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(a) The commission shall provide for the development, maintenance, operation, and
utilization of a coordinated data and reporting system containing licensure, adverse action, and the
reporting of the existence of significant investigative information on all licensed PAs and applicants
denied a license in participating states.
(b) Notwithstanding any other state law to the contrary, a participating state shall submit a
uniform data set to the data system on all PAs to whom this compact is applicable (utilizing a
unique identifier) as required by the rules of the commission, including:
(1) Identifying information;
(2) Licensure data;
(3) Adverse actions against a license or compact privilege;
(4) Any denial of application for licensure, and the reason(s) for such denial, excluding the
reporting of any criminal history record information prohibited by section 5-54.1-13.1 of this
chapter or other state or federal law;
(5) The existence of significant investigative information; and
(6) Other information that may facilitate the administration of this compact, as determined
by the rules of the commission.
(c) Significant investigative information pertaining to a licensee in any participating state
shall only be available to other participating states.
(d) The commission shall promptly notify all participating states of any adverse action
taken against a licensee or an individual applying for a license that has been reported to it. This
adverse action information shall be available to any other participating state.
(e) Participating states contributing information to the data system may, in accordance with
state or federal law, designate information that may not be shared with the public without the
express permission of the contributing state. Notwithstanding any such designation, such
information shall be reported to the commission through the data system.
(f) Any information submitted to the data system that is subsequently expunged pursuant
to federal law or the laws of the participating state contributing the information shall be removed
from the data system upon reporting of such by the participating state to the commission.
(g) The records and information provided to a participating state pursuant to this compact
or through the data system, when certified by the commission or an agent thereof, shall constitute
the authenticated business records of the commission, and shall be entitled to any associated
hearsay exception in any relevant judicial, quasi-judicial or administrative proceedings in a
participating state.
3 5-54.1-10. Rulemaking.
(a) The commission shall exercise its rulemaking powers pursuant to the criteria set forth
in this section and the rules adopted thereunder. Commission rules shall become binding as of the
date specified by the commission for each rule.
(b) The commission shall promulgate reasonable rules in order to effectively and efficiently
implement and administer this compact and achieve its purposes. A commission rule shall be
invalid and have not force or effect only if a court of competent jurisdiction holds that the rule is
invalid because the commission exercised its rulemaking authority in a manner that is beyond the
scope of the purposes of this compact, or the powers granted hereunder, or based upon another
applicable standard of review.
(c) The rules of the commission shall have the force of law in each participating state,
provided however that where the rules of the commission conflict with the laws of the participating
state that establish the medical services a PA may perform in the participating state, as held by a
court of competent jurisdiction, the rules of the commission shall be ineffective in that state to the
extent of the conflict.
(d) If a majority of the legislatures of the participating states rejects a commission rule, by
enactment of a statute or resolution in the same manner used to adopt this compact within four (4)
years of the date of adoption of the rule, then such rule shall have no further force and effect in any
participating state or to any state applying to participate in the compact.
(e) Commission rules shall be adopted at a regular or special meeting of the commission.
(f) Prior to promulgation and adoption of a final rule or rules by the commission, and at
least thirty (30) 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 or other publicly accessible platform; and
(2) To persons who have requested notice of the commission’s notices of proposed
rulemaking, and
(3) In such other way(s) as the commission may by rule specify.
(g) The notice of proposed rulemaking shall include:
(1) The time, date, and location of the public hearing on the proposed rule and the proposed
time, date and location of the meeting in which the proposed rule will be considered and voted
upon;
(2) The text of the proposed rule and the reason for the proposed rule;
(3) A request for comments on the proposed rule from any interested person and the date
by which written comments must be received; and
(4) The manner in which interested persons may submit notice to the commission of their
intention to attend the public hearing or provide any written comments.
(h) 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.
(i) If the hearing is to be held via electronic means, the commission shall publish the
mechanism for access to the electronic hearing.
(1) All persons wishing to be heard at the hearing shall as directed in the notice of proposed
rulemaking, not less than five (5) business days before the scheduled date of the hearing, notify the
commission of their desire to appear and testify at the hearing.
(2) 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.
(3) All hearings shall be recorded. A copy of the recording and the written comments, data,
facts, opinions, and arguments received in response to the proposed rulemaking shall be made
available to a person upon request.
(4) Nothing in this section shall be construed as requiring a separate hearing on each
proposed rule. Proposed rules may be grouped for the convenience of the commission at hearings
required by this section.
(j) Following the public hearing the commission shall consider all written and oral
comments timely received.
(k) The commission shall, by majority vote of all delegates, take final action on the
proposed rule and shall determine the effective date of the rule, if adopted, based on the rulemaking
record and the full text of the rule.
(1) If adopted, the rule shall be posted on the commission’s website.
(2) The commission may adopt changes to the proposed rule provided the changes do not
enlarge the original purpose of the proposed rule.
(3) The commission shall provide on its website an explanation of the reasons for
substantive changes made to the proposed rule as well as reasons for substantive changes not made
that were recommended by commenters.
(4) The commission shall determine a reasonable effective date for the rule. Except for an
emergency as provided in subsection (l) of this section, the effective date of the rule shall be no
sooner than thirty (30) days after the commission issued the notice that it adopted the rule.
(l) Upon determination that an emergency exists, the commission may consider and adopt
an emergency rule with twenty-four (24) hours prior notice, without the opportunity for comment,
or hearing, provided that the usual rulemaking procedures provided in this compact and in this
section hall 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 by the commission in order to:
(1) Meet an imminent threat to public health, safety, or welfare;
(2) Prevent a loss of commission or participating state funds;
(3) Meet a deadline for the promulgation of a commission rule that is established by federal
law or rule; or
(4) Protect public health and safety.
(m) The commission or an authorized committee of the commission may direct revisions
to a previously adopted commission rule 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 be made as set forth in the notice
of revisions 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.
(n) No participating state’s rulemaking requirements shall apply under this compact.