nlc commission midyear meeting - ncsbn · policy manual fy2020 commissioner meeting schedule . 1...
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NLC Commission Midyear Meeting March 2, 2020 | Boston, MA
1
AGENDAMidyear Meeting of the Commission
March 2, 2020(Breakfast 8:00 to 8:30 am)Meeting: 8:30 am 4:30 pm
Meeting Room: Oval Room Fairmont Copley Plaza, Boston 138
St. James AvenueBoston, Massachusetts 02116
617.267.5300
ICNLCA Core Purpose: To enhance cross border practice and nurse mobility, thereby providing for greater accessibility to safe healthcare.
ICNLCA Mission: The mission of the Interstate Commission of Nurse Licensure Compact Administrators (ICNLCA) is:
To facilitate cross border nursing practice through the implementation of a nationally recognized, multistate license. ICNLCA enhances nurse mobility and public protection primarily through:
Maintaining uniform licensure standards among party state boards of nursing.
Promoting cooperation and collaboration between party states.
Facilitating the exchange of data and information between party states; and
Educating stakeholders.
ICNLCA Core Values: • Transparency• Integrity• Accountability• Innovation• Collaboration
FINAL 2/18/20
2
# Time Action Agenda Item Attachment
1. 1:00 pm
a) Call to Order (K. Glazier)b) Roll Call (M. Bieniek)c) Declare Quorum Present (K. Glazier)d) Adopt Agendae) Introduce NCSBN Staff and Welcome Guests (K.
Glazier)
2. 1:10 pm Review/ Approve Minutes of January 7, 2020 Att_2
3. 1:15 pm Information Legislative Updates (Fotsch) See Reference Map
4. 1:30 pm Information Treasurer’s Report (A. Oertwich) Att_4 Att_4A
5. 1:40 pm Discuss/ Decide
Rules Committee Report (Ridenour/Thompson-May) a) Proposed Rule Recommendationsb) Rulemaking Timelinec) Vote on Publication of Proposed Rules
Att_5a Att_5b
6. 2:10 pm Discuss/Adopt Compliance Committee Report (J. Puente)
• Updated Self-Audit for Compliance ToolAtt_6
7. 2:25 pm Information Policy Committee Report (P. Zickafoose) Att_7
8. 2:40 pm Information Training and Education Committee Report (A. Oertwich) Att_8 Att_8a Att_8b
2:55 pm BREAK
9. 3:10 pm Information Election Committee Report (S. Poole, C. LaBonde) Att_9 Att_9A
10. 3:20 pm Information Strategic Plan Update (K. Glazier)
3
11. 3:30 pm Information Open Discussion Forum (All)
12. 3:45 pm Executive Session: a) Certification by Legal Counsel with Reference to
Relevant Law Exempting Provisions (R. Masters)b) Motion/Second/Vote to Enter Executive Session (K.
Glazier)i. Roll Call Vote to Enter Executive Session
(Article Vii (c)(3) (M. Bieniek)c) Motion/Second/Vote to Return to Open Session (K.
Glazier)
ADJOURNMENT Following Executive Session REFERENCE DOCUMENTS Statutes Rules Bylaws Committees Commissioner Roster Map Org Chart Legal FAQs Policy Manual FY2020 Commissioner meeting schedule
1
MINUTES NLC Commission Meeting
Via Teleconference January 7, 2020
2:00 PM CT
Commissioners Present: 1. P. Benson, Alabama2. J. Ridenour, Arizona (Member-at-Large)3. S. Tedford, Arkansas4. P. Zickafoose, Delaware (Member-at-Large)5. J. Baker, Florida (Member-at-Large)6. J. Cleghorn, Georgia7. R. Barron, Idaho8. T. Herron, Indiana9. K. Weinberg, Iowa10. J. Estes, Kentucky11. J. Becknell, Louisiana PN12. K. Esquibel, Maine13. P. Johnson, Mississippi (Member-at-Large)14. M. Poortenga, Montana15. A. Oertwich, Nebraska (Treasurer)16. B. Crumley Aybar, New Hampshire17. J. Leone, New Jersey18. S. Poole, New Mexico19. M. McDonald (Designee for J. George), North Carolina20. S. Pfenning, North Dakota, (Vice-Chair)21. K. Glazier, Oklahoma, (Chair)22. C. Moody, South Carolina23. G. Damgaard, South Dakota24. L. Lund, Tennessee25. K. Thomas, Texas26. J. Busjahn, Utah27. J. Douglas, Virginia28. S. Painter, West Virginia RN Board
Absent:L. Bratton, ColoradoC. Moreland, Kansas
Draft 1/8/20
2
K. Lyon, Louisiana RNK. Evans, MarylandL. Scheidt, MissouriM. Mayhew, West Virginia PNC. LaBonde, WyomingP. Kallio, Wisconsin
Others: N. Goldman, KentuckyF. Knight, ArkansasA. Fitzhugh, North CarolinaR. Masters, NLC Legal CounselS. Willinger, Virginia
Staff Present: J. Puente, Director, NLCM. Bieniek, Sr. Coordinator, NLCA. Johnston, NursysJ. Kendall, NursysN. Livanos, Sr. Associate, Legislative AffairsK. Russell, Associate Director, Nursing Regulation
# Agenda Item Minutes
1.
a) Call to Orderb) Roll Callc) Declare Quorum Presentd) Adopt Agenda
• Chair K. Glazier called the meeting to order at 2:02pm CT.
• M. Bieniek announced that 25 members werepresent.
• K. Glazier declared a quorum present.• S. Tedford moved to adopt the agenda and J. Baker
seconded. The motion carried.
2. Draft Minutes of October 8, 2019 A. Oertwich moved to adopt the minutes as presentedand C. Moody seconded. The motion carried.
3. Legislative Affairs Update N. Livanos provided the legislative update.There are pending bills in MI, PA, MA and Guam.• AK: will be introduced as a part of the governor’s
initiative. NCSBN will hire a lobbyist in AK.• Guam: Bill 239-35 has been introduced. A material
deviation in the bill will be removed.• IL: There will be patient staffing ratio bills in IL.
This will occupy the usual leaders of the NLCinitiative. There will be new strategy as a result.
• MA: NLC is included in an omnibus bill sponsoredby the governor.
3
• MI: Bill is pending. Only a House version has beenfiled. NCSBN has a lobbyist in MI.
• PA: PSNA is a union and expressed opposition tothe primary sponsor.
• VT: Dept of Professional Regulation will get NLC billintroduced.
• WA: Dept of Defense has been a strong advocate.A letter from the Army chief nurse will beproduced.
4. Policy Committee Update
Policy Committee: Draft Policies for Commission Consideration
a) Misdemeanor Related to the Practice ofNursing
b) Reserve Fundc) Nursys Policyd) Accessing Legal Counsele) Advisory Opinion Policy
Draft policies that are postponed pending legal consultation:
• Conflict of Interest• Composition, Duties, Tenure of Committees• Records Retention
Future draft policies: • Nurse Alert Policy• Deactivation of MSL Policy
A. Fitzhugh provided the policy committee report.Fitzhugh reviewed the following policies andresponded to questions.a) Misdemeanor Related to the Practice of Nursingb) Reserve Fund
Art VII (g) 10 and VII (h) should be added asAuthority
c) Nursys Policyd) Accessing Legal Counsele) Advisory Opinion Policy
C. Moody made a motion to approve the five policiesand P. Zickafoose seconded. The motion carried.
5. Commission FY20 Budget P. Zickafoose moved to approve the budget aspresented and C. Moody seconded. The motioncarried.
6. Advisory Opinion 3-2019 re: does disciplinary action taken before enactment of the NLC constitute as an encumbrance under the NLC.
R. Masters summarized the intent of the advisoryopinion. The NLC requires that there be noencumbrance on a license in order to be eligible for amultistate license.Masters suggested an edit: In the Issue statement, endthe sentence with the word resolved.
One member asked, how does this relate to a denied application? How can the applicant resolve that situation?
Members agreed that the outcome of the advisory opinion is correct.
4
J. Ridenour moved to approve the redline versionpresented and P. Benson seconded. The motioncarried.
7. Suggestions for Commission Midyear Meeting Agenda Puente requested items that may be added to the agenda. None were suggested. Puente said that a Call for Agenda Items will be sent in a few weeks and the agenda finalized in mid-Feb.
8 Additional Legal FAQs J. Douglas moved to adopt revisions to #s 10-11 andthe addition of #s 18-20 of the legal FAQs and P.Benson seconded. The motion carried.
9. Updated Denial Tip Sheet K. Russell summarized a new denial tip sheet whichshe produced. Russell will post the document. Puentewill disseminate the document to commissioners.
10. Open Discussion a) Commissionersb) NCSBN membersc) NCSBN staffd) Public
K. Glazier provided an opportunity for open discussionfrom anyone on the call. There were no additionalcomments.
ADJOURN The meeting adjourned at 3:24 pm CT.
2/24/2020
1
Financial Report
Ann Oertwich, PhD, MSN, RNTreasurer
Commissioner, Nebraska
The Reporting Period
• FY20, Oct 1, 2019 – Jan 31, 2020
1
2
2/24/2020
2
NCSBN-funded NLC Budget
• Total Expenses: $110,998• Total Budget: $669,684• 17% of budget spent at the end of the first
four months.• We are under-budget at this time.
NCSBN-funded NLC Budget
$0
$88,946
$0 $564
$19,315
$197 $849 $860$0
$10,000$20,000$30,000$40,000$50,000$60,000$70,000$80,000$90,000
$100,000
APRNCompact
Staff ConsultantFees
Supplies &Materials
Meetings &Travel
Printing &Copying
Awards &Gifts
Books &Memberships
Expenses
Expenses
3
4
2/24/2020
3
Commission-funded NLC Budget
Revenue• Annual Fees collected: $174,000
Commission-funded NLC Budget
Expenses• Legal Fees: $ 4,675• MOU Fee w/NCSBN: $50,000
5
6
2/24/2020
4
Commission-funded NLC Budget
Cash Balance• At 6/30/19: $515,944• Income: $174,000• Less Expenses: $54,675• At 1/31/20: $635,269
Questions
7
8
YTD
Act
ual*
FY20
Ann
ual
Bud
get
Varia
nce
YTD
Act
ual*
FY20
Ann
ual
Bud
get
Varia
nce
Cas
h ba
lanc
e at
6/3
0/19
$515
,944
Rev
enue
Rev
enue
Secr
etar
iat F
ee (M
OU
with
N$5
0,00
0$5
0,00
0$0
Annu
al fe
es c
olle
cted
YTD
$174
,000
$180
,000
($6,
000)
T
otal
Rev
enue
$174
,000
$180
,000
($6,
000)
Expe
nse
Expe
nse
APR
N C
ompa
ct$0
$4,4
04($
4,40
4)
Staf
f (Sa
lary
/Ben
e/Ta
x)$8
8,94
6$2
71,6
20($
182,
674)
Lega
l Fee
s$4
,675
$50,
000
($45
,325
)
Con
sulta
nt F
ees
$0$3
9,99
6($
39,9
96)
Supp
lies
& M
ater
ials
$564
$10,
992
($10
,428
)
Mee
tings
& T
rave
l$1
9,31
5$3
28,1
88($
308,
873)
Mee
tings
& T
rave
l$0
$3,0
00($
3,00
0)
Inte
rnet
$0
Prin
ting
$197
$996
Secr
etar
iat F
ee (M
OU
with
NC
SBN
)$5
0,00
0$5
0,00
0$0
Awar
ds a
nd G
ifts
$849
$9,0
00($
8,15
1)
Post
age/
Ship
ping
$267
$996
($72
9)
Cop
ying
Cos
t$0
$0$0
Libr
ary
& M
embe
rshi
ps$8
60$3
,492
($2,
632)
T
otal
$1
10,9
9817
%$6
69,6
84($
557,
887)
T
otal
Exp
ense
$54,
675
$103
,000
($48
,325
)
Cas
h ba
lanc
e at
1/3
1/20
$635
,269
*Bas
ed o
n N
CSB
N fi
nanc
ial r
epor
ts fo
r per
iod
endi
ng 1
/31/
20.
NCS
BN-fu
nded
N
LC R
even
ue /
Exp
ense
Rep
ort*
Com
mis
sion
-fund
ed
NLC
Rev
enue
/ E
xpen
se R
epor
t
2/24/2020
1
Rules Committee Report
Co-ChairsJoey Ridenour (AZ BON)
Brett Thompson-May (MS BON)
1
2
2/24/2020
2
Committee Members1. Joey Ridenour, RN, MN, FAAN Executive Director Arizona
2. Brett Thompson, JD Board Attorney Mississippi
3. Kim Esquibel, PhD, MSN, RN Executive Director Maine
4. Michelle Mayhew, MSN, MBA/HCM, RN‐BC Executive Director West Virginia ‐PN
5. Carol Moody, RN, BSN, MS, NEA‐BC Executive Director South Carolina
6. Stacey Pfenning, DNP, APRN, FNP, FAANP Executive Director North Dakota
7. Debbie McKinney, JD Board Attorney Oklahoma
8. Amy Fitzhugh, JD Board Attorney North Carolina
9. Rick Masters, JD Special Counsel
Rulemaking Timeline
* Indicates a scheduled meeting
DATE ACTIVITY*March 2, 2020 Commission meets at NLC
Midyear Meeting to review proposed rules and to vote on publication of proposed rules
March 12, 2020 Proposed rules published and public comment period begins
May 12, 2020 Public Comment period ends. Rules Committee meets to review and consider comments received
3
4
2/24/2020
3
Rulemaking Timeline
* Indicates a scheduled meeting
DATE ACTIVITY*May 19, 2020 Executive Committee reviews
Rules Committee final recommendations
*June 9, 2020 Rules Committee final recommendations sent to Commissioners
*August 11, 2020 Commissioners vote on final rules at NLC Annual Meeting
January 1, 2020 The effective date of rules as recommended by the Rules Committee and approved by Commissioners
Proposed Rule Rationale Statutory Authority
408: FEDERAL CRIMINAL RECORDSCommunication between a party state and the Commission and communication between party states regarding verification of nurse eligibility for licensure through the Compact shall not include any information received from the Federal Bureau of Investigation relating to a federal criminal records check performed by a member board under Public Law 92‐544
To ensure compliance with public Federal Law 92‐544, federal criminal history background information is any information collected and stored in the criminal record repository of the Federal Bureau of Investigation (FBI) reflecting the result of an arrest, detention, or initiation of a criminal proceeding by criminal justice agencies, including, but not limited to, arrest record information, fingerprint cards, correctional induction and release information, identifiable descriptions, and notations of arrests, detention, indictments, or other formal charges. The term shall not include analytical records or investigative reports that contain criminal intelligence information or criminal investigation information
• Art III (c) (6)
• Art V (5)
5
6
2/24/2020
4
Proposed Rule Rationale Statutory Authority
409: ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSESAn active duty service member, or his or her spouse, shall designate a home state where the service member or spouse has a current license in good standing. The service member or spouse may retain the home state designation during the period the service member or spouse is on active duty. Subsequent to designating a home state, the service member or spouse shall only change home state through application for licensure in the new state.
In accordance with federal law and recommendations from the Department of Defense, to clarify home state designations for military members and spouses. This is to remain consistent with other health occupation licensure compacts and federal law concerning military member and spouse place of residence.
• Article I• Article II (f)• Article III (a)• Military Spouse
ResidencyRelief Act
Proposed Rule Rationale Authority
502 Dispute Resolution
2. The parties shall first attempt informal resolution. The Compact Administrators in the states involved shall contact each other. Each Compact Administrator shall submit a written statement describing the situation to the other Compact Administrators involved in the dispute. Each Compact Administrator may submit a response. The submission of the statement and the response shall be in a mutually agreed upon time frame. If the dispute is related to an interpretation of the Compact is needed, the parties shall request assistance from the Executive Committee. If all issues are resolved, no further action is required and all party state Compact Administrators shall be informed of the result. If any issue remains unresolved, the parties shall notify the Commission and request mediation. provide the Compliance Committee with a concise statement of unresolved issue(s) and analysis including references to NLC statutes, rules and any supporting documents. After review by the Compliance Committee, its recommendations will be sent to the parties and the Executive Committee for further review.
To clarify the compliance committee role in the dispute resolution process.
Art IX c
7
8
Timeline for Rulemaking Process
1. *Jan. 30-31, 2020 Rules Committee meets to discuss future proposed Rules
2. *February 4, 2020 Rules Committee presents initial recommendations to Executive Committee
3. February 6, 2020 Initial recommendations sent to Executive Committee and Commission
4. *March 2, 2020 Rules Committee presents initial recommendations to Commission
Rules Committee meets to consider feedback from Midyear meeting
Commission meets to review proposed rules
Commission meets to vote on publication of proposed rules
5. March 12, 2020 Proposed rules published and public comments received
6. May 12, 2020 Public Comment period ends. Rules Committee meets to review and
consider comments received
7. May 19, 2020(TENT.) Executive Committee reviews Rules Committee final recommendation
8. *June 9, 2020 Rules Committee final recommendations sent to Commission
9. *August 11, 2020 Commission votes on final rules
10. January 1, 2021 The effective date of rules as recommended by the Rules Committee
*Indicates a scheduled meeting
Self
Audi
t for
Com
plia
nce
1
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
1.Is
a lic
ense
desig
nate
d as s
ingl
e st
ate i
f one
or m
ore
ULRs
is no
t met
an
d is
a not
ifica
tion
sent
to th
e lic
ense
e?
Rule
401
.2
An a
pplic
ant f
or lic
ensu
re w
ho is
de
term
ined
to b
e in
elig
ible
for a
m
ultis
tate
licen
se, s
hall b
e no
tifie
d by
th
e ho
me
stat
e of t
he q
ualif
icatio
ns
not m
et.
Artic
le II
I c
i-xi.
2.Do
es th
e bo
ard
requ
ire a
de
clara
tory
stat
emen
t of p
rimar
y st
ate o
f res
iden
ce w
ith in
itial
, re
new
al an
d re
inst
atem
ent
appl
icatio
ns?
Artic
le IV
(c)(2
): A
mul
tista
te lic
ense
sh
all n
ot b
e iss
ued b
y th
e ne
w h
ome
stat
e unt
il the
nurs
e pr
ovid
es
satis
fact
ory e
viden
ce of
a ch
ange
in
prim
ary s
tate
of re
siden
ce to
the
new
ho
me
stat
e and
satis
fies a
ll app
licab
le
requ
irem
ents
to o
btai
n a
mul
tista
te
licen
se fr
om th
e ne
w h
ome
stat
e.
Rule
401
. PAR
TY ST
ATE
RESP
ONSI
BILI
TIES
(1) O
n al
l app
licat
ion
form
s for
m
ultis
tate
licen
sure
, a pa
rty s
tate
sh
all r
equi
re, a
t a m
inim
um:
(a) A
dec
lara
tion o
f a p
rimar
y sta
te of
re
siden
ce.
3.Do
es th
e bo
ard
issue
a sin
gle s
tate
lic
ense
if a
nur
se de
clare
s a fo
reig
n Ru
le 4
02 (5
) An
appl
icant
who
is a
citize
n of a
fore
ign
coun
try,
and
who
Self
Audi
t for
Com
plia
nce
2
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
coun
try a
s prim
ary s
tate
of
resid
ence
?is
law
fully
pre
sent
in th
e Un
ited
Stat
es
and
is ap
plyin
g fo
r mul
tista
te
licen
sure
in a
par
ty st
ate m
ay de
clare
ei
ther
the a
pplic
ant’s
coun
try o
f orig
in
or th
e pa
rty s
tate
whe
re th
ey a
re
livin
g as
the p
rimar
y sta
te of
re
siden
ce. I
f the
app
lican
t dec
lare
s th
e fo
reig
n co
untr
y ast
he p
rimar
y st
ate o
f res
iden
ce, t
he pa
rty s
tate
sh
all n
ot is
sue a
mul
tista
te lic
ense
, bu
t may
issu
e a si
ngle
stat
e lice
nse i
f th
e ap
plica
nt m
eets
the
part
y sta
te’s
licen
sure
requ
irem
ents
.4.
Does
the
boar
d co
nver
t the
m
ultis
tate
licen
se to
sing
le st
ate
upon
not
ifica
tion
that
the
prim
ary
stat
e of r
esid
ence
is ch
ange
d to
a no
n-pa
rty s
tate
?
Artic
le IV
(d)
If a n
urse
chan
ges
prim
ary s
tate
of re
siden
ce by
mov
ing
from
a p
arty
stat
e to a
non-
part
y st
ate,
the m
ultis
tate
licen
se is
sued
by
the
prio
r hom
e st
ate w
ill co
nver
t to
a sin
gle-
stat
e lice
nse,
valid
only
in th
e fo
rmer
hom
e st
ate.
Rule
403
(3) I
f a p
arty
stat
e ver
ifies
th
at a
licen
see w
ho h
olds
a m
ultis
tate
lic
ense
chan
ges p
rimar
y sta
te of
re
siden
ce to
a n
on-p
arty
stat
e, th
e pa
rty s
tate
shal
l con
vert
the
mul
tista
te lic
ense
to a
sing
le st
ate
Self
Audi
t for
Com
plia
nce
3
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
licen
se w
ithin
fifte
en (1
5) ca
lend
ar
days
, and
repo
rt th
is co
nver
sion
to
the
Coor
dina
ted L
icens
ure
Info
rmat
ion
Syst
em(N
ursy
s).
5.Do
es th
e bo
ard
gran
t mul
tista
te
licen
sure
priv
ilege
s whe
n it
issue
s a
tem
pora
ry pe
rmit/
licen
se?
Rule
404
. A te
mpo
rary
per
mit,
licen
se,
or si
mila
r tem
pora
ry a
utho
rizat
ion t
o pr
actic
e iss
ued b
y a
part
y sta
te to
an
appl
icant
for l
icens
ure
shal
l not
gra
nt
mul
tista
te lic
ensu
re pr
ivile
ges.
6.Do
es th
e bo
ard
issue
a sin
gle
stat
e lice
nse t
o an
indi
vidua
l who
se
licen
se is
encu
mbe
red?
Artic
le II
(e) “
Encu
mbr
ance
” mea
ns a
revo
catio
n or
susp
ensio
n of,
or a
ny
limita
tion
on, t
he fu
ll an
d un
rest
ricte
d pr
actic
e of n
ursin
g im
pose
d by
a
licen
sing
boar
d.
Artic
le II
I (c)
Eac
h pa
rty s
tate
shal
l re
quire
the
follo
win
g fo
r an
appl
icant
to
obt
ain
or re
tain
a m
ultis
tate
licen
se
in th
e ho
me
stat
e:5.
Is el
igib
le fo
r or h
olds
an
activ
e,
unen
cum
bere
d lic
ense
;Ar
ticle
V(b
) If a
dver
se ac
tion i
s tak
en
by th
e hom
e st
ate a
gain
st a
nurs
e’s
mul
tista
telic
ense
, the
nurs
e’s
mul
tista
te lic
ensu
re pr
ivile
ge to
pr
actic
e in
all o
ther
par
ty st
ates
shal
l be
dea
ctiva
ted u
ntil a
ll enc
umbr
ance
s
Self
Audi
t for
Com
plia
nce
4
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
have
bee
n re
mov
ed fr
om th
e m
ultis
tate
licen
se.
Rule
407
: A p
arty
stat
e sha
ll de
term
ine
whe
ther
a di
squa
lifyin
g ev
ent w
ill re
sult
in a
dver
se ac
tion
or
deac
tivat
ion o
f a m
ultis
tate
licen
se or
pr
ivile
ge. U
pon
deac
tivat
ion d
ue to
a
disq
ualif
ying
even
t, th
e ho
me
stat
e m
ay is
sue a
sing
le st
ate l
icens
e.7.
Does
the
boar
d iss
ue a
singl
est
ate l
icens
e to
an in
divid
ual w
hose
ap
plica
tion
was
deni
ed fo
r cau
se
until
such
tim
e as
the
indi
vidua
l w
ould
be
elig
ible
for a
n un
rest
ricte
d lic
ense
in th
e pr
ior s
tate
of a
dver
se
actio
n?
Artic
le II
I (c)
Eac
h pa
rty s
tate
shal
l re
quire
the
follo
win
g fo
r an
appl
icant
to
obt
ain
or re
tain
a m
ultis
tate
licen
se
in th
e ho
me
stat
e:5.
Is el
igib
le fo
r or h
olds
an
activ
e,
unen
cum
bere
d lic
ense
;
8.Do
es th
e bo
ard
com
plet
e pe
ndin
g in
vest
igat
ions
of a
nur
se w
ho
chan
ges P
SOR
durin
g th
e in
vest
igat
ion?
Artic
le V
(a) (
3) C
ompl
ete a
ny p
endi
ng
inve
stig
atio
ns of
a n
urse
who
cha
nges
pr
imar
y sta
te of
resid
ence
durin
g th
e co
urse
of s
uch
inve
stig
atio
ns. T
he
licen
sing
boar
d sh
all a
lso h
ave
the
auth
ority
to ta
ke ap
prop
riate
act
ion(
s)
and
shal
l pro
mpt
ly re
port
the
conc
lusio
ns o
f suc
h inv
estig
atio
ns to
th
e ad
min
istra
tor o
f the
coor
dina
ted
licen
sure
info
rmat
ion
syst
em. T
he
Self
Audi
t for
Com
plia
nce
5
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
adm
inist
rato
r of t
he co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
shal
l pr
ompt
ly no
tify t
he n
ew h
ome
stat
e of
any
such
actio
ns.
9.Ha
s the
boar
d im
plem
ente
d fin
gerp
rint-b
ased
stat
e/fe
dera
l CBC
co
re re
quire
men
t for
app
lican
ts fo
r lic
ensu
re b
y exa
min
atio
n an
d en
dors
emen
t?
Artic
le II
I(b) A
sta
te m
ust i
mpl
emen
t pr
oced
ures
for c
onsid
erin
g the
cr
imin
al h
istor
y rec
ords
of a
pplic
ants
fo
r ini
tial m
ultis
tate
licen
se or
lic
ensu
re b
y end
orse
men
t. Su
ch
proc
edur
es sh
all in
clude
the
subm
issio
n of f
inge
rprin
ts or
oth
er
biom
etric
-bas
ed in
form
atio
n by
ap
plica
nts f
or th
e pu
rpos
e of
ob
tain
ing
an a
pplic
ant’s
crim
inal
hi
stor
y rec
ord
info
rmat
ion
from
the
Fede
ralB
urea
u of I
nves
tigat
ion a
nd
the
agen
cy re
spon
sible
for r
etai
ning
th
at st
ate’
s crim
inal
reco
rds.
Artic
le IV
(a) a
.Up
on a
pplic
atio
n fo
r a
mul
tista
te lic
ense
, the
licen
sing
boar
d in
the
issui
ng pa
rty s
tate
shal
l as
cert
ain,
thro
ugh t
he co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
, w
heth
er th
e ap
plica
nt h
as ev
er h
eld,
or
is th
e ho
lder
of,
a lic
ense
issu
ed b
y an
y oth
er st
ate,
whe
ther
ther
e are
an
y enc
umbr
ance
s on
any l
icens
e or
Self
Audi
t for
Com
plia
nce
6
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
mul
tista
te lic
ensu
re pr
ivile
ge h
eld
by
the
appl
icant
, whe
ther
any
adve
rse
actio
n ha
s bee
nta
ken
agai
nst a
ny
licen
se o
r mul
tista
te lic
ensu
re
privi
lege
hel
d by
the
appl
icant
and
w
heth
er th
e ap
plica
nt is
curr
ently
pa
rtici
patin
g in
an a
ltern
ative
pr
ogra
m.
10.
Does
the
part
y sta
te re
port
the
item
s in
the u
nifo
rm d
ata s
et to
the
Coor
dina
ted
Licen
sure
Info
rmat
ion
Syst
em(N
ursy
s)w
ithin
fifte
en (1
5)
cale
ndar
days
of t
he d
ate
on w
hich
th
e ac
tion
is ta
ken?
201.
UNIF
ORM
DAT
A SE
T AN
D LE
VELS
OF
ACCE
SS
(1)T
he C
ompa
ct A
dmin
istra
tor o
f ea
ch p
arty
stat
e sha
ll fur
nish
un
iform
dat
a to
the
Coor
dina
ted
Licen
sure
In
form
atio
n Sy
stem
, whi
ch
shal
l con
sist o
f the
follo
win
g:(a
)th
e nu
rse’
s nam
e;
(b)
juris
dict
ion
of
licen
sure
;
(c)
licen
se e
xpira
tion
date
;
Self
Audi
t for
Com
plia
nce
7
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
(d)
licen
sure
cla
ssifi
catio
n, lic
ense
nu
mbe
r and
sta
tus;
(e)
publ
ic em
erge
ncy a
nd
final
disc
iplin
ary
actio
ns, a
s def
ined
by
the
cont
ribut
ing
stat
e au
thor
ity;
(f)a
chan
ge in
the
stat
us
of a
disc
iplin
ary a
ctio
n or
licen
sure
en
cum
bran
ce;
(g)
stat
us of
mul
tista
te
licen
sure
priv
ilege
s;
(h)
curr
ent p
artic
ipat
ion
by th
e nur
se in
an
alte
rnat
ive pr
ogra
m;
(i)in
form
atio
n th
at is
re
quire
d to
be
expu
nged
by
the l
aws
of a
part
y sta
te;
Self
Audi
t for
Com
plia
nce
8
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
(j)th
e ap
plica
nt or
nu
rse’
s Uni
ted S
tate
s so
cial s
ecur
ity
num
ber;
(k)
curr
ent s
igni
fican
t in
vest
igat
ive
info
rmat
ion;
and
(l)a
corr
ectio
n to
a
lic
ense
e’s d
ata.
11.
Does
the
part
y sta
te qu
ery t
he
Coor
dina
ted
Licen
sure
Info
rmat
ion
Syst
em(N
ursy
s)up
on a
pplic
atio
n fo
r mul
tista
te lic
ensu
re, w
ith th
e ex
cept
ion
of re
new
al, t
o det
erm
ine
the
appl
icant
’s cu
rren
t lice
nsur
e st
atus
, pre
vious
disc
iplin
ary
actio
n(s)
, cur
rent
part
icipa
tion
in a
n al
tern
ative
prog
ram
, and
any
cu
rren
t sig
nific
ant i
nves
tigat
ive
info
rmat
ion?
202.
QUER
YING
THE
COOR
DINA
TED
LICE
NSUR
E IN
FORM
ATIO
N SY
STEM
(1)U
pon
appl
icatio
n fo
r m
ultis
tate
licen
sure
, with
the
exce
ptio
n of
rene
wal
by a
nu
rse,
a pa
rty s
tate
shal
l qu
ery t
he C
oord
inat
ed
Licen
sure
Info
rmat
ion
Syst
em
to d
eter
min
e th
e app
lican
t’s
curr
ent l
icens
ure
stat
us,
prev
ious
disc
iplin
ary a
ctio
n(s)
, cu
rren
t par
ticip
atio
n in
an
alte
rnat
ive pr
ogra
m, a
nd a
ny
Self
Audi
t for
Com
plia
nce
9
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
curr
ent s
igni
fican
t in
vest
igat
ive in
form
atio
n.12
.Do
es th
e pa
rty s
tate
deac
tivat
e a
mul
tista
te lic
ense
whe
n a
new
ho
me
stat
e iss
ues a
mul
tista
te
licen
se?
403.
CHAN
GE IN
PRIM
ARY S
TATE
OF
RES
IDEN
CE
(2)
Upon
issu
ance
of a
new
m
ultis
tate
licen
se, t
he fo
rmer
prim
ary
stat
e of r
esid
ence
shal
l dea
ctiva
te it
s m
ultis
tate
licen
se he
ld b
y th
e nu
rse
and
prov
ide
notic
e to
the
nurs
e.13
.Do
es th
e pa
rty s
tate
requ
ire, o
n al
l ap
plica
tion
form
s for
mul
tista
telic
ensu
re:
a)A
decla
ratio
n of a
prim
ary
stat
e of r
esid
ence
401.
PART
Y STA
TE
RESP
ONSI
BILI
TIES
(1)
On a
ll app
licat
ion
form
s for
m
ultis
tate
licen
sure
, a pa
rty s
tate
sh
all r
equi
re, a
t a m
inim
um:
a)A
decla
ratio
n of a
prim
ary
stat
e of r
esid
ence
and
14.
Does
the
part
y sta
te re
quire
, on
all
appl
icatio
n fo
rms f
or m
ultis
tate
lic
ensu
reb)
Whe
ther
the
appl
icant
is a
cu
rren
t par
ticip
ant i
n an
al
tern
ative
prog
ram
?
401.
PART
Y STA
TE
RESP
ONSI
BILI
TIES
(1)
On a
ll app
licat
ion
form
s for
m
ultis
tate
licen
sure
, a pa
rty s
tate
sh
all r
equi
re, a
t a m
inim
um:
Self
Audi
t for
Com
plia
nce
10
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
b)W
heth
er th
e ap
plica
nt is
a
curr
ent p
artic
ipan
t in
an a
ltern
ative
pr
ogra
m.
15.
Does
the
hom
e st
ate n
otify
an
appl
icant
for l
icens
ure
who
is
dete
rmin
ed to
be
inel
igib
le fo
r a
mul
tista
te lic
ense
of th
e qu
alifi
catio
ns n
ot m
et?
401.
PART
Y STA
TE
RESP
ONSI
BILI
TIES
(2) A
n ap
plica
nt fo
r lice
nsur
e who
is
dete
rmin
ed to
be
inel
igib
le fo
r a
mul
tista
te lic
ense
shal
l be
notif
ied
by th
e hom
e st
ate o
f the
qu
alifi
catio
ns n
ot m
et.
16.
Does
the
part
y sta
te is
sue a
sing
le
stat
e lice
nse t
o a n
urse
who
hol
ds a
m
ultis
tate
licen
se in
ano
ther
par
ty
stat
e?
401.
PART
Y STA
TE
RESP
ONSI
BILI
TIES
(3)A
par
ty st
ate s
hall n
ot is
sue a
sin
gle s
tate
licen
se to
a n
urse
w
ho h
olds
a m
ultis
tate
licen
se
in a
noth
er p
arty
stat
e.17
.Up
on is
suan
ce of
a n
ew m
ultis
tate
lic
ense
, doe
s the
form
er p
rimar
y st
ate o
f res
iden
ce de
activ
ate i
ts
mul
tista
te lic
ense
held
by
the
nurs
e an
d pr
ovid
e no
tice
to th
e nu
rse?
403.
CHAN
GE IN
PRIM
ARY S
TATE
OF
RES
IDEN
CE(2
)Up
on is
suan
ce of
a
new
mul
tista
te lic
ense
, the
fo
rmer
prim
ary s
tate
of
resid
ence
shal
l dea
ctiva
te it
s m
ultis
tate
licen
se he
ld b
y th
e
Self
Audi
t for
Com
plia
nce
11
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
nurs
e an
d pr
ovid
e no
tice
to
the
nurs
e.18
.Do
es th
e pa
rty s
tate
conv
ert t
he
mul
tista
te lic
ense
to a
sing
le st
ate
licen
se w
ithin
fifte
en (1
5) ca
lend
ar
days
, and
repo
rt th
is co
nver
sion
to
the
Coor
dina
ted L
icens
ure
Info
rmat
ion
Syst
em(N
ursy
s) if
the
part
y sta
te ve
rifie
s tha
t a lic
ense
e w
ho h
olds
a m
ultis
tate
licen
se
chan
ges p
rimar
y sta
te of
resid
ence
to
a n
on-p
arty
stat
e?
403.
CHAN
GE IN
PRIM
ARY S
TATE
OF
RES
IDEN
CE(3
)If
a par
ty st
ate v
erifi
es
that
a lic
ense
e who
hol
ds a
m
ultis
tate
licen
se ch
ange
s pr
imar
y sta
te of
resid
ence
to
a no
n-pa
rty s
tate
, the
part
y st
ate s
hall c
onve
rt th
e m
ultis
tate
licen
se to
a si
ngle
st
ate l
icens
e with
in fi
fteen
(1
5) ca
lend
ar d
ays,
and
repo
rt
this
conv
ersio
n to
the
Coor
dina
ted
Licen
sure
In
form
atio
n Sy
stem
19.
Whe
n a p
arty
stat
e iss
ues a
te
mpo
rary
perm
it, lic
ense
, or
simila
r tem
pora
ry a
utho
rizat
ion t
o pr
actic
e to
an a
pplic
ant f
or
licen
sure
doe
sitg
rant
mul
tista
te
licen
sure
priv
ilege
s?
404.
TEM
PORA
RY PE
RMIT
S AND
LI
CENS
ES
A te
mpo
rary
perm
it, lic
ense
, or s
imila
r te
mpo
rary
auth
oriza
tion
to p
ract
ice
issue
d by
a pa
rty s
tate
to an
app
lican
t fo
r lice
nsur
e sh
all n
ot g
rant
mul
tista
te
licen
sure
priv
ilege
s.20
.Do
es ea
ch p
arty
stat
e rec
ogni
ze
mul
tista
te pr
ivile
ge is
sued
by
anot
her p
arty
stat
e?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
n
Self
Audi
t for
Com
plia
nce
12
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
a.A
mul
tista
te lic
ense
to
prac
tice r
egist
ered
or lic
ense
d pr
actic
al/v
ocat
iona
l nur
sing
issue
d by
a ho
me
stat
e to a
resid
ent i
n th
at
stat
e will
be re
cogn
ized b
y eac
h pa
rty
stat
e as a
utho
rizin
g a nu
rse
to
prac
tice a
s a re
gist
ered
nurs
e (RN
) or
as a
licen
sed
prac
tical
/voc
atio
nal
nurs
e (L
PN/V
N), u
nder
a m
ultis
tate
lic
ensu
re p
rivile
ge, in
eac
h pa
rty s
tate
.21
.Ha
s you
r sta
te
impl
emen
tedp
roce
dure
sfor
co
nsid
erin
g th
e crim
inal
hist
ory
reco
rds o
f app
lican
ts fo
r ini
tial
mul
tista
te lic
ense
or lic
ensu
re by
en
dors
emen
t?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nb.
A st
ate m
ust i
mpl
emen
t pr
oced
ures
for c
onsid
erin
g the
cr
imin
al h
istor
y rec
ords
of a
pplic
ants
fo
r ini
tial m
ultis
tate
licen
se or
lic
ensu
re b
y end
orse
men
t. Su
ch
proc
edur
es sh
all in
clude
the
subm
issio
n of f
inge
rprin
ts or
oth
er
biom
etric
-bas
ed in
form
atio
n by
ap
plica
nts f
or th
e pu
rpos
e of
ob
tain
ing
an a
pplic
ant’s
crim
inal
hi
stor
y rec
ord
info
rmat
ion
from
the
Fede
ral B
urea
u of I
nves
tigat
ion a
nd
the
agen
cy re
spon
sible
for r
etai
ning
th
at st
ate’
s crim
inal
reco
rds.
Self
Audi
t for
Com
plia
nce
13
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
22.
Does
your
sta
te re
quire
that
an
appl
icant
has
succ
essf
ully
pass
ed an
NC
LEX-
RN® o
r NCL
EX-P
N®
Exam
inat
ion
or re
cogn
ized
pred
eces
sor,
as ap
plica
ble?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nc.
Each
part
y sta
te sh
all r
equi
re
the
follo
win
g fo
r an
appl
icant
to
obta
in o
r ret
ain
a mul
tista
te lic
ense
in
the
hom
e st
ate:
4.Ha
s suc
cess
fully
pass
ed an
NC
LEX-
RN® o
r NCL
EX-P
N®
Exam
inat
ion
or re
cogn
ized
pred
eces
sor,
as ap
plica
ble;
23.
Does
your
sta
te re
quire
that
an
appl
icant
is el
igib
le fo
r or h
olds
an
activ
e, un
encu
mbe
red
licen
se?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nc.
Each
part
y sta
te sh
all r
equi
re
the
follo
win
g fo
r an
appl
icant
to5.
Is el
igib
le fo
r or h
olds
an
activ
e, un
encu
mbe
red
licen
se;
24.
Does
your
sta
te re
quire
that
an
appl
icant
has
not b
een
conv
icted
or
foun
d gu
ilty,
or h
as en
tere
d in
to a
n ag
reed
disp
ositi
on, o
f a fe
lony
of
fens
e un
der a
pplic
able
stat
e or
fede
ral c
rimin
al la
w?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nc.
Each
part
y sta
te sh
all r
equi
re
the
follo
win
g fo
r an
appl
icant
to7.
Has n
ot b
een
conv
icted
or
foun
d gu
ilty,
or h
as en
tere
d in
toan
ag
reed
disp
ositi
on, o
f a fe
lony
offe
nse
unde
r app
licab
le st
ate o
r fed
eral
cr
imin
al la
w;
Self
Audi
t for
Com
plia
nce
14
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
25.
Does
your
sta
te re
quire
that
an
appl
icant
is no
t cur
rent
ly en
rolle
d in
an
alte
rnat
ive pr
ogra
m?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nc.
Each
part
y sta
te sh
all r
equi
re
the
follo
win
g fo
r an
appl
icant
to9.
Is no
t cur
rent
ly en
rolle
d in
an
alte
rnat
ive pr
ogra
m;
26.
Does
your
sta
te re
quire
that
an
appl
icant
is su
bjec
t to
self-
disc
losu
re re
quire
men
ts re
gard
ing
curr
ent p
artic
ipat
ion
in a
n al
tern
ative
prog
ram
?
ARTI
CLE I
IIGe
nera
l Pro
visio
ns a
nd Ju
risdi
ctio
nc.
Each
part
y sta
te sh
all r
equi
re
the
follo
win
g fo
r an
appl
icant
to10
.Is
subj
ect t
o se
lf-di
sclo
sure
re
quire
men
ts re
gard
ing c
urre
nt
part
icipa
tion i
n an
alte
rnat
ive
prog
ram
; and
27.
Does
your
sta
te al
low
for a
nur
se to
ap
ply
for l
icens
ure i
n ad
vanc
e of a
ch
ange
in p
rimar
y sta
te of
re
siden
ce?
ARTI
CLE I
VAp
plica
tions
for L
icens
ure i
n a
Part
y St
ate
c.If
a nur
se ch
ange
s prim
ary
stat
e of r
esid
ence
by m
ovin
g be
twee
n tw
o pa
rty s
tate
s, th
e nur
se m
ust a
pply
for l
icens
ure
in th
e ne
w h
ome
stat
e,
and
the
mul
tista
te lic
ense
issu
ed by
th
e pr
ior h
ome
stat
e will
be
deac
tivat
ed in
acc
orda
nce w
ith
appl
icabl
e ru
les a
dopt
ed b
y the
Co
mm
issio
n.
Self
Audi
t for
Com
plia
nce
15
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Licen
sure
Req
uire
men
ts
1.Th
e nu
rse m
ay a
pply
for
licen
sure
in a
dvan
ce o
f a ch
ange
in
prim
ary s
tate
of re
siden
ce.
Self
Audi
t for
Com
plia
nce
16
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
28
.Do
hom
e st
ate d
iscip
linar
y ord
ers
that
limit
prac
tice o
r req
uire
m
onito
ring
inclu
de a
requ
irem
ent
that
mul
tista
te pr
ivile
ge to
pra
ctice
is
deac
tivat
ed du
ring
the t
erm
of
such
ord
ers,
ther
efor
e lim
iting
pr
actic
e to
the
stat
e tak
ing a
ctio
n?
Artic
le V
(b) …
All h
ome
stat
e di
scip
linar
y ord
ers t
hat i
mpo
se
adve
rse a
ctio
n ag
ains
t a nu
rse’
s m
ultis
tate
licen
se sh
all in
clude
a
stat
emen
t tha
t the
nurs
e’s m
ultis
tate
lic
ensu
re p
rivile
ge is
dea
ctiva
ted i
n al
l pa
rty s
tate
s dur
ing t
he pe
nden
cy o
f th
e or
der.
Refe
renc
e:
Artic
le II
(a):
a.“A
dver
se ac
tion”
mea
ns an
y ad
min
istra
tive,
civil
, equ
itabl
e or
cr
imin
al a
ctio
n pe
rmitt
ed by
a st
ate’
s la
ws w
hich
is im
pose
d by
a lic
ensin
g bo
ard
or o
ther
au
thor
ity a
gain
st a
nurs
e, in
cludi
ng
actio
ns ag
ains
t an i
ndivi
dual
’s lic
ense
or
mul
tista
te lic
ensu
re pr
ivile
ge su
ch
as re
voca
tion,
susp
ensio
n, pr
obat
ion,
m
onito
ring
of th
e lic
ense
e, lim
itatio
n on
the l
icens
ee’s
prac
tice,
or an
y oth
er
encu
mbr
ance
on
licen
sure
affe
ctin
g a
nurs
e’s a
utho
rizat
ion t
o pr
actic
e,
inclu
ding
issu
ance
of a
ceas
e and
de
sist a
ctio
n.
Self
Audi
t for
Com
plia
nce
17
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
29
.If
your
boa
rd is
the
rem
ote
stat
e and
rece
ives t
he co
mpl
aint
, an
d an
inve
stig
atio
n is o
pene
d, d
o yo
u tu
rn o
n th
e nu
rse
aler
t and
fo
rwar
d th
e in
vest
igat
ive do
cum
ents
to
the
hom
e st
ate u
pon
com
plet
ion
of th
e inv
estig
atio
n or a
s req
uest
ed
by th
e hom
e st
ate?
Artic
le V
(a)(7
) Tak
e adv
erse
actio
n ba
sed o
n th
e fa
ctua
l find
ings
of t
he
rem
ote s
tate
, pro
vided
that
the
licen
sing
boar
d fo
llow
s its
own
proc
edur
es fo
r tak
ing s
uch
adve
rse
actio
n.Ar
ticle
VI(i
) The
Com
pact
ad
min
istra
tor o
f a p
arty
stat
e sha
ll pr
ovid
e al
l inve
stig
ative
docu
men
ts
and
info
rmat
ion
requ
este
d by a
noth
er
part
y sta
te.
Artic
le V
I(i) T
he C
ompa
ct
adm
inist
rato
r of a
par
ty st
ate s
hall
prov
ide
all in
vest
igat
ive do
cum
ents
an
d in
form
atio
n re
ques
ted b
y ano
ther
pa
rty s
tate
.
Rule
202
(2) U
pon
disc
over
y tha
t an
appl
icant
is un
der i
nves
tigat
ion i
n an
othe
r par
ty st
ate,
the p
arty
stat
e in
rece
ipt o
f the
nur
se lic
ensu
re
appl
icatio
n sh
all c
onta
ct th
e in
vest
igat
ing p
arty
stat
e and
may
re
ques
t inv
estig
ative
docu
men
ts an
d in
form
atio
n.
Self
Audi
t for
Com
plia
nce
18
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
30
.Do
es th
e bo
ard
issue
subp
oena
re
ques
ts up
on th
e re
ques
t of
anot
her p
arty
stat
e?
Artic
le V
(a)(4
) Iss
ue su
bpoe
nas f
or
both
hea
rings
and
inve
stig
atio
ns th
at
requ
ire th
e at
tend
ance
and
test
imon
y of
witn
esse
s, as
wel
l as,
the
prod
uctio
n of
evid
ence
. Sub
poen
as
issue
d by
a lic
ensin
g boa
rd in
a pa
rty
stat
e for
the
atte
ndan
ce an
d te
stim
ony o
f witn
esse
s or t
he
prod
uctio
n of
evid
ence
from
ano
ther
pa
rty s
tate
shal
l be e
nfor
ced
in th
e la
tter
stat
e by a
ny c
ourt
of c
ompe
tent
ju
risdi
ctio
n, a
ccor
ding
to th
e pr
actic
e an
d pr
oced
ure
of th
at co
urt a
pplic
able
to
subp
oena
s iss
ued
in p
roce
edin
gs
pend
ing
befo
re it
. The
issu
ing
auth
ority
shal
l pay
any
witn
ess f
ees,
tr
avel
expe
nses
, mile
age a
nd o
ther
fe
es re
quire
d by
the
serv
ice st
atut
es
of th
e sta
te in
whi
ch th
e w
itnes
ses o
r ev
iden
ce a
re lo
cate
d.31
.In
a re
mot
e st
ate i
nves
tigat
ion,
does
th
e bo
ard
take
actio
n ag
ains
t m
ultis
tate
privi
lege
s to
prac
tice
(PTP
) with
in y
our s
tate
, if
war
rant
ed?
Artic
le V
(a)(1
) In
add
ition
to th
e ot
her p
ower
s con
ferr
ed b
y st
ate l
aw, a
lic
ensin
g bo
ard
shal
l hav
e th
e au
thor
ity to
:
Self
Audi
t for
Com
plia
nce
19
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
1.
Take
adve
rse a
ctio
n ag
ains
t a
nurs
e’s m
ultis
tate
licen
sure
privi
lege
to
pra
ctice
with
in th
at pa
rty s
tate
.32
.Do
you,
the
hom
e st
ate l
icens
ing
boar
d,gi
ve th
e sa
me p
riorit
y and
ef
fect
to re
port
ed co
nduc
t rec
eive
d fro
m a
rem
ote s
tate
as it
wou
ld if
su
ch co
nduc
t had
occ
urre
d w
ithin
th
e ho
me
stat
e?
Artic
le V
(a)(1
) i.
Only
the h
ome
stat
e sha
ll hav
e the
po
wer
to ta
ke ad
vers
e act
ion
agai
nst a
nu
rse’
s lice
nse i
ssue
d by
the
hom
e st
ate.
ii. Fo
r pur
pose
s of t
akin
g ad
vers
e ac
tion,
the
hom
e st
ate l
icens
ing b
oard
sh
all g
ive th
e sa
me p
riorit
y and
effe
ct
to re
port
ed co
nduc
t rec
eive
d fro
m a
re
mot
e sta
te as
it w
ould
if s
uch
cond
uct h
ad o
ccur
red
with
in th
e ho
me
stat
e. In
so d
oing
, the
hom
e st
ate s
hall a
pply
its o
wn
stat
e law
s to
dete
rmin
e ap
prop
riate
actio
n.33
.As
the
hom
e st
ate,
does
your
boa
rd
take
actio
n ba
sed
on th
e fa
ctua
l fin
ding
s of t
here
mot
e st
ate,
whi
le
follo
win
g yo
ur o
wn
hom
e st
ate
proc
edur
es fo
r tak
ing s
uch
adve
rse
actio
n?
Artic
le V
(a)(1
) i.
Only
the h
ome
stat
e sha
ll hav
e the
po
wer
to ta
ke ad
vers
e act
ion
agai
nst a
nu
rse’
s lice
nse i
ssue
d by
the
hom
e st
ate.
ii. Fo
r pur
pose
s of t
akin
g ad
vers
e ac
tion,
the
hom
e st
ate l
icens
ing b
oard
sh
all g
ive th
e sa
me p
riorit
y and
effe
ct
to re
port
ed co
nduc
t rec
eive
d fro
m a
re
mot
e sta
te as
it w
ould
if s
uch
Self
Audi
t for
Com
plia
nce
20
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
co
nduc
t had
occ
urre
d w
ithin
the
hom
e st
ate.
In so
doi
ng, t
he h
ome
stat
e sha
ll app
ly its
ow
n st
ate l
aws t
o de
term
ine
appr
opria
te ac
tion.
Artic
le V
(a) 7
. Tak
e adv
erse
actio
n ba
sed o
n th
e fa
ctua
l find
ings
of t
he
rem
ote s
tate
, pro
vided
that
the
licen
sing
boar
d fo
llow
s its
own
proc
edur
es fo
r tak
ing s
uch
adve
rse
actio
n.34
.Do
the
term
s of y
our a
ltern
ative
pr
ogra
m pr
ohib
it pr
actic
e in
rem
ote
stat
es?
Artic
le II
I(c) c
.Ea
ch pa
rty s
tate
shal
l re
quire
the
follo
win
g fo
r an
appl
icant
to
obt
ain
or re
tain
a m
ultis
tate
licen
se
in th
e ho
me
stat
e:9.
Is no
t cur
rent
ly en
rolle
d in
an
alte
rnat
ive pr
ogra
m;
10.
Is su
bjec
t to
self-
disc
losu
re
requ
irem
ents
rega
rdin
g cur
rent
pa
rtici
patio
n in
an a
ltern
ative
pr
ogra
m;
Artic
le V
(c) …
The
hom
e st
ate l
icens
ing
boar
d sh
all d
eact
ivate
the m
ultis
tate
lic
ensu
re p
rivile
ge un
der t
he
mul
tista
te lic
ense
of a
ny n
urse
for t
he
Self
Audi
t for
Com
plia
nce
21
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
du
ratio
n of
the
nurs
e’s p
artic
ipat
ion i
n an
alte
rnat
ive pr
ogra
m.
35.
Does
the
boar
d pr
ovid
e ot
her
com
pact
stat
es w
ith co
pies
of
inve
stig
ative
repo
rts,
upon
requ
est?
Artic
le V
I(i) i
.Th
e Co
mpa
ct
adm
inist
rato
r of a
par
ty st
ate s
hall
prov
ide
all in
vest
igat
ive do
cum
ents
an
d in
form
atio
n re
ques
ted b
y ano
ther
pa
rty s
tate
.36
.Do
es th
e bo
ard
issue
ceas
e and
de
sist o
rder
s to
stop
a nu
rse
from
pr
actic
ing i
n yo
ur s
tate
?
Artic
le V
(a)(2
)In
add
ition
to th
e ot
her p
ower
s con
ferr
ed b
y st
ate l
aw, a
lic
ensin
g bo
ard
shal
l hav
e th
e au
thor
ity to
:2.
Issu
e cea
se an
d des
ist or
ders
or
impo
se a
n en
cum
bran
ce o
n a
nurs
e’s a
utho
rity t
o pr
actic
e with
in
that
part
y sta
te.
37.
If ad
vers
e act
ion i
s tak
en b
y the
ho
me
stat
e aga
inst
a nu
rse’
s m
ultis
tate
licen
se,s
houl
dth
e nu
rse’
s mul
tista
te lic
ensu
re pr
ivile
ge
to p
ract
ice in
all o
ther
par
ty st
ates
sh
all b
e de
activ
ated
until
all
encu
mbr
ance
s hav
e be
en re
mov
ed
from
the
mul
tista
te lic
ense
?Sh
ould
al
l hom
e st
ate d
iscip
linar
y ord
ers
that
impo
se a
dver
se ac
tion
agai
nst a
nu
rse’
s mul
tista
te lic
ense
inclu
de a
st
atem
ent t
hat t
he nu
rse’
s
ARTI
CLE V
Addi
tiona
l Aut
horit
ies I
nves
ted i
n Pa
rty S
tate
Lice
nsin
g Bo
ards
b.If
adve
rse a
ctio
n is t
aken
by
the
hom
e st
ate a
gain
st a
nurs
e’s
mul
tista
te lic
ense
, the
nurs
e’s
mul
tista
te lic
ensu
re pr
ivile
ge to
pr
actic
e in
all o
ther
par
ty st
ates
shal
l be
dea
ctiva
ted u
ntil a
ll
encu
mbr
ance
s hav
e be
en re
mov
ed
from
the
mul
tista
te lic
ense
. All h
ome
Self
Audi
t for
Com
plia
nce
22
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
m
ultis
tate
licen
sure
privi
lege
is
deac
tivat
ed in
all p
arty
stat
es du
ring
the
pend
ency
of t
he o
rder
?
stat
e disc
iplin
ary o
rder
s tha
t im
pose
ad
vers
e act
ion
agai
nst a
nurs
e’s
mul
tista
te lic
ense
shal
l inclu
de a
st
atem
ent t
hat t
he nu
rse’
s mul
tista
te
licen
sure
priv
ilege
is d
eact
ivate
d in
all
part
y sta
tes d
urin
g the
pend
ency
of
the
orde
r.38
.Do
es yo
ur s
tate
requ
ire th
at
info
rmat
ion
cont
ribut
ed to
the
coor
dina
ted
licen
sure
info
rmat
ion
syst
em(N
ursy
s)th
at is
subs
eque
ntly
requ
ired
to b
e ex
pung
ed b
y th
e la
ws
of th
e par
ty st
ate c
ontr
ibut
ing t
hat
info
rmat
ion
shal
l also
be
expu
nged
fro
m th
e co
ordi
nate
d lic
ensu
re
info
rmat
ion
syst
em?
ARTI
CLE V
I
Coor
dina
ted
Licen
sure
Info
rmat
ion
Syst
em an
d Ex
chan
ge of
Info
rmat
ion
g.An
y in
form
atio
n co
ntrib
uted
to
the
coor
dina
ted
licen
sure
in
form
atio
n sy
stem
that
issu
bseq
uent
ly re
quire
d to
be
expu
nged
by
the l
aws o
f the
par
ty st
ate
cont
ribut
ing
that
info
rmat
ion
shal
l al
so be
exp
unge
d fro
m th
e co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
.39
.Sh
ould
the
Com
pact
adm
inist
rato
r of
a pa
rty s
tate
shal
l pro
vide
all
inve
stig
ative
docu
men
ts an
d in
form
atio
n re
ques
ted b
y ano
ther
pa
rty s
tate
?
ARTI
CLE V
ICo
ordi
nate
d Lic
ensu
re In
form
atio
n Sy
stem
and
Exch
ange
of In
form
atio
ni.
The
Com
pact
adm
inist
rato
r of
a pa
rty s
tate
shal
l pro
vide
all
inve
stig
ative
docu
men
ts an
d
Self
Audi
t for
Com
plia
nce
23
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
.Au
dit I
tem
Y/N
Auth
ority
Cita
tion
Evid
ence
Note
s
Enfo
rcem
ent R
equi
rem
ents
in
form
atio
nre
ques
ted b
y ano
ther
pa
rty s
tate
.
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
40
.Do
es th
e bo
ard
subm
it re
quire
d da
ta in
cludi
ng a
ny h
ome
or re
mot
e st
ate d
iscip
line
actio
n and
any
dat
a co
rrec
tions
, inclu
ding
exp
unge
men
t to
the
coor
dina
ted
licen
sure
in
form
atio
n sy
stem
(Nur
sys)
with
in
15 ca
lend
ar da
ys?
Rule
201
(1) T
he C
ompa
ct A
dmin
istra
tor o
f ea
ch p
arty
stat
e sha
ll fur
nish
uni
form
da
ta to
the
Coor
dina
ted L
icens
ure
Info
rmat
ion
Syst
em, w
hich
shal
l co
nsist
of th
e fo
llow
ing:
actio
ns, a
s def
ined
by
the
cont
ribut
ing
stat
e aut
horit
y;…
(e)
publ
ic em
erge
ncy a
nd fi
nal
disc
iplin
ary a
ctio
ns, a
s def
ined
by t
he
cont
ribut
ing
stat
e aut
horit
y;(f)
a ch
ange
in th
e st
atus
of a
di
scip
linar
y act
ion
or lic
ensu
re
encu
mbr
ance
;(g
) st
atus
of m
ultis
tate
licen
sure
pr
ivile
ges;
(l) a
corr
ectio
n to
a lic
ense
e’s d
ata.
(4) A
par
ty st
ate s
hall r
epor
t the
item
s in
the
unifo
rm d
ata s
et to
the
Self
Audi
t for
Com
plia
nce
24
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
Co
ordi
nate
d Lic
ensu
re In
form
atio
n Sy
stem
with
in fi
fteen
(15)
cale
ndar
da
ys o
f the
dat
e on
whi
ch th
e ac
tion
is ta
ken.
Artic
le V
I(g)
g.An
y in
form
atio
n co
ntrib
uted
to
the
coor
dina
ted
licen
sure
in
form
atio
nsy
stem
that
is
subs
eque
ntly
requ
ired
to b
e ex
pung
ed
by th
e law
s of t
he p
arty
stat
e co
ntrib
utin
g th
at in
form
atio
n sh
all
also
be e
xpun
ged
from
the
coor
dina
ted
licen
sure
info
rmat
ion
syst
em.
41.
Does
the
boar
d ac
tivat
e the
Nur
se
Aler
t whe
n th
ere i
s a si
gnifi
cant
in
vest
igat
ion?
Artic
le II
d. C
urre
nt si
gnifi
cant
inve
stig
ative
in
form
atio
n m
eans
1.
Inve
stig
ative
info
rmat
ion t
hat a
lic
ensin
g bo
ard,
afte
r a p
relim
inar
y in
quiry
that
inclu
des n
otifi
catio
n an
d an
opp
ortu
nity
for t
he n
urse
to
resp
ond,
if re
quire
d by
sta
te la
w, h
as
reas
on to
bel
ieve
is no
t gro
undl
ess
and,
if p
rove
d tr
ue, w
ould
indi
cate
m
ore
than
a m
inor
infra
ctio
n; o
r
Self
Audi
t for
Com
plia
nce
25
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
2.
Inve
stig
ative
info
rmat
ion t
hat
indi
cate
s tha
t the
nur
se re
pres
ents
an
imm
edia
te th
reat
to p
ublic
hea
lth a
nd
safe
ty re
gard
less
of w
heth
er th
e nur
se
has b
een
notif
ied
and
had
an
oppo
rtun
ity to
resp
ond.
Ar
ticle
VI
c.Al
l lice
nsin
g bo
ards
shal
l pr
ompt
ly re
port
to th
e co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
any
adve
rse a
ctio
n, an
y cur
rent
sign
ifica
nt
inve
stig
ative
info
rmat
ion,
…d.
Curr
ent s
igni
fican
t in
vest
igat
ive in
form
atio
n …
shal
l be
tran
smitt
ed th
roug
h the
coor
dina
ted
licen
sure
info
rmat
ion
syst
em on
ly to
pa
rty s
tate
licen
sing b
oard
s.42
.Do
es th
e bo
ard
deac
tivat
e the
Nurs
e Ale
rt w
hen
ente
ring
disc
iplin
ary a
ctio
n, ag
reem
ento
r an
orde
r req
uirin
g pa
rtici
patio
n in
an
alte
rnat
ive pr
ogra
m or
agr
eem
ents
w
hich
limit
prac
tice o
r req
uire
m
onito
ring
or
dism
issal
of co
mpl
aint
?
Nurs
ys Po
licy
12.1
6
43.
Does
the
boar
d su
bmit
licen
sure
in
form
atio
n da
ily?
Nurs
ys Po
licy
12.4
Self
Audi
t for
Com
plia
nce
26
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
SE
CTIO
N 20
0. C
OORD
INAT
ED
LICE
NSUR
E INF
ORM
ATIO
N SY
STEM
201.
UNIF
ORM
DAT
A SE
T AN
D LE
VELS
OF
ACCE
SS
(1)
The
Com
pact
Adm
inist
rato
r of
each
par
ty st
ate s
hall f
urni
sh u
nifo
rm
data
to th
e Co
ordi
nate
d Lice
nsur
e In
form
atio
n Sy
stem
, whi
ch sh
all
cons
ist of
the
follo
win
g:(a
)th
e nu
rse’
s nam
e;
(b)
juris
dict
ion
of li
cens
ure;
(c)
licen
se e
xpira
tion d
ate;
(d)
licen
sure
clas
sifica
tion,
licen
se
num
ber a
nd s
tatu
s;
(e)
publ
ic em
erge
ncy a
nd fi
nal
disc
iplin
ary a
ctio
ns, a
s def
ined
by t
he
cont
ribut
ing
stat
e aut
horit
y;(f)
a ch
ange
in th
e st
atus
of a
di
scip
linar
y act
ion
or lic
ensu
re
encu
mbr
ance
;
Self
Audi
t for
Com
plia
nce
27
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
(g
)st
atus
of m
ultis
tate
licen
sure
pr
ivile
ges;
(h)
curr
ent p
artic
ipat
ion
by th
e nu
rse
in a
n al
tern
ative
prog
ram
;
(i)in
form
atio
n th
at is
requ
ired
to
be e
xpun
ged
by th
e la
ws o
f a p
arty
st
ate;
(j)th
e ap
plica
nt or
nur
se’s
Un
ited
Stat
es so
cial s
ecur
ity nu
mbe
r;
(k)
curr
ent s
igni
fican
t in
vest
igat
ive in
form
atio
n; a
nd
(l)a
corr
ectio
n to
a lic
ense
e’s
data
.
ARTI
CLE V
ICo
ordi
nate
d Lic
ensu
re In
form
atio
n Sy
stem
and
Exch
ange
of In
form
atio
nh.
The
Com
pact
adm
inist
rato
r of
each
par
ty st
ate s
hall f
urni
sh a
un
iform
dat
a set
to th
e Co
mpa
ct
adm
inist
rato
r of e
ach
othe
r par
ty
Self
Audi
t for
Com
plia
nce
28
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
st
ate,
whi
ch sh
all in
clude
, at a
m
inim
um:
1.Id
entif
ying
info
rmat
ion;
2.Lic
ensu
re da
ta;
3.In
form
atio
n re
late
d to
alte
rnat
ive pr
ogra
m pa
rtici
patio
n; an
d
4.Ot
her i
nfor
mat
ion
that
may
fa
cilita
te th
e ad
min
istra
tion o
f thi
s Co
mpa
ct, a
s det
erm
ined
by
Com
miss
ion r
ules
.
44.
Does
the
boar
d pr
oces
s spe
ed
mem
os o
n a
daily
bas
is?Be
st Pr
actic
e Rec
omm
enda
tion
45.
Do yo
u co
mpl
ete a
n in
vest
igat
ion
rega
rdle
ss of
the
chan
ge of
prim
ary
stat
e of l
egal
resid
ency
dur
ing
the
inve
stig
atio
n?
Artic
le V
(3) C
ompl
ete a
ny p
endi
ng
inve
stig
atio
ns of
a n
urse
who
cha
nges
pr
imar
y sta
te of
resid
ence
durin
g th
e co
urse
of s
uch
inve
stig
atio
ns. T
he
licen
sing
boar
d sh
all a
lso h
ave
the
auth
ority
to ta
ke ap
prop
riate
act
ion(
s)
and
shal
l pro
mpt
ly re
port
the
conc
lusio
ns o
f suc
h inv
estig
atio
ns to
th
e ad
min
istra
tor o
f the
coor
dina
ted
licen
sure
info
rmat
ion
syst
em. T
he
adm
inist
rato
r of t
he co
ordi
nate
d
Self
Audi
t for
Com
plia
nce
29
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Nurs
ys R
equi
rem
ents
lic
ensu
re in
form
atio
n sy
stem
shal
l pr
ompt
ly no
tify t
he n
ew h
ome
stat
e of
any
such
actio
ns.
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Alte
rnat
ive t
o Di
scip
line (
ATD)
Prog
ram
46.
Do yo
u tu
rn o
n th
e Al
tern
ative
pr
ogra
m pa
rtici
patio
n in
dica
tor i
n co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
(Nur
sys)
?
Artic
le V
I(c)
c.Al
l lice
nsin
g bo
ards
shal
l pr
ompt
ly re
port
to th
e co
ordi
nate
d lic
ensu
re in
form
atio
n sy
stem
any …
nu
rse
part
icipa
tion i
n al
tern
ative
pr
ogra
ms k
now
n to
the
licen
sing
boar
d re
gard
less
of w
heth
er su
ch
part
icipa
tion i
s dee
med
non
publ
ic or
co
nfid
entia
l und
er st
ate l
aw.
Rule
201
(1) T
he C
ompa
ct A
dmin
istra
tor o
f ea
ch p
arty
stat
e sha
ll fur
nish
uni
form
da
ta to
the
Coor
dina
ted L
icens
ure
Self
Audi
t for
Com
plia
nce
30
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
(h)
curr
ent p
artic
ipat
ion
by th
e nu
rse
in a
n al
tern
ative
prog
ram
;47
.Ar
e th
e lice
nses
of p
artic
ipan
tsIn
the
alte
rnat
ive pr
ogra
m
desig
nate
d as “
singl
e sta
te?”
Artic
le II
I(c) c
.Ea
ch pa
rty s
tate
shal
l re
quire
the
follo
win
g fo
r an
appl
icant
to
obt
ain
or re
tain
a m
ultis
tate
licen
se
in th
e ho
me
stat
e:9.
Is no
t cur
rent
ly en
rolle
d in
an
alte
rnat
ive pr
ogra
m;
Artic
le V
(c) T
he h
ome
stat
e lice
nsin
g bo
ard
shal
l dea
ctiva
te th
e mul
tista
te
licen
sure
priv
ilege
unde
r the
m
ultis
tate
licen
se of
any
nur
se fo
r the
du
ratio
n of
the
nurs
e’s p
artic
ipat
ion i
n an
alte
rnat
ive pr
ogra
m.
48.
Does
the
boar
d de
activ
ate t
he
mul
tista
te lic
ensu
re pr
ivile
ge u
nder
th
e m
ultis
tate
licen
se of
any
nur
se
for t
he d
urat
ion
of th
e nu
rse’
s pa
rtici
patio
n in
an a
ltern
ative
pr
ogra
m?
ARTI
CLE V
Addi
tiona
l Aut
horit
ies I
nves
ted i
n Pa
rty S
tate
Lice
nsin
g Bo
ards
c.No
thin
g in
this
Com
pact
shal
l ov
errid
e a
part
y sta
te’s
decis
ion t
hat
part
icipa
tion i
n an
alte
rnat
ive pr
ogra
m
may
be
used
in lie
u of
adv
erse
actio
n.
The
hom
e st
ate l
icens
ing b
oard
shal
l de
activ
ate t
he m
ultis
tate
licen
sure
pr
ivile
ge u
nder
the
mul
tista
te lic
ense
Self
Audi
t for
Com
plia
nce
31
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
of a
ny n
urse
for t
he du
ratio
n of
the
nurs
e’sp
artic
ipat
ion i
n an
alte
rnat
ive
prog
ram
.
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Adm
inist
ratio
n
49.
Is a
notic
e of
pro
pose
d ru
le-m
akin
gpo
sted
on
the
web
site o
f you
r lic
ensin
g bo
ard
or th
e fil
ed/p
oste
d in
the
publ
icatio
n in
whi
ch y
our
stat
e pub
lishe
s pro
pose
d ru
les?
ARTI
CLE V
IIIRu
lem
akin
gc.
Prio
r to
prom
ulga
tion
and
adop
tion
of a
fina
l rul
e or
rule
s by
the
Com
miss
ion,
and
at le
ast s
ixty (
60)
days
in a
dvan
ce o
f the
mee
ting a
t w
hich
the
rule
will
be co
nsid
ered
and
vo
ted
upon
, the
Com
miss
ion
shal
l file
a
notic
e of
pro
pose
d ru
lem
akin
g:
Self
Audi
t for
Com
plia
nce
32
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Adm
inist
ratio
n
2.On
the
web
site o
f eac
h lic
ensin
g bo
ard
or th
e pu
blica
tion
in
whi
ch e
ach
stat
e wou
ld o
ther
wise
pu
blish
pro
pose
d ru
les.
50.
How
shou
ld n
on-p
aym
ent o
f due
s be
han
dled
? AR
TICL
E VII
Esta
blish
men
t of t
he In
ters
tate
Co
mm
issio
n of N
urse
Lice
nsur
e Co
mpa
ct A
dmin
istra
tors
h.Fin
ancin
g of
the
Com
miss
ion
2.Th
e Co
mm
issio
n may
also
levy
on
and
colle
ct an
ann
ual a
sses
smen
t fro
m e
ach
part
y sta
te to
cove
r the
co
st of
its o
pera
tions
, act
ivitie
s and
st
aff in
its a
nnua
l bud
get a
s app
rove
d ea
ch ye
ar. T
he ag
greg
ate a
nnua
l as
sess
men
t am
ount
, if an
y, sh
all b
e al
loca
ted b
ased
upo
n a f
orm
ula
to b
e de
term
ined
by t
he C
omm
issio
n, w
hich
sh
all p
rom
ulga
te a
rule
that
is bi
ndin
g up
on a
ll par
ty st
ates
.
Self
Audi
t for
Com
plia
nce
33
Date
: ___
____
____
____
____
____
____
____
____
____
Juris
dict
ion:
____
____
____
____
____
____
____
____
__
Item
No
. Au
dit I
tem
Y/
NAu
thor
ity Ci
tatio
n Ev
iden
ce
Note
s
Adm
inist
ratio
n
501.
DUE
S ASS
ESSM
ENT
(1)
The
Com
miss
ion s
hall
dete
rmin
e th
e ann
ual a
sses
smen
t to
be p
aid
by p
arty
stat
es. T
he
asse
ssm
ent f
orm
ula i
s a fla
t fee
per
pa
rty s
tate
. The
Com
miss
ion s
hall
prov
ide
publ
ic no
tice
of a
ny p
ropo
sed
revis
ion
to th
e an
nual
ass
essm
ent f
ee
at le
ast n
inet
y (90
) cal
enda
r day
s prio
r to
the
Com
miss
ion m
eetin
g to
cons
ider
the
prop
osed
revis
ion.
(2)
The
annu
al a
sses
smen
t sha
ll be
due
with
in th
e Co
mm
issio
n’s f
irst
fisca
l yea
r afte
r the
impl
emen
tatio
n da
te an
d an
nual
ly th
erea
fter.
2/24/2020
1
NLC Policy Committee
• Members are:• Joe Baker, FL• Peggy Benson, AL• Adrian Guerrera, KS• Karen Lyon, LA• Missy Poortenga, MT• Maggie Schwark, IO• Pam Zickafoose, DE
1
2
2/24/2020
2
Policies for Full NLC Vote• Misdemeanors Related to the Practice of Nursing• Reserve Fund• Privilege to Practice Discipline Reporting
Exceptions • Accessing Legal Counsel• Advisory Opinions
Policies in Committee• Records Retention• Conflict of Interest• Composition, Duties, Tenure of
Committees
3
4
2/24/2020
3
New Policies• Nurse Alert• Deactivation of MSL Policy• Utilization of Comment Field in Discipline Tab• Policy Manual Review
– Section V- Discipline 5.1 – 5.7– Section VI- Compliance 6.1 – 6.4
5
2/24/2020
1
Training and Education Committee
Midyear Report
ICNLCA MeetingMarch 2, 2020
2
1
2
2/24/2020
2
Training & Education Committee Members
Ann Oertwich (NE), ChairErin Matthies (SD), Vice-ChairTony Graham (NC)Lisa Hastings (WY)Shan Montgomery (MS)
3
Committee Charges – FY2019-2020
CHARGES:1. Complete assigned responsibilities identified in the strategic plan.
4
3
4
2/24/2020
3
Committee Accomplishments This Past Year
5
Deactivation Tip Sheet
Committee Accomplishments This Past Year
6
Denial Tip Sheet
5
6
2/24/2020
4
Committee Accomplishments This Past Year
7
NLC Annual Report
Committee Accomplishments This Past Year
8
NLC Impact in Action Success Story Series
https://www.ncsbn.org/nlc-stories.htm
7
8
2/24/2020
5
Coming Soon
• Additional videos for nurses and employers – travel nurse video
• Educational Conference for BON staff
9
Access Resources
• https://www.ncsbn.org/compacts.htm– https://www.ncsbn.org/nurse-licensure-
compact.htm– https://www.ncsbn.org/nlc-training.htm
10
9
10
TIP SHEET - December 2019
NPDB reportability ofofN•
BPDB••
BBPDB•• Non
rooo -
ortability ooforeponnnnn-Issuance of Multistate Licensese
•NN•• NN
••ooonn Isssssssuuaannccee oofff MMMMMuulttistate LicensNNNN
••• DDeeaaccttiivvaattiioonn ooff MMuullttiissttaattee LLiicceennsesseeeeeeeee
Is the non-issuance of a Multistate License (MSL) due to failure to meet the Uniform
Licensure Requirements reportable to the NPDB ?
Is the deactivation of a MSL reportable to the NPDB ?
Is the deactivation of a MSL reportable to the NPDB ?
UUnniiffoorrmm LLiicceennssuurree RReeqquuiirreemmeennttss ffoorr
MMuullttiissttaattee LLiicceennssee Meets requirements for licensure in the home
state
Graduated from a board-approved education program or international program approved by board and verified by an independent creden-tials review agency
Passed an English proficiency examination ifgraduated from an international education program not taught in English, or English is notthe applicant’s native language.
Passed the NCLEX RN or PN or predecessor exam
Eligible for or holds an active, unencumbered license
Submission of state and federal fingerprint-based criminal background checks
Not convicted of a felony or agreed disposition of a felony offense
Not convicted of a misdemeanor conviction relating to the practice of nursing
Not currently a participant in an alternativeprogram, self-disclosure of participation in an alternative program
Required to self-disclose current participation in an alternative program
NNPPDDBB GGuuiiddeebbooookk Denial of licensure (non-issuance) is not re-
portable if the applicant fails to meet the threshold criteria for licensure (p. E-68)
If the licensee voluntarily enters a treatmentor rehabilitation program at the direction of or suggestion of the licensing board – initiated either by the board or the practitioner – andthe board does not take a formal adverseaction there is no reportable action. (p.71)
Adverse actions taken by the state licensing or certification authority as a result of a formal proceeding are reportable (p. E-63)
D E A C T I V AT I O N O FT H E D U P L I C AT EM U LT I S TAT E L I C E N S E
WHAT IS THE SITUATION?
SITUATION:
A nurse holds a multistate license (MSL) in the primary state of residence (PSOR)
This nurse changes PSOR to another NLC state and applies for license by
endorsement in the new PSOR.
Now this nurse has two active multistate licenses.
NLC RELEVANT RULE:Rule 403. Change in Primary State of Residence
(1) A nurse who changes their primary state of residence from one party state to another party state may
continue to practice under the existing MSL while the nurse's application is processed and a MSL is
issued in the new PSOR.
(2) Upon issuance of a new MSL, the former PSOR shall deactivate its MSL license held by the nurse and
provide notice to the nurse.
Steps for Board Staff to Make MSL"Not Active"Method 1Speed Memo= Making the license "Not Active"
STEP 1Board staff in the licensee's new PSOR verify in Nursys® that the applicant holds or has ever held anactive MSL in another NLC state.
Upon issuance of a MSL in the new PSOR, the Board of Nursing (BON) will send a speed memo to theformer PSOR BON, notifying them of the issuance and that the former license be made "not active" andthe expiration date should reflect the date the change was made.
STEP 2
The BON in the former PSOR makes the MSL "not active" in their licensing system, transfers informationto Nursys® and notifies the nurse. The license expiration date is also changed in their licensing system,and then transferred to Nursys® and should reflect the date the change was made.
STEP 3
Steps for Board Staff to Make MSL"Not Active" (Continued)
Method 2Nursys® Duplicate MSL Report=Making the MSL "Not Active"
STEP 1
Board staff utilizes the report to make duplicateMSL "not active" as the result of the nursechanging PSOR from one NLC state to anotherNLC state and holding an active multistatelicense in each state.
STEP 2
The report displays each duplicate active MSL.
STEP 3
Based on the license issue date, staff can make theMSL with older issuance date "not active" in theirlicensing system and then transfer to Nursys®. Theexpiration date is also changed in their licensingsystem, and then transferred to Nursys® and shouldreflect the date the change was made.
STEP 4
Upon making the MSL "not active," the licensee isnotified by the BON in the former state that the BONhas learned the licensee has declared another NLCstate as their new PSOR and was issued a MSL in thatstate. The newly issued license supersedes the formerlicense, and the former is made "not active."
1 The BON in the former PSOR makes the
multistate license not active prior to
the issuance of a MSL in the new
PSOR.
Rationale:This creates a situation wherein the nurse is without
an active MSL for a period of time and therefore it
can impact the nurse's employment and the nurse
may be practicing unlicensed.
CAUTION:Three Pitfalls to
Avoid
ncsbn.org/[email protected]
2The BON in the former PSOR changes
the multistate license to single-state.
This status change occurs prior to the
issuance of a multistate license in the
new PSOR.
Rationale:
This creates a situation whereby the nurse is
without an active multistate license for a period of
time and therefore it can impact the nurse's
employment AND the nurse may be practicing
unlicensed in other NLC states.
The licensee changing PSOR from one
NLC state to another NLC state has
applied for license by endorsement in
the new PSOR. The BON in the new
PSOR will not issue the new multistate
license to the applicant until/unless
the BON in the former PSOR makes the
multistate "not active"
3
Rationale:
This creates a situation whereby the nurse is without an
active multistate license for a period of time and
therefore it can impact the nurse's employment, third
party reimbursement, OR the nurse may be practicing
without a license.
2/24/2020
1
Elections Committee
Midyear MeetingMarch 2, 2020
Elections CommitteeCo-chairs:
Cynthia LaBonde (WY)Sasha Poole (NM)
1
2
2/24/2020
2
Nominations and Elections to the Executive Committee
Four vacancies on Oct 1, 2020:
• Vice-Chair• Treasurer• Two Members-at-Large
Nominations
• Nominations for all four positions will be accepted at annual meeting.
3
4
2/24/2020
3
Positions with Two-Year Terms Ending Sept 30, 2020 for Which Nominations Will
Be Accepted at Annual Meeting
• Vice-ChairCurrently held by Stacey Pfenning (ND)
• TreasurerCurrently held by Ann Oertwich (NE)
• Member-at-Large (2)– Currently held by Phyllis Polk Johnson (MS)– Currently held by Joey Ridenour (AZ)
Details related to duties, responsibilities and time commitment of the Executive Committee positions are provided in the meeting materials.
5
6
Executive Committee Positions and Duties
Collective Duties of the Executive Committee:
1) Manage the affairs of the Commission in a manner consistent with the By-laws and purpose ofthe Commission.
2) Approve budgets, provide fiscal oversight and provide for an annual fiscal review;3) Propose policies and procedures for consideration by the Commission;4) Contract for services and monitor contract compliance;5) Monitor and enforce Member compliance with the Compact;6) Appoint standing and ad hoc committees.7) Approve and maintain minutes;8) Perform other functions as are necessary or appropriate to effect the purpose of the
Commission between meetings of the Members of the Commission.
Duties of Executive Committee Positions:
Chair
The responsibilities of the chair shall include:1) Call and preside at Commission and Executive Committee meetings,2) Act as spokesperson for the Commission,3) Set agenda for meetings of the Commission and the Executive Committee,4) Review and approve draft minutes for meetings of the Commission and the Executive
Committee,5) Act as primary liaison to National Council of State Boards of Nursing,6) Act on Commission’s behalf between Commission meetings,7) Perform all duties that customarily pertain to the office of chair and8) Perform such other duties and exercise such other powers as may be determined from time to
time by the Executive Committee.
Vice Chair
The vice chair shall perform the duties of the chair in the chair’s absence or at the chair’s direction. In the event of a vacancy in the chair’s office, the vice chair shall serve until the Commission elects a new chair.
Treasurer
The treasurer, with the assistance of the Director, NLC, shall monitor the Commission’s fiscal policies and procedures. The Treasurer reports on annual fee collection, reserve balance and all matters related to finances.
Members-at-Large (4)
In addition to the general Executive Committee duties, Members-at-Large may be asked to
participate in or lead subcommittees, or similar work groups.
Time Commitment for Meetings (one year cycle)
o 3 two-day Face to Face Executive Committee Meetings
o 2 one-day Commission Meetings in conjunction with NCSBN Midyear and Annual Meetings
o 3 one-hour Executive Committee meetings by teleconference
o 4 one-hour Commission meetings by teleconference
Term:
Two year term starting October 1, 2020 and ending September 30, 2022.
Nurse Licensure CompactApproved by the May 4, 2015 Special Delegate Assembly
ARTICLE I
Findings and Declaration of Purpose
a. The party states find that:
1. The health and safety of the public are affected by the degree of compliance with and the
effectiveness of enforcement activities related to state nurse licensure laws;
2. Violations of nurse licensure and other laws regulating the practice of nursing may result in injury
or harm to the public;
3. The expanded mobility of nurses and the use of advanced communication technologies as part of
our nation’s health care delivery system require greater coordination and cooperation among
states in the areas of nurse licensure and regulation;
4. New practice modalities and technology make compliance with individual state nurse licensure
laws difficult and complex;
5. The current system of duplicative licensure for nurses practicing in multiple states is cumbersome
and redundant for both nurses and states; and
6. Uniformity of nurse licensure requirements throughout the states promotes public safety and
public health benefits.
b. The general purposes of this Compact are to:
1. Facilitate the states’ responsibility to protect the public’s health and safety;
2. Ensure and encourage the cooperation of party states in the areas of nurse licensure and
regulation;
3. Facilitate the exchange of information between party states in the areas of nurse regulation,
investigation and adverse actions;
4. Promote compliance with the laws governing the practice of nursing in each jurisdiction;
5. Invest all party states with the authority to hold a nurse accountable for meeting all state practice
laws in the state in which the patient is located at the time care is rendered through the mutual
recognition of party state licenses;
1
I
Statutes
6. Decrease redundancies in the consideration and issuance of nurse licenses; and
7. Provide opportunities for interstate practice by nurses who meet uniform licensure requirements.
ARTICLE II
Definitions
As used in this Compact:
a. “Adverse action” means any administrative, civil, equitable or criminal action permitted by a state’s
laws which is imposed by a licensing board or other authority against a nurse, including actions
against an individual’s license or multistate licensure privilege such as revocation, suspension,
probation, monitoring of the licensee, limitation on the licensee’s practice, or any other encumbrance
on licensure affecting a nurse’s authorization to practice, including issuance of a cease and desist
action.
b. “Alternative program” means a non-disciplinary monitoring program approved by a licensing board.
c. “Coordinated licensure information system” means an integrated process for collecting, storing and
sharing information on nurse licensure and enforcement activities related to nurse licensure laws that
is administered by a nonprofit organization composed of and controlled by licensing boards.
d. “Current significant investigative information” means:
1. Investigative information that a licensing board, after a preliminary inquiry that includes
notification and an opportunity for the nurse 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; or
2. Investigative information that indicates that the nurse represents an immediate threat to public
health and safety regardless of whether the nurse has been notified and had an opportunity to
respond.
e. “Encumbrance” means a revocation or suspension of, or any limitation on, the full and unrestricted
practice of nursing imposed by a licensing board.
f. “Home state” means the party state which is the nurse’s primary state of residence.
g. “Licensing board” means a party state’s regulatory body responsible for issuing nurse licenses.
2
h. “Multistate license” means a license to practice as a registered or a licensed practical/vocational
nurse (LPN/VN) issued by a home state licensing board that authorizes the licensed nurse to practice
in all party states under a multistate licensure privilege.
i. “Multistate licensure privilege” means a legal authorization associated with a multistate license
permitting the practice of nursing as either a registered nurse (RN) or LPN/VN in a remote state.
j. “Nurse” means RN or LPN/VN, as those terms are defined by each party state’s practice laws.
k. “Party state” means any state that has adopted this Compact.
l. “Remote state” means a party state, other than the home state.
m. “Single-state license” means a nurse license issued by a party state that authorizes practice only
within the issuing state and does not include a multistate licensure privilege to practice in any other
party state.
n. “State” means a state, territory or possession of the United States and the District of Columbia.
o. “State practice laws” means a party state’s laws, rules and regulations that govern the practice of
nursing, define the scope of nursing practice, and create the methods and grounds for imposing
discipline. “State practice laws” do not include requirements necessary to obtain and retain a license,
except for qualifications or requirements of the home state.
ARTICLE III
General Provisions and Jurisdiction
a. A multistate license to practice registered or licensed practical/vocational nursing issued by a home
state to a resident in that state will be recognized by each party state as authorizing a nurse to
practice as a registered nurse (RN) or as a licensed practical/vocational nurse (LPN/VN), under a
multistate licensure privilege, in each party state.
b. A state must implement procedures for considering the criminal history records of applicants for initial
multistate license or licensure by endorsement. Such 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.
3
c. Each party state shall require the following for an applicant to obtain or retain a multistate license in
the home state:
1. Meets the home state’s qualifications for licensure or renewal of licensure, as well as, all other
applicable state laws;
2. i. Has graduated or is eligible to graduate from a licensing board-approved RN or LPN/VN
prelicensure education program; or
ii. Has graduated from a foreign RN or LPN/VN prelicensure education program that (a) has been
approved by the authorized accrediting body in the applicable country and (b) has been verified
by an independent credentials review agency to be comparable to a licensing board-approved
prelicensure education program;
3. Has, if a graduate of a foreign prelicensure education program not taught in English or if English
is not the individual’s native language, successfully passed an English proficiency examination
that includes the components of reading, speaking, writing and listening;
4. Has successfully passed an NCLEX-RN® or NCLEX-PN® Examination or recognized
predecessor, as applicable;
5. Is eligible for or holds an active, unencumbered license;
6. Has submitted, in connection with an application for initial licensure or licensure by endorsement,
fingerprints or other biometric data for the purpose of obtaining criminal history record information
from the Federal Bureau of Investigation and the agency responsible for retaining that state’s
criminal records;
7. Has not been convicted or found guilty, or has entered into an agreed disposition, of a felony
offense under applicable state or federal criminal law;
8. Has not been convicted or found guilty, or has entered into an agreed disposition, of a
misdemeanor offense related to the practice of nursing as determined on a case-by-case basis;
9. Is not currently enrolled in an alternative program;
10. Is subject to self-disclosure requirements regarding current participation in an alternative
program; and
11. Has a valid United States Social Security number.
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d. All party states shall be authorized, in accordance with existing state due process law, to take
adverse action against a nurse’s multistate licensure privilege such as revocation, suspension,
probation or any other action that affects a nurse’s authorization to practice under a multistate
licensure privilege, including cease and desist actions. If a party state takes such action, it shall
promptly notify the administrator of the coordinated licensure information system. The administrator
of the coordinated licensure information system shall promptly notify the home state of any such
actions by remote states.
e. A nurse practicing in a party state must comply with the state practice laws of the state in which the
client is located at the time service is provided. The practice of nursing is not limited to patient care,
but shall include all nursing practice as defined by the state practice laws of the party state in which
the client is located. The practice of nursing in a party state under a multistate licensure privilege will
subject a nurse to the jurisdiction of the licensing board, the courts and the laws of the party state in
which the client is located at the time service is provided.
f. Individuals not residing in a party state shall continue to be able to apply for a party state’s single-
state license as provided under the laws of each party state. However, the single-state license
granted to these individuals will not be recognized as granting the privilege to practice nursing in any
other party state. Nothing in this Compact shall affect the requirements established by a party state
for the issuance of a single-state license.
g. Any nurse holding a home state multistate license, on the effective date of this Compact, may retain
and renew the multistate license issued by the nurse’s then-current home state, provided that:
1. A nurse, who changes primary state of residence after this Compact’s effective date, must meet
all applicable Article III.c. requirements to obtain a multistate license from a new home state.
2. A nurse who fails to satisfy the multistate licensure requirements in Article III.c. due to a
disqualifying event occurring after this Compact’s effective date shall be ineligible to retain or
renew a multistate license, and the nurse’s multistate license shall be revoked or deactivated in
accordance with applicable rules adopted by the Interstate Commission of Nurse Licensure
Compact Administrators (“Commission”).
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ARTICLE IV
Applications for Licensure in a Party State
a. Upon application for a multistate license, the licensing board in the issuing party state shall ascertain,
through the coordinated licensure information 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
multistate licensure privilege held by the applicant, whether any adverse action has been taken
against any license or multistate licensure privilege held by the applicant and whether the applicant is
currently participating in an alternative program.
b. A nurse may hold a multistate license, issued by the home state, in only one party state at a time.
c. If a nurse changes primary state of residence by moving between two party states, the nurse must
apply for licensure in the new home state, and the multistate license issued by the prior home state
will be deactivated in accordance with applicable rules adopted by the Commission.
1. The nurse may apply for licensure in advance of a change in primary state of residence.
2. A multistate license shall not be issued by the new home state until the nurse provides
satisfactory evidence of a change in primary state of residence to the new home state and
satisfies all applicable requirements to obtain a multistate license from the new home state.
d. If a nurse changes primary state of residence by moving from a party state to a non-party state, the
multistate license issued by the prior home state will convert to a single-state license, valid only in the
former home state.
ARTICLE V
Additional Authorities Invested in Party State Licensing Boards
a. In addition to the other powers conferred by state law, a licensing board shall have the authority to:
1. Take adverse action against a nurse’s multistate licensure privilege to practice within that party
state.
i. Only the home state shall have the power to take adverse action against a nurse’s license
issued by the home state.
ii. For purposes of taking adverse action, the home state licensing board shall give the same
priority and effect to reported conduct received from a remote state as it would if such
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conduct had occurred within the home state. In so doing, the home state shall apply its own
state laws to determine appropriate action.
2. Issue cease and desist orders or impose an encumbrance on a nurse’s authority to practice
within that party state.
3. Complete any pending investigations of a nurse who changes primary state of residence during
the course of such investigations. The licensing board shall also have the authority to take
appropriate action(s) and shall promptly report the conclusions of such investigations to the
administrator of the coordinated licensure information system. The administrator of the
coordinated licensure information system shall promptly notify the new home state of any such
actions.
4. Issue subpoenas for both hearings and investigations that require the attendance and testimony
of witnesses, as well as, the production of evidence. Subpoenas issued by a licensing board in a
party state for the attendance and testimony of witnesses or the production of evidence from
another party 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.
5. Obtain and submit, for each nurse licensure applicant, fingerprint or other biometric-based
information to the Federal Bureau of Investigation for criminal background checks, receive the
results of the Federal Bureau of Investigation record search on criminal background checks and
use the results in making licensure decisions.
6. If otherwise permitted by state law, recover from the affected nurse the costs of investigations
and disposition of cases resulting from any adverse action taken against that nurse.
7. Take adverse action based on the factual findings of the remote state, provided that the licensing
board follows its own procedures for taking such adverse action.
b. If adverse action is taken by the home state against a nurse’s multistate license, the nurse’s
multistate licensure privilege to practice in all other party states shall be deactivated until all
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encumbrances have been removed from the multistate license. All home state disciplinary orders
that impose adverse action against a nurse’s multistate license shall include a statement that the
nurse’s multistate licensure privilege is deactivated in all party states during the pendency of the
order.
c. Nothing in this Compact shall override a party state’s decision that participation in an alternative
program may be used in lieu of adverse action. The home state licensing board shall deactivate the
multistate licensure privilege under the multistate license of any nurse for the duration of the nurse’s
participation in an alternative program.
ARTICLE VI
Coordinated Licensure Information System and Exchange of Information
a. All party states shall participate in a coordinated licensure information system of all licensed
registered nurses (RNs) and licensed practical/vocational nurses (LPNs/VNs). This system will
include information on the licensure and disciplinary history of each nurse, as submitted by party
states, to assist in the coordination of nurse licensure and enforcement efforts.
b. The Commission, in consultation with the administrator of the coordinated licensure information
system, shall formulate necessary and proper procedures for the identification, collection and
exchange of information under this Compact.
c. All licensing boards shall promptly report to the coordinated licensure information system any adverse
action, any current significant investigative information, denials of applications (with the reasons for
such denials) and nurse participation in alternative programs known to the licensing board regardless
of whether such participation is deemed nonpublic or confidential under state law.
d. Current significant investigative information and participation in nonpublic or confidential alternative
programs shall be transmitted through the coordinated licensure information system only to party
state licensing boards.
e. Notwithstanding any other provision of law, all party state licensing boards contributing information to
the coordinated licensure information system may designate information that may not be shared with
non-party states or disclosed to other entities or individuals without the express permission of the
contributing state.
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f. Any personally identifiable information obtained from the coordinated licensure information system by
a party state licensing board shall not be shared with non-party states or disclosed to other entities or
individuals except to the extent permitted by the laws of the party state contributing the information.
g. Any information contributed to the coordinated licensure information system that is subsequently
required to be expunged by the laws of the party state contributing that information shall also be
expunged from the coordinated licensure information system.
h. The Compact administrator of each party state shall furnish a uniform data set to the Compact
administrator of each other party state, which shall include, at a minimum:
1. Identifying information;
2. Licensure data;
3. Information related to alternative program participation; and
4. Other information that may facilitate the administration of this Compact, as determined by
Commission rules.
i. The Compact administrator of a party state shall provide all investigative documents and information
requested by another party state.
ARTICLE VII
Establishment of the Interstate Commission of Nurse Licensure Compact Administrators
a. The party states hereby create and establish a joint public entity known as the Interstate Commission
of Nurse Licensure Compact Administrators.
1. The Commission is an instrumentality of the party states.
2. 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.
3. Nothing in this Compact shall be construed to be a waiver of sovereign immunity.
b. Membership, Voting and Meetings
1. Each party state shall have and be limited to one administrator. The head of the state licensing
board or designee shall be the administrator of this Compact for each party state. Any
9
administrator may be removed or suspended from office as provided by the law of the state from
which the Administrator is appointed. Any vacancy occurring in the Commission shall be filled in
accordance with the laws of the party state in which the vacancy exists.
2. Each administrator shall be entitled to one (1) 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. An administrator shall vote in person or by such other means as
provided in the bylaws. The bylaws may provide for an administrator’s participation in meetings
by telephone or other means of communication.
3. The Commission shall meet at least once during each calendar year. Additional meetings shall
be held as set forth in the bylaws or rules of the commission.
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 Article VIII.
5. The Commission may convene in a closed, nonpublic meeting if the Commission must discuss:
i. Noncompliance of a party state with its obligations under this Compact;
ii. The employment, compensation, discipline or other personnel 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 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 investigatory records compiled for law enforcement purposes;
ix. Disclosure of information related to any reports prepared by or on behalf of the Commission
for the purpose of investigation of compliance with this Compact; or
x. Matters specifically exempted from disclosure by federal or state statute.
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6. If a meeting, or portion of a meeting, is closed pursuant to this provision, the Commission’s legal
counsel or designee shall certify that the meeting may be closed and shall reference each
relevant exempting provision. 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 therefor, including a description of the views expressed. All documents
considered in connection with an action shall be identified in such 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.
c. The Commission shall, by a majority vote of the administrators, prescribe bylaws or rules to govern its
conduct as may be necessary or appropriate to carry out the purposes and exercise the powers of
this Compact, including but not limited to:
1. Establishing the fiscal year of the Commission;
2. Providing reasonable standards and procedures:
i. For the establishment and meetings of other committees; and
ii. Governing any general or specific delegation of any authority or function of the Commission;
3. Providing reasonable procedures for calling and conducting meetings of the Commission, ensuring
reasonable advance notice of all meetings and providing an opportunity for attendance
of such meetings by interested parties, with enumerated exceptions designed to protect the
public’s interest, the privacy of individuals, and proprietary information, including trade secrets.
The Commission may meet in closed session only after a majority of the administrators vote to
close a meeting in whole or in part. As soon as practicable, the Commission must make public a
copy of the vote to close the meeting revealing the vote of each administrator, with no proxy votes
allowed;
4. Establishing the titles, duties and authority and reasonable procedures for the election of the
officers of the Commission;
5. Providing reasonable standards and procedures for the establishment of the personnel policies
and programs of the Commission. Notwithstanding any civil service or other similar laws of any
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party state, the bylaws shall exclusively govern the personnel policies and programs of the
Commission; and
6. Providing a mechanism for winding up the operations of the Commission and the equitable
disposition of any surplus funds that may exist after the termination of this Compact after the
payment or reserving of all of its debts and obligations;
d. The Commission shall publish its bylaws and rules, and any amendments thereto, in a convenient
form on the website of the Commission.
e. The Commission shall maintain its financial records in accordance with the bylaws.
f. The Commission shall meet and take such actions as are consistent with the provisions of this
Compact and the bylaws.
g. The Commission shall have the following powers:
1. To promulgate uniform rules to facilitate and coordinate implementation and administration of this
Compact. The rules shall have the force and effect of law and shall be binding in all party states;
2. To bring and prosecute legal proceedings or actions in the name of the Commission, provided
that the standing of any licensing board to sue or be sued under applicable law shall not be
affected;
3. To purchase and maintain insurance and bonds;
4. To borrow, accept or contract for services of personnel, including, but not limited to, employees of
a party state or nonprofit organizations;
5. To cooperate with other organizations that administer state compacts related to the regulation of
nursing, including but not limited to sharing administrative or staff expenses, office space or other
resources;
6. To hire employees, elect or appoint officers, fix compensation, define duties, grant such
individuals appropriate authority to carry out the purposes of this Compact, and to establish the
Commission’s personnel policies and programs relating to conflicts of interest, qualifications of
personnel and other related personnel matters;
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7. To accept any and all appropriate donations, grants and gifts of money, equipment, supplies,
materials and services, and to receive, utilize and dispose of the same; provided that at all times
the Commission shall avoid any appearance of impropriety or conflict of interest;
8. To lease, purchase, accept appropriate gifts or donations of, or otherwise to own, hold, improve
or use, any property, whether real, personal or mixed; provided that at all times the Commission
shall avoid any appearance of impropriety;
9. To sell, convey, mortgage, pledge, lease, exchange, abandon or otherwise dispose of any
property, whether real, personal or mixed;
10. To establish a budget and make expenditures;
11. To borrow money;
12. To appoint committees, including advisory committees comprised of administrators, state nursing
regulators, state legislators or their representatives, and consumer representatives, and other
such interested persons;
13. To provide and receive information from, and to cooperate with, law enforcement agencies;
14. To adopt and use an official seal; and
15. To perform such other functions as may be necessary or appropriate to achieve the purposes of
this Compact consistent with the state regulation of nurse licensure and practice.
h. Financing of the Commission
1. The Commission shall pay, or provide for the payment of, the reasonable expenses of its
establishment, organization and ongoing activities.
2. The Commission may also levy on and collect an annual assessment from each party state to
cover the cost of its operations, activities and staff in its annual budget as approved each year.
The aggregate annual assessment amount, if any, shall be allocated based upon a formula to be
determined by the Commission, which shall promulgate a rule that is binding upon all party
states.
3. The Commission shall 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 party states, except by,
and with the authority of, such party state.
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4. The Commission shall keep accurate accounts of all receipts and 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.
i. Qualified Immunity, Defense and Indemnification
1. The administrators, 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 such person from suit or liability for any damage, loss, injury or
liability caused by the intentional, willful or wanton misconduct of that person.
2. The Commission shall defend any administrator, 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, willful or wanton misconduct.
3. The Commission shall indemnify and hold harmless any administrator, 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 such
person had a reasonable basis for believing occurred within the scope of Commission
14
employment, duties or responsibilities, provided that the actual or alleged act, error or omission
did not result from the intentional, willful or wanton misconduct of that person.
ARTICLE VIII
Rulemaking
a. The Commission shall exercise its rulemaking powers pursuant to the criteria set forth in this Article
and the rules adopted thereunder. Rules and amendments shall become binding as of the date
specified in each rule or amendment and shall have the same force and effect as provisions of this
Compact.
b. Rules or amendments to the rules shall be adopted at a regular or special meeting of the
Commission.
c. Prior to promulgation and adoption of a final rule or rules by the Commission, and at least sixty (60)
days in advance of the meeting at which the rule will be considered and voted upon, the Commission
shall file a notice of proposed rulemaking:
1. On the website of the Commission; and
2. On the website of each licensing board or the publication in which each state would otherwise
publish proposed rules.
d. The notice of proposed rulemaking shall include:
1. The proposed time, date and location of the meeting in which the rule will be considered and
voted upon;
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.
e. Prior to 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.
f. The Commission shall grant an opportunity for a public hearing before it adopts a rule or amendment.
15
g. The Commission shall publish the place, time and date of the scheduled public hearing.
1. 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. All hearings will be recorded, and a
copy will be made available upon request.
2. Nothing in this section 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 section.
h. If no one appears at the public hearing, the Commission may proceed with promulgation of the
proposed rule.
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. The Commission shall, by majority vote of all administrators, 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.
k. Upon 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 this Compact and in this section shall be retroactively applied to
the rule as soon as reasonably possible, in no event later than ninety (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 party state funds; or
3. Meet a deadline for the promulgation of an administrative rule that is required by federal law or
rule.
l. 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 thirty (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
16
be made in writing, and delivered to the Commission, prior to the end of the notice period. If no
challenge is made, the revision will take effect without further action. If the revision is challenged, the
revision may not take effect without the approval of the Commission.
ARTICLE IX
Oversight, Dispute Resolution and Enforcement
a. Oversight
1. Each party state shall enforce this Compact and take all actions necessary and appropriate to
effectuate this Compact’s purposes and intent.
2. The Commission shall be entitled to receive service of process in any proceeding that may affect
the powers, responsibilities or actions of the Commission, and shall have standing to intervene in
such a proceeding for all purposes. Failure to provide service of process in such proceeding to
the Commission shall render a judgment or order void as to the Commission, this Compact or
promulgated rules.
b. Default, Technical Assistance and Termination
1. If the Commission determines that a party state has defaulted in the performance of its
obligations or responsibilities under this Compact or the promulgated rules, the Commission shall:
i. Provide written notice to the defaulting state and other party states of the nature of the
default, the proposed means of curing the default or any other action to be taken by the
Commission; and
ii. Provide remedial training and specific technical assistance regarding the default.
2. If a state in default fails to cure the default, the defaulting state’s membership in this Compact
may be terminated upon an affirmative vote of a majority of the administrators, and all rights,
privileges and benefits conferred by this Compact may be terminated on the effective date of
termination. A cure of the default does not relieve the offending state of obligations or liabilities
incurred during the period of default.
3. Termination of membership in this Compact shall be imposed only after all other means of
securing compliance have been exhausted. Notice of intent to suspend or terminate shall be
17
given by the Commission to the governor of the defaulting state and to the executive officer of the
defaulting state’s licensing board and each of the party states.
4. A state whose membership in this Compact has been terminated is responsible for all
assessments, obligations and liabilities incurred through the effective date of termination,
including obligations that extend beyond the effective date of termination.
5. The Commission shall not bear any costs related to a state that is found to be in default or whose
membership in this Compact has been terminated unless agreed upon in writing between the
Commission and the defaulting state.
6. The defaulting state may appeal the action of the Commission by petitioning the U.S. District
Court for the District of Columbia or the federal district in which the Commission has its principal
offices. The prevailing party shall be awarded all costs of such litigation, including reasonable
attorneys’ fees.
c. Dispute Resolution
1. Upon request by a party state, the Commission shall attempt to resolve disputes related to the
Compact that arise among party states and between party and non-party states.
2. The Commission shall promulgate a rule providing for both mediation and binding dispute
resolution for disputes, as appropriate.
3. In the event the Commission cannot resolve disputes among party states arising under this
Compact:
i. The party states may submit the issues in dispute to an arbitration panel, which will be
comprised of individuals appointed by the Compact administrator in each of the affected party
states and an individual mutually agreed upon by the Compact administrators of all the party
states involved in the dispute.
ii. The decision of a majority of the arbitrators shall be final and binding.
d. Enforcement
1. The Commission, in the reasonable exercise of its discretion, shall enforce the provisions and
rules of this Compact.
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2. By majority vote, the Commission may initiate legal action in the U.S. District Court for the District
of Columbia or the federal district in which the Commission has its principal offices against a party
state that is in default to enforce compliance with the provisions of this 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 party shall be awarded all costs of
such litigation, including reasonable attorneys’ 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.
ARTICLE X
Effective Date, Withdrawal and Amendment
a. This Compact shall become effective and binding on the earlier of the date of legislative enactment of
this Compact into law by no less than twenty-six (26) states or December 31, 2018. All party states to
this Compact, that also were parties to the prior Nurse Licensure Compact, superseded by this
Compact, (“Prior Compact”), shall be deemed to have withdrawn from said Prior Compact within six
(6) months after the effective date of this Compact.
b. Each party state to this Compact shall continue to recognize a nurse’s multistate licensure privilege to
practice in that party state issued under the Prior Compact until such party state has withdrawn from
the Prior Compact.
c. Any party state may withdraw from this Compact by enacting a statute repealing the same. A party
state’s withdrawal shall not take effect until six (6) months after enactment of the repealing statute.
d. A party state’s withdrawal or termination shall not affect the continuing requirement of the withdrawing
or terminated state’s licensing board to report adverse actions and significant investigations occurring
prior to the effective date of such withdrawal or termination.
e. Nothing contained in this Compact shall be construed to invalidate or prevent any nurse licensure
agreement or other cooperative arrangement between a party state and a non-party state that is
made in accordance with the other provisions of this Compact.
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f. This Compact may be amended by the party states. No amendment to this Compact shall become
effective and binding upon the party states unless and until it is enacted into the laws of all party
states.
g. Representatives of non-party states to this Compact shall be invited to participate in the activities of
the Commission, on a nonvoting basis, prior to the adoption of this Compact by all states.
ARTICLE XI
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 party state or of the United States, or if 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 to be contrary to the constitution of any party state, this
Compact shall remain in full force and effect as to the remaining party states and in full force and effect as
to the party state affected as to all severable matters.
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The Interstate Commission of Nurse Licensure Compact Administrators
Final Rules
Effective January 1, 2019
Page 2 of 11
Table of Contents
Section 100. Definitions………………………………………………………………………………………………………..3
Section 200. Coordinated Licensure Information System
201. Uniform Data Set and Levels of Access…….……………………………………………………..4
202.Querying the Coordinated Licensure Information System……………………………...5
Section 300. Implementation
301.Implementation Date…………………………………………………………………………………………..5
302. Transition……………………………………………………………………………………………………………5
303.Recognition of New Party States After January 19, 2018……………………………...6
Section 400. Licensure
401.A Party State’s Responsibilities………………………………………………………………………..6
402. An Applicant’s Responsibilities………………………………………………………………………...7
403.Change in Primary State of Residence…………………………………………………………...8
404.Temporary Permits and Licenses…………………………………………………………………....8
405.Identification of Licenses…………………………………………………………………………………..8
406. Credentialing and English Proficiency for Foreign Nurse Graduates…………..9
407. Deactivation, Discipline and Revocation………………………………………………………...9
Section 500. Administration
501. Dues Assessment……………………………………………………………………………………………...9
502. Dispute Resolution…………………………………………………………………………………………….9
503. Compliance and Enforcement…………………………………………………………………………10
Page 3 of 11
SECTION 100. DEFINITIONS
(1) "Commission" means the Interstate Commission of Nurse Licensure CompactAdministrators.
(2) “Compact” means the Nurse Licensure Compact that became effective on July 20,2017 and implemented on January 19, 2018.
(3) “Convert” means to change a multistate license to a single-state license if a nursechanges primary state of residence by moving from a party state to a non-party state; orto change a single-state license to a multistate license once any disqualifying events areeliminated.
(4) “Deactivate” means to change the status of a multistate license or privilege topractice.
(5) “Director” means the individual referred to in Article IV of the Interstate Commissionof Nurse Licensure Compact Administrators Bylaws.
(6) “Disqualifying Event” means an incident, which results in a person becomingdisqualified or ineligible to retain or renew a multistate license. These include but arenot limited to the following: any adverse action resulting in an encumbrance, currentparticipation in an alternative program, a misdemeanor offense related to the practice ofnursing (which includes, but is not limited to, an agreed disposition), or a felony offense(which includes, but is not limited to, an agreed disposition).
(7) “Independent credentials review agency” means a non-governmental evaluationagency that verifies and certifies that foreign nurse graduates have graduated fromnursing programs that are academically equivalent to nursing programs in the UnitedStates.
(8) “Licensure” includes the authority to practice nursing granted through the process ofexamination, endorsement, renewal, reinstatement and/or reactivation.
(9) "Prior Compact" means the Nurse Licensure Compact that was in effect untilJanuary 19, 2018.
(10) “Unencumbered license” means a license that authorizes a nurse to engage in thefull and unrestricted practice of nursing.
History: Adopted December 12, 2017; effective January 19, 2018.
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SECTION 200. COORDINATED LICENSURE INFORMATION SYSTEM
201. UNIFORM DATA SET AND LEVELS OF ACCESS
(1) The Compact Administrator of each party state shall furnish uniform data to theCoordinated Licensure Information System, which shall consist of the following:
(a) the nurse’s name;
(b) jurisdiction of licensure;
(c) license expiration date;
(d) licensure classification, license number and status;
(e) public emergency and final disciplinary actions, as defined by thecontributing state authority;
(f) a change in the status of a disciplinary action or licensure encumbrance;
(g) status of multistate licensure privileges;
(h) current participation by the nurse in an alternative program;
(i) information that is required to be expunged by the laws of a party state;
(j) the applicant or nurse’s United States social security number;
(k) current significant investigative information; and
(l) a correction to a licensee’s data.
(2) The public shall have access to items (1)(a) through (g) and information about alicensee’s participation in an alternative program to the extent allowed by state law.
(3) In the event a nurse asserts that any Coordinated Licensure Information Systemdata is inaccurate, the burden shall be upon the nurse to provide evidence in a mannerdetermined by the party state that substantiates such claim.
(4) A party state shall report the items in the uniform data set to the CoordinatedLicensure Information System within fifteen (15) calendar days of the date on which theaction is taken.
History: Adopted December 12, 2017; effective January 19, 2018; amended August 14, 2018; effective January 1, 2019.
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202. QUERYING THE COORDINATED LICENSURE INFORMATION SYSTEM
(1) Upon application for multistate licensure, with the exception of renewal by anurse, a party state shall query the Coordinated Licensure Information System todetermine the applicant’s current licensure status, previous disciplinary action(s),current participation in an alternative program, and any current significantinvestigative information.
(2) Upon discovery that an applicant is under investigation in another party state, theparty state in receipt of the nurse licensure application shall contact the investigatingparty state and may request investigative documents and information.
History: Adopted December 12, 2017; effective January 19, 2018.
SECTION 300. IMPLEMENTATION
301. IMPLEMENTATION DATE
The Compact shall be implemented on January 19, 2018.
History: Adopted December 12, 2017; effective January 19, 2018.
302. TRANSITION
(1) (a) A nurse who holds a multistate license on the Compact effective date of July20, 2017, and whose multistate license remains unencumbered on the January19, 2018 implementation date and who maintains and renews a multistatelicense is not required to meet the new requirements for a multistate licenseunder the Compact.
(b) A nurse who retained a multistate license pursuant to subsection (a) of thissection and subsequently incurs a disqualifying event shall have the multistatelicense revoked or deactivated pursuant to the laws of the home state.
(c) A nurse whose multistate license is revoked or deactivated may be eligible fora single state license in accordance with the laws of the party state.
(2) A nurse who applies for a multistate license after July 20, 2017, shall be required tomeet the requirements of Article III (c) of the Compact.
(3) During the transition period, a licensee who holds a single state license in aCompact state that was not a member of the prior Compact and who also holds amultistate license in a party state, may retain the single state license until it lapses,expires or becomes inactive.”
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(4) After the implementation date, party states shall not renew or reinstate a single state license if the nurse has a multistate license in another party state.
History: Adopted December 12, 2017; effective January 19, 2018.
303. RECOGNITION OF NEW PARTY STATES AFTER JANUARY 19, 2018
(1) All party states shall be notified by the Commission within fifteen (15) calendar days when a new party state enacts the Compact.
(2) The new party state shall establish an implementation date six (6) months from enactment or as specified in the enabling language and shall notify the Director of the date.
(3) Upon implementation, a new state licensee who holds a single state license in a Compact state that was not a member of the prior Compact and holds a multistate license in a party state, may retain the single state license until it lapses, expires or becomes inactive.
(4) At least ninety (90) calendar days prior to the implementation date, all other party states shall notify any active single state licensee with an address in the new party state that the licensee may only hold one multistate license in the primary state of residence. The licensee shall be advised to obtain or maintain a multistate license only from the primary state of residence.
(5) Each party state shall deactivate a multistate license when a new home state issues a multistate license.
History: Adopted December 12, 2017; effective January 19, 2018.
SECTION 400. LICENSURE
401. PARTY STATE RESPONSIBILITIES
(1) On all application forms for multistate licensure, a party state shall require, at a minimum:
(a) A declaration of a primary state of residence and
(b) Whether the applicant is a current participant in an alternative program.
(2) (a) An applicant for licensure who is determined to be ineligible for a multistate license shall be notified by the home state of the qualifications not met.
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(b) The home state may issue a single state license pursuant to its laws.
(3) A party state shall not issue a single state license to a nurse who holds a multistate license in another party state.
History: Adopted December 12, 2017; effective January 19, 2018.
402. APPLICANT RESPONSIBILITIES
(1) On all application forms for multistate licensure in a party state, an applicant shall declare a primary state of residence.
(2) A nurse who changes primary state of residence to another party state shall apply for a license in the new party state when the nurse declares to be a resident of the state and obtains privileges not ordinarily extended to nonresidents of the state, including but not limited to, those listed in 402 (4) (a) – (e).
(3) A nurse shall not apply for a single state license in a party state while the nurse holds a multistate license in another party state.
(4) A party state may require an applicant to provide evidence of residence in the declared primary state of residence. This evidence may include, but is not limited to, a current:
(a) driver’s license with a home address;
(b) voter registration card with a home address;
(c) federal income tax return with a primary state of residence declaration;
(d) military form no. 2058 (state of legal residence certificate); or
(e) W2 form from the United States government or any bureau, division, or agency thereof, indicating residence.
(5) An applicant who is a citizen of a foreign country, and who is lawfully present in the United States and is applying for multistate licensure in a party state may declare either the applicant’s country of origin or the party state where they are living as the primary state of residence. If the applicant declares the foreign country as the primary state of residence, the party state shall not issue a multistate license, but may issue a single state license if the applicant meets the party state’s licensure requirements.
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(6) An applicant shall disclose current participation in an alternative program to any party state, whether upon initial application or within ten (10) calendar days of enrollment in the program.
History: Adopted December 12, 2017; effective January 19, 2018.
403. CHANGE IN PRIMARY STATE OF RESIDENCE
(1) A nurse who changes his or her primary state of residence from one party state to another party state may continue to practice under the existing multistate license while the nurse’s application is processed and a multistate license is issued in the new primary state of residence.
(2) Upon issuance of a new multistate license, the former primary state of residence shall deactivate its multistate license held by the nurse and provide notice to the nurse.
(3) If a party state verifies that a licensee who holds a multistate license changes primary state of residence to a non-party state, the party state shall convert the multistate license to a single state license within fifteen (15) calendar days, and report this conversion to the Coordinated Licensure Information System.
History: Adopted December 12, 2017; effective January 19, 2018.
404. TEMPORARY PERMITS AND LICENSES
A temporary permit, license, or similar temporary authorization to practice issued by a party state to an applicant for licensure shall not grant multistate licensure privileges.
History: Adopted December 12, 2017; effective January 19, 2018.
405. IDENTIFICATION OF LICENSES
A license issued by a party state shall be clearly identified as either a single state license or a multistate license. History: Adopted December 12, 2017; effective January 19, 2018.
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406. CREDENTIALING AND ENGLISH PROFICIENCY FOR FOREIGN NURSE GRADUATES
(1) A party state shall verify that an independent credentials review agency evaluated the credentials of graduates as set forth in Article III (c)(2)ii.
(2) The party state shall verify successful completion of an English proficiency examination for graduates as set forth in Article III (c)(3).
History: Adopted December 12, 2017; effective January 19, 2018.
407. DEACTIVATION, DISCIPLINE AND REVOCATION
A party state shall determine whether a disqualifying event will result in adverse action or deactivation of a multistate license or privilege. Upon deactivation due to a disqualifying event, the home state may issue a single state license.
History: Adopted December 12, 2017; effective January 19, 2018.
SECTION 500. ADMINISTRATION
501. DUES ASSESSMENT
(1) The Commission shall determine the annual assessment to be paid by party states. The assessment formula is a flat fee per party state. The Commission shall provide public notice of any proposed revision to the annual assessment fee at least ninety (90) calendar days prior to the Commission meeting to consider the proposed revision.
(2) The annual assessment shall be due within the Commission’s first fiscal year after the implementation date and annually thereafter.
History: Adopted December 12, 2017; effective January 19, 2018.
502. DISPUTE RESOLUTION.
(1) In the event that two or more party states have a dispute, the parties shall attempt resolution following the steps set out in this rule.
(2) The parties shall first attempt informal resolution. The Compact Administrators in the states involved shall contact each other. Each Compact Administrator shall submit a written statement describing the situation to the other Compact Administrators involved
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in the dispute. Each Compact Administrator may submit a response. The submission of the statement and the response shall be in a mutually agreed upon time frame. If an interpretation of the Compact is needed, the parties shall request assistance from the Executive Committee. If all issues are resolved, no further action is required and all party state Compact Administrators shall be informed of the result. If any issue remains unresolved, the parties shall notify the Commission and request mediation.
(3)(a) A party state that has a dispute with one or more other party states, and informal resolution was unsuccessful, shall attempt mediation. Mediation shall be conducted by a mediator appointed by the Executive Committee from a list of mediators approved by the National Association of Certified Mediators or as agreed to by all parties. If all issues are resolved through mediation, no further action is required. If mediation is unsuccessful, the parties shall submit to binding dispute resolution.
(b) The costs of mediation shall be shared by all party states involved.
(c) All party state Compact Administrators shall be notified of all issues and disputes that rise to the mediation stage in order to comment on those matters and disputes that may impact all party states.
(4)(a) In the event of a dispute between party states that was not resolved through informal resolution or mediation, the party states shall submit to binding dispute resolution. The parties may choose binding dispute resolution either by submitting the question dispute to the Commission for final action or by arbitration.
(b) All party states involved shall agree in order to proceed with arbitration. In the absence of agreement, the matter shall be referred to the Commission for final determination.
(c) Each party state involved shall be responsible for its own respective expenses, including attorney fees.
(d) The party state Compact Administrators involved in the dispute shall recuse themselves from consideration or voting by the full Commission.
History: Adopted August 14, 2018; effective January 1, 2019.
503. COMPLIANCE AND ENFORCEMENT.
(1) Compliance and enforcement issues shall be initiated by the Executive Committee.
(2) The Executive Committee, through the Director, shall send a written statement to the Compact Administrator in the party state with the alleged non-compliance issue. That
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Compact Administrator shall respond to the written statement within thirty calendar days.
(3) The Compact Administrator may appear before the Executive Committee at a timeand place as designated by the Executive Committee.
(4) The Executive Committee shall make a recommendation to the Commissionconcerning the issue of non-compliance.
History: Adopted August 14, 2018; effective January 1, 2019.
The Interstate Commission of Nurse Licensure Compact Administrators
By-Laws
Adopted August 3, 2017, Amended August 15, 2017
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INDEXThe Interstate Commission of Nurse Licensure Compact Administrators Bylaws (Final Adopted August 3, 2017)
Article I - Commission Purpose, Function and BylawsSection 1. Purpose.Section 2. Functions.Section 3. Bylaws.Article IIMembership
Article III - Executive CommitteeSection 1. Section 2: Election and Succession.Section 3. Duties.Section 4. Removal of Executive Committee Members.Section 5. Vacancies
Article IV - Commission PersonnelSection 1. Duties of the Director.
Article V - Meetings of the CommissionSection 1. Meetings and Notice.Section 2. Quorum.
Section 3. Voting.Section 4. Procedure.Section 5. Public Participation in Meetings.
Article VI – Committees.Section 1. Committees.
Article VII - FinanceSection 1. Fiscal Year.Section 2. Budget.Section 3. Accounting and Audit.Section 4. Costs and Expense.Reimbursement.
Article VIII - Adoption and Amendment of Bylaws
Article IX - Dissolution of the Commission
Article X - Affiliation with National Council State Boards of Nursing
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Article ICommission Purpose, Function and Bylaws
Section 1. Purpose.
Pursuant to the terms of the Nurse Licensure Compact, (the “Compact”), the Interstate Commission of Nurse Licensure Compact Administrators (the “Commission”) is established as a quasi-governmental and joint public entity of the Party States to fulfill the Compact objectives through a means of joint cooperative action among the Party States. This is accomplished by developing a comprehensive process that facilitates the exchange of information in the areas of licensure and investigative authority of state boards of nursing and providing for mutual recognition of nursing licenses by all Party States, thereby enhancing the portability and mobility of a nursing license and promoting public protection.
Section 2. Functions.
In pursuit of the fundamental objectives set forth in the Compact, the Commission shall, as necessary or required, exercise all of the powers and fulfill all of the duties delegated to it by the Party States. The Commission’s activities shall include, but are not limited to, the following: the promulgation of rules;enforcement of Commission Rules and Bylaws; provision of dispute resolution; coordination of training and education; and the collection and dissemination of information concerning the activities of the Compact, as provided by the Compact, or as determined by the Commission to be warranted by, and consistent with, the objectives and provisions of the Compact. The provisions of the Compact shall be reasonably and liberally construed to accomplish the purposes and policies of the Compact.
Section 3. Bylaws.
As required by the Compact, these Bylaws shall govern the management and operations of the Commission. As adopted and subsequently amended, these Bylaws shall remain at all times subject to, and limited by, the terms of the Compact.
Article IIMembership
The Commission membership shall be comprised as provided by the Compact. Each Party State shall have and be limited to one voting Compact Administrator.The Compact Administrator shall be the Commissioner of the Party State. Each Party State shall forward the name of its Commissioner to the Chair of the Commission or designee. A Commissioner may designate a person to serve in place of the Commissioner as the Commissioner’s designee with respect to
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Commission business, including attending Commission meetings and voting. A Commissioner must notify the Chair of the Commission or designee of the scope and duration of the designation, prior to the meeting. The Chair of the Commission shall promptly advise the Party State of the need to appoint a new Commissioner whenever a vacancy occurs.
Article IIIExecutive Committee
Section 1.
The Commission shall establish an Executive Committee, which shall be empowered to act on behalf of the Commission between Commission meetings, except for rulemaking or amendment of the Compact. The Commission shall determine the procedures, duties and budget of the Executive Committee. The power of the Executive Committee to act on behalf of the Commission shall at all times be subject to any limitations imposed by the Bylaws, Compact or the Commission.
The Executive Committee shall consist of the Chair, Vice Chair, and Treasurer of the Commission and four additional members of the Commission.
Section 2: Election and Succession.
The Executive Committee shall be elected by the Commission by mail or electronic ballot. The elections Committee shall send a call for nominations at least 50 days prior to the election, shall announce a slate of candidates to the Commission at least 30 days prior to the election, shall announce voting by mail or electronic ballot at least 10 days prior to the election and shall verif y and report the results of the election to the Commission on October 1.
Any election resulting in a tie vote will be decided by lot. No Commissioner shall be nominated or eligible to serve on the Executive Committee if from a Party State in default of its obligations under the Compact.
Members of the Executive Committee shall serve a term of two years or until a successor is elected. No person shall serve more than two full consecutive terms in the same office. Any candidate for the Executive Committee shall be a Commissioner who has previously participated in the meetings of the Commission.
The election of the Executive Committee shall be as follows:
1. Chair: The chair shall be elected in odd numbered years;
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2. Vice Chair: The vice chair shall be elected in even numbered years;
3. Treasurer: The treasurer shall be elected in even numbered years;
4. Members-at-Large (4 positions): Members-at-Large shall be twomembers elected in even numbered years; two members elected in oddnumbered years.
Section 3. Duties.
The Commission’s officers shall perform all duties of their respective officesas the compact and these Bylaws provide. Their duties shall include, but are not limited to the following: 1. Chair: The Chair shall call and preside at Commission and Executive
Committee meetings; prepare agendas for the meetings; act onCommission’s behalf between Commission meetings. A candidate forelection, as Chair, must have served on the NLC Executive Committee fora minimum of one year.
2. Vice Chair: The Vice Chair shall perform the Chair duties in his/herabsence or at the Chair’s direction. In the event of a vacancy in theChair’s office, the Vice Chair shall serve until the Commission elects anew Chair. A candidate for election, as Vice-Chair, must have a minimumof one-year experience as a Commissioner or a compact administrator.
3. Treasurer: The Treasurer, with the assistance of the Director of theCompact, shall monitor the Commission’s fiscal policies and procedures.If the Commission does not have a Director of the Compact, the Treasurerwill also serve as secretary and perform the duties of secretary describedin Article IV Section 1 (1).
The Executive Committee shall:
1. Administer the affairs of the Commission in a manner consistent with theBylaws and purpose of the Commission;
2. Propose budgets, provide fiscal oversight and provide for an annual fiscalreview;
3. Propose policies and procedures for consideration by the Commission;
4. Contract for services and monitor contract compliance;
5. Monitor and enforce member compliance with the Compact;
6. Propose standing and ad hoc committees.
7. Approve and maintain its minutes;
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8. Perform such other functions as are necessary or appropriate to carry outthe purpose of the Commission.
Section 4. Removal of Executive Committee Members.
Any Executive Committee member may be removed from office for good cause by a two-third (2/3rd) majority vote of the Commission.
Section 5. Vacancies
Upon the resignation, removal, or death of a member of the Executive Committee, such vacancy shall be announced to the Commission by the Chair or designee.
An Elections Committee shall send a call for nominations 30 days prior to the election, shall announce a slate of candidates to the Commission 20 days prior to the election, shall announce voting by mail or electronic ballot 10 days prior to the election and shall verify and report the results of the election to the Commission.
Any election resulting in a tie vote will be decided by lot. No Commissioner shall be nominated or eligible to serve on the Executive Committee if from a Party State in default of its obligations under the Compact.
Article IVCommission Personnel
Section 1. Duties of the Director.
The Commission, through its Executive Committee, may contract for a Director of the Compact. As the Commission’s principal administrator, the Director shall also perform such other duties as may be delegated by the Commission or required by the Compact and the Bylaws, including, but not limited to, the following:
1. Serve at its discretion and act as Secretary to the Commission, but shallnot be a Member of the Commission;
2. Hire and supervise such other staff as may be authorized by theCommission;
3. Establish and manage the Commission’s office or offices as determinedby the Commission;
4. Recommend general policies and program initiatives for the Commission’sconsideration;
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5. Recommend for the Commission’s consideration administrative personnel policies governing the recruitment, hiring, management, compensation and dismissal of Commission staff;
6. Implement and monitor administration of all policies, programs, and initiatives adopted by the Commission;
7. Prepare draft annual budgets for the Commission’s consideration;
8. Monitor the Commission’s financial performance for compliance with approved budgets and policies, and maintain accurate records of the Commission’s financial account(s);
9. Execute contracts on behalf of the Commission as directed;
10. Receive service of process on behalf of the Commission;
11. Prepare and disseminate all required reports and notices directed by the Commission;
12. Assist the members of the Executive Committee in the performance of its duties;
13. Speak on behalf and represent the Commission;
14. In collaboration with legal counsel, ensure the legal integrity of the Commission and
15. Report about policy, regulatory, political, legal or other developments of relevance to the Commission’s operation.
Article V Meetings of the Commission
Section 1. Meetings and Notice. The Commission shall meet face-to-face at least twice a year at a time and place as determined by the Commissioners. Members may participate in meetings by telephone or other means of telecommunication. Special meetings may be scheduled at the discretion of the Chair, or shall be called upon the request of a majority of Commissioners. All Commissioners shall be given notice of Commission meetings at least thirty (30) days prior to the scheduled date. Agendas shall be provided to all
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Commissioners no later than seven (7) days prior to any meeting of the Commission. If an amendment to an agenda is made after an agenda has been noticed, but forty-eight (48) hours prior to a regular meeting, or twenty-four (24) hours prior to a special meeting, then the agenda is amended upon the posting of the amended agenda. All Commission meetings shall be open to the public, except as set forth in Commission Rules or as otherwise provided by the Compact. Prior public notice shall be as follows: publication of notice of each meeting will be posted at least seven (7) days prior to the meeting on the Commission's website or another website designated by the Commission and distribution by e-mail to interested parties who have requested in writing to receive such meeting notices. A meeting may be closed to the public if the Commission determines by a majority vote of the Commissioners that there exists at least one of the conditions for closing a meeting, as provided by the Compact or authorized Rules. Section 2. Quorum. A majority of Commissioners shall constitute a quorum for the transaction of business, except as otherwise required in these Bylaws. The presence of a quorum must be established before any vote of the Commission can be taken. Section 3. Voting. Each Party State is entitled to one vote. A Commissioner shall vote on such member’s own behalf and shall not delegate the vote to another Commissioner, except as permitted by a designation allowed under Article II. Any question submitted for a vote of the Commission shall be determined by a simple majority, except as otherwise required by the Compact or the Bylaws. Section 4. Procedure. The rules contained in the then current edition of Robert’s Rules of Order Newly Revised shall govern the parliamentary procedures of the commission and its committees in all cases not provided for in these Bylaws or in any policies and procedures or any special rules of order which are duly adopted by the Commission. Section 5. Public Participation in Meetings. Upon prior written request to the Commission, any person who desires to present a statement on a matter on the agenda shall be afforded an opportunity to present an oral statement to the Commission at an open meeting. The Chair may, depending on the circumstances, allow any person who desires an opportunity to present a statement on a matter that is on the agenda even in the
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absence of a prior written request to the Commission. The Chair may limit the time and manner of public statements at any open meeting.
Article VICommittees
Section 1. Committees.
The Commission shall establish committees, as it deems necessary, to carry out its objectives which shall include, but not be limited, to:
1. Rules Committee
A Rules Committee shall be established as a standing committee todevelop uniform Compact rules for consideration by the Commission andsubsequent implementation by the states and to review existing rules andrecommend necessary changes to the Commission for consideration.
2. Compliance Committee
A Compliance Committee shall be established as a standing committee tomonitor a Party State’s compliance with the terms of the Compact and itsauthorized rules.
3. Elections Committee
An Election Committee shall be established as a standing committee to:
a. Inform the Commissioners on the responsibilities of the office;b. Encourage participation by the Commissioners in the elections
process;c. Announce nominations deadlines and anticipated vacancies of the
Executive Committee of the Commission;d. Communicate with incumbents to determine if they wish to run for
re-election;e. Accept qualified nominees and prepare a slate of candidates for the
election of the officers or members at large of the ExecutiveCommittee;
f. Present a list of candidates to the Commission including the termsof office expiration dates; and
g. Tally/verify the election results and report to the Commission.
The composition, procedures, duties, budget and tenure of all committees shall be determined through policies approved by the Commission. The Commission may dissolve any committee it determines is no longer needed.
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Article VII Finance
Section 1. Fiscal Year. The Commission’s fiscal year shall begin on October 1 and end on September 30. Membership fees in an amount to be determined by the Commission, are payable by October 1 of each year. Section 2. Budget. The Commission shall operate on an annual budget cycle and shall, in any given year, adopt budgets for the following fiscal year or years as provided by the Compact. Section 3. Accounting and Audit. The Commission, with the assistance of the Director, shall keep accurate and timely accounts of its internal receipts and disbursements of the Commission funds. The receipts and disbursements of Commission funds are to be audited annually by an independent certified or licensed accountant. The independent audit report shall be made available to the public. Section 4. Costs and Expense Reimbursement. Subject to the availability of budgeted funds and unless otherwise provided by the Commission, Commissioners and Executive Committee shall be reimbursed as allowed by state policy for any actual and necessary expenses incurred pursuant to their attendance at all duly convened meetings of the Commission or its committees as provided by the Compact.
Article VIII Adoption and Amendment of Bylaws
Any Bylaw may be adopted, amended or repealed by a majority vote of the Commissioners, provided that written notice and the full text of the proposed action is provided to all Commissioners at least thirty (30) days prior to the meeting at which the action is to be considered. Failing the required notice, a two-third (2/3rd) majority vote of the Commissioners shall be required for such action.
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Article IXDissolution of the Commission
The Compact shall dissolve effective upon the date of the withdrawal or the termination by default of a Party State, which reduces membership in the Compact to one Party State as provided by the Compact.
Upon dissolution, the Compact becomes null and void and shall be of no further force or effect, and the business and affairs of the Commission shall be concluded in an orderly manner and according to applicable law.
Article XAffiliation with National Council State Boards of Nursing
The Commission shall be affiliated with and supported by the National Council of State Boards of Nursing, Inc. (NCSBN). The Commission shall negotiate payment for secretariat services by the NCSBN. Payment for the secretariatservices shall be made from the funds collected by NCSBN on behalf of the Commission. Funds contributed by Party States shall be held by NCSBN and disbursed for the benefit of the Commission as decided by the Commission.
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Updated 1/2020
2019-2020 NLC Committee Roster
1. Executive CommitteeChair: Kim Glazier (OK)
CHARGES
1. Administer the affairs of the Commission in a manner consistent with the Bylaws and purpose ofthe Commission;
2. Propose budgets, provide fiscal oversight and provide for an annual fiscal review;3. Propose policies and procedures for consideration by the Commission;4. Contract for services and monitor contract compliance;5. Monitor and enforce member compliance with the Compact;6. Propose standing and ad hoc committees.7. Approve and maintain its minutes;8. Complete assigned responsibilities identified in the strategic plan.9. Perform such other functions as are necessary or appropriate to effect the purpose of the
Commission between meetings of the Commissioners.
1. Kim Glazier, RN, MEd Chair Term Expires:September 30, 2021
Executive Director
Oklahoma
2. Stacey Pfenning, DNP, APRN, FNP, FAANP Vice-Chair Term Expires: September 30, 2020
Executive Director
North Dakota
3. Ann Oertwich, PhD, MSN, RN Treasurer Term Expires: September 30, 2020
Executive Director
Nebraska
4. Joe Baker, Jr. Member at Large Term Expires: September 30, 2021
Executive Director
Florida
5. Phyllis Polk Johnson, MSN, RN, FNP-BC Member at Large Term Expires: September 30, 2020
Executive Director
Mississippi
6. Joey Ridenour, RN MN FAAN Member at Large Term Expires: September 30, 2020
Executive Director
Arizona
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2. Rules CommitteeCo-Chairs: Joey Ridenour (AZ), Brett Thompson May (MS)
CHARGES:A rules committee shall be established as a standing committee to develop uniform CompactRules for consideration by the Commission and subsequent implementation by the states and toreview existing rules and recommend necessary changes to the Commission for consideration.
3. Training and Education CommitteeChair: Ann Oertwich (NE)Vice-Chair: Erin Matthies
CHARGES:1. Complete assigned responsibilities identified in the strategic plan.
1. Ann Oertwich PhD, MSN, RN Executive Director Nebraska
2. Erin Matthies Board Staff South Dakota
3. Tony Graham, CPM Board Staff North Carolina
4. Lisa Hastings Board Staff Wyoming
5. VACANT
6. Shan Montgomery, MBA Board Staff Mississippi
7. VACANT
8. VACANT
7. Pamela C. Zickafoose, EdD, MSN, RN, NE-BC, CNE. FRE
Member at Large Term Expires: September 30, 2021
Executive Director
Delaware
1. Joey Ridenour, RN, MN, FAAN Executive Director Arizona
2. Brett Thompson, JD Board Attorney Mississippi
3. Kim Esquibel, PhD, MSN, RN Executive Director Maine
4. VACANT
5. Michelle Mayhew, MSN, MBA/HCM, RN-BC Executive Director West Virginia - LPN
6. Carol Moody, RN, BSN, MS, NEA-BC Executive Director South Carolina
7. Stacey Pfenning, DNP, APRN, FNP, FAANP Executive Director North Dakota
8. Debbie McKinney, JD Board Attorney Oklahoma
9. Amy Fitzhugh, JD Board Attorney North Carolina 10. Rick Masters, JD Special Counsel
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4. Elections CommitteeCo-Chairs: Cynthia LaBonde (WY) and Sasha Poole (NM)
CHARGES
1. An Elections Committee shall be established as a standing committee to:
a. Inform the Commissioners on the responsibilities of the office;b. Encourage participation by the Commissioners in the elections process;c. Announce nominations deadlines and anticipated vacancies of the Executive
Committee of the Commission;d. Communicate with incumbents to determine if they wish to run for re-
election;e. Accept qualified nominees and prepare a slate of candidates for the election
of the officers or members at large of the Executive Committee;f. Present a list of candidates to the Commission including the terms of office
expiration dates; andg. Tally/verify the election results and report to the Commission.
1. Cynthia LaBonde, MN, RN Executive Director Wyoming
2. Sasha Poole, PhD, RN Executive Director New Mexico
5. Policy CommitteeChair: Pamela Zickafoose (DE)
CHARGES 1. A Policy Committee may be established to draft new policies and to review and
update existing policies at scheduled intervals.2. Complete assigned responsibilities identified in the strategic plan.
3. Draft policy related to utilization of comment field in the discipline tab
1. Pamela Zickafoose, EdD, MSN, RN, NE-BC, CNE, FRE
Executive Director Delaware
2. Adrian Guerrero Board Staff Kansas
3. Peggy Benson, MSN, MSHA, NE-BC
Executive Director Alabama
4. Joe Baker Jr. Executive Director Florida
5. Missy Poortenga, MHA, BSN, RN Executive Director Montana
6. Maggie Schwarck, MSN, RN Associate Director, Licensing Administration
Iowa
7. Karen Lyon, PhD, RN, ACNS, NEA Executive Director Louisiana RN
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6. Compliance CommitteeChair: VACANTVice Chair: VACANT
CHARGES
1. A Compliance Committee shall be established as a standing committee tomonitor a Party State’s compliance with the terms of the Compact and itsauthorized rules.
2. Complete assigned responsibilities identified in the strategic plan.
7. Research CommitteeChair: VACANTVice Chair: VACANT
CHARGE: 1. Complete assigned responsibilities as identified in the strategic plan, specifically
strategic Initiative IV, development of a comprehensive evaluation plan.
1. VACANT
2. VACANT
3. Melissa Hanson Board Staff North Dakota
4. Megan Hudson General Counsel Maine
5. Jim Cleghorn, MA Executive Director Georgia
6. Lori Scheidt, MBA-HCM Executive Director Missouri
7. Jackye Ward Board Staff Oklahoma
8. Kathy Weinberg, RN, MSN Executive Director Iowa
1. VACANT
2. VACANT
3. VACANT
4. VACANT
5. VACANT
6. VACANT
7. VACANT
Updated 8/1/19
Interstate Commission of Nurse Licensure Compact Administrators
Alabama Board of NursingPeggy Benson
Arizona State Board of Nursing Joey Ridenour *
Arkansas State Board of Nursing Sue Tedford
Colorado Board of Nursing Lori Bratton
Delaware Board of Nursing Pamela C. Zickafoose *
Florida Board of Nursing Joe Baker, Jr. *
Georgia State Board of Nursing Jim Cleghorn
Idaho Board of Nursing Russ Barron
Indiana State Board of NursingToni Herron
Iowa Board of Nursing Kathy Weinberg
Kansas Board of Nursing Carol Moreland
Kentucky Board of Nursing Jessica Estes
Louisiana State Board of Nursing for Registered Professional Nurses Karen Lyon
Maine State Board of Nursing Kim Esquibel
Maryland Board of Nursing Karen EB Evans
Mississippi Board of Nursing Phyllis Johnson*
Missouri Board of Nursing Lori Scheidt
Montana Board of Nursing Missy Poortenga
Nebraska Board of Nursing Ann Oertwich *
New Hampshire Board of Nursing Bonnie Crumley Aybar
New Jersey Board of NursingJoanne Leone
New Mexico Board of Nursing Sasha N. Poole
North Carolina Board of Nursing Julia George
North Dakota Board of Nursing Stacey Pfenning*
Oklahoma Board of Nursing Kimberly Glazier*
South Carolina Board of Nursing Carol Moody
South Dakota Board of Nursing Gloria Damgaard
Tennessee State Board of Nursing Libby Lund
Texas Board of NursingKatherine Thomas
Utah State Board of Nursing Jeff Busjahn
Virginia Board of Nursing Jay P. Douglas
West Virginia Board of Examiners for Registered Professional Nurses Sue Painter
West Virginia State Board of Examiners for Licensed Practical Nurses Michelle Mayhew
Wisconsin Board of Nursing Peter Kallio
Wyoming State Board of Nursing Cynthia LaBonde
Names with an * indicate a current member of the eNLC Commission Executive Committee.
Training andEducation
Committee
OperationsCommittee
InterstateCommission of NurseLicensure Compact
Administrators
Director, NLC
Sr. Coordinator,NLC
ExecutiveCommittee
SpecialCounsel
StandingCommittees
ElectionsCommittee
ComplianceCommittee
The Interstate Commission of Nurse Licensure Compact Administrators is a quasi-governmentaljoint public agency of the party states.
ICNLCA staff and services are provided via a memorandum of understanding with NCSBN.
Organizational Chart
Rules Committee
SpecialCommittees
Date Updated: 3/12/2019
PolicyCommittee
1
Legal Frequently Asked Questions (FAQs)
Edited 3.25.19; Approved 7.9.19; Edited 11.20.19; Edited 12.10.19; Approved 1.7.20
1. What is an agreed disposition?An agreed disposition may involve either a felony or misdemeanor offense and is any outcomeof terms in a criminal case between the government and the defendant to a final resolutionrequiring court approval and execution, the satisfaction of which bars further prosecution.Approved 7.9.19
2. Will every agreed disposition that involves a felony offense prevent an applicant fromobtaining a multistate license?Yes.Approved 7.9.19
3. Will every agreed disposition that involves a misdemeanor offense prevent an applicant fromobtaining a multistate license?No. Only misdemeanor offenses resolved through an agreed disposition that are related to thepractice of nursing prevent an applicant from obtaining a multistate license.Approved 7.9.19
4. If a conviction has been pardoned, is this outcome considered to be a conviction?It depends. Individual state laws will determine the nature of a pardon and whether it hasresulted in the elimination of a conviction, which could vary from state to state.Approved 7.9.19
5. If a conviction has been expunged, do we still consider it a conviction?No, a conviction that has been expunged legally no longer exists.Approved 7.9.19
6. Should the applicant disclose the historic fact to avoid the risk of being charged with filing afalse or misleading application?It depends. This will vary from state to state.Approved 7.9.19
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7. If a conviction has been sealed, do we still consider it a conviction?It depends. This will vary from state to state.Approved 7.9.19
8. If someone has entered a plea of guilty, nolo contendere (no contest) to an agreed dispositionfor any felony offense, is this considered a disqualifier for a multistate license?Yes. An agreed disposition, whether entered into by guilty plea, no contest plea, stipulation orany other negotiated settlement is a disqualifier for a multistate license.Approved 7.9.19
9. If someone has entered a plea of guilty, nolo contendere (no contest) to an agreed dispositionfor any misdemeanor related to the practice of nursing is this considered a disqualifier for amultistate license?Yes. An agreed disposition, that relates to the practice of nursing prevents an applicant fromobtaining a multistate license.Approved 7.9.19
10. Is an additional CBC required from a licensee who completes the terms of discipline, and seeksreinstatement of the multistate license?No, the NLC does not require a CBC in this situation. Requiring a CBC in this situation iscontingent on a state’s statutory authority.Approved 1.7.20
11. After an applicant for a nursing license completes the terms of felony agreed disposition,when is the applicant eligible to be considered to receive a multistate license?The applicant is not eligible for a MSL unless the felony is expunged or unless sealing in yourstate has the same effect as expungement.Approved 1.7.20
12. If a nurse faced felony charges resolved later after a plea to a misdemeanor, is the offensetreated as a felony or as a misdemeanor?A Misdemeanor. If the matter concluded with an agreed disposition and the misdemeanorrelated to the practice of nursing, the disposition would disqualify the candidate from receivingor holding a multistate licensure.Approved 7.9.19
13. If the charge was nolle prosequi (will not prosecute) by the DA, do we go by the dis missal orthe original charge?The dismissal of charges, including after the entry of a nolle prosequi should be treated as if thecharge(s) is not an agreed disposition. Unless later charges were filed, the dismissal of chargescannot be a disqualifier to a multistate license.Approved 7.9.19
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14. How does the compact affect VA and other federal employees? (Example: WV nurse has asingle state license in WV or has no license in WV, but is working in a federal facility andpracticing in KY and the PSOR is WV. Can the nurse be required to obtain a WV multistatelicense?)No. The nurse cannot be required to obtain a multistate in the home state. Due to the effect ofthe federal supremacy clause, a VA or other federal employee is only required to hold a singlestate license.Approved 7.9.19
15. If a license or privilege to practice is suspended or restricted for a social violation such as non -payment of child support, taxes, or student loans, is it considered an encumbrance, as definedin statute?It depends on the laws of each state.Approved 7.9.19
16. While participating in an alternative to discipline program, whether voluntary or involuntary(i.e. disciplinary), can a nurse obtain/maintain a multistate license?No, per article III c 9 of the compact.Approved 7.9.19
17. Because military offenses are not always labeled felony or misdemeanor, how do the UniformLicensure Requirements apply?Generally, a conviction of any of the offenses at a General Court-Martial is considered a federalfelony conviction. In contrast, a conviction of any of the offenses at a Special Court-Martial isconsidered a federal misdemeanor conviction.
This information can be found in a document referred to as the Record of Trial (See 10 U.S.C. § 854). Approved 7.9.19
18. Should ULR Article III c 2 ii, be interpreted as requiring a new Credentials Evaluation reportdone by an independent credentials review agency for each endorsement applicant?No. The board can utilize a Credentials Evaluation report previously accepted by another stateboard.Approved 1.7.20
19. Must a compact state consider adverse actions taken in both compact and non -compact stateswhen making a determination to issue a multistate license?Yes. (See article IV a)Approved 1.7.20
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20. Is a voluntary surrender of a license considered an encumbrance and therefore a disqualifierto a multistate license?It depends on whether:
• The BON requested to the licensee to surrender the license• Licensee surrendered in exchange for the BON to cease an investigation• Licensee surrendered in exchange for the BON to not conduct an investigation• Licensee surrendered in exchange for the BON to not order further disciplinary action
In these types of cases, the voluntary surrender is reportable. Approved 1.7.20
ICNLCAPolicy & Procedure Manual
Revised: January 7, 2020
1
TABLE OF CONTENTS
SECTION I: ADMINISTRATION1.1 ICNLCA Election of Officers1.2 Advisory Opinions1.3 Access to Legal Counsel1.4 Reserve Fund
SECTION II: IMPLEMENTATION
SECTION III: LICENSURE
SECTION IV: NURSYS4.1 Privilege to Practice Discipline Reporting Exceptions
SECTION V: DISCIPLINE5.1 Misdemeanors Related to the Practice of Nursing
SECTION VI: COMPLIANCE6.1 Collection of Annual Assessment
POLICY NUMBER: 1.1
AREA: Administration
AUTHORITY: Article VII c 4; Bylaws: Article III section 2
TOPIC: Election of Officers
PURPOSE: Deciding tied election by lot
DATE APPROVED: 8.20.19
DATE REVISED:
POLICY:If two or more Commissioners receive an equal and highest number of votes cast for the same office, the Elections Committee will coordinate with the NLC Director for lots to be drawn to determine which Commissioner is elected to the office.
PROCEDURE:
1. The nominee names shall be written on identically sized pieces of paper which are then folded over two times.
2. The NLC Director, along with at least one other NLC or NCSBN staff member serving as a witness, will place the names of the nominee Commissioners subject to the tied vote in a bag.
3. The staff member witnessing the placement of the names will ensure the pieces of paper are shuffled.
4. The Director will then turn away from the bag and select one piece of paper.
5. The Director and staff member will then record the name of the Commissioner who has been selected, affix the piece of paper with the Commissioner’s name on it to the documented sheet of paper, and notify the Elections Committee of the outcome.
6. This process shall also be video recorded by a third NLC or NCSBN staff member. The video footage of the process shall be provided to the Elections Committee.
POLICY NUMBER: 1.2
AREA: Administration
AUTHORITY: Article VII g 15
TOPIC: Advisory Opinions
PURPOSE: To clarify the process for establishing advisory opinions.
DATE APPROVED: 1.7.20
DATE REVISED:
POLICY:
The NLC Commission may publish formal advisory opinions that provide guidance and assist in the
interpretation of the laws and rules.
PROCEDURE:
1. States may submit a written request for clarification of interpretation of the law and rules of the NLC to the NLC Director.
2. The Director submits the request for clarification to the NLC Executive Committee; The Executive Committee may direct legal counsel to draft an advisory opinion.
3. Proposed advisory opinions approved by the Executive Committee shall be issued in writing by the legal counsel, Director, or Executive Committee to the Commission.
4. Advisory opinions are subject to final adoption by the Commission.
POLICY NUMBER: 1.3
AREA: Administration
AUTHORITY: Article VII c
TOPIC: Access to Legal Counsel
PURPOSE: To develop a procedure for access to legal counsel.
DATE APPROVED: 1.7.20
DATE REVISED:
POLICY:
1. Commissioners and all other persons engaged in the business of the Compact shall access the Legal Counsel of the Commission through the NLC Director. Access includes requesting a legal opinion or assistance from the Commission’s Legal Counsel.
2. The Legal Counsel for the Commission shall not respond to requests for legal opinions or assistance without the prior approval of the NLC Director, Executive Committee, or the Commission.
PROCEDURE:
Commissioners and all other persons may request a legal opinion or assistance of the Legal Counsel for the Commission by submitting their request in writing or by email to the NLC Director, who will coordinate responses to such requests in conjunction with the Executive Committee, as appropriate.
POLICY NUMBER: 1.4
AREA: Administration
AUTHORITY: Article VII (g) 10 and Article VII (h)
TOPIC: Reserve Fund
PURPOSE: To provide an adequate source of operating funds and facilitate financial flexibility for the NLC.
DATE APPROVED: 1.7.20
DATE REVISED:
POLICY:
The NLC reserve fund provides an adequate source of operating funds to sustain financial operations in the unanticipated event of significant unbudgeted increases in operating expenses and or losses in operating revenues. In addition, the reserve fund facilitates a higher level of financial flexibility for planned, strategic program development without compromising core program delivery to the NLC Commission.
PROCEDURE:
1. Under the guidance of the NCSBN CFO, reserve funds shall be invested in collaboration with the NLC Director, Executive Committee, and NLC Commission in accordance with the investment practices of the National Council of State Boards ofNursing.
2. Surplus funds at the end of each fiscal year shall be designated as operating reserves to satisfyone year of operating expenses at a minimum.
3. The Executive Committee shall review and annually assess the adequacy of reserves as they relate to current and long-range spending plans.
POLICY NUMBER: 4.1
AREA: Nursys
AUTHORITY: Article V(a)(1)(i); Article VI (a-c)
TOPIC: Privilege to Practice Discipline Reporting Exceptions
PURPOSE: To ensure that remote state is able to enter a PTP discipline in a timely manner and meet
Nursys and National Practitioner Data Bank (NPDB) compliance timeline.
DATE APPROVED: 1.7.20
DATE REVISED:
POLICY:
In the event the license status prohibits the remote state from entering a PTP discipline in Nursys, the Nursys Administrator shall take temporary technical actions to allow the remote state to report PTP discipline in Nursys in compliance with NPDB reporting guidelines.
PROCEDURE:
1. Remote party state will contact Nursys Administrator via secure Nursys speed memo and request technical assistance to enter PTP discipline in Nursys.
2. The Nursys administrator will work with the remote state to ensure proper reporting of PTP discipline.
3. The Nursys administrator will notify the home state of the remote state PTP discipline on their licensee.
POLICY NUMBER: 5.1
AREA: DISCIPLINE
AUTHORITY: Art I (a)(1-2, 6), Art I(b)(1), Art III(c)8, Art III (e)
TOPIC: Misdemeanors Related to the Practice of Nursing
PURPOSE: To provide guidance regarding clarification of misdemeanors related to the practice of nursing
DATE APPROVED: 1.7.20
DATE REVISED:
POLICY:
This policy aims to assist states in the case by case consideration of misdemeanors related to the
practice of nursing.
PROCEDURE:
The state vetting the applicant for multistate license must consider misdemeanors and how the
violation may be related to the practice of nursing. The following factors may be used as guidance:
1. The nature and seriousness of the misdemeanor offense as it relates to the practice of nursing;
2. The extent to which a license offers an opportunity to engage in further criminal activity of the same type as that in which the applicant or licensee previously had been involved;
3. The relationship of the misdemeanor offense to the ability or capacity required to perform the duties and discharge the responsibilities of a nurse; and
4. A correlation between the misdemeanor offense and the specific duties and responsibilities of a nurse.
POLICY NUMBER: 6.1
AREA: Compliance
AUTHORITY: Article VII, (h) (2); Article IX (d); Rule 501; Rule 503
TOPIC: Annual Assessment
PURPOSE: Collection of the Annual Assessment
DATE APPROVED: 8.20.19
DATE REVISED:
POLICY: Party states are responsible for paying an annual assessment.
PROCEDURE:
The following is the procedure for the collection of the annual assessment:
1. The Commission staff will send to all party states an invoice for the annual assessment by May 30th of each year.
2. Each party state will be responsible for payment of the annual assessment by October 1st
of each year.
3. If the annual assessment has not been paid by the above deadline, the Commission staff will send a reminder notification to the party state.
4. An annual assessment that has not been paid by January 1st will be considered delinquent and the Executive Committee, through the Director, will send a written statement to the Commissioner in the party state.
5. Continued non-payment will result in referral of the matter to the Commission with a recommendation to pursue enforcement action.
*Party States shall not be invoiced for the annual assessment until the next billing cycle following implementation.
FY2020 Meeting Schedule Date Time Type Primary Audience
Commission MeetingsTues, August 20, 2019 9:00 am Central Annual Meeting
Face to FaceAll Commissioners
Tues, October 8, 2019 2:00 pm Central Teleconference All Commissioners
Tues, January 7, 2020 2:00 pm Central Teleconference All Commissioners
Tues, March 3, 2020 9:00 am local time
Midyear Meeting Face to Face
All Commissioners
Tues, June 9, 2020 2:00 pm Central Teleconference All Commissioners Tues, August 11, 2020 9:00 am Central Annual Meeting
Face to Face All Commissioners
Executive Committee MeetingsSeptember 4-5, 2019 9:00 am local
time Face to Face Commission Executive Committee
December 9-10, 2019 9:00 am local time Face to Face Commission Executive CommitteeFebruary 4, 2020 2:00 pm Central Teleconference Commission Executive Committee
April 28-29, 2020 9:00 am local time Face to Face Commission Executive Committee
July 7, 2020 2:00 pm Central Teleconference Commission Executive Committee
September 2-3, 2020 9:00 am local time Face to Face Commission Executive Committee
December 14-15 or 16-17, 2020
9:00 am local time Face to Face Commission Executive Committee