HB3680 EnrolledLRB099 09861 AWJ 30073 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. Short title. This Act may be cited as the
5Interstate Medical Licensure Compact Act.
 
6    Section 5. Interstate Medical Licensure Compact. The State
7of Illinois ratifies and approves the following compact:
 
8
INTERSTATE MEDICAL LICENSURE COMPACT

 
9    SECTION 1. PURPOSE
10    In order to strengthen access to health care, and in
11recognition of the advances in the delivery of health care, the
12member states of the Interstate Medical Licensure Compact have
13allied in common purpose to develop a comprehensive process
14that complements the existing licensing and regulatory
15authority of state medical boards, provides a streamlined
16process that allows physicians to become licensed in multiple
17states, thereby enhancing the portability of a medical license
18and ensuring the safety of patients. The Compact creates
19another pathway for licensure and does not otherwise change a
20state's existing Medical Practice Act. The Compact also adopts
21the prevailing standard for licensure and affirms that the

 

 

HB3680 Enrolled- 2 -LRB099 09861 AWJ 30073 b

1practice of medicine occurs where the patient is located at the
2time of the physician-patient encounter, and therefore,
3requires the physician to be under the jurisdiction of the
4state medical board where the patient is located. State medical
5boards that participate in the Compact retain the jurisdiction
6to impose an adverse action against a license to practice
7medicine in that state issued to a physician through the
8procedures in the Compact.
 
9    SECTION 2. DEFINITIONS
10    In this compact:
11    (a) "Bylaws" means those bylaws established by the
12Interstate Commission pursuant to Section 11 for its
13governance, or for directing and controlling its actions and
14conduct.
15    (b) "Commissioner" means the voting representative
16appointed by each member board pursuant to Section 11.
17    (c) "Conviction" means a finding by a court that an
18individual is guilty of a criminal offense through
19adjudication, or entry of a plea of guilt or no contest to the
20charge by the offender. Evidence of an entry of a conviction of
21a criminal offense by the court shall be considered final for
22purposes of disciplinary action by a member board.
23    (d) "Expedited License" means a full and unrestricted
24medical license granted by a member state to an eligible
25physician through the process set forth in the Compact.

 

 

HB3680 Enrolled- 3 -LRB099 09861 AWJ 30073 b

1    (e) "Interstate Commission" means the interstate
2commission created pursuant to Section 11.
3    (f) "License" means authorization by a state for a
4physician to engage in the practice of medicine, which would be
5unlawful without the authorization.
6    (g) "Medical Practice Act" means laws and regulations
7governing the practice of allopathic and osteopathic medicine
8within a member state.
9    (h) "Member Board" means a state agency in a member state
10that acts in the sovereign interests of the state by protecting
11the public through licensure, regulation, and education of
12physicians as directed by the state government.
13    (i) "Member State" means a state that has enacted the
14Compact.
15    (j) "Practice of Medicine" means the clinical prevention,
16diagnosis, or treatment of human disease, injury, or condition
17requiring a physician to obtain and maintain a license in
18compliance with the Medical Practice Act of a member state.
19    (k) "Physician" means any person who:
20        (1) Is a graduate of a medical school accredited by the
21    Liaison Committee on Medical Education, the Commission on
22    Osteopathic College Accreditation, or a medical school
23    listed in the International Medical Education Directory or
24    its equivalent;
25        (2) Passed each component of the United States Medical
26    Licensing Examination (USMLE) or the Comprehensive

 

 

HB3680 Enrolled- 4 -LRB099 09861 AWJ 30073 b

1    Osteopathic Medical Licensing Examination (COMLEX-USA)
2    within three attempts, or any of its predecessor
3    examinations accepted by a state medical board as an
4    equivalent examination for licensure purposes;
5        (3) Successfully completed graduate medical education
6    approved by the Accreditation Council for Graduate Medical
7    Education or the American Osteopathic Association;
8        (4) Holds specialty certification or a time-unlimited
9    specialty certificate recognized by the American Board of
10    Medical Specialties or the American Osteopathic
11    Association's Bureau of Osteopathic Specialists;
12        (5) Possesses a full and unrestricted license to engage
13    in the practice of medicine issued by a member board;
14        (6) Has never been convicted, received adjudication,
15    deferred adjudication, community supervision, or deferred
16    disposition for any offense by a court of appropriate
17    jurisdiction;
18        (7) Has never held a license authorizing the practice
19    of medicine subjected to discipline by a licensing agency
20    in any state, federal, or foreign jurisdiction, excluding
21    any action related to non-payment of fees related to a
22    license;
23        (8) Has never had a controlled substance license or
24    permit suspended or revoked by a state or the United States
25    Drug Enforcement Administration; and
26        (10) Is not under active investigation by a licensing

 

 

HB3680 Enrolled- 5 -LRB099 09861 AWJ 30073 b

1    agency or law enforcement authority in any state, federal,
2    or foreign jurisdiction.
3    (l) "Offense" means a felony, gross misdemeanor, or crime
4of moral turpitude.
5    (m) "Rule" means a written statement by the Interstate
6Commission promulgated pursuant to Section 12 of the Compact
7that is of general applicability, implements, interprets, or
8prescribes a policy or provision of the Compact, or an
9organizational, procedural, or practice requirement of the
10Interstate Commission, and has the force and effect of
11statutory law in a member state, and includes the amendment,
12repeal, or suspension of an existing rule.
13    (n) "State" means any state, commonwealth, district, or
14territory of the United States.
15    (o) "State of Principal License" means a member state where
16a physician holds a license to practice medicine and which has
17been designated as such by the physician for purposes of
18registration and participation in the Compact.
 
19    SECTION 3. ELIGIBILITY
20    (a) A physician must meet the eligibility requirements as
21defined in Section 2(k) to receive an expedited license under
22the terms and provisions of the Compact.
23    (b) A physician who does not meet the requirements of
24Section 2(k) may obtain a license to practice medicine in a
25member state if the individual complies with all laws and

 

 

HB3680 Enrolled- 6 -LRB099 09861 AWJ 30073 b

1requirements, other than the Compact, relating to the issuance
2of a license to practice medicine in that state.
 
3    SECTION 4. DESIGNATION OF STATE OF PRINCIPAL LICENSE
4    (a) A physician shall designate a member state as the state
5of principal license for purposes of registration for expedited
6licensure through the Compact if the physician possesses a full
7and unrestricted license to practice medicine in that state,
8and the state is:
9        (1) the state of primary residence for the physician,
10    or
11        (2) the state where at least 25% of the practice of
12    medicine occurs, or
13        (3) the location of the physician's employer, or
14        (4) if no state qualifies under subsection (1),
15    subsection (2), or subsection (3), the
16    state designated as state of residence for purpose of
17federal income tax.
18    (b) A physician may redesignate a member state as state of
19principal license at any time, as long as the state meets the
20requirements in subsection (a).
21    (c) The Interstate Commission is authorized to develop
22rules to facilitate redesignation of another member state as
23the state of principal license.
 
24    SECTION 5. APPLICATION AND ISSUANCE OF EXPEDITED LICENSURE

 

 

HB3680 Enrolled- 7 -LRB099 09861 AWJ 30073 b

1    (a) A physician seeking licensure through the Compact shall
2file an application for an expedited license with the member
3board of the state selected by the physician as the state of
4principal license.
5    (b) Upon receipt of an application for an expedited
6license, the member board within the state selected as the
7state of principal license shall evaluate whether the physician
8is eligible for expedited licensure and issue a letter of
9qualification, verifying or denying the physician's
10eligibility, to the Interstate Commission.
11        (i) Static qualifications, which include verification
12    of medical education, graduate medical education, results
13    of any medical or licensing examination, and other
14    qualifications as determined by the Interstate Commission
15    through rule, shall not be subject to additional primary
16    source verification where already primary source verified
17    by the state of principal license.
18        (ii) The member board within the state selected as the
19    state of principal license shall, in the course of
20    verifying eligibility, perform a criminal background check
21    of an applicant, including the use of the results of
22    fingerprint or other biometric data checks compliant with
23    the requirements of the Federal Bureau of Investigation,
24    with the exception of federal employees who have
25    suitability determination in accordance with U.S. C.F.R.
26    §731.202.

 

 

HB3680 Enrolled- 8 -LRB099 09861 AWJ 30073 b

1        (iii) Appeal on the determination of eligibility shall
2    be made to the member state where the application was filed
3    and shall be subject to the law of that state.
4    (c) Upon verification in subsection (b), physicians
5eligible for an expedited license shall complete the
6registration process established by the Interstate Commission
7to receive a license in a member state selected pursuant to
8subsection (a), including the payment of any applicable fees.
9    (d) After receiving verification of eligibility under
10subsection (b) and any fees under subsection (c), a member
11board shall issue an expedited license to the physician. This
12license shall authorize the physician to practice medicine in
13the issuing state consistent with the Medical Practice Act and
14all applicable laws and regulations of the issuing member board
15and member state.
16    (e) An expedited license shall be valid for a period
17consistent with the licensure period in the member state and in
18the same manner as required for other physicians holding a full
19and unrestricted license within the member state.
20    (f) An expedited license obtained though the Compact shall
21be terminated if a physician fails to maintain a license in the
22state of principal licensure for a non-disciplinary reason,
23without redesignation of a new state of principal licensure.
24    (g) The Interstate Commission is authorized to develop
25rules regarding the application process, including payment of
26any applicable fees, and the issuance of an expedited license.
 

 

 

HB3680 Enrolled- 9 -LRB099 09861 AWJ 30073 b

1    SECTION 6. FEES FOR EXPEDITED LICENSURE
2    (a) A member state issuing an expedited license authorizing
3the practice of medicine in that state may impose a fee for a
4license issued or renewed through the Compact.
5    (b) The Interstate Commission is authorized to develop
6rules regarding fees for expedited licenses.
 
7    SECTION 7. RENEWAL AND CONTINUED PARTICIPATION
8    (a) A physician seeking to renew an expedited license
9granted in a member state shall complete a renewal process with
10the Interstate Commission if the physician:
11        (1) Maintains a full and unrestricted license in a
12    state of principal license;
13        (2) Has not been convicted, received adjudication,
14    deferred adjudication, community supervision, or deferred
15    disposition for any offense by a court of appropriate
16    jurisdiction;
17        (3) Has not had a license authorizing the practice of
18    medicine subject to discipline by a licensing agency in any
19    state, federal, or foreign jurisdiction, excluding any
20    action related to non-payment of fees related to a license;
21    and
22        (4) Has not had a controlled substance license or
23    permit suspended or revoked by a state or the United States
24    Drug Enforcement Administration.

 

 

HB3680 Enrolled- 10 -LRB099 09861 AWJ 30073 b

1    (b) Physicians shall comply with all continuing
2professional development or continuing medical education
3requirements for renewal of a license issued by a member state.
4    (c) The Interstate Commission shall collect any renewal
5fees charged for the renewal of a license and distribute the
6fees to the applicable member board.
7    (d) Upon receipt of any renewal fees collected in
8subsection (c), a member board shall renew the physician's
9license.
10    (e) Physician information collected by the Interstate
11Commission during the renewal process will be distributed to
12all member boards.
13    (f) The Interstate Commission is authorized to develop
14rules to address renewal of licenses obtained through the
15Compact.
 
16    SECTION 8. COORDINATED INFORMATION SYSTEM
17    (a) The Interstate Commission shall establish a database of
18all physicians licensed, or who have applied for licensure,
19under Section 5.
20    (b) Notwithstanding any other provision of law, member
21boards shall report to the Interstate Commission any public
22action or complaints against a licensed physician who has
23applied or received an expedited license through the Compact.
24    (c) Member boards shall report disciplinary or
25investigatory information determined as necessary and proper

 

 

HB3680 Enrolled- 11 -LRB099 09861 AWJ 30073 b

1by rule of the Interstate Commission.
2    (d) Member boards may report any non-public complaint,
3disciplinary, or investigatory information not required by
4subsection (c) to the Interstate Commission.
5    (e) Member boards shall share complaint or disciplinary
6information about a physician upon request of another member
7board.
8    (f) All information provided to the Interstate Commission
9or distributed by member boards shall be confidential, filed
10under seal, and used only for investigatory or disciplinary
11matters.
12    (g) The Interstate Commission is authorized to develop
13rules for mandated or discretionary sharing of information by
14member boards.
 
15    SECTION 9. JOINT INVESTIGATIONS
16    (a) Licensure and disciplinary records of physicians are
17deemed investigative.
18    (b) In addition to the authority granted to a member board
19by its respective Medical Practice Act or other applicable
20state law, a member board may participate with other member
21boards in joint investigations of physicians licensed by the
22member boards.
23    (c) A subpoena issued by a member state shall be
24enforceable in other member states.
25    (d) Member boards may share any investigative, litigation,

 

 

HB3680 Enrolled- 12 -LRB099 09861 AWJ 30073 b

1or compliance materials in furtherance of any joint or
2individual investigation initiated under the Compact.
3    (e) Any member state may investigate actual or alleged
4violations of the statutes authorizing the practice of medicine
5in any other member state in which a physician holds a license
6to practice medicine.
 
7    SECTION 10. DISCIPLINARY ACTIONS
8    (a) Any disciplinary action taken by any member board
9against a physician licensed through the Compact shall be
10deemed unprofessional conduct which may be subject to
11discipline by other member boards, in addition to any violation
12of the Medical Practice Act or regulations in that state.
13    (b) If a license granted to a physician by the member board
14in the state of principal license is revoked, surrendered or
15relinquished in lieu of discipline, or suspended, then all
16licenses issued to the physician by member boards shall
17automatically be placed, without further action necessary by
18any member board, on the same status. If the member board in
19the state of principal license subsequently reinstates the
20physician's license, a license issued to the physician by any
21other member board shall remain encumbered until that
22respective member board takes action to reinstate the license
23in a manner consistent with the Medical Practice Act of that
24state.
25    (c) If disciplinary action is taken against a physician by

 

 

HB3680 Enrolled- 13 -LRB099 09861 AWJ 30073 b

1a member board not in the state of principal license, any other
2member board may deem the action conclusive as to matter of law
3and fact decided, and:
4        (i) impose the same or lesser sanction(s) against the
5    physician so long as such sanctions are consistent with the
6    Medical Practice Act of that state;
7        (ii) or pursue separate disciplinary action against
8    the physician under its respective Medical Practice Act,
9    regardless of the action taken in other member states.
10    (d) If a license granted to a physician by a member board
11is revoked, surrendered or relinquished in lieu of discipline,
12or suspended, then any license(s) issued to the physician by
13any other member board(s) shall be suspended, automatically and
14immediately without further action necessary by the other
15member board(s), for ninety (90) days upon entry of the order
16by the disciplining board, to permit the member board(s) to
17investigate the basis for the action under the Medical Practice
18Act of that state. A member board may terminate the automatic
19suspension of the license it issued prior to the completion of
20the ninety (90) day suspension period in a manner consistent
21with the Medical Practice Act of that state.
 
22    SECTION 11. INTERSTATE MEDICAL LICENSURE COMPACT
23COMMISSION
24    (a) The member states hereby create the "Interstate Medical
25Licensure Compact Commission".

 

 

HB3680 Enrolled- 14 -LRB099 09861 AWJ 30073 b

1    (b) The purpose of the Interstate Commission is the
2administration of the Interstate Medical Licensure Compact,
3which is a discretionary state function.
4    (c) The Interstate Commission shall be a body corporate and
5joint agency of the member states and shall have all the
6responsibilities, powers, and duties set forth in the Compact,
7and such additional powers as may be conferred upon it by a
8subsequent concurrent action of the respective legislatures of
9the member states in accordance with the terms of the Compact.
10    (d) The Interstate Commission shall consist of two voting
11representatives appointed by each member state who shall serve
12as Commissioners. In states where allopathic and osteopathic
13physicians are regulated by separate member boards, or if the
14licensing and disciplinary authority is split between multiple
15member boards within a member state, the member state shall
16appoint one representative from each member board. A
17Commissioner shall be a(n):
18        (1) Allopathic or osteopathic physician appointed to a
19    member board;
20        (2) Executive director, executive secretary, or
21    similar executive of a member board; or
22        (3) Member of the public appointed to a member board.
23    (e) The Interstate Commission shall meet at least once each
24calendar year. A portion of this meeting shall be a business
25meeting to address such matters as may properly come before the
26Commission, including the election of officers. The

 

 

HB3680 Enrolled- 15 -LRB099 09861 AWJ 30073 b

1chairperson may call additional meetings and shall call for a
2meeting upon the request of a majority of the member states.
3    (f) The bylaws may provide for meetings of the Interstate
4Commission to be conducted by telecommunication or electronic
5communication.
6    (g) Each Commissioner participating at a meeting of the
7Interstate Commission is entitled to one vote. A majority of
8Commissioners shall constitute a quorum for the transaction of
9business, unless a larger quorum is required by the bylaws of
10the Interstate Commission. A Commissioner shall not delegate a
11vote to another Commissioner. In the absence of its
12Commissioner, a member state may delegate voting authority for
13a specified meeting to another person from that state who shall
14meet the requirements of subsection (d).
15    (h) The Interstate Commission shall provide public notice
16of all meetings and all meetings shall be open to the public.
17The Interstate Commission may close a meeting, in full or in
18portion, where it determines by a two-thirds vote of the
19Commissioners present that an open meeting would be likely to:
20        (1) Relate solely to the internal personnel practices
21    and procedures of the Interstate Commission;
22        (2) Discuss matters specifically exempted from
23    disclosure by federal statute;
24        (3) Discuss trade secrets, commercial, or financial
25    information that is privileged or confidential;
26        (4) Involve accusing a person of a crime, or formally

 

 

HB3680 Enrolled- 16 -LRB099 09861 AWJ 30073 b

1    censuring a person;
2        (5) Discuss information of a personal nature where
3    disclosure would constitute a clearly unwarranted invasion
4    of personal privacy;
5        (6) Discuss investigative records compiled for law
6    enforcement purposes; or
7        (7) Specifically relate to the participation in a civil
8    action or other legal proceeding.
9    (i) The Interstate Commission shall keep minutes which
10shall fully describe all matters discussed in a meeting and
11shall provide a full and accurate summary of actions taken,
12including record of any roll call votes.
13    (j) The Interstate Commission shall make its information
14and official records, to the extent not otherwise designated in
15the Compact or by its rules, available to the public for
16inspection.
17    (k) The Interstate Commission shall establish an executive
18committee, which shall include officers, members, and others as
19determined by the bylaws. The executive committee shall have
20the power to act on behalf of the Interstate Commission, with
21the exception of rulemaking, during periods when the Interstate
22Commission is not in session. When acting on behalf of the
23Interstate Commission, the executive committee shall oversee
24the administration of the Compact including enforcement and
25compliance with the provisions of the Compact, its bylaws and
26rules, and other such duties as necessary.

 

 

HB3680 Enrolled- 17 -LRB099 09861 AWJ 30073 b

1    (l) The Interstate Commission may establish other
2committees for governance and administration of the Compact.
 
3    SECTION 12. POWERS AND DUTIES OF THE INTERSTATE COMMISSION
4    The Interstate Commission shall have the duty and power to:
5    (a) Oversee and maintain the administration of the Compact;
6    (b) Promulgate rules which shall be binding to the extent
7and in the manner provided for in the Compact;
8    (c) Issue, upon the request of a member state or member
9board, advisory opinions concerning the meaning or
10interpretation of the Compact, its bylaws, rules, and actions;
11    (d) Enforce compliance with Compact provisions, the rules
12promulgated by the Interstate Commission, and the bylaws, using
13all necessary and proper means, including but not limited to,
14the use of judicial process;
15    (e) Establish and appoint committees including, but not
16limited to, an executive committee as required by Section 11,
17which shall have the power to act on behalf of the Interstate
18Commission in carrying out its powers and duties;
19    (f) Pay, or provide for the payment of the expenses related
20to the establishment, organization, and ongoing activities of
21the Interstate Commission;
22    (g) Establish and maintain one or more offices;
23    (h) Borrow, accept, hire, or contract for services of
24personnel;
25    (i) Purchase and maintain insurance and bonds;

 

 

HB3680 Enrolled- 18 -LRB099 09861 AWJ 30073 b

1    (j) Employ an executive director who shall have such powers
2to employ, select or appoint employees, agents, or consultants,
3and to determine their qualifications, define their duties, and
4fix their compensation;
5    (k) Establish personnel policies and programs relating to
6conflicts of interest, rates of compensation, and
7qualifications of personnel;
8    (l) Accept donations and grants of money, equipment,
9supplies, materials and services, and to receive, utilize, and
10dispose of it in a manner consistent with the conflict of
11interest policies established by the Interstate Commission;
12    (m) Lease, purchase, accept contributions or donations of,
13or otherwise to own, hold, improve or use, any property, real,
14personal, or mixed;
15    (n) Sell, convey, mortgage, pledge, lease, exchange,
16abandon, or otherwise dispose of any property, real, personal,
17or mixed;
18    (o) Establish a budget and make expenditures;
19    (p) Adopt a seal and bylaws governing the management and
20operation of the Interstate Commission;
21    (q) Report annually to the legislatures and governors of
22the member states concerning the activities of the Interstate
23Commission during the preceding year. Such reports shall also
24include reports of financial audits and any recommendations
25that may have been adopted by the Interstate Commission;
26    (r) Coordinate education, training, and public awareness

 

 

HB3680 Enrolled- 19 -LRB099 09861 AWJ 30073 b

1regarding the Compact, its implementation, and its operation;
2    (s) Maintain records in accordance with the bylaws;
3    (t) Seek and obtain trademarks, copyrights, and patents;
4and
5    (u) Perform such functions as may be necessary or
6appropriate to achieve the purposes of the Compact.
 
7    SECTION 13. FINANCE POWERS
8    (a) The Interstate Commission may levy on and collect an
9annual assessment from each member state to cover the cost of
10the operations and activities of the Interstate Commission and
11its staff. The total assessment must be sufficient to cover the
12annual budget approved each year for which revenue is not
13provided by other sources. The aggregate annual assessment
14amount shall be allocated upon a formula to be determined by
15the Interstate Commission, which shall promulgate a rule
16binding upon all member states.
17    (b) The Interstate Commission shall not incur obligations
18of any kind prior to securing the funds adequate to meet the
19same.
20    (c) The Interstate Commission shall not pledge the credit
21of any of the member states, except by, and with the authority
22of, the member state.
23    (d) The Interstate Commission shall be subject to a yearly
24financial audit conducted by a certified or licensed public
25accountant and the report of the audit shall be included in the

 

 

HB3680 Enrolled- 20 -LRB099 09861 AWJ 30073 b

1annual report of the Interstate Commission.
 
2    SECTION 14. ORGANIZATION AND OPERATION OF THE INTERSTATE
3COMMISSION
4    (a) The Interstate Commission shall, by a majority of
5Commissioners present and voting, adopt bylaws to govern its
6conduct as may be necessary or appropriate to carry out the
7purposes of the Compact within twelve (12) months of the first
8Interstate Commission meeting.
9    (b) The Interstate Commission shall elect or appoint
10annually from among its Commissioners a chairperson, a
11vice-chairperson, and a treasurer, each of whom shall have such
12authority and duties as may be specified in the bylaws. The
13chairperson, or in the chairperson's absence or disability, the
14vice-chairperson, shall preside at all meetings of the
15Interstate Commission.
16    (c) Officers selected in subsection (b) shall serve without
17remuneration from the Interstate Commission.
18    (d) The officers and employees of the Interstate Commission
19shall be immune from suit and liability, either personally or
20in their official capacity, for a claim for damage to or loss
21of property or personal injury or other civil liability caused
22or arising out of, or relating to, an actual or alleged act,
23error, or omission that occurred, or that such person had a
24reasonable basis for believing occurred, within the scope of
25Interstate Commission employment, duties, or responsibilities;

 

 

HB3680 Enrolled- 21 -LRB099 09861 AWJ 30073 b

1provided that such person shall not be protected from suit or
2liability for damage, loss, injury, or liability caused by the
3intentional or willful and wanton misconduct of such person.
4        (1) The liability of the executive director and
5    employees of the Interstate Commission or representatives
6    of the Interstate Commission, acting within the scope of
7    such person's employment or duties for acts, errors, or
8    omissions occurring within such person's state, may not
9    exceed the limits of liability set forth under the
10    constitution and laws of that state for state officials,
11    employees, and agents. The Interstate Commission is
12    considered to be an instrumentality of the states for the
13    purposes of any such action. Nothing in this subsection
14    shall be construed to protect such person from suit or
15    liability for damage, loss, injury, or liability caused by
16    the intentional or willful and wanton misconduct of such
17    person.
18        (2) The Interstate Commission shall defend the
19    executive director, its employees, and subject to the
20    approval of the attorney general or other appropriate legal
21    counsel of the member state represented by an Interstate
22    Commission representative, shall defend such Interstate
23    Commission representative in any civil action seeking to
24    impose liability arising out of an actual or alleged act,
25    error or omission that occurred within the scope of
26    Interstate Commission employment, duties or

 

 

HB3680 Enrolled- 22 -LRB099 09861 AWJ 30073 b

1    responsibilities, or that the defendant had a reasonable
2    basis for believing occurred within the scope of Interstate
3    Commission employment, duties, or responsibilities,
4    provided that the actual or alleged act, error, or omission
5    did not result from intentional or willful and wanton
6    misconduct on the part of such person.
7        (3) To the extent not covered by the state involved,
8    member state, or the Interstate Commission, the
9    representatives or employees of the Interstate Commission
10    shall be held harmless in the amount of a settlement or
11    judgment, including attorney's fees and costs, obtained
12    against such persons arising out of an actual or alleged
13    act, error, or omission that occurred within the scope of
14    Interstate Commission employment, duties, or
15    responsibilities, or that such persons had a reasonable
16    basis for believing occurred within the scope of Interstate
17    Commission employment, duties, or responsibilities,
18    provided that the actual or alleged act, error, or omission
19    did not result from intentional or willful and wanton
20    misconduct on the part of such persons.
 
21    SECTION 15. RULEMAKING FUNCTIONS OF THE INTERSTATE
22COMMISSION
23    (a) The Interstate Commission shall promulgate reasonable
24rules in order to effectively and efficiently achieve the
25purposes of the Compact. Notwithstanding the foregoing, in the

 

 

HB3680 Enrolled- 23 -LRB099 09861 AWJ 30073 b

1event the Interstate Commission exercises its rulemaking
2authority in a manner that is beyond the scope of the purposes
3of the Compact, or the powers granted hereunder, then such an
4action by the Interstate Commission shall be invalid and have
5no force or effect.
6    (b) Rules deemed appropriate for the operations of the
7Interstate Commission shall be made pursuant to a rulemaking
8process that substantially conforms to the "Model State
9Administrative Procedure Act" of 2010, and subsequent
10amendments thereto.
11    (c) Not later than thirty (30) days after a rule is
12promulgated, any person may file a petition for judicial review
13of the rule in the United States District Court for the
14District of Columbia or the federal district where the
15Interstate Commission has its principal offices, provided that
16the filing of such a petition shall not stay or otherwise
17prevent the rule from becoming effective unless the court finds
18that the petitioner has a substantial likelihood of success.
19The court shall give deference to the actions of the Interstate
20Commission consistent with applicable law and shall not find
21the rule to be unlawful if the rule represents a reasonable
22exercise of the authority granted to the Interstate Commission.
 
23    SECTION 16. OVERSIGHT OF INTERSTATE COMPACT
24    (a) The executive, legislative, and judicial branches of
25state government in each member state shall enforce the Compact

 

 

HB3680 Enrolled- 24 -LRB099 09861 AWJ 30073 b

1and shall take all actions necessary and appropriate to
2effectuate the Compact's purposes and intent. The provisions of
3the Compact and the rules promulgated hereunder shall have
4standing as statutory law but shall not override existing state
5authority to regulate the practice of medicine.
6    (b) All courts shall take judicial notice of the Compact
7and the rules in any judicial or administrative proceeding in a
8member state pertaining to the subject matter of the Compact
9which may affect the powers, responsibilities or actions of the
10Interstate Commission.
11    (c) The Interstate Commission shall be entitled to receive
12all service of process in any such proceeding, and shall have
13standing to intervene in the proceeding for all purposes.
14Failure to provide service of process to the Interstate
15Commission shall render a judgment or order void as to the
16Interstate Commission, the Compact, or promulgated rules.
 
17    SECTION 17. ENFORCEMENT OF INTERSTATE COMPACT
18    (a) The Interstate Commission, in the reasonable exercise
19of its discretion, shall enforce the provisions and rules of
20the Compact.
21    (b) The Interstate Commission may, by majority vote of the
22Commissioners, initiate legal action in the United States
23District Court for the District of Columbia, or, at the
24discretion of the Interstate Commission, in the federal
25district where the Interstate Commission has its principal

 

 

HB3680 Enrolled- 25 -LRB099 09861 AWJ 30073 b

1offices, to enforce compliance with the provisions of the
2Compact, and its promulgated rules and bylaws, against a member
3state in default. The relief sought may include both injunctive
4relief and damages. In the event judicial enforcement is
5necessary, the prevailing party shall be awarded all costs of
6such litigation including reasonable attorney's fees.
7    (c) The remedies herein shall not be the exclusive remedies
8of the Interstate Commission. The Interstate Commission may
9avail itself of any other remedies available under state law or
10the regulation of a profession.
 
11    SECTION 18. DEFAULT PROCEDURES
12    (a) The grounds for default include, but are not limited
13to, failure of a member state to perform such obligations or
14responsibilities imposed upon it by the Compact, or the rules
15and bylaws of the Interstate Commission promulgated under the
16Compact.
17    (b) If the Interstate Commission determines that a member
18state has defaulted in the performance of its obligations or
19responsibilities under the Compact, or the bylaws or
20promulgated rules, the Interstate Commission shall:
21        (1) Provide written notice to the defaulting state and
22    other member states, of the nature of the default, the
23    means of curing the default, and any action taken by the
24    Interstate Commission. The Interstate Commission shall
25    specify the conditions by which the defaulting state must

 

 

HB3680 Enrolled- 26 -LRB099 09861 AWJ 30073 b

1    cure its default; and
2        (2) Provide remedial training and specific technical
3    assistance regarding the default.
4    (c) If the defaulting state fails to cure the default, the
5defaulting state shall be terminated from the Compact upon an
6affirmative vote of a majority of the Commissioners and all
7rights, privileges, and benefits conferred by the Compact shall
8terminate on the effective date of termination. A cure of the
9default does not relieve the offending state of obligations or
10liabilities incurred during the period of the default.
11    (d) Termination of membership in the Compact shall be
12imposed only after all other means of securing compliance have
13been exhausted. Notice of intent to terminate shall be given by
14the Interstate Commission to the governor, the majority and
15minority leaders of the defaulting state's legislature, and
16each of the member states.
17    (e) The Interstate Commission shall establish rules and
18procedures to address licenses and physicians that are
19materially impacted by the termination of a member state, or
20the withdrawal of a member state.
21    (f) The member state which has been terminated is
22responsible for all dues, obligations, and liabilities
23incurred through the effective date of termination including
24obligations, the performance of which extends beyond the
25effective date of termination.
26    (g) The Interstate Commission shall not bear any costs

 

 

HB3680 Enrolled- 27 -LRB099 09861 AWJ 30073 b

1relating to any state that has been found to be in default or
2which has been terminated from the Compact, unless otherwise
3mutually agreed upon in writing between the Interstate
4Commission and the defaulting state.
5    (h) The defaulting state may appeal the action of the
6Interstate Commission by petitioning the United States
7District Court for the District of Columbia or the federal
8district where the Interstate Commission has its principal
9offices. The prevailing party shall be awarded all costs of
10such litigation including reasonable attorney's fees.
 
11    SECTION 19. DISPUTE RESOLUTION
12    (a) The Interstate Commission shall attempt, upon the
13request of a member state, to resolve disputes which are
14subject to the Compact and which may arise among member states
15or member boards.
16    (b) The Interstate Commission shall promulgate rules
17providing for both mediation and binding dispute resolution as
18appropriate.
 
19    SECTION 20. MEMBER STATES, EFFECTIVE DATE AND AMENDMENT
20    (a) Any state is eligible to become a member state of the
21Compact.
22    (b) The Compact shall become effective and binding upon
23legislative enactment of the Compact into law by no less than
24seven (7) states. Thereafter, it shall become effective and

 

 

HB3680 Enrolled- 28 -LRB099 09861 AWJ 30073 b

1binding on a state upon enactment of the Compact into law by
2that state.
3    (c) The governors of non-member states, or their designees,
4shall be invited to participate in the activities of the
5Interstate Commission on a non-voting basis prior to adoption
6of the Compact by all states.
7    (d) The Interstate Commission may propose amendments to the
8Compact for enactment by the member states. No amendment shall
9become effective and binding upon the Interstate Commission and
10the member states unless and until it is enacted into law by
11unanimous consent of the member states.
 
12    SECTION 21. WITHDRAWAL
13    (a) Once effective, the Compact shall continue in force and
14remain binding upon each and every member state; provided that
15a member state may withdraw from the Compact by specifically
16repealing the statute which enacted the Compact into law.
17    (b) Withdrawal from the Compact shall be by the enactment
18of a statute repealing the same, but shall not take effect
19until one (1) year after the effective date of such statute and
20until written notice of the withdrawal has been given by the
21withdrawing state to the governor of each other member state.
22    (c) The withdrawing state shall immediately notify the
23chairperson of the Interstate Commission in writing upon the
24introduction of legislation repealing the Compact in the
25withdrawing state.

 

 

HB3680 Enrolled- 29 -LRB099 09861 AWJ 30073 b

1    (d) The Interstate Commission shall notify the other member
2states of the withdrawing state's intent to withdraw within
3sixty (60) days of its receipt of notice provided under
4subsection (c).
5    (e) The withdrawing state is responsible for all dues,
6obligations and liabilities incurred through the effective
7date of withdrawal, including obligations, the performance of
8which extend beyond the effective date of withdrawal.
9    (f) Reinstatement following withdrawal of a member state
10shall occur upon the withdrawing state reenacting the Compact
11or upon such later date as determined by the Interstate
12Commission.
13    (g) The Interstate Commission is authorized to develop
14rules to address the impact of the withdrawal of a member state
15on licenses granted in other member states to physicians who
16designated the withdrawing member state as the state of
17principal license.
 
18    SECTION 22. DISSOLUTION
19    (a) The Compact shall dissolve effective upon the date of
20the withdrawal or default of the member state which reduces the
21membership in the Compact to one (1) member state.
22    (b) Upon the dissolution of the Compact, the Compact
23becomes null and void and shall be of no further force or
24effect, and the business and affairs of the Interstate
25Commission shall be concluded and surplus funds shall be

 

 

HB3680 Enrolled- 30 -LRB099 09861 AWJ 30073 b

1distributed in accordance with the bylaws.
 
2    SECTION 23. SEVERABILITY AND CONSTRUCTION
3    (a) The provisions of the Compact shall be severable, and
4if any phrase, clause, sentence, or provision is deemed
5unenforceable, the remaining provisions of the Compact shall be
6enforceable.
7    (b) The provisions of the Compact shall be liberally
8construed to effectuate its purposes.
9    (c) Nothing in the Compact shall be construed to prohibit
10the applicability of other interstate compacts to which the
11states are members.
 
12    SECTION 24. BINDING EFFECT OF COMPACT AND OTHER LAWS
13    (a) Nothing herein prevents the enforcement of any other
14law of a member state that is not inconsistent with the
15Compact.
16    (b) All laws in a member state in conflict with the Compact
17are superseded to the extent of the conflict.
18    (c) All lawful actions of the Interstate Commission,
19including all rules and bylaws promulgated by the Commission,
20are binding upon the member states.
21    (d) All agreements between the Interstate Commission and
22the member states are binding in accordance with their terms.
23    (e) In the event any provision of the Compact exceeds the
24constitutional limits imposed on the legislature of any member

 

 

HB3680 Enrolled- 31 -LRB099 09861 AWJ 30073 b

1state, such provision shall be ineffective to the extent of the
2conflict with the constitutional provision in question in that
3member state.
 
4    Section 99. Effective date. This Act takes effect upon
5becoming law.