AB1153,10,2121 DIETITIAN LICENSURE COMPACT
AB1153,11,3 22448.9887 Dietitian licensure compact. (1) Purpose. The purpose of this
23compact is to facilitate interstate practice of dietetics with the goal of improving
24public access to dietetics services. This compact preserves the regulatory authority
25of states to protect public health and safety through the current system of state

1licensure, while also providing for licensure portability through a compact privilege
2granted to qualifying professionals. This compact is designed to achieve the
3following objectives:
AB1153,11,44 (a) Increase public access to dietetics services;
AB1153,11,65 (b) Provide opportunities for interstate practice by licensed dietitians who meet
6uniform requirements;
AB1153,11,77 (c) Eliminate the necessity for licenses in multiple states;
AB1153,11,88 (d) Reduce administrative burden on member states and licensees;
AB1153,11,99 (e) Enhance the states' ability to protect the public's health and safety;
AB1153,11,1110 (f) Encourage the cooperation of member states in regulating multistate
11practice of licensed dietitians;
AB1153,11,1212 (g) Support relocating active military members and their spouses;
AB1153,11,1413 (h) Enhance the exchange of licensure, investigative, and disciplinary
14information among member states; and
AB1153,11,1715 (i) Vest all member states with the authority to hold a licensed dietitian
16accountable for meeting all state practice laws in the state in which the patient is
17located at the time care is rendered.
AB1153,11,19 18(2) Definitions. As used in this compact, and except as otherwise provided, the
19following definitions shall apply:
AB1153,11,2120 (a) “ACEND” means the Accreditation Council for Education in Nutrition and
21Dietetics or its successor organization.
AB1153,11,2422 (b) “Active military member” means any individual with full-time duty status
23in the active armed forces of the United States, including members of the national
24guard and reserve.
AB1153,12,7
1(c) “Adverse action” means any administrative, civil, equitable or criminal
2action permitted by a state's laws which is imposed by a licensing authority or other
3authority against a licensee, including actions against an individual's license or
4compact privilege such as revocation, suspension, probation, monitoring of the
5licensee, limitation on the licensee's practice, or any other encumbrance on licensure
6affecting a licensee's authorization to practice, including issuance of a cease and
7desist action.
AB1153,12,98 (d) “Alternative program” means a nondisciplinary monitoring or practice
9remediation process approved by a licensing authority.
AB1153,12,1110 (e) “Charter member state” means any member state which enacted this
11compact by law before the effective date specified in sub. (12).
AB1153,12,1412 (f) “Continuing education” means a requirement, as a condition of license
13renewal, to provide evidence of participation in, and completion of, educational and
14professional activities relevant to practice or area of work.
AB1153,12,1615 (g) “CDR” means the Commission on Dietetic Registration or its successor
16organization.
AB1153,12,2017 (h) “Compact commission” means the government agency whose membership
18consists of all states that have enacted this compact, which is known as the dietitian
19licensure compact commission, as described in sub. (8), and which shall operate as
20an instrumentality of the member states.
AB1153,12,2221 (i) “Compact privilege” means a legal authorization, which is equivalent to a
22license, permitting the practice of dietetics in a remote state.
AB1153,12,2323 (j) “Current significant investigative information” means:
AB1153,13,224 1. Investigative information that a licensing authority, after a preliminary
25inquiry that includes notification and an opportunity for the subject licensee to

1respond, if required by state law, has reason to believe is not groundless and, if
2proved true, would indicate more than a minor infraction; or
AB1153,13,53 2. Investigative information that indicates that the subject licensee represents
4an immediate threat to public health and safety regardless of whether the subject
5licensee has been notified and had an opportunity to respond.
AB1153,13,86 (k) “Data system” means a repository of information about licensees, including,
7but not limited to, continuing education, examination, licensure, investigative,
8compact privilege and adverse action information.
AB1153,13,109 (L) “Encumbered license” means a license in which an adverse action restricts
10a licensee's ability to practice dietetics.
AB1153,13,1211 (m) “Encumbrance” means a revocation or suspension of, or any limitation on
12a licensee's full and unrestricted practice of dietetics by a licensing authority.
AB1153,13,1513 (n) “Executive committee” means a group of delegates elected or appointed to
14act on behalf of, and within the powers granted to them by, this compact, and the
15compact commission.
AB1153,13,1716 (o) “Home state” means the member state that is the licensee's primary state
17of residence or that has been designated pursuant to sub. (6).
AB1153,13,1918 (p) “Investigative information” means information, records, and documents
19received or generated by a licensing authority pursuant to an investigation.
AB1153,13,2220 (q) “Jurisprudence requirement” means an assessment of an individual's
21knowledge of the state laws and regulations governing the practice of dietetics in
22such state.
AB1153,13,2323 (r) “License” means an authorization from a member state to either:
AB1153,13,2424 1. Engage in the practice of dietetics (including medical nutrition therapy); or
AB1153,14,3
12. Use the title “dietitian,” “licensed dietitian,” “licensed dietitian nutritionist,”
2“certified dietitian,” or other title describing a substantially similar practitioner as
3the compact commission may further define by rule.
AB1153,14,54 (s) “Licensee” or “licensed dietitian” means an individual who currently holds
5a license and who meets all of the requirements outlined in sub. (4).
AB1153,14,76 (t) “Licensing authority” means the board or agency of a state, or equivalent,
7that is responsible for the licensing and regulation of the practice of dietetics.
AB1153,14,88 (u) “Member state” means a state that has enacted the compact.
AB1153,14,129 (v) “Practice of dietetics” means the synthesis and application of dietetics,
10primarily for the provision of nutrition care services, including medical nutrition
11therapy, in person or via telehealth, to prevent, manage, or treat diseases or medical
12conditions and promote wellness.
AB1153,14,1313 (w) “Registered dietitian” means a person who:
AB1153,14,1514 1. Has completed applicable education, experience, examination, and
15recertification requirements approved by CDR;
AB1153,14,1716 2. Is credentialed by CDR as a registered dietitian or a registered dietitian
17nutritionist; and
AB1153,14,1918 3. Is legally authorized to use the title registered dietitian or registered
19dietitian nutritionist and the corresponding abbreviations “RD” or “RDN.”
AB1153,14,2120 (x) “Remote state” means a member state other than the home state, where a
21licensee is exercising or seeking to exercise a compact privilege.
AB1153,14,2322 (y) “Rule” means a regulation promulgated by the compact commission that has
23the force of law.
AB1153,14,2524 (z) “Single state license” means a license issued by a member state within the
25issuing state and does not include a compact privilege in any other member state.
AB1153,15,2
1(za) “State” means any state, commonwealth, district, or territory of the United
2States.
AB1153,15,43 (zb) “Unencumbered license” means a license that authorizes a licensee to
4engage in the full and unrestricted practice of dietetics.
AB1153,15,6 5(3) State participation in the compact. (a) To participate in the compact, a
6state must currently:
AB1153,15,77 1. License and regulate the practice of dietetics; and
AB1153,15,98 2. Have a mechanism in place for receiving and investigating complaints about
9licensees.
AB1153,15,1010 (b) A member state shall:
AB1153,15,1211 1. Participate fully in the compact commission's data system, including using
12the unique identifier, as defined in rules;
AB1153,15,1513 2. Notify the compact commission, in compliance with the terms of the compact
14and rules, of any adverse action or the availability of current significant investigative
15information regarding a licensee;
AB1153,15,2116 3. Implement or utilize procedures for considering the criminal history record
17information of applicants for an initial compact privilege. These procedures shall
18include the submission of fingerprints or other biometric-based information by
19applicants for the purpose of obtaining an applicant's criminal history record
20information from the federal bureau of investigation and the agency responsible for
21retaining that state's criminal records;
AB1153,15,2522 a. A member state must fully implement a criminal history record information
23requirement, within a time frame established by rule, which includes receiving the
24results of the federal bureau of investigation record search and shall use those
25results in determining compact privilege eligibility.
AB1153,16,5
1b. Communication between a member state and the compact commission or
2among member states regarding the verification of eligibility for a compact privilege
3shall not include any information received from the federal bureau of investigation
4relating to a federal criminal history record information check performed by a
5member state.
AB1153,16,66 4. Comply with and enforce the rules of the compact commission;
AB1153,16,97 5. Require an applicant for a compact privilege to obtain or retain a license in
8the licensee's home state and meet the home state's qualifications for licensure or
9renewal of licensure, as well as all other applicable state laws; and
AB1153,16,1210 6. Recognize a compact privilege granted to a licensee who meets all of the
11requirements outlined in sub. (4) in accordance with the terms of the compact and
12rules.
AB1153,16,1313 (c) Member states may set and collect a fee for granting a compact privilege.
AB1153,16,1814 (d) Individuals not residing in a member state shall continue to be able to apply
15for a member state's single state license as provided under the laws of each member
16state. However, the single state license granted to these individuals shall not be
17recognized as granting a compact privilege to engage in the practice of dietetics in
18any other member state.
AB1153,16,2019 (e) Nothing in this compact shall affect the requirements established by a
20member state for the issuance of a single state license.
AB1153,16,2321 (f) At no point shall the compact commission have the power to define the
22requirements for the issuance of a single state license to practice dietetics. The
23member states shall retain sole jurisdiction over the provision of these requirements.
AB1153,16,25 24(4) Compact privilege. (a) To exercise the compact privilege under the terms
25and provisions of the compact, the licensee shall:
AB1153,17,1
11. Satisfy one of the following:
AB1153,17,32 a. Hold a valid current registration that gives the applicant the right to use the
3term registered dietitian; or
AB1153,17,44 b. Complete all of the following:
AB1153,17,55 i. An education program which is either:
AB1153,17,116 a) A master's degree or doctoral degree that is programmatically accredited by
7(i) ACEND; or (ii) a dietetics accrediting agency recognized by the U.S. department
8of education, which the compact commission may by rule determine, and from a
9college or university accredited at the time of graduation by the appropriate regional
10accrediting agency recognized by the Council on Higher Education Accreditation and
11the U.S. department of education.
AB1153,17,1512 b) An academic degree from a college or university in a foreign country
13equivalent to the degree described in subparagraph (a) that is programmatically
14accredited by (i) ACEND; or (ii) a dietetics accrediting agency recognized by the U.S.
15department of education, which the compact commission may by rule determine.
AB1153,17,2016 ii. A planned, documented, supervised practice experience in dietetics that is
17programmatically accredited by (i) ACEND, or (ii) a dietetics accrediting agency
18recognized by the U.S. department of education which the compact commission may
19by rule determine and which involves at least 1,000 hours of practice experience
20under the supervision of a registered dietitian or a licensed dietitian.
AB1153,18,221 iii. Successful completion of either: (i) the registration examination for
22dietitians administered by CDR, or (ii) a national credentialing examination for
23dietitians approved by the compact commission by rule; such completion being no
24more than 5 years prior to the date of the licensee's application for initial licensure

1and accompanied by a period of continuous licensure thereafter, all of which may be
2further governed by the rules of the compact commission.
AB1153,18,33 2. Hold an unencumbered license in the home state;
AB1153,18,54 3. Notify the compact commission that the licensee is seeking a compact
5privilege within a remote state;
AB1153,18,66 4. Pay any applicable fees, including any state fee, for the compact privilege;
AB1153,18,87 5. Meet any jurisprudence requirements established by the remote state in
8which the licensee is seeking a compact privilege; and
AB1153,18,119 6. Report to the compact commission any adverse action, encumbrance, or
10restriction on a license taken by any nonmember state within 30 days from the date
11the action is taken.
AB1153,18,1612 (b) The compact privilege is valid until the expiration date of the home state
13license. To maintain a compact privilege, renewal of the compact privilege shall be
14congruent with the renewal of the home state license as the compact commission may
15define by rule. The licensee must comply with the requirements of par. (a) to
16maintain the compact privilege in the remote state.
AB1153,18,2017 (c) A licensee exercising a compact privilege shall adhere to the laws and
18regulations of the remote state. Licensees shall be responsible for educating
19themselves on, and complying with, any and all state laws relating to the practice
20of dietetics in such remote state.
AB1153,18,2521 (d) Notwithstanding anything to the contrary provided in this compact or state
22law, a licensee exercising a compact privilege shall not be required to complete
23continuing education requirements required by a remote state. A licensee exercising
24a compact privilege is only required to meet any continuing education requirements
25as required by the home state.
AB1153,19,3
1(5) Obtaining a new home state license based on a compact privilege. (a) A
2licensee may hold a home state license, which allows for a compact privilege in other
3member states, in only one member state at a time.
AB1153,19,44 (b) If a licensee changes home state by moving between two member states:
AB1153,19,75 1. The licensee shall file an application for obtaining a new home state license
6based on a compact privilege, pay all applicable fees, and notify the current and new
7home state in accordance with the rules of the compact commission.
AB1153,19,118 2. Upon receipt of an application for obtaining a new home state license by
9virtue of a compact privilege, the new home state shall verify that the licensee meets
10the criteria in sub. (4) via the data system, and require that the licensee complete the
11following:
AB1153,19,1312 a. Federal bureau of investigation fingerprint based criminal history record
13information check;
AB1153,19,1514 b. Any other criminal history record information required by the new home
15state; and
AB1153,19,1616 c. Any jurisprudence requirements of the new home state.
AB1153,19,1917 3. The former home state shall convert the former home state license into a
18compact privilege once the new home state has activated the new home state license
19in accordance with applicable rules adopted by the compact commission.
AB1153,19,2220 4. Notwithstanding any other provision of this compact, if the licensee cannot
21meet the criteria in sub. (4), the new home state may apply its requirements for
22issuing a new single state license.
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