Bill Text: TX SB1497 | 2021-2022 | 87th Legislature | Introduced
Bill Title: Relating to the audiology and speech-language pathology interstate compact; authorizing fees.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2021-03-24 - Referred to Health & Human Services [SB1497 Detail]
Download: Texas-2021-SB1497-Introduced.html
87R2054 KKR-D | ||
By: Kolkhorst | S.B. No. 1497 |
|
||
|
||
relating to the audiology and speech-language pathology interstate | ||
compact; authorizing fees. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Chapter 401, Occupations Code, is amended by | ||
adding Subchapter L to read as follows: | ||
SUBCHAPTER L. AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY INTERSTATE | ||
COMPACT | ||
Sec. 401.551. AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY | ||
INTERSTATE COMPACT. The Audiology and Speech-Language Pathology | ||
Compact is enacted and entered into with all other jurisdictions | ||
that legally join in the compact, which reads as follows: | ||
AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY INTERSTATE COMPACT | ||
SECTION 1. PURPOSE | ||
The purpose of this Compact is to facilitate interstate | ||
practice of audiology and speech-language pathology with the goal | ||
of improving public access to audiology and speech-language | ||
pathology services. The practice of audiology and speech-language | ||
pathology occurs in the state where the patient/client/student is | ||
located at the time of the patient/client/student encounter. The | ||
Compact preserves the regulatory authority of states to protect | ||
public health and safety through the current system of state | ||
licensure. | ||
This Compact is designed to achieve the following objectives: | ||
1. Increase public access to audiology and | ||
speech-language pathology services by providing for the mutual | ||
recognition of other member state licenses; | ||
2. Enhance the states' ability to protect the public's | ||
health and safety; | ||
3. Encourage the cooperation of member states in | ||
regulating multistate audiology and speech-language pathology | ||
practice; | ||
4. Support spouses of relocating active duty military | ||
personnel; | ||
5. Enhance the exchange of licensure, investigative | ||
and disciplinary information between member states; | ||
6. Allow a remote state to hold a provider of services | ||
with a compact privilege in that state accountable to that state's | ||
practice standards; and | ||
7. Allow for the use of telehealth technology to | ||
facilitate increased access to audiology and speech-language | ||
pathology services. | ||
SECTION 2. DEFINITIONS | ||
As used in this Compact, and except as otherwise provided, | ||
the following definitions shall apply: | ||
A. "Active duty military" means full-time duty status in the | ||
active uniformed service of the United States, including members of | ||
the National Guard and Reserve on active duty orders pursuant to 10 | ||
U.S.C. Section 1209 and 1211. | ||
B. "Adverse action" means any administrative, civil, | ||
equitable or criminal action permitted by a state's laws which is | ||
imposed by a licensing board or other authority against an | ||
audiologist or speech-language pathologist, including actions | ||
against an individual's license or privilege to practice such as | ||
revocation, suspension, probation, monitoring of the licensee, or | ||
restriction on the licensee's practice. | ||
C. "Alternative program" means a non-disciplinary | ||
monitoring process approved by an audiology or speech-language | ||
pathology licensing board to address impaired practitioners. | ||
D. "Audiologist" means an individual who is licensed by a | ||
state to practice audiology. | ||
E. "Audiology" means the care and services provided by a | ||
licensed audiologist as set forth in the member state's statutes | ||
and rules. | ||
F. "Audiology and Speech-Language Pathology Compact | ||
Commission" or "Commission" means the national administrative body | ||
whose membership consists of all states that have enacted the | ||
Compact. | ||
G. "Audiology and speech-language pathology licensing | ||
board," "audiology licensing board," "speech-language pathology | ||
licensing board," or "licensing board" means the agency of a state | ||
that is responsible for the licensing and regulation of | ||
audiologists and/or speech-language pathologists. | ||
H. "Compact privilege" means the authorization granted by a | ||
remote state to allow a licensee from another member state to | ||
practice as an audiologist or speech-language pathologist in the | ||
remote state under its laws and rules. The practice of audiology or | ||
speech-language pathology occurs in the member state where the | ||
patient/client/student is located at the time of the | ||
patient/client/student encounter. | ||
I. "Current significant investigative information" means | ||
investigative information that a licensing board, after an inquiry | ||
or investigation that includes notification and an opportunity for | ||
the audiologist or speech-language pathologist to respond, if | ||
required by state law, has reason to believe is not groundless and, | ||
if proved true, would indicate more than a minor infraction. | ||
J. "Data system" means a repository of information about | ||
licensees, including, but not limited to, continuing education, | ||
examination, licensure, investigative, compact privilege and | ||
adverse action. | ||
K. "Encumbered license" means a license in which an adverse | ||
action restricts the practice of audiology or speech-language | ||
pathology by the licensee and said adverse action has been reported | ||
to the National Practitioners Data Bank (NPDB). | ||
L. "Executive Committee" means a group of directors elected | ||
or appointed to act on behalf of, and within the powers granted to | ||
them by, the Commission. | ||
M. "Home state" means the member state that is the | ||
licensee's primary state of residence. | ||
N. "Impaired practitioner" means individuals whose | ||
professional practice is adversely affected by substance abuse, | ||
addiction, or other health-related conditions. | ||
O. "Licensee" means an individual who currently holds an | ||
authorization from the state licensing board to practice as an | ||
audiologist or speech-language pathologist. | ||
P. "Member state" means a state that has enacted the | ||
Compact. | ||
Q. "Privilege to practice" means a legal authorization | ||
permitting the practice of audiology or speech-language pathology | ||
in a remote state. | ||
R. "Remote state" means a member state other than the home | ||
state where a licensee is exercising or seeking to exercise the | ||
compact privilege. | ||
S. "Rule" means a regulation, principle or directive | ||
promulgated by the Commission that has the force of law. | ||
T. "Single-state license" means an audiology or | ||
speech-language pathology license issued by a member state that | ||
authorizes practice only within the issuing state and does not | ||
include a privilege to practice in any other member state. | ||
U. "Speech-language pathologist" means an individual who is | ||
licensed by a state to practice speech-language pathology. | ||
V. "Speech-language pathology means the care and services | ||
provided by a licensed speech-language pathologist as set forth in | ||
the member state's statutes and rules. | ||
W. "State" means any state, commonwealth, district or | ||
territory of the United States of America that regulates the | ||
practice of audiology and speech-language pathology. | ||
X. "State practice laws" means a member state's laws, rules | ||
and regulations that govern the practice of audiology or | ||
speech-language pathology, define the scope of audiology or | ||
speech-language pathology practice, and create the methods and | ||
grounds for imposing discipline. | ||
Y. "Telehealth" means the application of telecommunication | ||
technology to deliver audiology or speech-language pathology | ||
services at a distance for assessment, intervention and/or | ||
consultation. | ||
SECTION 3. STATE PARTICIPATION IN THE COMPACT | ||
A. A license issued to an audiologist or speech-language | ||
pathologist by a home state to a resident in that state shall be | ||
recognized by each member state as authorizing an audiologist or | ||
speech-language pathologist to practice audiology or | ||
speech-language pathology, under a privilege to practice, in each | ||
member state. | ||
B. A state must implement or utilize procedures for | ||
considering the criminal history records of applicants for initial | ||
privilege to practice. These procedures shall include the | ||
submission of fingerprints or other biometric-based information by | ||
applicants for the purpose of obtaining an applicant's criminal | ||
history record information from the Federal Bureau of Investigation | ||
and the agency responsible for retaining that state's criminal | ||
records | ||
1. A member state must fully implement a criminal | ||
background check requirement, within a time frame established by | ||
rule, by receiving the results of the Federal Bureau of | ||
Investigation record search on criminal background checks and use | ||
the results in making licensure decisions. | ||
2. Communication between a member state, the | ||
Commission and among member states regarding the verification of | ||
eligibility for licensure through the Compact shall not include any | ||
information received from the Federal Bureau of Investigation | ||
relating to a federal criminal records check performed by a member | ||
state under Public Law 92-544. | ||
C. Upon application for a privilege to practice, the | ||
licensing board in the issuing remote state shall ascertain, | ||
through the data system, whether the applicant has ever held, or is | ||
the holder of, a license issued by any other state, whether there | ||
are any encumbrances on any license or privilege to practice held by | ||
the applicant, whether any adverse action has been taken against | ||
any license or privilege to practice held by the applicant. | ||
D. Each member state shall require an applicant to obtain or | ||
retain a license in the home state and meet the home state's | ||
qualifications for licensure or renewal of licensure, as well as, | ||
all other applicable state laws. | ||
E. For an audiologist: | ||
1. Must meet one of the following educational | ||
requirements: | ||
a. On or before, Dec. 31, 2007, has graduated | ||
with a master's degree or doctorate in audiology, or equivalent | ||
degree regardless of degree name, from a program that is accredited | ||
by an accrediting agency recognized by the Council for Higher | ||
Education Accreditation, or its successor, or by the United States | ||
Department of Education and operated by a college or university | ||
accredited by a regional or national accrediting organization | ||
recognized by the board; or | ||
b. On or after, Jan. 1, 2008, has graduated with a | ||
Doctoral degree in audiology, or equivalent degree, regardless of | ||
degree name, from a program that is accredited by an accrediting | ||
agency recognized by the Council for Higher Education | ||
Accreditation, or its successor, or by the United States Department | ||
of Education and operated by a college or university accredited by a | ||
regional or national accrediting organization recognized by the | ||
board; or | ||
c. Has graduated from an audiology program that | ||
is housed in an institution of higher education outside of the | ||
United States (a) for which the program and institution have been | ||
approved by the authorized accrediting body in the applicable | ||
country and (b) the degree program has been verified by an | ||
independent credentials review agency to be comparable to a state | ||
licensing board-approved program. | ||
2. Has completed a supervised clinical practicum | ||
experience from an accredited educational institution or its | ||
cooperating programs as required by the board; | ||
3. Has successfully passed a national examination | ||
approved by the Commission; | ||
4. Holds an active, unencumbered license; | ||
5. Has not been convicted or found guilty, and has not | ||
entered into an agreed disposition, of a felony related to the | ||
practice of audiology, under applicable state or federal criminal | ||
law; | ||
6. Has a valid United States Social Security or | ||
National Practitioner Identification number. | ||
F. For a speech-language pathologist: | ||
1. Must meet one of the following educational | ||
requirements: | ||
a. Has graduated with a master's degree from a | ||
speech-language pathology program that is accredited by an | ||
organization recognized by the United States Department of | ||
Education and operated by a college or university accredited by a | ||
regional or national accrediting organization recognized by the | ||
board; or | ||
b. Has graduated from a speech-language | ||
pathology program that is housed in an institution of higher | ||
education outside of the United States (a) for which the program and | ||
institution have been approved by the authorized accrediting body | ||
in the applicable country and (b) the degree program has been | ||
verified by an independent credentials review agency to be | ||
comparable to a state licensing board-approved program. | ||
2. Has completed a supervised clinical practicum | ||
experience from an educational institution or its cooperating | ||
programs as required by the Commission; | ||
3. Has completed a supervised postgraduate | ||
professional experience as required by the Commission | ||
4. Has successfully passed a national examination | ||
approved by the Commission; | ||
5. Holds an active, unencumbered license; | ||
6. Has not been convicted or found guilty, and has not | ||
entered into an agreed disposition, of a felony related to the | ||
practice of speech-language pathology, under applicable state or | ||
federal criminal law; | ||
7. Has a valid United States Social Security or | ||
National Practitioner Identification number. | ||
G. The privilege to practice is derived from the home state | ||
license. | ||
H. An audiologist or speech-language pathologist practicing | ||
in a member state must comply with the state practice laws of the | ||
state in which the client is located at the time service is | ||
provided. The practice of audiology and speech-language pathology | ||
shall include all audiology and speech-language pathology practice | ||
as defined by the state practice laws of the member state in which | ||
the client is located. The practice of audiology and | ||
speech-language pathology in a member state under a privilege to | ||
practice shall subject an audiologist or speech-language | ||
pathologist to the jurisdiction of the licensing board, the courts | ||
and the laws of the member state in which the client is located at | ||
the time service is provided. | ||
I. Individuals not residing in a member state shall continue | ||
to be able to apply for a member state's single-state license as | ||
provided under the laws of each member state. However, the | ||
single-state license granted to these individuals shall not be | ||
recognized as granting the privilege to practice audiology or | ||
speech-language pathology in any other member state. Nothing in | ||
this Compact shall affect the requirements established by a member | ||
state for the issuance of a single-state license. | ||
J. Member states may charge a fee for granting a compact | ||
privilege. | ||
K. Member states must comply with the bylaws and rules and | ||
regulations of the Commission. | ||
SECTION 4. COMPACT PRIVILEGE | ||
A. To exercise the compact privilege under the terms and | ||
provisions of the Compact, the audiologist or speech-language | ||
pathologist shall: | ||
1. Hold an active license in the home state; | ||
2. Have no encumbrance on any state license; | ||
3. Be eligible for a compact privilege in any member | ||
state in accordance with Section 3; | ||
4. Have not had any adverse action against any license | ||
or compact privilege within the previous 2 years from date of | ||
application; | ||
5. Notify the Commission that the licensee is seeking | ||
the compact privilege within a remote state(s); | ||
6. Pay any applicable fees, including any state fee, | ||
for the compact privilege; | ||
7. Report to the Commission adverse action taken by | ||
any non-member state within 30 days from the date the adverse action | ||
is taken. | ||
B. For the purposes of the compact privilege, an audiologist | ||
or speech-language pathologist shall only hold one home state | ||
license at a time. | ||
C. Except as provided in Section 6, if an audiologist or | ||
speech-language pathologist changes primary state of residence by | ||
moving between two-member states, the audiologist or | ||
speech-language pathologist must apply for licensure in the new | ||
home state, and the license issued by the prior home state shall be | ||
deactivated in accordance with applicable rules adopted by the | ||
Commission. | ||
D. The audiologist or speech-language pathologist may apply | ||
for licensure in advance of a change in primary state of residence. | ||
E. A license shall not be issued by the new home state until | ||
the audiologist or speech-language pathologist provides | ||
satisfactory evidence of a change in primary state of residence to | ||
the new home state and satisfies all applicable requirements to | ||
obtain a license from the new home state. | ||
F. If an audiologist or speech-language pathologist changes | ||
primary state of residence by moving from a member state to a | ||
non-member state, the license issued by the prior home state shall | ||
convert to a single-state license, valid only in the former home | ||
state. | ||
G. The compact privilege is valid until the expiration date | ||
of the home state license. The licensee must comply with the | ||
requirements of Section 4A to maintain the compact privilege in the | ||
remote state. | ||
H. A licensee providing audiology or speech-language | ||
pathology services in a remote state under the compact privilege | ||
shall function within the laws and regulations of the remote state. | ||
I. A licensee providing audiology or speech-language | ||
pathology services 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, remove a licensee's compact | ||
privilege in the remote state for a specific period of time, impose | ||
fines, and/or take any other necessary actions to protect the | ||
health and safety of its citizens. | ||
J. If a home state license is encumbered, the licensee shall | ||
lose the compact privilege in any remote state until the following | ||
occur: | ||
1. The home state license is no longer encumbered; and | ||
2. Two years have elapsed from the date of the adverse | ||
action. | ||
K. Once an encumbered license in the home state is restored | ||
to good standing, the licensee must meet the requirements of | ||
Section 4A to obtain a compact privilege in any remote state. | ||
L. Once the requirements of Section 4J have been met, the | ||
licensee must meet the requirements in Section 4A to obtain a | ||
compact privilege in a remote state. | ||
SECTION 5. COMPACT PRIVILEGE TO PRACTICE TELEHEALTH | ||
Member states shall recognize the right of an audiologist or | ||
speech-language pathologist, licensed by a home state in accordance | ||
with Section 3 and under rules promulgated by the Commission, to | ||
practice audiology or speech-language pathology in any member state | ||
via telehealth under a privilege to practice as provided in the | ||
Compact and rules promulgated by the Commission. | ||
SECTION 6. ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSES | ||
Active duty military personnel, or their spouse, shall | ||
designate a home state where the individual has a current license in | ||
good standing. The individual may retain the home state | ||
designation during the period the service member is on active duty. | ||
Subsequent to designating a home state, the individual shall only | ||
change their home state through application for licensure in the | ||
new state. | ||
SECTION 7. ADVERSE ACTIONS | ||
A. In addition to the other powers conferred by state law, a | ||
remote state shall have the authority, in accordance with existing | ||
state due process law, to: | ||
1. Take adverse action against an audiologist's or | ||
speech-language pathologist's privilege to practice within that | ||
member state. | ||
2. Issue subpoenas for both hearings and | ||
investigations that require the attendance and testimony of | ||
witnesses as well as the production of evidence. Subpoenas issued | ||
by a licensing board in a member state for the attendance and | ||
testimony of witnesses or the production of evidence from another | ||
member 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 subpoenas 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 in which the witnesses or evidence are located. | ||
3. Only the home state shall have the power to take | ||
adverse action against a audiologist's or speech-language | ||
pathologist's license issued by the home state. | ||
B. For purposes of taking adverse action, the home state | ||
shall give the same priority and effect to reported conduct | ||
received from a member state as it would if the conduct had occurred | ||
within the home state. In so doing, the home state shall apply its | ||
own state laws to determine appropriate action. | ||
C. The home state shall complete any pending investigations | ||
of an audiologist or speech-language pathologist who changes | ||
primary state of residence during the course of the investigations. | ||
The home state shall also have the authority to take appropriate | ||
action(s) and shall promptly report the conclusions of the | ||
investigations to the administrator of the data system. The | ||
administrator of the coordinated licensure information system | ||
shall promptly notify the new home state of any adverse actions. | ||
D. If otherwise permitted by state law, recover from the | ||
affected audiologist or speech-language pathologist the costs of | ||
investigations and disposition of cases resulting from any adverse | ||
action taken against that audiologist or speech-language | ||
pathologist. | ||
E. Take adverse action based on the factual findings of the | ||
remote state, provided that the home state follows its own | ||
procedures for taking the adverse action. | ||
F. Joint Investigations | ||
1. In addition to the authority granted to a member | ||
state by its respective audiology or speech-language pathology | ||
practice act or other applicable state law, any member state may | ||
participate with other member states in joint investigations of | ||
licensees. | ||
2. Member states shall share any investigative, | ||
litigation, or compliance materials in furtherance of any joint or | ||
individual investigation initiated under the Compact. | ||
G. If adverse action is taken by the home state against an | ||
audiologist's or speech language pathologist's license, the | ||
audiologist's or speech-language pathologist's privilege to | ||
practice in all other member states shall be deactivated until all | ||
encumbrances have been removed from the state license. All home | ||
state disciplinary orders that impose adverse action against an | ||
audiologist's or speech language pathologist's license shall | ||
include a statement that the audiologist's or speech-language | ||
pathologist's privilege to practice is deactivated in all member | ||
states during the pendency of the order. | ||
H. If a member state takes adverse action, it shall promptly | ||
notify the administrator of the data system. The administrator of | ||
the data system shall promptly notify the home state of any adverse | ||
actions by remote states. | ||
I. Nothing in this Compact shall override a member state's | ||
decision that participation in an alternative program may be used | ||
in lieu of adverse action. | ||
SECTION 8. ESTABLISHMENT OF THE AUDIOLOGY AND SPEECH-LANGUAGE | ||
PATHOLOGY COMPACT COMMISSION | ||
A. The Compact member states hereby create and establish a | ||
joint public agency known as the Audiology and Speech-Language | ||
Pathology Compact Commission: | ||
1. The Commission is an instrumentality of the Compact | ||
states. | ||
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 | ||
Commission is located. The Commission may waive venue and | ||
jurisdictional defenses to the extent it adopts or consents to | ||
participate in alternative dispute resolution proceedings. | ||
3. Nothing in this Compact shall be construed to be a | ||
waiver of sovereign immunity. | ||
B. Membership, Voting and Meetings | ||
1. Each member state shall have two (2) delegates | ||
selected by that member state's licensing board. The delegates | ||
shall be current members of the licensing board. One shall be an | ||
audiologist and one shall be a speech-language pathologist. | ||
2. An additional five (5) delegates, who are either a | ||
public member or board administrator from a state licensing board, | ||
shall be chosen by the Executive Committee from a pool of nominees | ||
provided by the Commission at Large. | ||
3. Any delegate may be removed or suspended from | ||
office as provided by the law of the state from which the delegate | ||
is appointed. | ||
4. The member state board shall fill any vacancy | ||
occurring on the Commission, within 90 days. | ||
5. Each delegate shall be entitled to one (1) vote with | ||
regard to the promulgation of rules and creation of bylaws and shall | ||
otherwise have an opportunity to participate in the business and | ||
affairs of the Commission. | ||
6. A delegate shall vote in person or by other means as | ||
provided in the bylaws. The bylaws may provide for delegates' | ||
participation in meetings by telephone or other means of | ||
communication. | ||
7. The Commission shall meet at least once during each | ||
calendar year. Additional meetings shall be held as set forth in the | ||
bylaws. | ||
C. The Commission shall have the following powers and | ||
duties: | ||
1. Establish the fiscal year of the Commission; | ||
2. Establish bylaws; | ||
3. Establish a Code of Ethics; | ||
4. Maintain its financial records in accordance with | ||
the bylaws; | ||
5. Meet and take actions as are consistent with the | ||
provisions of this Compact and the bylaws; | ||
6. Promulgate uniform rules to facilitate and | ||
coordinate implementation and administration of this Compact. The | ||
rules shall have the force and effect of law and shall be binding in | ||
all member states; | ||
7. Bring and prosecute legal proceedings or actions in | ||
the name of the Commission, provided that the standing of any state | ||
audiology or speech-language pathology licensing board to sue or be | ||
sued under applicable law shall not be affected; | ||
8. Purchase and maintain insurance and bonds; | ||
9. Borrow, accept, or contract for services of | ||
personnel, including, but not limited to, employees of a member | ||
state; | ||
10. Hire employees, elect or appoint officers, fix | ||
compensation, define duties, grant individuals appropriate | ||
authority to carry out the purposes of the Compact, and to establish | ||
the Commission's personnel policies and programs relating to | ||
conflicts of interest, qualifications of personnel, and other | ||
related personnel matters; | ||
11. Accept any and all appropriate donations and | ||
grants of money, equipment, supplies, materials and services, and | ||
to receive, utilize and dispose of the same; provided that at all | ||
times the Commission shall avoid any appearance of impropriety | ||
and/or conflict of interest; | ||
12. Lease, purchase, accept appropriate gifts or | ||
donations of, or otherwise to own, hold, improve or use, any | ||
property, real, personal or mixed; provided that at all times the | ||
Commission shall avoid any appearance of impropriety; | ||
13. Sell convey, mortgage, pledge, lease, exchange, | ||
abandon, or otherwise dispose of any property real, personal, or | ||
mixed; | ||
14. Establish a budget and make expenditures; | ||
15. Borrow money; | ||
16. Appoint committees, including standing committees | ||
composed of members, and other interested persons as may be | ||
designated in this Compact and the bylaws; | ||
17. Provide and receive information from, and | ||
cooperate with, law enforcement agencies; | ||
18. Establish and elect an Executive Committee; and | ||
19. Perform other functions as may be necessary or | ||
appropriate to achieve the purposes of this Compact consistent with | ||
the state regulation of audiology and speech-language pathology | ||
licensure and practice. | ||
D. The Executive Committee | ||
The Executive Committee shall have the power to act on behalf | ||
of the Commission according to the terms of this Compact: | ||
1. The Executive Committee shall be composed of ten | ||
(10) members: | ||
a. Seven (7) voting members who are elected by | ||
the Commission from the current membership of the Commission; | ||
b. Two (2) ex-officios, consisting of one | ||
nonvoting member from a recognized national audiology professional | ||
association and one nonvoting member from a recognized national | ||
speech-language pathology association; and | ||
c. One (1) ex-officio, nonvoting member from the | ||
recognized membership organization of the audiology and | ||
speech-language pathology licensing boards. | ||
E. The ex-officio members shall be selected by their | ||
respective organizations. | ||
1. The Commission may remove any member of the | ||
Executive Committee as provided in bylaws. | ||
2. The Executive Committee shall meet at least | ||
annually. | ||
3. The Executive Committee shall have the following | ||
duties and responsibilities: | ||
a. Recommend to the entire Commission changes to | ||
the rules or bylaws, changes to this Compact legislation, fees paid | ||
by Compact member states such as annual dues, and any commission | ||
Compact fee charged to licensees for the compact privilege; | ||
b. Ensure Compact administration services are | ||
appropriately provided, contractual or otherwise; | ||
c. Prepare and recommend the budget; | ||
d. Maintain financial records on behalf of the | ||
Commission; | ||
e. Monitor Compact compliance of member states | ||
and provide compliance reports to the Commission; | ||
f. Establish additional committees as necessary; | ||
and | ||
g. Other duties as provided in rules or bylaws. | ||
4. Meetings of the Commission | ||
All meetings shall be open to the public, and public notice of | ||
meetings shall be given in the same manner as required under the | ||
rulemaking provisions in Section 10. | ||
5. The Commission or the Executive Committee or other | ||
committees of the Commission may convene in a closed, non-public | ||
meeting if the Commission or Executive Committee or other | ||
committees of the Commission must discuss: | ||
a. Non-compliance of a member 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, threatened, or reasonably | ||
anticipated litigation; | ||
d. Negotiation of contracts for the purchase, | ||
lease, or sale of goods, services, or real estate; | ||
e. Accusing any person of a crime or formally | ||
censuring any person; | ||
f. Disclosure of trade secrets or commercial or | ||
financial information that is privileged or confidential; | ||
g. Disclosure of information of a personal nature | ||
where disclosure would constitute a clearly unwarranted invasion of | ||
personal privacy; | ||
h. Disclosure of investigative records compiled | ||
for law enforcement purposes; | ||
i. Disclosure of information related to any | ||
investigative 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 pursuant to the | ||
Compact; or | ||
j. Matters specifically exempted from disclosure | ||
by federal or member state statute. | ||
6. If a meeting, or portion of a meeting, is closed | ||
pursuant to this provision, the Commission's legal counsel or | ||
designee shall certify that the meeting may be closed and shall | ||
reference each relevant exempting provision. | ||
7. The Commission shall keep minutes that fully and | ||
clearly describe all matters discussed 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 minutes. All minutes and documents of a closed | ||
meeting shall remain under seal, subject to release by a majority | ||
vote of the Commission or order of a court of competent | ||
jurisdiction. | ||
8. Financing of the Commission | ||
a. The Commission shall pay, or provide for the | ||
payment of, the reasonable expenses of its establishment, | ||
organization, and ongoing activities. | ||
b. The Commission may accept any and all | ||
appropriate revenue sources, donations, and grants of money, | ||
equipment, supplies, materials, and services. | ||
c. The Commission may levy on and collect an | ||
annual assessment from each member state or impose fees on other | ||
parties 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 year for which revenue | ||
is not provided by other sources. The aggregate annual assessment | ||
amount shall be allocated based upon a formula to be determined by | ||
the Commission, which shall promulgate a rule binding upon all | ||
member states. | ||
9. 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 of the member states, | ||
except by and with the authority of the member state. | ||
10. The Commission shall keep accurate accounts of all | ||
receipts and disbursements. The receipts and disbursements of the | ||
Commission shall be subject to the audit and accounting procedures | ||
established under its bylaws. However, all receipts and | ||
disbursements of funds handled by the Commission shall be audited | ||
yearly by a certified or licensed public accountant, and the report | ||
of the audit shall be included in and become part of the annual | ||
report of the Commission. | ||
F. Qualified Immunity, Defense, and Indemnification | ||
1. The members, officers, executive director, | ||
employees and representatives of the Commission shall be immune | ||
from suit and liability, either personally or 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 person from suit and/or liability | ||
for any damage, loss, injury, or liability caused by the | ||
intentional or willful or wanton misconduct of that person. | ||
2. The Commission shall defend any member, officer, | ||
executive director, employee or representative of the Commission in | ||
any civil action seeking to impose liability arising out of any | ||
actual or alleged act, error, or omission that occurred within the | ||
scope of Commission employment, duties, or responsibilities, 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 | ||
herein shall be construed to prohibit that person from retaining | ||
his or her own counsel; and provided further, that the actual or | ||
alleged act, error, or omission did not result from that person's | ||
intentional or willful or wanton misconduct. | ||
3. The Commission shall indemnify and hold harmless | ||
any member, officer, executive director, employee, or | ||
representative of the Commission for the amount of any settlement | ||
or judgment obtained against that person arising out of any actual | ||
or alleged act, error or omission that occurred within the scope of | ||
Commission employment, duties, or responsibilities, or that person | ||
had a reasonable basis for believing occurred within the scope of | ||
Commission employment, duties, or responsibilities, provided that | ||
the actual or alleged act, error, or omission did not result from | ||
the intentional or willful or wanton misconduct of that person. | ||
SECTION 9. DATA SYSTEM | ||
A. The Commission shall provide for the development, | ||
maintenance, and utilization of a coordinated database and | ||
reporting system containing licensure, adverse action, and | ||
investigative information on all licensed individuals in member | ||
states. | ||
B. Notwithstanding any other provision of state law to the | ||
contrary, a member state shall submit a uniform data set to the data | ||
system on all individuals to whom this Compact is applicable as | ||
required by the rules of the Commission, including: | ||
1. Identifying information; | ||
2. Licensure data; | ||
3. Adverse actions against a license or compact | ||
privilege; | ||
4. Non-confidential information related to | ||
alternative program participation; | ||
5. Any denial of application for licensure, and the | ||
reason(s) for denial; and | ||
6. Other information that may facilitate the | ||
administration of this Compact, as determined by the rules of the | ||
Commission. | ||
C. Investigative information pertaining to a licensee in | ||
any member state shall only be available to other member states. | ||
D. The Commission shall promptly notify all member states of | ||
any adverse action taken against a licensee or an individual | ||
applying for a license. Adverse action information pertaining to a | ||
licensee in any member state shall be available to any other member | ||
state. | ||
E. Member 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. | ||
F. Any information submitted to the data system that is | ||
subsequently required to be expunged by the laws of the member state | ||
contributing the information shall be removed from the data system. | ||
SECTION 10. RULEMAKING | ||
A. The Commission shall exercise its rulemaking powers | ||
pursuant to the criteria set forth in this Section and the rules | ||
adopted thereunder. Rules and amendments shall become binding as | ||
of the date specified in each rule or amendment. | ||
B. If a majority of the legislatures of the member states | ||
rejects a rule, by enactment of a statute or resolution in the same | ||
manner used to adopt the Compact within 4 years of the date of | ||
adoption of the rule, the rule shall have no further force and | ||
effect in any member state. | ||
C. Rules or amendments to the rules shall be adopted at a | ||
regular or special meeting of the Commission. | ||
D. Prior to promulgation and adoption of a final rule or | ||
rules by the Commission, and at least thirty (30) days in advance of | ||
the meeting at which the rule shall be considered and voted upon, | ||
the Commission shall file a Notice of Proposed Rulemaking: | ||
1. On the website of the Commission or other publicly | ||
accessible platform; and | ||
2. On the website of each member state audiology or | ||
speech-language pathology licensing board or other publicly | ||
accessible platform or the publication in which each state would | ||
otherwise publish proposed rules. | ||
E. The Notice of Proposed Rulemaking shall include: | ||
1. The proposed time, date, and location of the | ||
meeting in which the rule shall be considered and voted upon; | ||
2. The text of the proposed rule or amendment and the | ||
reason for the proposed rule; | ||
3. A request for comments on the proposed rule from any | ||
interested person; and | ||
4. The manner in which interested persons may submit | ||
notice to the Commission of their intention to attend the public | ||
hearing and any written comments. | ||
F. Prior to the adoption of a proposed rule, the Commission | ||
shall allow persons to submit written data, facts, opinions and | ||
arguments, which shall be made available to the public. | ||
G. The Commission shall grant an opportunity for a public | ||
hearing before it adopts a rule or amendment if a hearing is | ||
requested by: | ||
1. At least twenty-five (25) persons; | ||
2. A state or federal governmental subdivision or | ||
agency; or | ||
3. An association having at least twenty-five (25) | ||
members. | ||
H. If a hearing is held on the proposed rule or amendment, | ||
the Commission shall publish the place, time, and date of the | ||
scheduled public hearing. If the hearing is held via electronic | ||
means, the Commission shall publish the mechanism for access to the | ||
electronic hearing. | ||
1. All persons wishing to be heard at the hearing shall | ||
notify the executive director of the Commission or other designated | ||
member in writing of their desire to appear and testify at the | ||
hearing not less than five (5) business days before the scheduled | ||
date of the hearing. | ||
2. Hearings shall be conducted in a manner providing | ||
each person who wishes to comment a fair and reasonable opportunity | ||
to comment orally or in writing. | ||
3. All hearings shall be recorded. A copy of the | ||
recording shall be made available on request. | ||
4. Nothing in this section shall be construed as | ||
requiring a separate hearing on each rule. Rules may be grouped for | ||
the convenience of the Commission at hearings required by this | ||
section. | ||
I. Following the scheduled hearing date, or by the close of | ||
business on the scheduled hearing date if the hearing was not held, | ||
the Commission shall consider all written and oral comments | ||
received. | ||
J. If no written notice of intent to attend the public | ||
hearing by interested parties is received, the Commission may | ||
proceed with promulgation of the proposed rule without a public | ||
hearing. | ||
K. The Commission shall, by majority vote of all members, | ||
take final action on the proposed rule and shall determine the | ||
effective date of the rule, if any, based on the rulemaking record | ||
and the full text of the rule. | ||
L. Upon determination that an emergency exists, the | ||
Commission may consider and adopt an emergency rule without prior | ||
notice, opportunity for comment, or hearing, 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 member state funds; | ||
or | ||
3. Meet a deadline for the promulgation of an | ||
administrative rule that is established by federal law or rule. | ||
M. The Commission or an authorized committee of the | ||
Commission may direct revisions to a previously adopted rule or | ||
amendment for purposes of correcting typographical 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 chair of the Commission prior to the end of the | ||
notice period. If no challenge is made, the revision shall take | ||
effect without further action. If the revision is challenged, the | ||
revision may not take effect without the approval of the | ||
Commission. | ||
SECTION 11. OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT | ||
A. Dispute Resolution | ||
1. Upon request by a member state, the Commission | ||
shall attempt to resolve disputes related to the Compact that arise | ||
among member states and between member and non-member states. | ||
2. The Commission shall promulgate a rule providing | ||
for both mediation and binding dispute resolution for disputes as | ||
appropriate. | ||
B. Enforcement | ||
1. The Commission, in the reasonable exercise of its | ||
discretion, shall enforce the provisions and rules of this Compact. | ||
2. By majority vote, the Commission may initiate legal | ||
action in the United States District Court for the District of | ||
Columbia or the federal district where the Commission has its | ||
principal offices against a member state in default to enforce | ||
compliance with the provisions of the Compact and its promulgated | ||
rules and bylaws. The relief sought may include both injunctive | ||
relief and damages. In the event judicial enforcement is necessary, | ||
the prevailing member shall be awarded all costs of litigation, | ||
including reasonable attorney's fees. | ||
3. The remedies herein shall not be the exclusive | ||
remedies of the Commission. The Commission may pursue any other | ||
remedies available under federal or state law. | ||
SECTION 12. DATE OF IMPLEMENTATION OF THE INTERSTATE COMMISSION | ||
FOR AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY PRACTICE AND | ||
ASSOCIATED RULES, WITHDRAWAL, AND AMENDMENT | ||
A. The Compact shall come into effect on the date on which | ||
the Compact statute is enacted into law in the 1Oth member state. | ||
The provisions, which become effective at that time, shall be | ||
limited to the powers granted to the Commission relating to | ||
assembly and the promulgation of rules. Thereafter, the Commission | ||
shall meet and exercise rulemaking powers necessary to the | ||
implementation and administration of the Compact. | ||
B. Any state that joins the Compact subsequent to the | ||
Commission's initial adoption of the rules shall be subject to the | ||
rules 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. | ||
C. Any member state may withdraw from this Compact by | ||
enacting a statute repealing the same. | ||
1. A member state's withdrawal shall not take effect | ||
until six (6) months after enactment of the repealing statute. | ||
2. Withdrawal shall not affect the continuing | ||
requirement of the withdrawing state's audiology or | ||
speech-language pathology licensing board to comply with the | ||
investigative and adverse action reporting requirements of this act | ||
prior to the effective date of withdrawal. | ||
D. Nothing contained in this Compact shall be construed to | ||
invalidate or prevent any audiology or speech-language pathology | ||
licensure agreement or other cooperative arrangement between a | ||
member state and a non-member state that does not conflict with the | ||
provisions of this Compact. | ||
E. This Compact may be amended by the member states. No | ||
amendment to this Compact shall become effective and binding upon | ||
any member state until it is enacted into the laws of all member | ||
states. | ||
SECTION 13. CONSTRUCTION AND SEVERABILITY | ||
This Compact shall be liberally construed so as to effectuate | ||
the purposes thereof. The provisions of this Compact shall be | ||
severable and if any phrase, clause, sentence or provision of this | ||
Compact is declared to be contrary to the constitution of any member | ||
state or of the United States or the applicability thereof to any | ||
government, agency, person or circumstance is held invalid, the | ||
validity of the remainder of this Compact and the applicability | ||
thereof to any government, agency, person or circumstance shall not | ||
be affected thereby. If this Compact shall be held contrary to the | ||
constitution of any member state, the Compact shall remain in full | ||
force and effect as to the remaining member states and in full force | ||
and effect as to the member state affected as to all severable | ||
matters. | ||
SECTION 14. BINDING EFFECT OF COMPACT AND OTHER LAWS | ||
A. Nothing herein prevents the enforcement of any other law | ||
of a member state that is not inconsistent with the Compact. | ||
B. All laws in a member state in conflict with the Compact | ||
are superseded to the extent of the conflict. | ||
C. All lawful actions of the Commission, including all rules | ||
and bylaws promulgated by the Commission, are binding upon the | ||
member states. | ||
D. All agreements between the Commission and the member | ||
states are binding in accordance with their terms. | ||
E. In the event any provision of the Compact exceeds the | ||
constitutional limits imposed on the legislature of any member | ||
state, the provision shall be ineffective to the extent of the | ||
conflict with the constitutional provision in question in that | ||
member state. | ||
Sec. 401.552. ADMINISTRATION OF COMPACT. The department is | ||
the Audiology and Speech-Language Pathology Compact administrator | ||
for this state. | ||
Sec. 401.553. RULES. The commission may adopt rules | ||
necessary to implement this subchapter. | ||
SECTION 2. This Act takes effect September 1, 2021. |