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7 LONG TITLE
8 General Description:
9 This bill enacts an interstate licensing compact to streamline the licensing of a
10 physician in multiple states.
11 Highlighted Provisions:
12 This bill:
13 ▸ establishes the purpose of the compact;
14 ▸ defines terms;
15 ▸ establishes eligibility for licensure under the compact;
16 ▸ establishes a license application issuance and renewal process;
17 ▸ establishes a database for physician licensure;
18 ▸ provides a process for joint investigations and disciplinary actions;
19 ▸ creates an Interstate Medical Licensure Compact Commission;
20 ▸ creates powers and duties for the Interstate Medical Licensure Compact
21 Commission, including:
22 • finance powers;
23 • organization and operation;
24 • rulemaking; and
25 • oversight;
26 ▸ establishes an enforcement mechanism and dispute resolution process for the
27 Interstate Medical Licensure Compact; and
28 ▸ provides a process for withdrawal from the compact and dissolution of the compact.
29 Money Appropriated in this Bill:
30 None
31 Other Special Clauses:
32 None
33 Utah Code Sections Affected:
34 ENACTS:
35 58-67b-101, Utah Code Annotated 1953
36 58-67b-102, Utah Code Annotated 1953
37 58-67b-103, Utah Code Annotated 1953
38 58-67b-104, Utah Code Annotated 1953
39 58-67b-105, Utah Code Annotated 1953
40 58-67b-106, Utah Code Annotated 1953
41 58-67b-107, Utah Code Annotated 1953
42 58-67b-108, Utah Code Annotated 1953
43 58-67b-109, Utah Code Annotated 1953
44 58-67b-110, Utah Code Annotated 1953
45 58-67b-111, Utah Code Annotated 1953
46 58-67b-112, Utah Code Annotated 1953
47 58-67b-113, Utah Code Annotated 1953
48 58-67b-114, Utah Code Annotated 1953
49 58-67b-115, Utah Code Annotated 1953
50 58-67b-116, Utah Code Annotated 1953
51 58-67b-117, Utah Code Annotated 1953
52 58-67b-118, Utah Code Annotated 1953
53 58-67b-119, Utah Code Annotated 1953
54 58-67b-120, Utah Code Annotated 1953
55 58-67b-121, Utah Code Annotated 1953
56 58-67b-122, Utah Code Annotated 1953
57 58-67b-123, Utah Code Annotated 1953
58 58-67b-124, Utah Code Annotated 1953
59 58-67b-125, Utah Code Annotated 1953
60
61 Be it enacted by the Legislature of the state of Utah:
62 Section 1. Section 58-67b-101 is enacted to read:
63
64 58-67b-101. Title.
65 This chapter is known as the "Interstate Medical Licensure Compact."
66 Section 2. Section 58-67b-102 is enacted to read:
67 58-67b-102. Section 1 -- Purpose.
68 In order to strengthen access to health care, and in recognition of the advances in the
69 delivery of health care, the member states of the Interstate Medical Licensure Compact have
70 allied in common purpose to develop a comprehensive process that complements the existing
71 licensing and regulatory authority of state medical boards and provides a streamlined process
72 that allows physicians to become licensed in multiple states, thereby enhancing the portability
73 of a medical license and ensuring the safety of patients. The Compact creates another pathway
74 for licensure and does not otherwise change a state's existing medical practice act. The
75 Compact also adopts the prevailing standard for licensure and affirms that the practice of
76 medicine occurs where the patient is located at the time of the physician-patient encounter, and
77 therefore, requires the physician to be under the jurisdiction of the state medical board where
78 the patient is located. State medical boards that participate in the Compact retain the
79 jurisdiction to impose an adverse action against a license to practice medicine in that state
80 issued to a physician through the procedures in the Compact.
81 Section 3. Section 58-67b-103 is enacted to read:
82 58-67b-103. Section 2 -- Definitions.
83 In this compact:
84 (1) "Bylaws" means those bylaws established by the Interstate Commission pursuant to
85 Section 58-67b-112 for its governance, or for directing and controlling its actions and conduct.
86 (2) "Commissioner" means the voting representative appointed by each member board
87 pursuant to Section 58-67b-112.
88 (3) "Conviction" means a finding by a court that an individual is guilty of a criminal
89 offense through adjudication, or entry of a plea of guilt or no contest to the charge by the
90 offender. Evidence of an entry of a conviction of a criminal offense by the court shall be
91 considered final for purposes of disciplinary action by a member board.
92 (4) "Expedited license" means a full and unrestricted medical license granted by a
93 member state to an eligible physician through the process set forth in the Compact.
94 (5) "Interstate Commission" means the interstate commission created pursuant to
95 Section 58-67b-112.
96 (6) "License" means authorization by a state for a physician to engage in the practice of
97 medicine, which would be unlawful without the authorization.
98 (7) "Medical practice act" means laws and regulations governing the practice of
99 allopathic and osteopathic medicine within a member state.
100 (8) "Member board" means a state agency in a member state that acts in the sovereign
101 interests of the state by protecting the public through licensure, regulation, and education of
102 physicians as directed by the state government.
103 (9) "Member state" means a state that has enacted the Compact.
104 (10) "Offense" means a felony, gross misdemeanor, or crime of moral turpitude.
105 (11) "Physician" means any person who:
106 (a) is a graduate of a medical school accredited by the Liaison Committee on Medical
107 Education, the Commission on Osteopathic College Accreditation, or a medical school listed in
108 the International Medical Education Directory or its equivalent;
109 (b) passed each component of the United States Medical Licensing Examination
110 (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination
111 (COMLEX-USA) within three attempts, or any of its predecessor examinations accepted by a
112 state medical board as an equivalent examination for licensure purposes;
113 (c) successfully completed graduate medical education approved by the Accreditation
114 Council for Graduate Medical Education or the American Osteopathic Association;
115 (d) holds specialty certification or a time-unlimited specialty certificate recognized by
116 the American Board of Medical Specialties or the American Osteopathic Association's Bureau
117 of Osteopathic Specialists;
118 (e) possesses a full and unrestricted license to engage in the practice of medicine issued
119 by a member board;
120 (f) has never been convicted, received adjudication, deferred adjudication, community
121 supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;
122 (g) has never held a license authorizing the practice of medicine subjected to discipline
123 by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related
124 to non-payment of fees related to a license;
125 (h) has never had a controlled substance license or permit suspended or revoked by a
126 state or the United States Drug Enforcement Administration; and
127 (i) is not under active investigation by a licensing agency or law enforcement authority
128 in any state, federal, or foreign jurisdiction.
129 (12) "Practice of medicine" means the clinical prevention, diagnosis, or treatment of
130 human disease, injury, or condition requiring a physician to obtain and maintain a license in
131 compliance with the medical practice act of a member state.
132 (13) "Rule" means a written statement by the Interstate Commission promulgated
133 pursuant to Section 58-67b-113 that is of general applicability, implements, interprets, or
134 prescribes a policy or provision of the Compact, or an organizational, procedural, or practice
135 requirement of the Interstate Commission, and has the force and effect of statutory law in a
136 member state, and includes the amendment, repeal, or suspension of an existing rule.
137 (14) "State" means any state, commonwealth, district, or territory of the United States.
138 (15) "State of principal license" means a member state where a physician holds a
139 license to practice medicine and which has been designated as such by the physician for
140 purposes of registration and participation in the Compact.
141 Section 4. Section 58-67b-104 is enacted to read:
142 58-67b-104. Section 3 -- Eligibility.
143 (1) A physician must meet the eligibility requirements as defined in Subsection
144 58-67b-103(11) to receive an expedited license under the terms and provisions of the Compact.
145 (2) A physician who does not meet the requirements of Subsection 58-67b-103(11)
146 may obtain a license to practice medicine in a member state if the individual complies with all
147 laws and requirements, other than the Compact, relating to the issuance of a license to practice
148 medicine in that state.
149 Section 5. Section 58-67b-105 is enacted to read:
150 58-67b-105. Section 4 -- Designation of state of principal license.
151 (1) A physician shall designate a member state as the state of principal license for
152 purposes of registration for expedited licensure through the Compact if the physician possesses
153 a full and unrestricted license to practice medicine in that state, and the state is:
154 (a) the state of primary residence for the physician;
155 (b) the state where at least 25% of the practice of medicine occurs;
156 (c) the location of the physician's employer; or
157 (d) if no state qualifies under Subsection (1)(a), Subsection (1)(b), or Subsection (1)(c),
158 the state designated as state of residence for purpose of federal income tax.
159 (2) A physician may redesignate a member state as state of principal license at any
160 time, as long as the state meets the requirements in Subsection (1).
161 (3) The Interstate Commission is authorized to develop rules to facilitate redesignation
162 of another member state as the state of principal license.
163 Section 6. Section 58-67b-106 is enacted to read:
164 58-67b-106. Section 5 -- Application and issuance of expedited licensure.
165 (1) A physician seeking licensure through the Compact shall file an application for an
166 expedited license with the member board of the state selected by the physician as the state of
167 principal license.
168 (2) Upon receipt of an application for an expedited license, the member board within
169 the state selected as the state of principal license shall evaluate whether the physician is eligible
170 for expedited licensure and issue a letter of qualification, verifying or denying the physician's
171 eligibility, to the Interstate Commission, including:
172 (a) static qualifications, which include verification of medical education, graduate
173 medical education, results of any medical or licensing examination, and other qualifications as
174 determined by the Interstate Commission through rule, shall not be subject to additional
175 primary source verification where the primary source has already been verified by the state of
176 principal license;
177 (b) (i) the member board within the state selected as the state of principal license shall,
178 in the course of verifying eligibility, perform a criminal background check of an applicant,
179 including the use of the results of fingerprint or other biometric data checks compliant with the
180 requirements of the Federal Bureau of Investigation, with the exception of federal employees
181 who have suitability determination in accordance with U.S. C.F.R. Sec. 731.202; and
182 (ii) if the state selected as the state of principal license is Utah:
183 (A) the member board in Utah shall submit the applicant's fingerprints and any other
184 personal identification information necessary for the performance of the background check to
185 the Bureau of Criminal Identification within the Utah Department of Public Safety; and
186 (B) the Bureau of Criminal Identification shall perform the background check,
187 including submitting the personal identification information to the Federal Bureau of
188 Investigation, and inform the member board of the results; and
189 (c) appeal on the determination of eligibility shall be made to the member state where
190 the application was filed and shall be subject to the law of that state.
191 (3) Upon verification in Subsection (2), physicians eligible for an expedited license
192 shall complete the registration process established by the Interstate Commission to receive a
193 license in a member state selected pursuant to Subsection (1), including the payment of any
194 applicable fees.
195 (4) After receiving verification of eligibility under Subsection (2) and any fees under
196 Subsection (3), a member board shall issue an expedited license to the physician. This license
197 shall authorize the physician to practice medicine in the issuing state consistent with the
198 medical practice act and all applicable laws and regulations of the issuing member board and
199 member state.
200 (5) An expedited license shall be valid for a period consistent with the licensure period
201 in the member state and in the same manner as required for other physicians holding a full and
202 unrestricted license within the member state.
203 (6) An expedited license obtained though the Compact shall be terminated if a
204 physician fails to maintain a license in the state of principal licensure for a non-disciplinary
205 reason, without redesignation of a new state of principal licensure.
206 (7) The Interstate Commission is authorized to develop rules regarding the application
207 process, including payment of any applicable fees, and the issuance of an expedited license.
208 Section 7. Section 58-67b-107 is enacted to read:
209 58-67b-107. Section 6 -- Fees for expedited licensure.
210 (1) A member state issuing an expedited license authorizing the practice of medicine in
211 that state may impose a fee for a license issued or renewed through the Compact.
212 (2) The Interstate Commission is authorized to develop rules regarding fees for
213 expedited licenses.
214 Section 8. Section 58-67b-108 is enacted to read:
215 58-67b-108. Section 7 -- Renewal and continued participation.
216 (1) A physician seeking to renew an expedited license granted in a member state shall
217 complete a renewal process with the Interstate Commission if the physician:
218 (a) maintains a full and unrestricted license in a state of principal license;
219 (b) has not been convicted or received adjudication, deferred adjudication, community
220 supervision, or deferred disposition for any offense by a court of appropriate jurisdiction;
221 (c) has not had a license authorizing the practice of medicine subject to discipline by a
222 licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to
223 non-payment of fees related to a license; and
224 (d) has not had a controlled substance license or permit suspended or revoked by a
225 state or the United States Drug Enforcement Administration.
226 (2) Physicians shall comply with all continuing professional development or continuing
227 medical education requirements for renewal of a license issued by a member state.
228 (3) The Interstate Commission shall collect any renewal fees charged for the renewal of
229 a license and distribute the fees to the applicable member board.
230 (4) Upon receipt of any renewal fees collected in Subsection (3), a member board shall
231 renew the physician's license.
232 (5) Physician information collected by the Interstate Commission during the renewal
233 process will be distributed to all member boards.
234 (6) The Interstate Commission is authorized to develop rules to address renewal of
235 licenses obtained through the Compact.
236 Section 9. Section 58-67b-109 is enacted to read:
237 58-67b-109. Section 8 -- Coordinated information system.
238 (1) The Interstate Commission shall establish a database of all physicians licensed, or
239 who have applied for licensure, under Section 58-67b-106.
240 (2) Notwithstanding any other provision of law, member boards shall report to the
241 Interstate Commission any public action or complaints against a licensed physician who has
242 applied or received an expedited license through the Compact.
243 (3) Member boards shall report disciplinary or investigatory information determined as
244 necessary and proper by rule of the Interstate Commission.
245 (4) Member boards may report any non-public complaint, disciplinary, or investigatory
246 information not required by Subsection (3) to the Interstate Commission.
247 (5) Member boards shall share complaint or disciplinary information about a physician
248 upon request of another member board.
249 (6) All information provided to the Interstate Commission or distributed by member
250 boards shall be confidential, filed under seal, and used only for investigatory or disciplinary
251 matters.
252 (7) The Interstate Commission is authorized to develop rules for mandated or
253 discretionary sharing of information by member boards.
254 Section 10. Section 58-67b-110 is enacted to read:
255 58-67b-110. Section 9 -- Joint investigations.
256 (1) Licensure and disciplinary records of physicians are deemed investigative.
257 (2) In addition to the authority granted to a member board by its respective medical
258 practice act or other applicable state law, a member board may participate with other member
259 boards in joint investigations of physicians licensed by the member boards.
260 (3) A subpoena issued by a member state shall be enforceable in other member states.
261 (4) Member boards may share any investigative, litigation, or compliance materials in
262 furtherance of any joint or individual investigation initiated under the Compact.
263 (5) Any member state may investigate actual or alleged violations of the statutes
264 authorizing the practice of medicine in any other member state in which a physician holds a
265 license to practice medicine.
266 Section 11. Section 58-67b-111 is enacted to read:
267 58-67b-111. Section 10 -- Disciplinary actions.
268 (1) Any disciplinary action taken by any member board against a physician licensed
269 through the Compact shall be deemed unprofessional conduct which may be subject to
270 discipline by other member boards, in addition to any violation of the medical practice act or
271 regulations in that state.
272 (2) If a license granted to a physician by the member board in the state of principal
273 license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all
274 licenses issued to the physician by member boards shall automatically be placed, without
275 further action necessary by any member board, on the same status. If the member board in the
276 state of principal license subsequently reinstates the physician's license, a license issued to the
277 physician by any other member board shall remain encumbered until that respective member
278 board takes action to reinstate the license in a manner consistent with the medical practice act
279 of that state.
280 (3) If disciplinary action is taken against a physician by a member board not in the state
281 of principal license, any other member board may deem the action conclusive as to matter of
282 law and fact decided, and:
283 (a) impose the same or lesser sanctions against the physician so long as such sanctions
284 are consistent with the medical practice act of that state; or
285 (b) pursue separate disciplinary action against the physician under its respective
286 medical practice act, regardless of the action taken in other member states.
287 (4) If a license granted to a physician by a member board is revoked, surrendered or
288 relinquished in lieu of discipline, or suspended, then any licenses issued to the physician by any
289 other member boards shall be suspended, automatically and immediately without further action
290 necessary by the other member boards, for 90 days upon entry of the order by the disciplining
291 board, to permit the member boards to investigate the basis for the action under the medical
292 practice act of that state. A member board may terminate the automatic suspension of the
293 license it issued prior to the completion of the 90-day suspension period in a manner consistent
294 with the medical practice act of that state.
295 Section 12. Section 58-67b-112 is enacted to read:
296 58-67b-112. Section 11 -- Interstate Medical Licensure Compact Commission.
297 (1) The member states hereby create the "Interstate Medical Licensure Compact
298 Commission."
299 (2) The purpose of the Interstate Commission is the administration of the Interstate
300 Medical Licensure Compact, which is a discretionary state function.
301 (3) The Interstate Commission shall be a body corporate and joint agency of the
302 member states and shall have all the responsibilities, powers, and duties set forth in the
303 Compact, and such additional powers as may be conferred upon it by a subsequent concurrent
304 action of the respective legislatures of the member states in accordance with the terms of the
305 Compact.
306 (4) The Interstate Commission shall consist of two voting representatives appointed by
307 each member state who shall serve as commissioners. In states where allopathic and
308 osteopathic physicians are regulated by separate member boards, or if the licensing and
309 disciplinary authority is split between multiple member boards within a member state, the
310 member state shall appoint one representative from each member board. A commissioner shall
311 be:
312 (a) an allopathic or osteopathic physician appointed to a member board;
313 (b) an executive director, executive secretary, or similar executive of a member board;
314 or
315 (c) a member of the public appointed to a member board.
316 (5) The Interstate Commission shall meet at least once each calendar year. A portion
317 of this meeting shall be a business meeting to address such matters as may properly come
318 before the commission, including the election of officers. The chairperson may call additional
319 meetings and shall call for a meeting upon the request of a majority of the member states.
320 (6) The bylaws may provide for meetings of the Interstate Commission to be conducted
321 by telecommunication or electronic communication.
322 (7) Each commissioner participating at a meeting of the Interstate Commission is
323 entitled to one vote. A majority of commissioners shall constitute a quorum for the transaction
324 of business, unless a larger quorum is required by the bylaws of the Interstate Commission. A
325 commissioner shall not delegate a vote to another commissioner. In the absence of its
326 commissioner, a member state may delegate voting authority for a specified meeting to another
327 person from that state who shall meet the requirements of Subsection (4).
328 (8) The Interstate Commission shall provide public notice of all meetings and all
329 meetings shall be open to the public. The Interstate Commission may close a meeting, in full
330 or in portion, where it determines by a two-thirds vote of the commissioners present that an
331 open meeting would be likely to:
332 (a) relate solely to the internal personnel practices and procedures of the Interstate
333 Commission;
334 (b) discuss matters specifically exempted from disclosure by federal statute;
335 (c) discuss trade secrets, commercial, or financial information that is privileged or
336 confidential;
337 (d) involve accusing a person of a crime, or formally censuring a person;
338 (e) discuss information of a personal nature where disclosure would constitute a clearly
339 unwarranted invasion of personal privacy;
340 (f) discuss investigative records compiled for law enforcement purposes; or
341 (g) specifically relate to the participation in a civil action or other legal proceeding.
342 (9) The Interstate Commission shall keep minutes which shall fully describe all matters
343 discussed in a meeting and shall provide a full and accurate summary of actions taken,
344 including record of any roll call votes.
345 (10) The Interstate Commission shall make its information and official records, to the
346 extent not otherwise designated in the Compact or by its rules, available to the public for
347 inspection.
348 (11) The Interstate Commission shall establish an executive committee, which shall
349 include officers, members, and others as determined by the bylaws. The executive committee
350 shall have the power to act on behalf of the Interstate Commission, with the exception of
351 rulemaking, during periods when the Interstate Commission is not in session. When acting on
352 behalf of the Interstate Commission, the executive committee shall oversee the administration
353 of the Compact including enforcement and compliance with the provisions of the Compact, its
354 bylaws and rules, and other such duties as necessary.
355 (12) The Interstate Commission may establish other committees for governance and
356 administration of the Compact.
357 Section 13. Section 58-67b-113 is enacted to read:
358 58-67b-113. Section 12 -- Powers and duties of the Interstate Commission.
359 The Interstate Commission shall have the duty and power to:
360 (1) oversee and maintain the administration of the Compact;
361 (2) promulgate rules which shall be binding to the extent and in the manner provided
362 for in the Compact;
363 (3) issue, upon the request of a member state or member board, advisory opinions
364 concerning the meaning or interpretation of the Compact, its bylaws, rules, and actions;
365 (4) enforce compliance with Compact provisions, the rules promulgated by the
366 Interstate Commission, and the bylaws, using all necessary and proper means, including but not
367 limited to the use of judicial process;
368 (5) establish and appoint committees including, but not limited to, an executive
369 committee as required by Section 58-67b-112, which shall have the power to act on behalf of
370 the Interstate Commission in carrying out its powers and duties;
371 (6) pay, or provide for the payment of the expenses related to the establishment,
372 organization, and ongoing activities of the Interstate Commission;
373 (7) establish and maintain one or more offices;
374 (8) borrow, accept, hire, or contract for services of personnel;
375 (9) purchase and maintain insurance and bonds;
376 (10) employ an executive director who shall have the power to employ, select, or
377 appoint employees, agents, or consultants, and to determine their qualifications, define their
378 duties, and fix their compensation;
379 (11) establish personnel policies and programs relating to conflicts of interest, rates of
380 compensation, and qualifications of personnel;
381 (12) accept donations and grants of money, equipment, supplies, materials, and
382 services, and to receive, utilize, and dispose of it in a manner consistent with the conflict of
383 interest policies established by the Interstate Commission;
384 (13) lease, purchase, accept contributions or donations of, or otherwise own, hold,
385 improve, or use, any property, real, personal, or mixed;
386 (14) sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of
387 any property, real, personal, or mixed;
388 (15) establish a budget and make expenditures;
389 (16) adopt a seal and bylaws governing the management and operation of the Interstate
390 Commission;
391 (17) report annually to the legislatures and governors of the member states concerning
392 the activities of the Interstate Commission during the preceding year, which shall include
393 reports of financial audits and any recommendations that may have been adopted by the
394 Interstate Commission;
395 (18) coordinate education, training, and public awareness regarding the Compact, its
396 implementation, and its operation;
397 (19) maintain records in accordance with the bylaws;
398 (20) seek and obtain trademarks, copyrights, and patents; and
399 (21) perform such functions as may be necessary or appropriate to achieve the purposes
400 of the Compact.
401 Section 14. Section 58-67b-114 is enacted to read:
402 58-67b-114. Section 13 -- Finance powers.
403 (1) The Interstate Commission may levy and collect an annual assessment from each
404 member state to cover the cost of the operations and activities of the Interstate Commission and
405 its staff. The total assessment must be sufficient to cover the annual budget approved each year
406 for which revenue is not provided by other sources. The aggregate annual assessment amount
407 shall be allocated upon a formula to be determined by the Interstate Commission, which shall
408 promulgate a rule binding upon all member states.
409 (2) The Interstate Commission shall not incur obligations of any kind prior to securing
410 the funds adequate to meet the same.
411 (3) The Interstate Commission shall not pledge the credit of any of the member states,
412 except by, and with the authority of, the member state.
413 (4) The Interstate Commission shall be subject to a yearly financial audit conducted by
414 a certified or licensed public accountant and the report of the audit shall be included in the
415 annual report of the Interstate Commission.
416 Section 15. Section 58-67b-115 is enacted to read:
417 58-67b-115. Section 14 -- Organization and operation of the Interstate
418 Commission.
419 (1) The Interstate Commission shall, by a majority of commissioners present and
420 voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the
421 purposes of the Compact within 12 months of the first Interstate Commission meeting.
422 (2) The Interstate Commission shall elect or appoint annually from among its
423 commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have
424 such authority and duties as may be specified in the bylaws. The chairperson, or in the
425 chairperson's absence or disability, the vice-chairperson, shall preside at all meetings of the
426 Interstate Commission.
427 (3) Officers selected in Subsection (2) shall serve without remuneration from the
428 Interstate Commission.
429 (4) (a) The officers and employees of the Interstate Commission shall be immune from
430 suit and liability, either personally or in their official capacity, for a claim for damage to or loss
431 of property or personal injury or other civil liability caused or arising out of, or relating to, an
432 actual or alleged act, error, or omission that occurred, or that such person had a reasonable
433 basis for believing occurred, within the scope of Interstate Commission employment, duties, or
434 responsibilities, provided that such person shall not be protected from suit or liability for
435 damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of
436 such person.
437 (b) The liability of the executive director and employees of the Interstate Commission
438 or representatives of the Interstate Commission, acting within the scope of such person's
439 employment or duties for acts, errors, or omissions occurring within such person's state, may
440 not exceed the limits of liability set forth under the constitution and laws of that state for state
441 officials, employees, and agents. The Interstate Commission is considered to be an
442 instrumentality of the states for the purposes of any such action. Nothing in this Subsection
443 (4)(b) shall be construed to protect such person from suit or liability for damage, loss, injury, or
444 liability caused by the intentional or willful and wanton misconduct of such person.
445 (c) The Interstate Commission shall defend the executive director, its employees, and
446 subject to the approval of the attorney general or other appropriate legal counsel of the member
447 state represented by an Interstate Commission representative, such Interstate Commission
448 representative in any civil action seeking to impose liability arising out of an actual or alleged
449 act, error, or omission that occurred within the scope of Interstate Commission employment,
450 duties or responsibilities, or that the defendant had a reasonable basis for believing occurred
451 within the scope of Interstate Commission employment, duties, or responsibilities, provided
452 that the actual or alleged act, error, or omission did not result from intentional or willful and
453 wanton misconduct on the part of such person.
454 (d) To the extent not covered by the state involved, the member state, or the Interstate
455 Commission, the representatives or employees of the Interstate Commission shall be held
456 harmless in the amount of a settlement or judgment, including attorney fees and costs, obtained
457 against such persons arising out of an actual or alleged act, error, or omission that occurred
458 within the scope of Interstate Commission employment, duties, or responsibilities, or that such
459 persons had a reasonable basis for believing occurred within the scope of Interstate
460 Commission employment, duties, or responsibilities, provided that the actual or alleged act,
461 error, or omission did not result from intentional or willful and wanton misconduct on the part
462 of such persons.
463 Section 16. Section 58-67b-116 is enacted to read:
464 58-67b-116. Section 15 -- Rulemaking functions of the Interstate Commission.
465 (1) The Interstate Commission shall promulgate reasonable rules in order to effectively
466 and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the
467 event the Interstate Commission exercises its rulemaking authority in a manner that is beyond
468 the scope of the purposes of the Compact, or the powers granted hereunder, then such an action
469 by the Interstate Commission shall be invalid and have no force or effect.
470 (2) Rules deemed appropriate for the operations of the Interstate Commission shall be
471 made pursuant to a rulemaking process that substantially conforms to the "Revised Model State
472 Administrative Procedure Act" of 2010, and subsequent amendments thereto.
473 (3) Not later than 30 days after a rule is promulgated, any person may file a petition for
474 judicial review of the rule in the United States District Court for the District of Columbia or the
475 federal district where the Interstate Commission has its principal offices, provided that the
476 filing of such a petition shall not stay or otherwise prevent the rule from becoming effective
477 unless the court finds that the petitioner has a substantial likelihood of success. The court shall
478 give deference to the actions of the Interstate Commission consistent with applicable law and
479 shall not find the rule to be unlawful if the rule represents a reasonable exercise of the authority
480 granted to the Interstate Commission.
481 Section 17. Section 58-67b-117 is enacted to read:
482 58-67b-117. Section 16 -- Oversight of Interstate Compact.
483 (1) The executive, legislative, and judicial branches of state government in each
484 member state shall enforce the Compact and shall take all actions necessary and appropriate to
485 effectuate the Compact's purposes and intent. The provisions of the Compact and the rules
486 promulgated hereunder shall have standing as statutory law but shall not override existing state
487 authority to regulate the practice of medicine.
488 (2) All courts shall take judicial notice of the Compact and the rules in any judicial or
489 administrative proceeding in a member state pertaining to the subject matter of the Compact
490 which may affect the powers, responsibilities, or actions of the Interstate Commission.
491 (3) The Interstate Commission shall be entitled to receive all service of process in any
492 such proceeding, and shall have standing to intervene in the proceeding for all purposes.
493 Failure to provide service of process to the Interstate Commission shall render a judgment or
494 order void as to the Interstate Commission, the Compact, or promulgated rules.
495 Section 18. Section 58-67b-118 is enacted to read:
496 58-67b-118. Section 17 -- Enforcement of Interstate Compact.
497 (1) The Interstate Commission, in the reasonable exercise of its discretion, shall
498 enforce the provisions and rules of the Compact.
499 (2) The Interstate Commission may, by majority vote of the commissioners, initiate
500 legal action in the United States District Court for the District of Columbia, or, at the discretion
501 of the Interstate Commission, in the federal district where the Interstate Commission has its
502 principal offices, to enforce compliance with the provisions of the Compact, and its
503 promulgated rules and bylaws, against a member state in default. The relief sought may
504 include both injunctive relief and damages. In the event judicial enforcement is necessary, the
505 prevailing party shall be awarded all costs of such litigation including reasonable attorney fees.
506 (3) The remedies herein shall not be the exclusive remedies of the Interstate
507 Commission. The Interstate Commission may avail itself of any other remedies available
508 under state law or the regulation of a profession.
509 Section 19. Section 58-67b-119 is enacted to read:
510 58-67b-119. Section 18 -- Default procedures.
511 (1) The grounds for default include, but are not limited to, failure of a member state to
512 perform such obligations or responsibilities imposed upon it by the Compact, or the rules and
513 bylaws of the Interstate Commission promulgated under the Compact.
514 (2) If the Interstate Commission determines that a member state has defaulted in the
515 performance of its obligations or responsibilities under the Compact, or the bylaws or
516 promulgated rules, the Interstate Commission shall:
517 (a) provide written notice to the defaulting state and other member states, of the nature
518 of the default, the means of curing the default, and any action taken by the Interstate
519 Commission. The Interstate Commission shall specify the conditions by which the defaulting
520 state must cure its default; and
521 (b) provide remedial training and specific technical assistance regarding the default.
522 (3) If the defaulting state fails to cure the default, the defaulting state shall be
523 terminated from the Compact upon an affirmative vote of a majority of the commissioners and
524 all rights, privileges, and benefits conferred by the Compact shall terminate on the effective
525 date of termination. A cure of the default does not relieve the offending state of obligations or
526 liabilities incurred during the period of the default.
527 (4) Termination of membership in the Compact shall be imposed only after all other
528 means of securing compliance have been exhausted. Notice of intent to terminate shall be
529 given by the Interstate Commission to the governor, the majority and minority leaders of the
530 defaulting state's legislature, and each of the member states.
531 (5) The Interstate Commission shall establish rules and procedures to address licenses
532 and physicians that are materially impacted by the termination of a member state, or the
533 withdrawal of a member state.
534 (6) The member state which has been terminated is responsible for all dues,
535 obligations, and liabilities incurred through the effective date of termination including
536 obligations, the performance of which extends beyond the effective date of termination.
537 (7) The Interstate Commission shall not bear any costs relating to any state that has
538 been found to be in default or which has been terminated from the Compact, unless otherwise
539 mutually agreed upon in writing between the Interstate Commission and the defaulting state.
540 (8) The defaulting state may appeal the action of the Interstate Commission by
541 petitioning the United States District Court for the District of Columbia or the federal district
542 where the Interstate Commission has its principal offices. The prevailing party shall be
543 awarded all costs of such litigation including reasonable attorney fees.
544 Section 20. Section 58-67b-120 is enacted to read:
545 58-67b-120. Section 19 -- Dispute resolution.
546 (1) The Interstate Commission shall attempt, upon the request of a member state, to
547 resolve disputes which are subject to the Compact and which may arise among member states
548 or member boards.
549 (2) The Interstate Commission shall promulgate rules providing for both mediation and
550 binding dispute resolution as appropriate.
551 Section 21. Section 58-67b-121 is enacted to read:
552 58-67b-121. Section 20 -- Member states, effective date and amendment.
553 (1) Any state is eligible to become a member state of the Compact.
554 (2) The Compact shall become effective and binding upon legislative enactment of the
555 Compact into law by no less than seven states. Thereafter, it shall become effective and
556 binding on a state upon enactment of the Compact into law by that state.
557 (3) The governors of non-member states, or their designees, shall be invited to
558 participate in the activities of the Interstate Commission on a non-voting basis prior to adoption
559 of the Compact by all states.
560 (4) The Interstate Commission may propose amendments to the Compact for
561 enactment by the member states. No amendment shall become effective and binding upon the
562 Interstate Commission and the member states unless and until it is enacted into law by
563 unanimous consent of the member states.
564 Section 22. Section 58-67b-122 is enacted to read:
565 58-67b-122. Section 21 -- Withdrawal.
566 (1) Once effective, the Compact shall continue in force and remain binding upon each
567 and every member state, provided that a member state may withdraw from the Compact by
568 specifically repealing the statute that enacted the Compact into law.
569 (2) Withdrawal from the Compact shall be by the enactment of a statute repealing the
570 same, but shall not take effect until one year after the effective date of such statute and until
571 written notice of the withdrawal has been given by the withdrawing state to the governor of
572 each other member state.
573 (3) The withdrawing state shall immediately notify the chairperson of the Interstate
574 Commission in writing upon the introduction of legislation repealing the Compact in the
575 withdrawing state.
576 (4) The Interstate Commission shall notify the other member states of the withdrawing
577 state's intent to withdraw within 60 days of its receipt of notice provided under Subsection (3).
578 (5) The withdrawing state is responsible for all dues, obligations, and liabilities
579 incurred through the effective date of withdrawal, including obligations, the performance of
580 which extend beyond the effective date of withdrawal.
581 (6) Reinstatement following withdrawal of a member state shall occur upon the
582 withdrawing state reenacting the Compact or upon such later date as determined by the
583 Interstate Commission.
584 (7) The Interstate Commission is authorized to develop rules to address the impact of
585 the withdrawal of a member state on licenses granted in other member states to physicians who
586 designated the withdrawing member state as the state of principal license.
587 Section 23. Section 58-67b-123 is enacted to read:
588 58-67b-123. Section 22 -- Dissolution.
589 (1) The Compact shall dissolve effective upon the date of the withdrawal or default of
590 the member state that reduces the membership in the Compact to one member state.
591 (2) Upon the dissolution of the Compact, the Compact becomes null and void and shall
592 be of no further force or effect, and the business and affairs of the Interstate Commission shall
593 be concluded and surplus funds shall be distributed in accordance with the bylaws.
594 Section 24. Section 58-67b-124 is enacted to read:
595 58-67b-124. Section 23 -- Severability and construction.
596 (1) The provisions of the Compact shall be severable, and if any phrase, clause,
597 sentence, or provision is deemed unenforceable, the remaining provisions of the Compact shall
598 be enforceable.
599 (2) The provisions of the Compact shall be liberally construed to effectuate its
600 purposes.
601 (3) Nothing in the Compact shall be construed to prohibit the applicability of other
602 interstate compacts to which the states are members.
603 Section 25. Section 58-67b-125 is enacted to read:
604 58-67b-125. Section 24 -- Binding effect of Compact and other laws.
605 (1) Nothing herein prevents the enforcement of any other law of a member state that is
606 not inconsistent with the Compact.
607 (2) All laws in a member state, including Title 63G, Chapter 4, Administrative
608 Procedures Act, in conflict with the Compact are superseded to the extent of the conflict.
609 (3) All lawful actions of the Interstate Commission, including all rules and bylaws
610 promulgated by the Commission, are binding upon the member states.
611 (4) All agreements between the Interstate Commission and the member states are
612 binding in accordance with their terms.
613 (5) In the event any provision of the Compact exceeds the constitutional limits imposed
614 on the legislature of any member state, such provision shall be ineffective to the extent of the
615 conflict with the constitutional provision in question in that member state.