New Mexico 2025 Regular Session

New Mexico Senate Bill SB433 Compare Versions

Only one version of the bill is available at this time.

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28	28	SENATE BILL 433
29	29	57
30	30	TH LEGISLATURE
31	31	-
32	32
33	33	STATE
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35	35	OF
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37	37	NEW
38	38
39	39	MEXICO
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41	41	-
42	42	FIRST SESSION
43	43	,
44	44
45	45	2025
46	46	INTRODUCED BY
47	47	Harold Pope
48	48	AN ACT
49	49	RELATING TO INTERGOVERNMENTAL AGREEMENTS; ENACTING THE DENTIST
50	50	AND DENTAL HYGIENIST INTERSTATE COMPACT.
51	51	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
52	52	SECTION 1. [NEW MATERIAL] SHORT TITLE.--This act may be
53	53	cited as the "Dentist and Dental Hygienist Interstate Compact".
54	54	SECTION 2. [NEW MATERIAL] PURPOSE.--The purposes of this
55	55	compact are to facilitate the interstate practice of dentistry
56	56	and dental hygiene and improve public access to dentistry and
57	57	dental hygiene services by providing dentists and dental
58	58	hygienists licensed in a participating state the ability to
59	59	practice in participating states in which they are not
60	60	licensed. The compact does this by establishing a pathway for
61	61	a dentists and dental hygienists licensed in a participating
62	62	state to obtain a compact privilege that authorizes them to
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90	90	practice in another participating state in which they are not
91	91	licensed. The compact enables participating states to protect
92	92	the public health and safety with respect to the practice of
93	93	such dentists and dental hygienists through the state's
94	94	authority to regulate the practice of dentistry and dental
95	95	hygiene in the state. The compact:
96	96	A. enables dentists and dental hygienists who
97	97	qualify for a compact privilege to practice in other
98	98	participating states without satisfying burdensome and
99	99	duplicative requirements associated with securing a license to
100	100	practice in those states;
101	101	B. promotes mobility and addresses workforce
102	102	shortages through each participating state's acceptance of a
103	103	compact privilege to practice in that state;
104	104	C. increases public access to qualified, licensed
105	105	dentists and dental hygienists by creating a responsible,
106	106	streamlined pathway for licensees to practice in participating
107	107	states;
108	108	D. enhances the ability of participating states to
109	109	protect the public's health and safety;
110	110	E. does not interfere with licensure requirements
111	111	established by a participating state;
112	112	F. facilitates the sharing of licensure and
113	113	disciplinary information among participating states;
114	114	G. requires dentists and dental hygienists who
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143	143	practice in a participating state pursuant to a compact
144	144	privilege to practice within the scope of practice authorized
145	145	in that state;
146	146	H. extends the authority of a participating state
147	147	to regulate the practice of dentistry and dental hygiene within
148	148	its borders to dentists and dental hygienists who practice in
149	149	the state through a compact privilege;
150	150	I. promotes the cooperation of a participating
151	151	state in regulating the practice of dentistry and dental
152	152	hygiene within participating states; and
153	153	J. facilitates the relocation of military members
154	154	and their spouses who are licensed to practice dentistry or
155	155	dental hygiene."
156	156	SECTION 3. [NEW MATERIAL] DEFINITIONS.--As used in the
157	157	Dentist and Dental Hygienist Interstate Compact, unless the
158	158	context requires otherwise, the following definitions apply:
159	159	A. "active military member" means a person with
160	160	full-time duty status in the armed forces of the United States,
161	161	including members of the national guard and reserve;
162	162	B. "adverse action" means disciplinary action or
163	163	encumbrance imposed on a license or compact privilege by a
164	164	state licensing authority;
165	165	C. "alternative program" means a non-disciplinary
166	166	monitoring or practice remediation process applicable to a
167	167	dentist or dental hygienist approved by a state licensing
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196	196	authority of a participating state in which the dentist or
197	197	dental hygienist is licensed, including programs to which
198	198	licensees with substance abuse or addiction issues are referred
199	199	in lieu of adverse action;
200	200	D. "clinical assessment" means an examination or
201	201	process required for licensure as a dentist or dental
202	202	hygienist, as applicable, that provides evidence of clinical
203	203	competence in dentistry or dental hygiene;
204	204	E. "commissioner" means an individual appointed by
205	205	a participating state to serve as a member of the commission
206	206	for that participating state;
207	207	F. "compact" means the Dentist and Dental Hygienist
208	208	Interstate Compact;
209	209	G. "compact privilege" means the authorization
210	210	granted by a remote state to allow a licensee from a
211	211	participating state to practice as a dentist or a dental
212	212	hygienist in a remote state;
213	213	H. "continuing professional development" means a
214	214	requirement as a condition of license renewal to provide
215	215	evidence of successful participation in educational or
216	216	professional activities relevant to practice or area of work;
217	217	I. "criminal background check" means the submission
218	218	of fingerprints or other biometric-based information for a
219	219	license applicant for the purpose of obtaining that applicant's
220	220	criminal history record information, as defined in 28 C.F.R.
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249	249	Section 20.3(d) from the federal bureau of investigation and
250	250	the state's criminal history record repository as defined in 28
251	251	C.F.R. Section 20.3;
252	252	J. "data system" means the commission's repository
253	253	of information about licensees, including examination,
254	254	licensure, investigative, compact privilege, adverse action and
255	255	alternative program information;
256	256	K. "dental hygienist" means an individual who is
257	257	licensed by a state licensing authority to practice dental
258	258	hygiene;
259	259	L. "dentist" means an individual who is licensed by
260	260	a state licensing authority to practice dentistry;
261	261	M. "dentist and dental hygienist compact
262	262	commission" or "commission" means a joint government agency
263	263	established by this compact composed of each participating
264	264	state and a national administrative body composed of a
265	265	commissioner from each participating state;
266	266	N. "encumbered license" means a license that a
267	267	state licensing authority has limited in a way other than
268	268	through an alternative program;
269	269	O. "executive board" means the chair, vice chair,
270	270	secretary and treasurer and any other commissioners as may be
271	271	determined by commission rule or bylaw;
272	272	P. "jurisprudence requirement" means the assessment
273	273	of an individual's knowledge of the laws and rules governing
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302	302	the practice of dentistry or dental hygiene, as applicable, in
303	303	a state;
304	304	Q. "license" means current authorization by a
305	305	state, other than authorization pursuant to a compact
306	306	privilege, or other privilege for an individual to practice as
307	307	a dentist or dental hygienist in that state;
308	308	R. "licensee" means an individual who holds an
309	309	unrestricted license from a participating state to practice as
310	310	a dentist or dental hygienist in that state;
311	311	S. "model compact" means the model for the Dentist
312	312	and Dental Hygienist Interstate Compact on file with the
313	313	council of state governments or other entity as designated by
314	314	the commission;
315	315	T. "participating state" means a state that has
316	316	enacted the Dentist and Dental Hygienist Interstate Compact and
317	317	been admitted to the commission in accordance with the
318	318	provisions of this compact and commission rules;
319	319	U. "qualifying license" means a license that is not
320	320	an encumbered license issued by a participating state to
321	321	practice dentistry or dental hygiene;
322	322	V. "remote state" means a participating state where
323	323	a licensee who is not licensed as a dentist or dental hygienist
324	324	is exercising or seeking to exercise the compact privilege;
325	325	W. "rule" means a regulation promulgated by an
326	326	entity that has the force of law;
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355	355	X. "scope of practice" means the procedures,
356	356	actions and processes that a dentist or dental hygienist
357	357	licensed in a state is permitted to undertake in that state and
358	358	the circumstances under which a licensee is permitted to
359	359	undertake those procedures, actions and processes, which may be
360	360	established through means including statute, regulations, case
361	361	law and other processes available to the state licensing
362	362	authority or other government agency;
363	363	Y. "significant investigative information" means
364	364	information, records and documents received or generated by a
365	365	state licensing authority pursuant to an investigation for
366	366	which a determination has been made that there is probable
367	367	cause to believe that a licensee has violated a statute or
368	368	regulation that is considered more than a minor infraction for
369	369	which the state licensing authority could pursue adverse action
370	370	against the licensee;
371	371	Z. "state" means any state, commonwealth, district
372	372	or territory of the United States of America that regulates the
373	373	practices of dentistry and dental hygiene; and
374	374	AA. "state licensing authority" means an agency or
375	375	other entity of a state that is responsible for the licensing
376	376	and regulation of dentists or dental hygienists.
377	377	SECTION 4. [NEW MATERIAL] STATE PARTICIPATION IN THE
378	378	COMPACT.--
379	379	A. In order to join the compact and thereafter
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408	408	continue as a participating state, a state shall:
409	409	(1) enact a compact that is not materially
410	410	different from the model compact as determined in accordance
411	411	with commission rules;
412	412	(2) participate fully in the commission's data
413	413	system;
414	414	(3) have a mechanism in place for receiving
415	415	and investigating complaints about licensees and license
416	416	applicants;
417	417	(4) notify the commission, in compliance with
418	418	the terms of the compact and commission rules, of any adverse
419	419	action or the availability of significant investigative
420	420	information regarding a licensee or license applicant;
421	421	(5) fully implement a criminal background
422	422	check requirement, within a time frame established by
423	423	commission rule, by receiving the results of a qualifying
424	424	criminal background check;
425	425	(6) comply with the commission rules
426	426	applicable to a participating state;
427	427	(7) accept the national board examinations of
428	428	the joint commission on national dental examinations or another
429	429	examination accepted by commission rule as a licensure
430	430	examination;
431	431	(8) accept for licensure that applicants for a
432	432	dental license graduate from a predoctoral dental education
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461	461	program accredited by the commission on dental accreditation or
462	462	another accrediting agency recognized by the United States
463	463	department of education for the accreditation of dentistry and
464	464	dental hygiene education programs, leading to the doctor of
465	465	dental surgery or doctor of dental medicine degree;
466	466	(9) accept for licensure that applicants for a
467	467	dental hygiene license graduate from a dental hygiene education
468	468	program accredited by the commission on dental accreditation or
469	469	another accrediting agency recognized by the United States
470	470	department of education for the accreditation of dentistry and
471	471	dental hygiene education programs;
472	472	(10) require for licensure that applicants
473	473	successfully complete a clinical assessment;
474	474	(11) have continuing professional development
475	475	requirements as a condition for license renewal; and
476	476	(12) pay a participation fee for the
477	477	commission as established by commission rule.
478	478	B. Providing alternative pathways for an individual
479	479	to obtain an unrestricted license does not disqualify a state
480	480	from participating in the compact.
481	481	C. When conducting a criminal background check, the
482	482	state licensing authority shall:
483	483	(1) consider that criminal background
484	484	information in making a licensure decision;
485	485	(2) maintain documentation of completion of a
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514	514	criminal background check and criminal background information to
515	515	the extent allowed by state and federal law; and
516	516	(3) report to the commission whether it has
517	517	completed a criminal background check and whether the individual
518	518	was granted or denied a license.
519	519	D. A licensee of a participating state who has a
520	520	qualifying license in that state and does not hold an encumbered
521	521	license in any other participating state shall be issued a
522	522	compact privilege in a remote state in accordance with the
523	523	provisions of the compact and commission rules. If a remote
524	524	state has a jurisprudence requirement, a compact privilege shall
525	525	not be issued to the licensee unless the licensee has satisfied
526	526	the jurisprudence requirement.
527	527	SECTION 5. [NEW MATERIAL] COMPACT PRIVILEGE.--
528	528	A. To obtain and exercise a compact privilege under
529	529	the terms and provisions of this compact, a licensee shall:
530	530	(1) have a qualifying license as a dentist or
531	531	dental hygienist in a participating state;
532	532	(2) be eligible for a compact privilege in
533	533	accordance with Subsections D, G and H of this section;
534	534	(3) submit to an application process whenever
535	535	the licensee is seeking a compact privilege;
536	536	(4) pay any applicable commission and remote
537	537	state fees for a compact privilege;
538	538	(5) meet any jurisprudence requirement
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567	567	established by a remote state in which the licensee is seeking a
568	568	compact privilege;
569	569	(6) have passed a national board examination
570	570	of the joint commission on national dental examinations or
571	571	another examination accepted by commission rule;
572	572	(7) for a dentist, have graduated from a
573	573	predoctoral dental education program accredited by the
574	574	commission on dental accreditation or another accrediting agency
575	575	recognized by the United States department of education for the
576	576	accreditation of dentistry and dental hygiene education
577	577	programs, leading to the doctor of dental surgery or doctor of
578	578	dental medicine degree;
579	579	(8) for a dental hygienist, have graduated
580	580	from a dental hygiene education program accredited by the
581	581	commission on dental accreditation or another accrediting agency
582	582	recognized by the United States department of education for the
583	583	accreditation of dentistry and dental hygiene education
584	584	programs;
585	585	(9) have successfully completed a clinical
586	586	assessment for licensure;
587	587	(10) report to the commission adverse action
588	588	taken by any nonparticipating state when applying for a compact
589	589	privilege and otherwise within thirty days from the date the
590	590	adverse action is taken;
591	591	(11) report to the commission when applying
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620	620	for a compact privilege the address of the licensee's primary
621	621	residence and thereafter immediately report to the commission
622	622	any change in the address of the licensee's primary residence;
623	623	and
624	624	(12) consent to accept service of process by
625	625	mail at the licensee's primary residence on record with the
626	626	commission with respect to any action brought against the
627	627	licensee by the commission or a participating state and consent
628	628	to accept service of a subpoena by mail at the licensee's
629	629	primary residence on record with the commission with respect to
630	630	any action brought or investigation conducted by the commission
631	631	or a participating state.
632	632	B. The licensee shall comply with the requirements
633	633	of Subsection A of this section to maintain the compact
634	634	privilege and, if those requirements are met, the compact
635	635	privilege shall continue as long as the licensee maintains a
636	636	qualifying license in the state through which the licensee
637	637	applied for the compact privilege and pays any applicable
638	638	compact privilege renewal fees.
639	639	C. A licensee providing dentistry or dental hygiene
640	640	in a remote state under the compact privilege shall function
641	641	within the scope of practice authorized by the remote state for
642	642	a dentist or dental hygienist licensed in that state.
643	643	D. A licensee providing dentistry or dental hygiene
644	644	services pursuant to a compact privilege is subject to the
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673	673	remote state's regulatory authority. A remote state may, in
674	674	accordance with due process and that state's laws, by adverse
675	675	action revoke or remove a licensee's compact privilege for a
676	676	specific period of time and impose fines or take any other
677	677	necessary actions to protect the health and safety of its
678	678	citizens. If a remote state imposes an adverse action against a
679	679	compact privilege that limits the compact privilege, that
680	680	adverse action applies to all compact privileges in all remote
681	681	states. A licensee whose compact privilege in a remote state is
682	682	removed for a specified period of time is not eligible for a
683	683	compact privilege in any other remote state until the specific
684	684	time for removal of the compact privilege has passed and all
685	685	encumbrance requirements are satisfied.
686	686	E. If a license in a participating state is an
687	687	encumbered license, the licensee shall lose the compact
688	688	privilege in a remote state and shall not be eligible for a
689	689	compact privilege in any remote state until the license is no
690	690	longer encumbered.
691	691	F. Once an encumbered license in a participating
692	692	state is restored to good standing, the licensee must meet the
693	693	requirements of Subsection A of this section to obtain a compact
694	694	privilege in a remote state.
695	695	G. If a licensee's compact privilege in a remote
696	696	state is removed by the remote state, the individual shall lose
697	697	or be ineligible for the compact privilege in any remote state
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726	726	until the following occur:
727	727	(1) the specific period of time for which the
728	728	compact privilege was removed has ended; and
729	729	(2) all conditions for removal of the compact
730	730	privilege have been satisfied.
731	731	H. Once the requirements of Subsection G of this
732	732	section have been met, the licensee must meet the requirements
733	733	in Subsection A of this section to obtain a compact privilege in
734	734	a remote state.
735	735	SECTION 6. [NEW MATERIAL] ACTIVE MILITARY MEMBER OR
736	736	ACTIVE MILITARY MEMBER'S SPOUSE.--An active military member or
737	737	an active military member's spouse shall not be required to pay
738	738	to the commission for a compact privilege the fee otherwise
739	739	charged by the commission. If a remote state chooses to charge
740	740	a fee for a compact privilege, it may choose to charge a reduced
741	741	fee or no fee to an active military member or an active military
742	742	member's spouse for a compact privilege.
743	743	SECTION 7. [NEW MATERIAL] ADVERSE ACTIONS.--
744	744	A. A participating state in which a licensee is
745	745	licensed shall have exclusive authority to impose adverse action
746	746	against the qualifying license issued by that participating
747	747	state.
748	748	B. A participating state may take adverse action
749	749	based on the significant investigative information of a remote
750	750	state, so long as the participating state follows its own
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779	779	procedures for imposing an adverse action.
780	780	C. Nothing in this compact shall override a
781	781	participating state's decision that participation in an
782	782	alternative program may be used in lieu of adverse action and
783	783	that such participation shall remain nonpublic if required by
784	784	the participating state's laws. Participating states shall
785	785	require licensees who enter any alternative program in lieu of
786	786	discipline to agree not to practice pursuant to a compact
787	787	privilege in any other participating state during the term of
788	788	the alternative program without prior authorization from the
789	789	other participating state.
790	790	D. Any participating state in which a licensee is
791	791	applying to practice or is practicing pursuant to a compact
792	792	privilege may investigate actual or alleged violations of the
793	793	statutes and regulations authorizing the practice of dentistry
794	794	or dental hygiene in any other participating state in which the
795	795	dentist or dental hygienist holds a license or compact
796	796	privilege.
797	797	E. A remote state may take adverse actions as set
798	798	forth in Subsection D of this section against a licensee's
799	799	compact privilege in the state.
800	800	F. In furtherance of its rights and responsibilities
801	801	under the compact and commission rules, issue subpoenas for both
802	802	hearings and investigations that require the attendance and
803	803	testimony of witnesses and the production of evidence.
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832	832	Subpoenas issued by a state licensing authority in a
833	833	participating state for the attendance and testimony of
834	834	witnesses, or the production of evidence from another
835	835	participating state, shall be enforced in the latter state by
836	836	any court of competent jurisdiction, according to the practice
837	837	and procedure of that court applicable to subpoenas issued in
838	838	proceedings pending before it. The issuing authority shall pay
839	839	any witness fees, travel expenses, mileage and other fees
840	840	required by the service statutes of the state where the
841	841	witnesses or evidence is located.
842	842	G. If otherwise permitted by state law, recover from
843	843	the licensee the costs of investigations and disposition of
844	844	cases resulting from an adverse action taken against that
845	845	licensee.
846	846	H. The following conditions apply to joint
847	847	investigations:
848	848	(1) in addition to the authority granted to a
849	849	participating state by the state's dentist or dental hygienist
850	850	licensure act or other applicable state law, a participating
851	851	state may jointly investigate licensees with other participating
852	852	states; and
853	853	(2) participating states shall share any
854	854	significant investigative information, litigation or
855	855	compliance materials in furtherance of a joint or individual
856	856	investigation initiated under the compact.
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885	885	I. The following conditions apply to the authority
886	886	to continue an investigation:
887	887	(1) after a licensee's compact privilege in a
888	888	remote state is terminated, the remote state may continue an
889	889	investigation of the licensee that began when the licensee had a
890	890	compact privilege in that remote state; and
891	891	(2) if an investigation yields what would be
892	892	significant investigative information had the licensee continued
893	893	to have a compact privilege in that remote state, the remote
894	894	state shall report the presence of that information to the data
895	895	system as required by Paragraph (6) of Subsection B of Section 9
896	896	of this compact as if it were significant investigative
897	897	information.
898	898	SECTION 8. [NEW MATERIAL] ESTABLISHMENT AND OPERATION OF
899	899	THE DENTIST AND DENTAL HYGIENIST COMPACT COMMISSION.--
900	900	A. The participating states hereby create and
901	901	establish a joint government agency whose membership consists of
902	902	all participating states that have enacted the compact. The
903	903	"dentist and dental hygienist compact commission" is an
904	904	instrumentality of the participating states acting jointly and
905	905	not an instrumentality of any one state. The commission shall
906	906	come into existence on or after the effective date of the
907	907	compact as set forth in Subsection A of Section 12 of this
908	908	compact.
909	909	B. The following conditions apply to participation,
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938	938	voting and meetings:
939	939	(1) each participating state shall have one
940	940	commissioner selected by the participating state's state
941	941	licensing authority or, if the participating state has more than
942	942	one state licensing authority, selected collectively by those
943	943	state licensing authorities;
944	944	(2) a commissioner shall be a member or
945	945	designee of the state licensing authority that selected the
946	946	commissioner;
947	947	(3) the commission may by rule or bylaw
948	948	establish a term of office for commissioners and by rule or
949	949	bylaw establish term limits;
950	950	(4) the commission may recommend to a state
951	951	licensing authority removal or suspension of an individual as
952	952	the state's commissioner;
953	953	(5) a participating state's state licensing
954	954	authority or authorities, as applicable, shall fill any vacancy
955	955	of its commissioner within sixty days of the vacancy;
956	956	(6) each commissioner shall be entitled to one
957	957	vote on all matters that are voted upon by the commission; and
958	958	(7) the commission shall meet at least once
959	959	during each calendar year.
960	960	C. The commission may:
961	961	(1) establish the fiscal year of the
962	962	commission;
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991	991	(2) establish code of conduct and conflict of
992	992	interest policies;
993	993	(3) adopt rules and bylaws;
994	994	(4) maintain its financial records in
995	995	accordance with the bylaws;
996	996	(5) meet and take such actions as are
997	997	consistent with the provisions of this compact and the
998	998	commission's rules and bylaws;
999	999	(6) initiate and conclude legal proceedings or
1000	1000	actions in the name of the commission; provided that the
1001	1001	standing of any state licensing authority to sue or be sued
1002	1002	under applicable law shall not be affected;
1003	1003	(7) maintain and certify records and
1004	1004	information provided to a participating state as the
1005	1005	authenticated business records of the commission and designate
1006	1006	an individual to do so on the commission's behalf;
1007	1007	(8) purchase and maintain insurance and bonds;
1008	1008	(9) borrow, accept or contract for services of
1009	1009	personnel, including, but not limited to, employees of a
1010	1010	participating state;
1011	1011	(10) conduct an annual financial review;
1012	1012	(11) hire employees, elect or appoint
1013	1013	officers, fix compensation, define duties, grant such
1014	1014	individuals appropriate authority to carry out the purposes of
1015	1015	the compact and establish the commission's personnel policies
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1044	1044	and programs relating to conflicts of interest, qualifications
1045	1045	of personnel and other related personnel matters;
1046	1046	(12) as set forth in commission rules, charge
1047	1047	a fee to a licensee for the grant of a compact privilege, and
1048	1048	thereafter, charge the licensee a compact privilege renewal fee
1049	1049	for each renewal period in which that licensee exercises or
1050	1050	intends to exercise the compact privilege; provided that nothing
1051	1051	in this paragraph shall be construed to prevent a remote state
1052	1052	from charging a licensee a fee for a compact privilege or
1053	1053	renewals of a compact privilege or a fee for the jurisprudence
1054	1054	requirement if the remote state imposes a requirement for the
1055	1055	grant of a compact privilege;
1056	1056	(13) accept any and all appropriate gifts,
1057	1057	donations, grants of money, other sources of revenue, equipment,
1058	1058	supplies, materials and services; and receive, use and dispose
1059	1059	of the same; provided that at all times the commission shall
1060	1060	avoid any appearance of impropriety or conflict of interest;
1061	1061	(14) lease, purchase, retain, own, hold,
1062	1062	improve or use any property, real, personal or mixed, or any
1063	1063	undivided interest in the property;
1064	1064	(15) sell, convey, mortgage, pledge, lease,
1065	1065	exchange, abandon or otherwise dispose of any property, real,
1066	1066	personal or mixed;
1067	1067	(16) establish a budget and make expenditures;
1068	1068	(17) borrow money;
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1097	1097	(18) appoint committees, including standing
1098	1098	committees, which may be composed of members, state regulators,
1099	1099	state legislators or their representatives, consumer
1100	1100	representatives and other interested persons as may be
1101	1101	designated pursuant to this compact and the commission's bylaws;
1102	1102	(19) provide and receive information from and
1103	1103	cooperate with law enforcement agencies;
1104	1104	(20) elect a chair, vice chair, secretary and
1105	1105	treasurer and other officers of the commission as provided in
1106	1106	the commission's bylaws;
1107	1107	(21) establish and elect an executive board;
1108	1108	(22) adopt and provide to the participating
1109	1109	states an annual report;
1110	1110	(23) determine whether a state's enacted
1111	1111	compact is materially different from the model compact language
1112	1112	such that the state would not qualify for participation in the
1113	1113	compact; and
1114	1114	(24) perform other functions as may be
1115	1115	necessary or appropriate to achieve the purposes of this
1116	1116	compact.
1117	1117	D. The following conditions apply to meetings of the
1118	1118	commission:
1119	1119	(1) all meetings that are not closed pursuant
1120	1120	to this subsection shall be open to the public, and notice of
1121	1121	public meetings shall be posted on the commission's website at
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1150	1150	least thirty days prior to the meeting;
1151	1151	(2) notwithstanding Paragraph (1) of this
1152	1152	subsection, the commission may convene an emergency public
1153	1153	meeting by providing at least twenty-four hours' prior notice on
1154	1154	the commission's website or any other means pursuant to the
1155	1155	commission's rules; provided that the commission's legal counsel
1156	1156	certifies that the emergency public meeting was called for a
1157	1157	permissible reason for which it may dispense with notice of
1158	1158	proposed rulemaking under Subsection H of Section 10 of this
1159	1159	compact;
1160	1160	(3) notice of all commission meetings shall
1161	1161	provide the time, date and location of the meeting, and if the
1162	1162	meeting is to be held or accessible via telecommunication, video
1163	1163	conference or other electronic means, the notice shall include
1164	1164	the mechanism for access to the meeting through such means; and
1165	1165	(4) a closed, nonpublic meeting may be held
1166	1166	for the commission to receive legal advice or to discuss
1167	1167	matters, including:
1168	1168	(a) noncompliance of a participating
1169	1169	state with its obligations under the compact;
1170	1170	(b) the employment, compensation,
1171	1171	discipline or other matters, practices or procedures related to
1172	1172	specific employees or other matters related to the commission's
1173	1173	internal personnel practices and procedures;
1174	1174	(c) current or threatened discipline of a
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1203	1203	licensee or compact privilege holder by the commission or by a
1204	1204	participating state's licensing authority;
1205	1205	(d) current, threatened or reasonably
1206	1206	anticipated litigation;
1207	1207	(e) negotiation of contracts for the
1208	1208	purchase, lease or sale of goods, services or real estate;
1209	1209	(f) accusations that any person of a has
1210	1210	committed a crime or the formal censure of any person;
1211	1211	(g) trade secrets or commercial or
1212	1212	financial information that is privileged or confidential;
1213	1213	(h) information of a personal nature
1214	1214	where disclosure would constitute a clearly unwarranted invasion
1215	1215	of personal privacy;
1216	1216	(i) investigative records compiled for
1217	1217	law enforcement purposes;
1218	1218	(j) information related to an
1219	1219	investigative report prepared by or on behalf of or for use of
1220	1220	the commission or other committee charged with the
1221	1221	responsibility of investigation or determination of compliance
1222	1222	issues pursuant to the compact;
1223	1223	(k) legal advice;
1224	1224	(l) matters specifically exempted from
1225	1225	disclosure to the public by federal or participating state law;
1226	1226	and
1227	1227	(m) other matters as promulgated by the
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1256	1256	commission by rule.
1257	1257	E. If a meeting or portion of a meeting is closed to
1258	1258	the public, the presiding officer shall state that the meeting
1259	1259	will be closed and make reference to each relevant exempting
1260	1260	provision, and such reference shall be recorded in the meeting's
1261	1261	minutes.
1262	1262	F. The commission shall keep minutes that fully and
1263	1263	clearly describe all matters discussed in a meeting and provide
1264	1264	a full and accurate summary of actions taken, and the reasons
1265	1265	for the actions, including a description of the views expressed,
1266	1266	and all documents considered in connection with an action shall
1267	1267	be identified in the minutes, and the minutes and documents of a
1268	1268	closed meeting shall remain under seal, subject to release only
1269	1269	by a majority vote of the commission or order of a court of
1270	1270	competent jurisdiction.
1271	1271	G. The financing of the commission shall be carried
1272	1272	out as follows. The commission:
1273	1273	(1) shall pay, or provide for the payment of,
1274	1274	the reasonable expenses of its establishment, organization and
1275	1275	ongoing activities;
1276	1276	(2) may accept any and all appropriate sources
1277	1277	of revenue, donations and grants of money, equipment, supplies,
1278	1278	materials and services;
1279	1279	(3) may levy on and collect an annual
1280	1280	assessment from each participating state and impose fees on
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1309	1309	licensees of participating states when a compact privilege is
1310	1310	granted to cover the cost of the operations and activities of
1311	1311	the commission and its staff, which must be in a total amount
1312	1312	sufficient to cover its annual budget as approved each
1313	1313	fiscal year for which sufficient revenue is not provided by
1314	1314	other sources with the aggregate annual assessment amount for
1315	1315	participating states allocated based upon a formula that the
1316	1316	commission shall promulgate by rule;
1317	1317	(4) shall not incur obligations of any kind
1318	1318	prior to securing the funds adequate to meet the same nor pledge
1319	1319	the credit of any participating state, except by and with the
1320	1320	authority of the participating state; and
1321	1321	(5) shall keep accurate accounts of all
1322	1322	receipts and disbursements, subject to the financial review and
1323	1323	accounting procedures established under its bylaws and subject
1324	1324	to an annual financial review by a certified or licensed public
1325	1325	accountant, the report of which shall be included in the annual
1326	1326	report of the commission.
1327	1327	H. The executive board may act on behalf of the
1328	1328	commission according to the terms of this compact. The powers,
1329	1329	duties and responsibilities of the executive board include:
1330	1330	(1) overseeing the day-to-day activities of
1331	1331	the administration of the compact, including compliance with the
1332	1332	provisions of the compact and the commission's rules and bylaws;
1333	1333	(2) recommending to the commission changes to
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1362	1362	the commission's rules or bylaws, changes to the compact
1363	1363	legislation, fees charged to participating states, fees charged
1364	1364	to licensees and other fees;
1365	1365	(3) ensuring that compact administration
1366	1366	services are appropriately provided, including by contract;
1367	1367	(4) preparing and recommending the budget for
1368	1368	the commission;
1369	1369	(5) maintaining financial records on behalf of
1370	1370	the commission;
1371	1371	(6) monitoring compact compliance of
1372	1372	participating states and providing compliance reports to the
1373	1373	commission;
1374	1374	(7) establishing additional committees as
1375	1375	necessary;
1376	1376	(8) exercising the powers and duties of the
1377	1377	commission during the interim period between commission
1378	1378	meetings, except for adopting or amending rules, adopting or
1379	1379	amending bylaws and exercising any other powers and duties
1380	1380	expressly reserved to the commission by rule or bylaw; and
1381	1381	(9) other duties as provided in the rules or
1382	1382	bylaws of the commission.
1383	1383	I. The executive board of the commission shall be
1384	1384	composed of up to seven voting members, including:
1385	1385	(1) the chair, vice chair, secretary and
1386	1386	treasurer; and
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1415	1415	(2) up to three additional members who may be
1416	1416	elected by the commission from the current membership of the
1417	1417	commission.
1418	1418	J. The executive board of the commission may remove
1419	1419	a member of the executive board as provided in the commission's
1420	1420	bylaws.
1421	1421	K. The executive board of the commission shall meet
1422	1422	at least annually and ensure that:
1423	1423	(1) meetings at which the executive board of
1424	1424	the commission takes or intends to take formal action on a
1425	1425	matter be open to the public, except when dealing with any of
1426	1426	the matters covered under Paragraph (4) of Subsection D of this
1427	1427	section; and
1428	1428	(2) five business days' notice of public
1429	1429	meetings are provided by posting notice on the commission's
1430	1430	website and as it may otherwise determine to provide notice to
1431	1431	persons with an interest in the public matters that the
1432	1432	executive board intends to address at those meetings.
1433	1433	L. The executive board of the commission may hold an
1434	1434	emergency meeting when acting for the commission to:
1435	1435	(1) meet an imminent threat to public health,
1436	1436	safety or welfare;
1437	1437	(2) prevent a loss of commission or
1438	1438	participating state funds; or
1439	1439	(3) protect public health and safety.
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1468	1468	M. The members, officers, executive director,
1469	1469	employees and representatives of the commission shall be immune
1470	1470	from suit and liability, both personally and in their official
1471	1471	capacity, for any claim for damage to or loss of property or
1472	1472	personal injury or other civil liability caused by or arising
1473	1473	out of any actual or alleged act, error or omission that
1474	1474	occurred or that the person against whom the claim is made had a
1475	1475	reasonable basis for believing occurred within the scope of
1476	1476	commission employment, duties or responsibilities; provided that
1477	1477	nothing in this subsection shall be construed to protect any
1478	1478	such person from suit or liability for any damage, loss, injury
1479	1479	or liability caused by the intentional or willful or wanton
1480	1480	misconduct of that person; and provided further that the
1481	1481	procurement of insurance of any type by the commission shall not
1482	1482	compromise or limit the immunity granted by this subsection.
1483	1483	N. The commission shall defend any member, officer,
1484	1484	executive director, employee or representative of the commission
1485	1485	in any civil action seeking to impose liability arising out of
1486	1486	any actual or alleged act, error or omission that occurred
1487	1487	within the scope of commission employment, duties or
1488	1488	responsibilities or as determined by the commission that the
1489	1489	person against whom the claim is made had a reasonable basis for
1490	1490	believing occurred within the scope of commission employment,
1491	1491	duties or responsibilities; provided that nothing in this
1492	1492	subsection shall be construed to prohibit that person from
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1521	1521	retaining the person's own counsel at the person's own expense;
1522	1522	and provided further that the actual or alleged act, error or
1523	1523	omission did not result from that person's intentional or
1524	1524	willful or wanton misconduct.
1525	1525	O. Notwithstanding Subsection L of this section,
1526	1526	should any member, officer, executive director, employee or
1527	1527	representative of the commission be held liable for the amount
1528	1528	of any settlement or judgment arising out of any actual or
1529	1529	alleged act, error or omission that occurred within the scope of
1530	1530	that individual's employment, duties or responsibilities for the
1531	1531	commission, or that the person to whom that individual is liable
1532	1532	had a reasonable basis for believing occurred within the scope
1533	1533	of the individual's employment, duties or responsibilities for
1534	1534	the commission, the commission shall indemnify and hold harmless
1535	1535	that individual; provided that the actual or alleged act, error
1536	1536	or omission did not result from the intentional or willful or
1537	1537	wanton misconduct of the individual.
1538	1538	P. Nothing in this compact shall be:
1539	1539	(1) construed as a limitation on the liability
1540	1540	of any licensee for professional malpractice or misconduct,
1541	1541	which shall be governed solely by any other applicable state
1542	1542	laws;
1543	1543	(2) interpreted to waive or otherwise abrogate
1544	1544	a participating state's state action immunity or state action
1545	1545	affirmative defense with respect to antitrust claims under the
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1574	1574	federal Sherman Act, the federal Clayton Act or any other state
1575	1575	or federal antitrust or anti-competitive law or regulation; or
1576	1576	(3) construed to be a waiver of sovereign
1577	1577	immunity by the participating states or by the commission.
1578	1578	SECTION 9. [NEW MATERIAL] DATA SYSTEM.--
1579	1579	A. The commission shall provide for the development,
1580	1580	maintenance, operation and use of a coordinated database and
1581	1581	reporting system containing licensure and adverse action
1582	1582	information and significant investigative information on all
1583	1583	licensees and applicants for a license in participating states.
1584	1584	B. Notwithstanding any other provision of state law
1585	1585	to the contrary, a participating state shall submit a uniform
1586	1586	data set to the data system on all individuals to whom this
1587	1587	compact is applicable as required by the rules of the
1588	1588	commission, including:
1589	1589	(1) identifying information;
1590	1590	(2) licensure data;
1591	1591	(3) adverse actions against a licensee,
1592	1592	license applicant or compact privilege and information related
1593	1593	thereto;
1594	1594	(4) nonconfidential information related to
1595	1595	alternative program participation, the beginning and ending
1596	1596	dates of such participation and other information related to
1597	1597	such participation;
1598	1598	(5) any denial of an application for licensure
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1627	1627	and the reasons for such denial, excluding the reporting of any
1628	1628	criminal history record information where prohibited by law;
1629	1629	(6) the presence of significant investigative
1630	1630	information; and
1631	1631	(7) other information that may facilitate the
1632	1632	administration of this compact or the protection of the public,
1633	1633	as determined by the rules of the commission.
1634	1634	C. The records and information provided to a
1635	1635	participating state pursuant to this compact or through the data
1636	1636	system, when certified by the commission or an agent of the
1637	1637	commission, constitute the authenticated business records of the
1638	1638	commission and shall be entitled to any associated hearsay
1639	1639	exception in any relevant judicial, quasi-judicial or
1640	1640	administrative proceedings in a participating state.
1641	1641	D. Significant investigative information pertaining
1642	1642	to a licensee in any participating state shall only be available
1643	1643	to other participating states.
1644	1644	E. It is the responsibility of the participating
1645	1645	states to monitor the database to determine whether adverse
1646	1646	action has been taken against a licensee or license applicant.
1647	1647	Adverse action information pertaining to a licensee or license
1648	1648	applicant in any participating state shall be available to any
1649	1649	other participating state.
1650	1650	F. Participating states contributing information to
1651	1651	the data system may designate information that may not be shared
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1680	1680	with the public without the express permission of the
1681	1681	contributing state.
1682	1682	G. Any information submitted to the data system that
1683	1683	is subsequently expunged pursuant to federal law or the laws of
1684	1684	the participating state contributing the information shall be
1685	1685	removed from the data system.
1686	1686	SECTION 10. [NEW MATERIAL] RULEMAKING.--
1687	1687	A. The commission shall promulgate reasonable rules
1688	1688	in order to effectively and efficiently implement and administer
1689	1689	the purposes and provisions of the compact. A commission rule
1690	1690	shall be invalid and have no force or effect only if a court of
1691	1691	competent jurisdiction holds that the rule is invalid because
1692	1692	the commission exercised its rulemaking authority in a manner
1693	1693	that is beyond the scope and purposes of the compact or the
1694	1694	powers granted in the compact or based upon another applicable
1695	1695	standard of review.
1696	1696	B. The rules of the commission shall have the force
1697	1697	of law in each participating state; provided, however, that
1698	1698	where the rules of the commission conflict with the laws of the
1699	1699	participating state that establish the participating state's
1700	1700	scope of practice as held by a court of competent jurisdiction,
1701	1701	the rules of the commission shall be ineffective in that state
1702	1702	to the extent of the conflict.
1703	1703	C. The commission shall exercise its rulemaking
1704	1704	powers pursuant to the criteria set forth in this section and
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1733	1733	the rules adopted pursuant to this section. Rules shall become
1734	1734	binding as of the date specified by the commission for each
1735	1735	rule.
1736	1736	D. If a majority of the state legislatures of the
1737	1737	participating states rejects a commission rule or portion of a
1738	1738	commission rule, by enactment of a statute or resolution in the
1739	1739	same manner used to adopt the compact, within four years of the
1740	1740	date of adoption of the rule, then the rule shall have no
1741	1741	further force and effect in any participating state or to any
1742	1742	state applying to participate in the compact.
1743	1743	E. Rules shall be adopted at a regular or special
1744	1744	meeting of the commission.
1745	1745	F. Prior to adoption of a proposed rule, the
1746	1746	commission shall hold a public hearing and allow persons to
1747	1747	provide oral and written comments, data, facts, opinions and
1748	1748	arguments.
1749	1749	G. Prior to adoption of a proposed rule, and at
1750	1750	least thirty days in advance of the meeting at which the
1751	1751	commission will hold a public hearing on the proposed rule, the
1752	1752	commission shall provide a notice of proposed rulemaking:
1753	1753	(1) on the commission's website or other
1754	1754	publicly accessible platform;
1755	1755	(2) to persons who have requested notice of
1756	1756	the commission's proposed rulemaking; and
1757	1757	(3) in other ways as the commission may by
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1786	1786	rule specify.
1787	1787	H. The notice of proposed rulemaking shall include:
1788	1788	(1) the time, date and location of the public
1789	1789	hearing at which the commission will hear public comments on the
1790	1790	proposed rule and, if different, the time, date and location of
1791	1791	the meeting where the commission will consider and vote on the
1792	1792	proposed rule;
1793	1793	(2) if the hearing is held via
1794	1794	telecommunication, video conference or other electronic means,
1795	1795	the commission shall include the mechanism for access to the
1796	1796	hearing in the notice of proposed rulemaking;
1797	1797	(3) the text of the proposed rule and the
1798	1798	reason for the proposed rule;
1799	1799	(4) a request for comments on the proposed
1800	1800	rule from any interested person; and
1801	1801	(5) the manner in which interested persons may
1802	1802	submit written comments.
1803	1803	I. All hearings shall be recorded. A copy of the
1804	1804	recording and all written comments and documents received by the
1805	1805	commission in response to the proposed rule shall be available
1806	1806	to the public.
1807	1807	J. Nothing in this section shall be construed as
1808	1808	requiring a separate hearing on each commission rule. Rules may
1809	1809	be grouped for the convenience of the commission at hearings
1810	1810	required by this section.
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1839	1839	K. The commission shall, by majority vote of all
1840	1840	commissioners, take final action on the proposed rule based on
1841	1841	the rulemaking record. The commission:
1842	1842	(1) may adopt changes to the proposed rule;
1843	1843	provided that the changes do not enlarge the original purpose of
1844	1844	the proposed rule;
1845	1845	(2) shall provide an explanation of the
1846	1846	reasons for substantive changes made to the proposed rule as
1847	1847	well as reasons for substantive changes not made that were
1848	1848	recommended by public commenters; and
1849	1849	(3) shall determine a reasonable effective
1850	1850	date for the rule, except for an emergency as provided in
1851	1851	Subsection L of this section, and the effective date of the rule
1852	1852	shall be no sooner than thirty days after the commission issuing
1853	1853	the notice that it adopted or amended the rule.
1854	1854	L. Upon determination that an emergency exists, the
1855	1855	commission may consider and adopt an emergency rule with twenty-
1856	1856	four hours' notice, with opportunity to comment; provided that
1857	1857	the usual rulemaking procedures provided pursuant to the compact
1858	1858	and this section shall be retroactively applied to the rule as
1859	1859	soon as reasonably possible, in no event later than ninety days
1860	1860	after the effective date of the rule. For the purposes of this
1861	1861	subsection, an emergency rule is one that must be adopted
1862	1862	immediately in order to:
1863	1863	(1) meet an imminent threat to public health,
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1892	1892	safety or welfare;
1893	1893	(2) prevent a loss of commission or
1894	1894	participating state funds;
1895	1895	(3) meet a deadline for the promulgation of a
1896	1896	rule that is established by federal law or rule; or
1897	1897	(4) protect public health and safety.
1898	1898	M. The commission or an authorized committee of the
1899	1899	commission may direct revisions to a previously adopted rule for
1900	1900	purposes of correcting typographical errors, errors in format,
1901	1901	errors in consistency or grammatical errors. Public notice of
1902	1902	any revisions shall be posted on the commission's website. The
1903	1903	revision shall be subject to challenge by any person for a
1904	1904	period of thirty days after posting. The revision may be
1905	1905	challenged only on grounds that the revision results in a
1906	1906	material change to a rule. A challenge to a rule shall be made
1907	1907	in writing and delivered to the commission prior to the end of
1908	1908	the notice period. If no challenge is made, the revision shall
1909	1909	take effect without further action. If the revision is
1910	1910	challenged, the revision shall not take effect without the
1911	1911	approval of the commission.
1912	1912	N. No participating state's rulemaking requirements
1913	1913	shall apply under this compact.
1914	1914	SECTION 11. [NEW MATERIAL] OVERSIGHT, DISPUTE RESOLUTION
1915	1915	AND ENFORCEMENT.--
1916	1916	A. The executive and judicial branches of state
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1945	1945	government in each participating state shall enforce this
1946	1946	compact and take all actions necessary and appropriate to
1947	1947	implement the compact.
1948	1948	B. Venue is proper, and judicial proceedings by or
1949	1949	against the commission shall be brought solely and exclusively
1950	1950	in a court of competent jurisdiction where the principal office
1951	1951	of the commission is located. The commission may waive venue
1952	1952	and jurisdictional defenses to the extent it adopts or consents
1953	1953	to participate in alternative dispute resolution proceedings.
1954	1954	Nothing in this subsection shall affect or limit the selection
1955	1955	or propriety of venue in any action against a licensee for
1956	1956	professional malpractice, misconduct or any such similar matter.
1957	1957	C. The commission shall be entitled to receive
1958	1958	service of process in any proceeding regarding the enforcement
1959	1959	or interpretation of the compact or commission rule and shall
1960	1960	have standing to intervene in such a proceeding for all
1961	1961	purposes. Failure to provide the commission service of process
1962	1962	shall render a judgment or order void as to the commission, this
1963	1963	compact or promulgated rules.
1964	1964	D. Default, technical assistance and termination
1965	1965	shall be addressed by the commission.
1966	1966	E. If the commission determines that a participating
1967	1967	state has defaulted in the performance of its obligations or
1968	1968	responsibilities under this compact or the promulgated rules of
1969	1969	the commission, the commission shall provide written notice to
1970	1970	.229638.1
1971	1971	- 37 - underscored material = new
1972	1972	[bracketed material] = delete
1973	1973	1
1974	1974	2
1975	1975	3
1976	1976	4
1977	1977	5
1978	1978	6
1979	1979	7
1980	1980	8
1981	1981	9
1982	1982	10
1983	1983	11
1984	1984	12
1985	1985	13
1986	1986	14
1987	1987	15
1988	1988	16
1989	1989	17
1990	1990	18
1991	1991	19
1992	1992	20
1993	1993	21
1994	1994	22
1995	1995	23
1996	1996	24
1997	1997	25
1998	1998	the defaulting state. The notice of default shall describe the
1999	1999	default, the proposed means of curing the default and any other
2000	2000	action that the commission may take and offer training and
2001	2001	specific technical assistance regarding the default.
2002	2002	F. The commission shall provide a copy of the notice
2003	2003	of default to the other participating states.
2004	2004	G. If a state in default fails to cure the default,
2005	2005	the defaulting state may be terminated from the compact upon an
2006	2006	affirmative vote of a majority of the commissioners, and all
2007	2007	rights, privileges and benefits conferred on that state by this
2008	2008	compact may be terminated on the effective date of termination.
2009	2009	A cure of the default shall not relieve the offending state of
2010	2010	obligations or liabilities incurred during the period of
2011	2011	default.
2012	2012	H. Termination of participation in the compact shall
2013	2013	be imposed only after all other means of securing compliance
2014	2014	have been exhausted. Notice of intent to suspend or terminate
2015	2015	shall be given by the commission to the governor, the majority
2016	2016	and minority leaders of the defaulting state's legislature, the
2017	2017	defaulting state's state licensing authority or authorities, as
2018	2018	applicable, and each of the participating states' state
2019	2019	licensing authority or authorities, as applicable.
2020	2020	I. A state that has been terminated from the compact
2021	2021	is responsible for all assessments, obligations and liabilities
2022	2022	incurred through the effective date of termination, including
2023	2023	.229638.1
2024	2024	- 38 - underscored material = new
2025	2025	[bracketed material] = delete
2026	2026	1
2027	2027	2
2028	2028	3
2029	2029	4
2030	2030	5
2031	2031	6
2032	2032	7
2033	2033	8
2034	2034	9
2035	2035	10
2036	2036	11
2037	2037	12
2038	2038	13
2039	2039	14
2040	2040	15
2041	2041	16
2042	2042	17
2043	2043	18
2044	2044	19
2045	2045	20
2046	2046	21
2047	2047	22
2048	2048	23
2049	2049	24
2050	2050	25
2051	2051	obligations that extend beyond the effective date of
2052	2052	termination.
2053	2053	J. Upon the termination of a state's participation
2054	2054	in this compact, that state shall immediately provide notice to
2055	2055	all licensees of the state, including licensees of other
2056	2056	participating states issued a compact privilege to practice
2057	2057	within that state, of such termination. The terminated state
2058	2058	shall continue to recognize all compact privileges then in
2059	2059	effect in that state for a minimum of one hundred eighty days
2060	2060	after the date of said notice of termination.
2061	2061	K. The commission shall not bear any costs related
2062	2062	to a state that is found to be in default or that has been
2063	2063	terminated from the compact, unless agreed upon in writing
2064	2064	between the commission and the defaulting state.
2065	2065	L. The defaulting state may appeal the action of the
2066	2066	commission by petitioning the United States district court for
2067	2067	the District of Columbia or the federal district where the
2068	2068	commission has its principal offices. The prevailing party
2069	2069	shall be awarded all costs of such litigation, including
2070	2070	reasonable attorney fees.
2071	2071	M. Upon request by a participating state, the
2072	2072	commission shall attempt to resolve disputes related to the
2073	2073	compact that arise among participating states and between
2074	2074	participating states and nonparticipating states. The
2075	2075	commission shall promulgate a rule providing for both mediation
2076	2076	.229638.1
2077	2077	- 39 - underscored material = new
2078	2078	[bracketed material] = delete
2079	2079	1
2080	2080	2
2081	2081	3
2082	2082	4
2083	2083	5
2084	2084	6
2085	2085	7
2086	2086	8
2087	2087	9
2088	2088	10
2089	2089	11
2090	2090	12
2091	2091	13
2092	2092	14
2093	2093	15
2094	2094	16
2095	2095	17
2096	2096	18
2097	2097	19
2098	2098	20
2099	2099	21
2100	2100	22
2101	2101	23
2102	2102	24
2103	2103	25
2104	2104	and binding dispute resolution for disputes as appropriate.
2105	2105	N. Enforcement of the compact shall be conducted by
2106	2106	the commission. The commission, in the reasonable exercise of
2107	2107	its discretion, shall enforce the provisions of this compact and
2108	2108	the commission's rules.
2109	2109	O. By majority vote, the commission may initiate
2110	2110	legal action against a participating state in default in the
2111	2111	United States district court for the District of Columbia or the
2112	2112	federal district where the commission has its principal offices
2113	2113	to enforce compliance with the provisions of the compact and its
2114	2114	promulgated rules. The relief sought may include both
2115	2115	injunctive relief and damages. In the event judicial
2116	2116	enforcement is necessary, the prevailing party shall be awarded
2117	2117	all costs of such litigation, including reasonable attorney
2118	2118	fees. The remedies provided in this subsection shall not be the
2119	2119	exclusive remedies of the commission. The commission may pursue
2120	2120	any other remedies available under federal or the defaulting
2121	2121	participating state's law.
2122	2122	P. A participating state may initiate legal action
2123	2123	against the commission in the United States district court for
2124	2124	the District of Columbia or the federal district where the
2125	2125	commission has its principal offices to enforce compliance with
2126	2126	the provisions of the compact and its promulgated rules. The
2127	2127	relief sought may include both injunctive relief and damages.
2128	2128	In the event judicial enforcement is necessary, the prevailing
2129	2129	.229638.1
2130	2130	- 40 - underscored material = new
2131	2131	[bracketed material] = delete
2132	2132	1
2133	2133	2
2134	2134	3
2135	2135	4
2136	2136	5
2137	2137	6
2138	2138	7
2139	2139	8
2140	2140	9
2141	2141	10
2142	2142	11
2143	2143	12
2144	2144	13
2145	2145	14
2146	2146	15
2147	2147	16
2148	2148	17
2149	2149	18
2150	2150	19
2151	2151	20
2152	2152	21
2153	2153	22
2154	2154	23
2155	2155	24
2156	2156	25
2157	2157	party shall be awarded all costs of such litigation, including
2158	2158	reasonable attorney fees.
2159	2159	Q. No individual or entity other than a
2160	2160	participating state may enforce this compact against the
2161	2161	commission.
2162	2162	SECTION 12. [NEW MATERIAL] EFFECTIVE DATE, WITHDRAWAL AND
2163	2163	AMENDMENT.--
2164	2164	A. This compact shall come into effect on the date
2165	2165	on which the compact statute is enacted into law in the seventh
2166	2166	participating state.
2167	2167	B. On or after the effective date of this compact,
2168	2168	the commission shall convene and review the enactment of the
2169	2169	compact by each of the participating states to determine if the
2170	2170	statute enacted by each state is materially different than the
2171	2171	model compact. If the commission finds the enactment of a
2172	2172	participating state is materially different from the model
2173	2173	compact, the participating state shall be entitled to the
2174	2174	default process set forth in Section 11 of this compact.
2175	2175	C. If the commission later determines that a
2176	2176	participating state is in default, terminated or withdrew from
2177	2177	the compact, the commission shall remain in existence and the
2178	2178	compact shall remain in effect, even if the number of
2179	2179	participating states is fewer than seven.
2180	2180	D. Participating states shall be subject to the
2181	2181	process set forth in Subsection B of this section to determine
2182	2182	.229638.1
2183	2183	- 41 - underscored material = new
2184	2184	[bracketed material] = delete
2185	2185	1
2186	2186	2
2187	2187	3
2188	2188	4
2189	2189	5
2190	2190	6
2191	2191	7
2192	2192	8
2193	2193	9
2194	2194	10
2195	2195	11
2196	2196	12
2197	2197	13
2198	2198	14
2199	2199	15
2200	2200	16
2201	2201	17
2202	2202	18
2203	2203	19
2204	2204	20
2205	2205	21
2206	2206	22
2207	2207	23
2208	2208	24
2209	2209	25
2210	2210	if those states' enactments are materially different from the
2211	2211	model compact and whether those states qualify for participation
2212	2212	in the compact.
2213	2213	E. All actions taken for the benefit of the
2214	2214	commission or in furtherance of the purposes of the
2215	2215	administration of the compact prior to the effective date of the
2216	2216	compact or the commission coming into existence shall be
2217	2217	considered to be actions of the commission unless specifically
2218	2218	repudiated by the commission.
2219	2219	F. Any state that joins the compact subsequent to
2220	2220	the commission's initial adoption of the rules and bylaws shall
2221	2221	be subject to the commission's rules and bylaws as they exist on
2222	2222	the date on which the compact becomes law in that state. Any
2223	2223	rule that has been previously adopted by the commission shall
2224	2224	have the full force and effect of law on the day the compact
2225	2225	becomes law in that state.
2226	2226	G. Any participating state may withdraw from this
2227	2227	compact by enacting a statute repealing that state's enactment
2228	2228	of the compact; however:
2229	2229	(1) a participating state's withdrawal shall
2230	2230	not take effect until one hundred eighty days after enactment of
2231	2231	the repealing statute;
2232	2232	(2) withdrawal shall not affect the continuing
2233	2233	requirement of the withdrawing state's licensing authority or
2234	2234	authorities to comply with the investigative and adverse action
2235	2235	.229638.1
2236	2236	- 42 - underscored material = new
2237	2237	[bracketed material] = delete
2238	2238	1
2239	2239	2
2240	2240	3
2241	2241	4
2242	2242	5
2243	2243	6
2244	2244	7
2245	2245	8
2246	2246	9
2247	2247	10
2248	2248	11
2249	2249	12
2250	2250	13
2251	2251	14
2252	2252	15
2253	2253	16
2254	2254	17
2255	2255	18
2256	2256	19
2257	2257	20
2258	2258	21
2259	2259	22
2260	2260	23
2261	2261	24
2262	2262	25
2263	2263	reporting requirements of this compact prior to the effective
2264	2264	date of the withdrawal; and
2265	2265	(3) upon the enactment of a participating
2266	2266	state withdrawing from this compact, the state shall immediately
2267	2267	provide notice of the withdrawal to all licensees within that
2268	2268	state and, notwithstanding any subsequent statutory enactment to
2269	2269	the contrary, the withdrawing state shall continue to recognize
2270	2270	all compact privileges to practice within that state granted
2271	2271	pursuant to this compact for a minimum of one hundred eighty
2272	2272	days after the date of the notice of withdrawal.
2273	2273	H. Nothing in this compact shall be construed to
2274	2274	invalidate or prevent any licensure agreement or other
2275	2275	cooperative arrangement between a participating state and
2276	2276	a nonparticipating state that does not conflict with the
2277	2277	provisions of this compact.
2278	2278	I. This compact may be amended by the participating
2279	2279	states. No amendment to this compact shall become effective and
2280	2280	binding upon any participating state until it is enacted into
2281	2281	the laws of all participating states.
2282	2282	SECTION 13. [NEW MATERIAL] CONSTRUCTION AND
2283	2283	SEVERABILITY.--
2284	2284	A. This compact and the commission's rulemaking
2285	2285	authority shall be liberally construed so as to effectuate the
2286	2286	purposes and the implementation and administration of the
2287	2287	compact. Provisions of the compact expressly authorizing or
2288	2288	.229638.1
2289	2289	- 43 - underscored material = new
2290	2290	[bracketed material] = delete
2291	2291	1
2292	2292	2
2293	2293	3
2294	2294	4
2295	2295	5
2296	2296	6
2297	2297	7
2298	2298	8
2299	2299	9
2300	2300	10
2301	2301	11
2302	2302	12
2303	2303	13
2304	2304	14
2305	2305	15
2306	2306	16
2307	2307	17
2308	2308	18
2309	2309	19
2310	2310	20
2311	2311	21
2312	2312	22
2313	2313	23
2314	2314	24
2315	2315	25
2316	2316	requiring the promulgation of rules shall not be construed to
2317	2317	limit the commission's rulemaking authority solely for those
2318	2318	purposes.
2319	2319	B. The provisions of this compact shall be
2320	2320	severable, and if any phrase, clause, sentence or provision of
2321	2321	this compact is held by a court of competent jurisdiction to be
2322	2322	contrary to the constitution of any participating state, a state
2323	2323	seeking participation in the compact, or of the United States,
2324	2324	or the applicability thereof to any government, agency, person
2325	2325	or circumstance is held to be unconstitutional by a court of
2326	2326	competent jurisdiction, the validity of the remainder of this
2327	2327	compact and the applicability thereof to any other government,
2328	2328	agency, person or circumstance shall not be affected thereby.
2329	2329	C. Notwithstanding Subsection B of this section, the
2330	2330	commission may deny a state's participation in the compact or,
2331	2331	in accordance with the requirements of Subsection B of Section
2332	2332	10 of this compact, terminate a participating state's
2333	2333	participation in the compact if the commission determines that a
2334	2334	constitutional requirement of a participating state is a
2335	2335	material departure from the compact. Otherwise, if this compact
2336	2336	is held to be contrary to the constitution of any participating
2337	2337	state, the compact shall remain in full force and effect as to
2338	2338	the remaining participating states and in full force and effect
2339	2339	as to the participating state affected as to all severable
2340	2340	matters.
2341	2341	.229638.1
2342	2342	- 44 - underscored material = new
2343	2343	[bracketed material] = delete
2344	2344	1
2345	2345	2
2346	2346	3
2347	2347	4
2348	2348	5
2349	2349	6
2350	2350	7
2351	2351	8
2352	2352	9
2353	2353	10
2354	2354	11
2355	2355	12
2356	2356	13
2357	2357	14
2358	2358	15
2359	2359	16
2360	2360	17
2361	2361	18
2362	2362	19
2363	2363	20
2364	2364	21
2365	2365	22
2366	2366	23
2367	2367	24
2368	2368	25
2369	2369	SECTION 14. [NEW MATERIAL] CONSISTENT EFFECT AND CONFLICT
2370	2370	WITH OTHER STATE LAWS.--
2371	2371	A. Nothing in the compact shall prevent or inhibit
2372	2372	the enforcement of any other law of a participating state that
2373	2373	is not inconsistent with the compact.
2374	2374	B. Any laws, statutes, regulations or other legal
2375	2375	requirements in a participating state in conflict with this
2376	2376	compact are superseded to the extent of the conflict.
2377	2377	C. All permissible agreements between the commission
2378	2378	and the participating states are binding in accordance with
2379	2379	their terms.
2380	2380	- 45 -
2381	2381	.229638.1