REQUIRES TWO-THIRDS MAJORITY VOTE (§ 3) S.B. 68 - *SB68* SENATE BILL NO. 68–COMMITTEE ON COMMERCE AND LABOR (ON BEHALF OF THE RURAL REGIONAL BEHAVIORAL HEALTH POLICY BOARD) PREFILED NOVEMBER 20, 2024 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to behavioral health. (BDR 54-403) FISCAL NOTE: Effect on Local Government: No. Effect on the State: Yes. ~ EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. AN ACT relating to behavioral health; requiring licensing boards that regulate various professions relating to behavioral health to report certain information; ratifying and entering into the Social Work Licensure Compact; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law requires the Board of Psychological Examiners, the Board of 1 Examiners for Marriage and Family Therapists and Clinical Professional 2 Counselors, the Board of Examiners for Social Workers and the Board of 3 Examiners for Alcohol, Drug and Gambling Counselors to report annually certain 4 data and other information to the Joint Interim Standing Committee on Health and 5 Human Services and to the Chair of each regional behavioral health policy board. 6 (NRS 641.145, 641A.183, 641B.165, 641C.230) Sections 1, 2, 4 and 5 of this bill 7 require the reports to additionally include a narrative description of: (1) each 8 reporting board’s procedures for collecting the data which must be reported; (2) the 9 reasons for the denials of applications for the issuance or renewal of licenses, 10 registrations and certificates, as applicable; (3) the known reasons for any increase 11 or decrease in the number of applications for the issuance or renewal of a license, 12 registration or certificate, as applicable, categorized by type of license, registration 13 or certificate; and (4) if known, the location in this State in which each applicant for 14 licensure, registration or certification intends to practice. 15 Existing law provides for the licensure and regulation of persons engaged in the 16 practice of social work by the Board of Examiners for Social Workers. (Chapter 17 641B of NRS) Section 3 of this bill ratifies the Social Work Licensure Compact, 18 which creates a multistate license with uniform licensing requirements for licensees 19 in all member states. 20 – 2 – - *SB68* The Compact requires that, in order to be eligible to join the Compact and 21 maintain eligibility as a member state, a state must: (1) license and regulate the 22 practice of social work; (2) require that applicants for licensure satisfy certain 23 educational requirements and pass an examination before being licensed; (3) 24 require applicants for certain licensure to complete a period of supervised practice; 25 (4) have a mechanism in place to receive, investigate and adjudicate complaints 26 against licensees; (5) designate a delegate to participate in the Commission; (6) 27 participate in the Commission’s data system; (7) notify the Commission of certain 28 actions taken against or the availability of certain investigative information 29 regarding licensees; (8) implement procedures for considering the criminal history 30 of applicants for a multistate license; (9) comply with the rules of the Commission; 31 (10) require an applicant for a multistate license to obtain or retain a license in the 32 state that is the licensee’s primary domicile; and (11) authorize a licensee holding a 33 multistate license in any member state to practice in accordance with the terms of 34 the Compact and rules of the Commission. To be eligible for a multistate license 35 pursuant to the Compact, an applicant must: (1) hold or be eligible for an active and 36 unrestricted license in the state where he or she is primarily domiciled; (2) pay any 37 applicable fees; (3) submit fingerprints or other biometric data for the purpose of 38 obtaining records concerning his or her criminal history; (4) notify his or her state 39 of primary residence of any adverse action, encumbrance or restriction relating to 40 his or her license; (5) meet certain continuing competency requirements; (6) abide 41 by the laws, regulations and applicable standards for licensure in the state where the 42 applicant performs social work; and (7) fulfill certain additional requirements 43 specific to the category of multistate license for which he or she applies. 44 The Compact: (1) establishes the Social Work Licensure Compact Commission 45 as a joint governmental agency whose membership consists of all member states; 46 and (2) provides for the Commission’s rules and governance. The Compact also 47 establishes a data system, provided for by the Commission, and requires member 48 states to submit uniform data to the data system on all individuals to whom the 49 Compact is applicable. 50 The Compact provides additional provisions to carry out the Compact, 51 including providing procedures for the taking of adverse actions against licensees, 52 provisions for active military members or their spouses, provisions for rulemaking 53 by the Commission, provisions for oversight, dispute resolution and enforcement 54 and procedures for amendments and withdrawals. The Compact takes effect on the 55 date on which the Compact is enacted into law by the seventh member state. 56 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. NRS 641.145 is hereby amended to read as follows: 1 641.145 1. On or before February 1 of each year, the Board 2 shall submit to the Joint Interim Standing Committee on Health and 3 Human Services and to the Chair of each regional behavioral health 4 policy board created by NRS 433.429 a report which must include: 5 (a) The number of complaints received, investigations 6 completed, cases dismissed, cases settled and cases for which 7 hearings were held within the immediately preceding calendar year; 8 (b) The number of applications for the issuance or renewal of a 9 license or registration received by the Board during the immediately 10 preceding calendar year and the number of those applications for 11 – 3 – - *SB68* which the Board conducted additional review beyond the standard 1 review regularly conducted by the Board; [and] 2 (c) The number of applications for the issuance of a license by 3 endorsement received by the Board pursuant to NRS 641.196 during 4 the immediately preceding calendar year, the number of those 5 applications that were denied and the reasons for denial [.] ; and 6 (d) A narrative description of: 7 (1) The processes which the Board uses to collect the data 8 for the information reported in paragraphs (a), (b) and (c); 9 (2) The reasons for the denials of applications for the 10 issuance or renewal of licenses and registrations during the 11 immediately preceding calendar year; 12 (3) The known reasons for any increase or decrease in the 13 number of applications for the issuance or renewal of a license or 14 registration, categorized by type of license or registration, during 15 the immediately preceding calendar year; and 16 (4) If known, the location in this State in which each 17 applicant for licensure or registration during the immediately 18 preceding calendar year intends to practice. 19 2. The report submitted pursuant to this section to the Chair of 20 each regional behavioral health policy board created by NRS 21 433.429 may be submitted in a written format. 22 Sec. 2. NRS 641A.183 is hereby amended to read as follows: 23 641A.183 1. On or before February 1 of each year, the Board 24 shall submit to the Joint Interim Standing Committee on Health and 25 Human Services and to the Chair of each regional behavioral health 26 policy board created by NRS 433.429 a report which must include: 27 (a) The number of complaints received, investigations 28 completed, cases dismissed, cases settled and cases for which 29 hearings were held within the immediately preceding calendar year; 30 (b) The number of applications for the issuance or renewal of a 31 license received by the Board during the immediately preceding 32 calendar year and the number of those applications for which the 33 Board conducted additional review beyond the standard review 34 regularly conducted by the Board; [and] 35 (c) The number of applications for the issuance of a license by 36 endorsement received by the Board pursuant to NRS 641A.242 37 during the immediately preceding calendar year, the number of 38 those applications that were denied and the reasons for denial [.] ; 39 and 40 (d) A narrative description of: 41 (1) The processes which the Board uses to collect the data 42 for the information reported in paragraphs (a), (b) and (c); 43 – 4 – - *SB68* (2) The reasons for the denials of applications for the 1 issuance or renewal of licenses during the immediately preceding 2 calendar year; 3 (3) The known reasons for any increase or decrease in the 4 number of applications for the issuance or renewal of a license, 5 categorized by type of license, during the immediately preceding 6 calendar year; and 7 (4) If known, the location in this State in which each 8 applicant for licensure during the immediately preceding calendar 9 year intends to practice. 10 2. The report submitted pursuant to this section to the Chair of 11 each regional behavioral health policy board created by NRS 12 433.429 may be submitted in a written format. 13 Sec. 3. Chapter 641B of NRS is hereby amended by adding 14 thereto a new section to read as follows: 15 The Social Work Licensure Compact is hereby ratified and 16 entered into, with all other jurisdictions legally joining the 17 Compact in substantially the form set forth in this section: 18 19 SOCIAL WORK LICENSURE COMPACT 20 21 SECTION 1: PURPOSE 22 23 The purpose of this Compact is to facilitate interstate practice 24 of Regulated Social Workers by improving public access to 25 competent Social Work Services. The Compact preserves the 26 regulatory authority of States to protect public health and safety 27 through the current system of State licensure. 28 This Compact is designed to achieve the following objectives: 29 A. Increase public access to Social Work Services; 30 B. Reduce overly burdensome and duplicative requirements 31 associated with holding multiple licenses; 32 C. Enhance the Member States’ ability to protect the public’s 33 health and safety; 34 D. Encourage the cooperation of Member States in 35 regulating multistate practice; 36 E. Promote mobility and address workforce shortages by 37 eliminating the necessity for licenses in multiple States by 38 providing for the mutual recognition of other Member State 39 licenses; 40 F. Support military families; 41 G. Facilitate the exchange of licensure and disciplinary 42 information among Member States; 43 H. Authorize all Member States to hold a Regulated Social 44 Worker accountable for abiding by a Member State’s laws, 45 – 5 – - *SB68* regulations and applicable professional standards in the Member 1 State in which the client is located at the time care is rendered; 2 and 3 I. Allow for the use of telehealth to facilitate increased access 4 to regulated Social Work Services. 5 6 SECTION 2: DEFINITIONS 7 8 As used in this Compact, and except as otherwise provided, the 9 following definitions shall apply: 10 A. “Active Military Member” means any individual with full-11 time duty status in the active armed forces of the United States, 12 including members of the National Guard and Reserve. 13 B. “Adverse Action” means any administrative, civil, 14 equitable or criminal action permitted by a State’s laws which is 15 imposed by a Licensing Authority or other authority against a 16 Regulated Social Worker, including actions against an 17 individual’s license or Multistate Authorization to practice, such 18 as revocation, suspension, probation, monitoring of the Licensee, 19 limitation on the Licensee’s practice, or any other Encumbrance 20 on licensure affecting a Regulated Social Worker’s authorization 21 to practice, including issuance of a cease and desist action. 22 C. “Alternative Program” means a non -disciplinary 23 monitoring or practice remediation process approved by a 24 Licensing Authority to address practitioners with an impairment. 25 D. “Charter Member States” - Member States who have 26 enacted legislation to adopt this Compact where such legislation 27 predates the effective date of this Compact as described in 28 Section 14. 29 E. “Compact Commission” or “Commission” means the 30 government agency whose membership consists of all States that 31 have enacted this Compact, which is known as the Social Work 32 Licensure Compact Commission, as described in Section 10, and 33 which shall operate as an instrumentality of the Member States. 34 F. “Current Significant Investigative Information” means: 35 1. Investigative information that a Licensing Authority, 36 after a preliminary inquiry that includes notification and an 37 opportunity for the Regulated Social Worker to respond, has 38 reason to believe is not groundless and, if proved true, would 39 indicate more than a minor infraction as may be defined by the 40 Commission; or 41 2. Investigative information that indicates that the 42 Regulated Social Worker represents an immediate threat to public 43 health and safety, as may be defined by the Commission, 44 – 6 – - *SB68* regardless of whether the Regulated Social Worker has been 1 notified and has had an opportunity to respond. 2 G. “Data System” means a repository of information about 3 Licensees, including, continuing education, examination, 4 licensure, Current Significant Investigative Information, 5 Disqualifying Event, Multistate License(s) and Adverse Action 6 information or other information as required by the Commission. 7 H. “Disqualifying Event” means any Adverse Action or 8 incident which results in an Encumbrance that disqualifies or 9 makes the Licensee ineligible to either obtain, retain or renew a 10 Multistate License. 11 I. “Domicile” means the jurisdiction in which the Licensee 12 resides and intends to remain indefinitely. 13 J. “Encumbrance” means a revocation or suspension of, or 14 any limitation on, the full and unrestricted practice of Social Work 15 licensed and regulated by a Licensing Authority. 16 K. “Executive Committee” means a group of delegates 17 elected or appointed to act on behalf of, and within the powers 18 granted to them by, the Compact and Commission. 19 L. “Home State” means the Member State that is the 20 Licensee’s primary Domicile. 21 M. “Impairment” means a condition(s) that may impair a 22 practitioner’s ability to engage in full and unrestricted practice as 23 a Regulated Social Worker without some type of intervention and 24 may include alcohol and drug dependence, mental health 25 impairment, and neurological or physical impairments. 26 N. “Licensee(s)” means an individual who currently holds a 27 license from a State to practice as a Regulated Social Worker. 28 O. “Licensing Authority” means the board or agency of a 29 Member State, or equivalent, that is responsible for the licensing 30 and regulation of Regulated Social Workers. 31 P. “Member State” means a state, commonwealth, district or 32 territory of the United States of America that has enacted this 33 Compact. 34 Q. “Multistate Authorization to Practice” means a legally 35 authorized privilege to practice, which is equivalent to a license, 36 associated with a Multistate License permitting the practice of 37 Social Work in a Remote State. 38 R. “Multistate License” means a license to practice as a 39 Regulated Social Worker issued by a Home State Licensing 40 Authority that authorizes the Regulated Social Worker to practice 41 in all Member States under Multistate Authorization to Practice. 42 S. “Qualifying National Exam” means a national licensing 43 examination approved by the Commission. 44 – 7 – - *SB68* T. “Regulated Social Worker” means any clinical, master’s 1 or bachelor’s Social Worker licensed by a Member State 2 regardless of the title used by that Member State. 3 U. “Remote State” means a Member State other than the 4 Licensee’s Home State. 5 V. “Rule(s)” or “Rule(s) of the Commission” means a 6 regulation or regulations duly promulgated by the Commission, as 7 authorized by the Compact, that has the force of law. 8 W. “Single State License” means a Social Work license 9 issued by any State that authorizes practice only within the issuing 10 State and does not include Multistate Authorization to Practice in 11 any Member State. 12 X. “Social Work” or “Social Work Services” means the 13 application of social work theory, knowledge, methods, ethics and 14 the professional use of self to restore or enhance social, 15 psychosocial, or biopsychosocial functioning of individuals, 16 couples, families, groups, organizations and communities through 17 the care and services provided by a Regulated Social Worker as set 18 forth in the Member State’s statutes and regulations in the State 19 where the services are being provided. 20 Y. “State” means any state, commonwealth, district or 21 territory of the United States of America that regulates the practice 22 of Social Work. 23 Z. “Unencumbered License” means a license that authorizes 24 a Regulated Social Worker to engage in the full and unrestricted 25 practice of Social Work. 26 27 SECTION 3: STATE PARTICIPATION IN THE COMPACT 28 29 A. To be eligible to participate in the Compact, a potential 30 Member State must currently meet all of the following criteria: 31 1. License and regulate the practice of Social Work at 32 either the clinical, master’s or bachelor’s category. 33 2. Require applicants for licensure to graduate from a 34 program that is: 35 a. Operated by a college or university recognized by the 36 Licensing Authority; 37 b. Accredited, or in candidacy by an institution that 38 subsequently becomes accredited, by an accrediting agency 39 recognized by either: 40 i. the Council for Higher Education Accreditation, or 41 its successor; or 42 ii. the United States Department of Education; and 43 c. Corresponds to the licensure sought as outlined in 44 Section 4. 45 – 8 – - *SB68* 3. Require applicants for clinical licensure to complete a 1 period of supervised practice. 2 4. Have a mechanism in place for receiving, investigating, 3 and adjudicating complaints about Licensees. 4 B. To maintain membership in the Compact, a Member State 5 shall: 6 1. Require that applicants for a Multistate License pass a 7 Qualifying National Exam for the corresponding category of 8 Multistate License sought as outlined in Section 4; 9 2. Participate fully in the Commission’s Data System, 10 including using the Commission’s unique identifier as defined in 11 Rules; 12 3. Notify the Commission, in compliance with the terms of 13 the Compact and Rules, of any Adverse Action or the availability 14 of Current Significant Investigative Information regarding a 15 Licensee; 16 4. Implement procedures for considering the criminal 17 history records of applicants for a Multistate License. Such 18 procedures shall include the submission of fingerprints or other 19 biometric-based information by applicants for the purpose of 20 obtaining an applicant’s criminal history record information from 21 the Federal Bureau of Investigation and the agency responsible 22 for retaining that State’s criminal records; 23 5. Comply with the Rules of the Commission; 24 6. Require an applicant to obtain or retain a license in the 25 Home State and meet the Home State’s qualifications for 26 licensure or renewal of licensure, as well as all other applicable 27 Home State Laws; 28 7. Authorize a Licensee holding a Multistate License in any 29 Member State to practice in accordance with the terms of the 30 Compact and Rules of the Commission; and 31 8. Designate a delegate to participate in the Commission 32 meetings. 33 C. A Member State meeting the requirements of Section 3.A 34 and 3.B of this Compact shall designate the categories of Social 35 Work licensure that are eligible for issuance of a Multistate 36 License for applicants in such Member State. To the extent that 37 any Member State does not meet the requirements for 38 participation in the Compact at any particular category of Social 39 Work licensure, such Member State may choose, but is not 40 obligated to, issue a Multistate License to applicants that otherwise 41 meet the requirements of Section 4 for issuance of a Multistate 42 License in such category or categories of licensure. 43 D. The Home State may charge a fee for granting the 44 Multistate License. 45 – 9 – - *SB68* SECTION 4: SOCIAL WORKER PARTICIPATION 1 IN THE COMPACT 2 3 A. To be eligible for a Multistate License under the terms and 4 provisions of the Compact, an applicant, regardless of category, 5 must: 6 1. Hold or be eligible for an active, Unencumbered License 7 in the Home State. 8 2. Pay any applicable fees, including any State fee, for the 9 Multistate License. 10 3. Submit, in connection with an application for a 11 Multistate License, fingerprints or other biometric data for the 12 purpose of obtaining criminal history record information from the 13 Federal Bureau of Investigation and the agency responsible for 14 retaining that State’s criminal records. 15 4. Notify the Home State of any Adverse Action, 16 Encumbrance or restriction on any professional license taken by 17 any Member State or non-Member State within 30 days from the 18 date the action is taken. 19 5. Meet any continuing competence requirements 20 established by the Home State. 21 6. Abide by the laws, regulations and applicable standards 22 in the Member State where the client is located at the time care is 23 rendered. 24 B. An applicant for a clinical-category Multistate License 25 must meet all of the following requirements: 26 1. Fulfill a competency requirement, which shall be 27 satisfied by either: 28 a. Passage of a clinical-category Qualifying National 29 Exam; 30 b. Licensure of the applicant in their Home State at the 31 clinical category, beginning prior to such time as a Qualifying 32 National Exam was required by the Home State and accompanied 33 by a period of continuous Social Work licensure thereafter, all of 34 which may be further governed by the Rules of the Commission; 35 or 36 c. The substantial equivalency of the foregoing 37 competency requirements which the Commission may determine 38 by Rule. 39 2. Attain at least a master’s degree in Social Work from a 40 program that is: 41 a. Operated by a college or university recognized by the 42 Licensing Authority; and 43 – 10 – - *SB68* b. Accredited, or in candidacy that subsequently 1 becomes accredited, by an accrediting agency recognized by 2 either: 3 i. the Council for Higher Education Accreditation or 4 its successor; or 5 ii. the United States Department of Education. 6 3. Fulfill a practice requirement, which shall be satisfied by 7 demonstrating completion of either: 8 a. A period of postgraduate supervised clinical practice 9 equal to a minimum of three thousand hours; 10 b. A minimum of two years of full-time postgraduate 11 supervised clinical practice; or 12 c. The substantial equivalency of the foregoing practice 13 requirements which the Commission may determine by Rule. 14 C. An applicant for a master’s-category Multistate License 15 must meet all of the following requirements: 16 1. Fulfill a competency requirement, which shall be 17 satisfied by either: 18 a. Passage of a master’s-category Qualifying National 19 Exam; 20 b. Licensure of the applicant in their Home State at the 21 master’s category, beginning prior to such time as a Qualifying 22 National Exam was required by the Home State at the master’s 23 category and accompanied by a continuous period of Social Work 24 licensure thereafter, all of which may be further governed by the 25 Rules of the Commission; or 26 c. The substantial equivalency of the foregoing 27 competency requirements which the Commission may determine 28 by Rule. 29 2. Attain at least a master’s degree in Social Work from a 30 program that is: 31 a. Operated by a college or university recognized by the 32 Licensing Authority; and 33 b. Accredited, or in candidacy that subsequently 34 becomes accredited, by an accrediting agency recognized by 35 either: 36 i. the Council for Higher Education Accreditation or 37 its successor; or 38 ii. the United States Department of Education. 39 D. An applicant for a bachelor’s-category Multistate License 40 must meet all of the following requirements: 41 1. Fulfill a competency requirement, which shall be 42 satisfied by either: 43 a. Passage of a bachelor’s-category Qualifying National 44 Exam; 45 – 11 – - *SB68* b. Licensure of the applicant in their Home State at the 1 bachelor’s category, beginning prior to such time as a Qualifying 2 National Exam was required by the Home State and accompanied 3 by a period of continuous Social Work licensure thereafter, all of 4 which may be further governed by the Rules of the Commission; 5 or 6 c. The substantial equivalency of the foregoing 7 competency requirements which the Commission may determine 8 by Rule. 9 2. Attain at least a bachelor’s degree in Social Work from a 10 program that is: 11 a. Operated by a college or university recognized by the 12 Licensing Authority; and 13 b. Accredited, or in candidacy that subsequently 14 becomes accredited, by an accrediting agency recognized by 15 either: 16 i. the Council for Higher Education Accreditation or 17 its successor; or 18 ii. the United States Department of Education. 19 E. The Multistate License for a Regulated Social Worker is 20 subject to the renewal requirements of the Home State. The 21 Regulated Social Worker must maintain compliance with the 22 requirements of Section 4(A) to be eligible to renew a Multistate 23 License. 24 F. The Regulated Social Worker’s services in a Remote State 25 are subject to that Member State’s regulatory authority. A Remote 26 State may, in accordance with due process and that Member 27 State’s laws, remove a Regulated Social Worker’s Multistate 28 Authorization to Practice in the Remote State for a specific period 29 of time, impose fines and take any other necessary actions to 30 protect the health and safety of its citizens. 31 G. If a Multistate License is encumbered, the Regulated 32 Social Worker’s Multistate Authorization to Practice shall be 33 deactivated in all Remote States until the Multistate License is no 34 longer encumbered. 35 H. If a Multistate Authorization to Practice is encumbered in 36 a Remote State, the Regulated Social Worker’s Multistate 37 Authorization to Practice may be deactivated in that State until the 38 Multistate Authorization to Practice is no longer encumbered. 39 40 SECTION 5: ISSUANCE OF A MULTISTATE LICENSE 41 42 A. Upon receipt of an application for a Multistate license, the 43 Home State Licensing Authority shall determine the applicant’s 44 – 12 – - *SB68* eligibility for a Multistate License in accordance with Section 4 of 1 this Compact. 2 B. If such applicant is eligible pursuant to Section 4 of this 3 Compact, the Home State Licensing Authority shall issue a 4 Multistate License that authorizes the applicant or Regulated 5 Social Worker to practice in all Member States under a Multistate 6 Authorization to Practice. 7 C. Upon issuance of a Multistate License, the Home State 8 Licensing Authority shall designate whether the Regulated Social 9 Worker holds a Multistate License in the Bachelor’s, Master’s or 10 Clinical category of Social Work. 11 D. A Multistate License issued by a Home State to a resident 12 in that state shall be recognized by all Compact Member States as 13 authorizing Social Work Practice under a Multistate 14 Authorization to Practice corresponding to each category of 15 licensure regulated in each Member State. 16 17 SECTION 6: AUTHORITY OF INTERSTATE 18 COMPACT COMMISSION AND MEMBER 19 STATE LICENSING AUTHORITI ES 20 21 A. Nothing in this Compact, nor any Rule of the Commission, 22 shall be construed to limit, restrict, or in any way reduce the ability 23 of a Member State to enact and enforce laws, regulations, or other 24 Rules related to the practice of Social Work in that State, where 25 those laws, regulations, or other rules are not inconsistent with the 26 provisions of this Compact. 27 B. Nothing in this Compact shall affect the requirements 28 established by a Member State for the issuance of a Single State 29 License. 30 C. Nothing in this Compact, nor any Rule of the Commission, 31 shall be construed to limit, restrict, or in any way reduce the ability 32 of a Member State to take Adverse Action against a Licensee’s 33 Single State License to practice Social Work in that State. 34 D. Nothing in this Compact, nor any Rule of the 35 Commission, shall be construed to limit, restrict, or in any way 36 reduce the ability of a Remote State to take Adverse Action against 37 a Licensee’s Multistate Authorization to Practice in that State. 38 E. Nothing in this Compact, nor any Rule of the Commission, 39 shall be construed to limit, restrict, or in any way reduce the ability 40 of a Licensee’s Home State to take Adverse Action against a 41 Licensee’s Multistate License based upon information provided by 42 a Remote State. 43 – 13 – - *SB68* SECTION 7: REISSUANCE OF A MULTISTATE 1 LICENSE BY A NEW HOME STATE 2 3 A. A Licensee can hold a Multistate License, issued by their 4 Home State, in only one Member State at any given time. 5 B. If a Licensee changes their Home State by moving 6 between two Member States: 7 1. The Licensee shall immediately apply for the reissuance 8 of their Multistate License in their new Home State. The Licensee 9 shall pay all applicable fees and notify the prior Home State in 10 accordance with the Rules of the Commission. 11 2. Upon receipt of an application to reissue a Multistate 12 License, the new Home State shall verify that the Multistate 13 License is active, unencumbered and eligible for reissuance under 14 the terms of the Compact and the Rules of the Commission. The 15 Multistate License issued by the prior Home State will be 16 deactivated and all Member States notified in accordance with the 17 applicable Rules adopted by the Commission. 18 3. Prior to the reissuance of the Multistate License, the new 19 Home State shall conduct procedures for considering the criminal 20 history records of the Licensee. Such procedures shall include the 21 submission of fingerprints or other biometric-based information 22 by applicants for the purpose of obtaining an applicant’s criminal 23 history record information from the Federal Bureau of 24 Investigation and the agency responsible for retaining that State’s 25 criminal records. 26 4. If required for initial licensure, the new Home State may 27 require completion of jurisprudence requirements in the new 28 Home State. 29 5. Notwithstanding any other provision of this Compact, if 30 a Licensee does not meet the requirements set forth in this 31 Compact for the reissuance of a Multistate License by the new 32 Home State, then the Licensee shall be subject to the new Home 33 State requirements for the issuance of a Single State License in 34 that State. 35 C. If a Licensee changes their primary State of residence by 36 moving from a Member State to a non-Member State, or from a 37 non-Member State to a Member State, then the Licensee shall be 38 subject to the State requirements for the issuance of a Single State 39 License in the new Home State. 40 D. Nothing in this Compact shall interfere with a Licensee’s 41 ability to hold a Single State License in multiple States; however, 42 for the purposes of this Compact, a Licensee shall have only one 43 Home State and only one Multistate License. 44 – 14 – - *SB68* E. Nothing in this Compact shall interfere with the 1 requirements established by a Member State for the issuance of a 2 Single State License. 3 4 SECTION 8: MILITARY FAMILIES 5 6 An Active Military Member or their spouse shall designate a 7 Home State where the individual has a Multistate License. The 8 individual may retain their Home State designation during the 9 period the service member is on active duty. 10 11 SECTION 9: ADVERSE ACTIONS 12 13 A. In addition to the other powers conferred by State law, a 14 Remote State shall have the authority, in accordance with existing 15 State due process law, to: 16 1. Take Adverse Action against a Regulated Social 17 Worker’s Multistate Authorization to Practice only within that 18 Member State, and issue subpoenas for both hearings and 19 investigations that require the attendance and testimony of 20 witnesses as well as the production of evidence. Subpoenas issued 21 by a Licensing Authority in a Member State for the attendance 22 and testimony of witnesses or the production of evidence from 23 another Member State shall be enforced in the latter State by any 24 court of competent jurisdiction, according to the practice and 25 procedure of that court applicable to subpoenas issued in 26 proceedings pending before it. The issuing Licensing Authority 27 shall pay any witness fees, travel expenses, mileage and other fees 28 required by the service statutes of the State in which the witnesses 29 or evidence are located. 30 2. Only the Home State shall have the power to take 31 Adverse Action against a Regulated Social Worker’s Multistate 32 License. 33 B. For purposes of taking Adverse Action, the Home State 34 shall give the same priority and effect to reported conduct received 35 from a Member State as it would if the conduct had occurred 36 within the Home State. In so doing, the Home State shall apply its 37 own State laws to determine appropriate action. 38 C. The Home State shall complete any pending investigations 39 of a Regulated Social Worker who changes their Home State 40 during the course of the investigations. The Home State shall also 41 have the authority to take appropriate action(s) and shall promptly 42 report the conclusions of the investigations to the administrator of 43 the Data System. The administrator of the Data System shall 44 promptly notify the new Home State of any Adverse Actions. 45 – 15 – - *SB68* D. A Member State, if otherwise permitted by State law, may 1 recover from the affected Regulated Social Worker the costs of 2 investigations and dispositions of cases resulting from any Adverse 3 Action taken against that Regulated Social Worker. 4 E. A Member State may take Adverse Action based on the 5 factual findings of another Member State, provided that the 6 Member State follows its own procedures for taking the Adverse 7 Action. 8 F. Joint Investigations: 9 1. In addition to the authority granted to a Member State by 10 its respective Social Work practice act or other applicable State 11 law, any Member State may participate with other Member States 12 in joint investigations of Licensees. 13 2. Member States shall share any investigative, litigation, or 14 compliance materials in furtherance of any joint or individual 15 investigation initiated under the Compact. 16 G. If Adverse Action is taken by the Home State against the 17 Multistate License of a Regulated Social Worker, the Regulated 18 Social Worker’s Multistate Authorization to Practice in all other 19 Member States shall be deactivated until all Encumbrances have 20 been removed from the Multistate License. All Home State 21 disciplinary orders that impose Adverse Action against the license 22 of a Regulated Social Worker shall include a statement that the 23 Regulated Social Worker’s Multistate Authorization to Practice is 24 deactivated in all Member States until all conditions of the 25 decision, order or agreement are satisfied. 26 H. If a Member State takes Adverse Action, it shall promptly 27 notify the administrator of the Data System. The administrator of 28 the Data System shall promptly notify the Home State and all 29 other Member States of any Adverse Actions by Remote States. 30 I. Nothing in this Compact shall override a Member State’s 31 decision that participation in an Alternative Program may be used 32 in lieu of Adverse Action. 33 J. Nothing in this Compact shall authorize a Member State to 34 demand the issuance of subpoenas for attendance and testimony 35 of witnesses or the production of evidence from another Member 36 State for lawful actions within that Member State. 37 K. Nothing in this Compact shall authorize a Member State 38 to impose discipline against a Regulated Social Worker who holds 39 a Multistate Authorization to Practice for lawful actions within 40 another Member State. 41 – 16 – - *SB68* SECTION 10: ESTABLISHMENT OF SOCIAL WORK 1 LICENSURE COMPACT COMMISSION 2 3 A. The Compact Member States hereby create and establish a 4 joint government agency whose membership consists of all 5 Member States that have enacted the Compact, known as the 6 Social Work Licensure Compact Commission. The Commission is 7 an instrumentality of the Compact States acting jointly and not an 8 instrumentality of any one State. The Commission shall come into 9 existence on or after the effective date of the Compact as set forth 10 in Section 14. 11 B. Membership, Voting and Meetings: 12 1. Each Member State shall have and be limited to one (1) 13 delegate selected by that Member State’s State Licensing 14 Authority. 15 2. The delegate shall be either: 16 a. A current member of the State Licensing Authority at 17 the time of appointment, who is a Regulated Social Worker or 18 public member of the State Licensing Authority; or 19 b. An administrator of the State Licensing Authority or 20 their designee. 21 3. The Commission shall by Rule or bylaw establish a term 22 of office for delegates and may by Rule or bylaw establish term 23 limits. 24 4. The Commission may recommend the removal or 25 suspension of any delegate from office. 26 5. A Member State’s State Licensing Authority shall fill any 27 vacancy of its delegate occurring on the Commission within 60 28 days of the vacancy. 29 6. Each delegate shall be entitled to one vote on all matters 30 before the Commission requiring a vote by Commission delegates. 31 7. A delegate shall vote in person or by such other means as 32 provided in the bylaws. The bylaws may provide for delegates to 33 meet by telecommunication, videoconference, or other means of 34 communication. 35 8. The Commission shall meet at least once during each 36 calendar year. Additional meetings may be held as set forth in the 37 bylaws. The Commission may meet by telecommunication, video 38 conference or other similar electronic means. 39 C. The Commission shall have the following powers: 40 1. Establish the fiscal year of the Commission; 41 2. Establish code of conduct and conflict of interest 42 policies; 43 3. Establish and amend Rules and bylaws; 44 – 17 – - *SB68* 4. Maintain its financial records in accordance with the 1 bylaws; 2 5. Meet and take such actions as are consistent with the 3 provisions of this Compact, the Commission’s Rules and the 4 bylaws; 5 6. Initiate and conclude legal proceedings or actions in the 6 name of the Commission, provided that the standing of any State 7 Licensing Board to sue or be sued under applicable law shall not 8 be affected; 9 7. Maintain and certify records and information provided to 10 a Member State as the authenticated business records of the 11 Commission, and designate an agent to do so on the Commission’s 12 behalf; 13 8. Purchase and maintain insurance and bonds; 14 9. Borrow, accept or contract for services of personnel, 15 including, but not limited to, employees of a Member State; 16 10. Conduct an annual financial review; 17 11. Hire employees, elect or appoint officers, fix 18 compensation, define duties, grant such individuals appropriate 19 authority to carry out the purposes of the Compact, and establish 20 the Commission’s personnel policies and programs relating to 21 conflicts of interest, qualifications of personnel and other related 22 personnel matters; 23 12. Assess and collect fees; 24 13. Accept any and all appropriate gifts, donations, grants 25 of money, other sources of revenue, equipment, supplies, materials 26 and services, and receive, utilize and dispose of the same; provided 27 that at all times the Commission shall avoid any appearance of 28 impropriety or conflict of interest; 29 14. Lease, purchase, retain, own, hold, improve or use any 30 property, real, personal or mixed, or any undivided interest 31 therein; 32 15. Sell, convey, mortgage, pledge, lease, exchange, 33 abandon, or otherwise dispose of any property, real, personal, or 34 mixed; 35 16. Establish a budget and make expenditures; 36 17. Borrow money; 37 18. Appoint committees, including standing committees, 38 composed of members, State regulators, State legislators or their 39 representatives, and consumer representatives, and such other 40 interested persons as may be designated in this Compact and the 41 bylaws; 42 19. Provide and receive information from, and cooperate 43 with, law enforcement agencies; 44 – 18 – - *SB68* 20. Establish and elect an Executive Committee, including 1 a chair and a vice chair; 2 21. Determine whether a State’s adopted language is 3 materially different from the model compact language such that 4 the State would not qualify for participation in the Compact; and 5 22. Perform such other functions as may be necessary or 6 appropriate to achieve the purposes of this Compact. 7 D. The Executive Committee: 8 1. The Executive Committee shall have the power to act on 9 behalf of the Commission according to the terms of this Compact. 10 The powers, duties and responsibilities of the Executive 11 Committee shall include: 12 a. Oversee the day-to-day activities of the administration 13 of the Compact, including enforcement and compliance with the 14 provisions of the Compact, its Rules and bylaws, and such other 15 duties as deemed necessary; 16 b. Recommend to the Commission changes to the Rules 17 or bylaws, changes to this Compact legislation, fees charged to 18 Compact Member States, fees charged to Licensees and other fees; 19 c. Ensure Compact administration services are 20 appropriately provided, including by contract; 21 d. Prepare and recommend the budget; 22 e. Maintain financial records on behalf of the 23 Commission; 24 f. Monitor Compact compliance of Member States and 25 provide compliance reports to the Commission; 26 g. Establish additional committees as necessary; 27 h. Exercise the powers and duties of the Commission 28 during the interim between Commission meetings, except for 29 adopting or amending Rules, adopting or amending bylaws and 30 exercising any other powers and duties expressly reserved to the 31 Commission by Rule or bylaw; and 32 i. Other duties as provided in the Rules or bylaws of the 33 Commission. 34 2. The Executive Committee shall be composed of up to 35 eleven (11) members: 36 a. The chair and vice chair of the Commission shall be 37 voting members of the Executive Committee. 38 b. The Commission shall elect five (5) voting members 39 from the current membership of the Commission. 40 c. Up to four (4) ex-officio, nonvoting members from 41 four (4) recognized national Social Work organizations. 42 d. The ex-officio members will be selected by their 43 respective organizations. 44 – 19 – - *SB68* 3. The Commission may remove any member of the 1 Executive Committee as provided in the Commission’s bylaws. 2 4. The Executive Committee shall meet at least annually. 3 a. Executive Committee meetings shall be open to the 4 public, except that the Executive Committee may meet in a closed, 5 non-public meeting as provided in subsection F.2 below. 6 b. The Executive Committee shall give seven (7) days’ 7 notice of its meetings, posted on its website and as determined to 8 provide notice to persons with an interest in the business of the 9 Commission. 10 c. The Executive Committee may hold a special meeting 11 in accordance with subsection F.1.b. below. 12 E. The Commission shall adopt and provide to the Member 13 States an annual report. 14 F. Meetings of the Commission: 15 1. All meetings shall be open to the public, except that the 16 Commission may meet in a closed non-public meeting as provided 17 in subsection F.2 below. 18 a. Public notice for all meetings of the full Commission 19 shall be given in the same manner as required under the 20 Rulemaking provisions in Section 12, except that the Commission 21 may hold a special meeting as provided in subsection F.1.b below. 22 b. The Commission may hold a special meeting when it 23 must meet to conduct emergency business by giving 48 hours’ 24 notice to all commissioners, on the Commission’s website, and 25 other means as provided in the Commission’s Rules. The 26 Commission’s legal counsel shall certify that the Commission’s 27 need to meet qualifies as an emergency. 28 2. The Commission or the Executive Committee or other 29 committees of the Commission may convene in a closed, non-30 public meeting for the Commission or Executive Committee or 31 other committees of the Commission to receive legal advice or to 32 discuss: 33 a. Non-compliance of a Member State with its 34 obligations under the Compact; 35 b. The employment, compensation, discipline or other 36 matters, practices or procedures related to specific employees; 37 c. Current or threatened discipline of a Licensee by the 38 Commission or by a Member State’s Licensing Authority; 39 d. Current, threatened or reasonably anticipated 40 litigation; 41 e. Negotiation of contracts for the purchase, lease or 42 sale of goods, services, or real estate; 43 f. Accusing any person of a crime or formally censuring 44 any person; 45 – 20 – - *SB68* g. Trade secrets or commercial or financial information 1 that is privileged or confidential; 2 h. Information of a personal nature where disclosure 3 would constitute a clearly unwarranted invasion of personal 4 privacy; 5 i. Investigative records compiled for law enforcement 6 purposes; 7 j. Information related to any investigative reports 8 prepared by or on behalf of or for use of the Commission or other 9 committee charged with responsibility of investigation or 10 determination of compliance issues pursuant to the Compact; 11 k. Matters specifically exempted from disclosure by 12 federal or Member State law; or 13 l. Other matters as promulgated by the Commission by 14 Rule. 15 3. If a meeting, or portion of a meeting, is closed, the 16 presiding officer shall state that the meeting will be closed and 17 reference each relevant exempting provision, and such reference 18 shall be recorded in the minutes. 19 4. The Commission shall keep minutes that fully and 20 clearly describe all matters discussed in a meeting and shall 21 provide a full and accurate summary of actions taken, and the 22 reasons therefor, including a description of the views expressed. 23 All documents considered in connection with an action shall be 24 identified in such minutes. All minutes and documents of a closed 25 meeting shall remain under seal, subject to release only by a 26 majority vote of the Commission or order of a court of competent 27 jurisdiction. 28 G. Financing of the Commission: 29 1. The Commission shall pay or provide for the payment of 30 the reasonable expenses of its establishment, organization and 31 ongoing activities. 32 2. The Commission may accept any and all appropriate 33 revenue sources as provided in subsection C(13). 34 3. The Commission may levy on and collect an annual 35 assessment from each Member State and impose fees on Licensees 36 of Member States to whom it grants a Multistate License to cover 37 the cost of the operations and activities of the Commission and its 38 staff, which must be in a total amount sufficient to cover its 39 annual budget as approved each year for which revenue is not 40 provided by other sources. The aggregate annual assessment 41 amount for Member States shall be allocated based upon a 42 formula that the Commission shall promulgate by Rule. 43 4. The Commission shall not incur obligations of any kind 44 prior to securing the funds adequate to meet the same; nor shall 45 – 21 – - *SB68* the Commission pledge the credit of any of the Member States, 1 except by and with the authority of the Member State. 2 5. The Commission shall keep accurate accounts of all 3 receipts and disbursements. The receipts and disbursements of the 4 Commission shall be subject to the financial review and 5 accounting procedures established under its bylaws. However, all 6 receipts and disbursements of funds handled by the Commission 7 shall be subject to an annual financial review by a certified or 8 licensed public accountant, and the report of the financial review 9 shall be included in and become part of the annual report of the 10 Commission. 11 H. Qualified Immunity, Defense, and Indemnification: 12 1. The members, officers, executive director, employees and 13 representatives of the Commission shall be immune from suit and 14 liability, both personally and in their official capacity, for any 15 claim for damage to or loss of property or personal injury or other 16 civil liability caused by or arising out of any actual or alleged act, 17 error, or omission that occurred, or that the person against whom 18 the claim is made had a reasonable basis for believing occurred 19 within the scope of Commission employment, duties or 20 responsibilities; provided that nothing in this paragraph shall be 21 construed to protect any such person from suit or liability for any 22 damage, loss, injury, or liability caused by the intentional or 23 willful or wanton misconduct of that person. The procurement of 24 insurance of any type by the Commission shall not in any way 25 compromise or limit the immunity granted hereunder. 26 2. The Commission shall defend any member, officer, 27 executive director, employee, and representative of the 28 Commission in any civil action seeking to impose liability arising 29 out of any actual or alleged act, error, or omission that occurred 30 within the scope of Commission employment, duties, or 31 responsibilities, or as determined by the Commission that the 32 person against whom the claim is made had a reasonable basis for 33 believing occurred within the scope of Commission employment, 34 duties, or responsibilities; provided that nothing herein shall be 35 construed to prohibit that person from retaining their own counsel 36 at their own expense; and provided further, that the actual or 37 alleged act, error, or omission did not result from that person’s 38 intentional or willful or wanton misconduct. 39 3. The Commission shall indemnify and hold harmless any 40 member, officer, executive director, employee, and representative 41 of the Commission for the amount of any settlement or judgment 42 obtained against that person arising out of any actual or alleged 43 act, error, or omission that occurred within the scope of 44 Commission employment, duties, or responsibilities, or that such 45 – 22 – - *SB68* person had a reasonable basis for believing occurred within the 1 scope of Commission employment, duties, or responsibilities, 2 provided that the actual or alleged act, error or omission did not 3 result from the intentional or willful or wanton misconduct of that 4 person. 5 4. Nothing herein shall be construed as a limitation on the 6 liability of any Licensee for professional malpractice or 7 misconduct, which shall be governed solely by any other 8 applicable State laws. 9 5. Nothing in this Compact shall be interpreted to waive or 10 otherwise abrogate a Member State’s state action immunity or 11 state action affirmative defense with respect to antitrust claims 12 under the Sherman Act, Clayton Act, or any other State or federal 13 antitrust or anticompetitive law or regulation. 14 6. Nothing in this Compact shall be construed to be a 15 waiver of sovereign immunity by the Member States or by the 16 Commission. 17 18 SECTION 11: DATA SYSTEM 19 20 A. The Commission shall provide for the development, 21 maintenance, operation, and utilization of a coordinated Data 22 System. 23 B. The Commission shall assign each applicant for a 24 Multistate License a unique identifier, as determined by the Rules 25 of the Commission. 26 C. Notwithstanding any other provision of State law to the 27 contrary, a Member State shall submit a uniform data set to the 28 Data System on all individuals to whom this Compact is applicable 29 as required by the Rules of the Commission, including: 30 1. Identifying information; 31 2. Licensure data; 32 3. Adverse Actions against a Licensee and information 33 related thereto; 34 4. Non-confidential information related to Alternative 35 Program participation, the beginning and ending dates of such 36 participation, and other information related to such participation 37 not made confidential under Member State law; 38 5. Any denial of application for licensure and the reason(s) 39 for such denial; 40 6. The presence of Current Significant Investigative 41 Information; and 42 7. Other information that may facilitate the administration 43 of this Compact or the protection of the public, as determined by 44 the Rules of the Commission. 45 – 23 – - *SB68* D. The records and information provided to a Member State 1 pursuant to this Compact or through the Data System, when 2 certified by the Commission or an agent thereof, shall constitute 3 the authenticated business records of the Commission, and shall 4 be entitled to any associated hearsay exception in any relevant 5 judicial, quasi-judicial or administrative proceedings in a Member 6 State. 7 E. Current Significant Investigative Information pertaining 8 to a Licensee in any Member State will only be available to other 9 Member States. It is the responsibility of the Member States to 10 report any Adverse Action against a Licensee and to monitor the 11 database to determine whether Adverse Action has been taken 12 against a Licensee. Adverse Action information pertaining to a 13 Licensee in any Member State will be available to any other 14 Member State. 15 F. Member States contributing information to the Data 16 System may designate information that may not be shared with the 17 public without the express permission of the contributing State. 18 G. Any information submitted to the Data System that is 19 subsequently expunged pursuant to federal law or the laws of the 20 Member State contributing the information shall be removed from 21 the Data System. 22 23 SECTION 12: RULEMAKING 24 25 A. The Commission shall promulgate reasonable Rules in 26 order to effectively and efficiently implement and administer the 27 purposes and provisions of the Compact. A Rule shall be invalid 28 and have no force or effect only if a court of competent 29 jurisdiction holds that the Rule is invalid because the Commission 30 exercised its rulemaking authority in a manner that is beyond the 31 scope and purposes of the Compact or the powers granted 32 hereunder, or based upon another applicable standard of review. 33 B. The Rules of the Commission shall have the force of law 34 in each Member State, provided, however, that where the Rules of 35 the Commission conflict with the laws of the Member State that 36 establish the Member State’s laws, regulations, and applicable 37 standards that govern the practice of Social Work as held by a 38 court of competent jurisdiction, the Rules of the Commission shall 39 be ineffective in that State to the extent of the conflict. 40 C. The Commission shall exercise its Rulemaking powers 41 pursuant to the criteria set forth in this Section and the Rules 42 adopted thereunder. Rules shall become binding on the day 43 following adoption or the date specified in the rule or amendment, 44 whichever is later. 45 – 24 – - *SB68* D. If a majority of the legislatures of the Member States 1 rejects a Rule or portion of a Rule, by enactment of a statute or 2 resolution in the same manner used to adopt the Compact within 3 four (4) years of the date of adoption of the Rule, then such Rule 4 shall have no further force and effect in any Member State. 5 E. Rules shall be adopted at a regular or special meeting of 6 the Commission. 7 F. Prior to adoption of a proposed Rule, the Commission 8 shall hold a public hearing and allow persons to provide oral and 9 written comments, data, facts, opinions, and arguments. 10 G. Prior to adoption of a proposed Rule by the Commission, 11 and at least thirty (30) days in advance of the meeting at which the 12 Commission will hold a public hearing on the proposed Rule, the 13 Commission shall provide a Notice of Proposed Rulemaking: 14 1. On the website of the Commission or other publicly 15 accessible platform; 16 2. To persons who have requested notice of the 17 Commission’s notices of proposed rulemaking; and 18 3. In such other way(s) as the Commission may by Rule 19 specify. 20 H. The Notice of Proposed Rulemaking shall include: 21 1. The time, date and location of the public hearing at 22 which the Commission will hear public comments on the proposed 23 Rule and, if different, the time, date and location of the meeting 24 where the Commission will consider and vote on the proposed 25 Rule; 26 2. If the hearing is held via telecommunication, video 27 conference, or other electronic means, the Commission shall 28 include the mechanism for access to the hearing in the Notice of 29 Proposed Rulemaking; 30 3. The text of the proposed Rule and the reason therefor; 31 4. A request for comments on the proposed Rule from any 32 interested person; and 33 5. The manner in which interested persons may submit 34 written comments. 35 I. All hearings will be recorded. A copy of the recording and 36 all written comments and documents received by the Commission 37 in response to the proposed Rule shall be available to the public. 38 J. Nothing in this section shall be construed as requiring a 39 separate hearing on each Rule. Rules may be grouped for the 40 convenience of the Commission at hearings required by this 41 section. 42 K. The Commission shall, by majority vote of all members, 43 take final action on the proposed Rule based on the Rulemaking 44 record and the full text of the Rule. 45 – 25 – - *SB68* 1. The Commission may adopt changes to the proposed 1 Rule, provided the changes do not enlarge the original purpose of 2 the proposed Rule. 3 2. The Commission shall provide an explanation of the 4 reasons for substantive changes made to the proposed Rule as well 5 as reasons for substantive changes not made that were 6 recommended by commenters. 7 3. The Commission shall determine a reasonable effective 8 date for the Rule. Except for an emergency as provided in Section 9 12.L, the effective date of the Rule shall be no sooner than 30 days 10 after issuing the notice that it adopted or amended the Rule. 11 L. Upon determination that an emergency exists, the 12 Commission may consider and adopt an emergency Rule with 48 13 hours’ notice, with opportunity to comment, provided that the 14 usual Rulemaking procedures provided in the Compact and in this 15 section shall be retroactively applied to the Rule as soon as 16 reasonably possible, in no event later than ninety (90) days after 17 the effective date of the Rule. For the purposes of this provision, 18 an emergency Rule is one that must be adopted immediately in 19 order to: 20 1. Meet an imminent threat to public health, safety, or 21 welfare; 22 2. Prevent a loss of Commission or Member State funds; 23 3. Meet a deadline for the promulgation of a Rule that is 24 established by federal law or rule; or 25 4. Protect public health and safety. 26 M. The Commission or an authorized committee of the 27 Commission may direct revisions to a previously adopted Rule for 28 purposes of correcting typographical errors, errors in format, 29 errors in consistency, or grammatical errors. Public notice of any 30 revisions shall be posted on the website of the Commission. The 31 revision shall be subject to challenge by any person for a period of 32 thirty (30) days after posting. The revision may be challenged only 33 on grounds that the revision results in a material change to a 34 Rule. A challenge shall be made in writing and delivered to the 35 Commission prior to the end of the notice period. If no challenge 36 is made, the revision will take effect without further action. If the 37 revision is challenged, the revision may not take effect without the 38 approval of the Commission. 39 N. No Member State’s rulemaking requirements shall apply 40 under this Compact. 41 – 26 – - *SB68* SECTION 13: OVERSIGHT, DISPUTE 1 RESOLUTION AND ENFORCEMENT 2 3 A. Oversight: 4 1. The executive and judicial branches of State government 5 in each Member State shall enforce this Compact and take all 6 actions necessary and appropriate to implement the Compact. 7 2. Except as otherwise provided in this Compact, venue is 8 proper and judicial proceedings by or against the Commission 9 shall be brought solely and exclusively in a court of competent 10 jurisdiction where the principal office of the Commission is 11 located. The Commission may waive venue and jurisdictional 12 defenses to the extent it adopts or consents to participate in 13 alternative dispute resolution proceedings. Nothing herein shall 14 affect or limit the selection or propriety of venue in any action 15 against a Licensee for professional malpractice, misconduct or 16 any such similar matter. 17 3. The Commission shall be entitled to receive service of 18 process in any proceeding regarding the enforcement or 19 interpretation of the Compact and shall have standing to intervene 20 in such a proceeding for all purposes. Failure to provide the 21 Commission service of process shall render a judgment or order 22 void as to the Commission, this Compact, or promulgated Rules. 23 B. Default, Technical Assistance and Termination: 24 1. If the Commission determines that a Member State has 25 defaulted in the performance of its obligations or responsibilities 26 under this Compact or the promulgated Rules, the Commission 27 shall provide written notice to the defaulting State. The notice of 28 default shall describe the default, the proposed means of curing 29 the default, and any other action that the Commission may take, 30 and shall offer training and specific technical assistance 31 regarding the default. 32 2. The Commission shall provide a copy of the notice of 33 default to the other Member States. 34 C. If a State in default fails to cure the default, the defaulting 35 State may be terminated from the Compact upon an affirmative 36 vote of a majority of the delegates of the Member States, and all 37 rights, privileges and benefits conferred on that State by this 38 Compact may be terminated on the effective date of termination. A 39 cure of the default does not relieve the offending State of 40 obligations or liabilities incurred during the period of default. 41 D. Termination of membership in the Compact shall be 42 imposed only after all other means of securing compliance have 43 been exhausted. Notice of intent to suspend or terminate shall be 44 given by the Commission to the governor, the majority and 45 – 27 – - *SB68* minority leaders of the defaulting State’s legislature, the 1 defaulting State’s State Licensing Authority and each of the 2 Member State’s State Licensing Authority. 3 E. A State that has been terminated is responsible for all 4 assessments, obligations, and liabilities incurred through the 5 effective date of termination, including obligations that extend 6 beyond the effective date of termination. 7 F. Upon the termination of a State’s membership from this 8 Compact, that State shall immediately provide notice to all 9 Licensees within that State of such termination. The terminated 10 State shall continue to recognize all licenses granted pursuant to 11 this Compact for a minimum of six (6) months after the date of 12 said notice of termination. 13 G. The Commission shall not bear any costs related to a State 14 that is found to be in default or that has been terminated from the 15 Compact, unless agreed upon in writing between the Commission 16 and the defaulting State. 17 H. The defaulting State may appeal the action of the 18 Commission by petitioning the U.S. District Court for the District 19 of Columbia or the federal district where the Commission has its 20 principal offices. The prevailing party shall be awarded all costs of 21 such litigation, including reasonable attorney’s fees. 22 I. Dispute Resolution: 23 1. Upon request by a Member State, the Commission shall 24 attempt to resolve disputes related to the Compact that arise 25 among Member States and between Member and non-Member 26 States. 27 2. The Commission shall promulgate a Rule providing for 28 both mediation and binding dispute resolution for disputes, as 29 appropriate. 30 J. Enforcement: 31 1. By majority vote as provided by Rule, the Commission 32 may initiate legal action against a Member State in default in the 33 United States District Court for the District of Columbia or the 34 federal district where the Commission has its principal offices to 35 enforce compliance with the provisions of the Compact and its 36 promulgated Rules. The relief sought may include both injunctive 37 relief and damages. In the event judicial enforcement is necessary, 38 the prevailing party shall be awarded all costs of such litigation, 39 including reasonable attorney’s fees. The remedies herein shall 40 not be the exclusive remedies of the Commission. The Commission 41 may pursue any other remedies available under federal or the 42 defaulting Member State’s law. 43 2. A Member State may initiate legal action against the 44 Commission in the U.S. District Court for the District of Columbia 45 – 28 – - *SB68* or the federal district where the Commission has its principal 1 offices to enforce compliance with the provisions of the Compact 2 and its promulgated Rules. The relief sought may include both 3 injunctive relief and damages. In the event judicial enforcement is 4 necessary, the prevailing party shall be awarded all costs of such 5 litigation, including reasonable attorney’s fees. 6 3. No person other than a Member State shall enforce this 7 Compact against the Commission. 8 9 SECTION 14: EFFECTIVE DATE, 10 WITHDRAWAL, AND AMENDMENT 11 12 A. The Compact shall come into effect on the date on which 13 the Compact statute is enacted into law in the seventh Member 14 State. 15 1. On or after the effective date of the Compact, the 16 Commission shall convene and review the enactment of each of 17 the first seven Member States (“Charter Member States”) to 18 determine if the statute enacted by each such Charter Member 19 State is materially different than the model Compact statute. 20 a. A Charter Member State whose enactment is found to 21 be materially different from the model Compact statute shall be 22 entitled to the default process set forth in Section 13. 23 b. If any Member State is later found to be in default, or 24 is terminated or withdraws from the Compact, the Commission 25 shall remain in existence and the Compact shall remain in effect 26 even if the number of Member States should be less than seven. 27 2. Member States enacting the Compact subsequent to the 28 seven initial Charter Member States shall be subject to the process 29 set forth in Section 10(C)(21) to determine if their enactments are 30 materially different from the model Compact statute and whether 31 they qualify for participation in the Compact. 32 3. All actions taken for the benefit of the Commission or in 33 furtherance of the purposes of the administration of the Compact 34 prior to the effective date of the Compact or the Commission 35 coming into existence shall be considered to be actions of the 36 Commission unless specifically repudiated by the Commission. 37 4. Any State that joins the Compact subsequent to the 38 Commission’s initial adoption of the Rules and bylaws shall be 39 subject to the Rules and bylaws as they exist on the date on which 40 the Compact becomes law in that State. Any Rule that has been 41 previously adopted by the Commission shall have the full force 42 and effect of law on the day the Compact becomes law in that 43 State. 44 – 29 – - *SB68* B. Any Member State may withdraw from this Compact by 1 enacting a statute repealing the same. 2 1. A Member State’s withdrawal shall not take effect until 3 180 days after enactment of the repealing statute. 4 2. Withdrawal shall not affect the continuing requirement 5 of the withdrawing State’s Licensing Authority to comply with the 6 investigative and Adverse Action reporting requirements of this 7 Compact prior to the effective date of withdrawal. 8 3. Upon the enactment of a statute withdrawing from this 9 Compact, a State shall immediately provide notice of such 10 withdrawal to all Licensees within that State. Notwithstanding any 11 subsequent statutory enactment to the contrary, such withdrawing 12 State shall continue to recognize all licenses granted pursuant to 13 this Compact for a minimum of 180 days after the date of such 14 notice of withdrawal. 15 C. Nothing contained in this Compact shall be construed to 16 invalidate or prevent any licensure agreement or other cooperative 17 arrangement between a Member State and a non-Member State 18 that does not conflict with the provisions of this Compact. 19 D. This Compact may be amended by the Member States. No 20 amendment to this Compact shall become effective and binding 21 upon any Member State until it is enacted into the laws of all 22 Member States. 23 24 SECTION 15: CONSTRUCTION AND SEVERABILITY 25 26 A. This Compact and the Commission’s rulemaking authority 27 shall be liberally construed so as to effectuate the purposes, 28 implementation and administration of the Compact. Provisions of 29 the Compact expressly authorizing or requiring the promulgation 30 of Rules shall not be construed to limit the Commission’s 31 rulemaking authority solely for those purposes. 32 B. The provisions of this Compact shall be severable, and if 33 any phrase, clause, sentence or provision of this Compact is held 34 by a court of competent jurisdiction to be contrary to the 35 constitution of any Member State, a State seeking participation in 36 the Compact, or of the United States, or the applicability thereof to 37 any government, agency, person or circumstance is held to be 38 unconstitutional by a court of competent jurisdiction, the validity 39 of the remainder of this Compact and the applicability thereof to 40 any other government, agency, person or circumstance shall not 41 be affected thereby. 42 C. Notwithstanding subsection B of this section, the 43 Commission may deny a State’s participation in the Compact or, 44 in accordance with the requirements of Section 13.B, terminate a 45 – 30 – - *SB68* Member State’s participation in the Compact if it determines that 1 a constitutional requirement of a Member State is a material 2 departure from the Compact. Otherwise, if this Compact shall be 3 held to be contrary to the constitution of any Member State, the 4 Compact shall remain in full force and effect as to the remaining 5 Member States and in full force and effect as to the Member State 6 affected as to all severable matters. 7 8 SECTION 16: CONSISTENT EFFECT AND 9 CONFLICT WITH OTHER STATE LAWS 10 11 A. A Licensee providing services in a Remote State under a 12 Multistate Authorization to Practice shall adhere to the laws and 13 regulations, including laws, regulations, and applicable standards, 14 of the Remote State where the client is located at the time care is 15 rendered. 16 B. Nothing herein shall prevent or inhibit the enforcement of 17 any other law of a Member State that is not inconsistent with the 18 Compact. 19 C. Any laws, statutes, regulations, or other legal requirements 20 in a Member State in conflict with the Compact are superseded to 21 the extent of the conflict. 22 D. All permissible agreements between the Commission and 23 the Member States are binding in accordance with their terms. 24 Sec. 4. NRS 641B.165 is hereby amended to read as follows: 25 641B.165 1. On or before February 1 of each year, the Board 26 shall submit to the Joint Interim Standing Committee on Health and 27 Human Services and to the Chair of each regional behavioral health 28 policy board created by NRS 433.429 a report which must include: 29 (a) The number of complaints received, investigations 30 completed, cases dismissed, cases settled and cases for which 31 hearings were held within the immediately preceding calendar year; 32 (b) The number of applications for the issuance or renewal of a 33 license received by the Board during the immediately preceding 34 calendar year and the number of those applications for which the 35 Board conducted additional review beyond the standard review 36 regularly conducted by the Board; [and] 37 (c) The number of applications for the issuance of a license by 38 endorsement received by the Board pursuant to NRS 641B.272 39 during the immediately preceding calendar year, the number of 40 those applications that were denied and the reasons for denial [.] ; 41 and 42 (d) A narrative description of: 43 (1) The processes which the Board uses to collect the data 44 for the information reported in paragraphs (a), (b) and (c); 45 – 31 – - *SB68* (2) The reasons for the denials of applications for the 1 issuance or renewal of licenses during the immediately preceding 2 calendar year; 3 (3) The known reasons for any increase or decrease in the 4 number of applications for the issuance or renewal of a license, 5 categorized by type of license, during the immediately preceding 6 calendar year; and 7 (4) If known, the location in this State in which each 8 applicant for licensure during the immediately preceding calendar 9 year intends to practice. 10 2. The report submitted pursuant to this section to the Chair of 11 each regional behavioral policy board created by NRS 433.429 may 12 be submitted in a written format. 13 Sec. 5. NRS 641C.230 is hereby amended to read as follows: 14 641C.230 1. On or before February 1 of each year, the Board 15 shall submit to the Joint Interim Standing Committee on Health and 16 Human Services and to the Chair of each regional behavioral health 17 policy board created by NRS 433.429 a report which must include: 18 (a) The number of complaints received, investigations 19 completed, cases dismissed, cases settled and cases for which 20 hearings were held within the immediately preceding calendar year; 21 (b) The number of applications for the issuance or renewal of a 22 license or certificate received by the Board during the immediately 23 preceding calendar year and the number of those applications for 24 which the Board conducted additional review beyond the standard 25 review regularly conducted by the Board; [and] 26 (c) The number of applications for the issuance of a license or 27 certificate by endorsement received by the Board pursuant to NRS 28 641C.3306, 641C.356, 641C.396 and 641C.433 during the 29 immediately preceding calendar year, the number of those 30 applications that were denied and the reasons for denial [.] ; and 31 (d) A narrative description of: 32 (1) The processes which the Board uses to collect the data 33 for the information reported in paragraphs (a), (b) and (c); 34 (2) The reasons for the denials of applications for the 35 issuance or renewal of licenses and certificates during the 36 immediately preceding calendar year; 37 (3) The known reasons for any increase or decrease in the 38 number of applications for the issuance or renewal of a license or 39 certificate, categorized by type of license or certificate, during the 40 immediately preceding calendar year; and 41 (4) If known, the location in this State in which each 42 applicant for licensure or certification during the immediately 43 preceding calendar year intends to practice. 44 – 32 – - *SB68* 2. The report submitted pursuant to this section to the Chair of 1 each regional behavioral health policy board created by NRS 2 433.429 may be submitted in a written format. 3 Sec. 6. The amendatory provisions of sections 1, 2, 4 and 5 of 4 this act do not apply to the report required to be submitted pursuant 5 to NRS 641.145, 641A.183, 641B.165 or 641C.230, as applicable, 6 on or before February 1, 2026. Thereafter, each subsequent report 7 required by NRS 641.145, 641A.183, 641B.165 or 641C.230 must 8 comply with the amendatory provisions of sections 1, 2, 4 and 5 of 9 this act, as applicable. 10 Sec. 7. The provisions of subsection 1 of NRS 218D.380 do 11 not apply to any provision of this act which adds or revises a 12 requirement to submit a report to the Legislature. 13 Sec. 8. This act becomes effective on July 1, 2025. 14 H