposes.FailuretoprovideserviceofprocesstotheInterstateCommissionshall
14renderajudgmentorordervoidastotheInterstateCommission,theCompact,or
15promulgatedrules.
334.1685.1.TheInterstateCommission,inthereasonableexerciseofits
2discretion,shallenforcetheprovisionsandrulesoftheCompact.
3 2.TheInterstateCommissionmay,bymajorityvoteoftheCommissioners,
4initiatelegalactionintheUnitedStatesDistrictCourtfortheDistrictofColumbia,or,
5atthediscretionoftheInterstateCommission,inthefederaldistrictwherethe
6InterstateCommissionhasitsprincipaloffices,toenforcecompliancewiththe
7provisionsoftheCompact,anditspromulgatedrulesandbylaws,againstamember
8stateindefault.Thereliefsoughtmayincludebothinjunctivereliefanddamages.In
9theeventjudicialenforcementisnecessary,theprevailingpartyshallbeawardedall
10costsofsuchlitigationincludingreasonableattorney'sfees.
11 3.TheremedieshereinshallnotbetheexclusiveremediesoftheInterstate
12Commission.TheInterstateCommissionmayavailitselfofanyotherremedies
13availableunderstatelaworregulationofaprofession.
334.1690.1.Thegroundsfordefaultinclude,butarenotlimitedto,failureofa
2memberstatetoperformsuchobligationsorresponsibilitiesimposeduponitbythe
HCSSSSCSSB157 56 3Compact,ortherulesandbylawsoftheInterstateCommissionpromulgatedunderthe
4Compact.
5 2.IftheInterstateCommissiondeterminesthatamemberstatehasdefaultedin
6theperformanceofitsobligationsorresponsibilitiesundertheCompact,orthebylaws
7orpromulgatedrules,theInterstateCommissionshall:
8 (1)Providewrittennoticetothedefaultingstateandothermemberstates,ofthe
9natureofthedefault,themeansofcuringthedefault,andanyactiontakenbythe
10InterstateCommission.TheInterstateCommissionshallspecifytheconditionsby
11whichthedefaultingstatemustcureitsdefault;and
12 (2)Provideremedialtrainingandspecifictechnicalassistanceregardingthe
13default.
14 3.Ifthedefaultingstatefailstocurethedefault,thedefaultingstateshallbe
15terminatedfromtheCompactuponanaffirmativevoteofamajorityofthe
16Commissionersandallrights,privileges,andbenefitsconferredbytheCompactshall
17terminateontheeffectivedateoftermination.Acureofthedefaultdoesnotrelievethe
18offendingstateofobligationsorliabilitiesincurredduringtheperiodofthedefault.
19 4.TerminationofmembershipintheCompactshallbeimposedonlyafterall
20othermeansofsecuringcompliancehavebeenexhausted.Noticeofintenttoterminate
21shallbegivenbytheInterstateCommissiontothegovernor,themajorityandminority
22leadersofthedefaultingstate'slegislature,andeachofthememberstates.
23 5.TheInterstateCommissionshallestablishrulesandprocedurestoaddress
24licensesandphysiciansthataremateriallyimpactedbytheterminationofamember
25state,orthewithdrawalofamemberstate.
26 6.Thememberstatewhichhasbeenterminatedisresponsibleforalldues,
27obligations,andliabilitiesincurredthroughtheeffectivedateofterminationincluding
28obligations,theperformanceofwhichextendsbeyondtheeffectivedateoftermination.
29 7.TheInterstateCommissionshallnotbearanycostsrelatingtoanystatethat
30hasbeenfoundtobeindefaultorwhichhasbeenterminatedfromtheCompact,unless
31otherwisemutuallyagreeduponinwritingbetweentheInterstateCommissionandthe
32defaultingstate.
33 8.ThedefaultingstatemayappealtheactionoftheInterstateCommissionby
34petitioningtheUnitedStatesDistrictCourtfortheDistrictofColumbiaorthefederal
35districtwheretheInterstateCommissionhasitsprincipaloffices.Theprevailingparty
36shallbeawardedallcostsofsuchlitigationincludingreasonableattorney'sfees.
334.1695.1.TheInterstateCommissionshallattempt,upontherequestofa
2memberstate,toresolvedisputeswhicharesubjecttotheCompactandwhichmayarise
3amongmemberstatesormemberboards.
HCSSSSCSSB157 57 4 2.TheInterstateCommissionshallpromulgaterulesprovidingforboth
5mediationandbindingdisputeresolutionasappropriate.
334.1700.1.AnystateiseligibletobecomeamemberoftheCompact.
2 2.TheCompactshallbecomeeffectiveandbindinguponlegislativeenactmentof
3theCompactintolawbynolessthanseven(7)states.Thereafter,itshallbecome
4effectiveandbindingonastateuponenactmentoftheCompactintolawbythatstate.
5 3.Thegovernorsofnon-memberstates,ortheirdesignees,shallbeinvitedto
6participateintheactivitiesoftheInterstateCommissiononanon-votingbasispriorto
7adoptionoftheCompactbyallstates.
8 4.TheInterstateCommissionmayproposeamendmentstotheCompactfor
9enactmentbythememberstates.Noamendmentshallbecomeeffectiveandbinding
10upontheInterstateCommissionandthememberstatesunlessanduntilitisenacted
11intolawbyunanimousconsentofthememberstates.
334.1705.1.Onceeffective,theCompactshallcontinueinforceandremain
2bindinguponeachandeverymemberstate;providedthatamemberstatemay
3withdrawfromtheCompactbyspecificallyrepealingthestatutewhichenactedthe
4Compactintolaw.
5 2.WithdrawalfromtheCompactshallbebytheenactmentofastatute
6repealingthesame,butshallnottakeeffectuntilone(1)yearaftertheeffectivedateof
7suchstatuteanduntilwrittennoticeofthewithdrawalhasbeengivenbythe
8withdrawingstatetothegovernorofeachothermemberstate.
9 3.Thewithdrawingstateshallimmediatelynotifythechairpersonofthe
10InterstateCommissioninwritingupontheintroductionoflegislationrepealingthe
11Compactinthewithdrawingstate.
12 4.TheInterstateCommissionshallnotifytheothermemberstatesofthe
13withdrawingstate'sintenttowithdrawwithinsixty(60)daysofitsreceiptofnotice
14providedundersubsection3ofthissection.
15 5.Thewithdrawingstateisresponsibleforalldues,obligationsandliabilities
16incurredthroughtheeffectivedateofwithdrawal,includingobligations,the
17performanceofwhichextendbeyondtheeffectivedateofwithdrawal.
18 6.Reinstatementfollowingwithdrawalofamemberstateshalloccuruponthe
19withdrawingstatereenactingtheCompactoruponsuchlaterdateasdeterminedbythe
20InterstateCommission.
21 7.TheInterstateCommissionisauthorizedtodeveloprulestoaddressthe
22impactofthewithdrawalofamemberstateonlicensesgrantedinothermemberstates
23tophysicianswhodesignatedthewithdrawingmemberstateasthestateofprincipal
24license.
HCSSSSCSSB157 58 334.1710.1.TheCompactshalldissolveeffectiveuponthedateofthe
2withdrawalordefaultofthememberstatewhichreducesthemembershipofthe
3Compacttoone(1)memberstate.
4 2.UponthedissolutionoftheCompact,theCompactbecomesnullandvoidand
5shallbeofnofurtherforceoreffect,andthebusinessandaffairsoftheInterstate
6Commissionshallbeconcluded,andsurplusfundsshallbedistributedinaccordance
7withthebylaws.
334.1715.1.TheprovisionsoftheCompactshallbeseverable,andifany
2phrase,clause,sentence,orprovisionisdeemedunenforceable,theremainingprovisions
3oftheCompactshallbeenforceable.
4 2.TheprovisionsoftheCompactshallbeliberallyconstruedtoeffectuateits
5purposes.
6 3.NothingintheCompactshallbeconstruedtoprohibittheapplicabilityof
7otherinterstatecompactstowhichthememberstatesaremembers.
334.1720.1.Nothinghereinpreventstheenforcementofanyotherlawofa
2memberstatethatisnotinconsistentwiththeCompact.
3 2.AlllawsinamemberstateinconflictwiththeCompactaresupersededtothe
4extentoftheconflict.
5 3.AlllawfulactionsoftheInterstateCommission,includingallrulesandbylaws
6promulgatedbytheCommission,arebindinguponthememberstates.
7 4.AllagreementsbetweentheInterstateCommissionandthememberstatesare
8bindinginaccordancewiththeirterms.
9 5.IntheeventanyprovisionoftheCompactexceedstheconstitutionallimits
10imposedonthelegislatureofanymemberstate,suchprovisionshallbeineffectivetothe
11extentoftheconflictwiththeconstitutionalprovisioninquestioninthatmemberstate.
335.016.Asusedinthischapter,unlessthecontextclearlyrequiresotherwise,the
2followingwordsandtermsmean:
3 (1)"Accredited",theofficialauthorizationorstatusgrantedbyanagencyfora
4programthroughavoluntaryprocess;
5 (2)"Advancedpracticeregisterednurse"or"APRN", a[nursewhohaseducation
6beyondthebasicnursingeducationandiscertifiedbyanationallyrecognizedprofessional
7organizationasacertifiednursepractitioner,certifiednursemidwife,certifiedregistered
8nurseanesthetist,oracertifiedclinicalnursespecialist.Theboardshallpromulgaterules
9specifyingwhichnationallyrecognizedprofessionalorganizationcertificationsaretobe
10recognizedforthepurposesofthissection.Advancedpracticenursesandonlysuch
11individualsmayusethetitle"AdvancedPracticeRegisteredNurse"andtheabbreviation
12"APRN"] personwhoislicensedundertheprovisionsofthischaptertoengageinthe
HCSSSSCSSB157 59 13practiceofadvancedpracticenursingasacertifiedclinicalnursespecialist,certified
14nursemidwife,certifiednursepractitioner,orcertifiedregisterednurseanesthetist;
15 (3)"Approval",officialrecognitionofnursingeducationprogramswhichmeet
16standardsestablishedbytheboardofnursing;
17 (4)"Board"or"stateboard",thestateboardofnursing;
18 (5)"Certifiedclinicalnursespecialist",aregisterednursewhoiscurrentlycertifiedas
19aclinicalnursespecialistbyanationallyrecognizedcertifyingboardapprovedbytheboard
20ofnursing;
21 (6)"Certifiednursemidwife",aregisterednursewhoiscurrentlycertifiedasanurse
22midwifebytheAmerican[CollegeofNurseMidwives] MidwiferyCertificationBoard, or
23othernationallyrecognizedcertifyingbodyapprovedbytheboardofnursing;
24 (7)"Certifiednursepractitioner",aregisterednursewhoiscurrentlycertifiedasa
25nursepractitionerbyanationallyrecognizedcertifyingbodyapprovedbytheboardof
26nursing;
27 (8)"Certifiedregisterednurseanesthetist",aregisterednursewhoiscurrently
28certifiedasanurseanesthetistbytheCouncilonCertificationofNurseAnesthetists,the
29[CouncilonRecertificationofNurseAnesthetists] NationalBoardofCertificationand
30RecertificationforNurseAnesthetists, orothernationallyrecognizedcertifyingbody
31approvedbytheboardofnursing;
32 (9)"Executivedirector",aqualifiedindividualemployedbytheboardasexecutive
33secretaryorotherwisetoadministertheprovisionsofthischapterundertheboard'sdirection.
34Suchpersonemployedasexecutivedirectorshallnotbeamemberoftheboard;
35 (10)"Inactive[nurse] licensestatus", asdefinedbyrulepursuanttosection335.061;
36 (11)"Lapsedlicensestatus",asdefinedbyruleundersection335.061;
37 (12)"Licensedpracticalnurse"or"practicalnurse",apersonlicensedpursuanttothe
38provisionsofthischaptertoengageinthepracticeofpracticalnursing;
39 (13)"Licensure",theissuingofalicense[topracticeprofessionalorpractical
40nursing] tocandidateswhohavemetthe[specified] requirementsspecifiedunderthis
41chapter,authorizingthepersontoengageinthepracticeofadvancedpractice,
42professional,orpracticalnursing,andtherecordingofthenamesofthosepersonsas
43holdersofalicensetopracticeadvancedpractice,professional, orpracticalnursing;
44 (14)"Practiceofadvancedpracticenursing",theperformanceforcompensation
45ofactivitiesandservicesconsistentwiththerequirededucation,training,certification,
46demonstratedcompetencies,andexperiencesofanadvancedpracticeregisterednurse;
47 (15)"Practiceofpracticalnursing",theperformanceforcompensationofselected
48actsforthepromotionofhealthandinthecareofpersonswhoareill,injured,orexperiencing
49alterationsinnormalhealthprocesses.Suchperformancerequiressubstantialspecialized
HCSSSSCSSB157 60 50skill,judgmentandknowledge.Allsuchnursingcareshallbegivenunderthedirectionofa
51personlicensedbyastateregulatoryboardtoprescribemedicationsandtreatmentsorunder
52thedirectionofaregisteredprofessionalnurse.Forthepurposesofthischapter,theterm
53"direction"shallmeanguidanceorsupervisionprovidedbyapersonlicensedbyastate
54regulatoryboardtoprescribemedicationsandtreatmentsoraregisteredprofessionalnurse,
55including,butnotlimitedto,oral,written,orotherwisecommunicatedordersordirectivesfor
56patientcare.Whenpracticalnursingcareisdeliveredpursuanttothedirectionofaperson
57licensedbyastateregulatoryboardtoprescribemedicationsandtreatmentsorunderthe
58directionofaregisteredprofessionalnurse,suchcaremaybedeliveredbyalicensedpractical
59nursewithoutdirectphysicaloversight;
60 [(15)] (16)"Practiceofprofessionalnursing",theperformanceforcompensationof
61anyactoractionwhichrequiressubstantialspecializededucation,judgmentandskillbased
62onknowledgeandapplicationofprinciplesderivedfromthebiological,physical,social,
63behavioral,andnursingsciences,including,butnotlimitedto:
64 (a)Responsibilityforthepromotionandteachingofhealthcareandtheprevention
65ofillnesstothepatientandhisorherfamily;
66 (b)Assessment,datacollection,nursingdiagnosis,nursingcare,evaluation,and
67counselofpersonswhoareill,injured, orexperiencingalterationsinnormalhealthprocesses;
68 (c)Theadministrationofmedicationsandtreatmentsasprescribedbyaperson
69licensedbyastateregulatoryboardtoprescribemedicationsandtreatments;
70 (d)Thecoordinationandassistanceinthedeterminationanddeliveryofaplanof
71healthcarewithallmembersofahealthteam;
72 (e)Theteachingandsupervisionofotherpersonsintheperformanceofanyofthe
73foregoing;
74 [(16)A](17)"Registeredprofessionalnurse"or"registerednurse",apersonlicensed
75pursuanttotheprovisionsofthischaptertoengageinthepracticeofprofessionalnursing;
76 [(17)] (18)"Retiredlicensestatus",anypersonlicensedinthisstateunderthischapter
77whoretiresfromsuchpractice.Suchpersonshallfilewiththeboardanaffidavit,onaform
78tobefurnishedbytheboard,whichstatesthedateonwhichthelicenseeretiredfromsuch
79practice,anintenttoretirefromthepracticeforatleasttwoyears,andsuchotherfactsastend
80toverifytheretirementastheboardmaydeemnecessary;butifthelicenseethereafter
81reengagesinthepractice,thelicenseeshallrenewhisorherlicensewiththeboardas
82providedbythischapterandbyruleandregulation.
335.019.1.Anadvancedpracticeregisterednurse'sprescriptiveauthorityshall
2includeauthorityto:
3 (1)Prescribe,dispense,andadministermedicationsandnonscheduledlegend
4drugs,asdefinedinsection338.330,withinsuchAPRN'spracticeandspecialty;and
HCSSSSCSSB157 61 5 (2)Notwithstandinganyotherprovisionofthischaptertothecontrary,receive,
6prescribe,administer,andprovidenonscheduledlegenddrugsamplesfrom
7pharmaceuticalmanufacturerstopatientsatnochargetothepatientoranyotherparty.
8 2.Theboardofnursingmaygrantacertificateofcontrolledsubstanceprescriptive
9authoritytoanadvancedpracticeregisterednursewho:
10 (1)Submitsproofofsuccessfulcompletionofanadvancedpharmacologycoursethat
11shallincludepreceptorialexperienceintheprescriptionofdrugs,medicines, andtherapeutic
12devices;and
13 (2)Providesdocumentationofaminimumofthreehundredclockhourspreceptorial
14experienceintheprescriptionofdrugs,medicines,andtherapeuticdeviceswithaqualified
15preceptor;and
16 (3)Providesevidenceofaminimumofonethousandhoursofpracticeinanadvanced
17practicenursingcategorypriortoapplicationforacertificateofprescriptiveauthority.The
18onethousandhoursshallnotincludeclinicalhoursobtainedintheadvancedpracticenursing
19educationprogram.Theonethousandhoursofpracticeinanadvancedpracticenursing
20categorymayincludetransmittingaprescriptionorderorallyortelephonicallyortoan
21inpatientmedicalrecordfromprotocolsdevelopedincollaborationwithandsignedbya
22licensedphysician;and
23 (4)Hasacontrolledsubstanceprescribingauthoritydelegatedinthecollaborative
24practicearrangementundersection334.104withaphysicianwhohasanunrestrictedfederal
25DrugEnforcementAdministrationregistrationnumberandwhoisactivelyengagedina
26practicecomparableinscope,specialty,orexpertisetothatoftheadvancedpractice
27registerednurse.
335.036.1.Theboardshall:
2 (1)Electforaone-yeartermapresidentandasecretary,whoshallalsobetreasurer,
3andtheboardmayappoint,employandfixthecompensationofalegalcounselandsuch
4boardpersonnelasdefinedinsubdivision(4)ofsubsection11ofsection324.001asare
5necessarytoadministertheprovisionsofsections335.011to[335.096] 335.099;
6 (2)Adoptandrevisesuchrulesandregulationsasmaybenecessarytoenableitto
7carryintoeffecttheprovisionsofsections335.011to[335.096] 335.099;
8 (3)Prescribeminimumstandardsforeducationalprogramspreparingpersonsfor
9licensureasaregisteredprofessionalnurseorlicensedpracticalnursepursuanttothe
10provisionsofsections335.011to[335.096] 335.099;
11 (4)Provideforsurveysofsuchprogramseveryfiveyearsandinadditionatsuch
12timesasitmaydeemnecessary;
HCSSSSCSSB157 62 13 (5)Designateas"approved"suchprogramsasmeettherequirementsofsections
14335.011to[335.096] 335.099andtherulesandregulationsenactedpursuanttosuchsections;
15andtheboardshallannuallypublishalistofsuchprograms;
16 (6)Denyorwithdrawapprovalfromeducationalprogramsforfailuretomeet
17prescribedminimumstandards;
18 (7)Examine,license,andcausetoberenewedthelicensesofdulyqualified
19applicants;
20 (8)Causetheprosecutionofallpersonsviolatingprovisionsofsections335.011to
21[335.096] 335.099, andmayincursuchnecessaryexpensestherefor;
22 (9)Keeparecordofalltheproceedings;andmakeanannualreporttothegovernor
23andtothedirectorofthedepartmentofcommerceandinsurance.
24 2.Theboardshallsettheamountofthefeeswhichthischapterauthorizesand
25requiresbyrulesandregulations.Thefeesshallbesetataleveltoproducerevenuewhich
26shallnotsubstantiallyexceedthecostandexpenseofadministeringthischapter.
27 3.Allfeesreceivedbytheboardpursuanttotheprovisionsofsections335.011to
28[335.096] 335.099shallbedepositedinthestatetreasuryandbeplacedtothecreditofthe
29stateboardofnursingfund.Alladministrativecostsandexpensesoftheboardshallbepaid
30fromappropriationsmadeforthosepurposes.Theboardisauthorizedtoprovidefundingfor
31thenursingeducationincentiveprogramestablishedinsections335.200to335.203.
32 4.Theprovisionsofsection33.080tothecontrarynotwithstanding,moneyinthis
33fundshallnotbetransferredandplacedtothecreditofgeneralrevenueuntiltheamountin
34thefundattheendofthebienniumexceedstwotimestheamountoftheappropriationfrom
35theboard'sfundsfortheprecedingfiscalyearor,iftheboardrequiresbyrule,permitrenewal
36lessfrequentlythanyearly,thenthreetimestheappropriationfromtheboard'sfundsforthe
37precedingfiscalyear.Theamount,ifany,inthefundwhichshalllapseisthatamountinthe
38fundwhichexceedstheappropriatemultipleoftheappropriationsfromtheboard'sfundsfor
39theprecedingfiscalyear.
40 5.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
41createdundertheauthoritydelegatedinthischaptershallbecomeeffectiveonlyifitcomplies
42withandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.
43AllrulemakingauthoritydelegatedpriortoAugust28,1999,isofnoforceandeffectand
44repealed.Nothinginthissectionshallbeinterpretedtorepealoraffectthevalidityofany
45rulefiledoradoptedpriortoAugust28,1999,ifitfullycompliedwithallapplicable
46provisionsoflaw.Thissectionandchapter536arenonseverableandifanyofthepowers
47vestedwiththegeneralassemblypursuanttochapter536toreview,todelaytheeffectivedate
48ortodisapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof
HCSSSSCSSB157 63 49rulemakingauthorityandanyruleproposedoradoptedafterAugust28,1999,shallbeinvalid
50andvoid.
335.046.1.Anapplicantforalicensetopracticeasaregisteredprofessionalnurse
2shallsubmittotheboardawrittenapplicationonformsfurnishedtotheapplicant.The
3originalapplicationshallcontaintheapplicant'sstatementsshowingtheapplicant'seducation
4andothersuchpertinentinformationastheboardmayrequire.Theapplicantshallbeofgood
5moralcharacterandhavecompletedatleastthehighschoolcourseofstudy,ortheequivalent
6thereofasdeterminedbythestateboardofeducation,andhavesuccessfullycompletedthe
7basicprofessionalcurriculuminanaccreditedorapprovedschoolofnursingandearneda
8professionalnursingdegreeordiploma.Eachapplicationshallcontainastatementthatitis
9madeunderoathoraffirmationandthatitsrepresentationsaretrueandcorrecttothebest
10knowledgeandbeliefofthepersonsigningsame,subjecttothepenaltiesofmakingafalse
11affidavitordeclaration.Applicantsfromnon-English-speakinglandsshallberequiredto
12submitevidenceofproficiencyintheEnglishlanguage.Theapplicantmustbeapprovedby
13theboardandshallpassanexaminationasrequiredbytheboard.Theboardmayrequireby
14ruleasarequirementforlicensurethateachapplicantshallpassanoralorpractical
15examination.Uponsuccessfullypassingtheexamination,theboardmayissuetothe
16applicantalicensetopracticenursingasaregisteredprofessionalnurse.Theapplicantfora
17licensetopracticeregisteredprofessionalnursingshallpayalicensefeeinsuchamountasset
18bytheboard.Thefeeshallbeuniformforallapplicants.Applicantsfromforeigncountries
19shallbelicensedasprescribedbyrule.
20 2.Anapplicantforlicensetopracticeasalicensedpracticalnurseshallsubmittothe
21boardawrittenapplicationonformsfurnishedtotheapplicant.Theoriginalapplicationshall
22containtheapplicant'sstatementsshowingtheapplicant'seducationandothersuchpertinent
23informationastheboardmayrequire.Suchapplicantshallbeofgoodmoralcharacter,and
24havecompletedatleasttwoyearsofhighschool,oritsequivalentasestablishedbythestate
25boardofeducation,andhavesuccessfullycompletedabasicprescribedcurriculuminastate-
26accreditedorapprovedschoolofnursing,earnedanursingdegree,certificateordiplomaand
27completedacourseapprovedbytheboardontheroleofthepracticalnurse.Eachapplication
28shallcontainastatementthatitismadeunderoathoraffirmationandthatitsrepresentations
29aretrueandcorrecttothebestknowledgeandbeliefofthepersonsigningsame,subjecttothe
30penaltiesofmakingafalseaffidavitordeclaration.Applicantsfromnon-English-speaking
31countriesshallberequiredtosubmitevidenceoftheirproficiencyintheEnglishlanguage.
32Theapplicantmustbeapprovedbytheboardandshallpassanexaminationasrequiredbythe
33board.Theboardmayrequirebyruleasarequirementforlicensurethateachapplicantshall
34passanoralorpracticalexamination.Uponsuccessfullypassingtheexamination,theboard
35mayissuetotheapplicantalicensetopracticeasalicensedpracticalnurse.Theapplicantfor
HCSSSSCSSB157 64 36alicensetopracticelicensedpracticalnursingshallpayafeeinsuchamountasmaybesetby
37theboard.Thefeeshallbeuniformforallapplicants.Applicantsfromforeigncountriesshall
38belicensedasprescribedbyrule.
39 3.(1)Anapplicantforalicensetopracticeasanadvancedpracticeregistered
40nurseshallsubmittotheboardawrittenapplicationonformsfurnishedtothe
41applicant.Theoriginalapplicationshallcontain:
42 (a)Statementsshowingtheapplicant'seducationandothersuchpertinent
43informationastheboardmayrequire;and
44 (b)Astatementthatitismadeunderoathoraffirmationandthatits
45representationsaretrueandcorrecttothebestknowledgeandbeliefoftheperson
46signingsame,subjecttothepenaltiesofmakingafalseaffidavitordeclaration.
47 (2)Theapplicantforalicensetopracticeasanadvancedpracticeregistered
48nurseshallpayafeeinsuchamountasmaybesetbytheboard.Thefeeshallbe
49uniformforallapplicants.
50 (3)Anapplicantshall:
51 (a)Holdacurrentregisteredprofessionalnurselicenseorprivilegetopractice,
52shallnotbecurrentlysubjecttodisciplineoranyrestrictions,andshallnotholdan
53encumberedlicenseorprivilegetopracticeasaregisteredprofessionalnurseor
54advancedpracticeregisterednurseinanystateorterritory;
55 (b)Havecompletedanaccreditedgraduate-leveladvancedpracticeregistered
56nurseprogramandachievedatleastonecertificationasaclinicalnursespecialist,nurse
57midwife,nursepractitioner,orregisterednurseanesthetist,withatleastonepopulation
58focusprescribedbyruleoftheboard;
59 (c)Becurrentlycertifiedbyanationalcertifyingbodyrecognizedbythe
60Missouristateboardofnursingintheadvancedpracticeregisterednurserole;and
61 (d)Haveapopulationfocusonhisorhercertification,correspondingwithhisor
62hereducationaladvancedpracticeregisterednurseprogram.
63 (4)Anypersonholdingadocumentofrecognitiontopracticenursingasan
64advancedpracticeregisterednurseinthisstatethatiscurrentonAugust28,2023,shall
65bedeemedtobelicensedasanadvancedpracticeregisterednurseundertheprovisions
66ofthissectionandshallbeeligibleforrenewalofsuchlicenseundertheconditionsand
67standardsprescribedinthischapterandasprescribedbyrule.
68 4.Uponrefusaloftheboardtoallowanyapplicantto[sitfor]takeeitherthe
69registeredprofessionalnurses'examinationorthelicensedpracticalnurses'examination,[as
70thecasemaybe,]oruponrefusaltoissueanadvancedpracticeregisterednurselicense,
71theboardshallcomplywiththeprovisionsofsection621.120andadvisetheapplicantofhis
HCSSSSCSSB157 65 72orherrighttohaveahearingbeforetheadministrativehearingcommission.The
73administrativehearingcommissionshallhearcomplaintstakenpursuanttosection621.120.
74 [4.]5.Theboardshallnotdenyalicensebecauseofsex,religion,race,ethnicorigin,
75ageorpoliticalaffiliation.
335.051.1.Theboardshallissuealicensetopracticenursingas[either] an
2advancedpracticeregisterednurse,aregisteredprofessionalnurse, oralicensedpractical
3nursewithoutexaminationtoanapplicantwhohasdulybecomelicensedas[a]anadvanced
4practiceregisterednurse,registerednurse, orlicensedpracticalnursepursuanttothelaws
5ofanotherstate,territory,orforeigncountryiftheapplicantmeetsthequalificationsrequired
6ofadvancedpracticeregisterednurses,registerednurses, orlicensedpracticalnursesinthis
7stateatthetimetheapplicantwasoriginallylicensedintheotherstate,territory,orforeign
8country.
9 2.Applicantsfromforeigncountriesshallbelicensedasprescribedbyrule.
10 3.Uponapplication,theboardshallissueatemporarypermittoanapplicantpursuant
11tosubsection1ofthissectionforalicenseas[either] anadvancedpracticeregistered
12nurse,aregisteredprofessionalnurse, oralicensedpracticalnursewhohasmadeaprima
13facieshowingthattheapplicantmeetsalloftherequirementsforsuchalicense.The
14temporarypermitshallbeeffectiveonlyuntiltheboardshallhavehadtheopportunityto
15investigatehisorherqualificationsforlicensurepursuanttosubsection1ofthissectionand
16tonotifytheapplicantthathisorherapplicationforalicensehasbeeneithergrantedor
17rejected.Innoeventshallsuchtemporarypermitbeineffectformorethantwelvemonths
18afterthedateofitsissuancenorshallapermitbereissuedtothesameapplicant.Nofeeshall
19bechargedforsuchtemporarypermit.Theholderofatemporarypermitwhichhasnot
20expired,orbeensuspendedorrevoked,shallbedeemedtobetheholderofalicenseissued
21pursuanttosection335.046untilsuchtemporarypermitexpires,isterminatedorissuspended
22orrevoked.
335.056.1.Thelicenseofeverypersonlicensedundertheprovisionsof[sections
2335.011to335.096] thischaptershallberenewedasprovided.Anapplicationforrenewal
3oflicenseshallbemailedtoeverypersontowhomalicensewasissuedorrenewedduringthe
4currentlicensingperiod.Theapplicantshallcompletetheapplicationandreturnittothe
5boardbytherenewaldatewitharenewalfeeinanamounttobesetbytheboard.Thefee
6shallbeuniformforallapplicants.Thecertificatesofrenewalshallrendertheholderthereof
7alegalpractitionerofnursingfortheperiodstatedinthecertificateofrenewal.Anyperson
8whopracticesnursingasanadvancedpracticeregisterednurse,aregisteredprofessional
9nurse, or[as]alicensedpracticalnurseduringthetimehisorherlicensehaslapsedshallbe
10consideredanillegalpractitionerandshallbesubjecttothepenaltiesprovidedforviolationof
11theprovisionsofsections335.011to[335.096] 335.099.
HCSSSSCSSB157 66 12 2.Therenewalofadvancedpracticeregisterednurselicensesandregistered
13professionalnurselicensesshalloccuratthesametime,asprescribedbyrule.Failure
14torenewandmaintaintheregisteredprofessionalnurselicenseorprivilegetopractice
15orfailuretoprovidetherequiredfeeandevidenceofactivecertificationormaintenance
16ofcertificationasprescribedbyrulesandregulationsshallresultinexpirationofthe
17advancedpracticeregisterednurselicense.
18 3.AlicensednursewhoholdsanAPRNlicenseshallbedisciplinedontheir
19APRNlicenseforanyviolationsofthischapter.
335.076.1.Anypersonwhoholdsalicensetopracticeprofessionalnursinginthis
2statemayusethetitle"RegisteredProfessionalNurse"andtheabbreviation["R.N."] "RN".
3Nootherpersonshallusethetitle"RegisteredProfessionalNurse"ortheabbreviation
4["R.N."] "RN". Nootherpersonshallassumeanytitleoruseanyabbreviationoranyother
5words,letters,signs,ordevicestoindicatethatthepersonusingthesameisaregistered
6professionalnurse.
7 2.Anypersonwhoholdsalicensetopracticepracticalnursinginthisstatemayuse
8thetitle"LicensedPracticalNurse"andtheabbreviation["L.P.N."]"LPN". Nootherperson
9shallusethetitle"LicensedPracticalNurse"ortheabbreviation["L.P.N."]"LPN". Noother
10personshallassumeanytitleoruseanyabbreviationoranyotherwords,letters,signs,or
11devicestoindicatethatthepersonusingthesameisalicensedpracticalnurse.
12 3.Anypersonwhoholdsalicense[orrecognition] topracticeadvancedpractice
13nursinginthisstatemayusethetitle"AdvancedPracticeRegisteredNurse",the
14designationsof"certifiedregisterednurseanesthetist","certifiednursemidwife",
15"certifiedclinicalnursespecialist",and"certifiednursepractitioner",andthe
16[abbreviation] abbreviations"APRN",[andanyothertitledesignationsappearingonhis
17orherlicense] "CRNA","CNM","CNS",and"NP",respectively. Nootherpersonshall
18usethetitle"AdvancedPracticeRegisteredNurse"ortheabbreviation"APRN".Noother
19personshallassumeanytitleoruseanyabbreviationoranyotherwords,letters,signs,or
20devicestoindicatethatthepersonusingthesameisanadvancedpracticeregisterednurse.
21 4.Nopersonshallpracticeoroffertopracticeprofessionalnursing,practicalnursing,
22oradvancedpracticenursinginthisstateoruseanytitle,sign,abbreviation,card,ordeviceto
23indicatethatsuchpersonisapracticingprofessionalnurse,practicalnurse,oradvanced
24practicenurseunlessheorshehasbeendulylicensedundertheprovisionsofthischapter.
25 5.Intheinterestofpublicsafetyandconsumerawareness,itisunlawfulforany
26persontousethetitle"nurse"inreferencetohimselforherselfinanycapacity,except
27individualswhoareorhavebeenlicensedasaregisterednurse,licensedpracticalnurse,or
28advancedpracticeregisterednurseunderthischapter.
HCSSSSCSSB157 67 29 6.Notwithstandinganylawtothecontrary,nothinginthischaptershallprohibita
30ChristianSciencenursefromusingthetitle"ChristianSciencenurse",solongassuchperson
31providesonlyreligiousnonmedicalserviceswhenofferingorprovidingsuchservicestothose
32whochoosetorelyuponhealingbyspiritualmeansaloneanddoesnotholdhisorherown
33religiousorganizationanddoesnotholdhimselforherselfoutasaregisterednurse,advanced
34practiceregisterednurse,nursepractitioner,licensedpracticalnurse,nursemidwife,clinical
35nursespecialist,ornurseanesthetist,unlessotherwiseauthorizedbylawtodoso.
335.086.Noperson,firm,corporationorassociationshall:
2 (1)Sellorattempttosellorfraudulentlyobtainorfurnishorattempttofurnishany
3nursingdiploma,license,renewalorrecordoraidorabettherein;
4 (2)Practice[professionalorpractical] nursingasdefinedbysections335.011to
5[335.096] 335.099undercoverofanydiploma,license,orrecordillegallyorfraudulently
6obtainedorsignedorissuedunlawfullyorunderfraudulentrepresentation;
7 (3)Practice[professionalnursingorpractical] nursingasdefinedbysections335.011
8to[335.096] 335.099unlessdulylicensedtodosoundertheprovisionsofsections335.011to
9[335.096] 335.099;
10 (4)Useinconnectionwithhisorhernameanydesignationtendingtoimplythathe
11orsheisalicensedadvancedpracticeregisterednurse,alicensedregisteredprofessional
12nurse, oralicensedpracticalnurseunlessdulylicensedsotopracticeundertheprovisionsof
13sections335.011to[335.096] 335.099;
14 (5)Practice[professionalnursingorpractical] nursingduringthetimehisorher
15licenseissuedundertheprovisionsofsections335.011to[335.096] 335.099shallbe
16suspendedorrevoked;or
17 (6)Conductanursingeducationprogramforthepreparationofprofessionalor
18practicalnursesunlesstheprogramhasbeenaccreditedbytheboard.
335.175.1.NolaterthanJanuary1,2014,thereisherebyestablishedwithinthestate
2boardofregistrationforthehealingartsandthestateboardofnursingthe"Utilizationof
3TelehealthbyNurses".Anadvancedpracticeregisterednurse(APRN)providingnursing
4servicesunderacollaborativepracticearrangementundersection334.104mayprovidesuch
5servicesoutsidethegeographicproximityrequirementsofsection334.104ifthe
6collaboratingphysicianandadvancedpracticeregisterednurseutilizetelehealth[inthe
7careofthepatientandiftheservicesareprovidedinaruralareaofneed]. Telehealth
8providersshallberequiredtoobtainpatientconsentbeforetelehealthservicesareinitiated
9andensureconfidentialityofmedicalinformation.
10 2.Asusedinthissection,"telehealth"shallhavethesamemeaningassuchtermis
11definedinsection191.1145.
HCSSSSCSSB157 68 12 [3.(1)Theboardsshalljointlypromulgaterulesgoverningthepracticeoftelehealth
13underthissection.Suchrulesshalladdress,butnotbelimitedto,appropriatestandardsfor
14theuseoftelehealth.
15 (2)Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
16createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifitcomplies
17withandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.
18Thissectionandchapter536arenonseverableandifanyofthepowersvestedwiththe
19generalassemblypursuanttochapter536toreview,todelaytheeffectivedate,orto
20disapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof
21rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2013,shallbeinvalid
22andvoid.
23 4.Forpurposesofthissection,"ruralareaofneed"meansanyruralareaofthisstate
24whichislocatedinahealthprofessionalshortageareaasdefinedinsection354.650.]
335.203.1.Thereisherebyestablishedthe"NursingEducationIncentiveProgram"
2withinthestateboardofnursing.
3 2.Subjecttoappropriationandboarddisbursement,grantsshallbeawardedthrough
4thenursingeducationincentiveprogramtoeligibleinstitutionsofhighereducationbasedon
5criteriajointlydeterminedbytheboardandthedepartmentofhighereducationandworkforce
6development.[Grantawardamountsshallnotexceedonehundredfiftythousanddollars.]
7Nocampusshallreceivemorethanonegrantperyear.
8 3.Tobeconsideredforagrant,aneligibleinstitutionofhighereducationshalloffera
9programofnursingthatmeetsthepredeterminedcategoryandareaofneedasestablishedby
10theboardandthedepartmentundersubsection4ofthissection.
11 4.Theboardandthedepartmentshalldeterminecategoriesandareasofneedfor
12designatinggrantstoeligibleinstitutionsofhighereducation.Inestablishingcategoriesand
13areasofneed,theboardanddepartmentmayconsidercriteriaincluding,butnotlimitedto:
14 (1)Datageneratedfromlicensurerenewaldataandthedepartmentofhealthand
15seniorservices;and
16 (2)Nationalnursingstatisticaldataandtrendsthathaveidentifiednursingshortages.
17 5.Theboardshallbetheadministrativeagencyresponsibleforimplementationofthe
18programestablishedundersections335.200to335.203,andshallpromulgatereasonable
19rulesfortheexerciseofitsfunctionsandtheeffectuationofthepurposesofsections335.200
20to335.203.Theboardshall,byrule,prescribetheform,time,andmethodoffiling
21applicationsandshallsupervisetheprocessingofsuchapplications.
22 6.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
23createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifitcomplies
24withandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.
HCSSSSCSSB157 69 25Thissectionandchapter536arenonseverableandifanyofthepowersvestedwiththe
26generalassemblypursuanttochapter536toreview,todelaytheeffectivedate,orto
27disapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof
28rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2011,shallbeinvalid
29andvoid.
335.205.Theboard,inadditiontoanyotherdutiesitmayhaveregarding
2licensureofnurses,shallcollect,atthetimeofanyinitiallicenseapplicationorlicense
3renewalapplication,anursingeducationincentiveprogramsurchargefromeachperson
4licensedorrelicensedunderchapter335,intheamountofonedollarperyearfor
5practicalnursesandfivedollarsperyearforregisteredprofessionalnurses.These
6fundsshallbedepositedinthestateboardofnursingfunddescribedinsection335.036.
337.510.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"License",alicense,certificate,registration,permit,accreditation,or
3militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
4professioninaparticularjurisdiction;
5 (2)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce,
6Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuardandanyother
7militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
8UnitedStates,andallreservecomponentsandauxiliaries.Suchtermalsoincludesthe
9militaryreservesandmilitiaofanyUnitedStatesterritoryorstate;
10 (3)"Nonresidentmilitaryspouse",anonresidentspouseofanactiveduty
11memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
12scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris
13scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
14Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
15 (4)"Residentmilitaryspouse",aspouseofanactivedutymemberoftheArmed
16ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
17thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof
18Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher
19homeofrecord.
20 2.Eachapplicantforlicensureasaprofessionalcounselorshallfurnishevidenceto
21thecommitteethattheapplicantisatleasteighteenyearsofage,isaUnitedStatescitizenor
22islegallypresentintheUnitedStates;and
23 (1)Theapplicanthascompletedacourseofstudyasdefinedbytheboardruleleading
24toamaster's,specialist's,ordoctoraldegreewithamajorincounseling,exceptanyapplicant
25whohasheldalicenseasaprofessionalcounselorinthisstateorcurrentlyholdsalicenseasa
HCSSSSCSSB157 70 26professionalcounselorinanotherstateshallnotberequiredtohavecompletedanycourses
27relatedtocareerdevelopment;and
28 (2)Theapplicanthascompletedacceptablesupervisedcounselingasdefinedby
29boardrule.Iftheapplicanthasamaster'sdegreewithamajorincounselingasdefinedby
30boardrule,theapplicantshallcompleteatleasttwoyearsofacceptablesupervisedcounseling
31experiencesubsequenttothereceiptofthemaster'sdegree.Thecompositionandnumberof
32hourscomprisingtheacceptablesupervisedcounselingexperienceshallbedefinedbyboard
33rule.Anapplicantmaysubstitutethirtysemesterhoursofpostmaster'sgraduatestudyfor
34oneofthetworequiredyearsofacceptablesupervisedcounselingexperienceifsuchhours
35areclearlyrelatedtocounseling;
36 (3)AfterAugust28,2007,eachapplicantshallhavecompletedaminimumofthree
37hoursofgraduatelevelcourseworkindiagnosticsystemseitherinthecurriculumleadingtoa
38degreeoraspostmaster'sgraduatelevelcoursework;
39 (4)Uponexamination,theapplicantispossessedofrequisiteknowledgeofthe
40profession,includingtechniquesandapplications,researchanditsinterpretation,and
41professionalaffairsandethics.
42 [2.Anypersonholdingacurrentlicense,certificateofregistration,orpermitfrom
43anotherstateorterritoryoftheUnitedStatestopracticeasaprofessionalcounselorwhodoes
44notmeettherequirementsinsection324.009andwhoisatleasteighteenyearsofage,andis
45aUnitedStatescitizenorislegallypresentintheUnitedStatesmaybegrantedalicense
46withoutexaminationtoengageinthepracticeofprofessionalcounselinginthisstateuponthe
47applicationtotheboard,paymentoftherequiredfeeasestablishedbytheboard,and
48satisfyingoneofthefollowingrequirements:
49 (1)ApprovalbytheAmericanAssociationofStateCounselingBoards(AASCB)or
50itssuccessororganizationaccordingtotheeligibilitycriteriaestablishedbyAASCB.The
51successororganizationshallbedefinedbyboardrule;or
52 (2)IngoodstandingandcurrentlycertifiedbytheNationalBoardforCertified
53Counselorsoritssuccessororganizationandhascompletedacceptablesupervisedcounseling
54experienceasdefinedbyboardrule.Thesuccessororganizationshallbedefinedbyboard
55rule.]
56 3.(1)Anypersonwhoholdsavalidcurrentprofessionalcounselorlicenseissued
57byanotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,orthe
58DistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother
59jurisdiction,maysubmitanapplicationforaprofessionalcounselorlicenseinMissouri
60alongwithproofofcurrentlicensureandproofoflicensureforatleastoneyearinthe
61otherjurisdiction,tothecommittee.
62 (2)Thecommitteeshall:
HCSSSSCSSB157 71 63 (a)Withinsixmonthsofreceivinganapplicationdescribedinsubdivision(1)of
64thissubsection,waiveanyexamination,educational,orexperiencerequirementsfor
65licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
66educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
67requirementsineffectandtheotherstateverifiesthatthepersonmetthose
68requirementsinordertobelicensedorcertifiedinthatstate.Thecommitteemay
69requireanapplicanttotakeandpassanexaminationspecifictothelawsofthisstate;or
70 (b)Withinthirtydaysofreceivinganapplicationdescribedinsubdivision(1)of
71thissubsectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waive
72anyexamination,educational,orexperiencerequirementsforlicensureinthisstatefor
73theapplicantandissuesuchapplicantalicenseunderthissubsectionifsuchapplicant
74otherwisemeetstherequirementsofthissection.
75 (3)(a)Thecommitteeshallnotwaiveanyexamination,educational,or
76experiencerequirementsforanyapplicantwhohashadhisorherlicenserevokedbya
77committeeoutsidethestate;whoiscurrentlyunderinvestigation,whohasacomplaint
78pending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedinparagraph
79(b)ofthissubdivision,withacommitteeoutsidethestate;whodoesnotholdalicensein
80goodstandingwithacommitteeoutsidethestate;whohasacriminalrecordthatwould
81disqualifyhimorherforlicensureinMissouri;orwhodoesnotholdavalidcurrent
82licenseintheotherjurisdictiononthedatethecommitteereceiveshisorherapplication
83underthissection.
84 (b)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
85committeeshalldetermineifthecausefortheactionwascorrectedandthematter
86resolved.Ifthematterhasnotbeenresolvedbythatjurisdiction,thecommitteemay
87denyalicenseuntilthematterisresolved.
88 (4)Nothinginthissubsectionshallprohibitthecommitteefromdenyinga
89licensetoanapplicantunderthissubsectionforanyreasondescribedinsection337.525.
90 (5)Anypersonwhoislicensedundertheprovisionsofthissubsectionshallbe
91subjecttothecommittee'sjurisdictionandallrulesandregulationspertainingtothe
92practiceasalicensedprofessionalcounselorinthisstate.
93 (6)Thissubsectionshallnotbeconstruedtowaiveanyrequirementforan
94applicanttopayanyfees.
95 4.Thecommitteeshallissuealicensetoeachpersonwhofilesanapplicationandfee
96andwhofurnishesevidencesatisfactorytothecommitteethattheapplicanthascompliedwith
97theprovisionsofthisactandhastakenandpassedawritten,open-bookexaminationon
98Missourilawsandregulationsgoverningthepracticeofprofessionalcounselingasdefinedin
99section337.500.Thedivisionshallissueaprovisionalprofessionalcounselorlicensetoany
HCSSSSCSSB157 72 100applicantwhomeetsallrequirementsofthissection,butwhohasnotcompletedtherequired
101acceptablesupervisedcounselingexperienceandsuchapplicantmayreapplyforlicensureas
102aprofessionalcounseloruponcompletionofsuchacceptablesupervisedcounseling
103experience.
104 [4.]5.Allpersonslicensedtopracticeprofessionalcounselinginthisstateshallpay
105onorbeforethelicenserenewaldatearenewallicensefeeandshallfurnishtothecommittee
106satisfactoryevidenceofthecompletionoftherequisitenumberofhoursofcontinuing
107educationasrequiredbyrule,includingtwohoursofsuicideassessment,referral,treatment,
108andmanagementtraining,whichshallbenomorethanfortyhoursbiennially.Thecontinuing
109educationrequirementsmaybewaivedbythecommitteeuponpresentationtothecommittee
110ofsatisfactoryevidenceoftheillnessofthelicenseeorforothergoodcause.
337.550.SECTION1:PURPOSE
2 ThepurposeofthisCompactistofacilitateinterstatepracticeofLicensed
3ProfessionalCounselorswiththegoalofimprovingpublicaccesstoProfessional
4Counselingservices.ThepracticeofProfessionalCounselingoccursintheStatewhere
5theclientislocatedatthetimeofthecounselingservices.TheCompactpreservesthe
6regulatoryauthorityofStatestoprotectpublichealthandsafetythroughthecurrent
7systemofStatelicensure.
8 ThisCompactisdesignedtoachievethefollowingobjectives:
9 A.IncreasepublicaccesstoProfessionalCounselingservicesbyprovidingfor
10themutualrecognitionofotherMemberStatelicenses;
11 B.EnhancetheStates'abilitytoprotectthepublic'shealthandsafety;
12 C.EncouragethecooperationofMemberStatesinregulatingmultistate
13practiceforLicensedProfessionalCounselors;
14 D.SupportspousesofrelocatingActiveDutyMilitarypersonnel;
15 E.Enhancetheexchangeoflicensure,investigative,anddisciplinary
16informationamongMemberStates;
17 F.AllowfortheuseofTelehealthtechnologytofacilitateincreasedaccessto
18ProfessionalCounselingservices;
19 G.SupporttheuniformityofProfessionalCounselinglicensurerequirements
20throughouttheStatestopromotepublicsafetyandpublichealthbenefits;
21 H.InvestallMemberStateswiththeauthoritytoholdaLicensedProfessional
22CounseloraccountableformeetingallStatepracticelawsintheStateinwhichtheclient
23islocatedatthetimecareisrenderedthroughthemutualrecognitionofMemberState
24licenses;
25 I.EliminatethenecessityforlicensesinmultipleStates;and
HCSSSSCSSB157 73 26 J.ProvideopportunitiesforinterstatepracticebyLicensedProfessional
27Counselorswhomeetuniformlicensurerequirements.
28 SECTION2.DEFINITIONS
29 AsusedinthisCompact,andexceptasotherwiseprovided,thefollowing
30definitionsshallapply:
31 A."ActiveDutyMilitary"meansfull-timedutystatusintheactiveuniformed
32serviceoftheUnitedStates,includingmembersoftheNationalGuardandReserveon
33activedutyorderspursuantto10U.S.C.Chapters1209and1211.
34 B."AdverseAction"meansanyadministrative,civil,equitableorcriminal
35actionpermittedbyaState'slawswhichisimposedbyalicensingboardorother
36authorityagainstaLicensedProfessionalCounselor,includingactionsagainstan
37individual'slicenseorPrivilegetoPracticesuchasrevocation,suspension,probation,
38monitoringofthelicensee,limitationonthelicensee'spractice,oranyother
39EncumbranceonlicensureaffectingaLicensedProfessionalCounselor's
40authorizationtopractice,includingissuanceofaceaseanddesistaction.
41 C."AlternativeProgram"meansanon-disciplinarymonitoringorpractice
42remediationprocessapprovedbyaProfessionalCounselingLicensingBoardtoaddress
43ImpairedPractitioners.
44 D."ContinuingCompetence/Education"meansarequirement,asaconditionof
45licenserenewal,toprovideevidenceofparticipationin,and/orcompletionof,
46educationalandprofessionalactivitiesrelevanttopracticeorareaofwork.
47 E."CounselingCompactCommission"or"Commission"meansthenational
48administrativebodywhosemembershipconsistsofallStatesthathaveenactedthe
49Compact.
50 F."CurrentSignificantInvestigativeInformation"means:
51 1.InvestigativeInformationthataLicensingBoard,afterapreliminaryinquiry
52thatincludesnotificationandanopportunityfortheLicensedProfessionalCounselorto
53respond,ifrequiredbyStatelaw,hasreasontobelieveisnotgroundlessand,ifproved
54true,wouldindicatemorethanaminorinfraction;or
55 2.InvestigativeInformationthatindicatesthattheLicensedProfessional
56Counselorrepresentsanimmediatethreattopublichealthandsafetyregardlessof
57whethertheLicensedProfessionalCounselorhasbeennotifiedandhadanopportunity
58torespond.
59 G."DataSystem"meansarepositoryofinformationaboutLicensees,including,
60butnotlimitedto,continuingeducation,examination,licensure,investigative,Privilege
61toPracticeandAdverseActioninformation.
HCSSSSCSSB157 74 62 H."EncumberedLicense"meansalicenseinwhichanAdverseActionrestricts
63thepracticeoflicensedProfessionalCounselingbytheLicenseeandsaidAdverse
64ActionhasbeenreportedtotheNationalPractitionersDataBank(NPDB).
65 I."Encumbrance"meansarevocationorsuspensionof,oranylimitationon,the
66fullandunrestrictedpracticeofLicensedProfessionalCounselingbyaLicensingBoard.
67 J."ExecutiveCommittee"meansagroupofdirectorselectedorappointedtoact
68onbehalfof,andwithinthepowersgrantedtothemby,theCommission.
69 K."HomeState"meanstheMemberStatethatistheLicensee'sprimaryState
70ofresidence.
71 L."ImpairedPractitioner"meansanindividualwhohasacondition(s)thatmay
72impairtheirabilitytopracticeasaLicensedProfessionalCounselorwithoutsometype
73ofinterventionandmayinclude,butarenotlimitedto,alcoholanddrugdependence,
74mentalhealthimpairment,andneurologicalorphysicalimpairments.
75 M."InvestigativeInformation"meansinformation,records,anddocuments
76receivedorgeneratedbyaProfessionalCounselingLicensingBoardpursuanttoan
77investigation.
78 N."JurisprudenceRequirement"ifrequiredbyaMemberState,meansthe
79assessmentofanindividual'sknowledgeofthelawsandRulesgoverningthepracticeof
80ProfessionalCounselinginaState.
81 O."LicensedProfessionalCounselor"meansacounselorlicensedbyaMember
82State,regardlessofthetitleusedbythatState,toindependentlyassess,diagnose,and
83treatbehavioralhealthconditions.
84 P."Licensee"meansanindividualwhocurrentlyholdsanauthorizationfrom
85theStatetopracticeasaLicensedProfessionalCounselor.
86 Q."LicensingBoard"meanstheagencyofaState,orequivalent,thatis
87responsibleforthelicensingandregulationofLicensedProfessionalCounselors.
88 R."MemberState"meansaStatethathasenactedtheCompact.
89 S."PrivilegetoPractice"meansalegalauthorization,whichisequivalenttoa
90license,permittingthepracticeofProfessionalCounselinginaRemoteState.
91 T."ProfessionalCounseling"meanstheassessment,diagnosis,andtreatmentof
92behavioralhealthconditionsbyaLicensedProfessionalCounselor.
93 U."RemoteState"meansaMemberStateotherthantheHomeState,wherea
94LicenseeisexercisingorseekingtoexercisethePrivilegetoPractice.
95 V."Rule"meansaregulationpromulgatedbytheCommissionthathastheforce
96oflaw.
HCSSSSCSSB157 75 97 W."SingleStateLicense"meansaLicensedProfessionalCounselorlicense
98issuedbyaMemberStatethatauthorizespracticeonlywithintheissuingStateanddoes
99notincludeaPrivilegetoPracticeinanyotherMemberState.
100 X."State"meansanystate,commonwealth,district,orterritoryoftheUnited
101StatesofAmericathatregulatesthepracticeofProfessionalCounseling.
102 Y."Telehealth"meanstheapplicationoftelecommunicationtechnologyto
103deliverProfessionalCounselingservicesremotelytoassess,diagnose,andtreat
104behavioralhealthconditions.
105 Z."UnencumberedLicense"meansalicensethatauthorizesaLicensed
106ProfessionalCounselortoengageinthefullandunrestrictedpracticeofProfessional
107Counseling.
108 SECTION3.STATEPARTICIPATIONINTHECOMPACT
109 A.ToParticipateintheCompact,aStatemustcurrently:
110 1.LicenseandregulateLicensedProfessionalCounselors;
111 2.RequireLicenseestopassanationallyrecognizedexamapprovedbythe
112Commission;
113 3.RequireLicenseestohavea60semester-hour(or90quarter-hour)master's
114degreeincounselingor60semester-hours(or90quarter-hours)ofgraduatecourse
115workincludingthefollowingtopicareas:
116 a.ProfessionalCounselingOrientationandEthicalPractice;
117 b.SocialandCulturalDiversity;
118 c.HumanGrowthandDevelopment;
119 d.CareerDevelopment;
120 e.CounselingandHelpingRelationships;
121 f.GroupCounselingandGroupWork;
122 g.DiagnosisandTreatment;AssessmentandTesting;
123 h.ResearchandProgramEvaluation;and
124 i.OtherareasasdeterminedbytheCommission.
125 4.RequireLicenseestocompleteasupervisedpostgraduateprofessional
126experienceasdefinedbytheCommission;
127 5.Haveamechanisminplaceforreceivingandinvestigatingcomplaintsabout
128Licensees.
129 B.AMemberStateshall:
130 1.ParticipatefullyintheCommission'sDataSystem,includingusingthe
131Commission'suniqueidentifierasdefinedinRules;
HCSSSSCSSB157 76 132 2.NotifytheCommission,incompliancewiththetermsoftheCompactand
133Rules,ofanyAdverseActionortheavailabilityofInvestigativeInformationregardinga
134Licensee;
135 3.Implementorutilizeproceduresforconsideringthecriminalhistoryrecords
136ofapplicantsforaninitialPrivilegetoPractice.Theseproceduresshallincludethe
137submissionoffingerprintsorotherbiometric-basedinformationbyapplicantsforthe
138purposeofobtaininganapplicant'scriminalhistoryrecordinformationfromthe
139FederalBureauofInvestigationandtheagencyresponsibleforretainingthatState's
140criminalrecords;
141 a.Amemberstatemustfullyimplementacriminalbackgroundcheck
142requirement,withinatimeframeestablishedbyrule,byreceivingtheresultsofthe
143FederalBureauofInvestigationrecordsearchandshallusetheresultsinmaking
144licensuredecisions.
145 b.CommunicationbetweenaMemberState,theCommissionandamong
146MemberStatesregardingtheverificationofeligibilityforlicensurethroughthe
147CompactshallnotincludeanyinformationreceivedfromtheFederalBureauof
148InvestigationrelatingtoafederalcriminalrecordscheckperformedbyaMemberState
149underPublicLaw92-544.
150 4.ComplywiththeRulesoftheCommission;
151 5.RequireanapplicanttoobtainorretainalicenseintheHomeStateandmeet
152theHomeState'squalificationsforlicensureorrenewaloflicensure,aswellasallother
153applicableStatelaws;
154 6.GrantthePrivilegetoPracticetoaLicenseeholdingavalidUnencumbered
155LicenseinanotherMemberStateinaccordancewiththetermsoftheCompactand
156Rules;and
157 7.ProvidefortheattendanceoftheState'scommissionertotheCounseling
158CompactCommissionmeetings.
159 C.MemberStatesmaychargeafeeforgrantingthePrivilegetoPractice.
160 D.IndividualsnotresidinginaMemberStateshallcontinuetobeabletoapply
161foraMemberState'sSingleStateLicenseasprovidedunderthelawsofeachMember
162State.However,theSingleStateLicensegrantedtotheseindividualsshallnotbe
163recognizedasgrantingaPrivilegetoPracticeProfessionalCounselinginanyother
164MemberState.
165 E.NothinginthisCompactshallaffecttherequirementsestablishedbya
166MemberStatefortheissuanceofaSingleStateLicense.
167 F.AlicenseissuedtoaLicensedProfessionalCounselorbyaHomeStatetoa
168residentinthatStateshallberecognizedbyeachMemberStateasauthorizinga
HCSSSSCSSB157 77 169LicensedProfessionalCounselortopracticeProfessionalCounseling,underaPrivilege
170toPractice,ineachMemberState.
171 SECTION4.PRIVILEGETOPRACTICE
172 A.ToexercisethePrivilegetoPracticeunderthetermsandprovisionsofthe
173Compact,theLicenseeshall:
174 1.HoldalicenseintheHomeState;
175 2.HaveavalidUnitedStatesSocialSecurityNumberorNationalPractitioner
176Identifier;
177 3.BeeligibleforaPrivilegetoPracticeinanyMemberStateinaccordancewith
178Section4(D),(G)and(H);
179 4.HavenothadanyEncumbranceorrestrictionagainstanylicenseorPrivilege
180toPracticewithintheprevioustwo(2)years;
181 5.NotifytheCommissionthattheLicenseeisseekingthePrivilegetoPractice
182withinaRemoteState(s);
183 6.Payanyapplicablefees,includinganyStatefee,forthePrivilegetoPractice;
184 7.MeetanyContinuingCompetence/Educationrequirementsestablishedbythe
185HomeState;
186 8.MeetanyJurisprudenceRequirementsestablishedbytheRemoteState(s)in
187whichtheLicenseeisseekingaPrivilegetoPractice;and
188 9.ReporttotheCommissionanyAdverseAction,Encumbrance,orrestriction
189onlicensetakenbyanynon-MemberStatewithin30daysfromthedatetheactionis
190taken.
191 B.ThePrivilegetoPracticeisvaliduntiltheexpirationdateoftheHomeState
192license.TheLicenseemustcomplywiththerequirementsofSection4(A)tomaintain
193thePrivilegetoPracticeintheRemoteState.
194 C.ALicenseeprovidingProfessionalCounselinginaRemoteStateunderthe
195PrivilegetoPracticeshalladheretothelawsandregulationsoftheRemoteState.
196 D.ALicenseeprovidingProfessionalCounselingservicesinaRemoteStateis
197subjecttothatState'sregulatoryauthority.ARemoteStatemay,inaccordancewith
198dueprocessandthatState'slaws,removeaLicensee'sPrivilegetoPracticeinthe
199RemoteStateforaspecificperiodoftime,imposefines,and/ortakeanyothernecessary
200actionstoprotectthehealthandsafetyofitscitizens.TheLicenseemaybeineligiblefor
201aPrivilegetoPracticeinanyMemberStateuntilthespecifictimeforremovalhas
202passedandallfinesarepaid.
203 E.IfaHomeStatelicenseisencumbered,theLicenseeshalllosethePrivilegeto
204PracticeinanyRemoteStateuntilthefollowingoccur:
205 1.TheHomeStatelicenseisnolongerencumbered;and
HCSSSSCSSB157 78 206 2.HavenothadanyEncumbranceorrestrictionagainstanylicenseorPrivilege
207toPracticewithintheprevioustwo(2)years.
208 F.OnceanEncumberedLicenseintheHomeStateisrestoredtogoodstanding,
209theLicenseemustmeettherequirementsofSection4(A)toobtainaPrivilegetoPractice
210inanyRemoteState.
211 G.IfaLicensee'sPrivilegetoPracticeinanyRemoteStateisremoved,the
212individualmaylosethePrivilegetoPracticeinallotherRemoteStatesuntilthe
213followingoccur:
214 1.ThespecificperiodoftimeforwhichthePrivilegetoPracticewasremoved
215hasended;
216 2.Allfineshavebeenpaid;and
217 3.HavenothadanyEncumbranceorrestrictionagainstanylicenseorPrivilege
218toPracticewithintheprevioustwo(2)years.
219 H.OncetherequirementsofSection4(G)havebeenmet,theLicenseemustmeet
220therequirementsinSection4(A)toobtainaPrivilegetoPracticeinaRemoteState.
221 SECTION5:OBTAININGANEWHOMESTATELICENSEBASEDONA
222PRIVILEGETOPRACTICE
223 A.ALicensedProfessionalCounselormayholdaHomeStatelicense,which
224allowsforaPrivilegetoPracticeinotherMemberStates,inonlyoneMemberStateata
225time.
226 B.IfaLicensedProfessionalCounselorchangesprimaryStateofresidenceby
227movingbetweentwoMemberStates:
228 1.TheLicensedProfessionalCounselorshallfileanapplicationforobtaininga
229newHomeStatelicensebasedonaPrivilegetoPractice,payallapplicablefees,and
230notifythecurrentandnewHomeStateinaccordancewithapplicableRulesadoptedby
231theCommission.
232 2.UponreceiptofanapplicationforobtaininganewHomeStatelicenseby
233virtueofaPrivilegetoPractice,thenewHomeStateshallverifythattheLicensed
234ProfessionalCounselormeetsthepertinentcriteriaoutlinedinSection4viatheData
235System,withoutneedforprimarysourceverificationexceptfor:
236 a.aFederalBureauofInvestigationfingerprintbasedcriminalbackground
237checkifnotpreviouslyperformedorupdatedpursuanttoapplicablerulesadoptedby
238theCommissioninaccordancewithPublicLaw92-544;
239 b.othercriminalbackgroundcheckasrequiredbythenewHomeState;and
240 c.completionofanyrequisiteJurisprudenceRequirementsofthenewHome
241State.
HCSSSSCSSB157 79 242 3.TheformerHomeStateshallconverttheformerHomeStatelicenseintoa
243PrivilegetoPracticeoncethenewHomeStatehasactivatedthenewHomeStatelicense
244inaccordancewithapplicableRulesadoptedbytheCommission.
245 4.NotwithstandinganyotherprovisionofthisCompact,iftheLicensed
246ProfessionalCounselorcannotmeetthecriteriainSection4,thenewHomeStatemay
247applyitsrequirementsforissuinganewSingleStateLicense.
248 5.TheLicensedProfessionalCounselorshallpayallapplicablefeestothenew
249HomeStateinordertobeissuedanewHomeStatelicense.
250 C.IfaLicensedProfessionalCounselorchangesPrimaryStateofResidenceby
251movingfromaMemberStatetoanon-MemberState,orfromanon-MemberStatetoa
252MemberState,theStatecriteriashallapplyforissuanceofaSingleStateLicenseinthe
253newState.
254 D.NothinginthisCompactshallinterferewithaLicensee'sabilitytoholda
255SingleStateLicenseinmultipleStates,howeverforthepurposesofthisCompact,a
256LicenseeshallhaveonlyoneHomeStatelicense.
257 E.NothinginthisCompactshallaffecttherequirementsestablishedbya
258MemberStatefortheissuanceofaSingleStateLicense.
259 SECTION6.ACTIVEDUTYMILITARYPERSONNELORTHEIRSPOUSES
260 ActiveDutyMilitarypersonnel,ortheirspouse,shalldesignateaHomeState
261wheretheindividualhasacurrentlicenseingoodstanding.Theindividualmayretain
262theHomeStatedesignationduringtheperiodtheservicememberisonactiveduty.
263SubsequenttodesignatingaHomeState,theindividualshallonlychangetheirHome
264StatethroughapplicationforlicensureinthenewState,orthroughtheprocessoutlined
265inSection5.
266 SECTION7.COMPACTPRIVILEGETOPRACTICETELEHEALTH
267 A.MemberStatesshallrecognizetherightofaLicensedProfessionalCounselor,
268licensedbyaHomeStateinaccordancewithSection3andunderRulespromulgatedby
269theCommission,topracticeProfessionalCounselinginanyMemberStatevia
270TelehealthunderaPrivilegetoPracticeasprovidedintheCompactandRules
271promulgatedbytheCommission.
272 B.ALicenseeprovidingProfessionalCounselingservicesinaRemoteState
273underthePrivilegetoPracticeshalladheretothelawsandregulationsoftheRemote
274State.
275 SECTION8.ADVERSEACTIONS
276 A.InadditiontotheotherpowersconferredbyStatelaw,aRemoteStateshall
277havetheauthority,inaccordancewithexistingStatedueprocesslaw,to:
HCSSSSCSSB157 80 278 1.TakeAdverseActionagainstaLicensedProfessionalCounselor'sPrivilegeto
279PracticewithinthatMemberState,and
280 2.Issuesubpoenasforbothhearingsandinvestigationsthatrequirethe
281attendanceandtestimonyofwitnessesaswellastheproductionofevidence.Subpoenas
282issuedbyaLicensingBoardinaMemberStatefortheattendanceandtestimonyof
283witnessesortheproductionofevidencefromanotherMemberStateshallbeenforcedin
284thelatterStatebyanycourtofcompetentjurisdiction,accordingtothepracticeand
285procedureofthatcourtapplicabletosubpoenasissuedinproceedingspendingbeforeit.
286Theissuingauthorityshallpayanywitnessfees,travelexpenses,mileage,andotherfees
287requiredbytheservicestatutesoftheStateinwhichthewitnessesorevidenceare
288located.
289 3.OnlytheHomeStateshallhavethepowertotakeAdverseActionagainsta
290LicensedProfessionalCounselor'slicenseissuedbytheHomeState.
291 B.ForpurposesoftakingAdverseAction,theHomeStateshallgivethesame
292priorityandeffecttoreportedconductreceivedfromaMemberStateasitwouldifthe
293conducthadoccurredwithintheHomeState.Insodoing,theHomeStateshallapply
294itsownStatelawstodetermineappropriateaction.
295 C.TheHomeStateshallcompleteanypendinginvestigationsofaLicensed
296ProfessionalCounselorwhochangesprimaryStateofresidenceduringthecourseofthe
297investigations.TheHomeStateshallalsohavetheauthoritytotakeappropriateaction
298(s)andshallpromptlyreporttheconclusionsoftheinvestigationstotheadministrator
299oftheDataSystem.Theadministratorofthecoordinatedlicensureinformationsystem
300shallpromptlynotifythenewHomeStateofanyAdverseActions.
301 D.AMemberState,ifotherwisepermittedbyStatelaw,mayrecoverfromthe
302affectedLicensedProfessionalCounselorthecostsofinvestigationsanddispositionsof
303casesresultingfromanyAdverseActiontakenagainstthatLicensedProfessional
304Counselor.
305 E.AMemberStatemaytakeAdverseActionbasedonthefactualfindingsofthe
306RemoteState,providedthattheMemberStatefollowsitsownproceduresfortakingthe
307AdverseAction.
308 F.JointInvestigations:
309 1.InadditiontotheauthoritygrantedtoaMemberStatebyitsrespective
310ProfessionalCounselingpracticeactorotherapplicableStatelaw,anyMemberState
311mayparticipatewithotherMemberStatesinjointinvestigationsofLicensees.
312 2.MemberStatesshallshareanyinvestigative,litigation,orcompliance
313materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthe
314Compact.
HCSSSSCSSB157 81 315 G.IfAdverseActionistakenbytheHomeStateagainstthelicenseofaLicensed
316ProfessionalCounselor,theLicensedProfessionalCounselor'sPrivilegetoPracticeinall
317otherMemberStatesshallbedeactivateduntilallEncumbranceshavebeenremoved
318fromtheStatelicense.AllHomeStatedisciplinaryordersthatimposeAdverseAction
319againstthelicenseofaLicensedProfessionalCounselorshallincludeaStatementthat
320theLicensedProfessionalCounselor'sPrivilegetoPracticeisdeactivatedinallMember
321Statesduringthependencyoftheorder.
322 H.IfaMemberStatetakesAdverseAction,itshallpromptlynotifythe
323administratoroftheDataSystem.TheadministratoroftheDataSystemshallpromptly
324notifytheHomeStateofanyAdverseActionsbyRemoteStates.
325 I.NothinginthisCompactshalloverrideaMemberState'sdecisionthat
326participationinanAlternativeProgrammaybeusedinlieuofAdverseAction.
327 SECTION 9.ESTABLISHMENT OFCOUNSELING COMPACT
328COMMISSION
329 A.TheCompactMemberStatesherebycreateandestablishajointpublic
330agencyknownastheCounselingCompactCommission:
331 1.TheCommissionisaninstrumentalityoftheCompactStates.
332 2.VenueisproperandjudicialproceedingsbyoragainsttheCommissionshall
333bebroughtsolelyandexclusivelyinacourtofcompetentjurisdictionwherethe
334principalofficeoftheCommissionislocated.TheCommissionmaywaivevenueand
335jurisdictionaldefensestotheextentitadoptsorconsentstoparticipateinalternative
336disputeresolutionproceedings.
337 3.NothinginthisCompactshallbeconstruedtobeawaiverofsovereign
338immunity.
339 B.Membership,Voting,andMeetings
340 1.EachMemberStateshallhaveandbelimitedtoone(1)delegateselectedby
341thatMemberState'sLicensingBoard.
342 2.Thedelegateshallbeeither:
343 a.AcurrentmemberoftheLicensingBoardatthetimeofappointment,whoisa
344LicensedProfessionalCounselororpublicmember;or
345 b.AnadministratoroftheLicensingBoard.
346 3.Anydelegatemayberemovedorsuspendedfromofficeasprovidedbythelaw
347oftheStatefromwhichthedelegateisappointed.
348 4.TheMemberStateLicensingBoardshallfillanyvacancyoccurringonthe
349Commissionwithin60days.
HCSSSSCSSB157 82 350 5.Eachdelegateshallbeentitledtoone(1)votewithregardtothepromulgation
351ofRulesandcreationofbylawsandshallotherwisehaveanopportunitytoparticipate
352inthebusinessandaffairsoftheCommission.
353 6.Adelegateshallvoteinpersonorbysuchothermeansasprovidedinthe
354bylaws.Thebylawsmayprovidefordelegates'participationinmeetingsbytelephone
355orothermeansofcommunication.
356 7.TheCommissionshallmeetatleastonceduringeachcalendaryear.
357Additionalmeetingsshallbeheldassetforthinthebylaws.
358 8.TheCommissionshallbyRuleestablishatermofofficefordelegatesandmay
359byRuleestablishtermlimits.
360 C.TheCommissionshallhavethefollowingpowersandduties:
361 1.EstablishthefiscalyearoftheCommission;
362 2.Establishbylaws;
363 3.Maintainitsfinancialrecordsinaccordancewiththebylaws;
364 4.Meetandtakesuchactionsasareconsistentwiththeprovisionsofthis
365Compactandthebylaws;
366 5.PromulgateRuleswhichshallbebindingtotheextentandinthemanner
367providedforintheCompact;
368 6.Bringandprosecutelegalproceedingsoractionsinthenameofthe
369Commission,providedthatthestandingofanyStateLicensingBoardtosueorbesued
370underapplicablelawshallnotbeaffected;
371 7.Purchaseandmaintaininsuranceandbonds;
372 8.Borrow,accept,orcontractforservicesofpersonnel,including,butnot
373limitedto,employeesofaMemberState;
374 9.Hireemployees,electorappointofficers,fixcompensation,defineduties,
375grantsuchindividualsappropriateauthoritytocarryoutthepurposesoftheCompact,
376andestablishtheCommission'spersonnelpoliciesandprogramsrelatingtoconflictsof
377interest,qualificationsofpersonnel,andotherrelatedpersonnelmatters;
378 10.Acceptanyandallappropriatedonationsandgrantsofmoney,equipment,
379supplies,materials,andservices,andtoreceive,utilize,anddisposeofthesame;
380providedthatatalltimestheCommissionshallavoidanyappearanceofimpropriety
381and/orconflictofinterest;
382 11.Lease,purchase,acceptappropriategiftsordonationsof,orotherwiseto
383own,hold,improveoruse,anyproperty,real,personalormixed;providedthatatall
384timestheCommissionshallavoidanyappearanceofimpropriety;
385 12.Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise
386disposeofanypropertyreal,personal,ormixed;
HCSSSSCSSB157 83 387 13.Establishabudgetandmakeexpenditures;
388 14.Borrowmoney;
389 15.Appointcommittees,includingstandingcommitteescomposedofmembers,
390Stateregulators,Statelegislatorsortheirrepresentatives,andconsumer
391representatives,andsuchotherinterestedpersonsasmaybedesignatedinthis
392Compactandthebylaws;
393 16.Provideandreceiveinformationfrom,andcooperatewith,lawenforcement
394agencies;
395 17.EstablishandelectanExecutiveCommittee;and
396 18.Performsuchotherfunctionsasmaybenecessaryorappropriatetoachieve
397thepurposesofthisCompactconsistentwiththeStateregulationofProfessional
398Counselinglicensureandpractice.
399 D.TheExecutiveCommittee
400 1.TheExecutiveCommitteeshallhavethepowertoactonbehalfofthe
401CommissionaccordingtothetermsofthisCompact.
402 2.TheExecutiveCommitteeshallbecomposedofuptoeleven(11)members:
403 a.SevenvotingmemberswhoareelectedbytheCommissionfromthecurrent
404membershipoftheCommission;and
405 b.Uptofour(4)ex-officio,nonvotingmembersfromfour(4)recognized
406nationalprofessionalcounselororganizations.
407 c.Theex-officiomemberswillbeselectedbytheirrespectiveorganizations.
408 3.TheCommissionmayremoveanymemberoftheExecutiveCommitteeas
409providedinbylaws.
410 4.TheExecutiveCommitteeshallmeetatleastannually.
411 5.TheExecutiveCommitteeshallhavethefollowingdutiesandresponsibilities:
412 a.RecommendtotheentireCommissionchangestotheRulesorbylaws,
413changestothisCompactlegislation,feespaidbyCompactMemberStatessuchas
414annualdues,andanyCommissionCompactfeechargedtoLicenseesforthePrivilegeto
415Practice;
416 b.EnsureCompactadministrationservicesareappropriatelyprovided,
417contractualorotherwise;
418 c.Prepareandrecommendthebudget;
419 d.MaintainfinancialrecordsonbehalfoftheCommission;
420 e.MonitorCompactcomplianceofMemberStatesandprovidecompliance
421reportstotheCommission;
422 f.Establishadditionalcommitteesasnecessary;and
423 g.OtherdutiesasprovidedinRulesorbylaws.
HCSSSSCSSB157 84 424 E.MeetingsoftheCommission
425 1.Allmeetingsshallbeopentothepublic,andpublicnoticeofmeetingsshallbe
426giveninthesamemannerasrequiredundertheRulemakingprovisionsinSection11.
427 2.TheCommissionortheExecutiveCommitteeorothercommitteesofthe
428Commissionmayconveneinaclosed,non-publicmeetingiftheCommissionor
429ExecutiveCommitteeorothercommitteesoftheCommissionmustdiscuss:
430 a.Non-complianceofaMemberStatewithitsobligationsundertheCompact;
431 b.Theemployment,compensation,disciplineorothermatters,practicesor
432proceduresrelatedtospecificemployeesorothermattersrelatedtotheCommission's
433internalpersonnelpracticesandprocedures;
434 c.Current,threatened,orreasonablyanticipatedlitigation;
435 d.Negotiationofcontractsforthepurchase,lease,orsaleofgoods,services,or
436realestate;
437 e.Accusinganypersonofacrimeorformallycensuringanyperson;
438 f.Disclosureoftradesecretsorcommercialorfinancialinformationthatis
439privilegedorconfidential;
440 g.Disclosureofinformationofapersonalnaturewheredisclosurewould
441constituteaclearlyunwarrantedinvasionofpersonalprivacy;
442 h.Disclosureofinvestigativerecordscompiledforlawenforcementpurposes;
443 i.Disclosureofinformationrelatedtoanyinvestigativereportspreparedbyor
444onbehalfoforforuseoftheCommissionorothercommitteechargedwith
445responsibilityofinvestigationordeterminationofcomplianceissuespursuanttothe
446Compact;or
447 j.MattersspecificallyexemptedfromdisclosurebyfederalorMemberState
448statute.
449 3.Ifameeting,orportionofameeting,isclosedpursuanttothisprovision,the
450Commission'slegalcounselordesigneeshallcertifythatthemeetingmaybeclosedand
451shallreferenceeachrelevantexemptingprovision.
452 4.TheCommissionshallkeepminutesthatfullyandclearlydescribeallmatters
453discussedinameetingandshallprovideafullandaccuratesummaryofactionstaken,
454andthereasonstherefore,includingadescriptionoftheviewsexpressed.Alldocuments
455consideredinconnectionwithanactionshallbeidentifiedinsuchminutes.Allminutes
456anddocumentsofaclosedmeetingshallremainunderseal,subjecttoreleasebya
457majorityvoteoftheCommissionororderofacourtofcompetentjurisdiction.
458 F.FinancingoftheCommission
459 1.TheCommissionshallpay,orprovideforthepaymentof,thereasonable
460expensesofitsestablishment,organization,andongoingactivities.
HCSSSSCSSB157 85 461 2.TheCommissionmayacceptanyandallappropriaterevenuesources,
462donations,andgrantsofmoney,equipment,supplies,materials,andservices.
463 3.TheCommissionmaylevyonandcollectanannualassessmentfromeach
464MemberStateorimposefeesonotherpartiestocoverthecostoftheoperationsand
465activitiesoftheCommissionanditsstaff,whichmustbeinatotalamountsufficientto
466coveritsannualbudgetasapprovedeachyearforwhichrevenueisnotprovidedby
467othersources.Theaggregateannualassessmentamountshallbeallocatedbasedupona
468formulatobedeterminedbytheCommission,whichshallpromulgateaRulebinding
469uponallMemberStates.
470 4.TheCommissionshallnotincurobligationsofanykindpriortosecuringthe
471fundsadequatetomeetthesame;norshalltheCommissionpledgethecreditofanyof
472theMemberStates,exceptbyandwiththeauthorityoftheMemberState.
473 5.TheCommissionshallkeepaccurateaccountsofallreceiptsand
474disbursements.ThereceiptsanddisbursementsoftheCommissionshallbesubject
475totheauditandaccountingproceduresestablishedunderitsbylaws.However,all
476receiptsanddisbursementsoffundshandledbytheCommissionshallbeauditedyearly
477byacertifiedorlicensedpublicaccountant,andthereportoftheauditshallbeincluded
478inandbecomepartoftheannualreportoftheCommission.
479 G.QualifiedImmunity,Defense,andIndemnification
480 1.Themembers,officers,executivedirector,employeesandrepresentativesof
481theCommissionshallbeimmunefromsuitandliability,eitherpersonallyorintheir
482officialcapacity,foranyclaimfordamagetoorlossofpropertyorpersonalinjuryor
483othercivilliabilitycausedbyorarisingoutofanyactualorallegedact,erroror
484omissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada
485reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,
486dutiesorresponsibilities;providedthatnothinginthisparagraphshallbeconstruedto
487protectanysuchpersonfromsuitand/orliabilityforanydamage,loss,injury,or
488liabilitycausedbytheintentionalorwillfulorwantonmisconductofthatperson.
489 2.TheCommissionshalldefendanymember,officer,executivedirector,
490employeeorrepresentativeoftheCommissioninanycivilactionseekingtoimpose
491liabilityarisingoutofanyactualorallegedact,error,oromissionthatoccurredwithin
492thescopeofCommissionemployment,duties,orresponsibilities,orthattheperson
493againstwhomtheclaimismadehadareasonablebasisforbelievingoccurredwithinthe
494scopeofCommissionemployment,duties,orresponsibilities;providedthatnothing
495hereinshallbeconstruedtoprohibitthatpersonfromretaininghisorherowncounsel;
496andprovidedfurther,thattheactualorallegedact,error,oromissiondidnotresult
497fromthatperson'sintentionalorwillfulorwantonmisconduct.
HCSSSSCSSB157 86 498 3.TheCommissionshallindemnifyandholdharmlessanymember,officer,
499executivedirector,employee,orrepresentativeoftheCommissionfortheamountofany
500settlementorjudgmentobtainedagainstthatpersonarisingoutofanyactualoralleged
501act,error,oromissionthatoccurredwithinthescopeofCommissionemployment,
502duties,orresponsibilities,orthatsuchpersonhadareasonablebasisforbelieving
503occurredwithinthescopeofCommissionemployment,duties,orresponsibilities,
504providedthattheactualorallegedact,error,oromissiondidnotresultfromthe
505intentionalorwillfulorwantonmisconductofthatperson.
506 SECTION10.DATASYSTEM
507 A.TheCommissionshallprovideforthedevelopment,maintenance,operation,
508andutilizationofacoordinateddatabaseandreportingsystemcontaininglicensure,
509AdverseAction,andInvestigativeInformationonalllicensedindividualsinMember
510States.
511 B.NotwithstandinganyotherprovisionofStatelawtothecontrary,aMember
512StateshallsubmitauniformdatasettotheDataSystemonallindividualstowhomthis
513CompactisapplicableasrequiredbytheRulesoftheCommission,including:
514 1.Identifyinginformation;
515 2.Licensuredata;
516 3.AdverseActionsagainstalicenseorPrivilegetoPractice;
517 4.Non-confidentialinformationrelatedtoAlternativeProgramparticipation;
518 5.Anydenialofapplicationforlicensure,andthereason(s)forsuchdenial;
519 6.CurrentSignificantInvestigativeInformation;and
520 7.OtherinformationthatmayfacilitatetheadministrationofthisCompact,as
521determinedbytheRulesoftheCommission.
522 C.InvestigativeInformationpertainingtoaLicenseeinanyMemberStatewill
523onlybeavailabletootherMemberStates.
524 D.TheCommissionshallpromptlynotifyallMemberStatesofanyAdverse
525ActiontakenagainstaLicenseeoranindividualapplyingforalicense.AdverseAction
526informationpertainingtoaLicenseeinanyMemberStatewillbeavailabletoanyother
527MemberState.
528 E.MemberStatescontributinginformationtotheDataSystemmaydesignate
529informationthatmaynotbesharedwiththepublicwithouttheexpresspermissionof
530thecontributingState.
531 F.AnyinformationsubmittedtotheDataSystemthatissubsequentlyrequired
532tobeexpungedbythelawsoftheMemberStatecontributingtheinformationshallbe
533removedfromtheDataSystem.
534 SECTION11.RULEMAKING
HCSSSSCSSB157 87 535 A.TheCommissionshallpromulgatereasonableRulesinordertoeffectively
536andefficientlyachievethepurposeoftheCompact.Notwithstandingtheforegoing,in
537theeventtheCommissionexercisesitsRulemakingauthorityinamannerthatisbeyond
538thescopeofthepurposesoftheCompact,orthepowersgrantedhereunder,thensuch
539anactionbytheCommissionshallbeinvalidandhavenoforceoreffect.
540 B.TheCommissionshallexerciseitsRulemakingpowerspursuanttothe
541criteriasetforthinthisSectionandtheRulesadoptedthereunder.Rulesand
542amendmentsshallbecomebindingasofthedatespecifiedineachRuleoramendment.
543 C.IfamajorityofthelegislaturesoftheMemberStatesrejectsaRule,by
544enactmentofastatuteorresolutioninthesamemannerusedtoadopttheCompact
545withinfour(4)yearsofthedateofadoptionoftheRule,thensuchRuleshallhaveno
546furtherforceandeffectinanyMemberState.
547 D.RulesoramendmentstotheRulesshallbeadoptedataregularorspecial
548meetingoftheCommission.
549 E.PriortopromulgationandadoptionofafinalRuleorRulesbythe
550Commission,andatleastthirty(30)daysinadvanceofthemeetingatwhichtheRule
551willbeconsideredandvotedupon,theCommissionshallfileaNoticeofProposed
552Rulemaking:
553 1.OnthewebsiteoftheCommissionorotherpubliclyaccessibleplatform;and
554 2.OnthewebsiteofeachMemberStateProfessionalCounselingLicensing
555BoardorotherpubliclyaccessibleplatformorthepublicationinwhicheachState
556wouldotherwisepublishproposedRules.
557 F.TheNoticeofProposedRulemakingshallinclude:
558 1.Theproposedtime,date,andlocationofthemeetinginwhichtheRulewillbe
559consideredandvotedupon;
560 2.ThetextoftheproposedRuleoramendmentandthereasonfortheproposed
561Rule;
562 3.ArequestforcommentsontheproposedRulefromanyinterestedperson;
563and
564 4.ThemannerinwhichinterestedpersonsmaysubmitnoticetotheCommission
565oftheirintentiontoattendthepublichearingandanywrittencomments.
566 G.PriortoadoptionofaproposedRule,theCommissionshallallowpersonsto
567submitwrittendata,facts,opinions,andarguments,whichshallbemadeavailableto
568thepublic.
569 H.TheCommissionshallgrantanopportunityforapublichearingbeforeit
570adoptsaRuleoramendmentifahearingisrequestedby:
571 1.Atleasttwenty-five(25)persons;
HCSSSSCSSB157 88 572 2.AStateorfederalgovernmentalsubdivisionoragency;or
573 3.Anassociationhavingatleasttwenty-five(25)members.
574 I.IfahearingisheldontheproposedRuleoramendment,theCommissionshall
575publishtheplace,time,anddateofthescheduledpublichearing.Ifthehearingisheld
576viaelectronicmeans,theCommissionshallpublishthemechanismforaccesstothe
577electronichearing.
578 1.Allpersonswishingtobeheardatthehearingshallnotifytheexecutive
579directoroftheCommissionorotherdesignatedmemberinwritingoftheirdesireto
580appearandtestifyatthehearingnotlessthanfive(5)businessdaysbeforethescheduled
581dateofthehearing.
582 2.Hearingsshallbeconductedinamannerprovidingeachpersonwhowishesto
583commentafairandreasonableopportunitytocommentorallyorinwriting.
584 3.Allhearingswillberecorded.Acopyoftherecordingwillbemadeavailable
585onrequest.
586 4.Nothinginthissectionshallbeconstruedasrequiringaseparatehearingon
587eachRule.RulesmaybegroupedfortheconvenienceoftheCommissionathearings
588requiredbythissection.
589 J.Followingthescheduledhearingdate,orbythecloseofbusinessonthe
590scheduledhearingdateifthehearingwasnotheld,theCommissionshallconsiderall
591writtenandoralcommentsreceived.
592 K.Ifnowrittennoticeofintenttoattendthepublichearingbyinterestedparties
593isreceived,theCommissionmayproceedwithpromulgationoftheproposedRule
594withoutapublichearing.
595 L.TheCommissionshall,bymajorityvoteofallmembers,takefinalactionon
596theproposedRuleandshalldeterminetheeffectivedateoftheRule,ifany,basedonthe
597RulemakingrecordandthefulltextoftheRule.
598 M.Upondeterminationthatanemergencyexists,theCommissionmayconsider
599andadoptanemergencyRulewithoutpriornotice,opportunityforcomment,or
600hearing,providedthattheusualRulemakingproceduresprovidedintheCompactand
601inthissectionshallberetroactivelyappliedtotheRuleassoonasreasonablypossible,in
602noeventlaterthanninety(90)daysaftertheeffectivedateoftheRule.Forthepurposes
603ofthisprovision,anemergencyRuleisonethatmustbeadoptedimmediatelyinorder
604to:
605 1.Meetanimminentthreattopublichealth,safety,orwelfare;
606 2.PreventalossofCommissionorMemberStatefunds;
607 3.MeetadeadlineforthepromulgationofanadministrativeRulethatis
608establishedbyfederallaworRule;or
HCSSSSCSSB157 89 609 4.Protectpublichealthandsafety.
610 N.TheCommissionoranauthorizedcommitteeoftheCommissionmaydirect
611revisionstoapreviouslyadoptedRuleoramendmentforpurposesofcorrecting
612typographicalerrors,errorsinformat,errorsinconsistency,orgrammaticalerrors.
613PublicnoticeofanyrevisionsshallbepostedonthewebsiteoftheCommission.The
614revisionshallbesubjecttochallengebyanypersonforaperiodofthirty(30)daysafter
615posting.Therevisionmaybechallengedonlyongroundsthattherevisionresultsina
616materialchangetoaRule.Achallengeshallbemadeinwritinganddeliveredtothe
617chairoftheCommissionpriortotheendofthenoticeperiod.Ifnochallengeismade,
618therevisionwilltakeeffectwithoutfurtheraction.Iftherevisionischallenged,the
619revisionmaynottakeeffectwithouttheapprovaloftheCommission.
620 SECTION 12.OVERSIGHT ,DISPUTE RESOLUTION, AND
621ENFORCEMENT
622 A.Oversight
623 1.Theexecutive,legislative,andjudicialbranchesofStategovernmentineach
624MemberStateshallenforcethisCompactandtakeallactionsnecessaryand
625appropriatetoeffectuatetheCompact'spurposesandintent.Theprovisionsofthis
626CompactandtheRulespromulgatedhereundershallhavestandingasstatutorylaw.
627 2.AllcourtsshalltakejudicialnoticeoftheCompactandtheRulesinany
628judicialoradministrativeproceedinginaMemberStatepertainingtothesubject
629matterofthisCompactwhichmayaffectthepowers,responsibilities,oractionsofthe
630Commission.
631 3.TheCommissionshallbeentitledtoreceiveserviceofprocessinanysuch
632proceedingandshallhavestandingtointerveneinsuchaproceedingforallpurposes.
633FailuretoprovideserviceofprocesstotheCommissionshallrenderajudgmentor
634ordervoidastotheCommission,thisCompact,orpromulgatedRules.
635 B.Default,TechnicalAssistance,andTermination
636 1.IftheCommissiondeterminesthataMemberStatehasdefaultedinthe
637performanceofitsobligationsorresponsibilitiesunderthisCompactorthe
638promulgatedRules,theCommissionshall:
639 a.ProvidewrittennoticetothedefaultingStateandotherMemberStatesofthe
640natureofthedefault,theproposedmeansofcuringthedefaultand/oranyotheraction
641tobetakenbytheCommission;and
642 b.Provideremedialtrainingandspecifictechnicalassistanceregardingthe
643default.
644 C.IfaStateindefaultfailstocurethedefault,thedefaultingStatemaybe
645terminatedfromtheCompactuponanaffirmativevoteofamajorityoftheMember
HCSSSSCSSB157 90 646States,andallrights,privilegesandbenefitsconferredbythisCompactmaybe
647terminatedontheeffectivedateoftermination.Acureofthedefaultdoesnotrelieve
648theoffendingStateofobligationsorliabilitiesincurredduringtheperiodofdefault.
649 D.TerminationofmembershipintheCompactshallbeimposedonlyafterall
650othermeansofsecuringcompliancehavebeenexhausted.Noticeofintenttosuspendor
651terminateshallbegivenbytheCommissiontothegovernor,themajorityandminority
652leadersofthedefaultingState'slegislature,andeachoftheMemberStates.
653 E.AStatethathasbeenterminatedisresponsibleforallassessments,
654obligations,andliabilitiesincurredthroughtheeffectivedateoftermination,including
655obligationsthatextendbeyondtheeffectivedateoftermination.
656 F.TheCommissionshallnotbearanycostsrelatedtoaStatethatisfoundtobe
657indefaultorthathasbeenterminatedfromtheCompact,unlessagreeduponinwriting
658betweentheCommissionandthedefaultingState.
659 G.ThedefaultingStatemayappealtheactionoftheCommissionbypetitioning
660theU.S.DistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe
661Commissionhasitsprincipaloffices.Theprevailingmembershallbeawardedallcosts
662ofsuchlitigation,includingreasonableattorney'sfees.
663 H.DisputeResolution
664 1.UponrequestbyaMemberState,theCommissionshallattempttoresolve
665disputesrelatedtotheCompactthatariseamongMemberStatesandbetweenmember
666andnon-MemberStates.
667 2.TheCommissionshallpromulgateaRuleprovidingforbothmediationand
668bindingdisputeresolutionfordisputesasappropriate.
669 I.Enforcement
670 1.TheCommission,inthereasonableexerciseofitsdiscretion,shallenforcethe
671provisionsandRulesofthisCompact.
672 2.Bymajorityvote,theCommissionmayinitiatelegalactionintheUnited
673StatesDistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe
674CommissionhasitsprincipalofficesagainstaMemberStateindefaulttoenforce
675compliancewiththeprovisionsoftheCompactanditspromulgatedRulesandbylaws.
676Thereliefsoughtmayincludebothinjunctivereliefanddamages.Intheeventjudicial
677enforcementisnecessary,theprevailingmembershallbeawardedallcostsofsuch
678litigation,includingreasonableattorney'sfees.
679 3.TheremedieshereinshallnotbetheexclusiveremediesoftheCommission.
680TheCommissionmaypursueanyotherremediesavailableunderfederalorStatelaw.
HCSSSSCSSB157 91 681 SECTION13.DATEOFIMPLEMENTATIONOFTHECOUNSELING
682COMPACTCOMMISSION ANDASSOCIATEDRULES,WITHDRAWAL,AND
683AMENDMENT
684 A.TheCompactshallcomeintoeffectonthedateonwhichtheCompactstatute
685isenactedintolawinthetenthMemberState.Theprovisions,whichbecomeeffective
686atthattime,shallbelimitedtothepowersgrantedtotheCommissionrelatingto
687assemblyandthepromulgationofRules.Thereafter,theCommissionshallmeetand
688exerciseRulemakingpowersnecessarytotheimplementationandadministrationofthe
689Compact.
690 B.AnyStatethatjoinstheCompactsubsequenttotheCommission'sinitial
691adoptionoftheRulesshallbesubjecttotheRulesastheyexistonthedateonwhichthe
692CompactbecomeslawinthatState.AnyRulethathasbeenpreviouslyadoptedbythe
693CommissionshallhavethefullforceandeffectoflawonthedaytheCompactbecomes
694lawinthatState.
695 C.AnyMemberStatemaywithdrawfromthisCompactbyenactingastatute
696repealingthesame.
697 1.AMemberState'swithdrawalshallnottakeeffectuntilsix(6)monthsafter
698enactmentoftherepealingstatute.
699 2.Withdrawalshallnotaffectthecontinuingrequirementofthewithdrawing
700State'sProfessionalCounselingLicensingBoardtocomplywiththeinvestigativeand
701AdverseActionreportingrequirementsofthisactpriortotheeffectivedateof
702withdrawal.
703 D.NothingcontainedinthisCompactshallbeconstruedtoinvalidateorprevent
704anyProfessionalCounselinglicensureagreementorothercooperativearrangement
705betweenaMemberStateandanon-MemberStatethatdoesnotconflictwiththe
706provisionsofthisCompact.
707 E.ThisCompactmaybeamendedbytheMemberStates.Noamendmenttothis
708CompactshallbecomeeffectiveandbindinguponanyMemberStateuntilitisenacted
709intothelawsofallMemberStates.
710 SECTION14.CONSTRUCTION ANDSEVERABILITY
711 ThisCompactshallbeliberallyconstruedsoastoeffectuatethepurposes
712thereof.TheprovisionsofthisCompactshallbeseverableandifanyphrase,clause,
713sentenceorprovisionofthisCompactisdeclaredtobecontrarytotheconstitutionof
714anyMemberStateoroftheUnitedStatesortheapplicabilitythereoftoany
715government,agency,personorcircumstanceisheldinvalid,thevalidityofthe
716remainderofthisCompactandtheapplicabilitythereoftoanygovernment,agency,
717personorcircumstanceshallnotbeaffectedthereby.IfthisCompactshallbeheld
HCSSSSCSSB157 92 718contrarytotheconstitutionofanyMemberState,theCompactshallremaininfullforce
719andeffectastotheremainingMemberStatesandinfullforceandeffectastothe
720MemberStateaffectedastoallseverablematters.
721 SECTION15.BINDINGEFFECTOFCOMPACTANDOTHERLAWS
722 A.ALicenseeprovidingProfessionalCounselingservicesinaRemoteState
723underthePrivilegetoPracticeshalladheretothelawsandregulations,includingscope
724ofpractice,oftheRemoteState.
725 B.NothinghereinpreventstheenforcementofanyotherlawofaMemberState
726thatisnotinconsistentwiththeCompact.
727 C.AnylawsinaMemberStateinconflictwiththeCompactaresupersededto
728theextentoftheconflict.
729 D.AnylawfulactionsoftheCommission,includingallRulesandbylaws
730properlypromulgatedbytheCommission,arebindingupontheMemberStates.
731 E.AllpermissibleagreementsbetweentheCommissionandtheMemberStates
732arebindinginaccordancewiththeirterms.
733 F.IntheeventanyprovisionoftheCompactexceedstheconstitutionallimits
734imposedonthelegislatureofanyMemberState,theprovisionshallbeineffectivetothe
735extentoftheconflictwiththeconstitutionalprovisioninquestioninthatMemberState.
337.615.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"License",alicense,certificate,registration,permit,accreditation,or
3militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
4professioninaparticularjurisdiction;
5 (2)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce,
6Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
7militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
8UnitedStates,andallreservecomponentsandauxiliaries.Theterm"military"also
9includesthemilitaryreservesandmilitiaofanyUnitedStatesterritoryorstate;
10 (3)"Nonresidentmilitaryspouse",anonresidentspouseofanactive-duty
11memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
12scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris
13scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
14Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
15 (4)"Oversightbody",anyboard,department,agency,orofficeofajurisdiction
16thatissueslicenses;
17 (5)"Residentmilitaryspouse",aspouseofanactive-dutymemberoftheArmed
18ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
19thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof
HCSSSSCSSB157 93 20Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher
21homeofrecord.
22 2.Eachapplicantforlicensureasaclinicalsocialworkershallfurnishevidencetothe
23committeethat:
24 (1)Theapplicanthasamaster'sdegreefromacollegeoruniversityprogramofsocial
25workaccreditedbythecouncilofsocialworkeducationoradoctoratedegreefromaschool
26ofsocialworkacceptabletothecommittee;
27 (2)Theapplicanthascompletedatleastthreethousandhoursofsupervisedclinical
28experiencewithaqualifiedclinicalsupervisor,asdefinedinsection337.600,innolessthan
29twenty-fourmonthsandnomorethanforty-eightconsecutivecalendarmonths.Forany
30applicantwhohassuccessfullycompletedatleastfourthousandhoursofsupervisedclinical
31experiencewithaqualifiedclinicalsupervisor,asdefinedinsection337.600,withinthesame
32timeframeprescribedinthissubsection,theapplicantshallbeeligibleforapplicationof
33licensureatthreethousandhoursandshallbefurnishedacertificatebythestatecommittee
34forsocialworkersacknowledgingthecompletionofsaidadditionalhours;
35 (3)Theapplicanthasachievedapassingscore,asdefinedbythecommittee,onan
36examinationapprovedbythecommittee.Theeligibilityrequirementsforsuchexamination
37shallbepromulgatedbyruleofthecommittee;and
38 (4)Theapplicantisatleasteighteenyearsofage,isaUnitedStatescitizenorhas
39statusasalegalresidentalien,andhasnotbeenfinallyadjudicatedandfoundguilty,or
40enteredapleaofguiltyornolocontendere,inacriminalprosecutionunderthelawsofany
41state,oftheUnitedStates,orofanycountry,foranyoffensedirectlyrelatedtothedutiesand
42responsibilitiesoftheoccupation,assetforthinsection324.012,regardlessofwhetherornot
43sentencehasbeenimposed.
44 [2.Anypersonholdingacurrentlicense,certificateofregistration,orpermitfrom
45anotherstateorterritoryoftheUnitedStatesortheDistrictofColumbiatopracticeclinical
46socialworkwhodoesnotmeettherequirementsofsection324.009andwhohashadno
47disciplinaryactiontakenagainstthelicense,certificateofregistration,orpermitforthe
48precedingfiveyearsmaybegrantedalicensetopracticeclinicalsocialworkinthisstateif
49thepersonhasreceivedamastersordoctoraldegreefromacollegeoruniversityprogramof
50socialworkaccreditedbythecouncilofsocialworkeducationandhasbeenlicensedto
51practiceclinicalsocialworkfortheprecedingfiveyears.]
52 3.(1)Anypersonwhoholdsavalidcurrentclinicalsocialworklicenseissuedby
53anotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,orthe
54DistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother
55jurisdiction,maysubmittothecommitteeanapplicationforaclinicalsocialwork
HCSSSSCSSB157 94 56licenseinMissourialongwithproofofcurrentlicensureandproofoflicensureforat
57leastoneyearintheotherjurisdiction.
58 (2)Thecommitteeshall:
59 (a)Withinsixmonthsofreceivinganapplicationdescribedinsubdivision(1)of
60thissubsection,waiveanyexamination,educational,orexperiencerequirementsfor
61licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
62educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
63requirementsineffectandtheotherjurisdictionverifiesthatthepersonmetthose
64requirementsinordertobelicensedorcertifiedinthatjurisdiction.Thecommittee
65mayrequireanapplicanttotakeandpassanexaminationspecifictothelawsofthis
66state;or
67 (b)Withinthirtydaysofreceivinganapplicationdescribedinsubdivision(1)of
68thissubsectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waive
69anyexamination,educational,orexperiencerequirementsforlicensureinthisstatefor
70theapplicantandissuesuchapplicantalicenseunderthissubsectionifsuchapplicant
71otherwisemeetstherequirementsofthissubsection.
72 (3)(a)Thecommitteeshallnotwaiveanyexamination,educational,or
73experiencerequirementsforanyapplicantwhohashadhisorherlicenserevokedbyan
74oversightbodyoutsidethestate;whoiscurrentlyunderinvestigation,whohasa
75complaintpending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedin
76paragraph(b)ofthissubdivision,withanoversightbodyoutsidethestate;whodoesnot
77holdalicenseingoodstandingwithanoversightbodyoutsidethestate;whohasa
78criminalrecordthatwoulddisqualifyhimorherforlicensureinMissouri;orwhodoes
79notholdavalidcurrentlicenseintheotherjurisdictiononthedatethecommittee
80receiveshisorherapplicationunderthissection.
81 (b)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
82committeeshalldetermineifthecausefortheactionwascorrectedandthematter
83resolved.Ifthematterhasnotbeenresolvedbythatjurisdiction,thecommitteemay
84denyalicenseuntilthematterisresolved.
85 (4)Nothinginthissubsectionshallprohibitthecommitteefromdenyinga
86licensetoanapplicantunderthissubsectionforanyreasondescribedinsection337.630.
87 (5)Anypersonwhoislicensedundertheprovisionsofthissubsectionshallbe
88subjecttothecommittee'sjurisdictionandallrulesandregulationspertainingtothe
89practiceasalicensedclinicalsocialworkerinthisstate.
90 (6)Thissubsectionshallnotbeconstruedtowaiveanyrequirementforan
91applicanttopayanyfees.
HCSSSSCSSB157 95 92 4.Thecommitteeshallissuealicensetoeachpersonwhofilesanapplicationandfee
93asrequiredbytheprovisionsofsections337.600to337.689andwhofurnishesevidence
94satisfactorytothecommitteethattheapplicanthascompliedwiththeprovisionsof
95subdivisions(1)to(4)ofsubsection[1]2ofthissection[orwiththeprovisionsofsubsection
962ofthissection].
337.644.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"License",alicense,certificate,registration,permit,accreditation,or
3militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
4professioninaparticularjurisdiction;
5 (2)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce,
6Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
7militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
8UnitedStates,andallreservecomponentsandauxiliaries.Theterm"military"also
9includesthemilitaryreservesandmilitiaofanyUnitedStatesterritoryorstate;
10 (3)"Nonresidentmilitaryspouse",anonresidentspouseofanactive-duty
11memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
12scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris
13scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
14Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
15 (4)"Oversightbody",anyboard,department,agency,orofficeofajurisdiction
16thatissueslicenses;
17 (5)"Residentmilitaryspouse",aspouseofanactive-dutymemberoftheArmed
18ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
19thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof
20Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher
21homeofrecord.
22 2.Eachapplicantforlicensureasamastersocialworkershallfurnishevidencetothe
23committeethat:
24 (1)Theapplicanthasamaster'sordoctoratedegreeinsocialworkfromanaccredited
25socialworkdegreeprogramapprovedbythecouncilofsocialworkeducation;
26 (2)Theapplicanthasachievedapassingscore,asdefinedbythecommittee,onan
27examinationapprovedbythecommittee.Theeligibilityrequirementsforsuchexamination
28shallbedeterminedbythestatecommitteeforsocialworkers;
29 (3)Theapplicantisatleasteighteenyearsofage,isaUnitedStatescitizenorhas
30statusasalegalresidentalien,andhasnotbeenfinallyadjudicatedandfoundguilty,or
31enteredapleaofguiltyornolocontendere,inacriminalprosecutionunderthelawsofany
32state,oftheUnitedStates,orofanycountry,foranyoffensedirectlyrelatedtothedutiesand
HCSSSSCSSB157 96 33responsibilitiesoftheoccupation,assetforthinsection324.012,regardless[or]ofwhetheror
34notsentenceisimposed;
35 (4)Theapplicanthassubmittedawrittenapplicationonformsprescribedbythestate
36board;and
37 (5)Theapplicanthassubmittedtherequiredlicensingfee,asdeterminedbythe
38committee.
39 [2.]3.Anyapplicantwhoanswersintheaffirmativetoanyquestiononthe
40applicationthatrelatestopossiblegroundsfordenialoflicensureundersection337.630shall
41submitaswornaffidavitsettingforthindetailthefactswhichexplainsuchanswerandcopies
42ofappropriatedocumentsrelatedtosuchanswer.
43 [3.]4.Thecommitteeshallissuealicensetoeachpersonwhofilesanapplicationand
44feeasrequiredbytheprovisionsofsections337.600to337.689andwhofurnishesevidence
45satisfactorytothecommitteethattheapplicanthascompliedwiththeprovisionsof
46subsection[1]2ofthissection.Thelicenseshallrefertotheindividualasalicensedmaster
47socialworkerandshallrecognizethatindividual'srighttopracticelicensedmastersocial
48workasdefinedinsection337.600.
49 5.(1)Anypersonwhoholdsavalidcurrentmastersocialworklicenseissuedby
50anotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,orthe
51DistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother
52jurisdiction,maysubmittothecommitteeanapplicationforamastersocialwork
53licenseinMissourialongwithproofofcurrentlicensureandproofoflicensureforat
54leastoneyearintheotherjurisdiction.
55 (2)Thecommitteeshall:
56 (a)Withinsixmonthsofreceivinganapplicationdescribedinsubdivision(1)of
57thissubsection,waiveanyexamination,educational,orexperiencerequirementsfor
58licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
59educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
60requirementsineffectandtheotherjurisdictionverifiesthatthepersonmetthose
61requirementsinordertobelicensedorcertifiedinthatjurisdiction.Thecommittee
62mayrequireanapplicanttotakeandpassanexaminationspecifictothelawsofthis
63state;or
64 (b)Withinthirtydaysofreceivinganapplicationdescribedinsubdivision(1)of
65thissubsectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waive
66anyexamination,educational,orexperiencerequirementsforlicensureinthisstatefor
67theapplicantandissuesuchapplicantalicenseunderthissubsectionifsuchapplicant
68otherwisemeetstherequirementsofthissubsection.
HCSSSSCSSB157 97 69 (3)(a)Thecommitteeshallnotwaiveanyexamination,educational,or
70experiencerequirementsforanyapplicantwhohashadhisorherlicenserevokedbyan
71oversightbodyoutsidethestate;whoiscurrentlyunderinvestigation,whohasa
72complaintpending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedin
73paragraph(b)ofthissubdivision,withanoversightbodyoutsidethestate;whodoesnot
74holdalicenseingoodstandingwithanoversightbodyoutsidethestate;whohasa
75criminalrecordthatwoulddisqualifyhimorherforlicensureinMissouri;orwhodoes
76notholdavalidcurrentlicenseintheotherjurisdictiononthedatethecommittee
77receiveshisorherapplicationunderthissection.
78 (b)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
79committeeshalldetermineifthecausefortheactionwascorrectedandthematter
80resolved.Ifthematterhasnotbeenresolvedbythatjurisdiction,thecommitteemay
81denyalicenseuntilthematterisresolved.
82 (4)Nothinginthissubsectionshallprohibitthecommitteefromdenyinga
83licensetoanapplicantunderthissubsectionforanyreasondescribedinsection337.630.
84 (5)Anypersonwhoislicensedundertheprovisionsofthissubsectionshallbe
85subjecttothecommittee'sjurisdictionandallrulesandregulationspertainingtothe
86practiceasalicensedmastersocialworkerinthisstate.
87 (6)Thissubsectionshallnotbeconstruedtowaiveanyrequirementforan
88applicanttopayanyfees.
337.665.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"License",alicense,certificate,registration,permit,accreditation,or
3militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor
4professioninaparticularjurisdiction;
5 (2)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce,
6Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother
7militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe
8UnitedStates,andallreservecomponentsandauxiliaries.Theterm"military"also
9includesthemilitaryreservesandmilitiaofanyUnitedStatesterritoryorstate;
10 (3)"Nonresidentmilitaryspouse",anonresidentspouseofanactive-duty
11memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris
12scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris
13scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof
14Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis;
15 (4)"Oversightbody",anyboard,department,agency,orofficeofajurisdiction
16thatissueslicenses;
HCSSSSCSSB157 98 17 (5)"Residentmilitaryspouse",aspouseofanactive-dutymemberoftheArmed
18ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto
19thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof
20Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher
21homeofrecord.
22 2.Eachapplicantforlicensureasabaccalaureatesocialworkershallfurnishevidence
23tothecommitteethat:
24 (1)Theapplicanthasabaccalaureatedegreeinsocialworkfromanaccreditedsocial
25workdegreeprogramapprovedbythecouncilofsocialworkeducation;
26 (2)Theapplicanthasachievedapassingscore,asdefinedbythecommittee,onan
27examinationapprovedbythecommittee.Theeligibilityrequirementsforsuchexamination
28shallbedeterminedbythestatecommitteeforsocialwork;
29 (3)Theapplicantisatleasteighteenyearsofage,isaUnitedStatescitizenorhas
30statusasalegalresidentalien,andhasnotbeenfinallyadjudicatedandfoundguilty,or
31enteredapleaofguiltyornolocontendere,inacriminalprosecutionunderthelawsofany
32state,oftheUnitedStates,orofanycountry,foranyoffensedirectlyrelatedtothedutiesand
33responsibilitiesoftheoccupation,assetforthinsection324.012,regardlessofwhetherornot
34sentenceisimposed;
35 (4)Theapplicanthassubmittedawrittenapplicationonformsprescribedbythestate
36board;and
37 (5)Theapplicanthassubmittedtherequiredlicensingfee,asdeterminedbythe
38committee.
39 [2.]3.Anyapplicantwhoanswersintheaffirmativetoanyquestiononthe
40applicationthatrelatestopossiblegroundsfordenialoflicensurepursuanttosection337.630
41shallsubmitaswornaffidavitsettingforthindetailthefactswhichexplainsuchanswerand
42copiesofappropriatedocumentsrelatedtosuchanswer.
43 [3.]4.Thecommitteeshallissuealicensetoeachpersonwhofilesanapplicationand
44feeasrequiredbytheprovisionsofsections337.600to337.689andwhofurnishesevidence
45satisfactorytothecommitteethattheapplicanthascompliedwiththeprovisionsof
46subsection[1]2ofthissection.
47 [4.]5.Thecommitteeshallissueacertificatetopracticeindependentlyunder
48subsection3ofsection337.653toanylicensedbaccalaureatesocialworkerwhohas
49satisfactorilycompletedthreethousandhoursofsupervisedexperiencewithaqualified
50baccalaureatesupervisorinnolessthantwenty-fourmonthsandnomorethanforty-eight
51consecutivecalendarmonths.
52 6.(1)Anypersonwhoholdsavalidcurrentbaccalaureatesocialworklicense
53issuedbyanotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,
HCSSSSCSSB157 99 54ortheDistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother
55jurisdiction,maysubmittothecommitteeanapplicationforabaccalaureatesocial
56worklicenseinMissourialongwithproofofcurrentlicensureandproofoflicensurefor
57atleastoneyearintheotherjurisdiction.
58 (2)Thecommitteeshall:
59 (a)Withinsixmonthsofreceivinganapplicationdescribedinsubdivision(1)of
60thissubsection,waiveanyexamination,educational,orexperiencerequirementsfor
61licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum
62educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision
63requirementsineffectandtheotherjurisdictionverifiesthatthepersonmetthose
64requirementsinordertobelicensedorcertifiedinthatjurisdiction.Thecommittee
65mayrequireanapplicanttotakeandpassanexaminationspecifictothelawsofthis
66state;or
67 (b)Withinthirtydaysofreceivinganapplicationdescribedinsubdivision(1)of
68thissubsectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waive
69anyexamination,educational,orexperiencerequirementsforlicensureinthisstatefor
70theapplicantandissuesuchapplicantalicenseunderthissubsectionifsuchapplicant
71otherwisemeetstherequirementsofthissubsection.
72 (3)(a)Thecommitteeshallnotwaiveanyexamination,educational,or
73experiencerequirementsforanyapplicantwhohashadhisorherlicenserevokedbyan
74oversightbodyoutsidethestate;whoiscurrentlyunderinvestigation,whohasa
75complaintpending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedin
76paragraph(b)ofthissubdivision,withanoversightbodyoutsidethestate;whodoesnot
77holdalicenseingoodstandingwithanoversightbodyoutsidethestate;whohasa
78criminalrecordthatwoulddisqualifyhimorherforlicensureinMissouri;orwhodoes
79notholdavalidcurrentlicenseintheotherjurisdictiononthedatethecommittee
80receiveshisorherapplicationunderthissection.
81 (b)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the
82committeeshalldetermineifthecausefortheactionwascorrectedandthematter
83resolved.Ifthematterhasnotbeenresolvedbythatjurisdiction,thecommitteemay
84denyalicenseuntilthematterisresolved.
85 (4)Nothinginthissubsectionshallprohibitthecommitteefromdenyinga
86licensetoanapplicantunderthissubsectionforanyreasondescribedinsection337.630.
87 (5)Anypersonwhoislicensedundertheprovisionsofthissubsectionshallbe
88subjecttothecommittee'sjurisdictionandallrulesandregulationspertainingtothe
89practiceasalicensedbaccalaureatesocialworkerinthisstate.
HCSSSSCSSB157 100 90 (6)Thissubsectionshallnotbeconstruedtowaiveanyrequirementforan
91applicanttopayanyfees.
337.1000.1.Sections337.1000to337.1075shallbeknownandmaybecitedas
2the"SocialWorkLicensureCompact".
3 2.ThepurposeofthisCompactistofacilitateinterstatepracticeofRegulated
4SocialWorkersbyimprovingpublicaccesstocompetentSocialWorkServices.The
5CompactpreservestheregulatoryauthorityofStatestoprotectpublichealthandsafety
6throughthecurrentsystemofStatelicensure.
7 3.ThisCompactisdesignedtoachievethefollowingobjectives:
8 (1)IncreasepublicaccesstoSocialWorkServices;
9 (2)Reduceoverlyburdensomeandduplicativerequirementsassociatedwith
10holdingmultiplelicenses;
11 (3)EnhancetheMemberStates'abilitytoprotectthepublic'shealthandsafety;
12 (4)EncouragethecooperationofMemberStatesinregulatingmultistate
13practice;
14 (5)Promotemobilityandaddressworkforceshortagesbyeliminatingthe
15necessityforlicensesinmultipleStatesbyprovidingforthemutualrecognitionofother
16MemberStatelicenses;
17 (6)Supportmilitaryfamilies;
18 (7)Facilitatetheexchangeoflicensureanddisciplinaryinformationamong
19MemberStates;
20 (8)AuthorizeallMemberStatestoholdaRegulatedSocialWorkeraccountable
21forabidingbyaMemberState'slaws,regulations,andapplicableprofessional
22standardsintheMemberStateinwhichtheclientislocatedatthetimecareisrendered;
23and
24 (9)Allowfortheuseoftelehealthtofacilitateincreasedaccesstoregulated
25SocialWorkServices.
337.1005.AsusedinthisCompact,andexceptasotherwiseprovided,the
2followingdefinitionsshallapply:
3 (1)"ActiveMilitaryMember"meansanyindividualwithfull-timedutystatusin
4theactivearmedforcesoftheUnitedStatesincludingmembersoftheNationalGuard
5andReserve.
6 (2)"AdverseAction"meansanyadministrative,civil,equitableorcriminal
7actionpermittedbyaState'slawswhichisimposedbyaLicensingAuthorityorother
8authorityagainstaRegulatedSocialWorker,includingactionsagainstanindividual's
9licenseorMultistateAuthorizationtoPracticesuchasrevocation,suspension,
10probation,monitoringoftheLicensee,limitationontheLicensee'spractice,orany
HCSSSSCSSB157 101 11otherEncumbranceonlicensureaffectingaRegulatedSocialWorker'sauthorizationto
12practice,includingissuanceofaceaseanddesistaction.
13 (3)"AlternativeProgram"meansanon-disciplinarymonitoringorpractice
14remediationprocessapprovedbyaLicensingAuthoritytoaddresspractitionerswithan
15Impairment.
16 (4)"CharterMemberStates"meansMemberStateswhohaveenacted
17legislationtoadoptthisCompactwheresuchlegislationpredatestheeffectivedateof
18thisCompactasdescribedinsection337.1065.
19 (5)"CompactCommission"or"Commission"meansthegovernmentagency
20whosemembershipconsistsofallStatesthathaveenactedthisCompact,whichis
21knownastheSocialWorkLicensureCompactCommission,asdescribedinsection
22337.1045,andwhichshalloperateasaninstrumentalityoftheMemberStates.
23 (6)"CurrentSignificantInvestigativeInformation"means:
24 (a)InvestigativeinformationthataLicensingAuthority,afterapreliminary
25inquirythatincludesnotificationandanopportunityfortheRegulatedSocialWorker
26torespondhasreasontobelieveisnotgroundlessand,ifprovedtrue,wouldindicate
27morethanaminorinfractionasmaybedefinedbytheCommission;or
28 (b)InvestigativeinformationthatindicatesthattheRegulatedSocialWorker
29representsanimmediatethreattopublichealthandsafety,asmaybedefinedbythe
30Commission,regardlessofwhethertheRegulatedSocialWorkerhasbeennotifiedand
31hashadanopportunitytorespond.
32 (7)"DataSystem"meansarepositoryofinformationaboutLicensees,including,
33continuingeducation,examination,licensure,CurrentSignificantInvestigative
34Information,DisqualifyingEvent,MultistateLicense(s)andAdverseAction
35informationorotherinformationasrequiredbytheCommission.
36 (8)"Domicile"meansthejurisdictioninwhichtheLicenseeresidesandintends
37toremainindefinitely.
38 (9)"DisqualifyingEvent"meansanyAdverseActionorincidentwhichresults
39inanEncumbrancethatdisqualifiesormakestheLicenseeineligibletoeitherobtain,
40retainorrenewaMultistateLicense.
41 (10)"Encumbrance"meansarevocationorsuspensionof,oranylimitationon,
42thefullandunrestrictedpracticeofSocialWorklicensedandregulatedbyaLicensing
43Authority.
44 (11)"ExecutiveCommittee"meansagroupofdelegateselectedorappointedto
45actonbehalfof,andwithinthepowersgrantedtothemby,thecompactand
46Commission.
HCSSSSCSSB157 102 47 (12)"HomeState"meanstheMemberStatethatistheLicensee'sprimary
48Domicile.
49 (13)"Impairment"meansacondition(s)thatmayimpairapractitioner'sability
50toengageinfullandunrestrictedpracticeasaRegulatedSocialWorkerwithoutsome
51typeofinterventionandmayincludealcoholanddrugdependence,mentalhealth
52impairment,andneurologicalorphysicalimpairments.
53 (14)"Licensee(s)"meansanindividualwhocurrentlyholdsalicensefroma
54StatetopracticeasaRegulatedSocialWorker.
55 (15)"LicensingAuthority"meanstheboardoragencyofaMemberState,or
56equivalent,thatisresponsibleforthelicensingandregulationofRegulatedSocial
57Workers.
58 (16)"MemberState"meansastate,commonwealth,district,orterritoryofthe
59UnitedStatesofAmericathathasenactedthisCompact.
60 (17)"MultistateAuthorizationtoPractice"meansalegallyauthorizedprivilege
61topractice,whichisequivalenttoalicense,associatedwithaMultistateLicense
62permittingthepracticeofSocialWorkinaRemoteState.
63 (18)"MultistateLicense"meansalicensetopracticeasaRegulatedSocial
64WorkerissuedbyaHomeStateLicensingAuthoritythatauthorizestheRegulated
65SocialWorkertopracticeinallMemberStatesunderMultistateAuthorizationto
66Practice.
67 (19)"QualifyingNationalExam"meansanationallicensingexamination
68approvedbytheCommission.
69 (20)"RegulatedSocialWorker"meansanyclinical,master'sorbachelor's
70SocialWorkerlicensedbyaMemberStateregardlessofthetitleusedbythatMember
71State.
72 (21)"RemoteState"meansaMemberStateotherthantheLicensee'sHome
73State.
74 (22)"Rule(s)"or"Rule(s)oftheCommission"meansaregulationorregulations
75dulypromulgatedbytheCommission,asauthorizedbytheCompact,thathastheforce
76oflaw.
77 (23)"SingleStateLicense"meansaSocialWorklicenseissuedbyanyStatethat
78authorizespracticeonlywithintheissuingStateanddoesnotincludeMultistate
79AuthorizationtoPracticeinanyMemberState.
80 (24)"SocialWork"or"SocialWorkServices"meanstheapplicationofsocial
81worktheory,knowledge,methods,ethics,andtheprofessionaluseofselftorestoreor
82enhancesocial,psychosocial,orbiopsychosocialfunctioningofindividuals,couples,
83families,groups,organizations,andcommunitiesthroughthecareandservices
HCSSSSCSSB157 103 84providedbyaRegulatedSocialWorkerassetforthintheMemberState'sstatutesand
85regulationsintheStatewheretheservicesarebeingprovided.
86 (25)"State"meansanystate,commonwealth,district,orterritoryoftheUnited
87StatesofAmericathatregulatesthepracticeofSocialWork.
88 (26)"UnencumberedLicense"meansalicensethatauthorizesaRegulated
89SocialWorkertoengageinthefullandunrestrictedpracticeofSocialWork.
337.1010.1.Tobeeligibletoparticipateinthecompact,apotentialMember
2Statemustcurrentlymeetallofthefollowingcriteria:
3 (1)LicenseandregulatethepracticeofSocialWorkateithertheclinical,
4master's,orbachelor'scategory.
5 (2)Requireapplicantsforlicensuretograduatefromaprogramthatis:
6 (a)OperatedbyacollegeoruniversityrecognizedbytheLicensingAuthority;
7 (b)Accredited,orincandidacybyaninstitutionthatsubsequentlybecomes
8accredited,byanaccreditingagencyrecognizedbyeither:
9 a.theCouncilforHigherEducationAccreditation,oritssuccessor;or
10 b.theUnitedStatesDepartmentofEducation;and
11 (c)Correspondstothelicensuresoughtasoutlinedinsection337.1015.
12 (3)Requireapplicantsforclinicallicensuretocompleteaperiodofsupervised
13practice.
14 (4)Haveamechanisminplaceforreceiving,investigating,andadjudicating
15complaintsaboutLicensees.
16 2.TomaintainmembershipintheCompactaMemberStateshall:
17 (1)RequirethatapplicantsforaMultistateLicensepassaQualifyingNational
18ExamforthecorrespondingcategoryofMultistateLicensesoughtasoutlinedinsection
19337.1015;
20 (2)ParticipatefullyintheCommission'sDataSystem,includingusingthe
21Commission'suniqueidentifierasdefinedinRules;
22 (3)NotifytheCommission,incompliancewiththetermsoftheCompactand
23Rules,ofanyAdverseActionortheavailabilityofCurrentSignificantInvestigative
24InformationregardingaLicensee;
25 (4)Implementproceduresforconsideringthecriminalhistoryrecordsof
26applicantsforaMultistateLicense.Suchproceduresshallincludethesubmissionof
27fingerprintsorotherbiometric-basedinformationbyapplicantsforthepurposeof
28obtaininganapplicant'scriminalhistoryrecordinformationfromtheFederalBureau
29ofInvestigationandtheagencyresponsibleforretainingthatState'scriminalrecords;
30 (5)ComplywiththeRulesoftheCommission;
HCSSSSCSSB157 104 31 (6)RequireanapplicanttoobtainorretainalicenseintheHomeStateandmeet
32theHomeState'squalificationsforlicensureorrenewaloflicensure,aswellasallother
33applicableHomeStatelaws;
34 (7)AuthorizeaLicenseeholdingaMultistateLicenseinanyMemberStateto
35practiceinaccordancewiththetermsoftheCompactandRulesoftheCommission;and
36 (8)DesignateadelegatetoparticipateintheCommissionmeetings.
37 3.AMemberStatemeetingtherequirementsofsubsections1and2ofthis
38sectionshalldesignatethecategoriesofSocialWorklicensurethatareeligiblefor
39issuanceofaMultistateLicenseforapplicantsinsuchMemberState.Totheextentthat
40anyMemberStatedoesnotmeettherequirementsforparticipationintheCompactat
41anyparticularcategoryofSocialWorklicensure,suchMemberStatemaychoose,butis
42notobligatedto,issueaMultistateLicensetoapplicantsthatotherwisemeetthe
43requirementsofsection337.1015forissuanceofaMultistateLicenseinsuchcategoryor
44categoriesoflicensure.
45 4.TheHomeStatemaychargeafeeforgrantingtheMultistateLicense.
337.1015.1.TobeeligibleforaMultistateLicenseunderthetermsand
2provisionsoftheCompact,anapplicant,regardlessofcategorymust:
3 (1)Holdorbeeligibleforanactive,UnencumberedLicenseintheHomeState;
4 (2)Payanyapplicablefees,includinganyStatefee,fortheMultistateLicense;
5 (3)Submit,inconnectionwithanapplicationforaMultistateLicense,
6fingerprintsorotherbiometricdataforthepurposeofobtainingcriminalhistoryrecord
7informationfromtheFederalBureauofInvestigationandtheagencyresponsiblefor
8retainingthatState'scriminalrecords;
9 (4)NotifytheHomeStateofanyAdverseAction,Encumbrance,orrestriction
10onanyprofessionallicensetakenbyanyMemberStateornon-MemberStatewithin30
11daysfromthedatetheactionistaken;
12 (5)MeetanycontinuingcompetencerequirementsestablishedbytheHome
13State;
14 (6)Abidebythelaws,regulations,andapplicablestandardsintheMember
15Statewheretheclientislocatedatthetimecareisrendered.
16 2.Anapplicantforaclinical-categoryMultistateLicensemustmeetallofthe
17followingrequirements:
18 (1)Fulfillacompetencyrequirement,whichshallbesatisfiedbyeither:
19 (a)Passageofaclinical-categoryQualifyingNationalExam;or
20 (b)LicensureoftheapplicantintheirHomeStateattheclinicalcategory,
21beginningpriortosuchtimeasaQualifyingNationalExamwasrequiredbytheHome
HCSSSSCSSB157 105 22StateandaccompaniedbyaperiodofcontinuousSocialWorklicensurethereafter,allof
23whichmaybefurthergovernedbytheRulesoftheCommission;or
24 (c)Thesubstantialequivalencyoftheforegoingcompetencyrequirementswhich
25theCommissionmaydeterminebyRule.
26 (2)Attainatleastamaster'sdegreeinSocialWorkfromaprogramthatis:
27 (a)OperatedbyacollegeoruniversityrecognizedbytheLicensingAuthority;
28and
29 (b)Accredited,orincandidacythatsubsequentlybecomesaccredited,byan
30accreditingagencyrecognizedbyeither:
31 a.theCouncilforHigherEducationAccreditationoritssuccessor;or
32 b.theUnitedStatesDepartmentofEducation.
33 (3)Fulfillapracticerequirement,whichshallbesatisfiedbydemonstrating
34completionofeither:
35 (a)Aperiodofpostgraduatesupervisedclinicalpracticeequaltoaminimumof
36threethousandhours;or
37 (b)Aminimumoftwoyearsoffull-timepostgraduatesupervisedclinical
38practice;or
39 (c)Thesubstantialequivalencyoftheforegoingpracticerequirementswhichthe
40CommissionmaydeterminebyRule.
41 3.Anapplicantforamaster's-categoryMultistateLicensemustmeetallofthe
42followingrequirements:
43 (1)Fulfillacompetencyrequirement,whichshallbesatisfiedbyeither:
44 (a)Passageofamasters-categoryQualifyingNationalExam;
45 (b)LicensureoftheapplicantintheirHomeStateatthemaster'scategory,
46beginningpriortosuchtimeasaQualifyingNationalExamwasrequiredbytheHome
47Stateatthemaster'scategoryandaccompaniedbyacontinuousperiodofSocialWork
48licensurethereafter,allofwhichmaybefurthergovernedbytheRulesofthe
49Commission;or
50 (c)Thesubstantialequivalencyoftheforegoingcompetencyrequirementswhich
51theCommissionmaydeterminebyRule.
52 (2)Attainatleastamaster'sdegreeinSocialWorkfromaprogramthatis:
53 (a)OperatedbyacollegeoruniversityrecognizedbytheLicensingAuthority;
54and
55 (b)Accredited,orincandidacythatsubsequentlybecomesaccredited,byan
56accreditingagencyrecognizedbyeither:
57 a.theCouncilforHigherEducationAccreditationoritssuccessor;or
58 b.theUnitedStatesDepartmentofEducation.
HCSSSSCSSB157 106 59 4.Anapplicantforabachelor's-categoryMultistateLicensemustmeetallofthe
60followingrequirements:
61 (1)Fulfillacompetencyrequirement,whichshallbesatisfiedbyeither:
62 (a)Passageofabachelor's-categoryQualifyingNationalExam;
63 (b)LicensureoftheapplicantintheirHomeStateatthebachelor'scategory,
64beginningpriortosuchtimeasaQualifyingNationalExamwasrequiredbytheHome
65StateandaccompaniedbyaperiodofcontinuousSocialWorklicensurethereafter,allof
66whichmaybefurthergovernedbytheRulesoftheCommission;or
67 (c)Thesubstantialequivalencyoftheforegoingcompetencyrequirementswhich
68theCommissionmaydeterminebyRule.
69 (2)Attainatleastabachelor'sdegreeinSocialWorkfromaprogramthatis:
70 (a)OperatedbyacollegeoruniversityrecognizedbytheLicensingAuthority;
71and
72 (b)Accredited,orincandidacythatsubsequentlybecomesaccredited,byan
73accreditingagencyrecognizedbyeither:
74 a.theCouncilforHigherEducationAccreditationoritssuccessor;or
75 b.theUnitedStatesDepartmentofEducation.
76 5.TheMultistateLicenseforaRegulatedSocialWorkerissubjecttothe
77renewalrequirementsoftheHomeState.TheRegulatedSocialWorkermustmaintain
78compliancewiththerequirementsofsubsection1ofthissectiontobeeligibletorenewa
79MultistateLicense.
80 6.TheRegulatedSocialWorker'sservicesinaRemoteStatearesubjecttothat
81MemberState'sregulatoryauthority.ARemoteStatemay,inaccordancewithdue
82processandthatMemberState'slaws,removeaRegulatedSocialWorker'sMultistate
83AuthorizationtoPracticeintheRemoteStateforaspecificperiodoftime,imposefines,
84andtakeanyothernecessaryactionstoprotectthehealthandsafetyofitscitizens.
85 7.IfaMultistateLicenseisencumbered,theRegulatedSocialWorker's
86MultistateAuthorizationtoPracticeshallbedeactivatedinallRemoteStatesuntilthe
87MultistateLicenseisnolongerencumbered.
88 8.IfaMultistateAuthorizationtoPracticeisencumberedinaRemoteState,the
89regulatedSocialWorker'sMultistateAuthorizationtoPracticemaybedeactivatedin
90thatStateuntiltheMultistateAuthorizationtoPracticeisnolongerencumbered.
337.1020.1.UponreceiptofanapplicationforaMultistateLicense,theHome
2StateLicensingAuthorityshalldeterminetheapplicant'seligibilityforaMultistate
3Licenseinaccordancewithsection337.1015ofthisCompact.
4 2.Ifsuchapplicantiseligiblepursuanttosection337.1015ofthisCompact,the
5HomeStateLicensingAuthorityshallissueaMultistateLicensethatauthorizesthe
HCSSSSCSSB157 107 6applicantorRegulatedSocialWorkertopracticeinallMemberStatesundera
7MultistateAuthorizationtoPractice.
8 3.UponissuanceofaMultistateLicense,theHomeStateLicensingAuthority
9shalldesignatewhethertheRegulatedSocialWorkerholdsaMultistateLicenseinthe
10Bachelors,Masters,orClinicalcategoryofSocialWork.
11 4.AMultistateLicenseissuedbyaHomeStatetoaresidentinthatStateshallbe
12recognizedbyallCompactMemberStatesasauthorizingSocialWorkPracticeundera
13MultistateAuthorizationtoPracticecorrespondingtoeachcategoryoflicensure
14regulatedineachMemberState.
337.1025.1.NothinginthisCompact,noranyRuleoftheCommission,shallbe
2construedtolimit,restrict,orinanywayreducetheabilityofaMemberStatetoenact
3andenforcelaws,regulations,orotherrulesrelatedtothepracticeofSocialWorkin
4thatState,wherethoselaws,regulations,orotherrulesarenotinconsistentwiththe
5provisionsofthisCompact.
6 2.NothinginthisCompactshallaffecttherequirementsestablishedbya
7MemberStatefortheissuanceofaSingleStateLicense.
8 3.NothinginthisCompact,noranyRuleoftheCommission,shallbeconstrued
9tolimit,restrict,orinanywayreducetheabilityofaMemberStatetotakeAdverse
10ActionagainstaLicensee'sSingleStateLicensetopracticeSocialWorkinthatState.
11 4.NothinginthisCompact,noranyRuleoftheCommission,shallbeconstrued
12tolimit,restrict,orinanywayreducetheabilityofaRemoteStatetotakeAdverse
13ActionagainstaLicensee'sMultistateAuthorizationtoPracticeinthatState.
14 5.NothinginthisCompact,noranyRuleoftheCommission,shallbeconstrued
15tolimit,restrict,orinanywayreducetheabilityofaLicensee'sHomeStatetotake
16AdverseActionagainstaLicensee'sMultistateLicensebaseduponinformation
17providedbyaRemoteState.
337.1030.1.ALicenseecanholdaMultistateLicense,issuedbytheirHome
2State,inonlyoneMemberStateatanygiventime.
3 2.IfaLicenseechangestheirHomeStatebymovingbetweentwoMember
4States:
5 (1)TheLicenseeshallimmediatelyapplyforthereissuanceoftheirMultistate
6LicenseintheirnewHomeState.TheLicenseeshallpayallapplicablefeesandnotify
7thepriorHomeStateinaccordancewiththeRulesoftheCommission.
8 (2)UponreceiptofanapplicationtoreissueaMultistateLicense,thenewHome
9StateshallverifythattheMultistateLicenseisactive,unencumberedandeligiblefor
10reissuanceunderthetermsoftheCompactandtheRulesoftheCommission.The
HCSSSSCSSB157 108 11MultistateLicenseissuedbythepriorHomeStatewillbedeactivatedandallMember
12StatesnotifiedinaccordancewiththeapplicableRulesadoptedbytheCommission.
13 (3)PriortothereissuanceoftheMultistateLicense,thenewHomeStateshall
14conductproceduresforconsideringthecriminalhistoryrecordsoftheLicensee.Such
15proceduresshallincludethesubmissionoffingerprintsorotherbiometric-based
16informationbyapplicantsforthepurposeofobtaininganapplicant'scriminalhistory
17recordinformationfromtheFederalBureauofInvestigationandtheagencyresponsible
18forretainingthatState'scriminalrecords.
19 (4)Ifrequiredforinitiallicensure,thenewHomeStatemayrequirecompletion
20ofjurisprudencerequirementsinthenewHomeState.
21 (5)NotwithstandinganyotherprovisionofthisCompact,ifaLicenseedoesnot
22meettherequirementssetforthinthisCompactforthereissuanceofaMultistate
23LicensebythenewHomeState,thentheLicenseeshallbesubjecttothenewHome
24StaterequirementsfortheissuanceofaSingleStateLicenseinthatState.
25 3.IfaLicenseechangestheirprimaryStateofresidencebymovingfroma
26MemberStatetoanon-MemberState,orfromanon-MemberStatetoaMemberState,
27thentheLicenseeshallbesubjecttotheStaterequirementsfortheissuanceofaSingle
28StateLicenseinthenewHomeState.
29 4.NothinginthisCompactshallinterferewithaLicensee'sabilitytoholda
30SingleStateLicenseinmultipleStates;however,forthepurposesofthisCompact,a
31LicenseeshallhaveonlyoneHomeState,andonlyoneMultistateLicense.
32 5.NothinginthisCompactshallinterferewiththerequirementsestablishedbya
33MemberStatefortheissuanceofaSingleStateLicense.
337.1035.AnActiveMilitaryMemberortheirspouseshalldesignateaHome
2StatewheretheindividualhasaMultistateLicense.Theindividualmayretaintheir
3HomeStatedesignationduringtheperiodtheservicememberisonactiveduty.
337.1040.1.InadditiontotheotherpowersconferredbyStatelaw,aRemote
2Stateshallhavetheauthority,inaccordancewithexistingStatedueprocesslaw,to:
3 (1)TakeAdverseActionagainstaRegulatedSocialWorker'sMultistate
4AuthorizationtoPracticeonlywithinthatMemberState,andissuesubpoenasforboth
5hearingsandinvestigationsthatrequiretheattendanceandtestimonyofwitnessesas
6wellastheproductionofevidence.SubpoenasissuedbyaLicensingAuthorityina
7MemberStatefortheattendanceandtestimonyofwitnessesortheproductionof
8evidencefromanotherMemberStateshallbeenforcedinthelatterStatebyanycourt
9ofcompetentjurisdiction,accordingtothepracticeandprocedureofthatcourt
10applicabletosubpoenasissuedinproceedingspendingbeforeit.TheissuingLicensing
HCSSSSCSSB157 109 11Authorityshallpayanywitnessfees,travelexpenses,mileage,andotherfeesrequired
12bytheservicestatutesoftheStateinwhichthewitnessesorevidencearelocated.
13 (2)OnlytheHomeStateshallhavethepowertotakeAdverseActionagainsta
14RegulatedSocialWorker'sMultistateLicense.
15 2.ForpurposesoftakingAdverseAction,theHomeStateshallgivethesame
16priorityandeffecttoreportedconductreceivedfromaMemberStateasitwouldifthe
17conducthadoccurredwithintheHomeState.Insodoing,theHomeStateshallapply
18itsownStatelawstodetermineappropriateaction.
19 3.TheHomeStateshallcompleteanypendinginvestigationsofaRegulated
20SocialWorkerwhochangestheirHomeStateduringthecourseoftheinvestigations.
21TheHomeStateshallalsohavetheauthoritytotakeappropriateaction(s)andshall
22promptlyreporttheconclusionsoftheinvestigationstotheadministratoroftheData
23System.TheadministratoroftheDataSystemshallpromptlynotifythenewHome
24StateofanyAdverseActions.
25 4.AMemberState,ifotherwisepermittedbyStatelaw,mayrecoverfromthe
26affectedRegulatedSocialWorkerthecostsofinvestigationsanddispositionsofcases
27resultingfromanyAdverseActiontakenagainstthatRegulatedSocialWorker.
28 5.AMemberStatemaytakeAdverseActionbasedonthefactualfindingsof
29anotherMemberState,providedthattheMemberStatefollowsitsownproceduresfor
30takingtheAdverseAction.
31 6.(1)InadditiontotheauthoritygrantedtoaMemberStatebyitsrespective
32SocialWorkpracticeactorotherapplicableStatelaw,anyMemberStatemay
33participatewithotherMemberStatesinjointinvestigationsofLicensees.
34 (2)MemberStatesshallshareanyinvestigative,litigation,orcompliance
35materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthe
36Compact.
37 7.IfAdverseActionistakenbytheHomeStateagainsttheMultistateLicenseof
38aRegulatedSocialWorker,theRegulatedSocialWorker'sMultistateAuthorizationto
39PracticeinallotherMemberStatesshallbedeactivateduntilallEncumbranceshave
40beenremovedfromtheMultistateLicense.AllHomeStatedisciplinaryordersthat
41imposeAdverseActionagainstthelicenseofaRegulatedSocialWorkershallincludea
42statementthattheRegulatedSocialWorker'sMultistateAuthorizationtoPracticeis
43deactivatedinallMemberStatesuntilallconditionsofthedecision,orderoragreement
44aresatisfied.
45 8.IfaMemberStatetakesAdverseAction,itshallpromptlynotifythe
46administratoroftheDataSystem.TheadministratoroftheDataSystemshallpromptly
HCSSSSCSSB157 110 47notifytheHomeStateandallotherMemberStatesofanyAdverseActionsbyRemote
48States.
49 9.NothinginthisCompactshalloverrideaMemberState'sdecisionthat
50participationinanAlternativeProgrammaybeusedinlieuofAdverseAction.
51 10.NothinginthisCompactshallauthorizeaMemberStatetodemandthe
52issuanceofsubpoenasforattendanceandtestimonyofwitnessesortheproductionof
53evidencefromanotherMemberStateforlawfulactionswithinthatMemberState.
54 11.NothinginthisCompactshallauthorizeaMemberStatetoimposediscipline
55againstaRegulatedSocialWorkerwhoholdsaMultistateAuthorizationtoPracticefor
56lawfulactionswithinanotherMemberState.
337.1045.1.TheCompactMemberStatesherebycreateandestablishajoint
2governmentagencywhosemembershipconsistsofallMemberStatesthathaveenacted
3thecompactknownastheSocialWorkLicensureCompactCommission.The
4CommissionisaninstrumentalityoftheCompactStatesactingjointlyandnotan
5instrumentalityofanyoneState.TheCommissionshallcomeintoexistenceonorafter
6theeffectivedateoftheCompactassetforthinsection337.1065.
7 2.(1)EachMemberStateshallhaveandbelimitedtoone(1)delegateselected
8bythatMemberState'sStateLicensingAuthority.
9 (2)Thedelegateshallbeeither:
10 (a)AcurrentmemberoftheStateLicensingAuthorityatthetimeof
11appointment,whoisaRegulatedSocialWorkerorpublicmemberoftheStateLicensing
12Authority;or
13 (b)AnadministratoroftheStateLicensingAuthorityortheirdesignee.
14 (3)TheCommissionshallbyRuleorbylawestablishatermofofficefor
15delegatesandmaybyRuleorbylawestablishtermlimits.
16 (4)TheCommissionmayrecommendremovalorsuspensionofanydelegate
17fromoffice.
18 (5)AMemberState'sStateLicensingAuthorityshallfillanyvacancyofits
19delegateoccurringontheCommissionwithin60daysofthevacancy.
20 (6)Eachdelegateshallbeentitledtoonevoteonallmattersbeforethe
21CommissionrequiringavotebyCommissiondelegates.
22 (7)Adelegateshallvoteinpersonorbysuchothermeansasprovidedinthe
23bylaws.Thebylawsmayprovidefordelegatestomeetbytelecommunication,
24videoconference,orothermeansofcommunication.
25 (8)TheCommissionshallmeetatleastonceduringeachcalendaryear.
26Additionalmeetingsmaybeheldassetforthinthebylaws.TheCommissionmaymeet
27bytelecommunication,videoconferenceorothersimilarelectronicmeans.
HCSSSSCSSB157 111 28 3.TheCommissionshallhavethefollowingpowers:
29 (1)EstablishthefiscalyearoftheCommission;
30 (2)Establishcodeofconductandconflictofinterestpolicies;
31 (3)EstablishandamendRulesandbylaws;
32 (4)Maintainitsfinancialrecordsinaccordancewiththebylaws;
33 (5)Meetandtakesuchactionsasareconsistentwiththeprovisionsofthis
34Compact,theCommission'sRules,andthebylaws;
35 (6)Initiateandconcludelegalproceedingsoractionsinthenameofthe
36Commission,providedthatthestandingofanyStateLicensingBoardtosueorbesued
37underapplicablelawshallnotbeaffected;
38 (7)MaintainandcertifyrecordsandinformationprovidedtoaMemberStateas
39theauthenticatedbusinessrecordsoftheCommission,anddesignateanagenttodoso
40ontheCommission'sbehalf;
41 (8)Purchaseandmaintaininsuranceandbonds;
42 (9)Borrow,accept,orcontractforservicesofpersonnel,including,butnot
43limitedto,employeesofaMemberState;
44 (10)Conductanannualfinancialreview;
45 (11)Hireemployees,electorappointofficers,fixcompensation,defineduties,
46grantsuchindividualsappropriateauthoritytocarryoutthepurposesoftheCompact,
47andestablishtheCommission'spersonnelpoliciesandprogramsrelatingtoconflictsof
48interest,qualificationsofpersonnel,andotherrelatedpersonnelmatters;
49 (12)Assessandcollectfees;
50 (13)Acceptanyandallappropriategifts,donations,grantsofmoney,other
51sourcesofrevenue,equipment,supplies,materials,andservices,andreceive,utilize,and
52disposeofthesame;providedthatatalltimestheCommissionshallavoidany
53appearanceofimproprietyorconflictofinterest;
54 (14)Lease,purchase,retain,own,hold,improve,oruseanyproperty,real,
55personal,ormixed,oranyundividedinteresttherein;
56 (15)Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise
57disposeofanypropertyreal,personal,ormixed;
58 (16)Establishabudgetandmakeexpenditures;
59 (17)Borrowmoney;
60 (18)Appointcommittees,includingstandingcommittees,composedofmembers,
61Stateregulators,Statelegislatorsortheirrepresentatives,andconsumer
62representatives,andsuchotherinterestedpersonsasmaybedesignatedinthis
63Compactandthebylaws;
HCSSSSCSSB157 112 64 (19)Provideandreceiveinformationfrom,andcooperatewith,lawenforcement
65agencies;
66 (20)EstablishandelectanExecutiveCommittee,includingachairandavice
67chair;
68 (21)DeterminewhetheraState'sadoptedlanguageismateriallydifferentfrom
69themodelcompactlanguagesuchthattheStatewouldnotqualifyforparticipationin
70theCompact;and
71 (22)Performsuchotherfunctionsasmaybenecessaryorappropriatetoachieve
72thepurposesofthisCompact.
73 4.(1)TheExecutiveCommitteeshallhavethepowertoactonbehalfofthe
74CommissionaccordingtothetermsofthisCompact.Thepowers,duties,and
75responsibilitiesoftheExecutiveCommitteeshallinclude:
76 (a)Overseetheday-to-dayactivitiesoftheadministrationofthecompact
77includingenforcementandcompliancewiththeprovisionsofthecompact,itsRulesand
78bylaws,andothersuchdutiesasdeemednecessary;
79 (b)RecommendtotheCommissionchangestotheRulesorbylaws,changesto
80thisCompactlegislation,feeschargedtoCompactMemberStates,feeschargedto
81Licensees,andotherfees;
82 (c)EnsureCompactadministrationservicesareappropriatelyprovided,
83includingbycontract;
84 (d)Prepareandrecommendthebudget;
85 (e)MaintainfinancialrecordsonbehalfoftheCommission;
86 (f)MonitorCompactcomplianceofMemberStatesandprovidecompliance
87reportstotheCommission;
88 (g)Establishadditionalcommitteesasnecessary;
89 (h)ExercisethepowersanddutiesoftheCommissionduringtheinterim
90betweenCommissionmeetings,exceptforadoptingoramendingRules,adoptingor
91amendingbylaws,andexercisinganyotherpowersanddutiesexpresslyreservedtothe
92CommissionbyRuleorbylaw;and
93 (i)OtherdutiesasprovidedintheRulesorbylawsoftheCommission.
94 (2)TheExecutiveCommitteeshallbecomposedofuptoeleven(11)members:
95 (a)ThechairandvicechairoftheCommissionshallbevotingmembersofthe
96ExecutiveCommittee;and
97 (b)TheCommissionshallelectfivevotingmembersfromthecurrent
98membershipoftheCommission.
99 (c)Uptofour(4)ex-officio,nonvotingmembersfromfour(4)recognized
100nationalSocialWorkorganizations.
HCSSSSCSSB157 113 101 (d)Theex-officiomemberswillbeselectedbytheirrespectiveorganizations.
102 (3)TheCommissionmayremoveanymemberoftheExecutiveCommitteeas
103providedintheCommission'sbylaws.
104 (4)TheExecutiveCommitteeshallmeetatleastannually.
105 (a)ExecutiveCommitteemeetingsshallbeopentothepublic,exceptthatthe
106ExecutiveCommitteemaymeetinaclosed,non-publicmeetingasprovidedin
107subdivision(2)ofsubsection6ofthissection.
108 (b)TheExecutiveCommitteeshallgiveseven(7)days'noticeofitsmeetings,
109postedonitswebsiteandasdeterminedtoprovidenoticetopersonswithaninterestin
110thebusinessoftheCommission.
111 (c)TheExecutiveCommitteemayholdaspecialmeetinginaccordancewith
112paragraph(b)ofsubdivision(1)ofsubsection6ofthissection.
113 5.TheCommissionshalladoptandprovidetotheMemberStatesanannual
114report.
115 6.(1)Allmeetingsshallbeopentothepublic,exceptthattheCommissionmay
116meetinaclosed,non-publicmeetingasprovidedinsubdivision(2)ofthissubsection.
117 (a)PublicnoticeforallmeetingsofthefullCommissionofmeetingsshallbe
118giveninthesamemannerasrequiredundertheRulemakingprovisionsinsection
119337.1055,exceptthattheCommissionmayholdaspecialmeetingasprovidedin
120paragraph(b)ofthissubdivision.
121 (b)TheCommissionmayholdaspecialmeetingwhenitmustmeettoconduct
122emergencybusinessbygiving48hours'noticetoallcommissioners,onthe
123Commission'swebsite,andothermeansasprovidedintheCommission'sRules.The
124Commission'slegalcounselshallcertifythattheCommission'sneedtomeetqualifiesas
125anemergency.
126 (2)TheCommissionortheExecutiveCommitteeorothercommitteesofthe
127Commissionmayconveneinaclosed,non-publicmeetingfortheCommissionor
128ExecutiveCommitteeorothercommitteesoftheCommissiontoreceivelegaladviceor
129todiscuss:
130 (a)Non-complianceofaMemberStatewithitsobligationsundertheCompact;
131 (b)Theemployment,compensation,disciplineorothermatters,practicesor
132proceduresrelatedtospecificemployees;
133 (c)CurrentorthreateneddisciplineofaLicenseebytheCommissionorbya
134MemberState'sLicensingAuthority;
135 (d)Current,threatened,orreasonablyanticipatedlitigation;
136 (e)Negotiationofcontractsforthepurchase,lease,orsaleofgoods,services,or
137realestate;
HCSSSSCSSB157 114 138 (f)Accusinganypersonofacrimeorformallycensuringanyperson;
139 (g)Tradesecretsorcommercialorfinancialinformationthatisprivilegedor
140confidential;
141 (h)Informationofapersonalnaturewheredisclosurewouldconstituteaclearly
142unwarrantedinvasionofpersonalprivacy;
143 (i)Investigativerecordscompiledforlawenforcementpurposes;
144 (j)Informationrelatedtoanyinvestigativereportspreparedbyoronbehalfof
145orforuseoftheCommissionorothercommitteechargedwithresponsibilityof
146investigationordeterminationofcomplianceissuespursuanttotheCompact;
147 (k)MattersspecificallyexemptedfromdisclosurebyfederalorMemberState
148law;or
149 (l)OthermattersaspromulgatedbytheCommissionbyRule.
150 (3)Ifameeting,orportionofameeting,isclosed,thepresidingofficershallstate
151thatthemeetingwillbeclosedandreferenceeachrelevantexemptingprovision,and
152suchreferenceshallberecordedintheminutes.
153 (4)TheCommissionshallkeepminutesthatfullyandclearlydescribeall
154mattersdiscussedinameetingandshallprovideafullandaccuratesummaryofactions
155taken,andthereasonstherefor,includingadescriptionoftheviewsexpressed.All
156documentsconsideredinconnectionwithanactionshallbeidentifiedinsuchminutes.
157Allminutesanddocumentsofaclosedmeetingshallremainunderseal,subjectto
158releaseonlybyamajorityvoteoftheCommissionororderofacourtofcompetent
159jurisdiction.
160 7.(1)TheCommissionshallpay,orprovideforthepaymentof,thereasonable
161expensesofitsestablishment,organization,andongoingactivities.
162 (2)TheCommissionmayacceptanyandallappropriaterevenuesourcesas
163providedinsubdivision(13)ofsubsection3ofthissection.
164 (3)TheCommissionmaylevyonandcollectanannualassessmentfromeach
165MemberStateandimposefeesonLicenseesofMemberStatestowhomitgrantsa
166MultistateLicensetocoverthecostoftheoperationsandactivitiesoftheCommission
167anditsstaff,whichmustbeinatotalamountsufficienttocoveritsannualbudgetas
168approvedeachyearforwhichrevenueisnotprovidedbyothersources.Theaggregate
169annualassessmentamountforMemberStatesshallbeallocatedbaseduponaformula
170thattheCommissionshallpromulgatebyRule.
171 (4)TheCommissionshallnotincurobligationsofanykindpriortosecuringthe
172fundsadequatetomeetthesame;norshalltheCommissionpledgethecreditofanyof
173theMemberStates,exceptbyandwiththeauthorityoftheMemberState.
HCSSSSCSSB157 115 174 (5)TheCommissionshallkeepaccurateaccountsofallreceiptsand
175disbursements.ThereceiptsanddisbursementsoftheCommissionshallbesubject
176tothefinancialreviewandaccountingproceduresestablishedunderitsbylaws.
177However,allreceiptsanddisbursementsoffundshandledbytheCommissionshallbe
178subjecttoanannualfinancialreviewbyacertifiedorlicensedpublicaccountant,and
179thereportofthefinancialreviewshallbeincludedinandbecomepartoftheannual
180reportoftheCommission.
181 8.(1)Themembers,officers,executivedirector,employeesandrepresentatives
182oftheCommissionshallbeimmunefromsuitandliability,bothpersonallyandintheir
183officialcapacity,foranyclaimfordamagetoorlossofpropertyorpersonalinjuryor
184othercivilliabilitycausedbyorarisingoutofanyactualorallegedact,error,or
185omissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada
186reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,
187dutiesorresponsibilities;providedthatnothinginthissubdivisionshallbeconstruedto
188protectanysuchpersonfromsuitorliabilityforanydamage,loss,injury,orliability
189causedbytheintentionalorwillfulorwantonmisconductofthatperson.The
190procurementofinsuranceofanytypebytheCommissionshallnotinanyway
191compromiseorlimittheimmunitygrantedhereunder.
192 (2)TheCommissionshalldefendanymember,officer,executivedirector,
193employee,andrepresentativeoftheCommissioninanycivilactionseekingtoimpose
194liabilityarisingoutofanyactualorallegedact,error,oromissionthatoccurredwithin
195thescopeofCommissionemployment,duties,orresponsibilities,orasdeterminedby
196theCommissionthatthepersonagainstwhomtheclaimismadehadareasonablebasis
197forbelievingoccurredwithinthescopeofCommissionemployment,duties,or
198responsibilities;providedthatnothinghereinshallbeconstruedtoprohibitthat
199personfromretainingtheirowncounselattheirownexpense;andprovidedfurther,
200thattheactualorallegedact,error,oromissiondidnotresultfromthatperson's
201intentionalorwillfulorwantonmisconduct.
202 (3)TheCommissionshallindemnifyandholdharmlessanymember,officer,
203executivedirector,employee,andrepresentativeoftheCommissionfortheamountof
204anysettlementorjudgmentobtainedagainstthatpersonarisingoutofanyactualor
205allegedact,error,oromissionthatoccurredwithinthescopeofCommission
206employment,duties,orresponsibilities,orthatsuchpersonhadareasonablebasis
207forbelievingoccurredwithinthescopeofCommissionemployment,duties,or
208responsibilities,providedthattheactualorallegedact,error,oromissiondidnot
209resultfromtheintentionalorwillfulorwantonmisconductofthatperson.
HCSSSSCSSB157 116 210 (4)Nothinghereinshallbeconstruedasalimitationontheliabilityofany
211Licenseeforprofessionalmalpracticeormisconduct,whichshallbegovernedsolelyby
212anyotherapplicableStatelaws.
213 (5)NothinginthisCompactshallbeinterpretedtowaiveorotherwiseabrogate
214aMemberState'sstateactionimmunityorstateactionaffirmativedefensewithrespect
215toantitrustclaimsundertheShermanAct,ClaytonAct,oranyotherStateorfederal
216antitrustoranticompetitivelaworregulation.
217 (6)NothinginthisCompactshallbeconstruedtobeawaiverofsovereign
218immunitybytheMemberStatesorbytheCommission.
337.1050.1.TheCommissionshallprovideforthedevelopment,maintenance,
2operation,andutilizationofacoordinatedDataSystem.
3 2.TheCommissionshallassigneachapplicantforaMultistateLicenseaunique
4identifier,asdeterminedbytheRulesoftheCommission.
5 3.NotwithstandinganyotherprovisionofStatelawtothecontrary,aMember
6StateshallsubmitauniformdatasettotheDataSystemonallindividualstowhomthis
7CompactisapplicableasrequiredbytheRulesoftheCommission,including:
8 (1)Identifyinginformation;
9 (2)Licensuredata;
10 (3)AdverseActionsagainstalicenseandinformationrelatedthereto;
11 (4)Non-confidentialinformationrelatedtoAlternativeProgramparticipation,
12thebeginningandendingdatesofsuchparticipation,andotherinformationrelatedto
13suchparticipationnotmadeconfidentialunderMemberStatelaw;
14 (5)Anydenialofapplicationforlicensure,andthereasonorreasonsforsuch
15denial;
16 (6)ThepresenceofCurrentSignificantInvestigativeInformation;and
17 (7)OtherinformationthatmayfacilitatetheadministrationofthisCompactor
18theprotectionofthepublic,asdeterminedbytheRulesoftheCommission.
19 4.TherecordsandinformationprovidedtoaMemberStatepursuanttothis
20CompactorthroughtheDataSystem,whencertifiedbytheCommissionoranagent
21thereof,shallconstitutetheauthenticatedbusinessrecordsoftheCommission,andshall
22beentitledtoanyassociatedhearsayexceptioninanyrelevantjudicial,quasi-judicialor
23administrativeproceedingsinaMemberState.
24 5.(1)CurrentSignificantInvestigativeInformationpertainingtoaLicenseein
25anyMemberStatewillonlybeavailabletootherMemberStates.
26 (2)ItistheresponsibilityoftheMemberStatestoreportanyAdverseAction
27againstaLicenseeandtomonitorthedatabasetodeterminewhetherAdverseAction
HCSSSSCSSB157 117 28hasbeentakenagainstaLicensee.AdverseActioninformationpertainingtoaLicensee
29inanyMemberStatewillbeavailabletoanyotherMemberState.
30 6.MemberStatescontributinginformationtotheDataSystemmaydesignate
31informationthatmaynotbesharedwiththepublicwithouttheexpresspermissionof
32thecontributingState.
33 7.AnyinformationsubmittedtotheDataSystemthatissubsequentlyexpunged
34pursuanttofederallaworthelawsoftheMemberStatecontributingtheinformation
35shallberemovedfromtheDataSystem.
337.1055.1.TheCommissionshallpromulgatereasonableRulesinorderto
2effectivelyandefficientlyimplementandadministerthepurposesandprovisionsofthe
3Compact.ARuleshallbeinvalidandhavenoforceoreffectonlyifacourtof
4competentjurisdictionholdsthattheRuleisinvalidbecausetheCommissionexercised
5itsrulemakingauthorityinamannerthatisbeyondthescopeandpurposesofthe
6Compact,orthepowersgrantedhereunder,orbaseduponanotherapplicablestandard
7ofreview.
8 2.TheRulesoftheCommissionshallhavetheforceoflawineachMember
9State,providedhoweverthatwheretheRulesoftheCommissionconflictwiththelaws
10oftheMemberStatethatestablishtheMemberState'slaws,regulations,andapplicable
11standardsthatgovernthepracticeofSocialWorkasheldbyacourtofcompetent
12jurisdiction,theRulesoftheCommissionshallbeineffectiveinthatStatetotheextent
13oftheconflict.
14 3.TheCommissionshallexerciseitsRulemakingpowerspursuanttothecriteria
15setforthinthisSectionandtheRulesadoptedthereunder.Rulesshallbecomebinding
16onthedayfollowingadoptionorthedatespecifiedintheruleoramendment,whichever
17islater.
18 4.IfamajorityofthelegislaturesoftheMemberStatesrejectsaRuleorportion
19ofaRule,byenactmentofastatuteorresolutioninthesamemannerusedtoadoptthe
20Compactwithinfour(4)yearsofthedateofadoptionoftheRule,thensuchRuleshall
21havenofurtherforceandeffectinanyMemberState.
22 5.RulesshallbeadoptedataregularorspecialmeetingoftheCommission.
23 6.PriortoadoptionofaproposedRule,theCommissionshallholdapublic
24hearingandallowpersonstoprovideoralandwrittencomments,data,facts,opinions,
25andarguments.
26 7.PriortoadoptionofaproposedRulebytheCommission,andatleastthirty
27(30)daysinadvanceofthemeetingatwhichtheCommissionwillholdapublichearing
28ontheproposedRule,theCommissionshallprovideaNoticeofProposedRulemaking:
29 (1)OnthewebsiteoftheCommissionorotherpubliclyaccessibleplatform;
HCSSSSCSSB157 118 30 (2)TopersonswhohaverequestednoticeoftheCommission'snoticesof
31proposedrulemaking;and
32 (3)Insuchotherway(s)astheCommissionmaybyRulespecify.
33 8.TheNoticeofProposedRulemakingshallinclude:
34 (1)Thetime,date,andlocationofthepublichearingatwhichtheCommission
35willhearpubliccommentsontheproposedRuleand,ifdifferent,thetime,date,and
36locationofthemeetingwheretheCommissionwillconsiderandvoteontheproposed
37Rule;
38 (2)Ifthehearingisheldviatelecommunication,videoconference,orother
39electronicmeans,theCommissionshallincludethemechanismforaccesstothehearing
40intheNoticeofProposedRulemaking;
41 (3)ThetextoftheproposedRuleandthereasontherefor;
42 (4)ArequestforcommentsontheproposedRulefromanyinterestedperson;
43and
44 (5)Themannerinwhichinterestedpersonsmaysubmitwrittencomments.
45 9.Allhearingswillberecorded.Acopyoftherecordingandallwritten
46commentsanddocumentsreceivedbytheCommissioninresponsetotheproposedRule
47shallbeavailabletothepublic.
48 10.Nothinginthissectionshallbeconstruedasrequiringaseparatehearingon
49eachRule.RulesmaybegroupedfortheconvenienceoftheCommissionathearings
50requiredbythissection.
51 11.TheCommissionshall,bymajorityvoteofallmembers,takefinalactionon
52theproposedRulebasedontheRulemakingrecordandthefulltextoftheRule.
53 (1)TheCommissionmayadoptchangestotheproposedRuleprovidedthe
54changesdonotenlargetheoriginalpurposeoftheproposedRule.
55 (2)TheCommissionshallprovideanexplanationofthereasonsforsubstantive
56changesmadetotheproposedRuleaswellasreasonsforsubstantivechangesnotmade
57thatwererecommendedbycommenters.
58 (3)TheCommissionshalldetermineareasonableeffectivedatefortheRule.
59Exceptforanemergencyasprovidedinsubsection12ofthissection,theeffectivedate
60oftheruleshallbenosoonerthan30daysafterissuingthenoticethatitadoptedor
61amendedtheRule.
62 12.Upondeterminationthatanemergencyexists,theCommissionmayconsider
63andadoptanemergencyRulewith48hours'notice,withopportunitytocomment,
64providedthattheusualRulemakingproceduresprovidedintheCompactandinthis
65sectionshallberetroactivelyappliedtotheRuleassoonasreasonablypossible,inno
HCSSSSCSSB157 119 66eventlaterthanninety(90)daysaftertheeffectivedateoftheRule.Forthepurposesof
67thisprovision,anemergencyRuleisonethatmustbeadoptedimmediatelyinorderto:
68 (1)Meetanimminentthreattopublichealth,safety,orwelfare;
69 (2)PreventalossofCommissionorMemberStatefunds;
70 (3)MeetadeadlineforthepromulgationofaRulethatisestablishedbyfederal
71laworrule;or
72 (4)Protectpublichealthandsafety.
73 13.TheCommissionoranauthorizedcommitteeoftheCommissionmaydirect
74revisionstoapreviouslyadoptedRuleforpurposesofcorrectingtypographicalerrors,
75errorsinformat,errorsinconsistency,orgrammaticalerrors.Publicnoticeofany
76revisionsshallbepostedonthewebsiteoftheCommission.Therevisionshallbesubject
77tochallengebyanypersonforaperiodofthirty(30)daysafterposting.Therevision
78maybechallengedonlyongroundsthattherevisionresultsinamaterialchangetoa
79Rule.AchallengeshallbemadeinwritinganddeliveredtotheCommissionpriortothe
80endofthenoticeperiod.Ifnochallengeismade,therevisionwilltakeeffectwithout
81furtheraction.Iftherevisionischallenged,therevisionmaynottakeeffectwithoutthe
82approvaloftheCommission.
83 14.NoMemberState'srulemakingrequirementsshallapplyunderthis
84compact.
337.1060.1.(1)TheexecutiveandjudicialbranchesofStategovernmentin
2eachMemberStateshallenforcethisCompactandtakeallactionsnecessaryand
3appropriatetoimplementtheCompact.
4 (2)ExceptasotherwiseprovidedinthisCompact,venueisproperandjudicial
5proceedingsbyoragainsttheCommissionshallbebroughtsolelyandexclusivelyina
6courtofcompetentjurisdictionwheretheprincipalofficeoftheCommissionislocated.
7TheCommissionmaywaivevenueandjurisdictionaldefensestotheextentitadoptsor
8consentstoparticipateinalternativedisputeresolutionproceedings.Nothingherein
9shallaffectorlimittheselectionorproprietyofvenueinanyactionagainstaLicensee
10forprofessionalmalpractice,misconductoranysuchsimilarmatter.
11 (3)TheCommissionshallbeentitledtoreceiveserviceofprocessinany
12proceedingregardingtheenforcementorinterpretationoftheCompactandshallhave
13standingtointerveneinsuchaproceedingforallpurposes.Failuretoprovidethe
14Commissionserviceofprocessshallrenderajudgmentorordervoidastothe
15Commission,thisCompact,orpromulgatedRules.
16 2.(1)IftheCommissiondeterminesthataMemberStatehasdefaultedinthe
17performanceofitsobligationsorresponsibilitiesunderthisCompactorthe
18promulgatedRules,theCommissionshallprovidewrittennoticetothedefaulting
HCSSSSCSSB157 120 19State.Thenoticeofdefaultshalldescribethedefault,theproposedmeansofcuringthe
20default,andanyotheractionthattheCommissionmaytake,andshalloffertraining
21andspecifictechnicalassistanceregardingthedefault.
22 (2)TheCommissionshallprovideacopyofthenoticeofdefaulttotheother
23MemberStates.
24 3.IfaStateindefaultfailstocurethedefault,thedefaultingStatemaybe
25terminatedfromtheCompactuponanaffirmativevoteofamajorityofthedelegatesof
26theMemberStates,andallrights,privilegesandbenefitsconferredonthatStatebythis
27Compactmaybeterminatedontheeffectivedateoftermination.Acureofthedefault
28doesnotrelievetheoffendingStateofobligationsorliabilitiesincurredduringthe
29periodofdefault.
30 4.TerminationofmembershipintheCompactshallbeimposedonlyafterall
31othermeansofsecuringcompliancehavebeenexhausted.Noticeofintenttosuspendor
32terminateshallbegivenbytheCommissiontothegovernor,themajorityandminority
33leadersofthedefaultingState'slegislature,thedefaultingState'sStateLicensing
34AuthorityandeachoftheMemberStates'StateLicensingAuthority.
35 5.AStatethathasbeenterminatedisresponsibleforallassessments,
36obligations,andliabilitiesincurredthroughtheeffectivedateoftermination,including
37obligationsthatextendbeyondtheeffectivedateoftermination.
38 6.UpontheterminationofaState'smembershipfromthisCompact,thatState
39shallimmediatelyprovidenoticetoallLicenseeswithinthatStateofsuchtermination.
40TheterminatedStateshallcontinuetorecognizealllicensesgrantedpursuanttothis
41Compactforaminimumofsix(6)monthsafterthedateofsaidnoticeoftermination.
42 7.TheCommissionshallnotbearanycostsrelatedtoaStatethatisfoundtobe
43indefaultorthathasbeenterminatedfromtheCompact,unlessagreeduponinwriting
44betweentheCommissionandthedefaultingState.
45 8.ThedefaultingStatemayappealtheactionoftheCommissionbypetitioning
46theU.S.DistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe
47Commissionhasitsprincipaloffices.Theprevailingpartyshallbeawardedallcostsof
48suchlitigation,includingreasonableattorney'sfees.
49 9.(1)UponrequestbyaMemberState,theCommissionshallattempttoresolve
50disputesrelatedtotheCompactthatariseamongMemberStatesandbetweenMember
51andnon-MemberStates.
52 (2)TheCommissionshallpromulgateaRuleprovidingforbothmediationand
53bindingdisputeresolutionfordisputesasappropriate.
54 10.(1)BymajorityvoteasprovidedbyRule,theCommissionmayinitiatelegal
55actionagainstaMemberStateindefaultintheUnitedStatesDistrictCourtforthe
HCSSSSCSSB157 121 56DistrictofColumbiaorthefederaldistrictwheretheCommissionhasitsprincipal
57officestoenforcecompliancewiththeprovisionsoftheCompactanditspromulgated
58Rules.Thereliefsoughtmayincludebothinjunctivereliefanddamages.Intheevent
59judicialenforcementisnecessary,theprevailingpartyshallbeawardedallcostsofsuch
60litigation,includingreasonableattorney'sfees.Theremedieshereinshallnotbethe
61exclusiveremediesoftheCommission.TheCommissionmaypursueanyother
62remediesavailableunderfederalorthedefaultingMemberState'slaw.
63 (2)AMemberStatemayinitiatelegalactionagainsttheCommissionintheU.S.
64DistrictCourtfortheDistrictofColumbiaorthefederaldistrictwheretheCommission
65hasitsprincipalofficestoenforcecompliancewiththeprovisionsoftheCompactandits
66promulgatedRules.Thereliefsoughtmayincludebothinjunctivereliefanddamages.
67Intheeventjudicialenforcementisnecessary,theprevailingpartyshallbeawardedall
68costsofsuchlitigation,includingreasonableattorney'sfees.
69 (3)NopersonotherthanaMemberStateshallenforcethiscompactagainstthe
70Commission.
337.1065.1.TheCompactshallcomeintoeffectonthedateonwhichthe
2CompactstatuteisenactedintolawintheseventhMemberState.
3 (1)OnoraftertheeffectivedateoftheCompact,theCommissionshallconvene
4andreviewtheenactmentofeachofthefirstsevenMemberStates("CharterMember
5States")todetermineifthestatuteenactedbyeachsuchCharterMemberStateis
6materiallydifferentthanthemodelCompactstatute.
7 (a)ACharterMemberStatewhoseenactmentisfoundtobemateriallydifferent
8fromthemodelCompactstatuteshallbeentitledtothedefaultprocesssetforthin
9section337.1060.
10 (b)IfanyMemberStateislaterfoundtobeindefault,oristerminatedor
11withdrawsfromtheCompact,theCommissionshallremaininexistenceandthe
12CompactshallremainineffectevenifthenumberofMemberStatesshouldbelessthan
13seven.
14 (2)MemberStatesenactingtheCompactsubsequenttotheseveninitialCharter
15MemberStatesshallbesubjecttotheprocesssetforthinsubdivision(21)ofsubsection
163ofsection337.1045todetermineiftheirenactmentsaremateriallydifferentfromthe
17modelCompactstatuteandwhethertheyqualifyforparticipationintheCompact.
18 (3)AllactionstakenforthebenefitoftheCommissionorinfurtheranceofthe
19purposesoftheadministrationoftheCompactpriortotheeffectivedateoftheCompact
20ortheCommissioncomingintoexistenceshallbeconsideredtobeactionsofthe
21CommissionunlessspecificallyrepudiatedbytheCommission.
HCSSSSCSSB157 122 22 (4)AnyStatethatjoinstheCompactsubsequenttotheCommission'sinitial
23adoptionoftheRulesandbylawsshallbesubjecttotheRulesandbylawsastheyexist
24onthedateonwhichtheCompactbecomeslawinthatState.AnyRulethathasbeen
25previouslyadoptedbytheCommissionshallhavethefullforceandeffectoflawonthe
26daytheCompactbecomeslawinthatState.
27 2.AnyMemberStatemaywithdrawfromthisCompactbyenactingastatute
28repealingthesame.
29 (1)AMemberState'swithdrawalshallnottakeeffectuntil180daysafter
30enactmentoftherepealingstatute.
31 (2)Withdrawalshallnotaffectthecontinuingrequirementofthewithdrawing
32State'sLicensingAuthoritytocomplywiththeinvestigativeandAdverseAction
33reportingrequirementsofthisCompactpriortotheeffectivedateofwithdrawal.
34 (3)Upontheenactmentofastatutewithdrawingfromthiscompact,aStateshall
35immediatelyprovidenoticeofsuchwithdrawaltoallLicenseeswithinthatState.
36Notwithstandinganysubsequentstatutoryenactmenttothecontrary,suchwithdrawing
37Stateshallcontinuetorecognizealllicensesgrantedpursuanttothiscompactfora
38minimumof180daysafterthedateofsuchnoticeofwithdrawal.
39 3.NothingcontainedinthisCompactshallbeconstruedtoinvalidateorprevent
40anylicensureagreementorothercooperativearrangementbetweenaMemberState
41andanon-MemberStatethatdoesnotconflictwiththeprovisionsofthisCompact.
42 4.ThisCompactmaybeamendedbytheMemberStates.Noamendmenttothis
43CompactshallbecomeeffectiveandbindinguponanyMemberStateuntilitisenacted
44intothelawsofallMemberStates.
337.1070.1.ThisCompactandtheCommission'srulemakingauthorityshallbe
2liberallyconstruedsoastoeffectuatethepurposes,andtheimplementationand
3administrationoftheCompact.ProvisionsoftheCompactexpresslyauthorizingor
4requiringthepromulgationofRulesshallnotbeconstruedtolimittheCommission's
5rulemakingauthoritysolelyforthosepurposes.
6 2.TheprovisionsofthisCompactshallbeseverableandifanyphrase,clause,
7sentenceorprovisionofthisCompactisheldbyacourtofcompetentjurisdictiontobe
8contrarytotheconstitutionofanyMemberState,aStateseekingparticipationinthe
9Compact,oroftheUnitedStates,ortheapplicabilitythereoftoanygovernment,
10agency,personorcircumstanceisheldtobeunconstitutionalbyacourtofcompetent
11jurisdiction,thevalidityoftheremainderofthisCompactandtheapplicabilitythereof
12toanyothergovernment,agency,personorcircumstanceshallnotbeaffectedthereby.
13 3.Notwithstandingsubsection2ofthissection,theCommissionmaydenya
14State'sparticipationintheCompactor,inaccordancewiththerequirementsof
HCSSSSCSSB157 123 15subsection2ofsection337.1060,terminateaMemberState'sparticipationinthe
16Compact,ifitdeterminesthataconstitutionalrequirementofaMemberStateisa
17materialdeparturefromtheCompact.Otherwise,ifthisCompactshallbeheldtobe
18contrarytotheconstitutionofanyMemberState,theCompactshallremaininfullforce
19andeffectastotheremainingMemberStatesandinfullforceandeffectastothe
20MemberStateaffectedastoallseverablematters.
337.1075.1.ALicenseeprovidingservicesinaRemoteStateunderaMultistate
2AuthorizationtoPracticeshalladheretothelawsandregulations,includinglaws,
3regulations,andapplicablestandards,oftheRemoteStatewheretheclientislocatedat
4thetimecareisrendered.
5 2.Nothinghereinshallpreventorinhibittheenforcementofanyotherlawofa
6MemberStatethatisnotinconsistentwiththeCompact.
7 3.Anylaws,statutes,regulations,orotherlegalrequirementsinaMemberState
8inconflictwiththeCompactaresupersededtotheextentoftheconflict.
9 4.AllpermissibleagreementsbetweentheCommissionandtheMemberStates
10arebindinginaccordancewiththeirterms.
[191.500.Asusedinsections191.500to191.550,unlessthecontext
2 clearlyindicatesotherwise,thefollowingtermsmean:
3 (1)"Areaofdefinedneed",acommunityorsectionofanurbanareaof
4 thisstatewhichiscertifiedbythedepartmentofhealthandseniorservicesas
5 beinginneedoftheservicesofaphysiciantoimprovethepatient-doctorratio
6 inthearea,tocontributeprofessionalphysicianservicestoanareaof
7 economicimpact,ortocontributeprofessionalphysicianservicestoanarea
8 sufferingfromtheeffectsofanaturaldisaster;
9 (2)"Department",thedepartmentofhealthandseniorservices;
10 (3)"Eligiblestudent",afull-timestudentacceptedandenrolledina
11 formalcourseofinstructionleadingtoadegreeofdoctorofmedicineor
12 doctorofosteopathy,includingpsychiatry,ataparticipatingschool,ora
13 doctorofdentalsurgery,doctorofdentalmedicine,orabachelorofscience
14 degreeindentalhygiene;
15 (4)"Financialassistance",anamountofmoneypaidbythestateof
16 Missouritoaqualifiedapplicantpursuanttosections191.500to191.550;
17 (5)"Participatingschool",aninstitutionofhigherlearningwithinthis
18 statewhichgrantsthedegreesofdoctorofmedicineordoctorofosteopathy,
19 andwhichisaccreditedintheappropriatedegreeprogrambytheAmerican
20 MedicalAssociationortheAmericanOsteopathicAssociation,oradegree
21 programbytheAmericanDentalAssociationortheAmericanPsychiatric
22 Association,andapplicableresidencyprogramsforeachdegreetypeand
23 discipline;
24 (6)"Primarycare",generalorfamilypractice,internalmedicine,
25 pediatric,psychiatric,obstetricandgynecologicalcareasprovidedtothe
26 generalpublicbyphysicianslicensedandregisteredpursuanttochapter334,
HCSSSSCSSB157 124 27 dentalpractice,oradentalhygienistlicensedandregisteredpursuantto
28 chapter332;
29 (7)"Resident",anynaturalpersonwhohaslivedinthisstateforoneor
30 moreyearsforanypurposeotherthantheattendingofaneducational
31 institutionlocatedwithinthisstate;
32 (8)"Ruralarea",atownorcommunitywithinthisstatewhichisnot
33 withinastandardmetropolitanstatisticalarea,andhasapopulationofsix
34 thousandorfewerinhabitantsasdeterminedbythelastprecedingfederal
35 decennialcensusoranyunincorporatedareanotwithinastandard
36 metropolitanstatisticalarea.]
[191.505.Thedepartmentofhealthandseniorservicesshallbethe
2 administrativeagencyfortheimplementationoftheprogramestablishedby
3 sections191.500to191.550.Thedepartmentshallpromulgatereasonable
4 rulesandregulationsfortheexerciseofitsfunctionsintheeffectuationofthe
5 purposesofsections191.500to191.550.Itshallprescribetheformandthe
6 timeandmethodoffilingapplicationsandsupervisetheprocessingthereof.]
[191.510.Thedepartmentshallenterintoacontractwitheach
2 applicantreceivingastateloanundersections191.500to191.550for
3 repaymentoftheprincipalandinterestandforforgivenessofaportionthereof
4 forparticipationintheserviceareasasprovidedinsections191.500to
5 191.550.]
[191.515.Aneligiblestudentmayapplytothedepartmentforaloan
2 undersections191.500to191.550onlyif,atthetimeofhisapplicationand
3 throughouttheperiodduringwhichhereceivestheloan,hehasbeenformally
4 acceptedasastudentinaparticipatingschoolinacourseofstudyleadingto
5 thedegreeofdoctorofmedicineordoctorofosteopathy,includingpsychiatry,
6 oradoctorofdentalsurgery,adoctorofdentalmedicine,orabachelorof
7 sciencedegreeindentalhygiene,andisaresidentofthisstate.]
[191.520.Noloantoanyeligiblestudentshallexceedtwenty-five
2 thousanddollarsforeachacademicyear,whichshallrunfromAugustfirstof
3 anyyearthroughJulythirty-firstofthefollowingyear.Allloansshallbe
4 madefromfundsappropriatedtothemedicalschoolloanandloanrepayment
5 programfundcreatedbysection191.600,bythegeneralassembly.]
[191.525.Nomorethantwenty-fiveloansshallbemadetoeligible
2 studentsduringthefirstacademicyearthisprogramisineffect.Twenty-five
3 newloansmaybemadeforthenextthreeacademicyearsuntilatotalofone
4 hundredloansareavailable.Atleastone-halfoftheloansshallbemadeto
5 studentsfromruralareasasdefinedinsection191.500.Aneligiblestudent
6 mayreceiveloansforeachacademicyearheispursuingacourseofstudy
7 directlyleadingtoadegreeofdoctorofmedicineordoctorofosteopathy,
8 doctorofdentalsurgery,ordoctorofdentalmedicine,orabachelorofscience
9 degreeindentalhygiene.]
HCSSSSCSSB157 125 [191.530.Interestattherateofnineandone-halfpercentperyearshall
2 bechargedonallloansmadeundersections191.500to191.550butone-fourth
3 oftheinterestandprincipalofthetotalloanatthetimeoftheawardingofthe
4 degreeshallbeforgivenforeachyearofparticipationbyanapplicantinthe
5 practiceofhisprofessioninaruralareaoranareaofdefinedneed.The
6 departmentshallgrantadeferralofinterestandprincipalpaymentstoaloan
7 recipientwhoispursuinganinternshiporaresidencyinprimarycare.The
8 deferralshallnotexceedthreeyears.Thestatusofeachloanrecipient
9 receivingadeferralshallbereviewedannuallybythedepartmenttoensure
10 compliancewiththeintentofthisprovision.Theloanrecipientwillrepaythe
11 loanbeginningwiththecalendaryearfollowingcompletionofhisinternship
12 orhisprimarycareresidencyinaccordancewiththeloancontract.]
[191.535.Ifastudentceaseshisstudypriortoreceivingadegree,
2 interestattheratespecifiedinsection191.530shallbechargedontheamount
3 receivedfromthestateundertheprovisionsofsections191.500to191.550.]
[191.540.1.Thedepartmentshallestablishschedulesandprocedures
2 forrepaymentoftheprincipalandinterestofanyloanmadeunderthe
3 provisionsofsections191.500to191.550andnotforgivenasprovidedin
4 section191.530.
5 2.Apenaltyshallbeleviedagainstapersoninbreachofcontract.
6 Suchpenaltyshallbetwicethesumoftheprincipalandtheaccruedinterest.]
[191.545.Whennecessarytoprotecttheinterestofthestateinany
2 loantransactionundersections191.500to191.550,theboardmayinstitute
3 anyactiontorecoveranyamountdue.]
[191.550.Thecontractsmadewiththeparticipatingstudentsshallbe
2 approvedbytheattorneygeneral.]
[335.212.Asusedinsections335.212to335.242,thefollowingterms
2 mean:
3 (1)"Board",theMissouristateboardofnursing;
4 (2)"Department",theMissouridepartmentofhealthandsenior
5 services;
6 (3)"Director",directoroftheMissouridepartmentofhealthand
7 seniorservices;
8 (4)"Eligiblestudent",aresidentwhohasbeenacceptedasafull-time
9 studentinaformalcourseofinstructionleadingtoanassociatedegree,a
10 diploma,abachelorofscience,amasterofscienceinnursing(M.S.N.),a
11 doctorateinnursing(Ph.D.orD.N.P.),orastudentwithamasterofsciencein
12 nursingseekingadoctorateineducation(Ed.D.),orleadingtothecompletion
13 ofeducationalrequirementsforalicensedpracticalnurse.Thedoctoral
14 applicantmaybeapart-timestudent;
15 (5)"Participatingschool",aninstitutionwithinthisstatewhichis
16 approvedbytheboardforparticipationintheprofessionalandpractical
17 nursingstudentloanprogramestablishedbysections335.212to335.242,
HCSSSSCSSB157 126 18 havinganursingdepartmentandofferingacourseofinstructionbasedon
19 nursingtheoryandclinicalnursingexperience;
20 (6)"Qualifiedapplicant",aneligiblestudentapprovedbytheboardfor
21 participationintheprofessionalandpracticalnursingstudentloanprogram
22 establishedbysections335.212to335.242;
23 (7)"Qualifiedemployment",employmentonafull-timebasisin
24 Missouriinapositionrequiringlicensureasalicensedpracticalnurseor
25 registeredprofessionalnurseinanyhospitalasdefinedinsection197.020orin
26 anyagency,institution,ororganizationlocatedinanareaofneedas
27 determinedbythedepartmentofhealthandseniorservices.Anyforgiveness
28 ofsuchprincipalandinterestforanyqualifiedapplicantengagedinqualified
29 employmentonalessthanfull-timebasismaybeproratedtoreflectthe
30 amountsprovidedinthissection;
31 (8)"Resident",anypersonwhohaslivedinthisstateforoneormore
32 yearsforanypurposeotherthantheattendingofaneducationalinstitution
33 locatedwithinthisstate.]
[335.215.1.Thedepartmentofhealthandseniorservicesshallbethe
2 administrativeagencyfortheimplementationoftheprofessionalandpractical
3 nursingstudentloanprogramestablishedundersections335.212to335.242,
4 andthenursingstudentloanrepaymentprogramestablishedundersections
5 335.245to335.259.
6 2.Anadvisorypanelofnursesshallbeappointedbythedirector.It
7 shallbecomposedofnotmorethanelevenmembersrepresentingpractical,
8 associatedegree,diploma,baccalaureateandgraduatenursingeducation,
9 communityhealth,primarycare,hospital,long-termcare,aconsumer,andthe
10 Missouristateboardofnursing.Thepanelshallmakerecommendationstothe
11 directoronthecontentofanyrules,regulationsorguidelinespriortotheir
12 promulgation.Thepanelmaymakerecommendationstothedirector
13 regardingfundallocationsforloansandloanrepaymentbasedoncurrent
14 nursingshortageneeds.
15 3.Thedepartmentofhealthandseniorservicesshallpromulgate
16 reasonablerulesandregulationsfortheexerciseofitsfunctionpursuantto
17 sections335.212to335.259.Itshallprescribetheform,thetimeandmethod
18 offilingapplicationsandsupervisetheproceedingsthereof.Noruleorportion
19 ofarulepromulgatedundertheauthorityofsections335.212to335.257shall
20 becomeeffectiveunlessithasbeenpromulgatedpursuanttotheprovisionsof
21 section536.024.
22 4.Ninety-fivepercentoffundsloanedpursuanttosections335.212to
23 335.242shallbeloanedtoqualifiedapplicantswhoareenrolledin
24 professionalnursingprogramsinparticipatingschoolsandfivepercentof
25 thefundsloanedpursuanttosections335.212to335.242shallbeloanedto
26 qualifiedapplicantswhoareenrolledinpracticalnursingprograms.Priority
27 shallbegiventoeligiblestudentswhohaveestablishedfinancialneed.All
28 loanrepaymentfundspursuanttosections335.245to335.259shallbeusedto
29 reimbursesuccessfulassociate,diploma,baccalaureateorgraduate
30 professionalnurseapplicants'educationalloanswhoagreetoserveinareas
31 ofdefinedneedasdeterminedbythedepartment.]
HCSSSSCSSB157 127 [335.218.Thereisherebyestablishedthe"ProfessionalandPractical
2 NursingStudentLoanandNurseLoanRepaymentFund".Allfeespursuantto
3 section335.221,generalrevenueappropriationstothestudentloanorloan
4 repaymentprogram,voluntarycontributionstosupportormatchthestudent
5 loanandloanrepaymentprogramactivities,fundscollectedfromrepayment
6 andpenalties,andfundsreceivedfromthefederalgovernmentshallbe
7 depositedinthestatetreasuryandbeplacedtothecreditoftheprofessional
8 andpracticalnursingstudentloanandnurseloanrepaymentfund.Thefund
9 shallbemanagedbythedepartmentofhealthandseniorservicesandall
10 administrativecostsandexpensesincurredasaresultoftheeffectuationof
11 sections335.212to335.259shallbepaidfromthisfund.]
[335.221.Theboard,inadditiontoanyotherdutiesitmayhave
2 regardinglicensureofnurses,shallcollect,atthetimeoflicensureorlicensure
3 renewal,aneducationsurchargefromeachpersonlicensedorrelicensed
4 pursuanttosections335.011to335.096,intheamountofonedollarperyear
5 forpracticalnursesandfivedollarsperyearforprofessionalnurses.These
6 fundsshallbedepositedintheprofessionalandpracticalnursingstudentloan
7 andnurseloanrepaymentfund.Allexpendituresauthorizedbysections
8 335.212to335.259shallbepaidfromfundsappropriatedbythegeneral
9 assemblyfromtheprofessionalandpracticalnursingstudentloanandnurse
10 loanrepaymentfund.Theprovisionsofsection33.080tothecontrary
11 notwithstanding,moneyinthisfundshallnotbetransferredandplacedtothe
12 creditofgeneralrevenue.]
[335.224.Thedepartmentofhealthandseniorservicesshallenterinto
2 acontractwitheachqualifiedapplicantreceivingfinancialassistanceunder
3 theprovisionsofsections335.212to335.242forrepaymentoftheprincipal
4 andinterest.]
[335.227.Aneligiblestudentmayapplytothedepartmentfor
2 financialassistanceundertheprovisionsofsections335.212to335.242if,at
3 thetimeofhisapplicationforaloan,theeligiblestudenthasformallyapplied
4 foracceptanceataparticipatingschool.Receiptoffinancialassistanceis
5 contingentuponacceptanceandcontinuedenrollmentataparticipating
6 school.]
[335.230.Financialassistancetoanyqualifiedapplicantshallnot
2 exceedtenthousanddollarsforeachacademicyearforaprofessionalnursing
3 programandshallnotexceedfivethousanddollarsforeachacademicyearfor
4 apracticalnursingprogram.Allfinancialassistanceshallbemadefromfunds
5 creditedtotheprofessionalandpracticalnursingstudentloanandnurseloan
6 repaymentfund.Aqualifiedapplicantmayreceivefinancialassistancefor
7 eachacademicyearheremainsastudentingoodstandingataparticipating
8 school.]
HCSSSSCSSB157 128 [335.233.Thedepartmentshallestablishschedulesforrepaymentof
2 theprincipalandinterestonanyfinancialassistancemadeunderthe
3 provisionsofsections335.212to335.242.Interestattherateofnineand
4 one-halfpercentperannumshallbechargedonallfinancialassistancemade
5 undertheprovisionsofsections335.212to335.242,buttheinterestand
6 principalofthetotalfinancialassistancegrantedtoaqualifiedapplicantatthe
7 timeofthesuccessfulcompletionofanursingdegree,diplomaprogramora
8 practicalnursingprogramshallbeforgiventhroughqualifiedemployment.]
[335.236.Thefinancialassistancerecipientshallrepaythefinancial
2 assistanceprincipalandinterestbeginningnotmorethansixmonthsafter
3 completionofthedegreeforwhichthefinancialassistancewasmadein
4 accordancewiththerepaymentcontract.Ifaneligiblestudentceaseshisstudy
5 priortosuccessfulcompletionofadegreeorgraduationataparticipating
6 school,interestattheratespecifiedinsection335.233shallbechargedonthe
7 amountoffinancialassistancereceivedfromthestateundertheprovisionsof
8 sections335.212to335.242,andrepayment,inaccordancewiththerepayment
9 contract,shallbeginwithinninetydaysofthedatethefinancialaidrecipient
10 ceasedtobeaneligiblestudent.Allfundsrepaidbyrecipientsoffinancial
11 assistancetothedepartmentshallbedepositedintheprofessionalandpractical
12 nursingstudentloanandnurseloanrepaymentfundforusepursuantto
13 sections335.212to335.259.]
[335.239.Thedepartmentshallgrantadeferralofinterestand
2 principalpaymentstoafinancialassistancerecipientwhoispursuingan
3 advanceddegree,specialnursingprogram,oruponspecialconditions
4 establishedbythedepartment.Thedeferralshallnotexceedfouryears.
5 Thestatusofeachdeferralshallbereviewedannuallybythedepartmentof
6 healthandseniorservicestoensurecompliancewiththeintentofthissection.]
[335.242.Whennecessarytoprotecttheinterestofthestateinany
2 financialassistancetransactionundersections335.212to335.259,the
3 departmentofhealthandseniorservicesmayinstituteanyactiontorecover
4 anyamountdue.]
[335.245.Asusedinsections335.245to335.259,thefollowingterms
2 mean:
3 (1)"Department",theMissouridepartmentofhealthandsenior
4 services;
5 (2)"Eligibleapplicant",aMissourilicensednursewhohasattained
6 eitheranassociatedegree,adiploma,abachelorofscience,orgraduatedegree
7 innursingfromanaccreditedinstitutionapprovedbytheboardofnursingora
8 studentnurseinthefinalyearofafull-timebaccalaureateschoolofnursing
9 leadingtoabaccalaureatedegreeorgraduatenursingprogramleadingtoa
10 master'sdegreeinnursingandhasagreedtoserveinanareaofdefinedneedas
11 establishedbythedepartment;
12 (3)"Participatingschool",aninstitutionwithinthisstatewhichgrants
13 anassociatedegreeinnursing,grantsabachelorormasterofsciencedegreein
HCSSSSCSSB157 129 14 nursingorprovidesadiplomanursingprogramwhichisaccreditedbythestate
15 boardofnursing,oraregionallyaccreditedinstitutioninthisstatewhich
16 providesabachelorofsciencecompletionprogramforregisteredprofessional
17 nurses;
18 (4)"Qualifiedemployment",employmentonafull-timebasisin
19 Missouriinapositionrequiringlicensureasalicensedpracticalnurseor
20 registeredprofessionalnurseinanyhospitalasdefinedinsection197.020or
21 publicornonprofitagency,institution,ororganizationlocatedinanareaof
22 needasdeterminedbythedepartmentofhealthandseniorservices.Any
23 forgivenessofsuchprincipalandinterestforanyqualifiedapplicantengaged
24 inqualifiedemploymentonalessthanfull-timebasismaybeproratedto
25 reflecttheamountsprovidedinthissection.]
[335.248.Sections335.245to335.259shallbeknownasthe"Nursing
2 StudentLoanRepaymentProgram".Thedepartmentofhealthandsenior
3 servicesshallbetheadministrativeagencyfortheimplementationofthe
4 authorityestablishedbysections335.245to335.259.Thedepartmentshall
5 promulgatereasonablerulesandregulationsnecessarytoimplementsections
6 335.245to335.259.Promulgatedrulesshallinclude,butnotbelimitedto,
7 applicanteligibility,selectioncriteria,prioritizationofserviceobligationsites
8 andthecontentofloanrepaymentcontracts,includingrepaymentschedules
9 forthoseindefaultandpenalties.Thedepartmentshallpromulgaterules
10 regardingrecruitmentopportunitiesforminoritystudentsintonursingschools.
11 Priorityforstudentloanrepaymentshallbegiventoeligibleapplicantswho
12 havedemonstratedfinancialneed.Allfundscollectedbythedepartmentfrom
13 participantsnotmeetingtheircontractualobligationstothestateshallbe
14 depositedintheprofessionalandpracticalnursingstudentloanandnurseloan
15 repaymentfundforusepursuanttosections335.212to335.259.]
[335.251.Uponproperverificationtothedepartmentbytheeligible
2 applicantofsecuringqualifiedemploymentinthisstate,thedepartmentshall
3 enterintoaloanrepaymentcontractwiththeeligibleapplicanttorepaythe
4 interestandprincipalontheeducationalloansoftheapplicanttothelimitof
5 thecontract,whichcontractshallprovideforinstancesoflessthanfull-time
6 qualifiedemploymentconsistentwiththeprovisionsofsection335.233,outof
7 anyappropriationmadetotheprofessionalandpracticalnursingstudentloan
8 andnurseloanrepaymentfund.Iftheapplicantbreachesthecontractby
9 failingtobeginorcompletethequalifiedemployment,thedepartmentis
10 entitledtorecoverthetotaloftheloanrepaymentpaidbythedepartmentplus
11 interestontherepaidamountattherateofnineandone-halfpercentper
12 annum.]
[335.254.Sections335.212to335.259shallnotbeconstruedto
2 requirethedepartmenttoenterintocontractswithindividualswhoqualifyfor
3 nursingeducationloansornursingloanrepaymentprogramswhenfederal,
4 stateandlocalfundsarenotavailableforsuchpurposes.]
HCSSSSCSSB157 130 [335.257.Successfulapplicantsforwhomloanpaymentsaremade
2 undertheprovisionsofsections335.245to335.259shallverifytothe
3 departmenttwiceeachyearinthemannerprescribedbythedepartmentthat
4 qualifiedemploymentinthisstateisbeingmaintained.]
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HCSSSSCSSB157 131