Oklahoma 2025 2025 Regular Session

Oklahoma Senate Bill SB540 Introduced / Bill

Filed 01/13/2025

                     
 
 
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STATE OF OKLAHOMA 
 
1st Session of the 60th Legislature (2025) 
 
SENATE BILL 540 	By: Stanley 
 
 
 
 
 
AS INTRODUCED 
 
An Act relating to professions and occupations ; 
enacting the Dentist and Dental Hygienist Compact and 
authorizing the Governor to enter into the Compact 
with certain jurisdictions; setting forth form of the 
Compact; providing for codification; and providing an 
effective date. 
 
 
 
 
 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
SECTION 1.     NEW LAW     A ne w section of law to be codified 
in the Oklahoma Statutes as Section 329.1 of T itle 59, unless there 
is created a duplication in numbering, reads as follows: 
The Dentist and Dental Hygienist Compact is hereby enacted into 
law and the Governor shall enter in to the 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 S ection 329.2 of Title 59, unless there 
is created a duplication in numbering, reads as follows: 
DENTIST AND DENTAL HYGIENIST COMPACT   
 
 
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SECTION 1:  TITLE AND PURPOSE 
This statute shall be known and cited as the “Dentist and Dental 
Hygienist Compact”.  The purposes of this Compact are to facilitate 
the interstate practice of dentistry and dental hygiene and improve 
public access to dentistry and dental hygiene services by providing 
Dentists and Dental Hygienists licensed in a Participating State the 
ability to practice in Participating States in which they are not 
licensed.  The Compact does this by establishing a pathway for 
Dentists and Dental Hygienists licensed in a Participating State to 
obtain a Compact Privilege that authorizes them to practice in 
another Participating State in which they are not licensed.  The 
Compact enables Participating States to protect the public health 
and safety with respect to the practice of such Dentists and Dental 
Hygienists, through the State ’s authority to regulate the practi ce 
of dentistry and dental hygiene in the State.  The Compact: 
A.  Enables Dentists and Dental Hygienists who qualify for a 
Compact Privilege to practice in other Participating States without 
satisfying burdensome and duplicative requirements associated wi th 
securing a License to practice in those States . 
B.  Promotes mobility and addresses workforce shortages through 
each Participating State ’s acceptance of a Compact Privilege to 
practice in that State .   
 
 
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C.  Increases public access to qualified, licensed De ntists and 
Dental Hygienists by creating a responsible, streamlined pathway fo r 
Licensees to practice in Participating States . 
D.  Enhances the ability of Participating States to protect the 
public’s health and safety. 
E.  Does not interfere with licensure requirements established 
by a Participating State . 
F.  Facilitates the sharing of licensure and disciplinary 
information among Participating States. 
G.  Requires Dentists and Dental Hygienists who practice in a 
Participating State pursuant to a Compact Pr ivilege to practice 
within the Scope of Practice authorized in that State . 
H.  Extends the authority of a Participating State to regulate 
the practice of dentistry and dental hygiene within its borders to 
Dentists and Dental Hygienists who practice in the State through a 
Compact Privilege. 
I.  Promotes the cooperation of Participating State s in 
regulating the practice of dentistry and dental hygiene within those 
States. 
J.  Facilitates the relocation of military members and their 
spouses who are licensed to practice dentistry or dental hygiene . 
SECTION 2:  DEFINITIONS 
As used in this Compact, unless the context requires otherwise, 
the following definitions shall apply:   
 
 
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A.  “Active Military Member ” means any person with full -time 
duty status in the armed forc es of the United States, including 
members of the National Guard and Reserve . 
B.  “Adverse Action” means disciplinary action or encumbrance 
imposed on a License or Compact Privilege by a State Licensing 
Authority. 
C.  “Alternative Program” means a non-disciplinary monitoring or 
practice remediation process applicable to a Dentist or Dental 
Hygienist approved by a State Licensing Authority of a Participating 
State in which the Dentist or Dental Hygienist is licensed.  This 
includes, but is not limited to, pr ograms to which Licensees with 
substance abuse or addiction issues are referred in lieu of Adverse 
Action. 
D.  “Clinical Assessment” means examination or process, required 
for licensure as a Dentist or Dental Hygienist as applicable, that 
provides evidence of clinical competence in dentistry or dental 
hygiene. 
E.  “Commissioner” means the individual appointed by a 
Participating State to serve as the member of the Commission for 
that Participating State . 
F.  “Compact” means this Dentist and Dental Hygienist Compact. 
G.  “Compact Privilege” means the authorization granted by a 
Remote State to allow a Licensee from a Participating State to 
practice as a Dentist or Dental Hygienist in a Remote State .   
 
 
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H.  “Continuing Professional Development ” means a requirement, 
as a condition of License renewal , to provide evidence of successful 
participation in educational or professional activities relevant to 
practice or area of work . 
I.  “Criminal Background Check ” means the submission of 
fingerprints or other biometric -based information for a License 
applicant for the purpose of obtaining that applicant ’s criminal 
history record information, as defined in 28 C.F.R. , Section 20.3(d) 
from the Federal Bureau of Investigation and the State ’s criminal 
history record repository as defined in 28 C.F.R. , Section 20.3(f). 
J.  “Data System” means the Commission ’s repository of 
information about Licensees, including but not limited to 
examination, licensure, investigative, Compact Privilege, Adverse 
Action, and Alternative Program . 
K.  “Dental Hygienist” means an individual who is licensed by a 
State Licensing Authority to practice dental hygiene . 
L.  “Dentist” means an individual who is licensed by a State 
Licensing Authority to practice dentistry . 
M.  “Dentist and Dental Hygienist Comp act Commission” or 
“Commission” means a joint government agency established by this 
Compact comprised of each State that has enacted the Compact and a 
national administrative body comprised of a Commissioner from each 
State that has enacted the Compact .   
 
 
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N.  “Encumbered License” means a License that a State Licensing 
Authority has limited in any way other than through an Alternative 
Program. 
O.  “Executive Board” means the Chair, Vice Chair, Secretary and 
Treasurer and any other Commissioners as may be deter mined by 
Commission Rule or bylaw . 
P.  “Jurisprudence Requirement ” means the assessment of an 
individual’s knowledge of the laws and Rules governing the practice 
of dentistry or dental hygiene, as applicable, in a State . 
Q.  “License” means current authori zation by a State, other than 
authorization pursuant to a Compact Privilege, or other privilege, 
for an individual to practice as a Dentist or Dental Hygienist in 
that State. 
R.  “Licensee” means an individual who holds an unrestricted 
License from a Parti cipating State to practice as a Dentist or 
Dental Hygienist in that State . 
S.  “Model Compact” means the model for the Dentist and Dental 
Hygienist Compact on file with the Council of State Governments or 
other entity as designated by the Commission . 
T.  “Participating State” means a State that has enacted the 
Compact and been admitted to the Commission in accordance with the 
provisions herein and Commission Rules .   
 
 
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U.  “Qualifying License” means a License that is not an 
Encumbered License issued by a Partic ipating State to practice 
dentistry or dental hygiene . 
V.  “Remote State” means a Participating State where a Licensee 
who is not licensed as a Dentist or Dental Hygienist is exercising 
or seeking to exercise the Compact Privilege . 
W.  “Rule” means a regulation promulgated by an entity that has 
the force of law. 
X.  “Scope of Practice” means the procedures, actions, and 
processes a Dentist or Dental Hygienist licensed in a State is 
permitted to undertake in that State and the circumstances under 
which the Licensee is permitted to undertake those procedures, 
actions and processes.  Such procedures, actions and processes and 
the circumstances under which they may be undertaken may be 
established through means, including, but not limited to, statute, 
regulations, case law, and other processes available to the State 
Licensing Authority or other government agency . 
Y.  “Significant Investigative Information ” means information, 
records, and documents received or generated by a State Licensing 
Authority pursuant to a n investigation for which a determination has 
been made that there is probable cause to believe that the Licensee 
has violated a statute or regulation that is considered more than a 
minor infraction for which the State Licensing Authority could 
pursue Adverse Action against the Licensee .   
 
 
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Z.  “State” means any state, commonwealth, district, or 
territory of the United States of America that regulates the 
practices of dentistry and dental hygiene . 
AA.  “State Licensing Authority ” means an agency or other entit y 
of a State that is responsible for the licensing and regulation of 
Dentists or Dental Hygienists. 
SECTION 3:  STATE PARTICIPATION IN THE COMPACT 
A.  In order to join the Compact and thereafter continue as a 
Participating State, a State must: 
1.  Enact a compact that is not materially different from the 
Model Compact as determined in accordance with Commission Rules; 
2.  Participate fully in the Commission ’s Data System; 
3.  Have a mechanism in place for receiving and investigating 
complaints about its Lic ensees and License applicants; 
4.  Notify the Commission, in compliance with t he terms of the 
Compact and Commission Rules, of any Adverse Action or the 
availability of Significant Investigative Information regarding a 
Licensee and License applicant; 
5.  Fully implement a Criminal Background Check requirement, 
within a time frame established by Commission Rule, by receiving the 
results of a qualifying Criminal Background Check; 
6.  Comply with the Commission Rules applicable to a 
Participating State;   
 
 
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7.  Accept the National Board Examinations of the Joint 
Commission on National Denta l Examinations or another examination 
accepted by Commission Rule as a licensure examination; 
8.  Accept for licensure that applicants for a Dentist License 
graduate from a predo ctoral dental education program accredited by 
the Commission on Dental Accreditation, or another accrediting 
agency recognized by the United States Department of Education for 
the accreditation of dentistry and dental hygiene education 
programs, leading to the Doctor of Dental Surgery (D.D.S.) or Doctor 
of Dental Medicine (D.M.D.) d egree; 
9.  Accept for licensure that applicants for a Dental Hygienist 
License graduate from a dental hygiene education program accredited 
by the Commission on Dental Accreditati on or another accrediting 
agency recognized by the United States Department of Education for 
the accreditation of dentistry and dental hygiene education 
programs; 
10.  Require for licensure that applicants successfully complete 
a Clinical Assessment; 
11.  Have Continuing Professional Development requirements as a 
condition for License renewal; and 
12.  Pay a participation fee to the Commission as established by 
Commission Rule.   
 
 
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B.  Providing alternative pathways for an individual to obtain 
an unrestricted License does not disqualify a State from 
participating in the Compact. 
C.  When conducting a Criminal Background Check the State 
Licensing Authority shall: 
1.  Consider that information in making a licensure decision; 
2.  Maintain documentation of completio n of the Criminal 
Background Check and background check information to the ext ent 
allowed by State and federal law; and 
3.  Report to the Commission whether it has completed the 
Criminal Background Check and whether the individual was granted or 
denied a License. 
D.  A Licensee of a Participating State who has a Qualifying 
License in that State and does not hold an Encumbered License in any 
other Participating State, shall be issued a Compact Privilege in a 
Remote State in accordance with the terms of the C ompact and 
Commission Rules.  If a Remote State has a Jurisprudence Requiremen t 
a Compact Privilege will not be issued to the Licensee unless the 
Licensee has satisfied the Jurisprudence Requirement. 
SECTION 4:  COMPACT PRIVILEGE 
A.  To obtain and exercise the Compact Privilege under the terms 
and provisions of the Compact, the Licensee shall: 
1.  Have a Qualifying License as a Dentist or Dental Hygienist 
in a Participating State;   
 
 
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2.  Be eligible for a Compact Privilege in any Remote State in 
accordance with subsections D, G and H of this section; 
3.  Submit to an application process whenever the Licensee is 
seeking a Compact Privilege; 
4.  Pay any applicable Commission and Remote State fees for a 
Compact Privilege in the Remote State; 
5.  Meet any Jurisprudence Requirement established by a Remote 
State in which the Licensee is seeking a Compact Privilege; 
6.  Have passed a National Board Examination of the Joint 
Commission on National Dental Examinations or another examination 
accepted by Commission Rule; 
7.  For a Dentist, have graduated from a predoctoral dental 
education program ac credited by the Commission on Dental 
Accreditation, or another accrediting agency recognized by the 
United States Department of Education for the accreditation of 
dentistry and dental hygiene education programs, leading to the 
Doctor of Dental Surgery (D.D.S.) or Doctor of Dental Medicine 
(D.M.D.) degree; 
8.  For a Dental Hygienist, have graduated from a dental hygiene 
education program accredited by the Commission on Dental 
Accreditation or another accrediting agency recognized by the United 
States Department of Education for the accreditation of dentistry 
and dental hygiene education programs;   
 
 
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9.  Have successfully completed a Clinical Assessment for 
licensure; 
10.  Report to the Commission Adverse Action taken by any non -
Participating State when applying for a Compact Privilege and, 
otherwise, within thirty (30) days from the date the Adverse Action 
is taken; 
11.  Report to the Commission when applying for a Compact 
Privilege the address of the Licensee ’s primary residence and 
thereafter immediately report to the Commission any change in the 
address of the Licensee ’s primary residence; and 
12.  Consent to accept service of process by mail at the 
Licensee’s primary residence on rec ord with the Commission with 
respect to any action brought against the Licensee by the Commission 
or a Participating State, and consent to accept service of a 
subpoena by mail at the Licensee ’s primary residence on record with 
the Commission with respect t o any action brought or investigation 
conducted by the Commission or a Partici pating State. 
B.  The Licensee must comply with the requirements of subsection 
A of this section to maintain the Compact Privilege in the Remote 
State.  If those requirements are met, the Compact Privilege will 
continue as long as the Licensee maintains a Qualifying License in 
the State through which the Licensee applied for the Compact 
Privilege and pays any applicable Compact Privilege renewal fees.   
 
 
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C.  A Licensee providing dent istry or dental hygiene in a Remote 
State under the Compact Privilege shall fu nction within the Scope of 
Practice authorized by the Remote State for a Dentist or Dental 
Hygienist licensed in that State. 
D.  A Licensee providing dentistry or dental hygiene pursuant to 
a Compact Privilege in a Remote State is subject to that State ’s 
regulatory authority.  A Remote State may, in accordance with due 
process and that State ’s laws, by Adverse Action revoke or remove a 
Licensee’s Compact Privilege in the Remote St ate for a specific 
period of time and impose fines or take any other necessary actions 
to protect the health and safety of its citizens. If a Remote State 
imposes an Adverse Action against a Compact Privilege that limits 
the Compact Privilege, that Advers e Action applies to all Compact 
Privileges in all Remote States.  A Licensee whose Compact Privilege 
in a Remote State is removed for a specified period of time is not 
eligible for a Compact Privilege in any other Remote State until the 
specific time for removal of the Compact Privilege has passed and 
all encumbrance requirements ar e satisfied. 
E.  If a License in a Participating State is an Encumbered 
License, the Licensee shall lose the Compact Privilege in a Remote 
State and shall not be eligible for a C ompact Privilege in any 
Remote State until the License is no longer encumbered. 
F.  Once an Encumbered License in a Participating State is 
restored to good standing, the Licensee must meet the requirements   
 
 
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of subsection A of this section to obtain a Compac t Privilege in a 
Remote State. 
G.  If a Licensee’s Compact Privilege in a Remo te State is 
removed by the Remote State, the individual shall lose or be 
ineligible for the Compact Privilege in any Remote State until the 
following occur: 
1.  The specific period of time for which the Compact Privilege 
was removed has ended; and 
2.  All conditions for removal of the Compact Privilege have 
been satisfied. 
H.  Once the requirements of subsection G of this section have 
been met, the Licensee must meet the requireme nts in subsection A of 
this section to obtain a Compact Privilege in a Remote State. 
SECTION 5:  ACTIVE MILITARY MEMBER OR THEIR SPOUSES 
An Active Military Member and their spouse shall not be required 
to pay to the Commission for a Compact Privilege the f ee otherwise 
charged by the Commission. If a Remote State chooses to charge a 
fee for a Compact Privilege, it may choose to charge a reduced fee 
or no fee to an Active Military Member and their spouse for a 
Compact Privilege. 
SECTION 6:  ADVERSE ACTIONS 
A.  A Participating State in which a Licensee is licensed shall 
have exclusive authority to impose Adverse Action against the 
Qualifying License issued by that Participating State.   
 
 
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B.  A Participating State may take Adverse Action based on the 
Significant Investigative Information of a Remote State, so long as 
the Participating State follows its own procedures for imposing 
Adverse Action. 
C.  Nothing in this Compact shall override a Participating 
State’s decision that participation in an Alternative Program may be 
used in lieu of Adverse Action and that such participation shall 
remain non-public if required by the Participating State ’s laws. 
Participating States must require Licensees who enter any 
Alternative Program in lieu of discipline to agree not to pr actice 
pursuant to a Compact Privilege in any other Participating State 
during the term of the Alternative Program without prior 
authorization from such other Participating State. 
D.  Any Participating State in which a Licensee is applying to 
practice or is practicing pursuant to a Compact Privilege may 
investigate actual or alleged violations of the statutes and 
regulations authorizing the practice of dentistry or dental hygiene 
in any other Participating State in which the Dentist or Dental 
Hygienist holds a License or Compact Privilege. 
E.  A Remote State shall have the authority to: 
1.  Take Adverse Actions as set forth in Section 4.D against a 
Licensee’s Compact Privilege in the State; 
2.  In furtherance of its rights and responsibilities under the 
Compact and the Commission ’s Rules, issue subpoenas for both   
 
 
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hearings and investig ations that require the attendance and 
testimony of witnesses, and the production of evidence. Subpoenas 
issued by a State Licensing Authority in a Participating State for 
the attendance and testimony of witnesses, or the production of 
evidence from another Participating State, shall be enforced in the 
latter State by any court of competent jurisdiction, according to 
the practice and procedure of that court applicable to subpoena s 
issued in proceedings pending before it.  The issuing authority 
shall pay any witness fees, travel expenses, mileage, and other fees 
required by the service statutes of the State where the witnesses or 
evidence are located; and 
3.  If otherwise permitted by State law, recover from the 
Licensee the costs of investigations and disposition of cases 
resulting from any Adverse Action taken against that Licensee. 
F.  Joint Investigations . 
1.  In addition to the authority granted to a Participating 
State by its Dentist or Dental Hygienist licensure act or other 
applicable State law, a Par ticipating State may jointly investigate 
Licensees with other Participating States. 
2.  Participating States shall share any Significant 
Investigative Information, litigation, or compliance materials in 
furtherance of any joint or individual investigation initiated under 
the Compact. 
G.  Authority to Continue Investigation .   
 
 
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1.  After a Licensee’s Compact Privilege in a Remote State is 
terminated, the Remote State may continue an i nvestigation of the 
Licensee that began when the Licensee had a Compact Privil ege in 
that Remote State. 
2.  If the investigation yields what would be Significant 
Investigative Information had the Licensee continued to have a 
Compact Privilege in that Remot e State, the Remote State shall 
report the presence of such information to the Data System as 
required by Section 8.B.6 as if it was Significant Investigative 
Information. 
SECTION 7:  ESTABLISHMENT AND OPERATION OF THE COMMISSION 
A.  The Compact Participat ing States hereby create and establish 
a joint government agency whose members hip consists of all 
Participating States that have enacted the Compact. The Commission 
is an instrumentality of the Participating States acting jointly and 
not an instrumentalit y of any one State. The Commission shall come 
into existence on or after the effective date of the Compact as set 
forth in Section 11.A. 
B. Participation, Voting, and Meetings . 
1.  Each Participating State shall have and be limited to one 
(1) Commissioner selected by that Participating State ’s State 
Licensing Authority or, if the State has more than one State 
Licensing Authority, selected collectively by the State Licensing 
Authorities.   
 
 
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2.  The Commissioner shall be a member or designee of such 
Authority or Authorities. 
3.  The Commission may by Rule or bylaw establish a term of 
office for Commissioners and may by Rule or bylaw establish term 
limits. 
4.  The Commission may recommend to a State Licensing Authority 
or Authorities, as applicable, removal or s uspension of an 
individual as the State ’s Commissioner. 
5.  A Participating State’s State Licensing Authority, or 
Authorities, as applicable, shall fill any vacancy of its 
Commissioner on the Commission within sixty (60) days of the 
vacancy. 
6.  Each Commissioner shall be entitled to one vote on all 
matters that are voted upon by the Commission. 
7.  The Commission shall meet at least once during each calendar 
year. Additional meetings may be held as set forth in the bylaws.  
The Commission may meet by tele communication, video conference or 
other similar electronic means. 
C.  The Commission shall have the following powers: 
1.  Establish the fiscal year of the Commission; 
2.  Establish a code of conduct and conflict of interest 
policies; 
3.  Adopt Rules and bylaws;   
 
 
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4.  Maintain its financial records in accordance with the 
bylaws; 
5.  Meet and take such actions as are consistent with the 
provisions of this Compact, the Commission ’s Rules, and the bylaws; 
6.  Initiate and conclude legal proceedings or actions in the 
name of the Commission, provided that the standing of any State 
Licensing Authority to sue or be sued under applicable law shall not 
be affected; 
7.  Maintain and certify records and information provided to a 
Participating State as the authenticated b usiness records of the 
Commission, and designate a person to do so on the Commission ’s 
behalf; 
8.  Purchase and maintain insurance and bonds; 
9.  Borrow, accept, or contract for services of personnel, 
including, but not limited to, employees of a Participa ting State; 
10.  Conduct an annual financial review; 
11.  Hire employees, elec t or appoint officers, fix 
compensation, define duties, grant such individuals appropriate 
authority to carry out the purposes of the Compact, and establish 
the Commission’s personnel policies and programs relating to 
conflicts of interest, qualifications of personnel, and other 
related personnel matters; 
12.  As set forth in the Commission Rules, charge a fee to a 
Licensee for the grant of a Compact Privilege in a Remote State an d   
 
 
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thereafter, as may be established by Commission Rule, charge the 
Licensee a Compact Privilege renewal fee for each renewal period in 
which that Licensee exercises or intends to exercise the Compact 
Privilege in that Remote State.  Nothing herein shall be construed 
to prevent a Remote State from charging a Licensee a fee for a 
Compact Privilege or renewals of a Compact Privilege, or a fee for 
the Jurisprudence Requirement if the Remote State imposes such a 
requirement for the grant of a Compact Privilege; 
13.  Accept any and all appropriate gifts, donations, grants of 
money, other sources of revenue, equipment, supplies, materials, and 
services, and receive, utilize, and dispose of the same; provided 
that at all times the Commission shall avoid any appearan ce of 
impropriety and/or conflict of interest; 
14.  Lease, purchase, retain, own, hold, improve, or use any 
property, real, personal, or mixed, or any undivided interest 
therein; 
15.  Sell, convey, mortgage, pledge, lease, exchange, abandon, 
or otherwise dispose of any property real, personal, or mixed; 
16.  Establish a budget and m ake expenditures; 
17.  Borrow money; 
18.  Appoint committees, including standing committees, which 
may be composed of members, State regulators, State legislators or 
their representatives, and consumer representatives, and such other   
 
 
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interested persons as may be designated in this Compact and the 
bylaws; 
19.  Provide and receive information from, and cooperate with, 
law enforcement agencies; 
20.  Elect a Chair, Vice Chair, Secreta ry and Treasurer and such 
other officers of the Commission as provided in the Commission’s 
bylaws; 
21.  Establish and elect an Executive Board; 
22.  Adopt and provide to the Participating States an annual 
report; 
23.  Determine whether a State ’s enacted compact is materially 
different from the Model Compact language such that the State would 
not qualify for participation in the Compact; and 
24.  Perform such other functions as may be necessary or 
appropriate to achieve the purposes of this Compact. 
D.  Meetings of the Commission . 
1.  All meetings of the Commission that are not closed pursuant 
to this subsection shall be open to the public.  Notice of public 
meetings shall be posted on the Commission ’s website at least thirty 
(30) days prior to the public mee ting. 
2.  Notwithstanding subsection D.1 of this section, the 
Commission may convene an emergency public meeting by providing at 
least twenty-four (24) hours’ prior notice on the Commission ’s 
website, and any other means as provided in the Commission ’s Rules,   
 
 
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for any of the reasons it may dispense with notice of proposed 
rulemaking under Section 9.L.  The Commission’s legal counsel shall 
certify that one of the reasons justifying an emergency public 
meeting has been met. 
3.  Notice of all Commission meeting s shall provide the time, 
date, and location of the meeting, and if the meeting is to be held 
or accessible via telecommunication, video conference, or other 
electronic means, the notice shall include the mechanism for access 
to the meeting through such me ans. 
4.  The Commission may convene in a closed, non -public meeting 
for the Commission to receive legal advice or to discuss: 
a. non-compliance of a Participating State with its 
obligations under the Compact , 
b. the employment, compensation, discipline or other 
matters, practices or procedures related to specific 
employees or other matters related to the Commission ’s 
internal personnel practices and procedures , 
c. current or threatened discipline of a Licensee or 
Compact Privilege holder by the Commission o r by a 
Participating State’s Licensing Authority , 
d. current, threatened, or r easonably anticipated 
litigation, 
e. negotiation of contracts for the purchase, lease, or 
sale of goods, services, or real estate ,   
 
 
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f. accusing any person of a crime or formally c ensuring 
any person, 
g. trade secrets or commercial or financial information 
that is privileged or confidential , 
h. information of a personal nature where disclosure 
would constitute a clearly unwarranted invasion of 
personal privacy, 
i. investigative records compiled for law enforcement 
purposes, 
j. information related to any inves tigative reports 
prepared by or on behalf of or for use of the 
Commission or other committee charged with 
responsibility of investigation or determination of 
compliance issues pu rsuant to the Compact , 
k. legal advice, 
l. matters specifically exempted from disclosure to the 
public by federal or Participating State law , and 
m. other matters as promulgated by the Commission by 
Rule. 
5.  If a meeting, or portion of a meeting, is close d, the 
presiding officer shall state that the meeting will be closed and 
reference each relevant exempting provision, and such reference 
shall be recorded in the minutes.   
 
 
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6.  The Commission shall keep minutes that fully and clearly 
describe all matters dis cussed in a meeting and shall provide a full 
and accurate summary of actions taken, and the reasons therefore, 
including a description of the views expressed. All documents 
considered in connection with an action shall be identified in such 
minutes.  All minutes and documents of a closed meeting shall remain 
under seal, subject to release only by a majority vote of the 
Commission or order of a court of competent jurisdiction. 
E.  Financing of the Commission . 
1.  The Commission shall pay, or provide for the payment of, the 
reasonable expenses of its establishment, organization, and ongoing 
activities. 
2.  The Commission may accept any and all appropriate sources of 
revenue, donations, and grants of money, equipment, supplies, 
materials, and services. 
3.  The Commission may levy on and collect an annual assessment 
from each Participati ng State and impose fees on Licensees of 
Participating States when a Compact Privilege is granted, to cover 
the cost of the operations and activities of the Commission and its 
staff, which must be in a total amount sufficient to cover its 
annual budget as approved each fiscal year for which sufficient 
revenue is not provided by other sources.  The aggregate annual 
assessment amount for Participating States shall be allocated based 
upon a formula that the Commission shall promulgate by Rule.   
 
 
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4.  The Commission shall not incur obligations of any kind prior 
to securing the funds adequate to meet the same; nor shall the 
Commission pledge the credit of any Participating State, except by 
and with the authority of the Participating State. 
5.  The Commission shall keep accurate accounts of all receipts 
and disbursements.  The receipts and disbursements of the Commission 
shall be subject to the financial review and accounting procedures 
established under its bylaws.  All receipts and disbursements of 
funds handled by the Commission shall be subject to an annual 
financial review by a certified or licensed public accountant, and 
the report of the financial review shall be included in and become 
part of the annual report of the Commission. 
F.  The Executive Board. 
1.  The Executive Board shall have the power to act on behalf of 
the Commission according to the terms of this Compact.  The powers, 
duties, and responsibilities of the Executive Board shall include: 
a. overseeing the day-to-day activities of the 
administration of the Compact including compliance 
with the provisions of the Compact, the Commission ’s 
Rules and bylaws, 
b. recommending to the Commission changes to the Rules or 
bylaws, changes to this Compact legislation, fees 
charged to Compact Participating States, fees charged 
to Licensees, and other fees ,   
 
 
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c. ensuring Compact administration services are 
appropriately provided, including by contract , 
d. preparing and recommending the budget , 
e. maintaining financial records on behalf of the 
Commission, 
f. monitoring Compact compliance of Participating States 
and providing compliance reports to the Commission , 
g. establishing additional committees as necessary , 
h. exercising the powers and dut ies of the Commission 
during the interim between Commission meetings, except 
for adopting or amending Rules, adopting or amending 
bylaws, and exercising any other powers and duties 
expressly reserved to the Commission by Rule or bylaw , 
and 
i. other duties as provided in the Rules or bylaws of the 
Commission. 
2.  The Executive Board shall be composed of up to seven (7) 
members: 
a. the Chair, Vice Chair, Secretary and Treasurer of the 
Commission and any other members of the Commission who 
serve on the Executi ve Board shall be voting members 
of the Executive Board , and 
b. other than the Chair, Vice Chair, Secretary, and 
Treasurer, the Commission may elect up to three (3)   
 
 
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voting members from the current membership of the 
Commission. 
3.  The Commission may remove any member of the Executive Board 
as provided in the Commission ’s bylaws. 
4.  The Executive Board shall meet at least annually. 
a. An Executive Board meeting at which it takes or 
intends to take formal action on a matter shall be 
open to the public, excep t that the Executive Board 
may meet in a closed, non -public session of a public 
meeting when dealing with any of the matters covered 
under subsection D.4 of this section. 
b. The Executive Board shall give five (5) business days ’ 
notice of its public meetin gs, posted on its website 
and as it may otherwise determine to provide notice to 
persons with an interest in the public matters the 
Executive Board intends to address at those meetings. 
5.  The Executive Board may hold an emergency meeting when 
acting for the Commission to: 
a. meet an imminent threat to public health, safety, or 
welfare, 
b. prevent a loss of Commission or Participating State 
funds, or 
c. protect public health and safety. 
G.  Qualified Immunity, Defense, and Indemnification .   
 
 
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1.  The members, officers, executive director, employees and 
representatives of the Commission shall be immune from suit and 
liability, both personally and in their official capacity, for any 
claim for damage to or loss of property or personal injury or other 
civil liability caused by or arising out of any actual or alleged 
act, error, or omission that occurred, or that the person against 
whom the claim is made had a reasonable basis for believing occurred 
within the scope of Commission employment, duties or 
responsibilities; provided that nothing in this paragraph shall be 
construed to protect any such person from suit or liability for any 
damage, loss, injury, or liability caused by the intentional or 
willful or wanton misconduct of that person.  The procurement of 
insurance of any type by the Commission shall not in any way 
compromise or limit the immunity granted hereunder. 
2.  The Commission shall defend any member, officer, executive 
director, employee, and representative of the Commission in any 
civil action seeking t o impose liability arising out of any actual 
or alleged act, error, or omissio n that occurred within the scope of 
Commission employment, duties, or responsibilities, or as determined 
by the Commission that the person against whom the claim is made had 
a reasonable basis for believing occurred within the scope of 
Commission employment, duties, or responsibilities; provided that 
nothing herein shall be construed to prohibit that person from 
retaining their own counsel at their own expense; and provided   
 
 
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further, that the actual or alleged act, error, or omission did not 
result from that person’s intentional or willful or wanton 
misconduct. 
3.  Notwithstanding subsection G.1 of this section, should any 
member, officer, executive director, employee, or representa tive of 
the Commission be held liable for the amount of any settlement or 
judgment arising out of any actual or alleged act, error, or 
omission that occurred within the scope of that individual ’s 
employment, duties, or responsibilities for the Commission, or that 
the person to whom that individual is liable had a reasonable basis 
for believing occurred within the scope of the individual ’s 
employment, duties, or responsibilities for the Commission, the 
Commission shall indemnify and hold harmless such indivi dual, 
provided that the actual or alleged act, error, or omission did not 
result from the intentional or willful or wanton misconduct of the 
individual. 
4.  Nothing herein shall be construed as a limitation on the 
liability of any Licensee for professional malpractice or 
misconduct, which shall be governed solely by any other applic able 
State laws. 
5.  Nothing in this Compact shall be interpreted to waive or 
otherwise abrogate a Participating State ’s state action immunity or 
state action affirmative defense with respect to antitrust claims   
 
 
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under the Sherman Act, Clayton Act, or any other State or federal 
antitrust or anticompetitive law or regulation. 
6.  Nothing in this Compact shall be construed to be a waiver of 
sovereign immunity by the Participating Sta tes or by the Commission. 
SECTION 8:  DATA SYSTEM 
A.  The Commission shall pro vide for the development, 
maintenance, operation, and utilization of a coordinated database 
and reporting system containing licensure, Adverse Action, and the 
presence of Significant Investigative Information on all Licensees 
and applicants for a License in Participating States. 
B.  Notwithstanding any other provision of State law to the 
contrary, a Participating State shall submit a uniform data set to 
the Data System on all indi viduals to whom this Compact is 
applicable as required by the Rules of the Com mission, including: 
1.  Identifying information; 
2.  Licensure data; 
3.  Adverse Actions against a Licensee, License applicant or 
Compact Privilege and information related theret o; 
4.  Non-confidential information related to Alternative Program 
participation, the beginning and ending dates of such participation, 
and other information related to such participation; 
5.  Any denial of an application for licensure, and the 
reason(s) for such denial (excluding the reporting of any criminal 
history record informa tion where prohibited by law);   
 
 
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6.  The presence of Significant Investigative Information; and 
7.  Other information that may facilitate the administration of 
this Compact or the protection of the public, as determined by the 
Rules of the Commission. 
C.  The records and information provided to a Participating 
State pursuant to this Compact or through the Data System, when 
certified by the Commission or an agent thereof, shall const itute 
the authenticated business records of the Commission, and shall be 
entitled to any associated hearsay exception in any relevant 
judicial, quasi-judicial or administrative proceedings in a 
Participating State. 
D.  Significant Investigative Information pertaining to a 
Licensee in any Participating State will only be available to other 
Participating States. 
E.  It is the responsibility of the Participating States to 
monitor the database to determine whether Adverse Action has been 
taken against a License e or License applicant.  Adverse Action 
information pertaining to a Licensee o r License applicant in any 
Participating State will be available to any other Participating 
State. 
F.  Participating States contributing information to the Data 
System may designate information that may not be shared with the 
public without the express permission of the contributing State.   
 
 
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G.  Any information submitted to the Data System that is 
subsequently expunged pursuant to federal law or the laws of the 
Participating State c ontributing the information shall be removed 
from the Data System. 
SECTION 9:  RULEMAKING 
A.  The Commission shall promulgate reasonable Rules in order to 
effectively and efficiently implement and administer the purposes 
and provisions of the Compact.  A Commission Rule shall be invalid 
and have no force or effect only if a court of competent 
jurisdiction holds that the Rule is invalid because the Commission 
exercised its rulemaking authority in a manner that is beyond the 
scope and purposes of the Compact, or the powers granted hereunder, 
or based upon another applicable standard of review. 
B.  The Rules of the Commission shall have the force of law in 
each Participating State ; provided, however, that where the Rules of 
the Commission conflict with the laws of the Participating State 
that establish the Participating State ’s Scope of Practice as held 
by a court of competent jurisdiction, the Rules of the Commission 
shall be ineffective in that State to the extent of the conflict. 
C.  The Commission shall exer cise its Rulemaking powers pursuant 
to the criteria set forth in this section and the Rules adopted 
thereunder. Rules shall become binding as of the date specified by 
the Commission for each Rule.   
 
 
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D.  If a majority of the legislatures of the Participating 
States rejects a Commission Rule or portion of a Commission Rule, by 
enactment of a statute or resolution in the same manner used to 
adopt the Compact, within four (4) years of the date of adoption of 
the Rule, then such Rule shall have no further force a nd effect in 
any Participating State or to any State applying to participate i n 
the Compact. 
E.  Rules shall be adopted at a regular or special meeting of 
the Commission. 
F.  Prior to adoption of a proposed Rule, the Commission shall 
hold a public hearing and allow persons to provide oral and written 
comments, data, facts, opinions, and arguments. 
G.  Prior to adoption of a proposed Rule by the Commission, and 
at least thirty (30) days in advance of the meeting at which the 
Commission will hold a public hea ring on the proposed Rule, the 
Commission shall provide a Notice of Proposed R ulemaking: 
1.  On the website of the Commission or other publicly 
accessible platform; 
2.  To persons who have requested notice of the Commission ’s 
notices of proposed rulemaking ; and 
3.  In such other way(s) as the Commission may by Rule specify. 
H.  The Notice of Proposed Rulemaking shall include: 
1.  The time, date, and location of the public hearing at which 
the Commission will hear public comments on the proposed Rule and,   
 
 
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if different, the time, date, and location of the meeting where the 
Commission will consider and vote on the proposed Rule; 
2.  If the hearing is held via telecommunication, video 
conference, or other electronic means, the Commission shall include 
the mechanism for access to the hearing in the Notice of Proposed 
Rulemaking; 
3.  The text of the proposed Rule and the reason therefor; 
4.  A request for comments on the proposed Rule from any 
interested person; and 
5.  The manner in which interested persons may su bmit written 
comments. 
I.  All hearings will be recorded. A copy of the recording and 
all written comments and documents received by the Commission in 
response to the proposed Rule shall be available to the public. 
J.  Nothing in this section shall be con strued as requiring a 
separate hearing on each Commission Rule.  Rules may be grouped for 
the convenience of the Commission at hearings required by this 
section. 
K.  The Commission shall, by majority vote of all Commissioners, 
take final action on the prop osed Rule based on the rulemaking 
record. 
1.  The Commission may adopt changes to the proposed Rule 
provided the changes do not enlarge the original purpose of the 
proposed Rule.   
 
 
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2.  The Commission shall provide an explanation of the reasons 
for substantive changes made to the proposed Rule as well as reasons 
for substantive changes not made that were recommended by 
commenters. 
3.  The Commission shall determine a reasonable effective date 
for the Rule.  Except for an emergency as provided in subsection L 
of this section, the effective date of the Rule shall be no sooner 
than thirty (30) days after the Commission issuing the notice that 
it adopted or amended the Rule. 
L.  Upon determination that an emergency exists, the Commission 
may consider and adopt an e mergency Rule with twenty-four (24) 
hours’ notice, with opportunity to comment, provided that the usual 
rulemaking procedures provided in the Compact and in this section 
shall be retroactively applied to the Rule as soon as reasonably 
possible, in no event later than ninety (90) days after the 
effective date of the Rule. For the purposes of this provision, an 
emergency Rule is one that must be adopted immediately in order to: 
1.  Meet an imminent threat to public health, safety, or 
welfare; 
2.  Prevent a loss of Commission or Participating State funds; 
3.  Meet a deadline for the promulgation of a Rule that is 
established by federal law or rule; or 
4.  Protect public health and safety.   
 
 
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M.  The Commission or an authorized committee of the Commission 
may direct revisions to a previously adopted Rule for purposes of 
correcting typograph ical errors, errors in format, errors in 
consistency, or grammatical errors. Public notice of any revisions 
shall be posted on the website of the Commission. The revision 
shall be subject to challenge by any person for a period of thirty 
(30) days after posting. The revision may be challenged only on 
grounds that the revision results in a material change to a Rule.  A 
challenge shall be made in writing and delivered to the Comm ission 
prior to the end of the notice period. If no challenge is made, the 
revision will take effect without further action. If the revision 
is challenged, the revision may not take effect without the approval 
of the Commission. 
N.  No Participating Stat e’s rulemaking requirements shall apply 
under this Compact. 
SECTION 10:  OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT 
A.  Oversight. 
1.  The executive and judicial branches of State government in 
each Participating State shall enforce this Compact and ta ke all 
actions necessary and appropriate to implement the Compact. 
2.  Venue is proper and judicial proceedings by or against the 
Commission shall be brought solely and exclusively in a court of 
competent jurisdiction where the principal office of the Comm ission 
is located.  The Commission may waive venue and jurisdictional   
 
 
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defenses to the extent it adopts or consents to participate in 
alternative dispute resolution proceedings.  Nothing herein shall 
affect or limit the selection or propriety of venue in an y action 
against a Licensee for professional malpractice, misconduct or any 
such similar matter. 
3.  The Commission shall be entitled to receive service of 
process in any proceeding regarding the enforcement or 
interpretation of the Compact or Commission R ule and shall have 
standing to intervene in such a proceeding for all purposes.  
Failure to provide the Commission service of process shall render a 
judgment or order void as to the Commission, this Compact, or 
promulgated Rules. 
B.  Default, Technical Ass istance, and Termination . 
1.  If the Commission determines that a Participatin g State has 
defaulted in the performance of its obligations or responsibilities 
under this Compact or the promulgated Rules, the Commission shall 
provide written notice to the de faulting State.  The notice of 
default shall describe the default, the proposed means of curing the 
default, and any other action that the Commission may take, and 
shall offer training and specific technical assistance regarding the 
default. 
2.  The Commission shall provide a copy of the notice of default 
to the other Participating States.   
 
 
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C.  If a State in default fails to cure the default, the 
defaulting State may be terminated from the Compact upon an 
affirmative vote of a majority of the Commissioners, and all rights, 
privileges and benefits conferred on that State by this Compact may 
be terminated 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 default. 
D.  Termination of participation in the Compact shall be imposed 
only after all other means of securing compliance have been 
exhausted.  Notice of intent to suspend or terminate shall be given 
by the Commission to the governor, the majority and mi nority leaders 
of the defaulting State ’s legislature, the defaulting State ’s State 
Licensing Authority or Authorities, as applicable, and each of the 
Participating States ’ State Licensing Authority or Authorities, as 
applicable. 
E.  A State that has been t erminated is responsible for all 
assessments, obligations, and liabilities inc urred through the 
effective date of termination, including obligations that extend 
beyond the effective date of termination. 
F.  Upon the termination of a State ’s participation in this 
Compact, that State shall immediately provide notice to all 
Licensees of the State, including Licensees of other Participating 
States issued a Compact Privilege to practice within that State, of 
such termination.  The terminated State shall continue to recognize   
 
 
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all Compact Privileges then in effect in that State for a minimu m of 
one hundred eighty (180) days after the date of said notice of 
termination. 
G.  The Commission shall not bear any costs related to a State 
that is found to be in default or that has been terminated from the 
Compact, unless agreed upon in writing between the Commission and 
the defaulting State. 
H.  The defaulting State may appeal the action of the Commission 
by petitioning the U.S. District Court for the District of Columbia 
or the federal district where the Commission has its principal 
offices.  The prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney ’s fees. 
I.  Dispute Resolution. 
1.  Upon request by a Participating State, the Commiss ion shall 
attempt to resolve disputes related to the Compact that arise among 
Participating States and between Participating States and non -
Participating States. 
2.  The Commission shall promulgate a Rule providing for both 
mediation and binding dispute re solution for disputes as 
appropriate. 
J.  Enforcement. 
1.  The Commission, in the reasonable exercise of its 
discretion, shall enforce the provisions of this Compact and the 
Commission’s Rules.   
 
 
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2.  By majority vote, the Commission may initiate legal action 
against a Participating State in default in the United States 
District Court for the District of Columbia or the federal district 
where the Commission has its principal offices to enforce compliance 
with the provisions of the Compact and its promulgated R ules.  The 
relief sought may include both injunctive relief and damages. In 
the event judicial enforcement is necessary, the prevailing party 
shall be awarded all costs of such litigation, including reasonable 
attorney’s fees.  The remedies herein shall n ot be the exclusive 
remedies of the Commission.  The Commission may pursue any other 
remedies available under federal or the defaulting Participating 
State’s law. 
3.  A Participating State may initiate legal action against the 
Commission in the U.S. Distri ct Court for the District of Columbia 
or the federal district where the Commis sion has its principal 
offices to enforce compliance with the provisions of the Compact and 
its promulgated Rules.  The relief sought may include both 
injunctive relief and damag es.  In the event judicial enforcement is 
necessary, the prevailing party shall be awarded all costs of such 
litigation, including reasonable attorney ’s fees. 
4.  No individual or entity other than a Participating State may 
enforce this Compact against the Commission. 
SECTION 11:  EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT   
 
 
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A. The Compact shall come into effect on the date on which the 
Compact statute is enacted into law in the seventh Participating 
State. 
1.  On or after the effective date of the Compact, t he 
Commission shall convene and review the enactment of each of the 
States that enacted the Compact prior to the Commission convening 
(“Charter Participating States ”) to determine if the statute enacted 
by each such Charter Participating State is materiall y different 
than the Model Compact. 
a. A Charter Participating State whose ena ctment is found 
to be materially different from the Model Compact 
shall be entitled to the default process set forth in 
Section 10. 
b. If any Participating State is later found t o be in 
default, or is terminated or withdraws from the 
Compact, the Commission shall remain in existence and 
the Compact shall remain in effect even if the number 
of Participating States should be less than seven (7). 
2.  Participating States enacting the Compact subsequent to the 
Charter Participating States shall be subject to th e process set 
forth in Section 7.C.23 to determine if their enactments are 
materially different from the Model Compact and whether they qualify 
for participation in the Compact.   
 
 
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3.  All actions taken for the benefit of the Commission or in 
furtherance of the purposes of the administration of the Compact 
prior to the effective date of the Compact or the Commission coming 
into existence shall be considered to be actions of the Commi ssion 
unless specifically repudiated by the Commission. 
4.  Any State that joins the Compact subsequent to the 
Commission’s initial adoption of the Rules and bylaws shall be 
subject to the Commission ’s Rules and bylaws as they exist on the 
date on which the Compact becomes law in that State. Any Rule that 
has been previously adopted by the Commission shall have the full 
force and effect of law on the day the Compact becomes law in that 
State. 
B.  Any Participating State may withdraw from this Compact by 
enacting a statute repealing that State ’s enactment of the Compact. 
1.  A Participating State’s withdrawal shall not take effect 
until one hundred eighty (180) days after enactment of the repealing 
statute. 
2.  Withdrawal shall not affect the continuing requ irement of 
the withdrawing State ’s Licensing Authority or Authorities to comply 
with the investigative and Adverse Action reporting requirements of 
this Compact prior to the effective date of withdrawal. 
3.  Upon the enactment of a statute withdrawing from this 
Compact, the State shall immediately provide notice of such 
withdrawal to all Licensees within that State. Notwithstanding any   
 
 
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subsequent statutory enactment to the contrary, such withdrawing 
State shall continue to recognize all Compact Privileges to practice 
within that State granted pursuant to this Compact for a minimum of 
one hundred eighty (180) days after the date of such notice of 
withdrawal. 
C.  Nothing contained in this Compact shall be construed to 
invalidate or prevent any licensure agree ment or other cooperative 
arrangement between a Participating State and a non -Participating 
State that does not conflict with the provisions of this Compact. 
D.  This Compact may be amended by the Participating States.  No 
amendment to this Compact shall b ecome effective and binding upon 
any Participating State until it is enacted into the laws of all 
Participating States. 
SECTION 12:  CONSTRUCTION AND SEVERABILITY 
A.  This Compact and the Commission ’s rulemaking authority shall 
be liberally construed so as to effectuate the purposes and the 
implementation and administration of the C ompact.  Provisions of the 
Compact expressly authorizing or requiring the promulgation of Rules 
shall not be construed to limit the Commission ’s rulemaking 
authority solely for t hose purposes. 
B.  The provisions of this Compact shall be severable and if any 
phrase, clause, sentence or provision of this Compact is held by a 
court of competent jurisdiction to be contrary to the constitution 
of any Participating State, a State seekin g participation in the   
 
 
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Compact, or of the United States, or the applicability thereof to 
any government, agency, person or circumstance is held to be 
unconstitutional by a court of competent jurisdiction, the validity 
of the remainder of this Compact and t he applicability thereof to 
any other government, agency, person or circumstance shall not be 
affected thereby. 
C.  Notwithstanding subsection B of this section, the Commission 
may deny a State’s participation in the Compact or, in accordance 
with the requirements of Section 10.B, terminate a Participating 
State’s participation in t he Compact, if it determines that a 
constitutional requirement of a Participating State is a material 
departure from the Compact.  Otherwise, if this Compact shall be 
held to be contrary to the constitution of any Participating State, 
the Compact shall remain in full force and effect as to the 
remaining Participating States and in full force and effect as to 
the Participating State affected as to all severable matters. 
SECTION 13:  CONSISTENT EFFECT AND CONFLICT WITH OTHER STATE 
LAWS 
A.  Nothing herein shall prevent or inhibit the enforcement of 
any other law of a Participating State that is not inconsistent with 
the Compact. 
B.  Any laws, statutes, regulations, or other legal requ irements 
in a Participating State in conflict with the Compact are superseded 
to the extent of the conflict.   
 
 
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C.  All permissible agreements between the Commission and the 
Participating States are binding in accordance with their terms. 
SECTION 3.  This act shall become effective November 1, 2025. 
 
60-1-137 DC 1/13/2025 12:58:44 PM