Bill Text: IA HF694 | 2019-2020 | 88th General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: A bill for an act establishing an emergency medical services personnel licensure interstate compact. (Formerly HSB 192.) Effective 7-1-19.
Spectrum: Committee Bill
Status: (Passed) 2019-05-08 - Signed by Governor. H.J. 1083. [HF694 Detail]
Download: Iowa-2019-HF694-Amended.html
Bill Title: A bill for an act establishing an emergency medical services personnel licensure interstate compact. (Formerly HSB 192.) Effective 7-1-19.
Spectrum: Committee Bill
Status: (Passed) 2019-05-08 - Signed by Governor. H.J. 1083. [HF694 Detail]
Download: Iowa-2019-HF694-Amended.html
House
File
694
-
Reprinted
HOUSE
FILE
694
BY
COMMITTEE
ON
PUBLIC
SAFETY
(SUCCESSOR
TO
HSB
192)
(As
Amended
and
Passed
by
the
House
March
21,
2019
)
A
BILL
FOR
An
Act
establishing
an
emergency
medical
services
personnel
1
licensure
interstate
compact.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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694
(3)
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H.F.
694
DIVISION
I
1
EMERGENCY
MEDICAL
SERVICES
PERSONNEL
LICENSURE
INTERSTATE
2
COMPACT
3
Section
1.
NEW
SECTION
.
147D.1
Emergency
medical
services
4
personnel
licensure
interstate
compact.
5
1.
Purpose.
In
order
to
protect
the
public
through
6
verification
of
competency
and
ensure
accountability
for
7
patient
care
related
activities
all
states
license
emergency
8
medical
services
personnel,
such
as
emergency
medical
9
technicians,
advanced
emergency
medical
technicians,
and
10
paramedics.
This
compact
is
intended
to
facilitate
the
11
day-to-day
movement
of
emergency
medical
services
personnel
12
across
state
boundaries
in
the
performance
of
their
emergency
13
medical
services
duties
as
assigned
by
an
appropriate
authority
14
and
authorize
state
emergency
medical
services
offices
to
15
afford
immediate
legal
recognition
to
emergency
medical
16
services
personnel
licensed
in
a
member
state.
This
compact
17
recognizes
that
states
have
a
vested
interest
in
protecting
18
the
public’s
health
and
safety
through
their
licensing
and
19
regulation
of
emergency
medical
services
personnel
and
that
20
such
state
regulation
shared
among
the
member
states
will
best
21
protect
public
health
and
safety.
This
compact
is
designed
to
22
achieve
the
following
purposes
and
objectives:
23
a.
Increase
public
access
to
emergency
medical
services
24
personnel.
25
b.
Enhance
the
states’
ability
to
protect
the
public’s
26
health
and
safety,
especially
patient
safety.
27
c.
Encourage
the
cooperation
of
member
states
in
the
28
areas
of
emergency
medical
services
personnel
licensure
and
29
regulation.
30
d.
Support
licensing
of
military
members
who
are
separating
31
from
an
active
duty
tour
and
their
spouses.
32
e.
Facilitate
the
exchange
of
information
between
member
33
states
regarding
emergency
medical
services
personnel
34
licensure,
adverse
action,
and
significant
investigatory
35
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information.
1
f.
Promote
compliance
with
the
laws
governing
emergency
2
medical
services
personnel
practice
in
each
member
state.
3
g.
Invest
all
member
states
with
the
authority
to
hold
4
emergency
medical
services
personnel
accountable
through
the
5
mutual
recognition
of
member
state
licenses.
6
2.
Definitions.
In
this
compact:
7
a.
“Advanced
emergency
medical
technician”
or
“AEMT”
means
8
an
individual
licensed
with
cognitive
knowledge
and
a
scope
9
of
practice
that
corresponds
to
that
level
in
the
national
10
emergency
medical
services
education
standards
and
national
11
emergency
medical
services
scope
of
practice
model.
12
b.
“Adverse
action”
means
any
administrative,
civil,
13
equitable,
or
criminal
action
permitted
by
a
state’s
laws
which
14
may
be
imposed
against
licensed
emergency
medical
services
15
personnel
by
a
state
emergency
medical
services
authority
or
16
state
court,
including
but
not
limited
to
actions
against
an
17
individual’s
license
such
as
revocation,
suspension,
probation,
18
consent
agreement,
monitoring,
or
other
limitation
or
19
encumbrance
on
the
individual’s
practice,
letters
of
reprimand
20
or
admonition,
fines,
criminal
convictions,
and
state
court
21
judgments
enforcing
adverse
actions
by
the
state
emergency
22
medical
services
authority.
23
c.
“Alternative
program”
means
a
voluntary,
nondisciplinary
24
substance
abuse
recovery
program
approved
by
a
state
emergency
25
medical
services
authority.
26
d.
“Certification”
means
the
successful
verification
of
27
entry-level
cognitive
and
psychomotor
competency
using
a
28
reliable,
validated,
and
legally
defensible
examination.
29
e.
“Commission”
means
the
national
administrative
body
of
30
which
all
states
that
have
enacted
the
compact
are
members.
31
f.
“Emergency
medical
technician”
or
“EMT”
means
an
32
individual
licensed
with
cognitive
knowledge
and
a
scope
33
of
practice
that
corresponds
to
that
level
in
the
national
34
emergency
medical
services
education
standards
and
national
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emergency
medical
services
scope
of
practice
model.
1
g.
“Home
state”
means
a
member
state
where
an
individual
is
2
licensed
to
practice
emergency
medical
services.
3
h.
“License”
means
the
authorization
by
a
state
for
an
4
individual
to
practice
as
an
EMT,
AEMT,
paramedic,
or
a
level
5
between
EMT
and
paramedic.
6
i.
“Medical
director”
means
a
physician
licensed
in
a
member
7
state
who
is
accountable
for
the
care
delivered
by
emergency
8
medical
services
personnel.
9
j.
“Member
state”
means
a
state
that
has
enacted
this
10
compact.
11
k.
“Paramedic”
means
an
individual
licensed
with
cognitive
12
knowledge
and
a
scope
of
practice
that
corresponds
to
that
13
level
in
the
national
emergency
medical
services
education
14
standards
and
national
emergency
medical
services
scope
of
15
practice
model.
16
l.
“Privilege
to
practice”
means
an
individual’s
authority
17
to
deliver
emergency
medical
services
in
remote
states
as
18
authorized
under
this
compact.
19
m.
“Remote
state”
means
a
member
state
in
which
an
20
individual
is
not
licensed.
21
n.
“Restricted”
means
the
outcome
of
an
adverse
action
that
22
limits
a
license
or
the
privilege
to
practice.
23
o.
“Rule”
means
a
written
statement
by
the
interstate
24
commission
promulgated
pursuant
to
subsection
12
of
this
25
compact
that
is
of
general
applicability;
implements,
26
interprets,
or
prescribes
a
policy
or
provision
of
the
compact;
27
or
is
an
organizational,
procedural,
or
practice
requirement
28
of
the
commission
and
has
the
force
and
effect
of
statutory
29
law
in
a
member
state
and
includes
the
amendment,
repeal,
or
30
suspension
of
an
existing
rule.
31
p.
“Scope
of
practice”
means
defined
parameters
of
various
32
duties
or
services
that
may
be
provided
by
an
individual
with
33
specific
credentials.
Whether
regulated
by
rule,
statute,
or
34
court
decision,
it
tends
to
represent
the
limits
of
services
an
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individual
may
perform.
1
q.
“Significant
investigatory
information”
means:
2
(1)
Investigative
information
that
a
state
emergency
3
medical
services
authority,
after
a
preliminary
inquiry
that
4
includes
notification
and
an
opportunity
to
respond
if
required
5
by
state
law,
has
reason
to
believe,
if
proved
true,
would
6
result
in
the
imposition
of
an
adverse
action
on
a
license
or
7
privilege
to
practice;
or
8
(2)
Investigative
information
that
indicates
that
the
9
individual
represents
an
immediate
threat
to
public
health
and
10
safety
regardless
of
whether
the
individual
has
been
notified
11
and
had
an
opportunity
to
respond.
12
r.
“State”
means
any
state,
commonwealth,
district,
or
13
territory
of
the
United
States.
14
s.
“State
emergency
medical
services
authority”
means
the
15
board,
office,
or
other
agency
with
the
legislative
mandate
to
16
license
emergency
medical
services
personnel.
17
3.
Home
state
licensure.
18
a.
Any
member
state
in
which
an
individual
holds
a
current
19
license
shall
be
deemed
a
home
state
for
purposes
of
this
20
compact.
21
b.
Any
member
state
may
require
an
individual
to
obtain
and
22
retain
a
license
to
be
authorized
to
practice
in
the
member
23
state
under
circumstances
not
authorized
by
the
privilege
to
24
practice
under
the
terms
of
this
compact.
25
c.
A
home
state’s
license
authorizes
an
individual
to
26
practice
in
a
remote
state
under
the
privilege
to
practice
only
27
if
the
home
state:
28
(1)
Currently
requires
the
use
of
the
national
registry
of
29
emergency
medical
technicians
examination
as
a
condition
of
30
issuing
initial
licenses
at
the
EMT
and
paramedic
levels;
31
(2)
Has
a
mechanism
in
place
for
receiving
and
investigating
32
complaints
about
individuals;
33
(3)
Notifies
the
commission,
in
compliance
with
the
terms
34
herein,
of
any
adverse
action
or
significant
investigatory
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information
regarding
an
individual;
1
(4)
No
later
than
five
years
after
activation
of
the
2
compact,
requires
a
criminal
background
check
of
all
applicants
3
for
initial
licensure,
including
the
use
of
the
results
of
4
fingerprint
or
other
biometric
data
checks
compliant
with
5
the
requirements
of
the
federal
bureau
of
investigation
6
with
the
exception
of
federal
employees
who
have
suitability
7
determination
in
accordance
with
5
C.F.R.
§731.202
and
submit
8
documentation
of
such
as
promulgated
in
the
rules
of
the
9
commission;
and
10
(5)
Complies
with
the
rules
of
the
commission.
11
4.
Compact
privilege
to
practice.
12
a.
Member
states
shall
recognize
the
privilege
to
practice
13
of
an
individual
licensed
in
another
member
state
that
is
in
14
conformance
with
subsection
3.
15
b.
To
exercise
the
privilege
to
practice
under
the
terms
and
16
provisions
of
this
compact,
an
individual
must:
17
(1)
Be
at
least
eighteen
years
of
age;
18
(2)
Possess
a
current
unrestricted
license
in
a
member
state
19
as
an
EMT,
AEMT,
paramedic,
or
state-recognized
and
licensed
20
level
with
a
scope
of
practice
and
authority
between
EMT
and
21
paramedic;
and
22
(3)
Practice
under
the
supervision
of
a
medical
director.
23
c.
An
individual
providing
patient
care
in
a
remote
state
24
under
the
privilege
to
practice
shall
function
within
the
scope
25
of
practice
authorized
by
the
home
state
unless
and
until
26
modified
by
an
appropriate
authority
in
the
remote
state
as
may
27
be
defined
in
the
rules
of
the
commission.
28
d.
Except
as
provided
in
paragraph
“c”
of
this
subsection,
29
an
individual
practicing
in
a
remote
state
will
be
subject
to
30
the
remote
state’s
authority
and
laws.
A
remote
state
may,
in
31
accordance
with
due
process
and
that
state’s
laws,
restrict,
32
suspend,
or
revoke
an
individual’s
privilege
to
practice
in
33
the
remote
state
and
may
take
any
other
necessary
actions
to
34
protect
the
health
and
safety
of
its
citizens.
If
a
remote
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state
takes
action
it
shall
promptly
notify
the
home
state
and
1
the
commission.
2
e.
If
an
individual’s
license
in
any
home
state
is
3
restricted
or
suspended,
the
individual
shall
not
be
eligible
4
to
practice
in
a
remote
state
under
the
privilege
to
practice
5
until
the
individual’s
home
state
license
is
restored.
6
f.
If
an
individual’s
privilege
to
practice
in
any
remote
7
state
is
restricted,
suspended,
or
revoked
the
individual
shall
8
not
be
eligible
to
practice
in
any
remote
state
until
the
9
individual’s
privilege
to
practice
is
restored.
10
5.
Conditions
of
practice
in
a
remote
state.
An
individual
11
may
practice
in
a
remote
state
under
a
privilege
to
practice
12
only
in
the
performance
of
the
individual’s
emergency
medical
13
services
duties
as
assigned
by
an
appropriate
authority,
as
14
defined
in
the
rules
of
the
commission,
and
under
the
following
15
circumstances:
16
a.
The
individual
originates
a
patient
transport
in
a
home
17
state
and
transports
the
patient
to
a
remote
state;
18
b.
The
individual
originates
in
the
home
state
and
enters
19
a
remote
state
to
pick
up
a
patient
and
provide
care
and
20
transport
of
the
patient
to
the
home
state;
21
c.
The
individual
enters
a
remote
state
to
provide
patient
22
care
and/or
transport
within
that
remote
state;
23
d.
The
individual
enters
a
remote
state
to
pick
up
a
patient
24
and
provide
care
and
transport
to
a
third
member
state;
25
e.
Other
conditions
as
determined
by
rules
promulgated
by
26
the
commission.
27
6.
Relationship
to
emergency
management
assistance
28
compact.
Upon
a
member
state’s
governor’s
declaration
of
a
29
state
of
emergency
or
disaster
that
activates
the
emergency
30
management
assistance
compact,
all
relevant
terms
and
31
provisions
of
the
emergency
management
assistance
compact
shall
32
apply
and
to
the
extent
any
terms
or
provisions
of
this
compact
33
conflict
with
the
emergency
management
assistance
compact,
the
34
terms
of
the
emergency
management
assistance
compact
shall
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prevail
with
respect
to
any
individual
practicing
in
the
remote
1
state
in
response
to
such
declaration.
2
7.
Veterans,
service
members
separating
from
active
duty
3
military,
and
their
spouses.
4
a.
Member
states
shall
consider
a
veteran,
active
military
5
service
member,
and
member
of
the
national
guard
and
reserves
6
separating
from
an
active
duty
tour,
and
a
spouse
thereof,
7
who
holds
a
current,
valid,
unrestricted
national
registry
8
of
emergency
medical
technicians
certification
at
or
above
9
the
level
of
the
state
license
being
sought
as
satisfying
10
the
minimum
training
and
examination
requirements
for
such
11
licensure.
12
b.
Member
states
shall
expedite
the
processing
of
licensure
13
applications
submitted
by
veterans,
active
military
service
14
members,
and
members
of
the
national
guard
and
reserves
15
separating
from
an
active
duty
tour,
and
their
spouses.
16
c.
All
individuals
functioning
with
a
privilege
to
practice
17
under
this
section
remain
subject
to
the
adverse
actions
18
provisions
of
subsection
8.
19
8.
Adverse
actions.
20
a.
A
home
state
shall
have
exclusive
power
to
impose
adverse
21
action
against
an
individual’s
license
issued
by
the
home
22
state.
23
b.
If
an
individual’s
license
in
any
home
state
is
24
restricted
or
suspended,
the
individual
shall
not
be
eligible
25
to
practice
in
a
remote
state
under
the
privilege
to
practice
26
until
the
individual’s
home
state
license
is
restored.
27
(1)
All
home
state
adverse
action
orders
shall
include
28
a
statement
that
the
individual’s
compact
privileges
are
29
inactive.
The
order
may
allow
the
individual
to
practice
in
30
remote
states
with
prior
written
authorization
from
both
the
31
home
state’s
and
remote
state’s
emergency
medical
services
32
authority.
33
(2)
An
individual
currently
subject
to
adverse
action
in
the
34
home
state
shall
not
practice
in
any
remote
state
without
prior
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written
authorization
from
both
the
home
state’s
and
remote
1
state’s
emergency
medical
services
authority.
2
c.
A
member
state
shall
report
adverse
actions
and
any
3
occurrences
that
the
individual’s
compact
privileges
are
4
restricted,
suspended,
or
revoked
to
the
commission
in
5
accordance
with
the
rules
of
the
commission.
6
d.
A
remote
state
may
take
adverse
action
on
an
individual’s
7
privilege
to
practice
within
that
state.
8
e.
Any
member
state
may
take
adverse
action
against
an
9
individual’s
privilege
to
practice
in
that
state
based
on
the
10
factual
findings
of
another
member
state,
so
long
as
each
state
11
follows
its
own
procedures
for
imposing
such
adverse
action.
12
f.
A
home
state’s
emergency
medical
services
authority
13
shall
investigate
and
take
appropriate
action
with
respect
14
to
reported
conduct
in
a
remote
state
as
it
would
if
such
15
conduct
had
occurred
within
the
home
state.
In
such
cases,
the
16
home
state’s
law
shall
control
in
determining
the
appropriate
17
adverse
action.
18
g.
Nothing
in
this
compact
shall
override
a
member
state’s
19
decision
that
participation
in
an
alternative
program
may
be
20
used
in
lieu
of
adverse
action
and
that
such
participation
21
shall
remain
nonpublic
if
required
by
the
member
state’s
22
laws.
Member
states
must
require
individuals
who
enter
any
23
alternative
programs
to
agree
not
to
practice
in
any
other
24
member
state
during
the
term
of
the
alternative
program
without
25
prior
authorization
from
such
other
member
state.
26
9.
Additional
powers
invested
in
a
member
state’s
emergency
27
medical
services
authority.
A
member
state’s
emergency
medical
28
services
authority,
in
addition
to
any
other
powers
granted
29
under
state
law,
is
authorized
under
this
compact
to:
30
a.
Issue
subpoenas
for
both
hearings
and
investigations
31
that
require
the
attendance
and
testimony
of
witnesses
and
the
32
production
of
evidence.
Subpoenas
issued
by
a
member
state’s
33
emergency
medical
services
authority
for
the
attendance
and
34
testimony
of
witnesses,
and/or
the
production
of
evidence
from
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another
member
state,
shall
be
enforced
in
the
remote
state
by
1
any
court
of
competent
jurisdiction,
according
to
that
court’s
2
practice
and
procedure
in
considering
subpoenas
issued
in
its
3
own
proceedings.
The
issuing
state
emergency
medical
services
4
authority
shall
pay
any
witness
fees,
travel
expenses,
mileage,
5
and
other
fees
required
by
the
service
statutes
of
the
state
6
where
the
witnesses
and/or
evidence
are
located;
and
7
b.
Issue
cease
and
desist
orders
to
restrict,
suspend,
or
8
revoke
an
individual’s
privilege
to
practice
in
the
state.
9
10.
Establishment
of
the
interstate
commission
for
emergency
10
medical
services
personnel
practice.
11
a.
The
compact
states
hereby
create
and
establish
a
joint
12
public
agency
known
as
the
interstate
commission
for
emergency
13
medical
services
personnel
practice.
14
(1)
The
commission
is
a
body
politic
and
an
instrumentality
15
of
the
compact
states.
16
(2)
Venue
is
proper
and
judicial
proceedings
by
or
against
17
the
commission
shall
be
brought
solely
and
exclusively
in
a
18
court
of
competent
jurisdiction
where
the
principal
office
of
19
the
commission
is
located.
The
commission
may
waive
venue
and
20
jurisdictional
defenses
to
the
extent
it
adopts
or
consents
to
21
participate
in
alternative
dispute
resolution
proceedings.
22
(3)
Nothing
in
this
compact
shall
be
construed
to
be
a
23
waiver
of
sovereign
immunity.
24
b.
Membership,
voting,
and
meetings.
25
(1)
Each
member
state
shall
have
and
be
limited
to
one
26
delegate.
The
responsible
official
of
the
state
emergency
27
medical
services
authority
or
his
designee
shall
be
the
28
delegate
to
this
compact
for
each
member
state.
Any
delegate
29
may
be
removed
or
suspended
from
office
as
provided
by
the
law
30
of
the
state
from
which
the
delegate
is
appointed.
Any
vacancy
31
occurring
in
the
commission
shall
be
filled
in
accordance
with
32
the
laws
of
the
member
state
in
which
the
vacancy
exists.
In
33
the
event
that
more
than
one
board,
office,
or
other
agency
34
with
the
legislative
mandate
to
license
emergency
medical
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services
personnel
at
and
above
the
level
of
EMT
exists,
the
1
governor
of
the
state
will
determine
which
entity
will
be
2
responsible
for
assigning
the
delegate.
3
(2)
Each
delegate
shall
be
entitled
to
one
vote
with
regard
4
to
the
promulgation
of
rules
and
creation
of
bylaws
and
shall
5
otherwise
have
an
opportunity
to
participate
in
the
business
6
and
affairs
of
the
commission.
A
delegate
shall
vote
in
7
person
or
by
such
other
means
as
provided
in
the
bylaws.
The
8
bylaws
may
provide
for
delegates’
participation
in
meetings
by
9
telephone
or
other
means
of
communication.
10
(3)
The
commission
shall
meet
at
least
once
during
each
11
calendar
year.
Additional
meetings
shall
be
held
as
set
forth
12
in
the
bylaws.
13
(4)
All
meetings
shall
be
open
to
the
public,
and
public
14
notice
of
meetings
shall
be
given
in
the
same
manner
as
15
required
under
the
rulemaking
provisions
in
subsection
12.
16
(5)
The
commission
may
convene
in
a
closed,
nonpublic
17
meeting
if
the
commission
must
discuss:
18
(a)
Noncompliance
of
a
member
state
with
its
obligations
19
under
the
compact;
20
(b)
The
employment,
compensation,
discipline
or
other
21
personnel
matters,
practices
or
procedures
related
to
specific
22
employees,
or
other
matters
related
to
the
commission’s
23
internal
personnel
practices
and
procedures;
24
(c)
Current,
threatened,
or
reasonably
anticipated
25
litigation;
26
(d)
Negotiation
of
contracts
for
the
purchase
or
sale
of
27
goods,
services,
or
real
estate;
28
(e)
Accusing
any
person
of
a
crime
or
formally
censuring
any
29
person;
30
(f)
Disclosure
of
trade
secrets
or
commercial
or
financial
31
information
that
is
privileged
or
confidential;
32
(g)
Disclosure
of
information
of
a
personal
nature
where
33
disclosure
would
constitute
a
clearly
unwarranted
invasion
of
34
personal
privacy;
35
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694
(h)
Disclosure
of
investigatory
records
compiled
for
law
1
enforcement
purposes;
2
(i)
Disclosure
of
information
related
to
any
investigatory
3
reports
prepared
by
or
on
behalf
of
or
for
use
of
the
4
commission
or
other
committee
charged
with
responsibility
of
5
investigation
or
determination
of
compliance
issues
pursuant
6
to
the
compact;
or
7
(j)
Matters
specifically
exempted
from
disclosure
by
8
federal
or
member
state
statute.
9
(6)
If
a
meeting,
or
portion
of
a
meeting,
is
closed
10
pursuant
to
this
provision,
the
commission’s
legal
counsel
or
11
designee
shall
certify
that
the
meeting
may
be
closed
and
shall
12
reference
each
relevant
exempting
provision.
The
commission
13
shall
keep
minutes
that
fully
and
clearly
describe
all
matters
14
discussed
in
a
meeting
and
shall
provide
a
full
and
accurate
15
summary
of
actions
taken,
and
the
reasons
therefor,
including
a
16
description
of
the
views
expressed.
All
documents
considered
17
in
connection
with
an
action
shall
be
identified
in
such
18
minutes.
All
minutes
and
documents
of
a
closed
meeting
shall
19
remain
under
seal,
subject
to
release
by
a
majority
vote
of
the
20
commission
or
order
of
a
court
of
competent
jurisdiction.
21
c.
The
commission
shall,
by
a
majority
vote
of
the
22
delegates,
prescribe
bylaws
and
rules
to
govern
its
conduct
as
23
may
be
necessary
or
appropriate
to
carry
out
the
purposes
and
24
exercise
the
powers
of
the
compact,
including
but
not
limited
25
to:
26
(1)
Establishing
the
fiscal
year
of
the
commission;
27
(2)
Providing
reasonable
standards
and
procedures:
28
(a)
For
the
establishment
and
meetings
of
other
committees;
29
and
30
(b)
Governing
any
general
or
specific
delegation
of
any
31
authority
or
function
of
the
commission;
32
(3)
Providing
reasonable
procedures
for
calling
and
33
conducting
meetings
of
the
commission,
ensuring
reasonable
34
advance
notice
of
all
meetings,
and
providing
an
opportunity
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694
for
attendance
of
such
meetings
by
interested
parties,
1
with
enumerated
exceptions
designed
to
protect
the
public’s
2
interest,
the
privacy
of
individuals,
and
proprietary
3
information,
including
trade
secrets.
The
commission
may
meet
4
in
closed
session
only
after
a
majority
of
the
membership
votes
5
to
close
a
meeting
in
whole
or
in
part.
As
soon
as
practicable,
6
the
commission
must
make
public
a
copy
of
the
vote
to
close
the
7
meeting
revealing
the
vote
of
each
member
with
no
proxy
votes
8
allowed;
9
(4)
Establishing
the
titles,
duties
and
authority,
and
10
reasonable
procedures
for
the
election
of
the
officers
of
the
11
commission;
12
(5)
Providing
reasonable
standards
and
procedures
for
the
13
establishment
of
the
personnel
policies
and
programs
of
the
14
commission.
Notwithstanding
any
civil
service
or
other
similar
15
laws
of
any
member
state,
the
bylaws
shall
exclusively
govern
16
the
personnel
policies
and
programs
of
the
commission;
17
(6)
Promulgating
a
code
of
ethics
to
address
permissible
and
18
prohibited
activities
of
commission
members
and
employees;
19
(7)
Providing
a
mechanism
for
winding
up
the
operations
of
20
the
commission
and
the
equitable
disposition
of
any
surplus
21
funds
that
may
exist
after
the
termination
of
the
compact
22
after
the
payment
and/or
reserving
of
all
of
its
debts
and
23
obligations;
24
(8)
The
commission
shall
publish
its
bylaws
and
file
a
25
copy
thereof,
and
a
copy
of
any
amendment
thereto,
with
the
26
appropriate
agency
or
officer
in
each
of
the
member
states,
if
27
any;
28
(9)
The
commission
shall
maintain
its
financial
records
in
29
accordance
with
the
bylaws;
and
30
(10)
The
commission
shall
meet
and
take
such
actions
as
are
31
consistent
with
the
provisions
of
this
compact
and
the
bylaws.
32
d.
The
commission
shall
have
the
following
powers:
33
(1)
The
authority
to
promulgate
uniform
rules
to
facilitate
34
and
coordinate
implementation
and
administration
of
this
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compact.
The
rules
shall
have
the
force
and
effect
of
law
and
1
shall
be
binding
in
all
member
states;
2
(2)
To
bring
and
prosecute
legal
proceedings
or
actions
in
3
the
name
of
the
commission,
provided
that
the
standing
of
any
4
state
emergency
medical
services
authority
or
other
regulatory
5
body
responsible
for
emergency
medical
services
personnel
6
licensure
to
sue
or
be
sued
under
applicable
law
shall
not
be
7
affected;
8
(3)
To
purchase
and
maintain
insurance
and
bonds;
9
(4)
To
borrow,
accept,
or
contract
for
services
of
10
personnel,
including
but
not
limited
to
employees
of
a
member
11
state;
12
(5)
To
hire
employees,
elect
or
appoint
officers,
fix
13
compensation,
define
duties,
grant
such
individuals
appropriate
14
authority
to
carry
out
the
purposes
of
the
compact,
and
to
15
establish
the
commission’s
personnel
policies
and
programs
16
relating
to
conflicts
of
interest,
qualifications
of
personnel,
17
and
other
related
personnel
matters;
18
(6)
To
accept
any
and
all
appropriate
donations
and
grants
19
of
money,
equipment,
supplies,
materials,
and
services,
and
to
20
receive,
utilize,
and
dispose
of
the
same,
provided
that
at
all
21
times
the
commission
shall
strive
to
avoid
any
appearance
of
22
impropriety
and/or
conflict
of
interest;
23
(7)
To
lease,
purchase,
accept
appropriate
gifts
or
24
donations
of,
or
otherwise
to
own,
hold,
improve,
or
use,
25
any
property,
real,
personal,
or
mixed,
provided
that
at
all
26
times
the
commission
shall
strive
to
avoid
any
appearance
of
27
impropriety;
28
(8)
To
sell,
convey,
mortgage,
pledge,
lease,
exchange,
29
abandon,
or
otherwise
dispose
of
any
property,
real,
personal,
30
or
mixed;
31
(9)
To
establish
a
budget
and
make
expenditures;
32
(10)
To
borrow
money;
33
(11)
To
appoint
committees,
including
advisory
committees
34
comprised
of
members,
state
regulators,
state
legislators
or
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694
their
representatives,
and
consumer
representatives,
and
such
1
other
interested
persons
as
may
be
designated
in
this
compact
2
and
the
bylaws;
3
(12)
To
provide
and
receive
information
from,
and
to
4
cooperate
with,
law
enforcement
agencies;
5
(13)
To
adopt
and
use
an
official
seal;
and
6
(14)
To
perform
such
other
functions
as
may
be
necessary
or
7
appropriate
to
achieve
the
purposes
of
this
compact
consistent
8
with
the
state
regulation
of
emergency
medical
services
9
personnel
licensure
and
practice.
10
e.
Financing
of
the
commission.
11
(1)
The
commission
shall
pay,
or
provide
for
the
payment
of,
12
the
reasonable
expenses
of
its
establishment,
organization,
and
13
ongoing
activities.
14
(2)
The
commission
may
accept
any
and
all
appropriate
15
revenue
sources,
donations,
and
grants
of
money,
equipment,
16
supplies,
materials,
and
services.
17
(3)
The
commission
may
levy
on
and
collect
an
annual
18
assessment
from
each
member
state
or
impose
fees
on
other
19
parties
to
cover
the
cost
of
the
operations
and
activities
20
of
the
commission
and
its
staff,
which
must
be
in
a
total
21
amount
sufficient
to
cover
its
annual
budget
as
approved
each
22
year
for
which
revenue
is
not
provided
by
other
sources.
The
23
aggregate
annual
assessment
amount
shall
be
allocated
based
24
upon
a
formula
to
be
determined
by
the
commission,
which
shall
25
promulgate
a
rule
binding
upon
all
member
states.
26
(4)
The
commission
shall
not
incur
obligations
of
any
kind
27
prior
to
securing
the
funds
adequate
to
meet
the
same;
nor
28
shall
the
commission
pledge
the
credit
of
any
of
the
member
29
states,
except
by
and
with
the
authority
of
the
member
state.
30
(5)
The
commission
shall
keep
accurate
accounts
of
all
31
receipts
and
disbursements.
The
receipts
and
disbursements
of
32
the
commission
shall
be
subject
to
the
audit
and
accounting
33
procedures
established
under
its
bylaws.
However,
all
receipts
34
and
disbursements
of
funds
handled
by
the
commission
shall
be
35
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694
audited
yearly
by
a
certified
public
accountant,
and
the
report
1
of
the
audit
shall
be
included
in
and
become
part
of
the
annual
2
report
of
the
commission.
3
f.
Qualified
immunity,
defense,
and
indemnification.
4
(1)
The
members,
officers,
executive
director,
employees,
5
and
representatives
of
the
commission
shall
be
immune
from
suit
6
and
liability,
either
personally
or
in
their
official
capacity,
7
for
any
claim
for
damage
to
or
loss
of
property
or
personal
8
injury
or
other
civil
liability
caused
by
or
arising
out
of
any
9
actual
or
alleged
act,
error,
or
omission
that
occurred,
or
10
that
the
person
against
whom
the
claim
is
made
had
a
reasonable
11
basis
for
believing
occurred,
within
the
scope
of
commission
12
employment,
duties,
or
responsibilities;
provided
that
nothing
13
in
this
paragraph
shall
be
construed
to
protect
any
such
person
14
from
suit
and/or
liability
for
any
damage,
loss,
injury,
or
15
liability
caused
by
the
intentional
or
willful
or
wanton
16
misconduct
of
that
person.
17
(2)
The
commission
shall
defend
any
member,
officer,
18
executive
director,
employee,
or
representative
of
the
19
commission
in
any
civil
action
seeking
to
impose
liability
20
arising
out
of
any
actual
or
alleged
act,
error,
or
omission
21
that
occurred
within
the
scope
of
commission
employment,
22
duties,
or
responsibilities,
or
that
the
person
against
23
whom
the
claim
is
made
had
a
reasonable
basis
for
believing
24
occurred,
within
the
scope
of
commission
employment,
duties,
25
or
responsibilities,
provided
that
nothing
herein
shall
be
26
construed
to
prohibit
that
person
from
retaining
his
or
her
27
own
counsel,
and
provided
further
that
the
actual
or
alleged
28
act,
error,
or
omission
did
not
result
from
that
person’s
29
intentional
or
willful
or
wanton
misconduct.
30
(3)
The
commission
shall
indemnify
and
hold
harmless
31
any
member,
officer,
executive
director,
employee,
or
32
representative
of
the
commission
for
the
amount
of
any
33
settlement
or
judgment
obtained
against
that
person
arising
34
out
of
any
actual
or
alleged
act,
error,
or
omission
that
35
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694
occurred,
within
the
scope
of
commission
employment,
duties,
1
or
responsibilities,
or
that
such
person
had
a
reasonable
2
basis
for
believing
occurred,
within
the
scope
of
commission
3
employment,
duties,
or
responsibilities,
provided
that
the
4
actual
or
alleged
act,
error,
or
omission
did
not
result
from
5
the
intentional
or
willful
or
wanton
misconduct
of
that
person.
6
11.
Coordinated
database.
7
a.
The
commission
shall
provide
for
the
development
8
and
maintenance
of
a
coordinated
database
and
reporting
9
system
containing
licensure,
adverse
action,
and
significant
10
investigatory
information
on
all
licensed
individuals
in
member
11
states.
12
b.
Notwithstanding
any
other
provision
of
state
law
to
the
13
contrary,
a
member
state
shall
submit
a
uniform
data
set
to
the
14
coordinated
database
on
all
individuals
to
whom
this
compact
15
is
applicable
as
required
by
the
rules
of
the
commission,
16
including:
17
(1)
Identifying
information;
18
(2)
Licensure
data;
19
(3)
Significant
investigatory
information;
20
(4)
Adverse
actions
against
an
individual’s
license;
21
(5)
An
indicator
that
an
individual’s
privilege
to
practice
22
is
restricted,
suspended,
or
revoked;
23
(6)
Nonconfidential
information
related
to
alternative
24
program
participation;
25
(7)
Any
denial
of
application
for
licensure,
and
the
26
reason(s)
for
such
denial;
and
27
(8)
Other
information
that
may
facilitate
the
28
administration
of
this
compact,
as
determined
by
the
rules
of
29
the
commission.
30
c.
The
coordinated
database
administrator
shall
promptly
31
notify
all
member
states
of
any
adverse
action
taken
against,
32
or
significant
investigative
information
on,
any
individual
in
33
a
member
state.
34
d.
Member
states
contributing
information
to
the
coordinated
35
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694
database
may
designate
information
that
may
not
be
shared
with
1
the
public
without
the
express
permission
of
the
contributing
2
state.
3
e.
Any
information
submitted
to
the
coordinated
database
4
that
is
subsequently
required
to
be
expunged
by
the
laws
of
the
5
member
state
contributing
the
information
shall
be
removed
from
6
the
coordinated
database.
7
12.
Rulemaking.
8
a.
The
commission
shall
exercise
its
rulemaking
powers
9
pursuant
to
the
criteria
set
forth
in
this
section
and
the
10
rules
adopted
thereunder.
Rules
and
amendments
shall
become
11
binding
as
of
the
date
specified
in
each
rule
or
amendment.
12
b.
If
a
majority
of
the
legislatures
of
the
member
states
13
rejects
a
rule,
by
enactment
of
a
statute
or
resolution
in
the
14
same
manner
used
to
adopt
the
compact,
then
such
rule
shall
15
have
no
further
force
and
effect
in
any
member
state.
16
c.
Rules
or
amendments
to
the
rules
shall
be
adopted
at
a
17
regular
or
special
meeting
of
the
commission.
18
d.
Prior
to
promulgation
and
adoption
of
a
final
rule
or
19
rules
by
the
commission,
and
at
least
sixty
days
in
advance
20
of
the
meeting
at
which
the
rule
will
be
considered
and
21
voted
upon,
the
commission
shall
file
a
notice
of
proposed
22
rulemaking:
23
(1)
On
the
internet
site
of
the
commission;
and
24
(2)
On
the
internet
site
of
each
member
state
emergency
25
medical
services
authority
or
the
publication
in
which
each
26
state
would
otherwise
publish
proposed
rules.
27
e.
The
notice
of
proposed
rulemaking
shall
include:
28
(1)
The
proposed
time,
date,
and
location
of
the
meeting
in
29
which
the
rule
will
be
considered
and
voted
upon;
30
(2)
The
text
of
the
proposed
rule
or
amendment
and
the
31
reason
for
the
proposed
rule;
32
(3)
A
request
for
comments
on
the
proposed
rule
from
any
33
interested
person;
and
34
(4)
The
manner
in
which
interested
persons
may
submit
notice
35
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694
to
the
commission
of
their
intention
to
attend
the
public
1
hearing
and
any
written
comments.
2
f.
Prior
to
adoption
of
a
proposed
rule,
the
commission
3
shall
allow
persons
to
submit
written
data,
facts,
opinions,
4
and
arguments,
which
shall
be
made
available
to
the
public.
5
g.
The
commission
shall
grant
an
opportunity
for
a
public
6
hearing
before
it
adopts
a
rule
or
amendment
if
a
hearing
is
7
requested
by:
8
(1)
At
least
twenty-five
persons;
9
(2)
A
governmental
subdivision
or
agency;
or
10
(3)
An
association
having
at
least
twenty-five
members.
11
h.
If
a
hearing
is
held
on
the
proposed
rule
or
amendment,
12
the
commission
shall
publish
the
place,
time,
and
date
of
the
13
scheduled
public
hearing.
14
(1)
All
persons
wishing
to
be
heard
at
the
hearing
shall
15
notify
the
executive
director
of
the
commission
or
other
16
designated
member
in
writing
of
their
desire
to
appear
and
17
testify
at
the
hearing
not
less
than
five
business
days
before
18
the
scheduled
date
of
the
hearing.
19
(2)
Hearings
shall
be
conducted
in
a
manner
providing
each
20
person
who
wishes
to
comment
a
fair
and
reasonable
opportunity
21
to
comment
orally
or
in
writing.
22
(3)
No
transcript
of
the
hearing
is
required,
unless
23
a
written
request
for
a
transcript
is
made,
in
which
case
24
the
person
requesting
the
transcript
shall
bear
the
cost
of
25
producing
the
transcript.
A
recording
may
be
made
in
lieu
of
a
26
transcript
under
the
same
terms
and
conditions
as
a
transcript.
27
This
subsection
shall
not
preclude
the
commission
from
making
a
28
transcript
or
recording
of
the
hearing
if
it
so
chooses.
29
(4)
Nothing
in
this
section
shall
be
construed
as
requiring
30
a
separate
hearing
on
each
rule.
Rules
may
be
grouped
for
the
31
convenience
of
the
commission
at
hearings
required
by
this
32
section.
33
i.
Following
the
scheduled
hearing
date,
or
by
the
close
34
of
business
on
the
scheduled
hearing
date
if
the
hearing
was
35
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694
not
held,
the
commission
shall
consider
all
written
and
oral
1
comments
received.
2
j.
The
commission
shall,
by
majority
vote
of
all
members,
3
take
final
action
on
the
proposed
rule
and
shall
determine
the
4
effective
date
of
the
rule,
if
any,
based
on
the
rulemaking
5
record
and
the
full
text
of
the
rule.
6
k.
If
no
written
notice
of
intent
to
attend
the
public
7
hearing
by
interested
parties
is
received,
the
commission
may
8
proceed
with
promulgation
of
the
proposed
rule
without
a
public
9
hearing.
10
l.
Upon
determination
that
an
emergency
exists,
the
11
commission
may
consider
and
adopt
an
emergency
rule
without
12
prior
notice,
opportunity
for
comment,
or
hearing,
provided
13
that
the
usual
rulemaking
procedures
provided
in
the
compact
14
and
in
this
section
shall
be
retroactively
applied
to
the
rule
15
as
soon
as
reasonably
possible,
in
no
event
later
than
ninety
16
days
after
the
effective
date
of
the
rule.
For
the
purposes
of
17
this
provision,
an
emergency
rule
is
one
that
must
be
adopted
18
immediately
in
order
to:
19
(1)
Meet
an
imminent
threat
to
public
health,
safety,
or
20
welfare;
21
(2)
Prevent
a
loss
of
commission
or
member
state
funds;
22
(3)
Meet
a
deadline
for
the
promulgation
of
an
23
administrative
rule
that
is
established
by
federal
law
or
rule;
24
or
25
(4)
Protect
public
health
and
safety.
26
m.
The
commission
or
an
authorized
committee
of
the
27
commission
may
direct
revisions
to
a
previously
adopted
rule
28
or
amendment
for
purposes
of
correcting
typographical
errors,
29
errors
in
format,
errors
in
consistency,
or
grammatical
errors.
30
Public
notice
of
any
revisions
shall
be
posted
on
the
website
31
of
the
commission.
The
revision
shall
be
subject
to
challenge
32
by
any
person
for
a
period
of
thirty
days
after
posting.
The
33
revision
may
be
challenged
only
on
grounds
that
the
revision
34
results
in
a
material
change
to
a
rule.
A
challenge
shall
be
35
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694
made
in
writing,
and
delivered
to
the
chair
of
the
commission
1
prior
to
the
end
of
the
notice
period.
If
no
challenge
is
2
made,
the
revision
will
take
effect
without
further
action.
If
3
the
revision
is
challenged,
the
revision
may
not
take
effect
4
without
the
approval
of
the
commission.
5
13.
Oversight,
dispute
resolution,
and
enforcement.
6
a.
Oversight.
7
(1)
The
executive,
legislative,
and
judicial
branches
8
of
state
government
in
each
member
state
shall
enforce
this
9
compact
and
take
all
actions
necessary
and
appropriate
to
10
effectuate
the
compact’s
purposes
and
intent.
The
provisions
11
of
this
compact
and
the
rules
promulgated
hereunder
shall
have
12
standing
as
statutory
law.
13
(2)
All
courts
shall
take
judicial
notice
of
the
compact
14
and
the
rules
in
any
judicial
or
administrative
proceeding
in
a
15
member
state
pertaining
to
the
subject
matter
of
this
compact
16
which
may
affect
the
powers,
responsibilities,
or
actions
of
17
the
commission.
18
(3)
The
commission
shall
be
entitled
to
receive
service
19
of
process
in
any
such
proceeding,
and
shall
have
standing
to
20
intervene
in
such
a
proceeding
for
all
purposes.
Failure
to
21
provide
service
of
process
to
the
commission
shall
render
a
22
judgment
or
order
void
as
to
the
commission,
this
compact,
or
23
promulgated
rules.
24
b.
Default,
technical
assistance,
and
termination.
25
(1)
If
the
commission
determines
that
a
member
state
26
has
defaulted
in
the
performance
of
its
obligations
or
27
responsibilities
under
this
compact
or
the
promulgated
rules,
28
the
commission
shall:
29
(a)
Provide
written
notice
to
the
defaulting
state
and
other
30
member
states
of
the
nature
of
the
default,
the
proposed
means
31
of
curing
the
default
and/or
any
other
action
to
be
taken
by
32
the
commission;
and
33
(b)
Provide
remedial
training
and
specific
technical
34
assistance
regarding
the
default.
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694
(2)
If
a
state
in
default
fails
to
cure
the
default,
the
1
defaulting
state
may
be
terminated
from
the
compact
upon
an
2
affirmative
vote
of
a
majority
of
the
member
states,
and
all
3
rights,
privileges,
and
benefits
conferred
by
this
compact
may
4
be
terminated
on
the
effective
date
of
termination.
A
cure
of
5
the
default
does
not
relieve
the
offending
state
of
obligations
6
or
liabilities
incurred
during
the
period
of
default.
7
(3)
Termination
of
membership
in
the
compact
shall
be
8
imposed
only
after
all
other
means
of
securing
compliance
have
9
been
exhausted.
Notice
of
intent
to
suspend
or
terminate
shall
10
be
given
by
the
commission
to
the
governor,
the
majority
and
11
minority
leaders
of
the
defaulting
state’s
legislature,
and
12
each
of
the
member
states.
13
(4)
A
state
that
has
been
terminated
is
responsible
for
14
all
assessments,
obligations,
and
liabilities
incurred
through
15
the
effective
date
of
termination,
including
obligations
that
16
extend
beyond
the
effective
date
of
termination.
17
(5)
The
commission
shall
not
bear
any
costs
related
18
to
a
state
that
is
found
to
be
in
default
or
that
has
been
19
terminated
from
the
compact,
unless
agreed
upon
in
writing
20
between
the
commission
and
the
defaulting
state.
21
(6)
The
defaulting
state
may
appeal
the
action
of
the
22
commission
by
petitioning
the
United
States
district
court
23
for
the
District
of
Columbia
or
the
federal
district
where
24
the
commission
has
its
principal
offices.
The
prevailing
25
member
shall
be
awarded
all
costs
of
such
litigation,
including
26
reasonable
attorney’s
fees.
27
c.
Dispute
resolution.
28
(1)
Upon
request
by
a
member
state,
the
commission
shall
29
attempt
to
resolve
disputes
related
to
the
compact
that
arise
30
among
member
states
and
between
member
and
nonmember
states.
31
(2)
The
commission
shall
promulgate
a
rule
providing
for
32
both
mediation
and
binding
dispute
resolution
for
disputes
as
33
appropriate.
34
d.
Enforcement.
35
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H.F.
694
(1)
The
commission,
in
the
reasonable
exercise
of
its
1
discretion,
shall
enforce
the
provisions
and
rules
of
this
2
compact.
3
(2)
By
majority
vote,
the
commission
may
initiate
legal
4
action
in
the
United
States
district
court
for
the
District
5
of
Columbia
or
the
federal
district
where
the
commission
has
6
its
principal
offices
against
a
member
state
in
default
to
7
enforce
compliance
with
the
provisions
of
the
compact
and
its
8
promulgated
rules
and
bylaws.
The
relief
sought
may
include
9
both
injunctive
relief
and
damages.
In
the
event
judicial
10
enforcement
is
necessary,
the
prevailing
member
shall
be
11
awarded
all
costs
of
such
litigation,
including
reasonable
12
attorney’s
fees.
13
(3)
The
remedies
herein
shall
not
be
the
exclusive
remedies
14
of
the
commission.
The
commission
may
pursue
any
other
15
remedies
available
under
federal
or
state
law.
16
14.
Date
of
implementation
of
the
interstate
commission
for
17
emergency
medical
services
personnel
practice
and
associated
18
rules,
withdrawal,
and
amendment.
19
a.
The
compact
shall
come
into
effect
on
the
date
on
20
which
the
compact
statute
is
enacted
into
law
in
the
tenth
21
member
state.
The
provisions,
which
become
effective
at
22
that
time,
shall
be
limited
to
the
powers
granted
to
the
23
commission
relating
to
assembly
and
the
promulgation
of
rules.
24
Thereafter,
the
commission
shall
meet
and
exercise
rulemaking
25
powers
necessary
to
the
implementation
and
administration
of
26
the
compact.
27
b.
Any
state
that
joins
the
compact
subsequent
to
the
28
commission’s
initial
adoption
of
the
rules
shall
be
subject
29
to
the
rules
as
they
exist
on
the
date
on
which
the
compact
30
becomes
law
in
that
state.
Any
rule
that
has
been
previously
31
adopted
by
the
commission
shall
have
the
full
force
and
effect
32
of
law
on
the
day
the
compact
becomes
law
in
that
state.
33
c.
Any
member
state
may
withdraw
from
this
compact
by
34
enacting
a
statute
repealing
the
same.
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(1)
A
member
state’s
withdrawal
shall
not
take
effect
until
1
six
months
after
enactment
of
the
repealing
statute.
2
(2)
Withdrawal
shall
not
affect
the
continuing
requirement
3
of
the
withdrawing
state’s
emergency
medical
services
authority
4
to
comply
with
the
investigative
and
adverse
action
reporting
5
requirements
of
this
compact
prior
to
the
effective
date
of
6
withdrawal.
7
d.
Nothing
contained
in
this
compact
shall
be
construed
to
8
invalidate
or
prevent
any
emergency
medical
services
personnel
9
licensure
agreement
or
other
cooperative
arrangement
between
a
10
member
state
and
a
nonmember
state
that
does
not
conflict
with
11
the
provisions
of
this
compact.
12
e.
This
compact
may
be
amended
by
the
member
states.
No
13
amendment
to
this
compact
shall
become
effective
and
binding
14
upon
any
member
state
until
it
is
enacted
into
the
laws
of
all
15
member
states.
16
15.
Construction
and
severability.
This
compact
shall
be
17
liberally
construed
so
as
to
effectuate
the
purposes
thereof.
18
If
this
compact
shall
be
held
contrary
to
the
constitution
of
19
any
state
member
thereto,
the
compact
shall
remain
in
full
20
force
and
effect
as
to
the
remaining
member
states.
Nothing
in
21
this
compact
supersedes
state
law
or
rules
related
to
licensure
22
of
emergency
medical
services
agencies.
23
DIVISION
II
24
IMPLEMENTING
CHANGES
25
Sec.
2.
Section
147A.1,
subsection
4,
Code
2019,
is
amended
26
to
read
as
follows:
27
4.
“Emergency
medical
care
provider”
means
an
individual
28
trained
to
provide
emergency
and
nonemergency
medical
care
at
29
the
emergency
medical
responder,
emergency
medical
technician,
30
advanced
emergency
medical
technician,
paramedic,
or
other
31
certification
levels
adopted
by
rule
by
the
department,
who
32
has
been
issued
a
certificate
by
the
department
,
or
a
person
33
practicing
pursuant
to
chapter
147D
.
34
Sec.
3.
Section
147A.1A,
Code
2019,
is
amended
to
read
as
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1
147A.1A
Lead
agency.
2
The
department
is
designated
as
the
lead
agency
for
3
coordinating
and
implementing
the
provision
of
emergency
4
medical
services
in
this
state.
The
department
shall
be
the
5
state
EMS
authority
for
the
purposes
of
chapter
147D.
6
Sec.
4.
Section
147A.4,
Code
2019,
is
amended
by
adding
the
7
following
new
subsection:
8
NEW
SUBSECTION
.
5.
The
department
shall
recognize
the
9
practice
requirements
of
recognition
of
the
emergency
medical
10
services
personnel
licensure
interstate
compact,
chapter
147D,
11
and
shall
adopt
rules
necessary
for
the
implementation
of
the
12
compact.
13
Sec.
5.
Section
147A.6,
Code
2019,
is
amended
to
read
as
14
follows:
15
147A.6
Emergency
medical
care
provider
certificates
——
fees
16
and
renewal.
17
1.
The
department,
upon
initial
application
and
receipt
18
of
the
prescribed
initial
application
fee,
shall
issue
19
a
certificate
to
an
individual
who
has
met
all
of
the
20
requirements
for
emergency
medical
care
provider
certification
21
established
by
the
rules
adopted
under
section
147A.4,
22
subsection
2
.
All
fees
received
pursuant
to
this
section
23
shall
be
deposited
in
the
emergency
medical
services
fund
24
established
in
section
135.25
retained
by
the
department
.
The
25
moneys
retained
by
the
department
shall
be
used
for
any
of
26
the
department’s
duties
under
this
chapter,
including
but
not
27
limited
to
the
addition
of
full-time
equivalent
positions
for
28
program
services
and
investigations.
Revenues
retained
by
29
the
department
pursuant
to
this
section
shall
be
considered
30
repayment
receipts
as
defined
in
section
8.2.
Notwithstanding
31
section
8.33,
moneys
retained
by
the
department
pursuant
to
32
this
section
are
not
subject
to
reversion
to
the
general
fund
33
of
the
state.
34
2.
The
department,
upon
renewal
application
and
receipt
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of
the
prescribed
renewal
application
fee,
shall
issue
1
a
certificate
to
an
individual
who
has
met
all
of
the
2
requirements
for
emergency
medical
care
provider
certification
3
established
by
the
rules
adopted
under
section
147A.4,
4
subsection
2.
All
fees
collected
pursuant
to
this
section
5
shall
be
deposited
in
the
emergency
medical
services
fund
6
established
in
section
135.25.
7
2.
3.
Emergency
medical
care
provider
certificates
are
8
valid
for
the
multiyear
period
determined
by
the
department,
9
unless
sooner
suspended
or
revoked.
The
certificate
shall
10
be
renewed
upon
application
of
the
holder
and
receipt
of
the
11
prescribed
fee
if
the
holder
has
satisfactorily
completed
12
continuing
medical
education
programs
as
required
by
rule.
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