Req. No. 10612 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 4098 By: Kendrix COMMITTEE SUBSTITUTE An Act relating to dentists and dental hygienists; providing the purpose; defining terms; providing for commission membership; providing duties for Compact member states; providing the powers and duties of the Compact Commission; providing the application , eligibility, and issuance of the Compact license privilege to a practice s tate; specifying jurisdiction of Compact license privilege holders; providing for fees and military waiver; providing for joint investigations and disciplinary actions; providing for request of information fr om non-member states; directing rulemaking funct ions of the Compact commission; providing for oversight of Compact; providing for enforcement; providing for dispute resolution; providing for withdrawal from the Compact; providing for dissolution of the Compact; providing for severability; providing for binding effect of the Compact; providing rules of or der; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be cod ified in the Oklahoma Statutes as Section 329.1 of Title 59, unless there is created a duplication in numbering, reads as f ollows: Req. No. 10612 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 The American Association of Dental Boards Compact is hereby enacted into law and the Governor shall enter into a Compact on behalf of the State of Oklahoma with any jurisdiction legally joined therein, in the form substantially as set forth in this act. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.2 of Title 59, unless there is created a duplication in numbering, reads as follows: AADB DENTAL AND DENTAL HYGI ENE COMPACT This Compact shall be known as the American Association of Dental Boards (AADB) Compact and the purpose of the Compact is to expedite licensure and increase access to dental health care through licensure boards acting in cooperation. The Compact adopts the existing structures most utilized by Dental Boards across the United States, while ensurin g the safety of the public through the sharing of documents and information. This Compact ensures that each state retains the right to impose an adverse action on a licensee as a home state or as a practicing state. Each state has an opportunity to share investigations and information with the home st ate of licensure. The Dental Board Compact is operated by state dental board members, administrators and o ther staff, thus allowing for each state to maintain its sovereignty. The AADB Compact: 1. Allows for expedited licensure portability and ease of movement between states; Req. No. 10612 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. Allows each state to continue to regulate the practice of dentistry and dental hygiene within their borders and maintain its sovereignty by allowing actions against a Compact license privilege or a licensee and maintaining its ex isting licensure structure while allowing for Compact licensure privileges; 3. Creates a common goal of protecting th e public by ensuring a uniform licensure standard and sharing of information in the Compact; 4. Allows for licensure in every participati ng state by passing a uniform licensure examination, that tests psychomotor and cognitive dental skills exam that is curre ntly accepted in fifty state licensing jurisdictions and United States territories; 5. Gives licensees one location to maintain professional documentation to expedite Compact license privileges in states, hospitals, or institutional credentialing; 6. Facilitates a faster licensure process for relocation or separation of military members a nd their dependent spouses; there are no Compact fees for military members or their spouses; 7. Alleviates a duplicative process for licensure among multiple states; 8. Saves applicants money by not having to obtain duplicate documents from a source that charges for the documents; and Req. No. 10612 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 9. Utilizes existing infrastructure of the AADB that has been in existence for over one hundred (100) years, representing dental licensing boards. SECTION 3. NEW LAW A new section of law to be codifi ed in the Oklahoma Statutes as Section 329.3 of Title 59, unless there is created a duplication in numbering, reads as follows: As used in this act: 1. “AADB” means the Amer ican Association of Dental Boards (AADB) or its named successor, formerly known as the American Association of Dental Examiners (A ADE), originally chartered on September 10, 1896, and renewed in 1944, compri sed of state dental boards in the United States and its territories; 2. “AADB Attorneys’ Committee” means attorneys that currently represent a state dental board. The attorneys’ committee participates in the commission as a non -voting member. An attorney that has previously served as an attorney for a state dental board may be invited on a year -to-year basis to serve on the committ ee if they have not engaged in an official case against a board within the Compact or have any other conflict of interest. The attorneys' committee may assist the investigato rs in working through joint investigation issues between states. The attorneys' committee shall prepare a summary of legal issue s directly dealing with the Compacts at the annual meeting as well as a legal u pdate for issues affecting Member State Dental Bo ards; Req. No. 10612 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. “AADB Compact Commission” means the American Association of Dental Boards dental and dental hygiene AADB Compact Commission. Each state shall have two (2) members as required by Section 3 of this act, meeting as a whole to form the comm ission; 4. “AADB composite” means an annual publication listing information regarding ea ch state board, contacts, links to statut es and rules and additional data. Each state shall submit an annual update regarding all dental -practice-related licenses and permits available by state and the procedures allowed to be conducted by licensees and permit holders; 5. “Active-duty military person or spouse” means an individual in full-time active-duty status in the active uniformed service of the United States inc luding members of the National Guard and Reserve. The legal spouse of the military membe r must be recognized by the military unit as a dependent while the service member is on active duty. Spouses shall receive the same privileges as military members for the purpose of this Compact; 6. “Active investigation” means an active investigation resulting in formal allegations or charges precipitating a judicial process by a Dental Board, oversight agency, or o ther law enforcement entity; 7. “Adverse action” mea ns an Order issued by a state dental board or reported to the AADB clearinghouse pursuan t to the Compact Req. No. 10612 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 bylaws and rules. This shall also include a Temporary Emergency Order that may be later withdrawn by a board; 8. “ADEX examination” means American B oard of Dental Examiners examination; 9. “Bylaws” means the bylaws passed by the AADB or its named successor Compact Commission; 10. “Clearinghouse” means the AADB Clearinghouse and databank that houses prior adverse actions, orders , and denials of licens ure or permits from state dental boards in the fifty states and territories; 11. “CODA” means the Commission on Dental Accre ditation or its successor as approved by the United States Department of Education; 12. “Commissioners” means the two member s chosen by each Member State Dental Board to serve as the voting members of the Compact; 13. “Compact” means the American Assoc iation of Dental Boards (AADB), dental and dental hygiene Compact; 14. “Compact license privilege” means the expedited dental or dental hygiene license to practice in a Member State th at differs from the licensee’s home state; 15. “Conviction” means an adjudication and/or formal judgment by a court that an individual is guilty through a plea of guilty or no contest, or a findin g of guilt by the court. Evidence of a conviction of a criminal offense by the court shall be considered final for the purposes o f disciplinary action by a board member; Req. No. 10612 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 16. “Criminal background check” means a dentist or dental hygienist seeking Compact license privileges shall complete and provide a criminal ba ckground check, including the use o f the results of fingerprint or oth er biometric data checks compliant with the requirements of the Federal Bureau of Investigation, with the exception of federal e mployees who have suitability determination in accordance with 5 C.F.R., Section 731.202; 17. "Dental hygienist" means any person who: a. has successfully graduated from a CODA approved dental hygiene school, b. has successfully passed the American B oard of Dental Examiners (ADEX) licensure exam , or has been in practice five (5) years or more and has successfully passed a regional or equivalent state-administered psychomotor licensure examination prior to January 1, 2024, c. has successfully passed the wr itten national dental hygiene board examination administered by the Joint Commission on Nation al Dental Examinations, d. possesses a full and unrestricted dental hygiene license issued by a Member State of the Compact, e. has never been convicted, rece ived adjudication, deferred adjudication, community supervision , or Req. No. 10612 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 deferred disposition for any o ffense by a court of appropriate jurisdiction, f. has never been a subject of discipline by a board through any adverse action, order , or other restriction of the licensee by the board with the exception of failure to pay fees or failure to complete continuing education, g. is not currently under active investigation by a licensing agency or law enforcement authority in any state, federal, or foreign jurisdicti on, and h. meet any jurisprudence requirement established by a Member State Dental Board in which a licensee is seeking a Compact privilege expedited license; 18. “Dental Practice Act” means the laws and regulations governing the practice of dentistry w ithin a Member State; 19. “Dentist” means any person who: a. has successfully graduated from a CODA approved dental school, b. has successfully passed the American Board of Dental Examiners (ADEX) licensure exam , or has been in practice five (5) years or more and has successfully passed a regional or equivalent state administered psychomotor licensure e xamination prior to January 1, 2024, Req. No. 10612 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 c. has successfully passed the written National Dental Board Exam administered by the Joint Commission on National Dental Examinations, d. possesses a full and unrestricted dental license issued by a Member State Dental Board of the Compact, e. has never been convicted, received adjudication, deferred adjudication, community supervision , or deferred disposition for any offe nse by a court of appropriate jurisdiction , f. has never been a subject of discipline by a board as determined by the AADB Compact bylaws and rules, through any adverse action, order, or other restriction of the licensee by the board with the exception of failure to pay fees or failure to complete continuing education , g. has never had a state or federa l drug registration, permit, or license restricted, suspended, or revoked by the United States Drug Enforcement Administration or any State Board that overse es scheduled drug registrations, h. is not currently under active investigation by a licensing agency or law enforcement au thority in any state, federal, or foreign jurisdiction, and Req. No. 10612 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 i. meet any jurisprudence requirement established by a Member State Dental Board in which a licensee is seeking a Compact privilege expedited license ; 20. “Home state” means the state of primary lice nsure. It is the location of the practicing dentist or dental hygienist license where Compact privileges originate and the lic ensee practices at least twenty-five percent (25%) of the time within a calendar year . The home state can take an action on a licensee regard less of where an action against a licensee occurred; 21. “License” means authorization for a dentist or dental hygienist to engage in t he unrestricted practice of dentistry or dental hygiene, which would be unlawfu l without; 22. “Member State Dental Board” means a state agency in a Member State that acts in the sovereign interests of the state by protecting the public through licensure, regulation, and the education of dentist and dental hygienists as directed by t he state law. All actions taken by a mem ber board shall be under the authority of their state jurisdiction and any other rights conferred under this Compact; 23. “Member State” means a state or United States territory that has enacted the Compact; 24. “Regional board examination” means the Wes tern Regional Dental Board Examination (WREB), the North East Regional Board of Dental Examiners (NERB), the Commission on Dental Competen cy Req. No. 10612 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Assessments (CDCA), Council of AADB Compact Testing Agencies (CITA), Southern Regional Testing Agency (SRTA), Central Regi onal Dental Testing Services (CRDTS); 25. “Repository” means the AADB repository of original documents of a licensee that may include original transcripts, certification documents, test scores, military trai ning records, previous or current licensing docu ments, and other sources of materials needed for applications and verification. The AADB repository shall receive documents from primary or or iginating sources and verify their authenticity; 26. “Scope of practice” means the dental -related procedures that require a license, permit, or training to undertake the treatment and procedure to be completed on a patient within the practice state’s req uirements; 27. “State” means a state within the United States or a United States Territory; and 28. “State jurisprudence” means the knowledge of the state laws and rules of dentistry and dental hygiene in which a Compact license privilege is extended. SECTION 4. NEW LAW A new section of law to b e codified in the Oklahoma Statutes as Section 329.4 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The Member States hereby create the AADB Dental and Dental Hygiene Compact. Each state must enact the AADB model Compact that Req. No. 10612 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 is not materially different as determ ined by the AADB Compact Commission. B. Each state Member State Dental Board shall have two (2) voting commission members that shall serve as commissioners and have one vote each, cumulatively making the AAD B Compact Commission. Member States with separa te Dental and Dental Hygiene State Dental Boards shall appoint one (1) commissioner from each Board. One shall be a current state dental board member. Commissioners may not delegate votes or proxies ; however, if a commissioner is unable to attend, the Member State may substitute a delegate that meets the same requirements. C. Upon five states joining the Compact, the AADB dental and dental hygiene Compact will become active. The Compact Commission shall have the authority to enact bylaws and rules on be half of the Compact that shall have the force of law in each participating state to carry out the provisions of the Compact. D. The AADB Compact Commission shall be a separate body within the American Association of Dental Boards and shall have all the responsibilities, powers, and duties set forth in the Compact and such additional powers as may be conferred by a conc urrent action of the respective legislatures of the Member States in accordance with the terms of the Compact. E. The Compact Commission shall meet at least once per calendar year and additional times as necessary pursuant to the bylaws and Req. No. 10612 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 rules. During the annual meeting, the commission members and the attorneys’ committee shall prepare info rmation regarding issues and resolutions between states to further the cooperation of the state boards. The attorneys’ committee shall also prepare a legal update for current events related to dental boards. F. The Compact Commission shall elect officers from the membership that shall serve as an Exec utive Committee. Elections shall occur during the annual meeting. The quorum of Commissioners shall select an Exec utive Committee consisting of a Chair, Vice Chair, Secretary, Treasurer and a Representative from the North, South, East and West districts as divided pursuant to the AADB Compact Rules. G. Quorum for purposes of conducting business shall be a majority of commission members attending in person or virtually. H. The Commission shall provide noti ce of all meetings on its website and in other c ommunications to members. I. A vote of two-thirds (2/3) of the membership shall be required for an executive sessi on to discuss: 1. Items specifically related to participation in a lawsuit or in anticipation of a legal proceeding ; 2. Matters specifically exempted from disclosure by federal statute; 3. Discussions of investigative records of an active Compact member investigation or investigative records for law enforcement or Req. No. 10612 Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 discussions involving specific ally accusing a person of a crime or a public censure; 4. Discussions that would include information of a personal nature that would constitute an unwarranted invasion of personal privacy; 5. Anything considered internal practices and procedures or a trade secret; 6. Other items in the Commission byl aws allowing for executive sessions to be called ; or 7. Advice of legal counsel. J. The Commission shall keep m inutes and make them available to all Member States. K. The Commission may establish other com mittees as needed. L. The Commission shall prep are an annual report that shall be made available to the legislatures and governors of the Member States concerning the activities of the AADB Compact Commission during the preceding calendar year. Such reports shall also include reports of financial audi ts and any recommendations that may have been adopted by the Compact Commission. SECTION 5. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.5 of Title 59, unless there is created a duplication in numbering, reads as follows: Req. No. 10612 Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Member States agree to submit Member State Dental Board actions and other documents and data as determined by the AADB Compact Commission through bylaws and rules . B. Member States shall notify the AADB Compact Commission pursuant to the rules regarding any adverse action taken by the Board, any active investigation by the state dental board, any active investigation involving pending criminal charges or other circumstance as determined by the Compact Commission Rules and bylaws. C. Any adverse action, order, restriction , or denial of a license or permit on a license e or permit holder shall be reported to the AADB Clearinghouse by the Member State Dental Board . D. Member State Dental Boards may submit nonpublic complaints, disciplinary or investigatory information not required by subsection C of this section to the AADB Clearinghous e. All investigatory material shall be considered confidential and not part of a public record unless otherwise specifically required by state statute. E. Accept continuing education credits as required by each state, including but not limited to classes authorized by AADB Accredited Continuing Education (ACE) program . F. Documents in the AADB Re pository shall be treated by a Member State as the equivalent of a primary or original source document for licensure . Req. No. 10612 Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 G. Member States agree to accept a standar dized application for Compact license privileges. The standardized application shall be established by the rules enacted by the Commission. H. Member States may agree to share information rega rding ongoing investigations and actions, including joint inve stigations between states. All investigatory material shall be considered confidential and not part of a public record unless otherwise specifically required by state statute. I. As part of the Compact enforcement, participating Member States issuing subpoenas and seeking testimony of witnesses shall be enforced in other participating Member States in the Compact and shall be enforced by a court of competent jurisdiction where the witnesses or evidence is located. SECTION 6. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.6 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The AADB Compact Commission shall have the duty and power to: 1. Oversee and maintain the administration of the Compact, including organizational needs, the financial activities, the h iring of personnel and ongoing activities or nee ds of the AADB Compact Commission; 2. Promulgate bylaws and rules to operate the Compact; 3. Establish a budget and make expenditures; Req. No. 10612 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 4. Issue, upon the request of a Member State Dental Board, advisory opinions concerning the meaning or interpretation of the Compact and its bylaws, rules, and actions; 5. Enforce compliance with Compact provisions, the rules promulgated by the AADB Compact Commission and the bylaws using all necessary and proper means, inc luding but not limited to the use of judicial process; 6. Hold an annual meeting for the AADB Compact Commission where the elections of an exe cutive board and other issues may be discussed and voted on; 7. Establish personnel policies and programs relati ng to conflicts of interest, rates of compensati on, and qualifications of personnel; 8. Accept donations and grants of money, equipment, suppli es, materials, and services, and to receive, utilize , and dispose of them in a manner consistent with the confli ct-of-interest policies established by the AADB Commission; 9. Report annually to the legislatures and governors of the Member State Dental Board s concerning the activities of the AADB Compact Commission during the preceding calendar year. Such reports shall also include reports of financial audits an d any recommendations that may have been adopted by the AADB Compact Commission; and Req. No. 10612 Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 10. Coordinate education, training , and public awareness regarding the Compact, its implementation, and its operation. B. The executive committee shall have the power to act on behalf of the AADB Compact Commission with the exception of rulemaking during periods when th e Compact Commission is not in session. When acting on behalf o f the Compact Commission, the Executive Committee shall oversee the administration of the Compact including enforcement and compliance of the Compact. C. The officers and employees of the AAD B Compact Commission shall be immune from suit and liabilit y, either personally or in their official capac ity, for a claim for damage to or loss of property or personal injury or other civil liability caused or arising out of, or relating to, an actual or alleged act, error, or omission that occurred, or that such person had a reasonable basis for believing occurred, within the scope of AADB Compact Commission employment, duties or responsibilities; provided, that such person shall not be protected from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of such person. D. The liability of the executive director and employees of the AADB Compact Commission or representatives of the AADB Compact Commission, acting within the scope of such person's emplo yment or duties for acts, errors , or omissions occurring within such person's state may not exceed the limits of liability set forth under the Req. No. 10612 Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 constitution and laws of that state for state officials, employees, and agents. The AADB Compact Commission is considered to be an instrumentality of the state s for the purposes of any such action. Nothing in this subsection shall be construed to prot ect such person from suit or liability for damage, loss, injury , or liability caused by the intentional or willful and wa nton misconduct of such person. E. The AADB Compact Commission shall defend the executive director, its employees, and, subject to the approval of the attorney general or other appropriate legal cou nsel of the Member State represented by an AADB Compact Commission representative, shall defend such AADB Compact Commission representative in any civil action seeking to impose liability arisi ng out of an actual or alleged act, error, or omission that occu rred within the scope of AADB Compact Commission employment, duties, or responsibilities, or that the defendant had a reasonable basis for believi ng occurred within the scope of AADB Compact Commission employment, duties , or responsibilities, provided that t he actual or alleged act, error , or omission did not resu lt from intentional or willful and want on misconduct on the part of such person. F. To the extent not covered by the state involved, Member State, or the AADB Compact Commission, the representatives o r employees of the AADB Compact Commission shall be hel d harmless in the amount of a settlemen t or judgment, including attorney fees and costs, obtained against such persons arising out of an a ctual or Req. No. 10612 Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 alleged act, error, or omission that occurred within th e scope of AADB Compact Commission employment, duties , or responsibilities, or that such persons had a reasonable basis for believing occurre d within the scope of AADB Compact Commission employment, duties, or responsibilities, provided that the actual or al leged act, error, or omission did not result from intent ional or willful and wanton misconduct on the part of such persons. SECTION 7. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.7 of Title 59, unless there is created a duplication in numbering, reads as follows: A. A dentist or dental hygienist applying for Compact license privileges shall meet the requirements of a dentist as listed in subsection S of Section 2 of this Compact or dental hygienist as listed in subsection Q of Section 2 of this Compact and hold a current valid license in a Member State under this Compact. B. Each dentist or dental hygienist shall designate a home state of licensure. The home state shall be determined by: 1. The state of primary residence for the dentist or dental hygienist where twenty-five percent (25%) of their practice within one (1) year occurs. An active-duty military member or their spouse may choose a home state as designated with the milita ry but are not required to meet the twenty-five percent (25%) practice within the home state requirement; or Req. No. 10612 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. If no state qualifies under paragraph 1 of this subsection, then the state where the dentist or dental hygienist filed the previous year federal tax return. C. A dentist or dental hygienist may redesignate a home state one time in a calendar y ear, if the qualifications of a ho me state are met. D. A dentist or dental hygienist seeking a Compact license privilege shall apply to their home state for a letter stating that they are eligible for Compact license privileges. E. The home state determi nes the eligibility and issues a letter of approval or denial for the Compact license privilege. F. The letter is submitted to the proposed Compact license state along with the AADB Compact application packet and authorization to seek access to the licens ee’s repository documents and any additional information as may be required by the proposed Compact license state along with the required fees. Upon approval from the home state, the Compact license state shall issue a state Compact license privilege from the proposed application state to the applicant. G. Appeals on determination of eligibility shall be m ade to the home state where the applicant was seeking privileges under a state Compact license privilege and shall be subject to the law of that state. Req. No. 10612 Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 H. A person holding a Compact license privilege shall notify the Compact Commission within ten (10) business days of any adverse action taken against a license held in a non -Compact state. I. A Compact license privilege may be revoked, suspended , or limited by the issuing state dental board if at any time the licensee’s home state license is revoked, suspended , or limited. J. The AADB Compact Commission is authorized to develop rules regarding the application and renewal process including payment of any application fees, and the issuance of a Compact license privilege. K. Eligibility or ineligibility to receive a state Compact license privilege shall not impact or prohibit an individual from the ability to seek a state license through the regular process outside of the Compact. SECTION 8. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.8 of Title 59, unless there is created a duplication in numbering, reads as follows: A. Each dentist or dental hygienist holding a Compact license privilege is required to reference the composite and Member State Dental Boards’ statutes and rules to be aware of laws that apply to a specific state in which they are practicing under a Compact license privilege. Compact license scope and practice requirements shall conform to the state jurisdiction in which the Compact license privilege holder is practicing. Req. No. 10612 Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. Each dentist or dental hygienist holding a Compact license privilege shall list a current address with the AADB Compact Commission that shall serve as thei r official address of service. C. A dentist or dental hygienist holding a Compact license privilege may have an adverse action taken against them by the: 1. Member State Dental Board in which they are pract icing with a Compact license privilege; 2. Compact licensee’s home state; or 3. Member State that is a Compact member where the Compact licensee has requested or received a Compact license privilege to practice. D. Any state in which the Compact licensee holds a Compact license privilege may investig ate an allegation of a violation of the statutes and rules of d entistry or dental hygiene in any other state where the Compact licensee holds a Compact license privilege. SECTION 9. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.9 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The AADB Compact Commission is authorized to develop rules regarding fees for Compact licensees’ use of the repository and other provisions as determined by the AADB Compact Commission. B. A Member State Dental Board issuing a Compact license privilege authorizing practice in their state may impose a fee for a Compact license privilege to be issued or renewed. Req. No. 10612 Page 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 C. No Compact fee shall be required of each active-duty military member or their spouse up to one (1) year after separation. Each participating state issuing a Compact license privilege may waive fees for active -duty military and their spouse as required by each individual state statute. D. Active-duty military may transfer military train ing records to the repository without a fee. SECTION 10. NEW LAW A new section of law to be codified in the Oklahoma Statut es as Section 329.10 of Title 59, unless there is created a duplication in numbering, reads as follows: A. Each state shall name a point of contact for joint investigations between Compact Member State Dental Boards. B. In addition to the authority grant ed to a Member State Dental Board by the state l aw of their jurisdiction, Member State Dental Boards may par ticipate with other Member State Dental Boards in joint investigations of licensees that fall subject to this Compact. C. Member State Dental Board s may share investigative, litigation, or other materials in furtherance of any joint or individual investigation arising with a licensee who holds a Compact license privilege within their jurisdiction. D. A subpoena issued by a Member State or Member Sta te Dental Board shall be enforceable in other Me mber States as allowed by law. Req. No. 10612 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 E. If a licensee has a disciplinary action taken by any Member State Dental Board against a licensee under the Compact, they shall automatically be subject to discipline by oth er Member State Dental Boards. F. If a licensee has an action taken against their home state license including being revoked, surrendered , or relinquished in lieu of discipline or suspended, then automatically all other Compact license privileges shall be placed in the same status. The home state shall notify the Commission and the Commission shall issue a notice to all Member State Dental Boards that the licensee holding a Compact license privilege shall suspend the Compact license privilege. G. If discipline is taken against a licensee in a n AADB Compact Member State, the Member State Board shall notify the Commission and the home state of the licensee. The home state may deem the action conclusive as a matter of law and fact decided and : 1. Impose the same or lesser sanction consistent with the ho me state practice act; or 2. Pursue separate actions agains t the licensee under its practice act regardless of the sanctions pursued by the Compact Member State Dental Board. SECTION 11. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.11 of Title 59, unless there is created a duplication in numbering, reads as follows: Req. No. 10612 Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Insurance companies and entities verifying documents for the purpose of licenses extended to a provider may seek information fr om the AADB Clearinghouse for public record documents . B. A dentist or dental hygienist, as defined by the bylaws and rules, may submit a request to the AADB Compact Commission to allow any hiring employer, entity, or insurance company to access documents from the repository for the purposes of credentialing, licensing, or other privileges. C. The Commission shall set a fee schedule for these services in the bylaws and rules. SECTION 12. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.12 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The AADB Compact Commission shall promulgate reasonable rules in order to effec tively and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event t he Commission exercises its rulemaking authority in a manner that is beyond the scope of the purposes of the Compact, or the powers granted hereunder, then such an action by the AADB Compact Commission may be determined to be invalid and have no force or effect. B. Rules deemed appropriate for the operations of the AADB Compact Commission shall be made pursuant to a rulemaking process Req. No. 10612 Page 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 that substantially conforms to the Model State Administrative Procedure Act of 2010, and subsequent amendments thereto. SECTION 13. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.13 of Title 59, unless there is created a duplication in numbering, reads as follo ws: A. The executive, legislative, and judicial branches o f state government in each Member State Dental Board shall enforce the Compact and shall take all actions necessary and appropriate to effectuate the Compact's purposes and intent to allow for expedited licensure for the purpose of mobility. The provisions of the Compact and the rules promulgated hereunder shall have standing as statutory law, but shall not override existing state authority to regulate the practice of dentistry and dental hygiene. B. All courts may take judicial notice of the Compact and the rules in any judicial or administrative proceeding in a Member State pertaining to the subject matter of the Compact which may affect the powers, responsibilities, or actions of the AADB Compact Commission. C. The AADB Compact Commission shall be entitl ed to receive all service of process in any such proceeding and shall have standing to intervene in the proceeding for all purposes. Failure to provide service of process to the AADB Compact Commission shall render a judgment or order void as to the AADB Compact Commission, the Compact, or promulgated rules. Req. No. 10612 Page 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 14. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.14 of Title 59, unless there is created a duplication in numbering, reads as follows : A. The AADB Compact Commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the Compact. B. The grounds for default include, but are not limited to, failure of a Member State to perform such obligations or responsibilities imposed upon it by the Compact, or the rules and bylaws of the AADB Compact Commission promulgated under the Compact. C. If the AADB Compact Commission determines that a Member State has defaulted in the performance of its obligations or responsibilities under the Compact, or the bylaws or promulgated rules, the AADB Compact Commission shall: 1. Provide written notice to the defaul ting state and other Member States of the nature of the default, the means of curing the default, and any action taken by the AADB Compact Commission. The AADB Compact Commission shall specify the conditions by which the defaulting state must cure its def ault; and 2. Provide remedial training and spec ific technical assistance regarding the default. D. If the defaulting state fails to cure the default, the defaulting state shall be terminated from the Compact upon an affirmative vote of a majority of the Commissioners and all rights, Req. No. 10612 Page 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 privileges, and benefits conferred by the Compact shall terminate on the effective date of termination. A cure of the default does not relieve the offending state of obligations or liabilities incurred during the period of th e default. E. Termination of membership in the Compact shall be imposed only after all other means of securing com pliance have been exhausted. Notice of intent to terminate shall be given by the AADB Compact Commission to the Governor, the majority and minority leaders of the defaulting state's Legislature and each of the Member States. F. The AADB Compact Commission shall establish rules and procedures to address licenses and Compact license privilege holders that are materially impacted by the terminat ion of a Member State or the withdrawal of a Mem ber State. G. The AADB Compact Commission shall not bear any costs relating to any state that has been found to be in default or which has been terminated from the Compact, unless otherwise mutually agreed upon in writing between the AADB Compact Commission and the defaulting state. H. The defaulting state may appeal the action of the AADB Compact Commission by petitioning the federal district where the AADB Compact Commission has its princip al offices. The prevailing party shall be awarded all costs of such litigation, including reasonable attorney fees. Req. No. 10612 Page 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 I. The AADB Compact Commission shall not bear any costs relating to any state that has been found to be in default or which has been terminated from the Compact, unless otherwise mutually agreed upon in writing between the AADB Compact Commission and the defaulting state. J. The remedies herein shall not be the exclusive remedies of the AADB Compact Commission. The AADB Compact Commission may avail itself of any other remedies available under state law or the regulation of a profession. SECTION 15. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.15 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The AADB Compact Commission shall attempt, upon the request of a Member State Den tal Board, to resolve disputes which are subject to the Compact and which may arise among Member State Dental Boards. B. The AADB Compact Commission shall promulgate rules providing for both mediation and binding dispute resolution, as appropriate. SECTION 16. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.16 of Title 59, unless there is created a duplication in numbering , reads as follows: A. Any state is eligible to become a Member State of the Compact. Req. No. 10612 Page 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. The Compact shall become effective and binding upon legislative enactment of the Compact into law by no less than five states. Thereafter, it shall become effective and bi nding on a state upon enactment of the Compact into law by that sta te. C. The governors of non -member states, or their designees, shall be invited to participate in the activities of the AADB Compact Commission on a nonvoting basis prior to adoptio n of the Compact by all states. D. The AADB Compact Commission may propos e amendments to the Compact for enactment by the Member States. No amendment shall become effective and binding upon the AADB Compact Commission and the Member States unless and until it i s enacted into law by unanimous consent of the Member States. SECTION 17. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.17 of Title 59, unless there is created a duplication in numbering, reads as follows: A. Once effective, the Compact shall continue in force a nd remain binding upon each and every Member State; provided, that a Member State may withdraw from the Compact after giving appropriate notice by specifically repealing the statute which enacted the Compact into law. B. Withdrawal from the Compact shall be by the enactment of a statute repealing the same. The individual’s Compact license Req. No. 10612 Page 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 privilege shall remain in effect for six (6) months f rom the date of the Member State Dental B oard's withdrawal. C. The withdrawing state shall immediately notify the chairperson of the AADB Compact Commission in writing upon the introduction of legislation repealing the Compact in the withdrawing state. D. The AADB Compact Commission shall notify the o ther Member States of the withdrawing state's intent to withdraw wit hin sixty (60) days of its receipt of notice prov ided under subsection C of this section. E. Reinstatement following withdrawal of a Member State shall occur upon the withdrawing s tate reenacting the Compact or upon such later date as determined by the AADB Compact Commission. F. The AADB Compact Commission is authorized to develop rules to address the impact of the withdrawal of a Member St ate on licenses granted in other Member States t o dentists and dental hygienists who designated the withdrawing Me mber State as the state of principal license. SECTION 18. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.18 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The Compact shall dissolve effective upon the date of the withdrawal or default of the Member State which reduces the membership in the Compact to one Member State. Req. No. 10612 Page 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. Upon the dissolution o f the Compact, the Compact becomes null and void and shall be of no further force or effect, and the business and affairs of the AADB Compact Commission shall be concluded and surplus funds shall be distribut ed in accordance with the bylaws. SECTION 19. NEW LAW A new section of law to be codifi ed in the Oklahoma Statutes as Section 329.19 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The provisions of the Compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the Compact shall be enforceable. B. The provisions of the Compact shall be liberally construed to effectuate its purposes. SECTION 20. NEW LAW A new section of law to be codified in the Oklahoma Statute s as Section 329.20 of Title 59, unless there is created a duplication in numbering, reads as follows: A. Nothing herein prevents the enforcemen t of any other law of a Member State that is not inconsistent with the Compact. B. All lawful actions of the A ADB Compact Commission, including all rules and bylaws promulgated by the Commission, are binding upon the Member States. C. All agreements between the AADB Compact Commission and the Member States are binding in accordance with their terms. Req. No. 10612 Page 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. In the event any provision of the Compact exceeds the constitutional limits imposed on the Legislature of any Member State, such provision shall be ineffe ctive to the extent of the conflict with the con stitutional provision in question in that Member State. SECTION 21. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 329.21 of Title 59, unless there is created a duplication in numbering, reads as foll ows: The most current edition of the American Institute of Parliamentarians Standard Code of Parliamentary Procedure governs all meetings of the AADB Compact Commission, including it s committees, in those sit uations not otherwise covered in the bylaws. SECTION 22. This act shall become effective November 1, 2024. 59-2-10612 TJ 02/28/24