AB253,13,63 (b) 1. Upon receipt of an application for an expedited license, the member board
4within the state selected as the state of principal license shall evaluate whether the
5physician is eligible for expedited licensure and issue a letter of qualification,
6verifying or denying the physician's eligibility, to the interstate commission.
AB253,13,117 2. Static qualifications, which include verification of medical education,
8graduate medical education, results of any medical or licensing examination, and
9other qualifications as determined by the interstate commission through rule, shall
10not be subject to additional primary source verification where already primary
11source verified by the state of principal license.
AB253,13,1712 3. The member board within the state selected as the state of principal license
13shall, in the course of verifying eligibility, perform a criminal background check of
14an applicant, including the use of the results of fingerprint or other biometric data
15checks compliant with the requirements of the federal bureau of investigation, with
16the exception of federal employees who have suitability determination in accordance
17with 5 CFR 731.202.
AB253,13,1918 4. Appeal on the determination of eligibility shall be made to the member state
19where the application was filed and shall be subject to the law of that state.
AB253,13,2320 (c) Upon verification in par. (b), physicians eligible for an expedited license
21shall complete the registration process established by the interstate commission to
22receive a license in a member state selected pursuant to par. (a), including the
23payment of any applicable fees.
AB253,14,324 (d) After receiving verification of eligibility under par. (b) and any fees under
25par. (c), a member board shall issue an expedited license to the physician. This

1license shall authorize the physician to practice medicine in the issuing state
2consistent with the medical practice act and all applicable laws and regulations of
3the issuing member board and member state.
AB253,14,64 (e) An expedited license shall be valid for a period consistent with the licensure
5period in the member state and in the same manner as required for other physicians
6holding a full and unrestricted license within the member state.
AB253,14,97 (f) An expedited license obtained though the compact shall be terminated if a
8physician fails to maintain a license in the state of principal licensure for a
9non-disciplinary reason, without redesignation of a new state of principal licensure.
AB253,14,1210 (g) The interstate commission is authorized to develop rules regarding the
11application process, including payment of any applicable fees, and the issuance of an
12expedited license.
AB253,14,15 13(6) Section 6 — Fees for expedited licensure. (a) A member state issuing an
14expedited license authorizing the practice of medicine in that state may impose a fee
15for a license issued or renewed through the compact.
AB253,14,1716 (b) The interstate commission is authorized to develop rules regarding fees for
17expedited licenses.
AB253,14,20 18(7) Section 7 — Renewal and continued participation. (a) A physician seeking
19to renew an expedited license granted in a member state shall complete a renewal
20process with the interstate commission if the physician:
AB253,14,2121 1. Maintains a full and unrestricted license in a state of principal license;
AB253,14,2422 2. Has not been convicted, received adjudication, deferred adjudication,
23community supervision, or deferred disposition for any offense by a court of
24appropriate jurisdiction;
AB253,15,3
13. Has not had a license authorizing the practice of medicine subject to
2discipline by a licensing agency in any state, federal, or foreign jurisdiction,
3excluding any action related to non-payment of fees related to a license; and
AB253,15,54 4. Has not had a controlled substance license or permit suspended or revoked
5by a state or the united states drug enforcement administration.
AB253,15,86 (b) Physicians shall comply with all continuing professional development or
7continuing medical education requirements for renewal of a license issued by a
8member state.
AB253,15,109 (c) The interstate commission shall collect any renewal fees charged for the
10renewal of a license and distribute the fees to the applicable member board.
AB253,15,1211 (d) Upon receipt of any renewal fees collected in par. (c), a member board shall
12renew the physician's license.
AB253,15,1413 (e) Physician information collected by the interstate commission during the
14renewal process will be distributed to all member boards.
AB253,15,1615 (f) The interstate commission is authorized to develop rules to address renewal
16of licenses obtained through the compact.
AB253,15,19 17(8) Section 8 — Coordinated information system. (a) The interstate
18commission shall establish a database of all physicians licensed, or who have applied
19for licensure, under sub. (5).
AB253,15,2220 (b) Notwithstanding any other provision of law, member boards shall report to
21the interstate commission any public action or complaints against a licensed
22physician who has applied or received an expedited license through the compact.
AB253,15,2423 (c) Member boards shall report disciplinary or investigatory information
24determined as necessary and proper by rule of the interstate commission.
AB253,16,2
1(d) Member boards may report any non-public complaint, disciplinary, or
2investigatory information not required by par. (c) to the interstate commission.
AB253,16,43 (e) Member boards shall share complaint or disciplinary information about a
4physician upon request of another member board.
AB253,16,75 (f) All information provided to the interstate commission or distributed by
6member boards shall be confidential, filed under seal, and used only for investigatory
7or disciplinary matters.
AB253,16,98 (g) The interstate commission is authorized to develop rules for mandated or
9discretionary sharing of information by member boards.
AB253,16,11 10(9) Section 9 — Joint investigations. (a) Licensure and disciplinary records
11of physicians are deemed investigative.
AB253,16,1512 (b) In addition to the authority granted to a member board by its respective
13medical practice act or other applicable state law, a member board may participate
14with other member boards in joint investigations of physicians licensed by the
15member boards.
AB253,16,1716 (c) A subpoena issued by a member state shall be enforceable in other member
17states.
AB253,16,2018 (d) Member boards may share any investigative, litigation, or compliance
19materials in furtherance of any joint or individual investigation initiated under the
20compact.
AB253,16,2321 (e) Any member state may investigate actual or alleged violations of the
22statutes authorizing the practice of medicine in any other member state in which a
23physician holds a license to practice medicine.
AB253,17,2 24(10) Section 10 — Disciplinary actions. (a) Any disciplinary action taken by
25any member board against a physician licensed through the compact shall be deemed

1unprofessional conduct which may be subject to discipline by other member boards,
2in addition to any violation of the medical practice act or regulations in that state.
AB253,17,113 (b) If a license granted to a physician by the member board in the state of
4principal license is revoked, surrendered or relinquished in lieu of discipline, or
5suspended, then all licenses issued to the physician by member boards shall
6automatically be placed, without further action necessary by any member board, on
7the same status. If the member board in the state of principal license subsequently
8reinstates the physician's license, a license issued to the physician by any other
9member board shall remain encumbered until that respective member board takes
10action to reinstate the license in a manner consistent with the medical practice act
11of that state.
AB253,17,1412 (c) If disciplinary action is taken against a physician by a member board not
13in the state of principal license, any other member board may deem the action
14conclusive as to matter of law and fact decided, and:
AB253,17,1615 1. Impose the same or lesser sanctions against the physician so long as such
16sanctions are consistent with the medical practice act of that state; or
AB253,17,1917 2. Pursue separate disciplinary action against the physician under its
18respective medical practice act, regardless of the action taken in other member
19states.
AB253,18,320 (d) If a license granted to a physician by a member board is revoked,
21surrendered or relinquished in lieu of discipline, or suspended, then any license
22issued to the physician by any other member board shall be suspended,
23automatically and immediately without further action necessary by the other
24member board, for 90 days upon entry of the order by the disciplining board, to permit
25the member board to investigate the basis for the action under the medical practice

1act of that state. A member board may terminate the automatic suspension of the
2license it issued prior to the completion of the 90 day suspension period in a manner
3consistent with the medical practice act of that state.
AB253,18,6 4(11) Section 11 — Interstate medical licensure compact commission. (a) The
5member states hereby create the "Interstate Medical Licensure Compact
6Commission."
AB253,18,87 (b) The purpose of the interstate commission is the administration of the
8interstate medical licensure compact, which is a discretionary state function.
AB253,18,139 (c) The interstate commission shall be a body corporate and joint agency of the
10member states and shall have all the responsibilities, powers, and duties set forth
11in the compact, and such additional powers as may be conferred upon it by a
12subsequent concurrent action of the respective legislatures of the member states in
13accordance with the terms of the compact.
AB253,18,1914 (d) The interstate commission shall consist of 2 voting representatives
15appointed by each member state who shall serve as commissioners. In states where
16allopathic and osteopathic physicians are regulated by separate member boards, or
17if the licensing and disciplinary authority is split between multiple member boards
18within a member state, the member state shall appoint one representative from each
19member board. A Commissioner shall be:
AB253,18,2020 1. An allopathic or osteopathic physician appointed to a member board;
AB253,18,2221 2. An executive director, executive secretary, or similar executive of a member
22board; or
AB253,18,2323 3. A member of the public appointed to a member board.
AB253,19,324 (e) The interstate commission shall meet at least once each calendar year. A
25portion of this meeting shall be a business meeting to address such matters as may

1properly come before the commission, including the election of officers. The
2chairperson may call additional meetings and shall call for a meeting upon the
3request of a majority of the member states.
AB253,19,54 (f) The bylaws may provide for meetings of the interstate commission to be
5conducted by telecommunication or electronic communication.
AB253,19,126 (g) Each commissioner participating at a meeting of the interstate commission
7is entitled to one vote. A majority of commissioners shall constitute a quorum for the
8transaction of business, unless a larger quorum is required by the bylaws of the
9interstate commission. A commissioner shall not delegate a vote to another
10commissioner. In the absence of its commissioner, a member state may delegate
11voting authority for a specified meeting to another person from that state who shall
12meet the requirements of par. (d).
AB253,19,1613 (h) The interstate commission shall provide public notice of all meetings and
14all meetings shall be open to the public. The interstate commission may close a
15meeting, in full or in portion, where it determines by a two-thirds vote of the
16commissioners present that an open meeting would be likely to:
AB253,19,1817 1. Relate solely to the internal personnel practices and procedures of the
18interstate commission;
AB253,19,1919 2. Discuss matters specifically exempted from disclosure by federal statute;
AB253,19,2120 3. Discuss trade secrets, commercial, or financial information that is privileged
21or confidential;
AB253,19,2222 4. Involve accusing a person of a crime, or formally censuring a person;
AB253,19,2423 5. Discuss information of a personal nature where disclosure would constitute
24a clearly unwarranted invasion of personal privacy;
AB253,19,2525 6. Discuss investigative records compiled for law enforcement purposes; or
AB253,20,2
17. Specifically relate to the participation in a civil action or other legal
2proceeding.
AB253,20,53 (i) The interstate commission shall keep minutes which shall fully describe all
4matters discussed in a meeting and shall provide a full and accurate summary of
5actions taken, including record of any roll call votes.
AB253,20,86 (j) The interstate commission shall make its information and official records,
7to the extent not otherwise designated in the compact or by its rules, available to the
8public for inspection.
AB253,20,169 (k) The interstate commission shall establish an executive committee, which
10shall include officers, members, and others as determined by the bylaws. The
11executive committee shall have the power to act on behalf of the interstate
12commission, with the exception of rule making, during periods when the interstate
13commission is not in session. When acting on behalf of the interstate commission,
14the executive committee shall oversee the administration of the compact including
15enforcement and compliance with the provisions of the compact, its bylaws and rules,
16and other such duties as necessary.
AB253,20,1817 (L) The Interstate commission may establish other committees for governance
18and administration of the compact.
AB253,20,20 19(12) Section 12 — Powers and duties of the interstate commission. The
20interstate commission shall have the duty and power to:
AB253,20,2121 (a) Oversee and maintain the administration of the compact;
AB253,20,2322 (b) Promulgate rules which shall be binding to the extent and in the manner
23provided for in the compact;
AB253,21,3
1(c) Issue, upon the request of a member state or member board, advisory
2opinions concerning the meaning or interpretation of the compact, its bylaws, rules,
3and actions;
AB253,21,64 (d) Enforce compliance with compact provisions, the rules promulgated by the
5interstate commission, and the bylaws, using all necessary and proper means,
6including but not limited to the use of judicial process;
AB253,21,97 (e) Establish and appoint committees including, but not limited to, an executive
8committee as required by sub. (11), which shall have the power to act on behalf of the
9interstate commission in carrying out its powers and duties;
AB253,21,1110 (f) Pay, or provide for the payment of the expenses related to the establishment,
11organization, and ongoing activities of the interstate commission;
AB253,21,1212 (g) Establish and maintain one or more offices;
AB253,21,1313 (h) Borrow, accept, hire, or contract for services of personnel;
AB253,21,1414 (i) Purchase and maintain insurance and bonds;
AB253,21,1715 (j) Employ an executive director who shall have such powers to employ, select
16or appoint employees, agents, or consultants, and to determine their qualifications,
17define their duties, and fix their compensation;
AB253,21,1918 (k) Establish personnel policies and programs relating to conflicts of interest,
19rates of compensation, and qualifications of personnel;
AB253,21,2220 (L) Accept donations and grants of money, equipment, supplies, materials and
21services, and to receive, utilize, and dispose of it in a manner consistent with the
22conflict of interest policies established by the interstate commission;
AB253,21,2423 (m) Lease, purchase, accept contributions or donations of, or otherwise to own,
24hold, improve or use, any property, real, personal, or mixed;
AB253,22,2
1(n) Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise
2dispose of any property, real, personal, or mixed;
AB253,22,33 (o) Establish a budget and make expenditures;
AB253,22,54 (p) Adopt a seal and bylaws governing the management and operation of the
5interstate commission;
AB253,22,96 (q) Report annually to the legislatures and governors of the member states
7concerning the activities of the interstate commission during the preceding year.
8Such reports shall also include reports of financial audits and any recommendations
9that may have been adopted by the interstate commission;
AB253,22,1110 (r) Coordinate education, training, and public awareness regarding the
11compact, its implementation, and its operation;
AB253,22,1212 (s) Maintain records in accordance with the bylaws;
AB253,22,1313 (t) Seek and obtain trademarks, copyrights, and patents; and
AB253,22,1514 (u) Perform such functions as may be necessary or appropriate to achieve the
15purposes of the compact.
AB253,22,22 16(13) Section 13 — Finance powers. (a) The interstate commission may levy on
17and collect an annual assessment from each member state to cover the cost of the
18operations and activities of the interstate commission and its staff. The total
19assessment must be sufficient to cover the annual budget approved each year for
20which revenue is not provided by other sources. The aggregate annual assessment
21amount shall be allocated upon a formula to be determined by the interstate
22commission, which shall promulgate a rule binding upon all member states.
AB253,22,2423 (b) The interstate commission shall not incur obligations of any kind prior to
24securing the funds adequate to meet the same.
AB253,23,2
1(c) The interstate commission shall not pledge the credit of any of the member
2states, except by, and with the authority of, the member state.
AB253,23,53 (d) The interstate commission shall be subject to a yearly financial audit
4conducted by a certified or licensed public accountant and the report of the audit
5shall be included in the annual report of the interstate commission.
AB253,23,10 6(14) Section 14 — Organization and operation of the interstate commission.
7(a) The interstate commission shall, by a majority of commissioners present and
8voting, adopt bylaws to govern its conduct as may be necessary or appropriate to
9carry out the purposes of the compact within 12 months of the first interstate
10commission meeting.
AB253,23,1511 (b) The interstate commission shall elect or appoint annually from among its
12commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom
13shall have such authority and duties as may be specified in the bylaws. The
14chairperson, or in the chairperson's absence or disability, the vice-chairperson, shall
15preside at all meetings of the interstate commission.
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