1     
OCCUPATIONAL THERAPY LICENSURE COMPACT

2     
2021 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Gene Davis

5     
House Sponsor: Susan Pulsipher

6     

7     LONG TITLE
8     General Description:
9          This bill enacts the Occupational Therapy Licensure Compact.
10     Highlighted Provisions:
11          This bill:
12          ▸     enacts the Occupational Therapy Licensure Compact; and
13          ▸     authorizes the Division of Occupational and Professional Licensing to make rules to
14     implement the Occupational Therapy Licensure Compact.
15     Money Appropriated in this Bill:
16          None
17     Other Special Clauses:
18          None
19     Utah Code Sections Affected:
20     ENACTS:
21          58-42b-101, Utah Code Annotated 1953
22          58-42b-201, Utah Code Annotated 1953
23          58-42b-202, Utah Code Annotated 1953
24          58-42b-203, Utah Code Annotated 1953
25          58-42b-204, Utah Code Annotated 1953
26          58-42b-205, Utah Code Annotated 1953
27          58-42b-206, Utah Code Annotated 1953

28          58-42b-207, Utah Code Annotated 1953
29          58-42b-208, Utah Code Annotated 1953
30          58-42b-209, Utah Code Annotated 1953
31          58-42b-210, Utah Code Annotated 1953
32          58-42b-211, Utah Code Annotated 1953
33          58-42b-212, Utah Code Annotated 1953
34          58-42b-213, Utah Code Annotated 1953
35          58-42b-214, Utah Code Annotated 1953
36          58-42b-301, Utah Code Annotated 1953
37     

38     Be it enacted by the Legislature of the state of Utah:
39          Section 1. Section 58-42b-101 is enacted to read:
40     
CHAPTER 42b. OCCUPATIONAL THERAPY LICENSURE COMPACT

41          58-42b-101. Title.
42          This chapter is known as the "Occupational Therapy Licensure Compact."
43          Section 2. Section 58-42b-201 is enacted to read:
44     
Part 2. Compact Text

45          58-42b-201. Section 1 -- Purpose.
46          The purpose of this Compact is to facilitate interstate practice of Occupational Therapy
47     with the goal of improving public access to Occupational Therapy services. The Practice of
48     Occupational Therapy occurs in the State where the patient/client is located at the time of the
49     patient/client encounter. The Compact preserves the regulatory authority of States to protect
50     public health and safety through the current system of State licensure.
51          This Compact is designed to achieve the following objectives:
52          (A) Increase public access to Occupational Therapy services by providing for the
53     mutual recognition of other Member State licenses;
54          (B) Enhance the States' ability to protect the public's health and safety;
55          (C) Encourage the cooperation of Member States in regulating multi-State
56     Occupational Therapy Practice;
57          (D) Support spouses of relocating military members;
58          (E) Enhance the exchange of licensure, investigative, and disciplinary information

59     between Member States;
60          (F) Allow a Remote State to hold a provider of services with a Compact Privilege in
61     that State accountable to that State's practice standards; and
62          (G) Facilitate the use of Telehealth technology in order to increase access to
63     Occupational Therapy services.
64          Section 3. Section 58-42b-202 is enacted to read:
65          58-42b-202. Section 2 -- Definitions.
66          As used in this Compact, and except as otherwise provided, the following definitions
67     shall apply:
68          (A) "Active Duty Military" means full-time duty status in the active uniformed service
69     of the United States, including members of the National Guard and Reserve on active duty
70     orders pursuant to 10 U.S.C. Chapter 1209 and Section 1211.
71          (B) "Adverse Action" means any administrative, civil, equitable, or criminal action
72     permitted by a State's laws which is imposed by a Licensing Board or other authority against an
73     Occupational Therapist or Occupational Therapy Assistant, including actions against an
74     individual's license or Compact Privilege such as censure, revocation, suspension, probation,
75     monitoring of the Licensee, or restriction on the Licensee's practice.
76          (C) "Alternative Program" means a non-disciplinary monitoring process approved by
77     an Occupational Therapy Licensing Board.
78          (D) "Compact Privilege" means the authorization, which is equivalent to a license,
79     granted by a Remote State to allow a Licensee from another Member State to practice as an
80     Occupational Therapist or practice as an Occupational Therapy Assistant in the Remote State
81     under its laws and rules. The Practice of Occupational Therapy occurs in the Member State
82     where the patient/client is located at the time of the patient/client encounter.
83          (E) "Continuing Competence/Education" means a requirement, as a condition of
84     license renewal, to provide evidence of participation in, and/or completion of, educational and
85     professional activities relevant to practice or area of work.
86          (F) "Current Significant Investigative Information" means Investigative Information
87     that a Licensing Board, after an inquiry or investigation that includes notification and an
88     opportunity for the Occupational Therapist or Occupational Therapy Assistant to respond, if
89     required by State law, has reason to believe is not groundless and, if proved true, would

90     indicate more than a minor infraction.
91          (G) "Data System" means a repository of information about Licensees, including but
92     not limited to license status, Investigative Information, Compact Privileges, and Adverse
93     Actions.
94          (H) "Encumbered License" means a license in which an Adverse Action restricts the
95     Practice of Occupational Therapy by the Licensee or said Adverse Action has been reported to
96     the National Practitioners Data Bank (NPDB).
97          (I) "Executive Committee" means a group of directors elected or appointed to act on
98     behalf of, and within the powers granted to them by, the Commission.
99          (J) "Home State" means the Member State that is the Licensee's Primary State of
100     Residence.
101          (K) "Impaired Practitioner" means individuals whose professional practice is adversely
102     affected by substance abuse, addiction, or other health-related conditions.
103          (L) "Investigative Information" means information, records, and/or documents received
104     or generated by an Occupational Therapy Licensing Board pursuant to an investigation.
105          (M) "Jurisprudence Requirement" means the assessment of an individual's knowledge
106     of the laws and rules governing the Practice of Occupational Therapy in a State.
107          (N) "Licensee" means an individual who currently holds an authorization from the
108     State to practice as an Occupational Therapist or as an Occupational Therapy Assistant.
109          (O) "Member State" means a State that has enacted the Compact.
110          (P) "Occupational Therapist" means an individual who is licensed by a State to practice
111     Occupational Therapy.
112          (Q) "Occupational Therapy Assistant" means an individual who is licensed by a State
113     to assist in the Practice of Occupational Therapy.
114          (R) "Occupational Therapy," "Occupational Therapy Practice," and the "Practice of
115     Occupational Therapy" mean the care and services provided by an Occupational Therapist or
116     an Occupational Therapy Assistant as set forth in the Member State's statutes and regulations.
117          (S) "Occupational Therapy Compact Commission" or "Commission" means the
118     national administrative body whose membership consists of all States that have enacted the
119     Compact.
120          (T) "Occupational Therapy Licensing Board" or "Licensing Board" means the agency

121     of a State that is authorized to license and regulate Occupational Therapists and Occupational
122     Therapy Assistants.
123          (U) "Primary State of Residence" means the state (also known as the Home State) in
124     which an Occupational Therapist or Occupational Therapy Assistant who is not Active Duty
125     Military declares a primary residence for legal purposes as verified by: driver's license, federal
126     income tax return, lease, deed, mortgage or voter registration or other verifying documentation
127     as further defined by Commission Rules.
128          (V) "Remote State" means a Member State other than the Home State, where a
129     Licensee is exercising or seeking to exercise the Compact Privilege.
130          (W) "Rule" means a regulation promulgated by the Commission that has the force of
131     law.
132          (X) "State" means any state, commonwealth, district, or territory of the United States of
133     America that regulates the Practice of Occupational Therapy.
134          (Y) "Single-State License" means an Occupational Therapist or Occupational Therapy
135     Assistant license issued by a Member State that authorizes practice only within the issuing
136     State and does not include a Compact Privilege in any other Member State.
137          (Z) "Telehealth" means the application of telecommunication technology to deliver
138     Occupational Therapy services for assessment, intervention and/or consultation.
139          Section 4. Section 58-42b-203 is enacted to read:
140          58-42b-203. Section 3 -- State participation in the compact.
141          (A) To participate in the Compact, a Member State shall:
142          (1) License Occupational Therapists and Occupational Therapy Assistants;
143          (2) Participate fully in the Commission's Data System, including but not limited to
144     using the Commission's unique identifier as defined in Rules of the Commission;
145          (3) Have a mechanism in place for receiving and investigating complaints about
146     Licensees;
147          (4) Notify the Commission, in compliance with the terms of the Compact and Rules, of
148     any Adverse Action or the availability of Investigative Information regarding a Licensee;
149          (5) Implement or utilize procedures for considering the criminal history records of
150     applicants for an initial Compact Privilege. These procedures shall include the submission of
151     fingerprints or other biometric-based information by applicants for the purpose of obtaining an

152     applicant's criminal history record information from the Federal Bureau of Investigation and
153     the agency responsible for retaining that State's criminal records;
154          (a) A Member State shall, within a time frame established by the Commission, require
155     a criminal background check for a Licensee seeking/applying for a Compact Privilege whose
156     Primary State of Residence is that Member State, by receiving the results of the Federal Bureau
157     of Investigation criminal record search, and shall use the results in making licensure decisions.
158          (b) Communication between a Member State, the Commission and among Member
159     States regarding the verification of eligibility for licensure through the Compact shall not
160     include any information received from the Federal Bureau of Investigation relating to a federal
161     criminal records check performed by a Member State under Public Law 92-544.
162          (6) Comply with the Rules of the Commission;
163          (7) Utilize only a recognized national examination as a requirement for licensure
164     pursuant to the Rules of the Commission; and
165          (8) Have Continuing Competence/Education requirements as a condition for license
166     renewal.
167          (B) A Member State shall grant the Compact Privilege to a Licensee holding a valid
168     unencumbered license in another Member State in accordance with the terms of the Compact
169     and Rules.
170          (C) Member States may charge a fee for granting a Compact Privilege.
171          (D) A Member State shall provide for the State's delegate to attend all Occupational
172     Therapy Compact Commission meetings.
173          (E) Individuals not residing in a Member State shall continue to be able to apply for a
174     Member State's Single-State License as provided under the laws of each Member State.
175     However, the Single-State License granted to these individuals shall not be recognized as
176     granting the Compact Privilege in any other Member State.
177          (F) Nothing in this Compact shall affect the requirements established by a Member
178     State for the issuance of a Single-State License.
179          Section 5. Section 58-42b-204 is enacted to read:
180          58-42b-204. Section 4 -- Compact privilege.
181          (A) To exercise the Compact Privilege under the terms and provisions of the Compact,
182     the Licensee shall:

183          (1) Hold a license in the Home State;
184          (2) Have a valid United States Social Security Number or National Provider Identifier
185     number;
186          (3) Have no encumbrance on any State license;
187          (4) Be eligible for a Compact Privilege in any Member State in accordance with
188     Subsections (D), (F), (G), and (H);
189          (5) Have paid all fines and completed all requirements resulting from any Adverse
190     Action against any license or Compact Privilege, and two years have elapsed from the date of
191     such completion;
192          (6) Notify the Commission that the Licensee is seeking the Compact Privilege within a
193     Remote State(s);
194          (7) Pay any applicable fees, including any State fee, for the Compact Privilege;
195          (8) Complete a criminal background check in accordance with Subsection
196     58-42b-203(A)(5);
197          (a) The Licensee shall be responsible for the payment of any fee associated with the
198     completion of a criminal background check.
199          (9) Meet any Jurisprudence Requirements established by the Remote State(s) in which
200     the Licensee is seeking a Compact Privilege; and
201          (10) Report to the Commission Adverse Action taken by any non-Member State within
202     30 days from the date the Adverse Action is taken.
203          (B) The Compact Privilege is valid until the expiration date of the Home State license.
204     The Licensee must comply with the requirements of Subsection 58-42b-204(A) to maintain the
205     Compact Privilege in the Remote State.
206          (C) A Licensee providing Occupational Therapy in a Remote State under the Compact
207     Privilege shall function within the laws and regulations of the Remote State.
208          (D) Occupational Therapy Assistants practicing in a Remote State shall be supervised
209     by an Occupational Therapist licensed or holding a Compact Privilege in that Remote State.
210          (E) A Licensee providing Occupational Therapy in a Remote State is subject to that
211     State's regulatory authority. A Remote State may, in accordance with due process and that
212     State's laws, remove a Licensee's Compact Privilege in the Remote State for a specific period
213     of time, impose fines, and/or take any other necessary actions to protect the health and safety of

214     its citizens. The Licensee may be ineligible for a Compact Privilege in any State until the
215     specific time for removal has passed and all fines are paid.
216          (F) If a Home State license is encumbered, the Licensee shall lose the Compact
217     Privilege in any Remote State until the following occur:
218          (1) The Home State license is no longer encumbered; and
219          (2) Two years have elapsed from the date on which the Home State license is no longer
220     encumbered in accordance with Subsection 58-42b-204(F)(1).
221          (G) Once an Encumbered License in the Home State is restored to good standing, the
222     Licensee must meet the requirements of Subsection (A) to obtain a Compact Privilege in any
223     Remote State.
224          (H) If a Licensee's Compact Privilege in any Remote State is removed, the individual
225     may lose the Compact Privilege in any other Remote State until the following occur:
226          (1) The specific period of time for which the Compact Privilege was removed has
227     ended;
228          (2) All fines have been paid and all conditions have been met;
229          (3) Two years have elapsed from the date of completing requirements for Subsections
230     (H)(1) and (2); and
231          (4) The Compact Privileges are reinstated by the Commission, and the compact Data
232     System is updated to reflect reinstatement.
233          (I) If a Licensee's Compact Privilege in any Remote State is removed due to an
234     erroneous charge, privileges shall be restored through the compact Data System.
235          (J) Once the requirements of Subsection (H) have been met, the licensee must meet the
236     requirements in Subsection (A) to obtain a Compact Privilege in a Remote State.
237          Section 6. Section 58-42b-205 is enacted to read:
238          58-42b-205. Section 5 -- Obtaining a new home state license by virtue of a
239     compact privilege.
240          (A) An Occupational Therapist or Occupational Therapy Assistant may hold a Home
241     State license, which allows for Compact Privileges in Member States, in only one Member
242     State at a time.
243          (B) If an Occupational Therapist or Occupational Therapy Assistant changes Primary
244     State of Residence by moving between two Member States:

245          (1) The Occupational Therapist or Occupational Therapy Assistant shall file an
246     application for obtaining a new Home State license by virtue of a Compact Privilege, pay all
247     applicable fees, and notify the current and new Home State in accordance with applicable
248     Rules adopted by the Commission.
249          (2) Upon receipt of an application for obtaining a new Home State license by virtue of
250     compact privilege, the new Home State shall verify that the Occupational Therapist or
251     Occupational Therapy Assistant meets the pertinent criteria outlined in Section 58-42b-204 via
252     the Data System, without need for primary source verification except for:
253          (a) an FBI fingerprint based criminal background check if not previously performed or
254     updated pursuant to applicable Rules adopted by the Commission in accordance with Public
255     Law 92-544;
256          (b) other criminal background check as required by the new Home State; and
257          (c) submission of any requisite Jurisprudence Requirements of the new Home State.
258          (3) The former Home State shall convert the former Home State license into a
259     Compact Privilege once the new Home State has activated the new Home State license in
260     accordance with applicable Rules adopted by the Commission.
261          (4) Notwithstanding any other provision of this Compact, if the Occupational Therapist
262     or Occupational Therapy Assistant cannot meet the criteria in Section 58-42b-204, the new
263     Home State shall apply its requirements for issuing a new Single-State License.
264          (5) The Occupational Therapist or the Occupational Therapy Assistant shall pay all
265     applicable fees to the new Home State in order to be issued a new Home State license.
266          (C) If an Occupational Therapist or Occupational Therapy Assistant changes Primary
267     State of Residence by moving from a Member State to a non-Member State, or from a
268     non-Member State to a Member State, the State criteria shall apply for issuance of a
269     Single-State License in the new State.
270          (D) Nothing in this compact shall interfere with a Licensee's ability to hold a
271     Single-State License in multiple States; however, for the purposes of this compact, a Licensee
272     shall have only one Home State license.
273          (E) Nothing in this Compact shall affect the requirements established by a Member
274     State for the issuance of a Single-State License.
275          Section 7. Section 58-42b-206 is enacted to read:

276          58-42b-206. Section 6 -- Active duty military personnel or their spouses.
277          (A) Active Duty Military personnel, or their spouses, shall designate a Home State
278     where the individual has a current license in good standing. The individual may retain the
279     Home State designation during the period the service member is on active duty. Subsequent to
280     designating a Home State, the individual shall only change their Home State through
281     application for licensure in the new State or through the process described in Section
282     58-42b-205.
283          Section 8. Section 58-42b-207 is enacted to read:
284          58-42b-207. Section 7 -- Adverse actions.
285          (A) A Home State shall have exclusive power to impose Adverse Action against an
286     Occupational Therapist's or Occupational Therapy Assistant's license issued by the Home State.
287          (B) In addition to the other powers conferred by State law, a Remote State shall have
288     the authority, in accordance with existing State due process law, to:
289          (1) Take Adverse Action against an Occupational Therapist's or Occupational Therapy
290     Assistant's Compact Privilege within that Member State.
291          (2) Issue subpoenas for both hearings and investigations that require the attendance and
292     testimony of witnesses as well as the production of evidence. Subpoenas issued by a Licensing
293     Board in a Member State for the attendance and testimony of witnesses or the production of
294     evidence from another Member State shall be enforced in the latter State by any court of
295     competent jurisdiction, according to the practice and procedure of that court applicable to
296     subpoenas issued in proceedings pending before it. The issuing authority shall pay any witness
297     fees, travel expenses, mileage, and other fees required by the service statutes of the State in
298     which the witnesses or evidence are located.
299          (C) For purposes of taking Adverse Action, the Home State shall give the same priority
300     and effect to reported conduct received from a Member State as it would if the conduct had
301     occurred within the Home State. In so doing, the Home State shall apply its own State laws to
302     determine appropriate action.
303          (D) The Home State shall complete any pending investigations of an Occupational
304     Therapist or Occupational Therapy Assistant who changes Primary State of Residence during
305     the course of the investigations. The Home State, where the investigations were initiated, shall
306     also have the authority to take appropriate action(s) and shall promptly report the conclusions

307     of the investigations to the Occupational Therapy Compact Commission Data System. The
308     Occupational Therapy Compact Commission Data System administrator shall promptly notify
309     the new Home State of any Adverse Actions.
310          (E) A Member State, if otherwise permitted by State law, may recover from the
311     affected Occupational Therapist or Occupational Therapy Assistant the costs of investigations
312     and disposition of cases resulting from any Adverse Action taken against that Occupational
313     Therapist or Occupational Therapy Assistant.
314          (F) A Member State may take Adverse Action based on the factual findings of the
315     Remote State, provided that the Member State follows its own procedures for taking the
316     Adverse Action.
317          (G) Joint Investigations
318          (1) In addition to the authority granted to a Member State by its respective State
319     Occupational Therapy laws and regulations or other applicable State law, any Member State
320     may participate with other Member States in joint investigations of Licensees.
321          (2) Member States shall share any investigative, litigation, or compliance materials in
322     furtherance of any joint or individual investigation initiated under the Compact.
323          (H) If an Adverse Action is taken by the Home State against an Occupational
324     Therapist's or Occupational Therapy Assistant's license, the Occupational Therapist's or
325     Occupational Therapy Assistant's Compact Privilege in all other Member States shall be
326     deactivated until all encumbrances have been removed from the State license. All Home State
327     disciplinary orders that impose Adverse Action against an Occupational Therapist's or
328     Occupational Therapy Assistant's license shall include a Statement that the Occupational
329     Therapist's or Occupational Therapy Assistant's Compact Privilege is deactivated in all
330     Member States during the pendency of the order.
331          (I) If a Member State takes Adverse Action, it shall promptly notify the administrator
332     of the Data System. The administrator of the Data System shall promptly notify the Home State
333     of any Adverse Actions by Remote States.
334          (J) Nothing in this Compact shall override a Member State's decision that participation
335     in an Alternative Program may be used in lieu of Adverse Action.
336          Section 9. Section 58-42b-208 is enacted to read:
337          58-42b-208. Section 8 -- Establishment of the Occupational Therapy Compact

338     Commission.
339          (A) The Compact Member States hereby create and establish a joint public agency
340     known as the Occupational Therapy Compact Commission.
341          (1) The Commission is an instrumentality of the Compact States.
342          (2) Venue is proper and judicial proceedings by or against the Commission shall be
343     brought solely and exclusively in a court of competent jurisdiction where the principal office of
344     the Commission is located. The Commission may waive venue and jurisdictional defenses to
345     the extent it adopts or consents to participate in alternative dispute resolution proceedings.
346          (3) Nothing in this Compact shall be construed to be a waiver of sovereign immunity.
347          (B) Membership, Voting, and Meetings
348          (1) Each Member State shall have and be limited to one delegate selected by that
349     Member State's Licensing Board.
350          (2) The delegate shall be either:
351          (a) A current member of the Licensing Board, who is an Occupational Therapist,
352     Occupational Therapy Assistant, or public member; or
353          (b) An administrator of the Licensing Board.
354          (3) Any delegate may be removed or suspended from office as provided by the law of
355     the State from which the delegate is appointed.
356          (4) The Member State board shall fill any vacancy occurring in the Commission within
357     90 days.
358          (5) Each delegate shall be entitled to one vote with regard to the promulgation of Rules
359     and creation of bylaws and shall otherwise have an opportunity to participate in the business
360     and affairs of the Commission. A delegate shall vote in person or by such other means as
361     provided in the bylaws. The bylaws may provide for delegates' participation in meetings by
362     telephone or other means of communication.
363          (6) The Commission shall meet at least once during each calendar year. Additional
364     meetings shall be held as set forth in the bylaws.
365          (7) The Commission shall establish by Rule a term of office for delegates.
366          (C) The Commission shall have the following powers and duties:
367          (1) Establish a Code of Ethics for the Commission;
368          (2) Establish the fiscal year of the Commission;

369          (3) Establish bylaws;
370          (4) Maintain its financial records in accordance with the bylaws;
371          (5) Meet and take such actions as are consistent with the provisions of this Compact
372     and the bylaws;
373          (6) Promulgate uniform Rules to facilitate and coordinate implementation and
374     administration of this Compact. The Rules shall have the force and effect of law and shall be
375     binding in all Member States;
376          (7) Bring and prosecute legal proceedings or actions in the name of the Commission,
377     provided that the standing of any State Occupational Therapy Licensing Board to sue or be
378     sued under applicable law shall not be affected;
379          (8) Purchase and maintain insurance and bonds;
380          (9) Borrow, accept, or contract for services of personnel, including, but not limited to,
381     employees of a Member State;
382          (10) Hire employees, elect or appoint officers, fix compensation, define duties, grant
383     such individuals appropriate authority to carry out the purposes of the Compact, and establish
384     the Commission's personnel policies and programs relating to conflicts of interest,
385     qualifications of personnel, and other related personnel matters;
386          (11) Accept any and all appropriate donations and grants of money, equipment,
387     supplies, materials and services, and receive, utilize and dispose of the same, provided that at
388     all times the Commission shall avoid any appearance of impropriety and/or conflict of interest;
389          (12) Lease, purchase, accept appropriate gifts or donations of, or otherwise own, hold,
390     improve or use, any property, real, personal or mixed, provided that at all times the
391     Commission shall avoid any appearance of impropriety;
392          (13) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of
393     any property real, personal, or mixed;
394          (14) Establish a budget and make expenditures;
395          (15) Borrow money;
396          (16) Appoint committees, including standing committees composed of members, State
397     regulators, State legislators or their representatives, and consumer representatives, and such
398     other interested persons as may be designated in this Compact and the bylaws;
399          (17) Provide and receive information from, and cooperate with, law enforcement

400     agencies;
401          (18) Establish and elect an Executive Committee; and
402          (19) Perform such other functions as may be necessary or appropriate to achieve the
403     purposes of this Compact consistent with the State regulation of Occupational Therapy
404     licensure and practice.
405          (D) The Executive Committee. The Executive Committee shall have the power to act
406     on behalf of the Commission according to the terms of this Compact.
407          (1) The Executive Committee shall be composed of nine members:
408          (a) Seven voting members who are elected by the Commission from the current
409     membership of the Commission;
410          (b) One ex-officio, nonvoting member from a recognized national Occupational
411     Therapy professional association; and
412          (c) One ex-officio, nonvoting member from a recognized national Occupational
413     Therapy certification organization.
414          (2) The ex-officio members will be selected by their respective organizations.
415          (3) The Commission may remove any member of the Executive Committee as
416     provided in bylaws.
417          (4) The Executive Committee shall meet at least annually.
418          (5) The Executive Committee shall have the following Duties and responsibilities:
419          (a) Recommend to the entire Commission changes to the Rules or bylaws, changes to
420     this Compact legislation, fees paid by Compact Member States such as annual dues, and any
421     Commission Compact fee charged to Licensees for the Compact Privilege;
422          (b) Ensure Compact administration services are appropriately provided, contractual or
423     otherwise;
424          (c) Prepare and recommend the budget;
425          (d) Maintain financial records on behalf of the Commission;
426          (e) Monitor Compact compliance of Member States and provide compliance reports to
427     the Commission;
428          (f) Establish additional committees as necessary; and
429          (g) Perform other duties as provided in Rules or bylaws.
430          (E) Meetings of the Commission

431          (1) All meetings shall be open to the public, and public notice of meetings shall be
432     given in the same manner as required under the Rulemaking provisions in Section 58-42b-210.
433          (2) The Commission or the Executive Committee or other committees of the
434     Commission may convene in a closed, non-public meeting if the Commission or Executive
435     Committee or other committees of the Commission must discuss:
436          (a) Non-compliance of a Member State with its obligations under the Compact;
437          (b) The employment, compensation, discipline or other matters, practices or procedures
438     related to specific employees or other matters related to the Commission's internal personnel
439     practices and procedures;
440          (c) Current, threatened, or reasonably anticipated litigation;
441          (d) Negotiation of contracts for the purchase, lease, or sale of goods, services, or real
442     estate;
443          (e) Accusing any person of a crime or formally censuring any person;
444          (f) Disclosure of trade secrets or commercial or financial information that is privileged
445     or confidential;
446          (g) Disclosure of information of a personal nature where disclosure would constitute a
447     clearly unwarranted invasion of personal privacy;
448          (h) Disclosure of investigative records compiled for law enforcement purposes;
449          (i) Disclosure of information related to any investigative reports prepared by or on
450     behalf of or for use of the Commission or other committee charged with responsibility of
451     investigation or determination of compliance issues pursuant to the Compact; or
452          (j) Matters specifically exempted from disclosure by federal or Member State statute.
453          (3) If a meeting, or portion of a meeting, is closed pursuant to this provision, the
454     Commission's legal counsel or designee shall certify that the meeting may be closed and shall
455     reference each relevant exempting provision.
456          (4) The Commission shall keep minutes that fully and clearly describe all matters
457     discussed in a meeting and shall provide a full and accurate summary of actions taken, and the
458     reasons therefore, including a description of the views expressed. All documents considered in
459     connection with an action shall be identified in such minutes. All minutes and documents of a
460     closed meeting shall remain under seal, subject to release by a majority vote of the Commission
461     or order of a court of competent jurisdiction.

462          (F) Financing of the Commission
463          (1) The Commission shall pay, or provide for the payment of, the reasonable expenses
464     of its establishment, organization, and ongoing activities.
465          (2) The Commission may accept any and all appropriate revenue sources, donations,
466     and grants of money, equipment, supplies, materials, and services.
467          (3) The Commission may levy on and collect an annual assessment from each Member
468     State or impose fees on other parties to cover the cost of the operations and activities of the
469     Commission and its staff, which must be in a total amount sufficient to cover its annual budget
470     as approved by the Commission each year for which revenue is not provided by other sources.
471     The aggregate annual assessment amount shall be allocated based upon a formula to be
472     determined by the Commission, which shall promulgate a Rule binding upon all Member
473     States.
474          (4) The Commission shall not incur obligations of any kind prior to securing the funds
475     adequate to meet the same, nor shall the Commission pledge the credit of any of the Member
476     States, except by and with the authority of the Member State.
477          (5) The Commission shall keep accurate accounts of all receipts and disbursements.
478     The receipts and disbursements of the Commission shall be subject to the audit and accounting
479     procedures established under its bylaws. However, all receipts and disbursements of funds
480     handled by the Commission shall be audited yearly by a certified or licensed public accountant,
481     and the report of the audit shall be included in and become part of the annual report of the
482     Commission.
483          (G) Qualified Immunity, Defense, and Indemnification
484          (1) The members, officers, executive director, employees and representatives of the
485     Commission shall be immune from suit and liability, either personally or in their official
486     capacity, for any claim for damage to or loss of property or personal injury or other civil
487     liability caused by or arising out of any actual or alleged act, error or omission that occurred, or
488     that the person against whom the claim is made had a reasonable basis for believing occurred
489     within the scope of Commission employment, duties or responsibilities, provided that nothing
490     in this paragraph shall be construed to protect any such person from suit and/or liability for any
491     damage, loss, injury, or liability caused by the intentional or willful or wanton misconduct of
492     that person.

493          (2) The Commission shall defend any member, officer, executive director, employee,
494     or representative of the Commission in any civil action seeking to impose liability arising out
495     of any actual or alleged act, error, or omission that occurred within the scope of Commission
496     employment, duties, or responsibilities, or that the person against whom the claim is made had
497     a reasonable basis for believing occurred within the scope of Commission employment, duties,
498     or responsibilities, provided that nothing herein shall be construed to prohibit that person from
499     retaining his or her own counsel, and provided further, that the actual or alleged act, error, or
500     omission did not result from that person's intentional or willful or wanton misconduct.
501          (3) The Commission shall indemnify and hold harmless any member, officer, executive
502     director, employee, or representative of the Commission for the amount of any settlement or
503     judgment obtained against that person arising out of any actual or alleged act, error or omission
504     that occurred within the scope of Commission employment, duties, or responsibilities, or that
505     such person had a reasonable basis for believing occurred within the scope of Commission
506     employment, duties, or responsibilities, provided that the actual or alleged act, error, or
507     omission did not result from the intentional or willful or wanton misconduct of that person.
508          Section 10. Section 58-42b-209 is enacted to read:
509          58-42b-209. Section 9 -- Data system.
510          (A) The Commission shall provide for the development, maintenance, and utilization
511     of a coordinated database and reporting system containing licensure, Adverse Action, and
512     Investigative Information on all licensed individuals in Member States.
513          (B) A Member State shall submit a uniform data set to the Data System on all
514     individuals to whom this Compact is applicable (utilizing a unique identifier) as required by the
515     Rules of the Commission, including:
516          (1) Identifying information;
517          (2) Licensure data;
518          (3) Adverse Actions against a license or Compact Privilege;
519          (4) Non-confidential information related to Alternative Program participation;
520          (5) Any denial of application for licensure, and the reason(s) for such denial;
521          (6) Other information that may facilitate the administration of this Compact, as
522     determined by the Rules of the Commission; and
523          (7) Current Significant Investigative Information.

524          (C) Current Significant Investigative Information and other Investigative Information
525     pertaining to a Licensee in any Member State will only be available to other Member States.
526          (D) The Commission shall promptly notify all Member States of any Adverse Action
527     taken against a Licensee or an individual applying for a license. Adverse Action information
528     pertaining to a Licensee in any Member State will be available to any other Member State.
529          (E) Member States contributing information to the Data System may designate
530     information that may not be shared with the public without the express permission of the
531     contributing State.
532          (F) Any information submitted to the Data System that is subsequently required to be
533     expunged by the laws of the Member State contributing the information shall be removed from
534     the Data System.
535          Section 11. Section 58-42b-210 is enacted to read:
536          58-42b-210. Section 10 -- Rulemaking.
537          (A) The Commission shall exercise its Rulemaking powers pursuant to the criteria set
538     forth in this Section and the Rules adopted thereunder. Rules and amendments shall become
539     binding as of the date specified in each Rule or amendment.
540          (B) The Commission shall promulgate reasonable rules in order to effectively and
541     efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, in the event
542     the Commission exercises its rulemaking authority in a manner that is beyond the scope of the
543     purposes of the Compact, or the powers granted hereunder, then such an action by the
544     Commission shall be invalid and have no force and effect.
545          (C) If a majority of the legislatures of the Member States rejects a Rule, by enactment
546     of a statute or resolution in the same manner used to adopt the Compact within four years of
547     the date of adoption of the Rule, then such Rule shall have no further force and effect in any
548     Member State.
549          (D) Rules or amendments to the Rules shall be adopted at a regular or special meeting
550     of the Commission.
551          (E) Prior to promulgation and adoption of a final Rule or Rules by the Commission,
552     and at least thirty (30) days in advance of the meeting at which the Rule will be considered and
553     voted upon, the Commission shall file a Notice of Proposed Rulemaking:
554          (1) On the website of the Commission or other publicly accessible platform; and

555          (2) On the website of each Member State Occupational Therapy Licensing Board or
556     other publicly accessible platform or the publication in which each State would otherwise
557     publish proposed Rules.
558          (F) The Notice of Proposed Rulemaking shall include:
559          (1) The proposed time, date, and location of the meeting in which the Rule will be
560     considered and voted upon;
561          (2) The text of the proposed Rule or amendment and the reason for the proposed Rule;
562          (3) A request for comments on the proposed Rule from any interested person; and
563          (4) The manner in which interested persons may submit notice to the Commission of
564     their intention to attend the public hearing and any written comments.
565          (G) Prior to adoption of a proposed Rule, the Commission shall allow persons to
566     submit written data, facts, opinions, and arguments, which shall be made available to the
567     public.
568          (H) The Commission shall grant an opportunity for a public hearing before it adopts a
569     Rule or amendment if a hearing is requested by:
570          (1) At least 25 persons;
571          (2) A State or federal governmental subdivision or agency; or
572          (3) An association or organization having at least 25 members.
573          (I) If a hearing is held on the proposed Rule or amendment, the Commission shall
574     publish the place, time, and date of the scheduled public hearing. If the hearing is held via
575     electronic means, the Commission shall publish the mechanism for access to the electronic
576     hearing.
577          (1) All persons wishing to be heard at the hearing shall notify the executive director of
578     the Commission or other designated member in writing of their desire to appear and testify at
579     the hearing not less than five business days before the scheduled date of the hearing.
580          (2) Hearings shall be conducted in a manner providing each person who wishes to
581     comment a fair and reasonable opportunity to comment orally or in writing.
582          (3) All hearings will be recorded. A copy of the recording will be made available on
583     request.
584          (4) Nothing in this section shall be construed as requiring a separate hearing on each
585     Rule. Rules may be grouped for the convenience of the Commission at hearings required by

586     this section.
587          (J) Following the scheduled hearing date, or by the close of business on the scheduled
588     hearing date if the hearing was not held, the Commission shall consider all written and oral
589     comments received.
590          (K) If no written notice of intent to attend the public hearing by interested parties is
591     received, the Commission may proceed with promulgation of the proposed Rule without a
592     public hearing.
593          (L) The Commission shall, by majority vote of all members, take final action on the
594     proposed Rule and shall determine the effective date of the Rule, if any, based on the
595     Rulemaking record and the full text of the Rule.
596          (M) Upon determination that an emergency exists, the Commission may consider and
597     adopt an emergency Rule without prior notice, opportunity for comment, or hearing, provided
598     that the usual Rulemaking procedures provided in the Compact and in this section shall be
599     retroactively applied to the Rule as soon as reasonably possible, in no event later than ninety
600     (90) days after the effective date of the Rule. For the purposes of this provision, an emergency
601     Rule is one that must be adopted immediately in order to:
602          (1) Meet an imminent threat to public health, safety, or welfare;
603          (2) Prevent a loss of Commission or Member State funds;
604          (3) Meet a deadline for the promulgation of an administrative Rule that is established
605     by federal law or Rule; or
606          (4) Protect public health and safety.
607          (N) The Commission or an authorized committee of the Commission may direct
608     revisions to a previously adopted Rule or amendment for purposes of correcting typographical
609     errors, errors in format, errors in consistency, or grammatical errors. Public notice of any
610     revisions shall be posted on the website of the Commission. The revision shall be subject to
611     challenge by any person for a period of 30 days after posting. The revision may be challenged
612     only on grounds that the revision results in a material change to a Rule. A challenge shall be
613     made in writing and delivered to the chair of the Commission prior to the end of the notice
614     period. If no challenge is made, the revision will take effect without further action. If the
615     revision is challenged, the revision may not take effect without the approval of the
616     Commission.

617          Section 12. Section 58-42b-211 is enacted to read:
618          58-42b-211. Section 11 -- Oversight, dispute resolution, and enforcement.
619          (A) Oversight
620          (1) The executive, legislative, and judicial branches of State government in each
621     Member State shall enforce this Compact and take all actions necessary and appropriate to
622     effectuate the Compact's purposes and intent. The provisions of this Compact and the Rules
623     promulgated hereunder shall have standing as statutory law.
624          (2) All courts shall take judicial notice of the Compact and the Rules in any judicial or
625     administrative proceeding in a Member State pertaining to the subject matter of this Compact
626     which may affect the powers, responsibilities, or actions of the Commission.
627          (3) The Commission shall be entitled to receive service of process in any such
628     proceeding and shall have standing to intervene in such a proceeding for all purposes. Failure
629     to provide service of process to the Commission shall render a judgment or order void as to the
630     Commission, this Compact, or promulgated Rules.
631          (B) Default, Technical Assistance, and Termination
632          (1) If the Commission determines that a Member State has defaulted in the
633     performance of its obligations or responsibilities under this Compact or the promulgated Rules,
634     the Commission shall:
635          (a) Provide written notice to the defaulting State and other Member States of the nature
636     of the default, the proposed means of curing the default, and/or any other action to be taken by
637     the Commission; and
638          (b) Provide remedial training and specific technical assistance regarding the default.
639          (2) If a State in default fails to cure the default, the defaulting State may be terminated
640     from the Compact upon an affirmative vote of a majority of the Member States, and all rights,
641     privileges, and benefits conferred by this Compact may be terminated on the effective date of
642     termination. A cure of the default does not relieve the offending State of obligations or
643     liabilities incurred during the period of default.
644          (3) Termination of membership in the Compact shall be imposed only after all other
645     means of securing compliance have been exhausted. Notice of intent to suspend or terminate
646     shall be given by the Commission to the governor, the majority and minority leaders of the
647     defaulting State's legislature, and each of the Member States.

648          (4) A State that has been terminated is responsible for all assessments, obligations, and
649     liabilities incurred through the effective date of termination, including obligations that extend
650     beyond the effective date of termination.
651          (5) The Commission shall not bear any costs related to a State that is found to be in
652     default or that has been terminated from the Compact, unless agreed upon in writing between
653     the Commission and the defaulting State.
654          (6) The defaulting State may appeal the action of the Commission by petitioning the
655     U.S. District Court for the District of Columbia or the federal district where the Commission
656     has its principal offices. The prevailing member shall be awarded all costs of such litigation,
657     including reasonable attorney's fees.
658          (C) Dispute Resolution
659          (1) Upon request by a Member State, the Commission shall attempt to resolve disputes
660     related to the Compact that arise among Member States and between member and non-Member
661     States.
662          (2) The Commission shall promulgate a Rule providing for both mediation and binding
663     dispute resolution for disputes as appropriate.
664          (D) Enforcement
665          (1) The Commission, in the reasonable exercise of its discretion, shall enforce the
666     provisions and Rules of this Compact.
667          (2) By majority vote, the Commission may initiate legal action in the United States
668     District Court for the District of Columbia or the federal district where the Commission has its
669     principal offices against a Member State in default to enforce compliance with the provisions
670     of the Compact and its promulgated Rules and bylaws. The relief sought may include both
671     injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing
672     member shall be awarded all costs of such litigation, including reasonable attorney's fees.
673          (3) The remedies herein shall not be the exclusive remedies of the Commission. The
674     Commission may pursue any other remedies available under federal or State law.
675          Section 13. Section 58-42b-212 is enacted to read:
676          58-42b-212. Section 12 -- Date of implementation of the Interstate Commission for
677     Occupational Therapy Practice and associated rules, withdrawal, and amendment.
678          (A) The Compact shall come into effect on the date on which the Compact statute is

679     enacted into law in the tenth Member State. The provisions, which become effective at that
680     time, shall be limited to the powers granted to the Commission relating to assembly and the
681     promulgation of Rules. Thereafter, the Commission shall meet and exercise Rulemaking
682     powers necessary to the implementation and administration of the Compact.
683          (B) Any State that joins the Compact subsequent to the Commission's initial adoption
684     of the Rules shall be subject to the Rules as they exist on the date on which the Compact
685     becomes law in that State. Any Rule that has been previously adopted by the Commission shall
686     have the full force and effect of law on the day the Compact becomes law in that State.
687          (C) Any Member State may withdraw from this Compact by enacting a statute
688     repealing the same.
689          (1) A Member State's withdrawal shall not take effect until six (6) months after
690     enactment of the repealing statute.
691          (2) Withdrawal shall not affect the continuing requirement of the withdrawing State's
692     Occupational Therapy Licensing Board to comply with the investigative and Adverse Action
693     reporting requirements of this act prior to the effective date of withdrawal.
694          (D) Nothing contained in this Compact shall be construed to invalidate or prevent any
695     Occupational Therapy licensure agreement or other cooperative arrangement between a
696     Member State and a non-Member State that does not conflict with the provisions of this
697     Compact.
698          (E) This Compact may be amended by the Member States. No amendment to this
699     Compact shall become effective and binding upon any Member State until it is enacted into the
700     laws of all Member States.
701          Section 14. Section 58-42b-213 is enacted to read:
702          58-42b-213. Section 13 -- Construction and severability.
703          This Compact shall be liberally construed so as to effectuate the purposes thereof. The
704     provisions of this Compact shall be severable and if any phrase, clause, sentence, or provision
705     of this Compact is declared to be contrary to the constitution of any Member State or of the
706     United States or the applicability thereof to any government, agency, person, or circumstance is
707     held invalid, the validity of the remainder of this Compact and the applicability thereof to any
708     government, agency, person, or circumstance shall not be affected thereby. If this Compact
709     shall be held contrary to the constitution of any Member State, the Compact shall remain in full

710     force and effect as to the remaining Member States and in full force and effect as to the
711     Member State affected as to all severable matters.
712          Section 15. Section 58-42b-214 is enacted to read:
713          58-42b-214. Section 14 -- Binding effect of compact and other laws.
714          (A) A Licensee providing Occupational Therapy in a Remote State under the Compact
715     Privilege shall function within the laws and regulations of the Remote State.
716          (B) Nothing herein prevents the enforcement of any other law of a Member State that is
717     not inconsistent with the Compact.
718          (C) Any laws in a Member State in conflict with the Compact are superseded to the
719     extent of the conflict.
720          (D) Any lawful actions of the Commission, including all Rules and bylaws
721     promulgated by the Commission, are binding upon the Member States.
722          (E) All agreements between the Commission and the Member States are binding in
723     accordance with their terms.
724          (F) In the event any provision of the Compact exceeds the constitutional limits
725     imposed on the legislature of any Member State, the provision shall be ineffective to the extent
726     of the conflict with the constitutional provision in question in that Member State.
727          Section 16. Section 58-42b-301 is enacted to read:
728     
Part 3. Rulemaking

729          58-42b-301. Rulemaking authority.
730          The division may make rules in accordance with Title 63G, Chapter 3, Utah
731     Administrative Rulemaking Act, to implement this chapter.