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.
AB253,23,1716 (c) Officers selected in par. (b) shall serve without remuneration from the
17interstate commission.
AB253,23,2518 (d) 1. The officers and employees of the interstate commission shall be immune
19from suit and liability, either personally or in their official capacity, for a claim for
20damage to or loss of property or personal injury or other civil liability caused or
21arising out of, or relating to, an actual or alleged act, error, or omission that occurred,
22or that such person had a reasonable basis for believing occurred, within the scope
23of interstate commission employment, duties, or responsibilities; provided that such
24person shall not be protected from suit or liability for damage, loss, injury, or liability
25caused by the intentional or willful and wanton misconduct of such person.
AB253,24,9
12. The liability of the executive director and employees of the interstate
2commission or representatives of the interstate commission, acting within the scope
3of such person's employment or duties for acts, errors, or omissions occurring within
4such person's state, may not exceed the limits of liability set forth under the
5constitution and laws of that state for state officials, employees, and agents. The
6interstate commission is considered to be an instrumentality of the states for the
7purposes of any such action. Nothing in this paragraph shall be construed to protect
8such person from suit or liability for damage, loss, injury, or liability caused by the
9intentional or willful and wanton misconduct of such person.
AB253,24,1910 3. The interstate commission shall defend the executive director, its employees,
11and subject to the approval of the attorney general or other appropriate legal counsel
12of the member state represented by an interstate commission representative, shall
13defend such interstate commission representative in any civil action seeking to
14impose liability arising out of an actual or alleged act, error or omission that occurred
15within the scope of interstate commission employment, duties or responsibilities, or
16that the defendant had a reasonable basis for believing occurred within the scope of
17interstate commission employment, duties, or responsibilities, provided that the
18actual or alleged act, error, or omission did not result from intentional or willful and
19wanton misconduct on the part of such person.
AB253,25,420 4. To the extent not covered by the state involved, member state, or the
21interstate commission, the representatives or employees of the interstate
22commission shall be held harmless in the amount of a settlement or judgment,
23including attorney fees and costs, obtained against such persons arising out of an
24actual or alleged act, error, or omission that occurred within the scope of interstate
25commission employment, duties, or responsibilities, or that such persons had a

1reasonable basis for believing occurred within the scope of interstate commission
2employment, duties, or responsibilities, provided that the actual or alleged act, error,
3or omission did not result from intentional or willful and wanton misconduct on the
4part of such persons.
AB253,25,11 5(15) Section 15 - Rule-making functions of the interstate commission. (a)
6The interstate commission shall promulgate reasonable rules in order to effectively
7and efficiently achieve the purposes of the compact. Notwithstanding the foregoing,
8in the event the interstate commission exercises its rule-making authority in a
9manner that is beyond the scope of the purposes of the compact, or the powers
10granted hereunder, then such an action by the interstate commission shall be invalid
11and have no force or effect.
AB253,25,1512 (b) Rules deemed appropriate for the operations of the interstate commission
13shall be made pursuant to a rule-making process that substantially conforms to the
14"Model State Administrative Procedure Act" of 2010, and subsequent amendments
15thereto.
AB253,25,2416 (c) Not later than 30 days after a rule is promulgated, any person may file a
17petition for judicial review of the rule in the United States District Court for the
18District of Columbia or the federal district where the interstate commission has its
19principal offices, provided that the filing of such a petition shall not stay or otherwise
20prevent the rule from becoming effective unless the court finds that the petitioner
21has a substantial likelihood of success. The court shall give deference to the actions
22of the interstate commission consistent with applicable law and shall not find the
23rule to be unlawful if the rule represents a reasonable exercise of the authority
24granted to the interstate commission.
AB253,26,6
1(16) Section 16 — Oversight of interstate compact. (a) The executive,
2legislative, and judicial branches of state government in each member state shall
3enforce the compact and shall take all actions necessary and appropriate to
4effectuate the compact's purposes and intent. The provisions of the compact and the
5rules promulgated hereunder shall have standing as statutory law but shall not
6override existing state authority to regulate the practice of medicine.
AB253,26,107 (b) All courts shall take judicial notice of the compact and the rules in any
8judicial or administrative proceeding in a member state pertaining to the subject
9matter of the compact which may affect the powers, responsibilities or actions of the
10interstate commission.
AB253,26,1511 (c) The interstate commission shall be entitled to receive all service of process
12in any such proceeding, and shall have standing to intervene in the proceeding for
13all purposes. Failure to provide service of process to the interstate commission shall
14render a judgment or order void as to the interstate commission, the compact, or
15promulgated rules.
AB253,26,18 16(17) Section 17 — Enforcement of interstate compact. (a) The interstate
17commission, in the reasonable exercise of its discretion, shall enforce the provisions
18and rules of the compact.
AB253,27,219 (b) The interstate commission may, by majority vote of the commissioners,
20initiate legal action in the United States District Court for the District of Columbia,
21or, at the discretion of the interstate commission, in the federal district where the
22interstate commission has its principal offices, to enforce compliance with the
23provisions of the compact, and its promulgated rules and bylaws, against a member
24state in default. The relief sought may include both injunctive relief and damages.

1In the event judicial enforcement is necessary, the prevailing party shall be awarded
2all costs of such litigation including reasonable attorney fees.
AB253,27,53 (c) The remedies herein shall not be the exclusive remedies of the interstate
4commission. The interstate commission may avail itself of any other remedies
5available under state law or the regulation of a profession.
AB253,27,9 6(18) Section 18 — default procedures. (a) The grounds for default include, but
7are not limited to, failure of a member state to perform such obligations or
8responsibilities imposed upon it by the compact, or the rules and bylaws of the
9interstate commission promulgated under the compact.
AB253,27,1210 (b) If the interstate commission determines that a member state has defaulted
11in the performance of its obligations or responsibilities under the compact, or the
12bylaws or promulgated rules, the interstate commission shall:
AB253,27,1613 1. Provide written notice to the defaulting state and other member states, of
14the nature of the default, the means of curing the default, and any action taken by
15the interstate commission. The interstate commission shall specify the conditions
16by which the defaulting state must cure its default; and
AB253,27,1817 2. Provide remedial training and specific technical assistance regarding the
18default.
AB253,27,2419 (c) If the defaulting state fails to cure the default, the defaulting state shall be
20terminated from the compact upon an affirmative vote of a majority of the
21commissioners and all rights, privileges, and benefits conferred by the compact shall
22terminate on the effective date of termination. A cure of the default does not relieve
23the offending state of obligations or liabilities incurred during the period of the
24default.
AB253,28,5
1(d) Termination of membership in the compact shall be imposed only after all
2other means of securing compliance have been exhausted. Notice of intent to
3terminate shall be given by the interstate commission to the governor, the majority
4and minority leaders of the defaulting state's legislature, and each of the member
5states.
AB253,28,86 (e) The interstate commission shall establish rules and procedures to address
7licenses and physicians that are materially impacted by the termination of a member
8state, or the withdrawal of a member state.
AB253,28,129 (f) The member state which has been terminated is responsible for all dues,
10obligations, and liabilities incurred through the effective date of termination
11including obligations, the performance of which extends beyond the effective date of
12termination.
AB253,28,1613 (g) The interstate commission shall not bear any costs relating to any state that
14has been found to be in default or which has been terminated from the compact,
15unless otherwise mutually agreed upon in writing between the interstate
16commission and the defaulting state.
AB253,28,2117 (h) The defaulting state may appeal the action of the interstate commission by
18petitioning the United States District Court for the District of Columbia or the
19federal district where the interstate commission has its principal offices. The
20prevailing party shall be awarded all costs of such litigation including reasonable
21attorney fees.
AB253,28,24 22(19) Section 19 — Dispute resolution. (a) The interstate commission shall
23attempt, upon the request of a member state, to resolve disputes which are subject
24to the compact and which may arise among member states or member boards.
AB253,29,2
1(b) The interstate commission shall promulgate rules providing for both
2mediation and binding dispute resolution as appropriate.
AB253,29,4 3(20) Section 20 — Member states, effective date and amendment. (a) Any state
4is eligible to become a member state of the compact.
AB253,29,75 (b) The compact shall become effective and binding upon legislative enactment
6of the compact into law by no less than 7 states. Thereafter, it shall become effective
7and binding on a state upon enactment of the compact into law by that state.
AB253,29,108 (c) The governors of non-member states, or their designees, shall be invited to
9participate in the activities of the interstate commission on a non-voting basis prior
10to adoption of the compact by all states.
AB253,29,1411 (d) The interstate commission may propose amendments to the compact for
12enactment by the member states. No amendment shall become effective and binding
13upon the interstate commission and the member states unless and until it is enacted
14into law by unanimous consent of the member states.
AB253,29,18 15(21) Section 21 — Withdrawal. (a) Once effective, the compact shall continue
16in force and remain binding upon each and every member state; provided that a
17member state may withdraw from the compact by specifically repealing the statute
18which enacted the compact into law.
AB253,29,2219 (b) Withdrawal from the compact shall be by the enactment of a statute
20repealing the same, but shall not take effect until one year after the effective date
21of such statute and until written notice of the withdrawal has been given by the
22withdrawing state to the governor of each other member state.
AB253,29,2523 (c) The withdrawing state shall immediately notify the chairperson of the
24interstate commission in writing upon the introduction of legislation repealing the
25compact in the withdrawing state.
AB253,30,3
1(d) The interstate commission shall notify the other member states of the
2withdrawing state's intent to withdraw within 60 days of its receipt of notice
3provided under par. (c).
AB253,30,64 (e) The withdrawing state is responsible for all dues, obligations and liabilities
5incurred through the effective date of withdrawal, including obligations, the
6performance of which extend beyond the effective date of withdrawal.
AB253,30,97 (f) Reinstatement following withdrawal of a member state shall occur upon the
8withdrawing state reenacting the compact or upon such later date as determined by
9the interstate commission.
AB253,30,1310 (g) The interstate commission is authorized to develop rules to address the
11impact of the withdrawal of a member state on licenses granted in other member
12states to physicians who designated the withdrawing member state as the state of
13principal license.
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