Maryland Code § HO-2-3A-01

Section HO-2-3A-01
Open in Lexace · Ask the AI about this section
The Audiology and Speech-Language Pathology Interstate Compact is enacted
into law and entered into with all other states legally joining in it in the form
substantially as it appears in this section as follows:
SECTION 1. PURPOSE
The purpose of this Compact is to facilitate interstate practice of audiology and
speech-language pathology with the goal of improving public access to audiology and
speech-language pathology services. The practice of audiology and speech-language
pathology occurs in the state where the patient is located at the time of the patient
encounter. The Compact preserves the regulatory authority of states to protect public
health and safety through the current system of state licensure. This Compact is
designed to achieve the following objectives:
(1) Increase public access to audiology and speech-language
pathology services by providing for the mutual recognition of other member state
licenses;
(2) Enhance the ability of states to protect the public's health and
safety;
(3) Encourage the cooperation of member states in regulating
multistate audiology and speech-language pathology practice;
(4) Support spouses of relocating active duty military personnel;
(5) Enhance the exchange of licensure, investigative, and
disciplinary information among member states;

(6) Allow a remote state to hold a provider of services with a Compact
privilege in that state accountable to the practice standards of that state; and
(7) Allow for the use of telehealth technology to facilitate increased
access to audiology and speech-language pathology services.
SECTION 2. DEFINITIONS
As used in this Compact, and except as otherwise provided, the following
definitions shall apply:
(a) "Active duty military" means full-time duty status in the active
uniformed service of the United States, including members of the National Guard
and Reserve on active duty orders in accordance with 10 U.S.C. §§ 1209 and 1211.
(b) "Adverse action" means any administrative, civil, equitable, or criminal
action authorized by a state's laws that is imposed by a licensing board or other
authority against an audiologist or a speech-language pathologist, including actions
against an individual's license or privilege to practice such as revocation, suspension,
probation, monitoring of the licensee, or restriction on the licensee's practice.
(c) "Alternative program" means a nondisciplinary monitoring process
approved by an audiology or speech-language pathology licensing board to address
impaired practitioners.
(d) "Audiologist" means an individual who is licensed by a state to practice
audiology.
(e) "Audiology" means the care and services provided by a licensed
audiologist as set forth in the member state's statutes and rules.
(f) "Audiology and Speech-Language Pathology Compact Commission" or
"Commission" means the national administrative body established under Section 8
whose membership consists of all states that have enacted the Compact.
(g) "Audiology or speech-language pathology licensing board", "audiology
licensing board", "speech-language pathology licensing board", or "licensing board"
means the agency of a state that is responsible for the licensing and regulation of
audiologists or speech-language pathologists.
(h) "Compact privilege" means the authorization granted by a remote state
to allow a licensee from another member state to practice as an audiologist or a
speech-language pathologist in the remote state under its laws and rules. The

practice of audiology or speech-language pathology occurs in the member state where
the patient is located at the time of the patient encounter.
(i) "Current significant investigative information" means investigative
information that a licensing board, after an inquiry or investigation that includes
notification and an opportunity for the audiologist or speech-language pathologist to
respond, if required by state law, has reason to believe is not groundless and, if proved
true, would indicate more than a minor infraction.
(j) "Data system" means a repository of information about licensees
established under Section 9, including, but not limited to, continuing education,
examination, licensure, investigative, Compact privilege, and adverse action.
(k) "Encumbered license" means a license in which an adverse action
restricts the practice of audiology or speech-language pathology by the licensee and
said adverse action has been reported to the National Practitioners Data Bank.
(l) "Executive Committee" means a group of directors elected or appointed
to act on behalf of, and within the powers granted to them by, the Commission.
(m) "Home state" means the member state that is the licensee's primary
state of residence.
(n) "Impaired practitioner" means an individual whose professional practice
is adversely affected by substance abuse, addiction, or other health-related
conditions.
(o) "Licensee" means an individual who currently holds an authorization
from a state licensing board to practice as an audiologist or a speech-language
pathologist.
(p) "Member state" means a state that has enacted the Compact.
(q) "Privilege to practice" means a legal authorization authorizing the
practice of audiology or speech-language pathology in a remote state.
(r) "Remote state" means a member state other than the home state where
a licensee is exercising or seeking to exercise the Compact privilege.
(s) "Rule" means a regulation, principle, or directive adopted by the
Commission that has the force of law.

(t) "Single-state license" means an audiology or speech-language
pathology license issued by a member state that authorizes practice only within the
issuing state and does not include a privilege to practice in any other member state.
(u) "Speech-language pathologist" means an individual who is licensed by
a state to practice speech-language pathology.
(v) "Speech-language pathology" means the care and services provided by
a licensed speech-language pathologist as set forth in the member state's statutes
and rules.
(w) "State" means any state, commonwealth, district, or territory of the
United States of America that regulates the practice of audiology and speech-
language pathology.
(x) "State practice laws" means the laws, rules, and regulations of a member
state that govern the practice of audiology or speech-language pathology, define the
scope of audiology or speech-language pathology practice, and create the methods
and grounds for imposing discipline.
(y) "Telehealth" means the application of telecommunication, audio-visual,
or other information technologies that meets the applicable standard of care to deliver
audiology or speech-language pathology services or information at a distance for
assessment, intervention, or consultation.
SECTION 3. STATE PARTICIPATION IN THE COMPACT
(a) A license issued to an audiologist or a speech-language pathologist by a
home state to a resident in that state shall be recognized by each member state as
authorizing an audiologist or a speech-language pathologist to practice audiology or
speech-language pathology, under a privilege to practice, in each member state
where the licensee obtains such a privilege.
(b) (1) A state must implement or use procedures for considering the
criminal history records of applicants for initial privilege to practice. These
procedures shall include the submission of fingerprints or other biometric-based
information by applicants for the purpose of obtaining an applicant's criminal history
record information from the Federal Bureau of Investigation and the agency
responsible for retaining that state's criminal records.
(2) A member state must fully implement a criminal background
check requirement, within a time frame established by rule, by receiving the results
of the Federal Bureau of Investigation record search on criminal background checks
and use the results in making licensure decisions.

(3) Communication between a member state and the Commission,
and among member states regarding the verification of eligibility for licensure
through the Compact may not include any information received from the Federal
Bureau of Investigation relating to a federal criminal records check performed by a
member state under Public Law 92-544.
(c) On application for a privilege to practice, the licensing board in the
issuing remote state shall ascertain, through the data system, whether the applicant
has ever held, or is the holder of, a license issued by any other state, whether there
are any encumbrances on any license or privilege to practice held by the applicant,
and whether any adverse action has been taken against any license or privilege to
practice held by the applicant.
(d) Each member state shall require an applicant to obtain or retain a
license in the home state and meet the home state's qualifications for licensure or
renewal of licensure, as well as all other applicable state laws.
(e) An audiologist must:
(1) Meet one of the following educational requirements:
(i) On or before December 31, 2007, have graduated with a
master's degree or doctorate in audiology, or equivalent degree regardless of degree
name, from a program that is accredited by an accrediting agency recognized by the
Council for Higher Education Accreditation, or its successor, or by the United States
Department of Education and operated by a college or university accredited by a
regional or national accrediting organization recognized by a state licensing board;
(ii) On or after January 1, 2008, have graduated with a
doctoral degree in audiology, or equivalent degree, regardless of degree name, from a
program that is accredited by an accrediting agency recognized by the Council for
Higher Education Accreditation, or its successor, or by the United States Department
of Education and operated by a college or university accredited by a regional or
national accrediting organization recognized by a state licensing board; or
(iii) Have graduated from an audiology program that is housed
in an institution of higher education outside the United States:
1. For which the program and institution have been
approved by the authorized accrediting body in the applicable country; and

2. Whose degree program has been verified by an
independent credentials review agency to be comparable to a state licensing board-
approved program;
(2) Have completed a supervised clinical practicum experience from
an accredited educational institution or its cooperating programs as required by the
Commission;
(3) Have successfully passed a national examination approved by the
Commission;
(4) Hold an active, unencumbered license;
(5) Have not been convicted or found guilty of, and have not entered
into an agreed disposition regarding, a felony related to the practice of audiology,
under applicable state or federal criminal law; and
(6) Have a valid United States Social Security or National
Practitioner Identification number.
(f) A speech-language pathologist must:
(1) Meet one of the following educational requirements:
(i) Have graduated with a master's degree from a speech-
language pathology program that is accredited by an organization recognized by the
United States Department of Education and operated by a college or university
accredited by a regional or national accrediting organization recognized by a licensing
board; or
(ii) Have graduated from a speech-language pathology
program that is housed in an institution of higher education outside the United
States:
1. For which the program and institution have been
approved by the authorized accrediting body in the applicable country; and
2. Whose degree program has been verified by an
independent credentials review agency to be comparable to a state licensing board-
approved program;
(2) Have completed a supervised clinical practicum experience from
an educational institution or its cooperating programs as required by the
Commission;

(3) Have completed a supervised postgraduate professional
experience as required by the Commission;
(4) Have successfully passed a national examination approved by the
Commission;
(5) Hold an active, unencumbered license;
(6) Have not been convicted or found guilty of, and have not entered
into an agreed disposition regarding, a felony related to the practice of speech-
language pathology, under applicable state or federal criminal law; and
(7) Have a valid United States Social Security or National
Practitioner Identification number.
(g) The privilege to practice is derived from the home state license.
(h) An audiologist or a speech-language pathologist practicing in a member
state must comply with the state practice laws of the state in which the patient is
located at the time service is provided. The practice of audiology and speech-language
pathology shall include all audiology and speech-language pathology practice as
defined by the state practice laws of the member state in which the patient is located.
The practice of audiology and speech-language pathology in a member state under a
privilege to practice shall subject an audiologist or a speech-language pathologist to
the jurisdiction of the licensing board, the courts, and the laws of the member state
in which the patient is located at the time service is provided.
(i) Individuals not residing in a member state shall continue to be able to
apply for a member state's single-state license as provided under the laws of each
member state. However, the single-state license granted to these individuals may
not be recognized as granting the privilege to practice audiology or speech-language
pathology in any other member state. Nothing in this Compact shall affect the
requirements established by a member state for the issuance of a single-state license.
(j) Member states may charge a fee for granting a Compact privilege.
(k) Member states must comply with the bylaws and rules and regulations
of the Commission.
SECTION 4. COMPACT PRIVILEGE
(a) To exercise the Compact privilege under the terms and provisions of the
Compact, the audiologist or speech-language pathologist shall:

(1) Hold an active license in the home state;
(2) Have no encumbrance on any state license;
(3) Be eligible for a Compact privilege in any member state in
accordance with Section 3;
(4) Have not had any adverse action against any license or Compact
privilege within the previous 2 years from date of application;
(5) Notify the Commission that the licensee is seeking the Compact
privilege within a remote state;
(6) Pay any applicable fees, including any state fee, for the Compact
privilege; and
(7) Report to the Commission adverse action taken by any
nonmember state within 30 days from the date the adverse action is taken.
(b) For the purposes of the Compact privilege, an audiologist or a speech-
language pathologist may hold only one home state license at a time.
(c) Except as provided in Section 6, if an audiologist or a speech-language
pathologist changes primary state of residence by moving between two member
states, the audiologist or speech-language pathologist must apply for licensure in the
new home state, and the license issued by the prior home state shall be deactivated
in accordance with applicable rules adopted by the Commission.
(d) The audiologist or speech-language pathologist may apply for licensure
in advance of a change in primary state of residence.
(e) A license may not be issued by the new home state until the audiologist
or speech-language pathologist provides satisfactory evidence of a change in primary
state of residence to the new home state and satisfies all applicable requirements to
obtain a license from the new home state.
(f) If an audiologist or a speech-language pathologist changes primary
state of residence by moving from a member state to a nonmember state, the license
issued by the prior home state shall convert to a single-state license, valid only in the
former home state, and the Compact privilege in any member state is deactivated in
accordance with rules adopted by the Commission.

(g) The Compact privilege is valid until the expiration date of the home
state license. The licensee must comply with the requirements of subsection (a) of this
section to maintain the Compact privilege in the remote state.
(h) A licensee providing audiology or speech-language pathology services in
a remote state under the Compact privilege shall function within the laws and
regulations of the remote state.
(i) A licensee providing audiology or speech-language pathology services in
a remote state is subject to the regulatory authority of that state. A remote state may,
in accordance with due process and the laws of that state, remove a licensee's
Compact privilege in the remote state for a specific period of time, impose fines, or
take any other necessary actions to protect the health and safety of its citizens.
(j) If a home state license is encumbered, the licensee shall lose the
Compact privilege in any remote state until the following occur:
(1) The home state license is no longer encumbered; and
(2) 2 years have elapsed from the date of the adverse action.
(k) Once an encumbered license in the home state is restored to good
standing, the licensee must meet the requirements of subsection (a) of this section to
obtain a Compact privilege in any remote state.
(l) Once the requirements of subsection (j) of this section have been met,
the licensee must meet the requirements in subsection (a) of this section to obtain a
Compact privilege in a remote state.
SECTION 5. COMPACT PRIVILEGE TO PRACTICE TELEHEALTH
(a) Member states shall recognize the right of an audiologist or a speech-
language pathologist, licensed by a home state in accordance with Section 3 and
under rules promulgated by the Commission, to practice audiology or speech-
language pathology in any member state via telehealth under a privilege to practice
as provided in the Compact and rules promulgated by the Commission.
(b) A licensee providing audiology or speech-language pathology services in
a remote state under the Compact privilege shall function within the laws and
regulations of the remote state.
SECTION 6. ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSES

Active duty military personnel, or their spouses, shall designate a home state
where the individual has a current license in good standing. The individual may
retain the home state designation during the period the service member is on active
duty. Subsequent to designating a home state, the individual shall change the home
state of the individual only through application for licensure in the new state.
SECTION 7. ADVERSE ACTIONS
(a) (1) In addition to the other powers conferred by state law, a remote
state shall have the authority, in accordance with existing state due process law, to:
(i) Take adverse action against an audiologist's or a speech-
language pathologist's privilege to practice within that member state; and
(ii) Issue subpoenas for both hearings and investigations that
require the attendance and testimony of witnesses as well as the production of
evidence.
(2) Subpoenas issued by a licensing board in a member state for the
attendance and testimony of witnesses or the production of evidence from another
member state shall be enforced in the latter state by any court of competent
jurisdiction, according to the practice and procedure of that court applicable to
subpoenas issued in proceedings pending before it. The issuing authority shall pay
any witness fees, travel expenses, mileage, and other fees required by the service
statutes of the state in which the witnesses or evidence are located.
(3) Only the home state shall have the power to take adverse action
against an audiologist's or a speech-language pathologist's license issued by the home
state.
(b) For purposes of taking adverse action, the home state shall give the
same priority and effect to reported conduct received from a member state as it would
if the conduct had occurred within the home state. In so doing, the home state shall
apply its own state laws to determine appropriate action.
(c) The home state shall complete any pending investigations of an
audiologist or a speech-language pathologist who changes primary state of residence
during the course of the investigations. The home state shall also have the authority
to take appropriate action and shall promptly report the conclusions of the
investigations to the administrator of the data system. The administrator of the data
system shall promptly notify the new home state of any adverse actions.
(d) If otherwise authorized by state law, the member state may recover from
the affected audiologist or speech-language pathologist the costs of investigations

and disposition of cases resulting from any adverse action taken against that
audiologist or speech-language pathologist.
(e) The member state may take adverse action based on the factual findings
of the remote state, provided that the member state follows its own procedures for
taking the adverse action.
(f) (1) In addition to the authority granted to a member state by its
respective audiology or speech-language pathology practice act or other applicable
state law, any member state may participate with other member states in joint
investigations of licensees.
(2) Member states shall share any investigative, litigation, or
compliance materials in furtherance of any joint or individual investigation initiated
under the Compact.
(g) If adverse action is taken by the home state against an audiologist's or
a speech-language pathologist's license, the audiologist's or speech-language
pathologist's privilege to practice in all other member states shall be deactivated until
all encumbrances have been removed from the state license. All home state
disciplinary orders that impose adverse action against an audiologist's or a speech-
language pathologist's license shall include a statement that the audiologist's or
speech-language pathologist's privilege to practice is deactivated in all member
states during the pendency of the order.
(h) If a member state takes adverse action against a licensee, it shall
promptly notify the administrator of the data system. The administrator of the data
system shall promptly notify the home state, and any remote state in which the
licensee has a privilege to practice, of any adverse actions by the home state or remote
states.
(i) Nothing in this Compact shall override a member state's decision that
participation in an alternative program may be used in lieu of adverse action.
SECTION 8. ESTABLISHMENT OF THE AUDIOLOGY AND SPEECH-
LANGUAGE PATHOLOGY COMPACT COMMISSION
(a) (1) The Compact member states hereby create and establish a joint
public agency known as the Audiology and Speech-Language Pathology Compact
Commission.
(2) The Commission is an instrumentality of the Compact states.

(3) Venue is proper and judicial proceedings by or against the
Commission shall be brought solely and exclusively in a court of competent
jurisdiction where the principal office of the Commission is located. The Commission
may waive venue and jurisdictional defenses to the extent it adopts or consents to
participate in alternative dispute resolution proceedings.
(4) Nothing in this Compact shall be construed to be a waiver of
sovereign immunity.
(b) (1) Each member state shall have two delegates selected by the
licensing board of that member state. The delegates shall be current members of the
licensing board. One shall be an audiologist and one shall be a speech-language
pathologist.
(2) An additional five delegates, who are either public members or
board administrators from state licensing boards, shall be chosen by the Executive
Committee from a pool of nominees provided by the Commission at large.
(3) Any delegate may be removed or suspended from office as
provided by the law of the state from which the delegate is appointed.
(4) The member state board shall fill any vacancy occurring on the
Commission within 90 days.
(5) Each delegate shall be entitled to one vote with regard to the
promulgation of rules and creation of bylaws and shall otherwise have an opportunity
to participate in the business and affairs of the Commission.
(6) A delegate shall vote in person or by other means as provided in
the bylaws. The bylaws may provide for the participation of the delegates in meetings
by telephone or other means of communication.
(7) The Commission shall meet at least once during each calendar
year. Additional meetings shall be held as set forth in the bylaws.
(c) The Commission shall have the following powers and duties:
(1) Establish the fiscal year of the Commission;
(2) Establish bylaws;
(3) Establish a Code of Ethics;
(4) Maintain its financial records in accordance with the bylaws;

(5) Meet and take actions as are consistent with the provisions of this
Compact and the bylaws;
(6) Promulgate uniform rules to facilitate and coordinate
implementation and administration of this Compact that shall have the force and
effect of law and shall be binding in all member states to the extent and manner
provided for in this Compact;
(7) Bring and prosecute legal proceedings or actions in the name of
the Commission, provided that the standing of any state audiology or speech-
language pathology licensing board to sue or be sued under applicable law shall not
be affected;
(8) Purchase and maintain insurance and bonds;
(9) Borrow, accept, or contract for services of personnel, including,
but not limited to, employees of a member state;
(10) Hire employees, elect or appoint officers, fix compensation, define
duties, grant individuals appropriate authority to carry out the purposes of the
Compact, and establish the Commission's personnel policies and programs relating
to conflicts of interest, qualifications of personnel, and other related personnel
matters;
(11) Accept any and all appropriate donations and grants of money,
equipment, supplies, materials, and services, and receive, utilize, and dispose of the
same, provided that at all times the Commission shall avoid any appearance of
impropriety or conflict of interest;
(12) Lease, purchase, accept appropriate gifts or donations of, or
otherwise own, hold, improve, or use any property, real, personal, or mixed, provided
that at all times the Commission shall avoid any appearance of impropriety;
(13) Sell, convey, mortgage, pledge, lease, exchange, abandon, or
otherwise dispose of any property, real, personal, or mixed;
(14) Establish a budget and make expenditures;
(15) Borrow money;
(16) Appoint committees, including standing committees composed of
members and other interested persons as may be designated in this Compact and the
bylaws;

(17) Provide and receive information from, and cooperate with, law
enforcement agencies;
(18) Establish and elect an Executive Committee; and
(19) Perform other functions as may be necessary or appropriate to
achieve the purposes of this Compact consistent with state regulation of audiology
and speech-language pathology licensure and practice.
(d) The Commission has no authority to change or modify the laws of the
member states which define the practice of audiology or speech-language pathology
in the respective states.
(e) (1) The Executive Committee shall have the power to act on behalf of
the Commission, within the powers of the Commission, according to the terms of this
Compact.
(2) The Executive Committee shall be composed of the following
members:
(i) Seven voting members who are elected by the Commission
from the current membership of the Commission;
(ii) Two ex officio members, consisting of one nonvoting
member from a recognized national audiology professional association and one
nonvoting member from a recognized national speech-language pathology
association; and
(iii) One ex officio, nonvoting member from the recognized
membership organization of the audiology or speech-language pathology licensing
boards.
(3) The ex officio members shall be selected by their respective
organizations.
(f) (1) The Commission may remove any member of the Executive
Committee as provided in the bylaws.
(2) The Executive Committee shall meet at least annually.
(3) The Executive Committee shall have the following duties and
responsibilities:

(i) Recommend to the entire Commission changes to the rules
or bylaws, changes to this Compact legislation, fees paid by Compact member states,
such as annual dues, and any Commission Compact fee charged to licensees for the
Compact privilege;
(ii) Ensure Compact administration services are appropriately
provided, contractual or otherwise;
(iii) Prepare and recommend the budget;
(iv) Maintain financial records on behalf of the Commission;
(v) Monitor Compact compliance of member states and provide
compliance reports to the Commission;
(vi) Establish additional committees as necessary; and
(vii) Other duties as provided in rules or bylaws.
(4) All meetings shall be open to the public, and public notice of
meetings shall be given in the same manner as required under the rulemaking
provisions in Section 10.
(5) The Commission, the Executive Committee, or other committees
of the Commission may convene in a closed, nonpublic meeting if the Commission or
Executive Committee or other committees of the Commission must discuss:
(i) Noncompliance of a member state with its obligations
under the Compact;
(ii) The employment, compensation, discipline or other
matters, practices or procedures related to specific employees, or other matters
related to the Commission's internal personnel practices and procedures;
(iii) Current, threatened, or reasonably anticipated litigation;
(iv) Negotiation of contracts for the purchase, lease, or sale of
goods, services, or real estate;
(v) Accusing any person of a crime or formally censuring any
person;
(vi) Disclosure of trade secrets or commercial or financial
information that is privileged or confidential;

(vii) Disclosure of information of a personal nature where
disclosure would constitute a clearly unwarranted invasion of personal privacy;
(viii) Disclosure of investigative records compiled for law
enforcement purposes;
(ix) Disclosure of information related to any investigative
reports prepared by or on behalf of or for use of the Commission or other committee
charged with responsibility of investigation or determination of compliance issues
pursuant to the Compact; or
(x) Matters specifically exempted from disclosure by federal or
member state statute.
(6) If a meeting, or portion of a meeting, is closed in accordance with
this provision, the Commission's legal counsel or designee shall certify that the
meeting may be closed and shall reference each relevant exempting provision.
(7) The Commission shall keep minutes that fully and clearly
describe all matters discussed in a meeting and shall provide a full and accurate
summary of actions taken, and the reasons therefore, including a description of the
views expressed. All documents considered in connection with an action shall be
identified in minutes. All minutes and documents of a closed meeting shall remain
under seal, subject to release by a majority vote of the Commission or order of a court
of competent jurisdiction. All minutes and documents of meetings other than a closed
meeting shall be made available to members of the public upon request at the
requesting person's expense.
(8) (i) The Commission shall pay, or provide for the payment of,
the reasonable expenses of its establishment, organization, and ongoing activities.
(ii) The Commission may accept any and all appropriate
revenue sources, donations, and grants of money, equipment, supplies, materials, and
services.
(iii) The Commission may levy on and collect an annual
assessment from each member state or impose fees on other parties to cover the cost
of the operations and activities of the Commission and its staff, which must be in a
total amount sufficient to cover its annual budget as approved each year for which
revenue is not provided by other sources. The aggregate annual assessment amount
shall be allocated based on a formula to be determined by the Commission, which
shall promulgate a rule binding on all member states.

(9) The Commission may not incur obligations of any kind prior to
securing the funds adequate to meet the same, nor shall the Commission pledge the
credit of any of the member states, except by and with the authority of the member
state.
(10) The Commission shall keep accurate accounts of all receipts and
disbursements. The receipts and disbursements of the Commission shall be subject
to the audit and accounting procedures established under its bylaws. However, all
receipts and disbursements of funds handled by the Commission shall be audited
yearly by a certified or licensed public accountant, and the report of the audit shall
be included in and become part of the annual report of the Commission.
(g) (1) The members, officers, executive director, employees, and
representatives of the Commission shall be immune from suit and liability, either
personally or in their official capacity, for any claim for damage to or loss of property
or personal injury or other civil liability caused by or arising out of any actual or
alleged act, error, or omission that occurred, or that the person against whom the
claim is made had a reasonable basis for believing occurred within the scope of
Commission employment, duties, or responsibilities, provided that nothing in this
paragraph shall be construed to protect any person from suit or liability for any
damage, loss, injury, or liability caused by the intentional or willful or wanton
misconduct of that person.
(2) The Commission shall defend any member, officer, executive
director, employee, or representative of the Commission in any civil action seeking to
impose liability arising out of any actual or alleged act, error, or omission that
occurred within the scope of Commission employment, duties, or responsibilities, or
that the person against whom the claim is made had a reasonable basis for believing
occurred within the scope of Commission employment, duties, or responsibilities,
provided that nothing herein shall be construed to prohibit that person from retaining
his or her own counsel, and provided further, that the actual or alleged act, error, or
omission did not result from that person's intentional or willful or wanton
misconduct.
(3) The Commission shall indemnify and hold harmless any member,
officer, executive director, employee, or representative of the Commission for the
amount of any settlement or judgment obtained against that person arising out of
any actual or alleged act, error, or omission that occurred within the scope of
Commission employment, duties, or responsibilities, or that person had a reasonable
basis for believing occurred within the scope of Commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not
result from the intentional or willful or wanton misconduct of that person.
SECTION 9. DATA SYSTEM

(a) The Commission shall provide for the development, maintenance, and
utilization of a coordinated database and reporting system containing licensure,
adverse action, and investigative information on all licensed individuals in member
states.
(b) Notwithstanding any other provision of state law to the contrary, a
member state shall submit a uniform data set to the data system on all individuals
to whom this Compact is applicable as required by the rules of the Commission,
including:
(1) Identifying information;
(2) Licensure data;
(3) Adverse actions against a license or Compact privilege;
(4) Nonconfidential information related to alternative program
participation;
(5) Any denial of application for licensure, and the reason for the
denial; and
(6) Other information that may facilitate the administration of this
Compact, as determined by the rules of the Commission.
(c) Investigative information pertaining to a licensee in any member state
may be available only to other member states.
(d) The Commission shall promptly notify all member states of any adverse
action taken against a licensee or an individual applying for a license. Adverse action
information pertaining to a licensee in any member state shall be available to any
other member state.
(e) Member states contributing information to the data system may
designate information that may not be shared with the public without the express
permission of the contributing state.
(f) Any information submitted to the data system that is subsequently
required to be expunged by the laws of the member state contributing the information
shall be removed from the data system.
SECTION 10. RULEMAKING

(a) The Commission shall exercise its rulemaking powers in accordance
with the criteria set forth in this section and the rules adopted thereunder. Rules and
amendments shall become binding as of the date specified in each rule or amendment.
(b) If a majority of the legislatures of the member states rejects a rule, by
enactment of a statute or resolution in the same manner used to adopt the Compact
within 4 years after the date of adoption of the rule, the rule shall have no further
force and effect in any member state.
(c) Rules or amendments to the rules shall be adopted at a regular or special
meeting of the Commission.
(d) Prior to promulgation and adoption of a final rule or rules by the
Commission, and at least 30 days in advance of the meeting at which the rule shall
be considered and voted on, the Commission shall file a Notice of Proposed
Rulemaking:
(1) On the website of the Commission or other publicly accessible
platform; and
(2) On the website of each member state audiology or speech-
language pathology licensing board or other publicly accessible platform or the
publication in which each state would otherwise publish proposed rules.
(e) The Notice of Proposed Rulemaking shall include:
(1) The proposed time, date, and location of the meeting during which
the rule shall be considered and voted on;
(2) The text of the proposed rule or amendment and the reason for
the proposed rule;
(3) A request for comments on the proposed rule from any interested
person; and
(4) The manner in which interested persons may submit notice to the
Commission of their intention to attend the public hearing and any written
comments.
(f) Prior to the adoption of a proposed rule, the Commission shall allow
persons to submit written data, facts, opinions, and arguments, which shall be made
available to the public.

(g) The Commission shall grant an opportunity for a public hearing before
it adopts a rule or amendment if a hearing is requested by:
(1) At least 25 persons;
(2) A state or federal governmental subdivision or agency; or
(3) An association having at least 25 members.
(h) (1) If a hearing is held on the proposed rule or amendment, the
Commission shall publish the place, time, and date of the scheduled public hearing.
If the hearing is held via electronic means, the Commission shall publish the
mechanism for accessing the electronic hearing.
(2) All persons wishing to be heard at the hearing shall notify the
executive director of the Commission or other designated member in writing of their
desire to appear and testify at the hearing not less than 5 business days before the
scheduled date of the hearing.
(3) Hearings shall be conducted in a manner providing each person
who wishes to comment a fair and reasonable opportunity to comment orally or in
writing.
(4) All hearings shall be recorded. A copy of the recording shall be
made available to any person on request and at the requesting person's expense.
(5) Nothing in this subsection shall be construed as requiring a
separate hearing on each rule. Rules may be grouped for the convenience of the
Commission at hearings required by this subsection.
(i) Following the scheduled hearing date, or by the close of business on the
scheduled hearing date if the hearing was not held, the Commission shall consider
all written and oral comments received.
(j) If no written notice of intent to attend the public hearing by interested
parties is received, the Commission may proceed with promulgation of the proposed
rule without a public hearing.
(k) The Commission shall, by majority vote of all members, take final action
on the proposed rule and shall determine the effective date of the rule, if any, based
on the rulemaking record and the full text of the rule.
(l) On determination that an emergency exists, the Commission may
consider and adopt an emergency rule without prior notice, opportunity for comment,

or hearing, provided that the usual rulemaking procedures provided in the Compact
and in this section shall be retroactively applied to the rule as soon as reasonably
possible, in no event later than 90 days after the effective date of the rule. For the
purposes of this provision, an emergency rule is one that must be adopted
immediately in order to:
(1) Meet an imminent threat to public health, safety, or welfare;
(2) Prevent a loss of Commission or member state funds; or
(3) Meet a deadline for the promulgation of an administrative rule
that is established by federal law or rule.
(m) The Commission or an authorized committee of the Commission may
direct revisions to a previously adopted rule or amendment for purposes of correcting
typographical errors, errors in format, errors in consistency, or grammatical errors.
Public notice of any revisions shall be posted on the website of the Commission. The
revision shall be subject to challenge by any person for a period of 30 days after
posting. The revision may be challenged only on grounds that the revision results in
a material change to a rule. A challenge shall be made in writing and delivered to the
chair of the Commission prior to the end of the notice period. If no challenge is made,
the revision shall take effect without further action. If the revision is challenged, the
revision may not take effect without the approval of the Commission.
SECTION 11. OVERSIGHT, DISPUTE RESOLUTION, AND
ENFORCEMENT
(a) (1) On request by a member state, the Commission shall attempt to
resolve disputes related to the Compact that arise among member states and between
member and nonmember states.
(2) The Commission shall promulgate a rule providing for both
mediation and binding dispute resolution for disputes as appropriate.
(b) (1) The Commission, in the reasonable exercise of its discretion, shall
enforce the provisions and rules of this Compact.
(2) By majority vote, the Commission may initiate legal action in the
United States District Court for the District of Columbia or the federal district where
the Commission has its principal offices against a member state in default to enforce
compliance with the provisions of the Compact and its promulgated rules and bylaws.
The relief sought may include both injunctive relief and damages. In the event
judicial enforcement is necessary, the prevailing member shall be awarded all costs
of litigation, including reasonable attorney's fees.

(3) The remedies herein shall not be the exclusive remedies of the
Commission. The Commission may pursue any other remedies available under
federal or state law.
SECTION 12. DATE OF IMPLEMENTATION OF THE AUDIOLOGY AND
SPEECH-LANGUAGE PATHOLOGY INTERSTATE COMPACT AND
ASSOCIATED RULES, WITHDRAWAL, AND AMENDMENT
(a) The Compact shall come into effect on the date on which the Compact
statute is enacted into law in the 10th member state. The provisions, which become
effective at that time, shall be limited to the powers granted to the Commission
relating to assembly and the promulgation of rules. Thereafter, the Commission shall
meet and exercise rulemaking powers necessary to the implementation and
administration of the Compact.
(b) Any state that joins the Compact subsequent to the initial adoption of
the rules by the Commission shall be subject to the rules as they exist on the date on
which the Compact becomes law in that state. Any rule that has been previously
adopted by the Commission shall have the full force and effect of law on the day the
Compact becomes law in that state.
(c) (1) Any member state may withdraw from this Compact by enacting
a statute repealing the same.
(2) A member state's withdrawal shall not take effect until 6 months
after enactment of the repealing statute.
(3) Withdrawal shall not affect the continuing requirement of the
withdrawing state's audiology or speech-language pathology licensing board to
comply with the investigative and adverse action reporting requirements of this act
prior to the effective date of withdrawal.
(d) Nothing contained in this Compact shall be construed to invalidate or
prevent any audiology or speech-language pathology licensure agreement or other
cooperative arrangement between a member state and a nonmember state that does
not conflict with the provisions of this Compact.
(e) This Compact may be amended by the member states. No amendment
to this Compact shall become effective and binding on any member state until it is
enacted into the laws of all member states.
SECTION 13. CONSTRUCTION AND SEVERABILITY

This Compact shall be liberally construed so as to effectuate the purposes
thereof. The provisions of this Compact shall be severable and if any phrase, clause,
sentence, or provision of this Compact is declared to be contrary to the constitution of
any member state or of the United States or the applicability thereof to any
government, agency, person, or circumstance is held invalid, the validity of the
remainder of this Compact and the applicability thereof to any government, agency,
person, or circumstance shall not be affected thereby. If this Compact shall be held
contrary to the constitution of any member state, the Compact shall remain in full
force and effect as to the remaining member states and in full force and effect as to
the member state affected as to all severable matters.
SECTION 14. BINDING EFFECT OF COMPACT AND OTHER LAWS
(a) Nothing herein prevents the enforcement of any other law of a member
state that is not inconsistent with the Compact.
(b) All laws in a member state in conflict with the Compact are superseded
to the extent of the conflict.
(c) All lawful actions of the Commission, including all rules and bylaws
promulgated by the Commission, are binding on the member states.
(d) All agreements between the Commission and the member states are
binding in accordance with their terms.
(e) In the event any provision of the Compact exceeds the constitutional
limits imposed on the legislature of any member state, the provision shall be
ineffective to the extent of the conflict with the constitutional provision in question
in that member state.

‹ Prev All Maryland sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.