FIRSTREGULARSESSION HOUSEBILLNO.1388 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEKEATHLEY. 1861H.01I JOSEPHENGLER,ChiefClerk ANACT Torepealsection334.742,RSMo,andtoenactinlieuthereoffourteennewsectionsrelating tophysicianassistants. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Section334.742,RSMo,isrepealedandfourteennewsectionsenactedin 2lieuthereof,tobeknownassections334.742,334.1800,334.1805,334.1810,334.1815, 3334.1820,334.1825,334.1830,334.1835,334.1840,334.1845,334.1850,334.1855,and 4334.1860,toreadasfollows: 334.742.[AnynonresidentofMissouriwhoentersthestateandintendstoprovidea 2serviceorpracticeforwhichalicenseisrequiredpursuanttosections334.735to334.749 3mayapplyforalicense,providedthattheapplicantmeetstherequirementsimposedbythe 4certifyingentity.]1.Forpurposesofthissection,thefollowingtermsmean: 5 (1)"License",alicense,certificate,registration,permit,accreditation,or 6militaryoccupationalspecialtythatenablesapersontolegallypracticeanoccupationor 7professioninaparticularjurisdiction; 8 (2)"Military",theArmedForcesoftheUnitedStates,includingtheAirForce, 9Army,CoastGuard,MarineCorps,Navy,SpaceForce,NationalGuard,andanyother 10militarybranchthatisdesignatedbyCongressaspartoftheArmedForcesofthe 11UnitedStates,andallreservecomponentsandauxiliaries.Theterm"military"also 12includesthemilitaryreservesandmilitiaofanyUnitedStatesterritoryorstate; 13 (3)"Nonresidentmilitaryspouse",anonresidentspouseofanactiveduty 14memberoftheArmedForcesoftheUnitedStateswhohasbeentransferredoris 15scheduledtobetransferredtothestateofMissouri,orwhohasbeentransferredoris EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16scheduledtobetransferredtoanadjacentstateandisorwillbedomiciledinthestateof 17Missouri,orhasmovedtothestateofMissourionapermanentchange-of-stationbasis; 18 (4)"Oversightbody",anyboard,department,agency,orofficeofajurisdiction 19thatissueslicenses; 20 (5)"Residentmilitaryspouse",aspouseofanactivedutymemberoftheArmed 21ForcesoftheUnitedStateswhohasbeentransferredorisscheduledtobetransferredto 22thestateofMissourioranadjacentstateandwhoisapermanentresidentofthestateof 23Missouri,whoisdomiciledinthestateofMissouri,orwhohasMissouriashisorher 24homeofrecord. 25 2.Anypersonwhoholdsavalidcurrentphysicianassistantlicenseissuedby 26anotherstate,abranchorunitofthemilitary,aterritoryoftheUnitedStates,orthe 27DistrictofColumbia,andwhohasbeenlicensedforatleastoneyearinsuchother 28jurisdiction,maysubmittotheboardanapplicationforaphysicianassistantlicensein 29Missourialongwithproofofcurrentlicensureandproofoflicensureforatleastone 30yearintheotherjurisdiction. 31 3.Theboardshall: 32 (1)Withinsixmonthsofreceivinganapplicationdescribedinsubsection2of 33thissection,waiveanyexamination,educational,orexperiencerequirementsfor 34licensureinthisstatefortheapplicantifitdeterminesthattherewereminimum 35educationrequirementsand,ifapplicable,workexperienceandclinicalsupervision 36requirementsineffectandtheotherjurisdictionverifiesthatthepersonmetthose 37requirementsinordertobelicensedorcertifiedinthatjurisdiction.Theboardmay 38requireanapplicanttotakeandpassanexaminationspecifictothelawsofthisstate;or 39 (2)Withinthirtydaysofreceivinganapplicationdescribedinsubsection2of 40thissectionfromanonresidentmilitaryspouseoraresidentmilitaryspouse,waiveany 41examination,educational,orexperiencerequirementsforlicensureinthisstateforthe 42applicantandissuesuchapplicantalicenseunderthissectionifsuchapplicant 43otherwisemeetstherequirementsofthissection. 44 4.(1)Theboardshallnotwaiveanyexamination,educational,orexperience 45requirementsforanyapplicantwhohashadhisorherlicenserevokedbyanoversight 46bodyoutsidethestate;whoiscurrentlyunderinvestigation,whohasacomplaint 47pending,orwhoiscurrentlyunderdisciplinaryaction,exceptasprovidedinsubdivision 48(2)ofthissubsection,withanoversightbodyoutsidethestate;whodoesnotholda 49licenseingoodstandingwithanoversightbodyoutsidethestate;whohasacriminal 50recordthatwoulddisqualifyhimorherforlicensureinMissouri;orwhodoesnothold 51avalidcurrentlicenseintheotherjurisdictiononthedatetheboardreceiveshisorher 52applicationunderthissection. HB1388 2 53 (2)Ifanotherjurisdictionhastakendisciplinaryactionagainstanapplicant,the 54boardshalldetermineifthecausefortheactionwascorrectedandthematterresolved. 55Ifthematterhasnotbeenresolvedbythatjurisdiction,theboardmaydenyalicense 56untilthematterisresolved. 57 5.Nothinginthissectionshallprohibittheboardfromdenyingalicensetoan 58applicantunderthissectionforanyreasondescribedinsection334.100. 59 6.Anypersonwhoislicensedundertheprovisionsofthissectionshallbesubject 60totheboard'sjurisdictionandallrulesandregulationspertainingtothepracticeasa 61physicianassistantinthisstate. 62 7.Thissectionshallnotbeconstruedtowaiveanyrequirementforanapplicant 63topayanyfees. 334.1800.1.Sections334.1800to334.1860shallbeknownandmaybecitedas 2the"PhysicianAssistantLicensureCompact". 3 2.InordertostrengthenaccesstoMedicalServices,andinrecognitionofthe 4advancesinthedeliveryofMedicalServices,theParticipatingStatesofthePA 5LicensureCompacthavealliedincommonpurposetodevelopacomprehensiveprocess 6thatcomplementstheexistingauthorityofStateLicensingBoardstolicenseand 7disciplinePAsandseekstoenhancetheportabilityofaLicensetopracticeasaPAwhile 8safeguardingthesafetyofpatients.ThisCompactallowsMedicalServicestobe 9providedbyPAs,viathemutualrecognitionoftheLicensee'sQualifyingLicenseby 10otherCompactParticipatingStates.ThisCompactalsoadoptstheprevailingstandard 11forPAlicensureandaffirmsthatthepracticeanddeliveryofMedicalServicesbythe 12PAoccurswherethepatientislocatedatthetimeofthepatientencounter,andtherefore 13requiresthePAtobeunderthejurisdictionoftheStateLicensingBoardwherethe 14patientislocated.StateLicensingBoardsthatparticipateinthisCompactretainthe 15jurisdictiontoimposeAdverseActionagainstaCompactPrivilegeinthatStateissued 16toaPAthroughtheproceduresofthisCompact.ThePALicensureCompactwill 17alleviateburdensformilitaryfamiliesbyallowingactivedutymilitarypersonneland 18theirspousestoobtainaCompactPrivilegebasedonhavinganunrestrictedLicensein 19goodstandingfromaParticipatingState. 334.1805.InthisCompact: 2 (1)"AdverseAction"meansanyadministrative,civil,equitable,orcriminal 3actionpermittedbyaState'slawswhichisimposedbyaLicensingBoardorother 4authorityagainstaPALicenseorLicenseapplicationorCompactPrivilegesuchas 5Licensedenial,censure,revocation,suspension,probation,monitoringoftheLicensee, 6orrestrictionontheLicensee'spractice. HB1388 3 7 (2)"CompactPrivilege"meanstheauthorizationgrantedbyaRemoteStateto 8allowaLicenseefromanotherParticipatingStatetopracticeasaPAtoprovideMedical 9ServicesandotherlicensedactivitytoapatientlocatedintheRemoteStateunderthe 10RemoteState'slawsandregulations. 11 (3)"Conviction"meansafindingbyacourtthatanindividualisguiltyofa 12felonyormisdemeanoroffensethroughadjudicationorentryofapleaofguiltorno 13contesttothechargebytheoffender. 14 (4)"CriminalBackgroundCheck"meansthesubmissionoffingerprintsor 15otherbiometric-basedinformationforaLicenseapplicantforthepurposeofobtaining 16thatapplicant'scriminalhistoryrecordinformation,asdefinedin28C.F.R.§20.3(d), 17fromtheState'scriminalhistoryrecordrepositoryasdefinedin28C.F.R.§20.3(f). 18 (5)"DataSystem"meanstherepositoryofinformationaboutLicensees, 19includingbutnotlimitedtoLicensestatusandAdverseActions,whichiscreatedand 20administeredunderthetermsofthisCompact. 21 (6)"ExecutiveCommittee"meansagroupofdirectorsandex-officioindividuals 22electedorappointedpursuanttosubdivision(2)ofsubsection6ofsection334.1830. 23 (7)"ImpairedPractitioner"meansaPAwhosepracticeisadverselyaffectedby 24health-relatedcondition(s)thatimpacttheirabilitytopractice. 25 (8)"InvestigativeInformation"meansinformation,records,ordocuments 26receivedorgeneratedbyaLicensingBoardpursuanttoaninvestigation. 27 (9)"JurisprudenceRequirement"meanstheassessmentofanindividual's 28knowledgeofthelawsandRulesgoverningthepracticeofaPAinaState. 29 (10)"License"meanscurrentauthorizationbyaState,otherthanauthorization 30pursuanttoaCompactPrivilege,foraPAtoprovideMedicalServices,whichwouldbe 31unlawfulwithoutcurrentauthorization. 32 (11)"Licensee"meansanindividualwhoholdsaLicensefromaStatetoprovide 33MedicalServicesasaPA. 34 (12)"LicensingBoard"meansanyStateentityauthorizedtolicenseand 35otherwiseregulatePAs. 36 (13)"MedicalServices"meanshealthcareservicesprovidedforthediagnosis, 37prevention,treatment,cureorreliefofahealthcondition,injury,ordisease,asdefined 38byaState'slawsandregulations. 39 (14)"ModelCompact"meansthemodelforthePALicensureCompactonfile 40withTheCouncilofStateGovernmentsorotherentityasdesignatedbythe 41Commission. 42 (15)"ParticipatingState"meansaStatethathasenactedthisCompact. HB1388 4 43 (16)"PA"meansanindividualwhoislicensedasaphysicianassistantinaState. 44ForpurposesofthisCompact,anyothertitleorstatusadoptedbyaStatetoreplacethe 45term"physicianassistant"shallbedeemedsynonymouswith"physicianassistant"and 46shallconferthesamerightsandresponsibilitiestotheLicenseeundertheprovisionsof 47thisCompactatthetimeofitsenactment. 48 (17)"PALicensureCompactCommission,""CompactCommission,"or 49"Commission"meanthenationaladministrativebodycreatedpursuanttosubsection 501ofsection334.1830ofthisCompact. 51 (18)"QualifyingLicense"meansanunrestrictedLicenseissuedbya 52ParticipatingStatetoprovideMedicalServicesasaPA. 53 (19)"RemoteState"meansaParticipatingStatewhereaLicenseewhoisnot 54licensedasaPAisexercisingorseekingtoexercisetheCompactPrivilege. 55 (20)"Rule"meansaregulationpromulgatedbyanentitythathastheforceand 56effectoflaw. 57 (21)"SignificantInvestigativeInformation"meansInvestigativeInformation 58thataLicensingBoard,afteraninquiryorinvestigationthatincludesnotificationand 59anopportunityforthePAtorespondifrequiredbyStatelaw,hasreasontobelieveis 60notgroundlessand,ifproventrue,wouldindicatemorethanaminorinfraction. 61 (22)"State"meansanystate,commonwealth,district,orterritoryoftheUnited 62States. 334.1810.1.ToparticipateinthisCompact,aParticipatingStateshall: 2 (1)LicensePAs. 3 (2)ParticipateintheCompactCommission'sDataSystem. 4 (3)Haveamechanisminplaceforreceivingandinvestigatingcomplaints 5againstLicenseesandLicenseapplicants. 6 (4)NotifytheCommission,incompliancewiththetermsofthisCompactand 7CommissionRules,ofanyAdverseActionagainstaLicenseeorLicenseapplicantand 8theexistenceofSignificantInvestigativeInformationregardingaLicenseeorLicense 9applicant. 10 (5)FullyimplementaCriminalBackgroundCheckrequirement,withinatime 11frameestablishedbyCommissionRule,byitsLicensingBoardreceivingtheresultsofa 12CriminalBackgroundCheckandreportingtotheCommissionwhethertheLicense 13applicanthasbeengrantedaLicense. 14 (6)ComplywiththeRulesoftheCompactCommission. 15 (7)UtilizepassageofarecognizednationalexamsuchastheNCCPAPANCEas 16arequirementforPAlicensure. HB1388 5 17 (8)GranttheCompactPrivilegetoaholderofaQualifyingLicenseina 18ParticipatingState. 19 2.NothinginthisCompactprohibitsaParticipatingStatefromchargingafee 20forgrantingtheCompactPrivilege. 334.1815.1.ToexercisetheCompactPrivilege,aLicenseemust: 2 (1)HavegraduatedfromaPAprogramaccreditedbytheAccreditationReview 3CommissiononEducationforthePhysicianAssistant,Inc.orotherprograms 4authorizedbyCommissionRule. 5 (2)HoldcurrentNCCPAcertification. 6 (3)HavenofelonyormisdemeanorConviction. 7 (4)Haveneverhadacontrolledsubstancelicense,permit,orregistration 8suspendedorrevokedbyaStateorbytheUnitedStatesDrugEnforcement 9Administration. 10 (5)HaveauniqueidentifierasdeterminedbyCommissionRule. 11 (6)HoldaQualifyingLicense. 12 (7)HavehadnorevocationofaLicenseorlimitationorrestrictiononany 13Licensecurrentlyheldduetoanadverseaction. 14 (8)IfaLicenseehashadalimitationorrestrictiononaLicenseorCompact 15PrivilegeduetoanAdverseAction,twoyearsmusthaveelapsedfromthedateonwhich 16theLicenseorCompactPrivilegeisnolongerlimitedorrestrictedduetotheAdverse 17Action. 18 (9)IfaCompactPrivilegehasbeenrevokedorislimitedorrestrictedina 19ParticipatingStateforconductthatwouldnotbeabasisfordisciplinaryactionina 20ParticipatingStateinwhichtheLicenseeispracticingorapplyingtopracticeundera 21CompactPrivilege,thatParticipatingStateshallhavethediscretionnottoconsider 22suchactionasanAdverseActionrequiringthedenialorremovalofaCompact 23PrivilegeinthatState. 24 (10)NotifytheCompactCommissionthattheLicenseeisseekingtheCompact 25PrivilegeinaRemoteState. 26 (11)MeetanyJurisprudenceRequirementofaRemoteStateinwhichthe 27LicenseeisseekingtopracticeundertheCompactPrivilegeandpayanyfeesapplicable 28tosatisfyingtheJurisprudenceRequirement. 29 (12)ReporttotheCommissionanyAdverseActiontakenbyanon-participating 30Statewithinthirty(30)daysaftertheactionistaken. 31 2.TheCompactPrivilegeisvaliduntiltheexpirationorrevocationofthe 32QualifyingLicenseunlessterminatedpursuanttoanAdverseAction.TheLicensee 33mustalsocomplywithalloftherequirementsofsubsection1ofthissectiontomaintain HB1388 6 34theCompactPrivilegeinaRemoteState.IftheParticipatingStatetakesAdverse 35ActionagainstaQualifyingLicense,theLicenseeshalllosetheCompactPrivilegeinany 36RemoteStateinwhichtheLicenseehasaCompactPrivilegeuntilallofthefollowing 37occur: 38 (1)TheLicenseisnolongerlimitedorrestricted;and 39 (2)Two(2)yearshaveelapsedfromthedateonwhichtheLicenseisnolonger 40limitedorrestrictedduetotheAdverseAction. 41 3.OncearestrictedorlimitedLicensesatisfiestherequirementsofsubdivisions 42(1)and(2)ofsubsection2ofthissection,theLicenseemustmeettherequirementsof 43subsection1ofthissectiontoobtainaCompactPrivilegeinanyRemoteState. 44 4.ForeachRemoteStateinwhichaPAseeksauthoritytoprescribecontrolled 45substances,thePAshallsatisfyallrequirementsimposedbysuchStateingrantingor 46renewingsuchauthority. 334.1820.UponaLicensee'sapplicationforaCompactPrivilege,theLicensee 2shallidentifytotheCommissiontheParticipatingStatefromwhichtheLicenseeis 3applying,inaccordancewithapplicableRulesadoptedbytheCommission,andsubject 4tothefollowingrequirements: 5 (1)WhenapplyingforaCompactPrivilege,theLicenseeshallprovidethe 6CommissionwiththeaddressoftheLicensee'sprimaryresidenceandthereaftershall 7immediatelyreporttotheCommissionanychangeintheaddressoftheLicensee's 8primaryresidence. 9 (2)WhenapplyingforaCompactPrivilege,theLicenseeisrequiredtoconsent 10toacceptserviceofprocessbymailattheLicensee'sprimaryresidenceonfilewiththe 11CommissionwithrespecttoanyactionbroughtagainsttheLicenseebytheCommission 12oraParticipatingState,includingasubpoena,withrespecttoanyactionbroughtor 13investigationconductedbytheCommissionoraParticipatingState. 334.1825.1.AParticipatingStateinwhichaLicenseeislicensedshallhave 2exclusivepowertoimposeAdverseActionagainsttheQualifyingLicenseissuedbythat 3ParticipatingState. 4 2.InadditiontotheotherpowersconferredbyStatelaw,aRemoteStateshall 5havetheauthority,inaccordancewithexistingStatedueprocesslaw,todoallofthe 6following: 7 (1)TakeAdverseActionagainstaPA'sCompactPrivilegewithinthatStateto 8removeaLicensee'sCompactPrivilegeortakeotheractionnecessaryunderapplicable 9lawtoprotectthehealthandsafetyofitscitizens. 10 (2)Issuesubpoenasforbothhearingsandinvestigationsthatrequirethe 11attendanceandtestimonyofwitnessesaswellastheproductionofevidence.Subpoenas HB1388 7 12issuedbyaLicensingBoardinaParticipatingStatefortheattendanceandtestimonyof 13witnessesortheproductionofevidencefromanotherParticipatingStateshallbe 14enforcedinthelatterStatebyanycourtofcompetentjurisdiction,accordingtothe 15practiceandprocedureofthatcourtapplicabletosubpoenasissuedinproceedings 16pendingbeforeit.Theissuingauthorityshallpayanywitnessfees,travelexpenses, 17mileageandotherfeesrequiredbytheservicestatutesoftheStateinwhichthe 18witnessesorevidencearelocated. 19 (3)Notwithstandingsubdivision(2)ofthissubsection,subpoenasmaynotbe 20issuedbyaParticipatingStatetogatherevidenceofconductinanotherStatethatis 21lawfulinthatotherStateforthepurposeoftakingAdverseActionagainstaLicensee's 22CompactPrivilegeorapplicationforaCompactPrivilegeinthatParticipatingState. 23 (4)NothinginthisCompactauthorizesaParticipatingStatetoimposediscipline 24againstaPA'sCompactPrivilegeortodenyanapplicationforaCompactPrivilegein 25thatParticipatingStatefortheindividual'sotherwiselawfulpracticeinanotherState. 26 3.ForpurposesoftakingAdverseAction,theParticipatingStatewhichissued 27theQualifyingLicenseshallgivethesamepriorityandeffecttoreportedconduct 28receivedfromanyotherParticipatingStateasitwouldiftheconducthadoccurred 29withintheParticipatingStatewhichissuedtheQualifyingLicense.Insodoing,that 30ParticipatingStateshallapplyitsownStatelawstodetermineappropriateaction. 31 4.AParticipatingState,ifotherwisepermittedbyStatelaw,mayrecoverfrom 32theaffectedPAthecostsofinvestigationsanddispositionofcasesresultingfromany 33AdverseActiontakenagainstthatPA. 34 5.AParticipatingStatemaytakeAdverseActionbasedonthefactualfindings 35ofaRemoteState,providedthattheParticipatingStatefollowsitsownproceduresfor 36takingtheAdverseAction. 37 6.(1)InadditiontotheauthoritygrantedtoaParticipatingStatebyits 38respectiveStatePAlawsandregulationsorotherapplicableStatelaw,anyParticipating 39StatemayparticipatewithotherParticipatingStatesinjointinvestigationsofLicensees. 40 (2)ParticipatingStatesshallshareanyinvestigative,litigation,orcompliance 41materialsinfurtheranceofanyjointorindividualinvestigationinitiatedunderthis 42Compact. 43 7.IfanAdverseActionistakenagainstaPA'sQualifyingLicense,thePA's 44CompactPrivilegeinallRemoteStatesshallbedeactivateduntiltwo(2)yearshave 45elapsedafterallrestrictionshavebeenremovedfromtheStateLicense.Alldisciplinary 46ordersbytheParticipatingStatewhichissuedtheQualifyingLicensethatimpose 47AdverseActionagainstaPA'sLicenseshallincludeaStatementthatthePA'sCompact 48PrivilegeisdeactivatedinallParticipatingStatesduringthependencyoftheorder. HB1388 8 49 8.IfanyParticipatingStatetakesAdverseAction,itpromptlyshallnotifythe 50administratoroftheDataSystem. 334.1830.1.TheParticipatingStatesherebycreateandestablishajoint 2governmentagencyandnationaladministrativebodyknownasthePALicensure 3CompactCommission.TheCommissionisaninstrumentalityoftheCompactStates 4actingjointlyandnotaninstrumentalityofanyoneState.TheCommissionshallcome 5intoexistenceonoraftertheeffectivedateoftheCompactassetforthinsubsection1of 6section334.1850. 7 2.(1)EachParticipatingStateshallhaveandbelimitedtoone(1)delegate 8selectedbythatParticipatingState'sLicensingBoardor,iftheStatehasmorethanone 9LicensingBoard,selectedcollectivelybytheParticipatingState'sLicensingBoards. 10 (2)Thedelegateshallbeeither: 11 (a)AcurrentPA,physicianorpublicmemberofaLicensingBoardorPA 12Council/Committee;or 13 (b)AnadministratorofaLicensingBoard. 14 (3)Anydelegatemayberemovedorsuspendedfromofficeasprovidedbythe 15lawsoftheStatefromwhichthedelegateisappointed. 16 (4)TheParticipatingStateLicensingBoardshallfillanyvacancyoccurringin 17theCommissionwithinsixty(60)days. 18 (5)Eachdelegateshallbeentitledtoone(1)voteonallmattersvotedonbythe 19Commissionandshallotherwisehaveanopportunitytoparticipateinthebusinessand 20affairsoftheCommission.Adelegateshallvoteinpersonorbysuchothermeansas 21providedinthebylaws.Thebylawsmayprovidefordelegates'participationin 22meetingsbytelecommunications,videoconference,orothermeansofcommunication. 23 (6)TheCommissionshallmeetatleastonceduringeachcalendaryear. 24AdditionalmeetingsshallbeheldassetforthinthisCompactandthebylaws. 25 (7)TheCommissionshallestablishbyRuleatermofofficefordelegates. 26 3.TheCommissionshallhavethefollowingpowersandduties: 27 (1)EstablishacodeofethicsfortheCommission; 28 (2)EstablishthefiscalyearoftheCommission; 29 (3)Establishfees; 30 (4)Establishbylaws; 31 (5)Maintainitsfinancialrecordsinaccordancewiththebylaws; 32 (6)Meetandtakesuchactionsasareconsistentwiththeprovisionsofthis 33Compactandthebylaws; HB1388 9 34 (7)PromulgateRulestofacilitateandcoordinateimplementationand 35administrationofthisCompact.TheRulesshallhavetheforceandeffectoflawand 36shallbebindinginallParticipatingStates; 37 (8)Bringandprosecutelegalproceedingsoractionsinthenameofthe 38Commission,providedthatthestandingofanyStateLicensingBoardtosueorbesued 39underapplicablelawshallnotbeaffected; 40 (9)Purchaseandmaintaininsuranceandbonds; 41 (10)Borrow,accept,orcontractforservicesofpersonnel,including,butnot 42limitedto,employeesofaParticipatingState; 43 (11)Hireemployeesandengagecontractors,electorappointofficers,fix 44compensation,defineduties,grantsuchindividualsappropriateauthoritytocarryout 45thepurposesofthisCompact,andestablishtheCommission'spersonnelpoliciesand 46programsrelatingtoconflictsofinterest,qualificationsofpersonnel,andotherrelated 47personnelmatters; 48 (12)Acceptanyandallappropriatedonationsandgrantsofmoney,equipment, 49supplies,materialsandservices,andreceive,utilizeanddisposeofthesame;provided 50thatatalltimestheCommissionshallavoidanyappearanceofimproprietyorconflict 51ofinterest; 52 (13)Lease,purchase,acceptappropriategiftsordonationsof,orotherwiseown, 53hold,improveoruse,anyproperty,real,personalormixed;providedthatatalltimes 54theCommissionshallavoidanyappearanceofimpropriety; 55 (14)Sell,convey,mortgage,pledge,lease,exchange,abandon,orotherwise 56disposeofanypropertyreal,personal,ormixed; 57 (15)Establishabudgetandmakeexpenditures; 58 (16)Borrowmoney; 59 (17)Appointcommittees,includingstandingcommitteescomposedofmembers, 60Stateregulators,Statelegislatorsortheirrepresentatives,andconsumer 61representatives,andsuchotherinterestedpersonsasmaybedesignatedinthis 62Compactandthebylaws; 63 (18)Provideandreceiveinformationfrom,andcooperatewith,lawenforcement 64agencies; 65 (19)ElectaChair,ViceChair,SecretaryandTreasurerandsuchotherofficers 66oftheCommissionasprovidedintheCommission'sbylaws; 67 (20)Reserveforitself,inadditiontothosereservedexclusivelytothe 68CommissionundertheCompact,powersthattheExecutiveCommitteemaynot 69exercise; HB1388 10 70 (21)ApproveordisapproveaState'sparticipationintheCompactbasedupon 71itsdeterminationastowhethertheState'sCompactlegislationdepartsinamaterial 72mannerfromtheModelCompactlanguage; 73 (22)PrepareandprovidetotheParticipatingStatesanannualreport;and 74 (23)Performsuchotherfunctionsasmaybenecessaryorappropriatetoachieve 75thepurposesofthisCompactconsistentwiththeStateregulationofPAlicensureand 76practice. 77 4.(1)AllmeetingsoftheCommissionthatarenotclosedpursuanttothis 78subsectionshallbeopentothepublic.Noticeofpublicmeetingsshallbepostedonthe 79Commission'swebsiteatleastthirty(30)dayspriortothepublicmeeting. 80 (2)Notwithstandingsubdivision(1)ofthissubsection,theCommissionmay 81conveneapublicmeetingbyprovidingatleasttwenty-four(24)hourspriornoticeon 82theCommission'swebsite,andanyothermeansasprovidedintheCommission'sRules, 83foranyofthereasonsitmaydispensewithnoticeofproposedrulemakingunder 84subsection12ofsection334.1840. 85 (3)TheCommissionmayconveneinaclosed,non-publicmeetingornon-public 86partofapublicmeetingtoreceivelegaladviceortodiscuss: 87 (a)Non-complianceofaParticipatingStatewithitsobligationsunderthis 88Compact; 89 (b)Theemployment,compensation,disciplineorothermatters,practicesor 90proceduresrelatedtospecificemployeesorothermattersrelatedtotheCommission's 91internalpersonnelpracticesandprocedures; 92 (c)Current,threatened,orreasonablyanticipatedlitigation; 93 (d)Negotiationofcontractsforthepurchase,lease,orsaleofgoods,services,or 94realestate; 95 (e)Accusinganypersonofacrimeorformallycensuringanyperson; 96 (f)Disclosureoftradesecretsorcommercialorfinancialinformationthatis 97privilegedorconfidential; 98 (g)Disclosureofinformationofapersonalnaturewheredisclosurewould 99constituteaclearlyunwarrantedinvasionofpersonalprivacy; 100 (h)Disclosureofinvestigativerecordscompiledforlawenforcementpurposes; 101 (i)Disclosureofinformationrelatedtoanyinvestigativereportspreparedbyor 102onbehalfoforforuseoftheCommissionorothercommitteechargedwith 103responsibilityofinvestigationordeterminationofcomplianceissuespursuanttothis 104Compact; 105 (j)Legaladvice;or HB1388 11 106 (k)MattersspecificallyexemptedfromdisclosurebyfederalorParticipating 107States'statutes. 108 (4)Ifameeting,orportionofameeting,isclosedpursuanttothisprovision,the 109chairofthemeetingorthechair'sdesigneeshallcertifythatthemeetingorportionof 110themeetingmaybeclosedandshallreferenceeachrelevantexemptingprovision. 111 (5)TheCommissionshallkeepminutesthatfullyandclearlydescribeall 112mattersdiscussedinameetingandshallprovideafullandaccuratesummaryofactions 113taken,includingadescriptionoftheviewsexpressed.Alldocumentsconsideredin 114connectionwithanactionshallbeidentifiedinsuchminutes.Allminutesand 115documentsofaclosedmeetingshallremainunderseal,subjecttoreleasebyamajority 116voteoftheCommissionororderofacourtofcompetentjurisdiction. 117 5.(1)TheCommissionshallpay,orprovideforthepaymentof,thereasonable 118expensesofitsestablishment,organization,andongoingactivities. 119 (2)TheCommissionmayacceptanyandallappropriaterevenuesources, 120donations,andgrantsofmoney,equipment,supplies,materials,andservices. 121 (3)TheCommissionmaylevyonandcollectanannualassessmentfromeach 122ParticipatingStateandmayimposeCompactPrivilegefeesonLicenseesof 123ParticipatingStatestowhomaCompactPrivilegeisgrantedtocoverthecostofthe 124operationsandactivitiesoftheCommissionanditsstaff,whichmustbeinatotal 125amountsufficienttocoveritsannualbudgetasapprovedbytheCommissioneachyear 126forwhichrevenueisnotprovidedbyothersources.Theaggregateannualassessment 127amountleviedonParticipatingStatesshallbeallocatedbaseduponaformulatobe 128determinedbyCommissionRule. 129 (a)ACompactPrivilegeexpireswhentheLicensee'sQualifyingLicenseinthe 130ParticipatingStatefromwhichtheLicenseeappliedfortheCompactPrivilegeexpires. 131 (b)IftheLicenseeterminatestheQualifyingLicensethroughwhichtheLicensee 132appliedfortheCompactPrivilegebeforeitsscheduledexpiration,andtheLicenseehas 133aQualifyingLicenseinanotherParticipatingState,theLicenseeshallinformthe 134CommissionthatitischangingtothatParticipatingStatetheParticipatingState 135throughwhichitappliesforaCompactPrivilegeandpaytotheCommissionany 136CompactPrivilegefeerequiredbyCommissionRule. 137 (4)TheCommissionshallnotincurobligationsofanykindpriortosecuringthe 138fundsadequatetomeetthesame;norshalltheCommissionpledgethecreditofanyof 139theParticipatingStates,exceptbyandwiththeauthorityoftheParticipatingState. 140 (5)TheCommissionshallkeepaccurateaccountsofallreceiptsand 141disbursements.ThereceiptsanddisbursementsoftheCommissionshallbesubject 142tothefinancialreviewandaccountingproceduresestablishedunderitsbylaws.All HB1388 12 143receiptsanddisbursementsoffundshandledbytheCommissionshallbesubjecttoan 144annualfinancialreviewbyacertifiedorlicensedpublicaccountant,andthereportof 145thefinancialreviewshallbeincludedinandbecomepartoftheannualreportofthe 146Commission. 147 6.(1)TheExecutiveCommitteeshallhavethepowertoactonbehalfofthe 148CommissionaccordingtothetermsofthisCompactandCommissionRules. 149 (2)TheExecutiveCommitteeshallbecomposedofnine(9)members: 150 (a)SevenvotingmemberswhoareelectedbytheCommissionfromthecurrent 151membershipoftheCommission; 152 (b)Oneex-officio,nonvotingmemberfromarecognizednationalPA 153professionalassociation;and 154 (c)Oneex-officio,nonvotingmemberfromarecognizednationalPA 155certificationorganization. 156 (3)Theex-officiomemberswillbeselectedbytheirrespectiveorganizations. 157 (4)TheCommissionmayremoveanymemberoftheExecutiveCommitteeas 158providedinitsbylaws. 159 (5)TheExecutiveCommitteeshallmeetatleastannually. 160 (6)TheExecutiveCommitteeshallhavethefollowingdutiesandresponsibilities: 161 (a)RecommendtotheCommissionchangestotheCommission'sRulesor 162bylaws,changestothisCompactlegislation,feestobepaidbyCompactParticipating 163Statessuchasannualdues,andanyCommissionCompactfeechargedtoLicenseesfor 164theCompactPrivilege; 165 (b)EnsureCompactadministrationservicesareappropriatelyprovided, 166contractualorotherwise; 167 (c)Prepareandrecommendthebudget; 168 (d)MaintainfinancialrecordsonbehalfoftheCommission; 169 (e)MonitorCompactcomplianceofParticipatingStatesandprovidecompliance 170reportstotheCommission; 171 (f)Establishadditionalcommitteesasnecessary; 172 (g)ExercisethepowersanddutiesoftheCommissionduringtheinterim 173betweenCommissionmeetings,exceptforissuingproposedrulemakingoradopting 174CommissionRulesorbylaws,orexercisinganyotherpowersanddutiesexclusively 175reservedtotheCommissionbytheCommission'sRules;and 176 (h)PerformotherdutiesasprovidedintheCommission'sRulesorbylaws. 177 (7)AllmeetingsoftheExecutiveCommitteeatwhichitvotesorplanstovoteon 178mattersinexercisingthepowersanddutiesoftheCommissionshallbeopentothe HB1388 13 179publicandpublicnoticeofsuchmeetingsshallbegivenaspublicmeetingsofthe 180Commissionaregiven. 181 (8)TheExecutiveCommitteemayconveneinaclosed,non-publicmeetingfor 182thesamereasonsthattheCommissionmayconveneinanon-publicmeetingassetforth 183insubdivision(3)ofsubsection4ofthissectionandshallannouncetheclosedmeetingas 184theCommissionisrequiredtoundersubdivision(4)ofsubsection4ofthissectionand 185keepminutesoftheclosedmeetingastheCommissionisrequiredtoundersubdivision 186(5)ofsubsection4ofthissection. 187 7.(1)Themembers,officers,executivedirector,employeesandrepresentatives 188oftheCommissionshallbeimmunefromsuitandliability,bothpersonallyandintheir 189officialcapacity,foranyclaimfordamagetoorlossofpropertyorpersonalinjuryor 190othercivilliabilitycausedbyorarisingoutofanyactualorallegedact,error,or 191omissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada 192reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment, 193dutiesorresponsibilities;providedthatnothinginthissubdivisionshallbeconstruedto 194protectanysuchpersonfromsuitorliabilityforanydamage,loss,injury,orliability 195causedbytheintentionalorwillfulorwantonmisconductofthatperson.The 196procurementofinsuranceofanytypebytheCommissionshallnotinanyway 197compromiseorlimittheimmunitygrantedhereunder. 198 (2)TheCommissionshalldefendanymember,officer,executivedirector, 199employee,andrepresentativeoftheCommissioninanycivilactionseekingtoimpose 200liabilityarisingoutofanyactualorallegedact,error,oromissionthatoccurredwithin 201thescopeofCommissionemployment,duties,orresponsibilities,orasdeterminedby 202thecommissionthatthepersonagainstwhomtheclaimismadehadareasonablebasis 203forbelievingoccurredwithinthescopeofCommissionemployment,duties,or 204responsibilities;providedthatnothinghereinshallbeconstruedtoprohibitthat 205personfromretainingtheirowncounselattheirownexpense;andprovidedfurther, 206thattheactualorallegedact,error,oromissiondidnotresultfromthatperson's 207intentionalorwillfulorwantonmisconduct. 208 (3)TheCommissionshallindemnifyandholdharmlessanymember,officer, 209executivedirector,employee,andrepresentativeoftheCommissionfortheamountof 210anysettlementorjudgmentobtainedagainstthatpersonarisingoutofanyactualor 211allegedact,error,oromissionthatoccurredwithinthescopeofCommission 212employment,duties,orresponsibilities,orthatsuchpersonhadareasonablebasis 213forbelievingoccurredwithinthescopeofCommissionemployment,duties,or 214responsibilities,providedthattheactualorallegedact,error,oromissiondidnot 215resultfromtheintentionalorwillfulorwantonmisconductofthatperson. HB1388 14 216 (4)VenueisproperandjudicialproceedingsbyoragainsttheCommissionshall 217bebroughtsolelyandexclusivelyinacourtofcompetentjurisdictionwherethe 218principalofficeoftheCommissionislocated.TheCommissionmaywaivevenueand 219jurisdictionaldefensesinanyproceedingsasauthorizedbyCommissionRules. 220 (5)Nothinghereinshallbeconstruedasalimitationontheliabilityofany 221Licenseeforprofessionalmalpracticeormisconduct,whichshallbegovernedsolelyby 222anyotherapplicableStatelaws. 223 (6)Nothinghereinshallbeconstruedtodesignatethevenueorjurisdictionto 224bringactionsforallegedactsofmalpractice,professionalmisconduct,negligence,or 225othersuchcivilactionpertainingtothepracticeofaPA.Allsuchmattersshallbe 226determinedexclusivelybyStatelawotherthanthisCompact. 227 (7)NothinginthisCompactshallbeinterpretedtowaiveorotherwiseabrogate 228aParticipatingState'sstateactionimmunityorstateactionaffirmativedefensewith 229respecttoantitrustclaimsundertheShermanAct,ClaytonAct,oranyotherStateor 230federalantitrustoranticompetitivelaworregulation. 231 (8)NothinginthisCompactshallbeconstruedtobeawaiverofsovereign 232immunitybytheParticipatingStatesorbytheCommission. 334.1835.1.TheCommissionshallprovideforthedevelopment,maintenance, 2operation,andutilizationofacoordinateddataandreportingsystemcontaining 3licensure,AdverseAction,andthereportingoftheexistenceofSignificantInvestigative 4InformationonalllicensedPAsandapplicantsdeniedaLicenseinParticipatingStates. 5 2.NotwithstandinganyotherStatelawtothecontrary,aParticipatingState 6shallsubmitauniformdatasettotheDataSystemonallPAstowhomthisCompactis 7applicable(utilizingauniqueidentifier)asrequiredbytheRulesoftheCommission, 8including: 9 (1)Identifyinginformation; 10 (2)Licensuredata; 11 (3)AdverseActionsagainstaLicenseorCompactPrivilege; 12 (4)Anydenialofapplicationforlicensure,andthereasonorreasonsforsuch 13denial(excludingthereportingofanyCriminalhistoryrecordinformationwhere 14prohibitedbylaw); 15 (5)TheexistenceofSignificantInvestigativeInformation;and 16 (6)OtherinformationthatmayfacilitatetheadministrationofthisCompact,as 17determinedbytheRulesoftheCommission. 18 3.SignificantInvestigativeInformationpertainingtoaLicenseeinany 19ParticipatingStateshallonlybeavailabletootherParticipatingStates. HB1388 15 20 4.TheCommissionshallpromptlynotifyallParticipatingStatesofanyAdverse 21ActiontakenagainstaLicenseeoranindividualapplyingforaLicensethathasbeen 22reportedtoit.ThisAdverseActioninformationshallbeavailabletoanyother 23ParticipatingState. 24 5.ParticipatingStatescontributinginformationtotheDataSystemmay,in 25accordancewithStateorfederallaw,designateinformationthatmaynotbesharedwith 26thepublicwithouttheexpresspermissionofthecontributingState.Notwithstanding 27anysuchdesignation,suchinformationshallbereportedtotheCommissionthroughthe 28DataSystem. 29 6.AnyinformationsubmittedtotheDataSystemthatissubsequentlyexpunged 30pursuanttofederallaworthelawsoftheParticipatingStatecontributingthe 31informationshallberemovedfromtheDataSystemuponreportingofsuchbythe 32ParticipatingStatetotheCommission. 33 7.TherecordsandinformationprovidedtoaParticipatingStatepursuantto 34thisCompactorthroughtheDataSystem,whencertifiedbytheCommissionoran 35agentthereof,shallconstitutetheauthenticatedbusinessrecordsoftheCommission, 36andshallbeentitledtoanyassociatedhearsayexceptioninanyrelevantjudicial,quasi- 37judicialoradministrativeproceedingsinaParticipatingState. 334.1840.1.TheCommissionshallexerciseitsRulemakingpowerspursuantto 2thecriteriasetforthinthisSectionandtheRulesadoptedthereunder.Commission 3RulesshallbecomebindingasofthedatespecifiedbytheCommissionforeachRule. 4 2.TheCommissionshallpromulgatereasonableRulesinordertoeffectivelyand 5efficientlyimplementandadministerthisCompactandachieveitspurposes.A 6CommissionRuleshallbeinvalidandhavenoforceoreffectonlyifacourtof 7competentjurisdictionholdsthattheRuleisinvalidbecausetheCommissionexercised 8itsrulemakingauthorityinamannerthatisbeyondthescopeofthepurposesofthis 9Compact,orthepowersgrantedhereunder,orbaseduponanotherapplicablestandard 10ofreview. 11 3.TheRulesoftheCommissionshallhavetheforceoflawineachParticipating 12State,providedhoweverthatwheretheRulesoftheCommissionconflictwiththelaws 13oftheParticipatingStatethatestablishthemedicalservicesaPAmayperforminthe 14ParticipatingState,asheldbyacourtofcompetentjurisdiction,theRulesofthe 15CommissionshallbeineffectiveinthatStatetotheextentoftheconflict. 16 4.IfamajorityofthelegislaturesoftheParticipatingStatesrejectsa 17CommissionRule,byenactmentofastatuteorresolutioninthesamemannerusedto 18adoptthisCompactwithinfour(4)yearsofthedateofadoptionoftheRule,thensuch HB1388 16 19RuleshallhavenofurtherforceandeffectinanyParticipatingStateortoanyState 20applyingtoparticipateintheCompact. 21 5.CommissionRulesshallbeadoptedataregularorspecialmeetingofthe 22Commission. 23 6.PriortopromulgationandadoptionofafinalRuleorRulesbythe 24Commission,andatleastthirty(30)daysinadvanceofthemeetingatwhichtheRule 25willbeconsideredandvotedupon,theCommissionshallfileaNoticeofProposed 26Rulemaking: 27 (1)OnthewebsiteoftheCommissionorotherpubliclyaccessibleplatform;and 28 (2)TopersonswhohaverequestednoticeoftheCommission'snoticesof 29proposedrulemaking;and 30 (3)Insuchotherway(s)astheCommissionmaybyRulespecify. 31 7.TheNoticeofProposedRulemakingshallinclude: 32 (1)Thetime,date,andlocationofthepublichearingontheproposedRuleand 33theproposedtime,dateandlocationofthemeetinginwhichtheproposedRulewillbe 34consideredandvotedupon; 35 (2)ThetextoftheproposedRuleandthereasonfortheproposedRule; 36 (3)ArequestforcommentsontheproposedRulefromanyinterestedperson 37andthedatebywhichwrittencommentsmustbereceived;and 38 (4)Themannerinwhichinterestedpersonsmaysubmitnoticetothe 39Commissionoftheirintentiontoattendthepublichearingorprovideanywritten 40comments. 41 8.PriortoadoptionofaproposedRule,theCommissionshallallowpersonsto 42submitwrittendata,facts,opinions,andarguments,whichshallbemadeavailableto 43thepublic. 44 9.Ifthehearingistobeheldviaelectronicmeans,theCommissionshallpublish 45themechanismforaccesstotheelectronichearing. 46 (1)AllpersonswishingtobeheardatthehearingshallasdirectedintheNotice 47ofProposedRulemaking,notlessthanfive(5)businessdaysbeforethescheduleddate 48ofthehearing,notifytheCommissionoftheirdesiretoappearandtestifyatthehearing. 49 (2)Hearingsshallbeconductedinamannerprovidingeachpersonwhowishes 50tocommentafairandreasonableopportunitytocommentorallyorinwriting. 51 (3)Allhearingsshallberecorded.Acopyoftherecordingandthewritten 52comments,data,facts,opinions,andargumentsreceivedinresponsetotheproposed 53rulemakingshallbemadeavailabletoapersonuponrequest. HB1388 17 54 (4)Nothinginthissectionshallbeconstruedasrequiringaseparatehearingon 55eachproposedRule.ProposedRulesmaybegroupedfortheconvenienceofthe 56Commissionathearingsrequiredbythissection. 57 10.FollowingthepublichearingtheCommissionshallconsiderallwrittenand 58oralcommentstimelyreceived. 59 11.TheCommissionshall,bymajorityvoteofalldelegates,takefinalactionon 60theproposedRuleandshalldeterminetheeffectivedateoftheRule,ifadopted,based 61ontheRulemakingrecordandthefulltextoftheRule. 62 (1)Ifadopted,theRuleshallbepostedontheCommission'swebsite. 63 (2)TheCommissionmayadoptchangestotheproposedRuleprovidedthe 64changesdonotenlargetheoriginalpurposeoftheproposedRule. 65 (3)TheCommissionshallprovideonitswebsiteanexplanationofthereasons 66forsubstantivechangesmadetotheproposedRuleaswellasreasonsforsubstantive 67changesnotmadethatwererecommendedbycommenters. 68 (4)TheCommissionshalldetermineareasonableeffectivedatefortheRule. 69Exceptforanemergencyasprovidedinsubsection12ofthissection,theeffectivedate 70oftheRuleshallbenosoonerthanthirty(30)daysaftertheCommissionissuedthe 71noticethatitadoptedtheRule. 72 12.Upondeterminationthatanemergencyexists,theCommissionmayconsider 73andadoptanemergencyRulewithtwenty-four(24)hourspriornotice,withoutthe 74opportunityforcomment,orhearing,providedthattheusualrulemakingprocedures 75providedinthisCompactandinthissectionshallberetroactivelyappliedtotheRuleas 76soonasreasonablypossible,innoeventlaterthanninety(90)daysaftertheeffective 77dateoftheRule.Forthepurposesofthisprovision,anemergencyRuleisonethatmust 78beadoptedimmediatelybytheCommissioninorderto: 79 (1)Meetanimminentthreattopublichealth,safety,orwelfare; 80 (2)PreventalossofCommissionorParticipatingStatefunds; 81 (3)MeetadeadlineforthepromulgationofaCommissionRulethatis 82establishedbyfederallaworRule;or 83 (4)Protectpublichealthandsafety. 84 13.TheCommissionoranauthorizedcommitteeoftheCommissionmaydirect 85revisionstoapreviouslyadoptedCommissionRuleforpurposesofcorrecting 86typographicalerrors,errorsinformat,errorsinconsistency,orgrammaticalerrors. 87PublicnoticeofanyrevisionsshallbepostedonthewebsiteoftheCommission.The 88revisionshallbesubjecttochallengebyanypersonforaperiodofthirty(30)daysafter 89posting.Therevisionmaybechallengedonlyongroundsthattherevisionresultsina 90materialchangetoaRule.Achallengeshallbemadeassetforthinthenoticeof HB1388 18 91revisionsanddeliveredtotheCommissionpriortotheendofthenoticeperiod.Ifno 92challengeismade,therevisionwilltakeeffectwithoutfurtheraction.Iftherevisionis 93challenged,therevisionmaynottakeeffectwithouttheapprovaloftheCommission. 94 14.NoParticipatingState'srulemakingrequirementsshallapplyunderthis 95Compact. 334.1845.1.(1)TheexecutiveandjudicialbranchesofStategovernmentin 2eachParticipatingStateshallenforcethisCompactandtakeallactionsnecessaryand 3appropriatetoimplementtheCompact. 4 (2)VenueisproperandjudicialproceedingsbyoragainsttheCommissionshall 5bebroughtsolelyandexclusivelyinacourtofcompetentjurisdictionwherethe 6principalofficeoftheCommissionislocated.TheCommissionmaywaivevenueand 7jurisdictionaldefensestotheextentitadoptsorconsentstoparticipateinalternative 8disputeresolutionproceedings.Nothinghereinshallaffectorlimittheselectionor 9proprietyofvenueinanyactionagainstalicenseeforprofessionalmalpractice, 10misconductoranysuchsimilarmatter. 11 (3)TheCommissionshallbeentitledtoreceiveserviceofprocessinany 12proceedingregardingtheenforcementorinterpretationoftheCompactorthe 13Commission'sRulesandshallhavestandingtointerveneinsuchaproceedingforall 14purposes.FailuretoprovidetheCommissionwithserviceofprocessshallrendera 15judgmentororderinsuchproceedingvoidastotheCommission,thisCompact,or 16CommissionRules. 17 2.(1)IftheCommissiondeterminesthataParticipatingStatehasdefaultedin 18theperformanceofitsobligationsorresponsibilitiesunderthisCompactorthe 19CommissionRules,theCommissionshallprovidewrittennoticetothedefaultingState 20andotherParticipatingStates.Thenoticeshalldescribethedefault,theproposed 21meansofcuringthedefaultandanyotheractionthattheCommissionmaytakeand 22shallofferremedialtrainingandspecifictechnicalassistanceregardingthedefault. 23 (2)IfaStateindefaultfailstocurethedefault,thedefaultingStatemaybe 24terminatedfromthisCompactuponanaffirmativevoteofamajorityofthedelegatesof 25theParticipatingStates,andallrights,privilegesandbenefitsconferredbythis 26CompactuponsuchStatemaybeterminatedontheeffectivedateoftermination.A 27cureofthedefaultdoesnotrelievetheoffendingStateofobligationsorliabilities 28incurredduringtheperiodofdefault. 29 (3)TerminationofparticipationinthisCompactshallbeimposedonlyafterall 30othermeansofsecuringcompliancehavebeenexhausted.Noticeofintenttosuspendor 31terminateshallbegivenbytheCommissiontothegovernor,themajorityandminority HB1388 19 32leadersofthedefaultingState'slegislature,andtotheLicensingBoard(s)ofeachofthe 33ParticipatingStates. 34 (4)AStatethathasbeenterminatedisresponsibleforallassessments, 35obligations,andliabilitiesincurredthroughtheeffectivedateoftermination,including 36obligationsthatextendbeyondtheeffectivedateoftermination. 37 (5)TheCommissionshallnotbearanycostsrelatedtoaStatethatisfoundtobe 38indefaultorthathasbeenterminatedfromthisCompact,unlessagreeduponinwriting 39betweentheCommissionandthedefaultingState. 40 (6)ThedefaultingStatemayappealitsterminationfromtheCompactbythe 41CommissionbypetitioningtheU.S.DistrictCourtfortheDistrictofColumbiaorthe 42federaldistrictwheretheCommissionhasitsprincipaloffices.Theprevailingmember 43shallbeawardedallcostsofsuchlitigation,includingreasonableattorney'sfees. 44 (7)UpontheterminationofaState'sparticipationintheCompact,theState 45shallimmediatelyprovidenoticetoallLicenseeswithinthatStateofsuchtermination: 46 (a)LicenseeswhohavebeengrantedaCompactPrivilegeinthatStateshall 47retaintheCompactPrivilegeforonehundredeighty(180)daysfollowingtheeffective 48dateofsuchtermination. 49 (b)LicenseeswhoarelicensedinthatStatewhohavebeengrantedaCompact 50PrivilegeinaParticipatingStateshallretaintheCompactPrivilegeforonehundred 51eighty(180)daysunlesstheLicenseealsohasaQualifyingLicenseinaParticipating 52StateorobtainsaQualifyingLicenseinaParticipatingStatebeforetheonehundred 53eighty(180)-dayperiodends,inwhichcasetheCompactPrivilegeshallcontinue. 54 3.(1)UponrequestbyaParticipatingState,theCommissionshallattemptto 55resolvedisputesrelatedtothisCompactthatariseamongParticipatingStatesand 56betweenparticipatingandnon-ParticipatingStates. 57 (2)TheCommissionshallpromulgateaRuleprovidingforbothmediationand 58bindingdisputeresolutionfordisputesasappropriate. 59 4.(1)TheCommission,inthereasonableexerciseofitsdiscretion,shallenforce 60theprovisionsofthisCompactandRulesoftheCommission. 61 (2)Ifcomplianceisnotsecuredafterallmeanstosecurecompliancehavebeen 62exhausted,bymajorityvote,theCommissionmayinitiatelegalactionintheUnited 63StatesDistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe 64Commissionhasitsprincipaloffices,againstaParticipatingStateindefaulttoenforce 65compliancewiththeprovisionsofthisCompactandtheCommission'spromulgated 66Rulesandbylaws.Thereliefsoughtmayincludebothinjunctivereliefanddamages.In 67theeventjudicialenforcementisnecessary,theprevailingpartyshallbeawardedall 68costsofsuchlitigation,includingreasonableattorney'sfees. HB1388 20 69 (3)TheremedieshereinshallnotbetheexclusiveremediesoftheCommission. 70TheCommissionmaypursueanyotherremediesavailableunderfederalorStatelaw. 71 5.(1)AParticipatingStatemayinitiatelegalactionagainsttheCommissionin 72theU.S.DistrictCourtfortheDistrictofColumbiaorthefederaldistrictwherethe 73Commissionhasitsprincipalofficestoenforcecompliancewiththeprovisionsofthe 74CompactanditsRules.Thereliefsoughtmayincludebothinjunctivereliefand 75damages.Intheeventjudicialenforcementisnecessary,theprevailingpartyshallbe 76awardedallcostsofsuchlitigation,includingreasonableattorney'sfees. 77 (2)NopersonotherthanaParticipatingStateshallenforcethisCompactagainst 78theCommission. 334.1850.1.ThisCompactshallcomeintoeffectonthedateonwhichthis 2CompactstatuteisenactedintolawintheseventhParticipatingState. 3 (1)OnoraftertheeffectivedateoftheCompact,theCommissionshallconvene 4andreviewtheenactmentofeachoftheStatesthatenactedtheCompactpriortothe 5Commissionconvening("CharterParticipatingStates")todetermineifthestatute 6enactedbyeachsuchCharterParticipatingStateismateriallydifferentthantheModel 7Compact. 8 (a)ACharterParticipatingStatewhoseenactmentisfoundtobematerially 9differentfromtheModelCompactshallbeentitledtothedefaultprocesssetforthin 10subsection2ofsection334.1845. 11 (b)IfanyParticipatingStatelaterwithdrawsfromtheCompactorits 12participationisterminated,theCommissionshallremaininexistenceandtheCompact 13shallremainineffectevenifthenumberofParticipatingStatesshouldbelessthan 14seven.ParticipatingStatesenactingtheCompactsubsequenttotheCommission 15conveningshallbesubjecttotheprocesssetforthinsubdivision(21)ofsubsection3of 16section334.1830todetermineiftheirenactmentsaremateriallydifferentfromthe 17ModelCompactandwhethertheyqualifyforparticipationintheCompact. 18 (2)ParticipatingStatesenactingtheCompactsubsequenttotheseveninitial 19CharterParticipatingStatesshallbesubjecttotheprocesssetforthinsubdivision(21) 20ofsubsection3ofsection334.1830todetermineiftheirenactmentsarematerially 21differentfromtheModelCompactandwhethertheyqualifyforparticipationinthe 22Compact. 23 (3)AllactionstakenforthebenefitoftheCommissionorinfurtheranceofthe 24purposesoftheadministrationoftheCompactpriortotheeffectivedateoftheCompact 25ortheCommissioncomingintoexistenceshallbeconsideredtobeactionsofthe 26CommissionunlessspecificallyrepudiatedbytheCommission. HB1388 21 27 2.AnyStatethatjoinsthisCompactshallbesubjecttotheCommission'sRules 28andbylawsastheyexistonthedateonwhichthisCompactbecomeslawinthatState. 29AnyRulethathasbeenpreviouslyadoptedbytheCommissionshallhavethefullforce 30andeffectoflawonthedaythisCompactbecomeslawinthatState. 31 3.AnyParticipatingStatemaywithdrawfromthisCompactbyenactinga 32statuterepealingthesame. 33 (1)AParticipatingState'swithdrawalshallnottakeeffectuntilonehundred 34eighty(180)daysafterenactmentoftherepealingstatute.Duringthisonehundred 35eighty(180)day-period,allCompactPrivilegesthatwereineffectinthewithdrawing 36StateandweregrantedtoLicenseeslicensedinthewithdrawingStateshallremainin 37effect.IfanyLicenseelicensedinthewithdrawingStateisalsolicensedinanother 38ParticipatingStateorobtainsalicenseinanotherParticipatingStatewithintheone 39hundredeighty(180)days,theLicensee'sCompactPrivilegesinotherParticipating 40Statesshallnotbeaffectedbythepassageoftheonehundredeighty(180)days. 41 (2)WithdrawalshallnotaffectthecontinuingrequirementoftheState 42LicensingBoard(s)ofthewithdrawingStatetocomplywiththeinvestigative,and 43AdverseActionreportingrequirementsofthisCompactpriortotheeffectivedateof 44withdrawal. 45 (3)UpontheenactmentofastatutewithdrawingaStatefromthisCompact,the 46StateshallimmediatelyprovidenoticeofsuchwithdrawaltoallLicenseeswithinthat 47State.SuchwithdrawingStateshallcontinuetorecognizealllicensesgrantedpursuant 48tothisCompactforaminimumofonehundredeighty(180)daysafterthedateofsuch 49noticeofwithdrawal. 50 4.NothingcontainedinthisCompactshallbeconstruedtoinvalidateorprevent 51anyPAlicensureagreementorothercooperativearrangementbetweenParticipating 52StatesandbetweenaParticipatingStateandnon-ParticipatingStatethatdoesnot 53conflictwiththeprovisionsofthisCompact. 54 5.ThisCompactmaybeamendedbytheParticipatingStates.Noamendmentto 55thisCompactshallbecomeeffectiveandbindinguponanyParticipatingStateuntilitis 56enactedmateriallyinthesamemannerintothelawsofallParticipatingStatesas 57determinedbytheCommission. 334.1855.1.ThisCompactandtheCommission'srulemakingauthorityshallbe 2liberallyconstruedsoastoeffectuatethepurposes,andtheimplementationand 3administrationoftheCompact.ProvisionsoftheCompactexpresslyauthorizingor 4requiringthepromulgationofRulesshallnotbeconstruedtolimittheCommission's 5rulemakingauthoritysolelyforthosepurposes. HB1388 22 6 2.TheprovisionsofthisCompactshallbeseverableandifanyphrase,clause, 7sentenceorprovisionofthisCompactisheldbyacourtofcompetentjurisdictiontobe 8contrarytotheconstitutionofanyParticipatingState,aStateseekingparticipationin 9theCompact,oroftheUnitedStates,ortheapplicabilitythereoftoanygovernment, 10agency,personorcircumstanceisheldtobeunconstitutionalbyacourtofcompetent 11jurisdiction,thevalidityoftheremainderofthisCompactandtheapplicabilitythereof 12toanyothergovernment,agency,personorcircumstanceshallnotbeaffectedthereby. 13 3.Notwithstandingsubsection2ofthissection,theCommissionmaydenya 14State'sparticipationintheCompactor,inaccordancewiththerequirementsof 15subsection2ofsection334.1845,terminateaParticipatingState'sparticipationinthe 16Compact,ifitdeterminesthataconstitutionalrequirementofaParticipatingStateis,or 17wouldbewithrespecttoaStateseekingtoparticipateintheCompact,amaterial 18departurefromtheCompact.Otherwise,ifthisCompactshallbeheldtobecontraryto 19theconstitutionofanyParticipatingState,theCompactshallremaininfullforceand 20effectastotheremainingParticipatingStatesandinfullforceandeffectastothe 21ParticipatingStateaffectedastoallseverablematters. 334.1860.1.Nothinghereinpreventstheenforcementofanyotherlawofa 2ParticipatingStatethatisnotinconsistentwiththisCompact. 3 2.AnylawsinaParticipatingStateinconflictwiththisCompactaresuperseded 4totheextentoftheconflict. 5 3.AllagreementsbetweentheCommissionandtheParticipatingStatesare 6bindinginaccordancewiththeirterms. ✔ HB1388 23