Rhode Island 2023 Regular Session

Rhode Island Senate Bill S0580 Compare Versions

Only one version of the bill is available at this time.
OldNewDifferences
11
22
33
44
55 2023 -- S 0580
66 ========
77 LC002289
88 ========
99 S TATE OF RHODE IS LAND
1010 IN GENERAL ASSEMBLY
1111 JANUARY SESSION, A.D. 2023
1212 ____________
1313
1414 A N A C T
1515 RELATING TO BUSINESSES AND PROFESSIONS -- RHODE ISLAND PHYSICA L
1616 THERAPIST LICENSURE COMPACT ACT
1717 Introduced By: Senators Gallo, Lombardo, DiPalma, Ciccone, and Gu
1818 Date Introduced: March 07, 2023
1919 Referred To: Senate Health & Human Services
2020
2121
2222 It is enacted by the General Assembly as follows:
2323 SECTION 1. Title 5 of the General Laws entitled "BUSINESSES AND PROFESSIONS" 1
2424 is hereby amended by adding thereto the following chapter: 2
2525 CHAPTER 40.2 3
2626 RHODE ISLAND PHYSICAL THERAPIST LICENSURE COMPACT 4
2727 5-40.2-1. Short title. 5
2828 This chapter shall be known and may be cited as the "Rhode Island Physical Therapist 6
2929 Licensure Compact Act." 7
3030 5-40.2-2. Purpose. 8
3131 (a) The purpose of the physical therapist licensure compact is to facilitate interstate practice 9
3232 of physical therapy with the goal of improving public access to physical therapy services. The 10
3333 practice of physical therapy occurs in the state where the patient/client is located at the time of the 11
3434 patient/client encounter. The compact preserves the regulatory authority of the state to protect 12
3535 public health and safety through the current system of state licensure. The compact is designed to 13
3636 achieve the following objectives: 14
3737 (1) Increase public access to physical therapy services by providing for the mutual 15
3838 recognition of other member state licenses; 16
3939 (2) Enhance the states’ ability to protect the public’s health and safety; 17
4040 (3) Encourage the cooperation of member states in regulating multi-state physical therapy 18
4141
4242
4343 LC002289 - Page 2 of 17
4444 practice; 1
4545 (4) Support spouses of relocating military members; 2
4646 (5) Enhance the exchange of licensure, investigative, and disciplinary information between 3
4747 member states; and 4
4848 (6) Allow a remote state to hold a provider of services with a compact privilege in that state 5
4949 accountable to that state’s practice standards. 6
5050 5-40.2-3. Definitions. 7
5151 As used in this compact, and except as otherwise provided, the following definitions shall 8
5252 apply: 9
5353 (1) "Active duty military" means full-time duty status in the active uniformed service of 10
5454 the United States, including members of the National Guard and reserve on active duty orders 11
5555 pursuant to 10 U.S.C. Sections 1209 and 1211. 12
5656 (2) "Adverse action" means disciplinary action taken by a physical therapy licensing board 13
5757 based upon misconduct, unacceptable performance, or a combination of both. 14
5858 (3) "Alternative program" means a non-disciplinary monitoring or practice remediation 15
5959 process approved by a physical therapy licensing board, which includes, but is not limited to, 16
6060 substance abuse issues. 17
6161 (4) "Compact privilege" means the authorization granted by a remote state to allow a 18
6262 licensee from another member state to practice as a physical therapist or work as a physical therapist 19
6363 assistant in the remote state under its laws and rules. The practice of physical therapy occurs in the 20
6464 member state where the patient/client is located at the time of the patient/client encounter. 21
6565 (5) "Continuing competence" means a requirement, as a condition of license renewal, to 22
6666 provide evidence of participation in, and/or completion of, educational and professional activities 23
6767 relevant to practice or area of work. 24
6868 (6) "Data system" means a repository of information about licensees, including 25
6969 examination, licensure, investigative, compact privilege, and adverse action. 26
7070 (7) "Encumbered license" means a license that a physical therapy licensing board has 27
7171 limited in any way. 28
7272 (8) "Executive board" means a group of directors elected or appointed to act on behalf of, 29
7373 and within the powers granted to them by, the commission. 30
7474 (9) "Home state" means the member state that is the licensee’s primary state of residence. 31
7575 (10) "Investigative information" means information, records, and documents received or 32
7676 generated by a physical therapy licensing board pursuant to an investigation. 33
7777 (11) "Jurisprudence requirement" means the assessment of an individual’s knowledge of 34
7878
7979
8080 LC002289 - Page 3 of 17
8181 the laws and rules governing the practice of physical therapy in a state. 1
8282 (12) "Licensee" means an individual who currently holds an authorization from the state to 2
8383 practice as a physical therapist or to work as a physical therapist assistant. 3
8484 (13) "Member state" means a state that has enacted the compact. 4
8585 (14) "Party state" means any member state in which a licensee holds a current license or 5
8686 compact privilege or is applying for a license or compact privilege. 6
8787 (15) "Physical therapist" means an individual who is licensed by a state to practice physical 7
8888 therapy. 8
8989 (16) "Physical therapist assistant" means an individual who is licensed/certified by a state 9
9090 and who assists the physical therapist in selected components of physical therapy. 10
9191 (17) "Physical therapy," "physical therapy practice," and "the practice of physical therapy" 11
9292 mean the care and services provided by or under the direction and supervision of a licensed physical 12
9393 therapist. 13
9494 (18) "Physical therapy compact" means the formal compact authorized in this chapter. 14
9595 (19) "Physical therapy compact commission" or "commission" means the national 15
9696 administrative body whose membership consists of all states that have enacted the compact. 16
9797 (20) "Physical therapy licensing board" or "licensing board" means the agency of a state 17
9898 that is responsible for the licensing and regulation of physical therapists and physical therapist 18
9999 assistants. 19
100100 (21) "Remote state" means a member state other than the home state, where a licensee is 20
101101 exercising or seeking to exercise the compact privilege. 21
102102 (22) "Rule" means a regulation, principle, or directive promulgated by the commission that 22
103103 has the force of law. 23
104104 (23) "State" means any state, commonwealth, district, or territory of the United States of 24
105105 America that regulates the practice of physical therapy. 25
106106 5-40.2-4. State participation in the compact. 26
107107 (a) To participate in the compact, a state shall: 27
108108 (1) Participate fully in the commission’s data system, including using the commission’s 28
109109 unique identifier as defined in rules; 29
110110 (2) Have a mechanism in place for receiving and investigating complaints about licensees; 30
111111 (3) Notify the commission, in compliance with the terms of the compact and rules, of any 31
112112 adverse action or the availability of investigative information regarding a licensee; 32
113113 (4) Fully implement a criminal background check requirement, within a time frame 33
114114 established by rule, by receiving the results of the Federal Bureau of Investigation record search on 34
115115
116116
117117 LC002289 - Page 4 of 17
118118 criminal background checks and use the results in making licensure decisions in accordance with 1
119119 subsection (b) of this section; 2
120120 (5) Comply with the rules of the commission; 3
121121 (6) Utilize a recognized national examination as a requirement for licensure pursuant to the 4
122122 rules of the commission; and 5
123123 (7) Have continuing competence requirements as a condition for license renewal. 6
124124 (b) Upon adoption of this statute, the member state shall have the authority to obtain 7
125125 biometric-based information from each physical therapy licensure applicant and submit this 8
126126 information to the Federal Bureau of Investigation for a criminal background check in accordance 9
127127 with 28 U.S.C. § 534 and 34 U.S.C. § 40316. 10
128128 (c) A member state shall grant the compact privilege to a licensee holding a valid 11
129129 unencumbered license in another member state in accordance with the terms of the compact and 12
130130 rules. 13
131131 (d) Member states may charge a fee for granting a compact privilege. 14
132132 5-40.2-5. Compact privilege. 15
133133 (a) To exercise the compact privilege under the terms and provisions of the compact, the 16
134134 licensee shall: 17
135135 (1) Hold a license in the home state; 18
136136 (2) Have no encumbrance on any state license; 19
137137 (3) Be eligible for a compact privilege in any member state in accordance with subsections 20
138138 (d), (g), and (h) of this section; 21
139139 (4) Have not had any adverse action against any license or compact privilege within the 22
140140 previous two (2) years; 23
141141 (5) Notify the commission that the licensee is seeking the compact privilege within a 24
142142 remote state(s); 25
143143 (6) Pay any applicable fees, including any state fee, for the compact privilege; 26
144144 (7) Meet any jurisprudence requirements established by the remote state(s) in which the 27
145145 licensee is seeking a compact privilege; and 28
146146 (8) Report to the commission adverse action taken by any non-member state within thirty 29
147147 (30) days from the date the adverse action is taken. 30
148148 (b) The compact privilege is valid until the expiration date of the home license. The licensee 31
149149 shall comply with the requirements of subsection (a) of this section to maintain the compact 32
150150 privilege in the remote state. 33
151151 (c) A licensee providing physical therapy in a remote state under the compact privilege 34
152152
153153
154154 LC002289 - Page 5 of 17
155155 shall function within the laws and regulations of the remote state. 1
156156 (d) A licensee providing physical therapy in a remote state is subject to that state’s 2
157157 regulatory authority. A remote state may, in accordance with due process and that state’s laws, 3
158158 remove a licensee’s compact privilege in the remote state for a specific period of time, impose 4
159159 fines, and/or take any other necessary actions to protect the health and safety of its citizens. The 5
160160 licensee is not eligible for a compact privilege in any state until the specific time for removal has 6
161161 passed and all fines are paid. 7
162162 (e) If a home state license is encumbered, the licensee shall lose the compact privilege in 8
163163 any remote state until the following occur: 9
164164 (1) The home state license is no longer encumbered; and 10
165165 (2) Two (2) years have elapsed from the date of the adverse action. 11
166166 (f) Once an encumbered license in the home state is restored to good standing, the licensee 12
167167 shall meet the requirements of subsection (a) of this section to obtain a compact privilege in any 13
168168 remote state. 14
169169 (g) If a licensee’s compact privilege in any remote state is removed, the individual shall 15
170170 lose the compact privilege in any remote state until the following occur: 16
171171 (1) The specific period of time for which the compact privilege was removed has ended; 17
172172 (2) All fines have been paid; and 18
173173 (3) Two (2) years have elapsed from the date of the adverse action. 19
174174 (h) Once the requirements of subsection (g) of this section have been met, the licensee shall 20
175175 meet the requirements in subsection (a) of this section to obtain a compact privilege in a remote 21
176176 state. 22
177177 5-40.2-6. Active duty military personnel or their spouses. 23
178178 A licensee who is active duty military or is the spouse of an individual who is active duty 24
179179 military may designate one of the following as the home state: 25
180180 (1) Home of record; 26
181181 (2) Permanent change of station (PCS); or 27
182182 (3) State of current residence if it is different than the PCS state or home of record. 28
183183 5-40.2-7. Adverse actions. 29
184184 (a) A home state shall have exclusive power to impose adverse action against a license 30
185185 issued by the home state. 31
186186 (b) A home state may take adverse action based on the investigative information of a 32
187187 remote state, as long as the home state follows its own procedures for imposing adverse action. 33
188188 (c) Nothing in this compact shall override a member state’s decision that participation in 34
189189
190190
191191 LC002289 - Page 6 of 17
192192 an alternative program may be used in lieu of adverse action and that such participation shall remain 1
193193 non-public if required by the member state’s laws. Member states shall require licensees who enter 2
194194 any alternative programs in lieu of discipline to agree not to practice in any other member state 3
195195 during the term of the alternative program without prior authorization from such other member 4
196196 state. 5
197197 (d) Any member state may investigate actual or alleged violations of the statutes and rules 6
198198 authorizing the practice of physical therapy in any other member state in which a physical therapist 7
199199 or physical therapist assistant holds a license or compact privilege. 8
200200 (e) A remote state shall have the authority to: 9
201201 (1) Take adverse actions as set forth in § 5-40.2-5(d) against a licensee’s compact privilege 10
202202 in the state; 11
203203 (2) Issue subpoenas for both hearings and investigations that require the attendance and 12
204204 testimony of witnesses, and the production of evidence. Subpoenas issued by a physical therapy 13
205205 licensing board in a party state for the attendance and testimony of witnesses, and/or the production 14
206206 of evidence from another party state, shall be enforced in the latter state by any court of competent 15
207207 jurisdiction, according to the practice and procedure of that court applicable to subpoenas issued in 16
208208 proceedings pending before it. The issuing authority shall pay any witness fees, travel expenses, 17
209209 mileage, and other fees required by the service statutes of the state where the witnesses and/or 18
210210 evidence are located; and 19
211211 (3) If otherwise permitted by state law, recover from the licensee the costs of investigations 20
212212 and disposition of cases resulting from any adverse action taken against that licensee. 21
213213 (f) Joint Investigations: 22
214214 (1) In addition to the authority granted to a member state by its respective physical therapy 23
215215 practice act or other applicable state law, a member state may participate with other member states 24
216216 in joint investigations of licensees. 25
217217 (2) Member states shall share any investigative, litigation, or compliance materials in 26
218218 furtherance of any joint or individual investigation initiated under the compact. 27
219219 5-40.2-8. Establishment of the physical therapy compact commission. 28
220220 (a) The compact member states hereby create and establish a joint public agency known as 29
221221 the physical therapy compact commission: 30
222222 (1) The commission is an instrumentality of the compact states. 31
223223 (2) Venue is proper and judicial proceedings by or against the commission shall be brought 32
224224 solely and exclusively in a court of competent jurisdiction where the principal office of the 33
225225 commission is located. The commission may waive venue and jurisdictional defenses to the extent 34
226226
227227
228228 LC002289 - Page 7 of 17
229229 it adopts or consents to participate in alternative dispute resolution proceedings. 1
230230 (3) Nothing in this compact shall be construed to be a waiver of sovereign immunity. 2
231231 (b) Membership, voting, and meetings: 3
232232 (1) Each member state shall have and be limited to one delegate selected by that member 4
233233 state’s licensing board. 5
234234 (2) The delegate shall be a current member of the licensing board, who is a physical 6
235235 therapist, physical therapist assistant, public member, or the board administrator. 7
236236 (3) Any delegate may be removed or suspended from office as provided by the law of the 8
237237 state from which the delegate is appointed. 9
238238 (4) The member state board shall fill any vacancy occurring in the commission. 10
239239 (5) Each delegate shall be entitled to one vote with regard to the promulgation of rules and 11
240240 creation of bylaws and shall otherwise have an opportunity to participate in the business and affairs 12
241241 of the commission. 13
242242 (6) A delegate shall vote in person or by such other means as provided in the bylaws. The 14
243243 bylaws may provide for delegates’ participation in meetings by telephone or other means of 15
244244 communication. 16
245245 (7) The commission shall meet at least once during each calendar year. 17
246246 (8) Additional meetings shall be held as set forth in the bylaws. 18
247247 (c) The commission shall have the following powers and duties: 19
248248 (1) Establish the fiscal year of the commission; 20
249249 (2) Establish bylaws; 21
250250 (3) Maintain its financial records in accordance with the bylaws; 22
251251 (4) Meet and take such actions as are consistent with the provisions of this compact and 23
252252 the bylaws; 24
253253 (5) Promulgate uniform rules to facilitate and coordinate implementation and 25
254254 administration of this compact. The rules shall have the force and effect of law and shall be binding 26
255255 in all member states; 27
256256 (6) Bring and prosecute legal proceedings or actions in the name of the commission, 28
257257 provided that the standing of any state physical therapy licensing board to sue or be sued under 29
258258 applicable law shall not be affected; 30
259259 (7) Purchase and maintain insurance and bonds; 31
260260 (8) Borrow, accept, or contract for services of personnel, including, but not limited to, 32
261261 employees of a member state; 33
262262 (9) Hire employees, elect or appoint officers, fix compensation, define duties, grant such 34
263263
264264
265265 LC002289 - Page 8 of 17
266266 individuals appropriate authority to carry out the purposes of the compact, and to establish the 1
267267 commission’s personnel policies and programs relating to conflicts of interest, qualifications of 2
268268 personnel, and other related personnel matters; 3
269269 (10) Accept any and all appropriate donations and grants of money, equipment, supplies, 4
270270 materials and services, and to receive, utilize and dispose of the same; provided that, at all times 5
271271 the commission shall avoid any appearance of impropriety and/or conflict of interest; 6
272272 (11) Lease, purchase, accept appropriate gifts or donations of, or otherwise to own, hold, 7
273273 improve or use, any property, real, personal or mixed; provided that, at all times the commission 8
274274 shall avoid any appearance of impropriety; 9
275275 (12) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any 10
276276 property real, personal, or mixed; 11
277277 (13) Establish a budget and make expenditures; 12
278278 (14) Borrow money; 13
279279 (15) Appoint committees, including standing committees composed of members, state 14
280280 regulators, state legislators or their representatives, and consumer representatives, and such other 15
281281 interested persons as may be designated in this compact and the bylaws; 16
282282 (16) Provide and receive information from, and cooperate with, law enforcement agencies; 17
283283 (17) Establish and elect an executive board; and 18
284284 (18) Perform such other functions as may be necessary or appropriate to achieve the 19
285285 purposes of this compact consistent with the state regulation of physical therapy licensure and 20
286286 practice. 21
287287 (d) The executive board shall have the power to act on behalf of the commission according 22
288288 to the terms of this compact. The executive board shall be composed of nine (9) members: 23
289289 (1) Seven (7) voting members who are elected by the commission from the current 24
290290 membership of the commission; 25
291291 (2) One ex-officio, non-voting member from the recognized national physical therapy 26
292292 professional association; and 27
293293 (3) One ex-officio, non-voting member from the recognized membership organization of 28
294294 the physical therapy licensing boards. 29
295295 (4) The ex-officio members will be selected by their respective organizations. 30
296296 (5) The commission may remove any member of the executive board as provided in the 31
297297 bylaws. 32
298298 (e) The executive board shall meet at least annually. 33
299299 (f) The executive board shall have the following duties and responsibilities: 34
300300
301301
302302 LC002289 - Page 9 of 17
303303 (1) Recommend to the entire commission changes to the rules or bylaws, changes to this 1
304304 compact legislation, fees paid by compact member states such as annual dues, and any commission 2
305305 compact fee charged to licensees for the compact privilege; 3
306306 (2) Ensure compact administration services are appropriately provided, contractual or 4
307307 otherwise; 5
308308 (3) Prepare and recommend the budget; 6
309309 (4) Maintain financial records on behalf of the commission; 7
310310 (5) Monitor compact compliance of member states and provide compliance reports to the 8
311311 commission; 9
312312 (6) Establish additional committees as necessary; and 10
313313 (7) Other duties as provided in rules or bylaws. 11
314314 (g)(1) All meetings of the commission shall be open to the public, and public notice of 12
315315 meetings shall be given in the same manner as required under the rulemaking provisions of § 5-13
316316 40.2-10. 14
317317 (2) The commission or the executive board or other committees of the commission may 15
318318 convene in a closed, non-public meeting if the commission or executive board or other committees 16
319319 of the commission must discuss: 17
320320 (i) Non-compliance of a member state with its obligations under the compact; 18
321321 (ii) The employment, compensation, discipline or other matters, practices or procedures 19
322322 related to specific employees or other matters related to the commission’s internal personnel 20
323323 practices and procedures; 21
324324 (iii) Current, threatened, or reasonably anticipated litigation; 22
325325 (iv) Negotiation of contracts for the purchase, lease, or sale of goods, services, or real 23
326326 estate; 24
327327 (v) Accusing any person of a crime or formally censuring any person; 25
328328 (vi) Disclosure of trade secrets or commercial or financial information that is privileged or 26
329329 confidential; 27
330330 (vii) Disclosure of information of a personal nature where disclosure would constitute a 28
331331 clearly unwarranted invasion of personal privacy; 29
332332 (viii) Disclosure of investigative records compiled for law enforcement purposes; 30
333333 (ix) Disclosure of information related to any investigative reports prepared by or on behalf 31
334334 of or for use of the commission or other committee charged with responsibility of investigation or 32
335335 determination of compliance issues pursuant to the compact; or 33
336336 (x) Matters specifically exempted from disclosure by federal or member state statute. 34
337337
338338
339339 LC002289 - Page 10 of 17
340340 (h) If a meeting, or portion of a meeting, is closed pursuant to this provision, the 1
341341 commission’s legal counsel, or designee, shall certify that the meeting may be closed and shall 2
342342 reference each relevant exempting provision. 3
343343 (i) The commission shall keep minutes that fully and clearly describe all matters discussed 4
344344 in a meeting and shall provide a full and accurate summary of actions taken, and the reasons 5
345345 therefore, including a description of the views expressed. All documents considered in connection 6
346346 with an action shall be identified in such minutes. All minutes and documents of a closed meeting 7
347347 shall remain under seal, subject to release by a majority vote of the commission or order of a court 8
348348 of competent jurisdiction. 9
349349 (j) The commission shall pay, or provide for the payment of, the reasonable expenses of its 10
350350 establishment, organization, and ongoing activities. 11
351351 (1) The commission may accept any and all appropriate revenue sources, donations, and 12
352352 grants of money, equipment, supplies, materials, and services. 13
353353 (2) The commission may levy on and collect an annual assessment from each member state 14
354354 or impose fees on other parties to cover the cost of the operations and activities of the commission 15
355355 and its staff, which must be in a total amount sufficient to cover its annual budget as approved each 16
356356 year for which revenue is not provided by other sources. The aggregate annual assessment amount 17
357357 shall be allocated based upon a formula to be determined by the commission, which shall 18
358358 promulgate a rule binding upon all member states. 19
359359 (3) The commission shall not incur obligations of any kind prior to securing the funds 20
360360 adequate to meet the same; nor shall the commission pledge the credit of any of the member states, 21
361361 except by and with the authority of the member state. 22
362362 (4) The commission shall keep accurate accounts of all receipts and disbursements. The 23
363363 receipts and disbursements of the commission shall be subject to the audit and accounting 24
364364 procedures established under its bylaws. However, all receipts and disbursements of funds handled 25
365365 by the commission shall be audited yearly by a certified or licensed public accountant, and the 26
366366 report of the audit shall be included in and become part of the annual report of the commission. 27
367367 (k) The members, officers, executive director, employees and representatives of the 28
368368 commission shall be immune from suit and liability, either personally or in their official capacity, 29
369369 for any claim for damage to or loss of property or personal injury or other civil liability caused by 30
370370 or arising out of any actual or alleged act, error or omission that occurred, or that the person against 31
371371 whom the claim is made had a reasonable basis for believing occurred within the scope of 32
372372 commission employment, duties or responsibilities; provided, however, that nothing in this section 33
373373 shall be construed to protect any such person from suit and/or liability for any damage, loss, injury, 34
374374
375375
376376 LC002289 - Page 11 of 17
377377 or liability caused by the intentional or willful or wanton misconduct of that person. 1
378378 (1) The commission shall defend any member, officer, executive director, employee or 2
379379 representative of the commission in any civil action seeking to impose liability arising out of any 3
380380 actual or alleged act, error, or omission that occurred within the scope of commission employment, 4
381381 duties, or responsibilities, or that the person against whom the claim is made had a reasonable basis 5
382382 for believing occurred within the scope of commission employment, duties, or responsibilities; 6
383383 provided, however, that nothing herein shall be construed to prohibit that person from retaining his 7
384384 or her own counsel; and provided further, that the actual or alleged act, error, or omission did not 8
385385 result from that person’s intentional or willful or wanton misconduct. 9
386386 (2) The commission shall indemnify and hold harmless any member, officer, executive 10
387387 director, employee, or representative of the commission for the amount of any settlement or 11
388388 judgment obtained against that person arising out of any actual or alleged act, error or omission 12
389389 that occurred within the scope of commission employment, duties, or responsibilities, or that such 13
390390 person had a reasonable basis for believing occurred within the scope of commission employment, 14
391391 duties, or responsibilities; provided that, the actual or alleged act, error, or omission did not result 15
392392 from the intentional or willful or wanton misconduct of that person. 16
393393 5-40.2-9. Data System. 17
394394 (a) The commission shall provide for the development, maintenance, and utilization of a 18
395395 coordinated database and reporting system containing licensure, adverse action, and investigative 19
396396 information on all licensed individuals in member states. 20
397397 (b) Notwithstanding any other provision of state law to the contrary, a member state shall 21
398398 submit a uniform data set to the data system on all individuals to whom this compact is applicable 22
399399 as required by the rules of the commission, including: 23
400400 (1) Identifying information; 24
401401 (2) Licensure data; 25
402402 (3) Adverse actions against a license or compact privilege; 26
403403 (4) Non-confidential information related to alternative program participation; 27
404404 (5) Any denial of application for licensure, and the reason(s) for such denial; and 28
405405 (6) Other information that may facilitate the administration of this compact, as determined 29
406406 by the rules of the commission. 30
407407 (c) Investigative information pertaining to a licensee in any member state will only be 31
408408 available to other party states. 32
409409 (d) The commission shall promptly notify all member states of any adverse action taken 33
410410 against a licensee or an individual applying for a license. Adverse action information pertaining to 34
411411
412412
413413 LC002289 - Page 12 of 17
414414 a licensee in any member state will be available to any other member state. 1
415415 (e) Member states contributing information to the data system may designate information 2
416416 that may not be shared with the public without the express permission of the contributing state. 3
417417 (f) Any information submitted to the data system that is subsequently required to be 4
418418 expunged by the laws of the member state contributing the information shall be removed from the 5
419419 data system. 6
420420 5-40.2-10. Rulemaking. 7
421421 (a) The commission shall exercise its rulemaking powers pursuant to the criteria set forth 8
422422 in this section and the rules adopted thereunder. Rules and amendments shall become binding as of 9
423423 the date specified in each rule or amendment. 10
424424 (b) If a majority of the legislatures of the member states rejects a rule, by enactment of a 11
425425 statute or resolution in the same manner used to adopt the compact within four (4) years of the date 12
426426 of adoption of the rule, then such rule shall have no further force and effect in any member state. 13
427427 (c) Rules or amendments to the rules shall be adopted at a regular or special meeting of the 14
428428 commission. 15
429429 (d) Prior to promulgation and adoption of a final rule or rules by the commission, and at 16
430430 least thirty (30) days in advance of the meeting at which the rule will be considered and voted upon, 17
431431 the commission shall file a notice of proposed rulemaking: 18
432432 (1) On the website of the commission or other publicly accessible platform; and 19
433433 (2) On the website of each member state physical therapy licensing board or other publicly 20
434434 accessible platform or the publication in which each state would otherwise publish proposed rules. 21
435435 (e) The notice of proposed rulemaking shall include: 22
436436 (1) The proposed time, date, and location of the meeting in which the rule will be 23
437437 considered and voted upon; 24
438438 (2) The text of the proposed rule or amendment and the reason for the proposed rule; 25
439439 (3) A request for comments on the proposed rule from any interested person; and 26
440440 (4) The manner in which interested persons may submit notice to the commission of their 27
441441 intention to attend the public hearing and any written comments. 28
442442 (f) Prior to adoption of a proposed rule, the commission shall allow persons to submit 29
443443 written data, facts, opinions, and arguments, which shall be made available to the public. 30
444444 (g) The commission shall grant an opportunity for a public hearing before it adopts a rule 31
445445 or amendment if a hearing is requested by: 32
446446 (1) At least twenty-five (25) persons; 33
447447 (2) A state or federal governmental subdivision or agency; or 34
448448
449449
450450 LC002289 - Page 13 of 17
451451 (3) An association having at least twenty-five (25) members. 1
452452 (h) If a hearing is held on the proposed rule or amendment, the commission shall publish 2
453453 the place, time, and date of the scheduled public hearing. If the hearing is held via electronic means, 3
454454 the commission shall publish the mechanism for access to the electronic hearing. 4
455455 (1) All persons wishing to be heard at the hearing shall notify the executive director of the 5
456456 commission or other designated member in writing of their desire to appear and testify at the 6
457457 hearing not less than five (5) business days before the scheduled date of the hearing. 7
458458 (2) Hearings shall be conducted in a manner providing each person who wishes to comment 8
459459 a fair and reasonable opportunity to comment orally or in writing. 9
460460 (3) All hearings will be recorded. A copy of the recording will be made available on 10
461461 request. 11
462462 (4) Nothing in this section shall be construed as requiring a separate hearing on each rule. 12
463463 Rules may be grouped for the convenience of the commission at hearings required by this section. 13
464464 (i) Following the scheduled hearing date, or by the close of business on the scheduled 14
465465 hearing date if the hearing was not held, the commission shall consider all written and oral 15
466466 comments received. 16
467467 (j) If no written notice of intent to attend the public hearing by interested parties is received, 17
468468 the commission may proceed with promulgation of the proposed rule without a public hearing. 18
469469 (k) The commission shall, by majority vote of all members, take final action on the 19
470470 proposed rule and shall determine the effective date of the rule, if any, based on the rulemaking 20
471471 record and the full text of the rule. 21
472472 (l) Upon determination that an emergency exists, the commission may consider and adopt 22
473473 an emergency rule without prior notice, opportunity for comment, or hearing; provided that, the 23
474474 usual rulemaking procedures provided in the compact and in this section shall be retroactively 24
475475 applied to the rule as soon as reasonably possible, in no event later than ninety (90) days after the 25
476476 effective date of the rule. For the purposes of this provision, an emergency rule is one that must be 26
477477 adopted immediately in order to: 27
478478 (1) Meet an imminent threat to public health, safety, or welfare; 28
479479 (2) Prevent a loss of commission or member state funds; 29
480480 (3) Meet a deadline for the promulgation of an administrative rule that is established by 30
481481 federal law or rule; or 31
482482 (4) Protect public health and safety. 32
483483 (m) The commission or an authorized committee of the commission may direct revisions 33
484484 to a previously adopted rule or amendment for purposes of correcting typographical errors, errors 34
485485
486486
487487 LC002289 - Page 14 of 17
488488 in format, errors in consistency, or grammatical errors. Public notice of any revisions shall be 1
489489 posted on the website of the commission. The revision shall be subject to challenge by any person 2
490490 for a period of thirty (30) days after posting. The revision may be challenged only on grounds that 3
491491 the revision results in a material change to a rule. A challenge shall be made in writing and delivered 4
492492 to the chair of the commission prior to the end of the notice period. If no challenge is made, the 5
493493 revision will take effect without further action. If the revision is challenged, the revision may not 6
494494 take effect without the approval of the commission. 7
495495 5-40.2-11. Oversight, dispute resolution, and enforcement. 8
496496 (a) The executive, legislative, and judicial branches of state government in each member 9
497497 state shall enforce this compact and take all actions necessary and appropriate to effectuate the 10
498498 compact’s purposes and intent. The provisions of this compact and the rules promulgated hereunder 11
499499 shall have standing as statutory law. 12
500500 (b) All courts shall take judicial notice of the compact and the rules in any judicial or 13
501501 administrative proceeding in a member state pertaining to the subject matter of this compact which 14
502502 may affect the powers, responsibilities or actions of the commission. 15
503503 (c) The commission shall be entitled to receive service of process in any such proceeding 16
504504 and shall have standing to intervene in such a proceeding for all purposes. Failure to provide service 17
505505 of process to the commission shall render a judgment or order void as to the commission, this 18
506506 compact, or promulgated rules. 19
507507 (d) If the commission determines that a member state has defaulted in the performance of 20
508508 its obligations or responsibilities under this compact or the promulgated rules, the commission 21
509509 shall: 22
510510 (1) Provide written notice to the defaulting state and other member states of the nature of 23
511511 the default, the proposed means of curing the default and/or any other action to be taken by the 24
512512 commission; and 25
513513 (2) Provide remedial training and specific technical assistance regarding the default. 26
514514 (e) If a state in default fails to cure the default, the defaulting state may be terminated from 27
515515 the compact upon an affirmative vote of a majority of the member states, and all rights, privileges 28
516516 and benefits conferred by this compact may be terminated on the effective date of termination. A 29
517517 cure of the default does not relieve the offending state of obligations or liabilities incurred during 30
518518 the period of default. 31
519519 (f) Termination of membership in the compact shall be imposed only after all other means 32
520520 of securing compliance have been exhausted. Notice of intent to suspend or terminate shall be given 33
521521 by the commission to the governor, the majority and minority leaders of the defaulting state’s 34
522522
523523
524524 LC002289 - Page 15 of 17
525525 legislature, and each of the member states. 1
526526 (g) A state that has been terminated is responsible for all assessments, obligations, and 2
527527 liabilities incurred through the effective date of termination, including obligations that extend 3
528528 beyond the effective date of termination. 4
529529 (h) The commission shall not bear any costs related to a state that is found to be in default 5
530530 or that has been terminated from the compact, unless agreed upon in writing between the 6
531531 commission and the defaulting state. 7
532532 (i) The defaulting state may appeal the action of the commission by petitioning the U.S. 8
533533 District Court for the District of Columbia or the federal district where the commission has its 9
534534 principal offices. The prevailing member shall be awarded all costs of such litigation, including 10
535535 reasonable attorneys' fees. 11
536536 (j) Upon request by a member state, the commission shall attempt to resolve disputes 12
537537 related to the compact that arise among member states and between member and non-member 13
538538 states. 14
539539 (k) The commission shall promulgate a rule providing for both mediation and binding 15
540540 dispute resolution for disputes as appropriate. 16
541541 (l) The commission, in the reasonable exercise of its discretion, shall enforce the provisions 17
542542 and rules of this compact. 18
543543 (m) By majority vote, the commission may initiate legal action in the United States District 19
544544 Court for the District of Columbia or the federal district where the commission has its principal 20
545545 offices against a member state in default to enforce compliance with the provisions of the compact 21
546546 and its promulgated rules and bylaws. The relief sought may include both injunctive relief and 22
547547 damages. In the event judicial enforcement is necessary, the prevailing member shall be awarded 23
548548 all costs of such litigation, including reasonable attorneys' fees. 24
549549 (n) The remedies herein shall not be the exclusive remedies of the commission. The 25
550550 commission may pursue any other remedies available under federal or state law. 26
551551 5-40.2-12. Date of implementation of the interstate commission for physical therapy 27
552552 practice and associated rules, withdrawal, and amendment. 28
553553 (a) The compact shall come into effect on the date on which the compact statute is enacted 29
554554 into law in the tenth member state. The provisions, which become effective at that time, shall be 30
555555 limited to the powers granted to the commission relating to assembly and the promulgation of rules. 31
556556 Thereafter, the commission shall meet and exercise rulemaking powers necessary to the 32
557557 implementation and administration of the compact. 33
558558 (b) Any state that joins the compact subsequent to the commission’s initial adoption of the 34
559559
560560
561561 LC002289 - Page 16 of 17
562562 rules shall be subject to the rules as they exist on the date on which the compact becomes law in 1
563563 that state. Any rule that has been previously adopted by the commission shall have the full force 2
564564 and effect of law on the day the compact becomes law in that state. 3
565565 (c) Any member state may withdraw from this compact by enacting a statute repealing the 4
566566 same. 5
567567 (1) A member state’s withdrawal shall not take effect until six (6) months after enactment 6
568568 of the repealing statute. 7
569569 (2) Withdrawal shall not affect the continuing requirement of the withdrawing state’s 8
570570 physical therapy licensing board to comply with the investigative and adverse action reporting 9
571571 requirements of this chapter prior to the effective date of withdrawal. 10
572572 (d) Nothing contained in this compact shall be construed to invalidate or prevent any 11
573573 physical therapy licensure agreement or other cooperative arrangement between a member state 12
574574 and a non-member state that does not conflict with the provisions of this compact. 13
575575 (e) This compact may be amended by the member states. No amendment to this compact 14
576576 shall become effective and binding upon any member state until it is enacted into the laws of all 15
577577 member states. 16
578578 5-40.2-13. Construction and severability. 17
579579 This compact shall be liberally construed so as to effectuate the purposes thereof. The 18
580580 provisions of this compact shall be severable and if any phrase, clause, sentence or provision of 19
581581 this compact is declared to be contrary to the constitution of any party state or of the United States 20
582582 or the applicability thereof to any government, agency, person or circumstance is held invalid, the 21
583583 validity of the remainder of this compact and the applicability thereof to any government, agency, 22
584584 person or circumstance shall not be affected thereby. If this compact shall be held contrary to the 23
585585 constitution of any party state, the compact shall remain in full force and effect as to the remaining 24
586586 party states and in full force and effect as to the party state affected as to all severable matters. 25
587587 SECTION 2. This act shall take effect upon passage. 26
588588 ========
589589 LC002289
590590 ========
591591
592592
593593 LC002289 - Page 17 of 17
594594 EXPLANATION
595595 BY THE LEGISLATIVE COUNCIL
596596 OF
597597 A N A C T
598598 RELATING TO BUSINESSES AND PROFESSIONS -- RHODE ISLAND PHYSICA L
599599 THERAPIST LICENSURE COMPACT ACT
600600 ***
601601 This act would allow the state to become a member of the physical therapist licensure 1
602602 compact adopted by twenty-five (25) states in order to facilitate the interstate practice of physical 2
603603 therapy with the goal of improving public access to physical therapy services. The act would agree 3
604604 to the establishment of a commission which sets rules, budgets, and oversees disciplinary action 4
605605 among compact member states and participating physical therapists. The compact would permit 5
606606 physical therapists licensed in other states to treat patients in Rhode Island, and those licensed in 6
607607 Rhode Island, to treat patients in other states. All members and member states would be required 7
608608 to practice within the rules and regulations adopted by the commission. 8
609609 This act would take effect upon passage. 9
610610 ========
611611 LC002289
612612 ========
613613