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(f) Individuals not residing in a party state shall continue to be able to apply
24for a party state's single-state license as provided under the laws of each party state.
25However, the single-state license granted to these individuals will not be recognized
1as granting the privilege to practice nursing in any other party state. Nothing in this
2compact shall affect the requirements established by a party state for the issuance
3of a single-state license.
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(g) Any nurse holding a home state multistate license, on the effective date of
5this compact, may retain and renew the multistate license issued by the nurse's
6then-current home state, provided that:
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1. A nurse, who changes primary state of residence after this compact's effective
8date, must meet all applicable requirements under par. (c) to obtain a multistate
9license from a new home state.
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2. A nurse who fails to satisfy the multistate licensure requirements in par. (c)
11due to a disqualifying event occurring after this compact's effective date shall be
12ineligible to retain or renew a multistate license, and the nurse's multistate license
13shall be revoked or deactivated in accordance with applicable rules adopted by the
14interstate commission of nurse licensure compact administrators (“commission”).
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15(4) Article IV — Applications for licensure in a party state. (a) Upon
16application for a multistate license, the licensing board in the issuing party state
17shall ascertain, through the coordinated licensure information system, whether the
18applicant has ever held, or is the holder of, a license issued by any other state,
19whether there are any encumbrances on any license or multistate licensure privilege
20held by the applicant, whether any adverse action has been taken against any license
21or multistate licensure privilege held by the applicant, and whether the applicant is
22currently participating in an alternative program.
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(b) A nurse may hold a multistate license, issued by the home state, in only one
24party state at a time.
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1(c) 1. If a nurse changes primary state of residence by moving between 2 party
2states, the nurse must apply for licensure in the new home state, and the multistate
3license issued by the prior home state will be deactivated in accordance with
4applicable rules adopted by the commission.
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2. The nurse may apply for licensure in advance of a change in primary state
6of residence.
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3. A multistate license shall not be issued by the new home state until the nurse
8provides satisfactory evidence of a change in primary state of residence to the new
9home state and satisfies all applicable requirements to obtain a multistate license
10from the new home state.
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(d) If a nurse changes primary state of residence by moving from a party state
12to a non-party state, the multistate license issued by the prior home state will
13convert to a single-state license, valid only in the former home state.
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14(5) Article V — Additional authorities invested in party state licensing
15boards. (a) In addition to the other powers conferred by state law, a licensing board
16shall have the authority to do any of the following:
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1. Take adverse action against a nurse's multistate licensure privilege to
18practice within that party state, subject to all of the following:
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a. Only the home state shall have the power to take adverse action against a
20nurse's license issued by the home state.
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b. For purposes of taking adverse action, the home state licensing board shall
22give the same priority and effect to reported conduct received from a remote state as
23it would if such conduct had occurred within the home state. In so doing, the home
24state shall apply its own state laws to determine appropriate action.
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12. Issue cease and desist orders or impose an encumbrance on a nurse's
2authority to practice within that party state.
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3. Complete any pending investigations of a nurse who changes primary state
4of residence during the course of such investigations. The licensing board shall also
5have the authority to take appropriate action and shall promptly report the
6conclusions of such investigations to the administrator of the coordinated licensure
7information system. The administrator of the coordinated licensure information
8system shall promptly notify the new home state of any such actions.
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4. Issue subpoenas for both hearings and investigations that require the
10attendance and testimony of witnesses, as well as, the production of evidence.
11Subpoenas issued by a licensing board in a party state for the attendance and
12testimony of witnesses or the production of evidence from another party state shall
13be enforced in the latter state by any court of competent jurisdiction, according to the
14practice and procedure of that court applicable to subpoenas issued in proceedings
15pending before it. The issuing authority shall pay any witness fees, travel expenses,
16mileage, and other fees required by the service statutes of the state in which the
17witnesses or evidence are located.
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5. Obtain and submit, for each nurse licensure applicant, fingerprint or other
19biometric-based information to the federal bureau of investigation for criminal
20background checks, receive the results of the federal bureau of investigation record
21search on criminal background checks, and use the results in making licensure
22decisions.
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6. If otherwise permitted by state law, recover from the affected nurse the costs
24of investigations and disposition of cases resulting from any adverse action taken
25against that nurse.
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17. Take adverse action based on the factual findings of the remote state,
2provided that the licensing board follows its own procedures for taking such adverse
3action.
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(b) If adverse action is taken by the home state against a nurse's multistate
5license, the nurse's multistate licensure privilege to practice in all other party states
6shall be deactivated until all encumbrances have been removed from the multistate
7license. All home state disciplinary orders that impose adverse action against a
8nurse's multistate license shall include a statement that the nurse's multistate
9licensure privilege is deactivated in all party states during the pendency of the order.
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(c) Nothing in this compact shall override a party state's decision that
11participation in an alternative program may be used in lieu of adverse action. The
12home state licensing board shall deactivate the multistate licensure privilege under
13the multistate license of any nurse for the duration of the nurse's participation in an
14alternative program.
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15(6) Article VI — Coordinated licensure information system and exchange of
16information. (a) All party states shall participate in a coordinated licensure
17information system of all licensed registered nurses and licensed
18practical/vocational nurses. This system will include information on the licensure
19and disciplinary history of each nurse, as submitted by party states, to assist in the
20coordination of nurse licensure and enforcement efforts.
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(b) The commission, in consultation with the administrator of the coordinated
22licensure information system, shall formulate necessary and proper procedures for
23the identification, collection, and exchange of information under this compact.
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(c) All licensing boards shall promptly report to the coordinated licensure
25information system any adverse action, any current significant investigative
1information, denials of applications (with the reasons for such denials), and nurse
2participation in alternative programs known to the licensing board regardless of
3whether such participation is deemed nonpublic or confidential under state law.
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(d) Current significant investigative information and participation in
5nonpublic or confidential alternative programs shall be transmitted through the
6coordinated licensure information system only to party state licensing boards.
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(e) Notwithstanding any other provision of law, all party state licensing boards
8contributing information to the coordinated licensure information system may
9designate information that may not be shared with nonparty states or disclosed to
10other entities or individuals without the express permission of the contributing
11state.
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(f) Any personally identifiable information obtained from the coordinated
13licensure information system by a party state licensing board shall not be shared
14with nonparty states or disclosed to other entities or individuals except to the extent
15permitted by the laws of the party state contributing the information.
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(g) Any information contributed to the coordinated licensure information
17system that is subsequently required to be expunged by the laws of the party state
18contributing that information shall also be expunged from the coordinated licensure
19information system.
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(h) The compact administrator of each party state shall furnish a uniform data
21set to the compact administrator of each other party state, which shall include, at a
22minimum, all of the following:
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1. Identifying information.
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2. Licensure data.
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3. Information related to alternative program participation.
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14. Other information that may facilitate the administration of this compact, as
2determined by commission rules.
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(i) The compact administrator of a party state shall provide all investigative
4documents and information requested by another party state.
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5(7) Article VII — Establishment of the interstate commission of nurse
6licensure compact administrators. (a) 1. The party states hereby create and
7establish a joint public entity known as the interstate commission of nurse licensure
8compact administrators.
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2. The commission is an instrumentality of the party states.
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3. Venue is proper, and judicial proceedings by or against the commission shall
11be brought solely and exclusively, in a court of competent jurisdiction where the
12principal office of the commission is located. The commission may waive venue and
13jurisdictional defenses to the extent it adopts or consents to participate in alternative
14dispute resolution proceedings.
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4. Nothing in this compact shall be construed to be a waiver of sovereign
16immunity.
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(b) Membership, voting, and meetings:
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1. Each party state shall have and be limited to one administrator. The head
19of the state licensing board or designee shall be the administrator of this compact for
20each party state. Any administrator may be removed or suspended from office as
21provided by the law of the state from which the administrator is appointed. Any
22vacancy occurring in the commission shall be filled in accordance with the laws of the
23party state in which the vacancy exists.
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2. Each administrator shall be entitled to one vote with regard to the
25promulgation of rules and creation of bylaws and shall otherwise have an
1opportunity to participate in the business and affairs of the commission. An
2administrator shall vote in person or by such other means as provided in the bylaws.
3The bylaws may provide for an administrator's participation in meetings by
4telephone or other means of communication.
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3. The commission shall meet at least once during each calendar year.
6Additional meetings shall be held as set forth in the bylaws or rules of the
7commission.
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4. All meetings shall be open to the public, and public notice of meetings shall
9be given in the same manner as required under the rule-making provisions in sub.
10(8).
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5. The commission may convene in a closed, nonpublic meeting if the
12commission must discuss any of the following:
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a. Noncompliance of a party state with its obligations under this compact.
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b. The employment, compensation, discipline or other personnel matters,
15practices or procedures related to specific employees or other matters related to the
16commission's internal personnel practices and procedures.
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c. Current, threatened, or reasonably anticipated litigation.
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d. Negotiation of contracts for the purchase or sale of goods, services, or real
19estate.
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e. Accusing any person of a crime or formally censuring any person.
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f. Disclosure of trade secrets or commercial or financial information that is
22privileged or confidential.
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g. Disclosure of information of a personal nature where disclosure would
24constitute a clearly unwarranted invasion of personal privacy.
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h. Disclosure of investigatory records compiled for law enforcement purposes.
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1i. Disclosure of information related to any reports prepared by or on behalf of
2the commission for the purpose of investigation of compliance with this compact.
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j. Matters specifically exempted from disclosure by federal or state statute.
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6. If a meeting, or portion of a meeting, is closed pursuant to this provision, the
5commission's legal counsel or designee shall certify that the meeting may be closed
6and shall reference each relevant exempting provision. The commission shall keep
7minutes that fully and clearly describe all matters discussed in a meeting and shall
8provide a full and accurate summary of actions taken, and the reasons therefor,
9including a description of the views expressed. All documents considered in
10connection with an action shall be identified in such minutes. All minutes and
11documents of a closed meeting shall remain under seal, subject to release by a
12majority vote of the commission or order of a court of competent jurisdiction.
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(c) The commission shall, by a majority vote of the administrators, prescribe
14bylaws or rules to govern its conduct as may be necessary or appropriate to carry out
15the purposes and exercise the powers of this compact, including but not limited to any
16of the following:
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1. Establishing the fiscal year of the commission.
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2. Providing reasonable standards and procedures:
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a. For the establishment and meetings of other committees; and
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b. Governing any general or specific delegation of any authority or function of
21the commission.
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3. Providing reasonable procedures for calling and conducting meetings of the
23commission, ensuring reasonable advance notice of all meetings, and providing an
24opportunity for attendance of such meetings by interested parties, with enumerated
25exceptions designed to protect the public's interest, the privacy of individuals, and
1proprietary information, including trade secrets. The commission may meet in
2closed session only after a majority of the administrators vote to close a meeting in
3whole or in part. As soon as practicable, the commission must make public a copy
4of the vote to close the meeting revealing the vote of each administrator, with no
5proxy votes allowed.
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4. Establishing the titles, duties, and authority and reasonable procedures for
7the election of the officers of the commission.
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5. Providing reasonable standards and procedures for the establishment of the
9personnel policies and programs of the commission. Notwithstanding any civil
10service or other similar laws of any party state, the bylaws shall exclusively govern
11the personnel policies and programs of the commission.
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6. Providing a mechanism for winding up the operations of the commission and
13the equitable disposition of any surplus funds that may exist after the termination
14of this compact after the payment or reserving of all of its debts and obligations.
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(d) The commission shall publish its bylaws and rules, and any amendments
16thereto, in a convenient form on the website of the commission.
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(e) The commission shall maintain its financial records in accordance with the
18bylaws.
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(f) The commission shall meet and take such actions as are consistent with the
20provisions of this compact and the bylaws.
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(g) The commission shall have all of the following powers:
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1. To promulgate uniform rules to facilitate and coordinate implementation
23and administration of this compact. The rules shall have the force and effect of law
24and shall be binding in all party states.
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12. To bring and prosecute legal proceedings or actions in the name of the
2commission, provided that the standing of any licensing board to sue or be sued under
3applicable law shall not be affected.
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3. To purchase and maintain insurance and bonds.
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4. To borrow, accept, or contract for services of personnel, including, but not
6limited to, employees of a party state or nonprofit organizations.
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5. To cooperate with other organizations that administer state compacts
8related to the regulation of nursing, including but not limited to sharing
9administrative or staff expenses, office space, or other resources.
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6. To hire employees, elect or appoint officers, fix compensation, define duties,
11grant such individuals appropriate authority to carry out the purposes of this
12compact, and to establish the commission's personnel policies and programs relating
13to conflicts of interest, qualifications of personnel, and other related personnel
14matters.
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7. To accept any and all appropriate donations, grants and gifts of money,
16equipment, supplies, materials, and services, and to receive, utilize, and dispose of
17the same; provided that at all times the commission shall avoid any appearance of
18impropriety or conflict of interest.
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8. To lease, purchase, accept appropriate gifts or donations of, or otherwise to
20own, hold, improve, or use, any property, whether real, personal, or mixed; provided
21that at all times the commission shall avoid any appearance of impropriety.
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9. To sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise
23dispose of any property, whether real, personal, or mixed.
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10. To establish a budget and make expenditures.
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11. To borrow money.
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112. To appoint committees, including advisory committees comprised of
2administrators, state nursing regulators, state legislators or their representatives,
3and consumer representatives, and other such interested persons.
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13. To provide and receive information from, and to cooperate with, law
5enforcement agencies.
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14. To adopt and use an official seal.
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15. To perform such other functions as may be necessary or appropriate to
8achieve the purposes of this compact consistent with the state regulation of nurse
9licensure and practice.
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(h) Financing of the commission:
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1. The commission shall pay, or provide for the payment of, the reasonable
12expenses of its establishment, organization, and ongoing activities.
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2. The commission may also levy on and collect an annual assessment from
14each party state to cover the cost of its operations, activities, and staff in its annual
15budget as approved each year. The aggregate annual assessment amount, if any,
16shall be allocated based upon a formula to be determined by the commission, which
17shall promulgate a rule that is binding upon all party states.
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3. The commission shall not incur obligations of any kind prior to securing the
19funds adequate to meet the same; nor shall the commission pledge the credit of any
20of the party states, except by, and with the authority of, such party state.
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4. The commission shall keep accurate accounts of all receipts and
22disbursements. The receipts and disbursements of the commission shall be subject
23to the audit and accounting procedures established under its bylaws. However, all
24receipts and disbursements of funds handled by the commission shall be audited
1yearly by a certified or licensed public accountant, and the report of the audit shall
2be included in and become part of the annual report of the commission.