House
File
547
-
Enrolled
House
File
547
AN
ACT
ENACTING
THE
RESPIRATORY
CARE
INTERSTATE
COMPACT.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
NEW
SECTION
.
147J.1
Respiratory
care
interstate
compact.
1.
Title
and
purpose.
a.
The
purpose
of
this
compact
is
to
facilitate
the
interstate
practice
of
respiratory
therapy
with
the
goal
of
improving
public
access
to
respiratory
therapy
services
by
providing
respiratory
therapists
licensed
in
a
member
state
the
ability
to
practice
in
other
member
states.
The
compact
preserves
the
regulatory
authority
of
states
to
protect
public
health
and
safety
through
the
current
system
of
state
licensure.
b.
This
compact
is
designed
to
achieve
the
following
objectives:
(1)
Increase
public
access
to
respiratory
therapy
services
by
creating
a
responsible,
streamlined
pathway
for
licensees
to
practice
in
member
states
with
the
goal
of
improving
outcomes
for
patients.
House
File
547,
p.
2
(2)
Enhance
states’
ability
to
protect
the
public’s
health
and
safety.
(3)
Promote
the
cooperation
of
member
states
in
regulating
the
practice
of
respiratory
therapy
within
those
member
states.
(4)
Ease
administrative
burdens
on
states
by
encouraging
the
cooperation
of
member
states
in
regulating
multistate
respiratory
therapy
practice.
(5)
Support
relocating
active
military
members
and
their
spouses.
(6)
Promote
mobility
and
address
workforce
shortages.
2.
Definitions.
As
used
in
this
compact,
unless
the
context
otherwise
requires,
the
following
definitions
shall
apply:
a.
“Active
military
member”
means
a
person
with
a
full-time
duty
status
in
the
armed
forces
of
the
United
States,
including
a
member
of
the
national
guard
and
reserve.
b.
“Adverse
action”
means
an
administrative,
civil,
equitable,
or
criminal
action
permitted
by
a
state’s
laws
which
is
imposed
by
a
state
authority
with
regulatory
authority
over
respiratory
therapists,
such
as
license
denial,
censure,
revocation,
suspension,
probation,
monitoring
of
a
licensee,
or
restriction
on
a
licensee’s
practice,
not
including
participation
in
an
alternative
program.
c.
“Alternative
program”
means
a
nondisciplinary
monitoring
or
practice
remediation
process
applicable
to
a
respiratory
therapist
approved
by
a
state
authority
with
regulatory
authority
over
respiratory
therapists.
This
includes
but
is
not
limited
to
programs
to
which
licensees
with
substance
abuse
or
addiction
issues
are
referred
in
lieu
of
adverse
action.
d.
“Charter
member
states”
means
those
member
states
that
were
the
first
seven
states
to
enact
the
compact
into
the
laws
of
their
state.
e.
“Commission”
or
“respiratory
care
interstate
compact
commission”
means
the
government
instrumentality
and
body
politic
whose
membership
consists
of
all
member
states
that
have
enacted
the
compact.
f.
“Commissioner”
means
the
individual
appointed
by
a
member
state
to
serve
as
the
member
of
the
commission
for
that
member
state.
g.
“Compact”
means
the
respiratory
care
interstate
compact.
House
File
547,
p.
3
h.
“Compact
privilege”
means
the
authorization
granted
by
a
remote
state
to
allow
a
licensee
from
another
member
state
to
practice
as
a
respiratory
therapist
in
the
remote
state
under
the
remote
state’s
laws
and
rules.
The
practice
of
respiratory
therapy
occurs
in
the
member
state
where
the
patient
is
located
at
the
time
of
the
patient
encounter.
i.
“Criminal
background
check”
means
the
submission
by
the
member
state
of
fingerprints
or
other
biometric-based
information
on
license
applicants
at
the
time
of
initial
licensing
for
the
purpose
of
obtaining
that
applicant’s
criminal
history
record
information,
as
defined
in
28
C.F.R.
§20.3(d)
or
successor
provision,
from
the
federal
bureau
of
investigation
and
the
state’s
criminal
history
record
repository,
as
defined
in
28
C.F.R.
§20.3(f)
or
successor
provision.
j.
“Data
system”
means
the
commission’s
repository
of
information
about
licensees
as
further
set
forth
in
subsection
8.
k.
“Domicile”
means
the
jurisdiction
which
is
the
licensee’s
principal
home
for
legal
purposes.
l.
“Encumbered
license”
means
a
license
that
a
state’s
respiratory
therapy
licensing
authority
has
limited
in
any
way.
m.
“Executive
committee”
means
a
group
of
directors
elected
or
appointed
to
act
on
behalf
of,
and
within
the
powers
granted
to
the
directors
by,
the
commission.
n.
“Home
state”
means
the
member
that
is
the
licensee’s
primary
domicile,
except
as
set
forth
in
subsection
5.
o.
“Home
state
license”
means
an
active
license
to
practice
respiratory
therapy
in
a
home
state
that
is
not
an
encumbered
license.
p.
“Jurisprudence
requirement”
means
an
assessment
of
an
individual’s
knowledge
of
the
state
laws
and
regulations
governing
the
practice
of
respiratory
therapy
in
such
state.
q.
“Licensee”
means
an
individual
who
currently
holds
an
authorization
from
the
state
to
practice
as
a
respiratory
therapist.
r.
“Member
state”
means
a
state
that
has
enacted
the
compact
and
been
admitted
to
the
commission
in
accordance
with
the
provisions
of
this
compact
and
commission
rules.
House
File
547,
p.
4
s.
“Model
compact”
means
the
model
for
the
respiratory
care
interstate
compact
on
file
with
the
council
of
state
governments
or
other
entity
as
designated
by
the
commission.
t.
“Remote
state”
means
a
member
state
where
a
licensee
is
exercising
or
seeking
to
exercise
the
compact
privilege.
u.
“Respiratory
therapist”
or
“respiratory
care
practitioner”
means
an
individual
who
holds
a
credential
issued
by
the
national
board
for
respiratory
care
or
its
successor
and
holds
a
license
in
a
state
to
practice
respiratory
therapy.
For
purposes
of
this
compact,
any
other
title
or
status
adopted
by
a
state
to
replace
the
term
“respiratory
therapist”
or
“respiratory
care
practitioner”
shall
be
deemed
synonymous
with
“respiratory
therapist”
and
shall
confer
the
same
rights
and
responsibilities
to
the
licensee
under
the
provisions
of
this
compact
at
the
time
of
its
enactment.
v.
“Respiratory
therapy”
,
“respiratory
therapy
practice”
,
“respiratory
care”
,
“the
practice
of
respiratory
care”
,
and
“the
practice
of
respiratory
therapy”
mean
the
care
and
services
provided
by
or
under
the
direction
and
supervision
of
a
respiratory
therapist
or
respiratory
care
practitioner.
w.
“Respiratory
therapy
licensing
authority”
means
the
agency,
board,
or
other
body
of
a
state
that
is
responsible
for
licensing
and
regulation
of
respiratory
therapists.
x.
“Rule”
means
a
regulation
promulgated
by
an
entity
that
has
the
force
and
effect
of
law.
y.
“Scope
of
practice”
means
the
procedures,
actions,
and
processes
a
respiratory
therapist
licensed
in
a
state
or
practicing
under
a
compact
privilege
in
a
state
is
permitted
to
undertake
in
that
state
and
the
circumstances
under
which
the
respiratory
therapist
is
permitted
to
undertake
those
procedures,
actions,
and
processes.
Such
procedures,
actions,
and
processes,
and
the
circumstances
under
which
they
may
be
undertaken,
may
be
established
through
means
including
but
not
limited
to
statute,
regulations,
case
law,
and
other
processes
available
to
the
state
respiratory
therapy
licensing
authority
or
other
government
agency.
z.
“Significant
investigative
information”
means
information,
records,
and
documents
received
or
generated
by
a
state
respiratory
licensing
authority
pursuant
to
an
investigation
House
File
547,
p.
5
for
which
a
determination
has
been
made
that
there
is
probable
cause
to
believe
that
the
licensee
has
violated
a
statute
or
regulation
that
is
considered
more
than
a
minor
infraction
for
which
the
state
respiratory
therapy
licensing
authority
could
pursue
adverse
action
against
the
licensee.
aa.
“State”
means
a
state,
commonwealth,
district,
or
territory
of
the
United
States.
3.
State
participation
in
this
compact.
a.
In
order
to
participate
in
this
compact
and
thereafter
continue
as
a
member
state,
a
member
state
shall
do
all
of
the
following:
(1)
Enact
a
compact
that
is
not
materially
different
from
the
model
compact.
(2)
License
respiratory
therapists.
(3)
Participate
in
the
commission’s
data
system.
(4)
Have
a
mechanism
in
place
for
receiving
and
investigating
complaints
against
licensees
and
compact
privilege
holders.
(5)
Notify
the
commission,
in
compliance
with
the
terms
of
this
compact
and
commission
rules,
of
any
adverse
action
against
a
licensee,
a
compact
privilege
holder,
or
a
license
applicant.
(6)
Notify
the
commission,
in
compliance
with
the
terms
of
this
compact
and
commission
rules,
of
the
existence
of
significant
investigative
information.
(7)
Comply
with
the
rules
of
the
commission.
(8)
Grant
the
compact
privilege
to
a
holder
of
an
active
home
state
license
and
otherwise
meet
the
applicable
requirements
of
subsection
4
in
a
member
state.
(9)
Complete
a
criminal
background
check
for
each
new
licensee
at
the
time
of
initial
licensure.
Where
expressly
authorized
or
permitted
by
federal
law,
whether
such
federal
law
is
in
effect
prior
to,
at,
or
after
the
time
of
a
member
state’s
enactment
of
this
compact,
a
member
state’s
enactment
of
this
compact
shall
hereby
authorize
the
member
state’s
respiratory
therapy
licensing
authority
to
perform
criminal
background
checks
as
defined
in
this
compact.
The
absence
of
such
a
federal
law
as
described
in
this
subsection
shall
not
prevent
or
preclude
such
authorization
where
it
may
be
derived
House
File
547,
p.
6
or
granted
through
means
other
than
the
enactment
of
this
compact.
b.
Nothing
in
this
compact
prohibits
a
member
state
from
charging
a
fee
for
granting
and
renewing
the
compact
privilege.
4.
Compact
privilege.
a.
To
exercise
the
compact
privilege
under
the
terms
and
provisions
of
the
compact,
the
licensee
shall
meet
all
of
the
following
requirements:
(1)
Hold
and
maintain
an
active
home
state
license
as
a
respiratory
therapist.
(2)
Hold
and
maintain
an
active
credential
from
the
national
board
for
respiratory
care
or
its
successor
that
would
qualify
the
licensee
for
licensure
in
the
remote
state
in
which
the
licensee
is
seeking
the
privilege.
(3)
Have
not
had
any
adverse
action
against
a
license
within
the
previous
two
years.
(4)
Notify
the
commission
that
the
licensee
is
seeking
the
compact
privilege
within
a
remote
state.
(5)
Pay
any
applicable
fee,
including
any
state
and
commission
fees
and
renewal
fees,
for
the
compact
privilege.
(6)
Meet
any
jurisprudence
requirement
established
by
the
remote
state
in
which
the
licensee
is
seeking
a
compact
privilege.
(7)
Report
to
the
commission
adverse
action
taken
by
a
nonmember
state
within
thirty
days
from
the
date
that
adverse
action
is
taken.
(8)
Report
to
the
commission,
when
applying
for
a
compact
privilege,
the
address
of
the
licensee’s
domicile
and
thereafter
promptly
report
to
the
commission
any
change
in
the
address
of
the
licensee’s
domicile
within
thirty
days
of
the
effective
date
of
the
change
in
address.
(9)
Consent
to
accept
service
of
process
by
mail
at
the
licensee’s
domicile
on
record
with
the
commission
with
respect
to
any
action
brought
against
the
licensee
by
the
commission
or
a
member
state,
and
consent
to
accept
service
of
a
subpoena
by
mail
at
the
licensee’s
domicile
on
record
with
the
commission
with
respect
to
any
action
brought
or
investigation
conducted
by
the
commission
or
a
member
state.
b.
The
compact
privilege
is
valid
until
the
expiration
House
File
547,
p.
7
date
or
revocation
of
the
home
state
license
unless
terminated
pursuant
to
adverse
action.
The
licensee
must
comply
with
all
the
requirements
of
paragraph
“a”
to
maintain
the
compact
privilege
in
a
remote
state.
If
those
requirements
are
met,
no
adverse
actions
are
taken,
and
the
licensee
has
paid
any
applicable
compact
privilege
renewal
fees,
then
the
licensee
will
maintain
the
licensee’s
compact
privilege.
c.
A
licensee
providing
respiratory
therapy
in
a
remote
state
under
the
compact
privilege
shall
function
within
the
scope
of
practice
authorized
by
the
remote
state
for
the
type
of
respiratory
therapist
license
the
licensee
holds.
Such
procedures,
actions,
processes,
and
the
circumstances
under
which
they
may
be
undertaken,
may
be
established
through
means
including
but
not
limited
to
statute,
regulations,
case
law,
and
other
processes
available
to
the
state
respiratory
therapy
licensing
authority
or
other
government
agency.
d.
If
a
licensee’s
compact
privilege
in
a
remote
state
is
removed
by
the
remote
state,
the
individual
shall
lose
or
be
ineligible
for
the
compact
privilege
in
that
remote
state
until
the
compact
privilege
is
no
longer
limited
or
restricted
by
that
state.
e.
If
a
home
state
license
is
encumbered,
the
licensee
shall
lose
the
compact
privilege
in
all
remote
states
until
all
of
the
following
occur:
(1)
The
home
state
license
is
no
longer
encumbered.
(2)
Two
years
have
elapsed
from
the
date
on
which
the
license
is
no
longer
encumbered
due
to
the
adverse
action.
f.
Once
a
licensee
with
a
restricted
or
limited
license
meets
the
requirements
of
paragraph
“e”
,
the
licensee
must
also
meet
the
requirements
of
paragraph
“a”
to
obtain
a
compact
privilege
in
a
remote
state.
5.
Active
military
members
and
spouses.
a.
An
active
military
member
or
a
spouse
of
an
active
military
member
shall
designate
a
home
state
where
the
individual
has
a
current
license
in
good
standing.
The
individual
may
retain
the
home
state
designation
during
the
period
the
service
member
is
on
active
duty.
b.
An
active
military
member
or
a
spouse
of
an
active
military
member
shall
not
be
required
to
pay
to
the
commission
House
File
547,
p.
8
for
a
compact
privilege
any
fee
that
may
otherwise
be
charged
by
the
commission.
If
a
remote
state
chooses
to
charge
a
fee
for
a
compact
privilege,
it
may
choose
to
charge
a
reduced
fee
or
no
fee
to
an
active
military
member
or
a
spouse
of
an
active
military
member
for
a
compact
privilege.
6.
Adverse
actions.
a.
A
member
state
in
which
a
licensee
is
licensed
shall
have
authority
to
impose
adverse
action
against
the
license
issued
by
that
member
state.
b.
A
member
state
may
take
adverse
action
based
on
significant
investigative
information
of
a
remote
state
or
the
home
state,
so
long
as
the
member
state
follows
its
own
procedures
for
imposing
adverse
action.
c.
Nothing
in
this
compact
shall
override
a
member
state’s
decision
that
participation
in
an
alternative
program
may
be
used
in
lieu
of
adverse
action
and
that
such
participation
shall
remain
nonpublic
if
required
by
the
member
state’s
laws.
d.
A
remote
state
shall
have
the
authority
to
do
all
of
the
following:
(1)
Take
adverse
actions
as
set
forth
in
this
compact
against
a
licensee’s
compact
privilege
in
that
state.
(2)
Issue
subpoenas
for
both
hearings
and
investigations
that
require
the
attendance
and
testimony
of
witnesses
and
the
production
of
evidence.
(a)
Subpoenas
may
be
issued
by
a
respiratory
therapy
licensing
authority
in
a
member
state
for
the
attendance
and
testimony
of
witnesses
and
the
production
of
evidence.
(b)
Subpoenas
issued
by
a
respiratory
therapy
licensing
authority
in
a
member
state
for
the
attendance
and
testimony
of
witnesses
shall
be
enforced
in
the
latter
state
by
any
court
of
competent
jurisdiction
in
the
latter
state,
according
to
the
practice
and
procedure
of
that
court
applicable
to
subpoenas
issued
by
the
proceedings
pending
before
it.
(c)
Subpoenas
issued
by
a
respiratory
therapy
licensing
authority
in
a
member
state
for
production
of
evidence
from
another
member
state
shall
be
enforced
in
the
latter
state,
according
to
the
practice
and
procedure
of
that
court
applicable
to
subpoenas
issued
in
the
proceedings
pending
before
it.
House
File
547,
p.
9
(d)
The
issuing
authority
shall
pay
witness
fees,
travel
expenses,
mileage,
and
other
fees
required
by
the
service
statutes
of
the
state
where
the
witness
or
evidence
is
located.
(3)
Unless
otherwise
prohibited
by
state
law,
recover
from
the
licensee
the
costs
of
investigations
and
disposition
of
cases
resulting
from
any
adverse
action
taken
against
that
licensee.
(4)
Notwithstanding
paragraph
“d”
,
subparagraph
(2),
a
member
state
shall
not
issue
a
subpoena
to
gather
evidence
of
conduct
in
another
member
state
that
is
lawful
in
such
other
member
state
for
the
purpose
of
taking
adverse
action
against
a
licensee’s
compact
privilege
or
application
for
a
compact
privilege
in
that
member
state.
(5)
Nothing
in
this
compact
authorizes
a
member
state
to
impose
discipline
against
a
respiratory
therapist’s
compact
privilege
in
that
member
state
for
the
individual’s
otherwise
lawful
practice
in
another
state.
e.
Joint
investigations.
(1)
In
addition
to
the
authority
granted
to
a
member
state
by
its
respective
respiratory
therapy
practice
act
or
other
applicable
state
law,
a
member
state
may
participate
with
other
member
states
in
joint
investigations
of
licensees,
provided,
however,
that
a
member
state
receiving
such
a
request
has
no
obligation
to
respond
to
any
subpoena
issued
regarding
an
investigation
of
conduct
or
practice
that
was
lawful
in
a
member
state
at
the
time
it
was
undertaken.
(2)
Member
states
shall
share
any
significant
investigative
information,
litigation,
or
compliance
materials
in
furtherance
of
any
joint
or
individual
investigation
initiated
under
the
compact.
In
sharing
such
information
between
member
state
respiratory
therapy
licensing
authorities,
all
information
obtained
shall
be
kept
confidential,
except
as
otherwise
mutually
agreed
upon
by
the
sharing
and
receiving
member
states.
f.
Nothing
in
this
compact
permits
a
member
state
to
take
any
adverse
action
against
a
licensee
or
holder
of
a
compact
privilege
for
conduct
or
a
practice
that
was
legal
in
the
member
state
at
the
time
it
was
undertaken.
g.
Nothing
in
this
compact
permits
a
member
state
to
take
House
File
547,
p.
10
disciplinary
action
against
a
licensee
or
holder
of
a
compact
privilege
for
conduct
or
a
practice
that
was
legal
in
the
member
state
at
the
time
it
was
undertaken.
7.
Establishment
of
the
respiratory
care
interstate
compact
commission.
a.
The
compact
member
states
hereby
create
and
establish
a
joint
government
agency
whose
membership
consists
of
all
member
states
that
have
enacted
the
compact,
known
as
the
respiratory
care
interstate
compact
commission.
The
commission
is
an
instrumentality
of
the
compact
member
states
acting
jointly
and
not
an
instrumentality
of
any
one
state.
The
commission
shall
come
into
existence
on
or
after
the
effective
date
of
the
compact
as
set
forth
in
subsection
11.
b.
Membership,
voting,
and
meetings.
(1)
Each
member
state
shall
have
and
be
limited
to
one
commissioner,
selected
by
that
member
state’s
respiratory
therapy
licensing
authority.
(2)
The
commissioner
shall
be
an
administrator
of
the
member
state’s
respiratory
therapy
licensing
authority
or
a
staff
member
designated
by
the
administrator.
(3)
The
commission
shall
by
rule
or
bylaw
establish
a
term
of
office
for
commissioners
and
may
by
rule
or
bylaw
establish
term
limits.
(4)
The
commission
may
recommend
to
a
member
state
the
removal
or
suspension
of
a
commissioner
from
office.
(5)
A
member
state’s
respiratory
therapy
licensing
authority
shall
fill
any
vacancy
of
its
commissioner
occurring
on
the
commission
within
sixty
days
of
the
vacancy.
(6)
Each
commissioner
shall
be
entitled
to
one
vote
on
all
matters
before
the
commission
requiring
a
vote
by
commissioners.
(7)
A
commissioner
shall
vote
in
person
or
by
such
other
means
as
provided
in
the
bylaws.
The
bylaws
may
provide
for
commissioners
to
meet
by
telecommunication,
videoconference,
or
other
means
of
communication.
(8)
The
commission
shall
meet
at
least
once
during
each
calendar
year.
Additional
meetings
may
be
held
as
set
forth
in
the
bylaws.
c.
The
commission
shall
have
all
of
the
following
powers:
House
File
547,
p.
11
(1)
Establish
and
amend
the
fiscal
year
of
the
commission.
(2)
Establish
and
amend
bylaws
and
policies,
including
but
not
limited
to
a
code
of
conduct
and
conflict
of
interest.
(3)
Establish
and
amend
rules,
which
shall
be
binding
in
all
member
states.
(4)
Maintain
its
financial
records
in
accordance
with
the
bylaws.
(5)
Meet
and
take
such
actions
as
are
consistent
with
the
provisions
of
this
compact,
the
commission’s
rules,
and
the
bylaws.
(6)
Initiate
and
conduct
legal
proceedings
or
actions
in
the
name
of
the
commission,
provided
that
the
standing
of
any
respiratory
therapy
licensing
authority
to
sue
or
be
sued
under
applicable
law
shall
not
be
affected.
(7)
Maintain
and
certify
records
and
information
provided
to
a
member
state
as
the
authenticated
business
records
of
the
commission,
and
designate
an
agent
to
do
so
on
the
commission’s
behalf.
(8)
Purchase
and
maintain
insurance
and
bonds.
(9)
Accept
or
contract
for
services
of
personnel,
including
but
not
limited
to
employees
of
a
member
state.
(10)
Conduct
an
annual
financial
review.
(11)
Hire
employees,
elect
or
appoint
officers,
fix
compensation,
define
duties,
grant
such
individuals
appropriate
authority
to
carry
out
the
purposes
of
the
compact,
and
establish
the
commission’s
personnel
policies
and
programs
relating
to
conflicts
of
interest,
qualifications
of
personnel,
and
other
related
personnel
matters.
(12)
Assess
and
collect
fees.
(13)
Accept
any
and
all
appropriate
gifts,
donations,
grants
of
money,
other
sources
of
revenue,
equipment,
supplies,
materials,
and
services,
and
receive,
utilize,
and
dispose
of
the
same,
provided
that
at
all
times
the
commission
does
all
of
the
following:
(a)
Avoid
any
appearance
of
impropriety.
(b)
Avoid
any
appearance
of
conflict
of
interest.
(14)
Lease,
purchase,
retain,
own,
hold,
improve,
or
use
any
property,
real,
personal,
or
mixed,
or
any
undivided
interest
therein.
House
File
547,
p.
12
(15)
Sell,
convey,
mortgage,
pledge,
lease,
exchange,
abandon,
or
otherwise
dispose
of
any
property,
real,
personal,
or
mixed.
(16)
Establish
a
budget
and
make
expenditures.
(17)
Borrow
money
in
a
fiscally
responsible
manner.
(18)
Appoint
committees,
including
standing
committees,
composed
of
commissioners,
state
regulators,
state
legislators
or
their
representatives,
and
consumer
representatives,
and
such
other
interested
persons
as
may
be
designated
in
this
compact
and
the
bylaws.
(19)
Provide
and
receive
information
from,
and
cooperate
with,
law
enforcement
agencies.
(20)
Establish
and
elect
an
executive
committee,
including
a
chair,
vice
chair,
secretary,
treasurer,
and
such
other
offices
as
the
commission
shall
establish
by
rule
or
bylaw.
(21)
Enter
into
contracts
or
arrangements
for
the
management
of
the
affairs
of
the
commission.
(22)
Determine
whether
a
state’s
adopted
language
is
materially
different
from
the
model
compact
language
such
that
the
state
would
not
qualify
for
participation
in
the
compact.
(23)
Perform
such
other
functions
as
may
be
necessary
or
appropriate
to
achieve
the
purposes
of
this
compact.
d.
The
executive
committee.
(1)
The
executive
committee
shall
have
the
power
to
act
on
behalf
of
the
commission
according
to
the
terms
of
this
compact.
The
powers,
duties,
and
responsibilities
of
the
executive
committee
shall
include
all
of
the
following:
(a)
Overseeing
the
day-to-day
activities
of
the
administration
of
the
compact,
including
enforcement
and
compliance
with
the
provisions
of
the
compact,
its
rules
and
bylaws,
and
other
such
duties
as
deemed
necessary.
(b)
Recommending
to
the
commission
changes
to
the
rules
or
bylaws,
changes
to
this
compact
legislation,
fees
charged
to
compact
member
states,
fees
charged
to
licensees,
and
other
fees.
(c)
Ensuring
compact
administration
services
are
appropriately
provided,
including
by
contract.
(d)
Preparing
and
recommending
the
budget.
(e)
Maintaining
financial
records
on
behalf
of
the
House
File
547,
p.
13
commission.
(f)
Monitoring
compact
compliance
of
member
states
and
providing
compliance
reports
to
the
commission.
(g)
Establishing
additional
committees
as
necessary.
(h)
Exercising
the
powers
and
duties
of
the
commission
during
the
interim
between
commission
meetings,
except
for
adopting
or
amending
rules,
adopting
or
amending
bylaws,
and
exercising
any
other
powers
and
duties
expressly
reserved
to
the
commission
by
rule
or
bylaw.
(i)
Performing
other
duties
as
provided
in
the
rules
or
bylaws
of
the
commission.
(2)
The
executive
committee
shall
be
composed
of
up
to
nine
of
the
following
members,
as
further
set
forth
in
the
bylaws
of
the
commission:
(a)
Seven
voting
members
who
are
elected
by
the
commission
from
the
current
membership
of
the
commission.
(b)
Two
ex
officio,
nonvoting
members.
(3)
The
commission
may
remove
any
member
of
the
executive
committee
as
provided
in
the
commission’s
bylaws.
(4)
The
executive
committee
shall
meet
at
least
annually.
(a)
Executive
committee
meetings
shall
be
open
to
the
public,
except
that
the
executive
committee
may
meet
in
a
closed,
nonpublic
meeting
as
provided
in
paragraph
“f”
,
subparagraph
(4).
(b)
The
executive
committee
shall
give
advance
notice
of
its
meetings,
posted
on
its
internet
site
and
as
determined
to
provide
notice
to
persons
with
an
interest
in
the
business
of
the
commission.
(c)
The
executive
committee
may
hold
a
special
meeting
in
accordance
with
paragraph
“f”
,
subparagraph
(2).
e.
The
commission
shall
adopt
and
provide
to
the
member
states
an
annual
report.
f.
Meetings
of
the
commission.
(1)
All
meetings
of
the
commission
that
are
not
closed
pursuant
to
subparagraph
(4)
shall
be
open
to
the
public.
Notice
of
public
meetings
shall
be
posted
on
the
commission’s
internet
site
at
least
thirty
days
prior
to
the
public
meeting.
(2)
Notwithstanding
subparagraph
(1),
the
commission
may
convene
an
emergency
public
meeting
by
providing
at
least
House
File
547,
p.
14
twenty-four
hours’
prior
notice
on
the
commission’s
internet
site,
and
any
other
means
as
provided
in
the
commission’s
rules,
for
any
of
the
reasons
it
may
dispense
with
notice
of
proposed
rulemaking
under
subsection
9,
paragraph
“g”
.
The
commission’s
legal
counsel
shall
certify
that
one
of
the
reasons
justifying
an
emergency
public
meeting
has
been
met.
(3)
Notice
of
all
commission
meetings
shall
provide
the
time,
date,
and
location
of
the
meeting,
and
if
the
meeting
is
to
be
held
or
accessible
via
telecommunication,
videoconference,
or
other
electronic
means,
the
notice
shall
include
the
mechanism
for
access
to
the
meeting.
(4)
The
commission
or
the
executive
committee
may
convene
in
a
closed,
nonpublic
meeting
for
the
commission
or
executive
committee
to
receive
or
solicit
legal
advice
or
to
discuss
any
of
the
following:
(a)
Noncompliance
of
a
member
state
with
its
obligations
under
the
compact.
(b)
The
employment,
compensation,
discipline,
or
other
matters,
practices,
or
procedures
related
to
specific
employees.
(c)
Current
or
threatened
discipline
of
a
licensee
or
compact
privilege
holder
by
the
commission
or
by
a
member
state’s
respiratory
therapy
licensing
authority.
(d)
Current,
threatened,
or
reasonably
anticipated
litigation.
(e)
Negotiation
of
contracts
for
the
purchase,
lease,
or
sale
of
goods,
services,
or
real
estate.
(f)
Accusing
any
person
of
a
crime
or
formally
censuring
any
person.
(g)
Trade
secrets
or
commercial
or
financial
information
that
is
privileged
or
confidential.
(h)
Information
of
a
personal
nature
where
disclosure
would
constitute
a
clearly
unwarranted
invasion
of
personal
privacy.
(i)
Investigative
records
compiled
for
law
enforcement
purposes.
(j)
Information
related
to
any
investigative
reports
prepared
by
or
on
behalf
of
or
for
use
of
the
commission
or
other
committee
charged
with
responsibility
of
investigation
or
determination
of
compliance
issues
pursuant
to
this
compact.
House
File
547,
p.
15
(k)
Legal
advice.
(l)
Matters
specifically
exempted
from
disclosure
by
federal
or
member
state
law.
(m)
Other
matters
as
promulgated
by
the
commission
by
rule.
(5)
If
a
meeting
or
portion
of
a
meeting
is
closed,
the
presiding
officer
shall
state
that
the
meeting
will
be
closed
and
reference
each
relevant
exempting
provision,
and
such
reference
shall
be
recorded
in
the
minutes.
(6)
The
commission
shall
keep
minutes
in
accordance
with
commission
rules
and
bylaws.
All
documents
considered
in
connection
with
an
action
shall
be
identified
in
such
minutes.
All
minutes
and
documents
of
a
closed
meeting
shall
remain
under
seal,
subject
to
release
only
by
a
majority
vote
of
the
commission
or
order
of
a
court
of
competent
jurisdiction.
g.
Financing
the
commission.
(1)
The
commission
shall
pay,
or
provide
for
the
payment
of,
the
reasonable
expenses
of
its
establishment,
organization,
and
ongoing
activities.
(2)
The
commission
may
accept
any
and
all
appropriate
revenue
sources
as
provided
in
this
compact.
(3)
The
commission
may
levy
on
and
collect
an
annual
assessment
from
each
member
state
and
impose
fees
on
licensees
of
member
states
to
whom
it
grants
a
compact
privilege
to
cover
the
cost
of
the
operations
and
activities
of
the
commission
and
its
staff.
The
aggregate
annual
assessment
amount
for
member
states,
if
any,
shall
be
allocated
based
upon
a
formula
that
the
commission
shall
promulgate
by
rule.
(4)
The
commission
shall
not
incur
obligations
of
any
kind
prior
to
securing
the
funds
or
a
loan
adequate
to
meet
the
same;
nor
shall
the
commission
pledge
the
credit
of
any
of
the
member
states,
except
by
and
with
the
authority
of
the
member
state.
(5)
The
commission
shall
keep
accurate
accounts
of
all
receipts
and
disbursements.
The
receipts
and
disbursements
of
the
commission
shall
be
subject
to
the
financial
review
and
accounting
procedures
established
under
its
bylaws.
However,
all
receipts
and
disbursements
of
funds
handled
by
the
commission
shall
be
subject
to
an
annual
financial
review
by
a
certified
or
licensed
public
accountant,
and
the
report
of
the
House
File
547,
p.
16
financial
review
shall
be
included
in
and
become
part
of
the
annual
report
of
the
commission.
h.
Qualified
immunity,
defense,
and
indemnification.
(1)
Nothing
in
this
paragraph
shall
be
construed
as
a
limitation
on
the
liability
of
any
licensee
for
professional
malpractice
or
misconduct,
which
shall
be
governed
solely
by
any
other
applicable
state
laws.
(2)
The
member
states,
commissioners,
officers,
executive
directors,
employees,
and
agents
of
the
commission
shall
be
immune
from
suit
and
liability,
both
personally
and
in
their
official
capacity,
for
any
claim
for
damage
to
or
loss
of
property
or
personal
injury
or
other
civil
liability
caused
by
or
arising
out
of
any
actual
or
alleged
act,
error,
or
omission
that
occurred,
or
that
the
person
against
whom
the
claim
is
made
had
a
reasonable
basis
for
believing
occurred
within
the
scope
of
commission
employment,
duties,
or
responsibilities,
provided
that
nothing
in
this
subparagraph
shall
be
construed
to
protect
any
such
person
from
suit
or
liability
for
any
damage,
loss,
injury,
or
liability
caused
by
the
intentional
or
willful
or
wanton
misconduct
of
that
person.
The
procurement
of
insurance
of
any
type
by
the
commission
shall
not
in
any
way
compromise
or
limit
the
immunity
granted
in
this
subparagraph.
(3)
The
commission
shall
defend
any
commissioner,
officer,
executive
director,
employee,
or
agent
of
the
commission
in
any
civil
action
seeking
to
impose
liability
arising
out
of
any
actual
or
alleged
act,
error,
or
omission
that
occurred
within
the
scope
of
commission
employment,
duties,
or
responsibilities,
or
as
determined
by
the
commission
that
the
person
against
whom
the
claim
is
made
had
a
reasonable
basis
for
believing
occurred
within
the
scope
of
commission
employment,
duties,
or
responsibilities,
provided
that
nothing
in
this
subparagraph
shall
be
construed
to
prohibit
that
person
from
retaining
counsel
at
that
person’s
own
expense,
and
provided
further
that
the
actual
or
alleged
act,
error,
or
omission
did
not
result
from
that
person’s
intentional
or
willful
or
wanton
misconduct.
(4)
The
commission
shall
indemnify
and
hold
harmless
any
commissioner,
member,
officer,
executive
director,
employee,
and
agent
of
the
commission
for
the
amount
of
any
settlement
or
House
File
547,
p.
17
judgment
obtained
against
that
person
arising
out
of
any
actual
or
alleged
act,
error,
or
omission
that
occurred
within
the
scope
of
commission
employment,
duties,
or
responsibilities,
or
that
such
person
had
a
reasonable
basis
for
believing
occurred
within
the
scope
of
commission
employment,
duties,
or
responsibilities,
provided
that
the
actual
or
alleged
act,
error,
or
omission
did
not
result
from
the
intentional
or
willful
or
wanton
misconduct
of
that
person.
(5)
Nothing
in
this
compact
shall
be
interpreted
to
waive
or
otherwise
abrogate
a
member
state’s
state
action
immunity
or
state
action
affirmative
defense
with
respect
to
antitrust
claims
under
the
Sherman
Act,
Clayton
Act,
or
any
other
state
or
federal
antitrust
or
anticompetitive
law
or
regulation.
(6)
Nothing
in
this
compact
shall
be
construed
to
be
a
waiver
of
sovereign
immunity
by
the
member
states
or
by
the
commission.
8.
Data
system.
a.
The
commission
shall
provide
for
the
development,
maintenance,
operation,
and
utilization
of
a
coordinated
database
and
reporting
system
containing
licensure,
adverse
action,
and
the
presence
of
significant
investigative
information.
b.
Notwithstanding
any
other
provision
of
state
law
to
the
contrary,
a
member
state
shall
submit
a
uniform
data
set
to
the
data
system
as
required
by
the
rules
of
the
commission,
including
but
not
limited
to
all
of
the
following:
(1)
Identifying
information.
(2)
Licensure
data.
(3)
Adverse
actions
against
a
licensee,
license
applicant,
or
compact
privilege
holder
and
information
related
thereto.
(4)
Nonconfidential
information
related
to
alternative
program
participation,
the
beginning
and
ending
dates
of
such
participation,
and
other
information
related
to
such
participation
not
made
confidential
under
member
state
law.
(5)
Any
denial
of
application
for
licensure,
and
the
reason
for
such
denial.
(6)
The
presence
of
current
significant
investigative
information.
(7)
Other
information
that
may
facilitate
the
House
File
547,
p.
18
administration
of
this
compact
or
the
protection
of
the
public,
as
determined
by
the
rules
of
the
commission.
c.
No
member
state
shall
submit
any
information
which
constitutes
criminal
history
record
information,
as
defined
by
applicable
federal
law,
to
the
data
system
established
in
this
subsection.
d.
The
records
and
information
provided
to
a
member
state
pursuant
to
this
compact
or
through
the
data
system,
when
certified
by
the
commission
or
an
agent
thereof,
shall
constitute
the
authenticated
business
records
of
the
commission,
and
shall
be
entitled
to
any
associated
hearsay
exception
in
any
relevant
judicial,
quasi-judicial,
or
administrative
proceedings
in
a
member
state.
e.
Significant
investigative
information
pertaining
to
a
licensee
in
any
member
state
will
only
be
available
to
other
member
states.
f.
It
is
the
responsibility
of
the
member
states
to
report
any
adverse
action
against
a
licensee
and
to
monitor
the
database
to
determine
whether
adverse
action
has
been
taken
against
a
licensee.
Adverse
action
information
pertaining
to
a
licensee
in
any
member
state
will
be
available
to
any
other
member
state.
g.
Member
states
contributing
information
to
the
data
system
may
designate
information
that
may
not
be
shared
with
the
public
without
the
express
permission
of
the
contributing
state.
h.
Any
information
submitted
to
the
data
system
that
is
subsequently
expunged
pursuant
to
federal
law
or
the
laws
of
the
member
state
contributing
the
information
shall
be
removed
from
the
data
system.
9.
Rulemaking.
a.
The
commission
shall
promulgate
reasonable
rules
in
order
to
effectively
and
efficiently
implement
and
administer
the
purposes
and
provisions
of
the
compact.
A
rule
shall
be
invalid
and
have
no
force
and
effect
only
if
a
court
of
competent
jurisdiction
holds
that
the
rule
is
invalid
because
the
commission
exercised
its
rulemaking
authority
in
a
manner
that
is
beyond
the
scope
and
purposes
of
the
compact,
or
the
powers
granted
under
this
subsection,
or
based
upon
another
House
File
547,
p.
19
applicable
standard
of
review.
b.
For
purposes
of
the
compact,
the
rules
of
the
commission
shall
have
the
force
of
law
in
each
member
state.
c.
The
commission
shall
exercise
its
rulemaking
powers
pursuant
to
the
criteria
set
forth
in
this
subsection
and
the
rules
adopted
pursuant
to
this
subsection.
Rules
shall
become
binding
as
of
the
date
specified
in
each
rule.
d.
If
a
majority
of
the
legislatures
of
the
member
states
rejects
a
rule
or
portion
of
a
rule,
by
enactment
of
a
statute
or
resolution
in
the
same
manner
used
to
adopt
the
compact,
within
four
years
of
the
date
of
application
of
the
rule,
then
such
rule
shall
have
no
further
force
and
effect
in
any
member
state.
e.
Rules
shall
be
adopted
at
a
regular
or
special
meeting
of
the
commission.
f.
Prior
to
adoption
of
a
proposed
rule,
the
commission
shall
hold
a
public
hearing
and
allow
persons
to
provide
oral
and
written
comments,
data,
facts,
opinions,
and
arguments.
g.
Prior
to
adoption
of
a
proposed
rule
by
the
commission,
and
at
least
thirty
days
in
advance
of
the
meeting
at
which
the
commission
will
hold
a
public
hearing
on
the
proposed
rule,
the
commission
shall
provide
a
notice
of
proposed
rulemaking
by
all
of
the
following
methods:
(1)
On
the
internet
site
of
the
commission
or
other
publicly
accessible
platform.
(2)
To
persons
who
have
requested
notice
of
the
commission’s
notices
of
proposed
rulemaking.
(3)
In
such
other
way
as
the
commission
may
by
rule
specify.
h.
The
notice
of
proposed
rulemaking
shall
include
all
of
the
following:
(1)
The
time,
date,
and
location
of
the
public
hearing
at
which
the
commission
will
hear
public
comments
on
the
proposed
rule
and,
if
different,
the
time,
date,
and
location
of
the
meeting
where
the
commission
will
consider
and
vote
on
the
proposed
rule.
(2)
If
the
hearing
is
held
via
telecommunication,
videoconference,
or
other
electronic
means,
the
commission
shall
include
the
mechanism
for
access
to
the
hearing
in
the
notice
of
proposed
rulemaking.
House
File
547,
p.
20
(3)
The
text
of
the
proposed
rule
and
the
reason
therefor.
(4)
A
request
for
comments
on
the
proposed
rule
from
any
interested
person.
(5)
The
manner
in
which
interested
persons
may
submit
written
comments.
i.
All
hearings
shall
be
recorded.
A
copy
of
the
recording
and
all
written
comments
and
documents
received
by
the
commission
in
response
to
the
proposed
rule
shall
be
available
to
the
public.
j.
Nothing
in
this
subsection
shall
be
construed
as
requiring
a
separate
hearing
on
each
rule.
Rules
may
be
grouped
for
the
convenience
of
the
commission
at
hearings
required
by
this
subsection.
k.
The
commission
shall,
by
majority
vote
of
all
commissioners,
take
final
action
on
the
proposed
rule
based
on
the
rulemaking
record
and
the
full
text
of
the
rule.
(1)
The
commission
may
adopt
changes
to
the
proposed
rule,
provided
that
the
changes
are
consistent
with
the
original
purpose
of
the
proposed
rule.
(2)
The
commission
shall
provide
an
explanation
of
the
reasons
for
substantive
changes
made
to
the
proposed
rule
as
well
as
reasons
for
substantive
changes
not
made
that
were
recommended
by
commenters.
(3)
The
commission
shall
determine
a
reasonable
effective
date
for
the
rule.
Except
for
an
emergency
as
provided
in
paragraph
“l”
,
the
effective
date
of
the
rule
shall
be
no
sooner
than
thirty
days
after
issuing
the
notice
that
it
adopted
or
amended
the
rule.
l.
Upon
determination
that
an
emergency
exists,
the
commission
may
consider
and
adopt
an
emergency
rule
with
twenty-four
hours’
notice,
and
with
opportunity
to
comment,
provided
that
the
usual
rulemaking
procedures
provided
in
the
compact
and
in
this
subsection
shall
be
retroactively
applied
to
the
rule
as
soon
as
reasonably
possible,
in
no
event
later
than
ninety
days
after
the
effective
date
of
the
rule.
For
the
purposes
of
this
provision,
an
emergency
rule
is
one
that
must
be
adopted
immediately
in
order
to
do
one
of
the
following:
(1)
Meet
an
imminent
threat
to
public
health,
safety,
or
welfare.
House
File
547,
p.
21
(2)
Prevent
a
loss
of
commission
or
member
state
funds.
(3)
Meet
a
deadline
for
the
promulgation
of
a
rule
that
is
established
by
federal
law
or
rule.
(4)
Protect
public
health
and
safety.
m.
The
commission
or
an
authorized
committee
of
the
commission
may
direct
revisions
to
a
previously
adopted
rule
for
purposes
of
correcting
typographical
errors,
errors
in
format,
errors
in
consistency,
or
grammatical
errors.
Public
notice
of
any
revisions
shall
be
posted
on
the
internet
site
of
the
commission.
The
revision
shall
be
subject
to
challenge
by
any
person
for
a
period
of
thirty
days
after
posting.
The
revision
may
be
challenged
only
on
grounds
that
the
revision
results
in
a
material
change
to
a
rule.
A
challenge
shall
be
made
in
writing
and
delivered
to
the
commission
prior
to
the
end
of
the
notice
period.
If
no
challenge
is
made,
the
revision
will
take
effect
without
further
action.
If
the
revision
is
challenged,
the
revision
may
not
take
effect
without
the
approval
of
the
commission.
n.
No
member
state’s
rulemaking
process
or
procedural
requirements
shall
apply
to
the
commission.
The
commission
shall
have
no
authority
over
any
member
state’s
rulemaking
process
or
procedural
requirements
that
do
not
pertain
to
the
compact.
o.
Nothing
in
this
compact,
nor
any
rule
or
regulation
of
the
commission,
shall
be
construed
to
limit,
restrict,
or
in
any
way
reduce
the
ability
of
a
member
state
to
enact
and
enforce
laws,
regulations,
or
other
rules
related
to
the
practice
of
respiratory
therapy
in
that
state
where
those
laws,
regulations,
or
other
rules
are
not
inconsistent
with
the
provisions
of
this
compact.
10.
Oversight,
dispute
resolution,
and
enforcement.
a.
Oversight.
(1)
The
executive
and
judicial
branches
of
state
government
in
each
member
state
shall
enforce
this
compact
and
take
all
actions
necessary
and
appropriate
to
implement
the
compact.
(2)
Venue
is
proper
and
judicial
proceedings
by
or
against
the
commission
shall
be
brought
solely
and
exclusively
in
a
court
of
competent
jurisdiction
where
the
principal
office
of
the
commission
is
located.
The
commission
may
waive
House
File
547,
p.
22
venue
and
jurisdictional
defenses
to
the
extent
it
adopts
or
consents
to
participate
in
alternative
dispute
resolution
proceedings.
Nothing
in
this
subparagraph
shall
affect
or
limit
the
selection
or
propriety
of
venue
in
any
action
against
a
licensee
for
professional
malpractice,
misconduct,
or
any
such
similar
matter.
(3)
The
commission
shall
be
entitled
to
receive
service
of
process
in
any
proceeding
regarding
the
enforcement
or
interpretation
of
the
compact
and
shall
have
standing
to
intervene
in
such
a
proceeding
for
all
purposes.
Failure
to
provide
the
commission
service
of
process
shall
render
a
judgment
or
order
void
as
to
the
commission,
this
compact,
or
promulgated
rules.
b.
Default,
technical
assistance,
and
termination.
(1)
If
the
commission
determines
that
a
member
state
has
defaulted
in
the
performance
of
its
obligations
or
responsibilities
under
this
compact
or
the
promulgated
rules,
the
commission
shall
provide
written
notice
to
the
defaulting
state.
The
notice
of
default
shall
describe
the
default,
the
proposed
means
of
curing
the
default,
and
any
other
action
that
the
commission
may
take,
and
shall
offer
training
and
specific
technical
assistance
regarding
the
default.
(2)
The
commission
shall
provide
a
copy
of
the
notice
of
default
to
the
other
member
states.
c.
If
a
state
in
default
fails
to
cure
the
default,
the
defaulting
state
may
be
terminated
from
the
compact
upon
an
affirmative
vote
of
a
majority
of
the
commissioners
of
the
member
states,
and
all
rights,
privileges,
and
benefits
conferred
on
that
state
by
this
compact
may
be
terminated
on
the
effective
date
of
termination.
A
cure
of
the
default
does
not
relieve
the
offending
state
of
obligations
or
liabilities
incurred
during
the
period
of
default.
d.
Termination
of
membership
in
the
compact
shall
be
imposed
only
after
all
other
means
of
securing
compliance
have
been
exhausted.
Notice
of
intent
to
suspend
or
terminate
shall
be
given
by
the
commission
to
the
governor,
the
majority
and
minority
leaders
of
the
defaulting
state’s
legislature,
the
defaulting
state’s
respiratory
therapy
licensing
authority,
and
each
of
the
member
states’
respiratory
therapy
licensing
House
File
547,
p.
23
authorities.
e.
A
state
that
has
been
terminated
is
responsible
for
all
assessments,
obligations,
and
liabilities
incurred
through
the
effective
date
of
termination,
including
obligations
that
extend
beyond
the
effective
date
of
termination,
if
necessary.
f.
Upon
termination
of
a
state’s
membership
from
this
compact,
that
state
shall
immediately
provide
notice
to
all
licensees
and
compact
privilege
holders
of
which
the
commission
has
a
record
within
that
state
of
such
termination.
The
terminated
state
shall
continue
to
recognize
all
licenses
granted
pursuant
to
this
compact
for
a
minimum
of
one
hundred
eighty
days
after
the
date
of
said
notice
of
termination.
g.
The
commission
shall
not
bear
any
costs
related
to
a
state
that
is
found
to
be
in
default
or
that
has
been
terminated
from
the
compact,
unless
agreed
upon
in
writing
between
the
commission
and
the
defaulting
state.
h.
The
defaulting
state
may
appeal
the
action
of
the
commission
by
petitioning
the
United
States
district
court
for
the
District
of
Columbia
or
the
federal
district
where
the
commission
has
its
principal
offices.
The
prevailing
party
shall
be
awarded
all
costs
of
such
litigation,
including
reasonable
attorney
fees.
i.
Dispute
resolution.
(1)
Upon
request
by
a
member
state,
the
commission
shall
attempt
to
resolve
disputes
related
to
the
compact
that
arise
among
member
states
and
between
member
and
nonmember
states.
(2)
The
commission
shall
promulgate
a
rule
providing
for
both
mediation
and
binding
dispute
resolution
for
disputes,
as
appropriate.
j.
Enforcement.
(1)
By
majority
vote,
as
may
be
further
provided
by
rule,
the
commission
may
initiate
legal
action
against
a
member
state
in
default
in
the
United
States
district
court
for
the
District
of
Columbia
or
the
federal
district
where
the
commission
has
its
principal
offices
to
enforce
compliance
with
the
provisions
of
the
compact
and
its
promulgated
rules.
A
member
state
by
enactment
of
this
compact
consents
to
venue
and
jurisdiction
in
such
court
for
the
purposes
set
forth
in
this
subparagraph.
The
relief
sought
may
include
both
injunctive
relief
and
House
File
547,
p.
24
damages.
In
the
event
judicial
enforcement
is
necessary,
the
prevailing
party
shall
be
awarded
all
costs
of
such
litigation,
including
reasonable
attorney
fees.
The
remedies
in
this
subparagraph
shall
not
be
the
exclusive
remedies
of
the
commission.
The
commission
may
pursue
other
remedies
available
under
federal
or
the
defaulting
member
state’s
law.
(2)
A
member
state
may
initiate
legal
action
against
the
commission
in
the
United
States
district
court
for
the
District
of
Columbia
or
the
federal
district
where
the
commission
has
its
principal
offices
to
enforce
compliance
with
the
provisions
of
the
compact
and
its
promulgated
rules.
The
relief
sought
may
include
both
injunctive
relief
and
damages.
In
the
event
judicial
enforcement
is
necessary,
the
prevailing
party
shall
be
awarded
all
costs
of
such
litigation,
including
reasonable
attorney
fees.
(3)
No
person
other
than
a
member
state
shall
enforce
this
compact
against
the
commission.
11.
Effective
date,
withdrawal,
and
amendment.
a.
The
compact
shall
come
into
effect
on
the
date
on
which
the
compact
statute
is
enacted
into
law
in
the
seventh
member
state.
(1)
On
or
after
the
effective
date
of
the
compact,
the
commission
shall
convene
and
review
the
enactment
of
each
of
the
first
seven
member
states
to
determine
if
the
statute
enacted
by
each
such
charter
member
state
is
materially
different
than
the
model
compact.
(a)
A
charter
member
state
whose
enactment
is
found
to
be
materially
different
from
the
model
compact
shall
be
entitled
to
the
default
process
set
forth
in
subsection
10.
(b)
If
any
member
state
is
later
found
to
be
in
default
or
is
terminated
or
withdraws
from
the
compact,
the
commission
shall
remain
in
existence
and
the
compact
shall
remain
in
effect
even
if
the
number
of
member
states
should
be
less
than
seven.
(2)
Member
states
enacting
the
compact
subsequent
to
the
seven
initial
charter
member
states
shall
be
subject
to
the
process
set
forth
herein
and
commission
rule
to
determine
if
their
enactments
are
materially
different
from
the
model
compact
and
whether
they
qualify
for
participation
in
the
House
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547,
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25
compact.
(3)
All
actions
taken
for
the
benefit
of
the
commission
or
in
furtherance
of
the
purposes
of
the
administration
of
the
compact
prior
to
the
effective
date
of
the
compact
or
the
commission
coming
into
existence
shall
be
considered
to
be
the
actions
of
the
commission
unless
specifically
repudiated
by
the
commission.
The
commission
shall
own
and
have
all
rights
to
any
intellectual
property
developed
on
behalf
or
in
furtherance
of
the
commission
by
individuals
or
entities
involved
in
organizing
or
establishing
the
commission,
as
may
be
further
set
forth
in
rules
of
the
commission.
(4)
Any
state
that
joins
the
compact
subsequent
to
the
commission’s
initial
adoption
of
the
rules
and
bylaws
shall
be
subject
to
the
rules
and
bylaws
as
they
exist
on
the
date
on
which
the
compact
becomes
law
in
that
state.
Any
rule
that
has
been
previously
adopted
by
the
commission
shall
have
the
full
force
and
effect
of
law
on
the
date
the
compact
becomes
law
in
that
state.
b.
Any
member
state
may
withdraw
from
this
compact
by
enacting
a
statute
repealing
the
same.
(1)
A
member
state’s
withdrawal
shall
not
take
effect
until
one
hundred
eighty
days
after
enactment
of
the
repealing
statute.
(2)
Withdrawal
shall
not
affect
the
continuing
requirements
of
the
withdrawing
state’s
respiratory
therapy
licensing
authority
to
comply
with
the
investigative
and
adverse
action
reporting
requirements
of
this
compact
prior
to
the
effective
date
of
withdrawal.
(3)
Upon
the
enactment
of
a
statute
withdrawing
from
this
compact,
a
state
shall
immediately
provide
notice
of
such
withdrawal
to
all
licensees
and
compact
privilege
holders
of
which
the
commission
has
a
record
within
that
state.
Notwithstanding
any
subsequent
statutory
enactment
to
the
contrary,
such
withdrawing
state
shall
continue
to
recognize
all
licenses
granted
pursuant
to
this
compact
for
a
minimum
of
one
hundred
eighty
days
after
the
date
of
such
notice
of
withdrawal.
c.
Nothing
contained
in
this
compact
shall
be
construed
to
invalidate
or
prevent
any
licensure
agreement
or
other
House
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547,
p.
26
cooperative
arrangement
between
a
member
state
and
a
nonmember
state
that
does
not
conflict
with
the
provisions
of
this
compact.
d.
This
compact
may
be
amended
by
the
member
states.
No
amendment
to
this
compact
shall
become
effective
and
binding
upon
any
member
state
until
it
is
enacted
into
the
laws
of
all
member
states.
12.
Construction
and
severability.
a.
This
compact
and
the
commission’s
rulemaking
authority
shall
be
liberally
construed
so
as
to
effectuate
the
purposes
and
the
implementation
and
administration
of
the
compact.
Provisions
of
the
compact
expressly
authorizing
or
requiring
the
promulgation
of
rules
shall
not
be
construed
to
limit
the
commission’s
rulemaking
authority
solely
for
those
purposes.
b.
The
provisions
of
this
compact
shall
be
severable,
and
if
any
phrase,
clause,
sentence,
or
provision
of
this
compact
is
held
by
a
court
of
competent
jurisdiction
to
be
contrary
to
the
constitution
of
any
member
state,
a
state
seeking
participation
in
the
compact,
or
of
the
United
States,
or
the
applicability
thereof
to
any
government,
agency,
person,
or
circumstance
is
held
to
be
unconstitutional
by
a
court
of
competent
jurisdiction,
the
validity
of
the
remainder
of
this
compact
and
the
applicability
thereof
to
any
other
government,
agency,
person,
or
circumstance
shall
not
be
affected
thereby.
c.
Notwithstanding
paragraph
“b”
,
the
commission
may
deny
a
state’s
participation
in
the
compact
or,
in
accordance
with
the
requirements
of
subsection
10,
terminate
a
member
state’s
participation
in
the
compact
if
it
determines
that
a
constitutional
requirement
of
a
member
state
is
a
material
departure
from
the
compact.
Otherwise,
if
this
compact
shall
be
held
to
be
contrary
to
the
constitution
of
any
member
state,
the
compact
shall
remain
in
full
force
and
effect
as
to
the
remaining
member
states
and
in
full
force
and
effect
as
to
the
member
state
affected
as
to
all
severable
matters.
13.
Consistent
effect
and
conflict
with
other
state
laws.
a.
Nothing
in
this
subsection
shall
prevent
or
inhibit
the
enforcement
of
any
other
law
of
a
member
state
that
is
not
inconsistent
with
the
compact.
b.
Any
laws,
statutes,
regulations,
or
other
legal
House
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547,
p.
27
requirements
in
a
member
state
in
conflict
with
the
compact
are
superseded
to
the
extent
of
the
conflict,
including
any
subsequently
enacted
state
laws.
c.
All
permissible
agreements
between
the
commission
and
the
member
states
are
binding
in
accordance
with
their
terms.
d.
Other
than
as
expressly
set
forth
herein,
nothing
in
this
compact
impacts
initial
licensure.
______________________________
PAT
GRASSLEY
Speaker
of
the
House
______________________________
AMY
SINCLAIR
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
and
is
known
as
House
File
547,
Ninety-first
General
Assembly.
______________________________
MEGHAN
NELSON
Chief
Clerk
of
the
House
Approved
_______________,
2025
______________________________
KIM
REYNOLDS
Governor