New Mexico 2025 Regular Session Status: In Committee 2 D cosponsors

SB 46 — INTERSTATE MEDICAL LICENSURE COMPACT

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    Introduced
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    In Committee
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    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

1477 added · 1241 removed

Plain-language change summary

Senate Bill 46 has updated certain language to clarify its purpose and process regarding the Interstate Medical Licensure Compact. The bill now clearly states that it may include amendments proposed by a committee, even if they haven't yet been adopted. This change is significant because it ensures that the legislation remains adaptable and can be reviewed in context, promoting transparency in the legislative process.

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SENATE BILL 46 57TH LEGISLATURE -STATEOFNEWMEXICO- FIRST SESSION, 2025 INTRODUCED BY Linda M.
SENATE BILL 46 57TH LEGISLATURE - STATE OF NEW MEXICO - FIRST SESSION, 2025 INTRODUCED BY Linda M.
Trujillo and Natalie Figueroa 6 8 10 AN ACT RELATING TO LICENSURE;
Trujillo and Natalie Figueroa This document may incorporate amendments proposed by a committee, but not yet adopted, as well as amendments that have been adopted during the current legislative session.
ENACTING THE INTERSTATE MEDICAL LICENSURE COMPACT;
The document is a tool to show amendments in context and cannot be used for the purpose of adding amendments to legislation.
PROVIDING FOR THE APPOINTMENT OF NEW MEXICO COMPACT COMMISSIONERS;
h AN ACT g o RELATING TO LICENSURE;
REQUIRING THE FILING OF INTERSTATE COMMISSION BYLAWS AND RULES WITH THE STATE RECORDS ADMINISTRATOR.
ENACTING THE INTERSTATE MEDICAL t hr g e i k LICENSURE COMPACT;
e t 17 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
PROVIDING FOR THE APPOINTMENT OF NEW MEXICO h r i s COMPACT COMMISSIONERS;
w l n d 18 SECTION 1.
REQUIRING THE FILING OF INTERSTATE h , t, COMMISSION BYLAWS AND RULES WITH THE STATE RECORDS e u g e b l e e h ADMINISTRATOR.
[NEW MATERIAL] SHORT TITLE.--This act may be = = 19 a l cited as the "Interstate Medical Licensure Compact".
n d d i = = o h l ] b ,d i a º e BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
i a e r 20 SECTION 2.
r i = r t e w d m a n o SECTION 1.
[NEW MATERIAL] INTERSTATE MEDICAL LICENSURE a t m m 21 COMPACT ENTERED INTO.--The "Interstate Medical Licensure d r e 22 Compact" is enacted into law and entered into on behalf of New c e s k 23 Mexico with any and all other states legally joining therein in e a n b 24 a form substantially as follows:
[NEW MATERIAL ] SHORT TITLE.--This act may be d m :
u [ "INTERSTATE MEDICAL LICENSURE COMPACT .228864.1 ARTICLE 1 - Purpose In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the member states of the Interstate Medical Licensure Compact have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state medical boards, provides a streamlined process that allows physicians to become licensed in multiple states, enhances the portability of a medical license and ensures the safety of patients.
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e e a n e d r e l u [ A d cited as the "Interstate Medical Licensure Compact".
The compact creates another pathway for licensure and does not otherwise change a state's existing medical practice act.
SECTION 2.
The compact also adopts the prevailing standard for licensure and affirms that the practice of medicine occurs where the patient is located at the time of the physician-patient encounter and, therefore, requires the physician to be under the jurisdiction of the state medical e t 17 board where the patient is located.
[NEW MATERIAL ] INTERSTATE MEDICAL LICENSURE COMPACT ENTERED INTO.--The "Interstate Medical Licensure Compact" is enacted into law and entered into on behalf of New Mexico with any and all other states legally joining therein in a form substantially as follows:
State medical boards that w l n d 18 participate in the compact retain the jurisdiction to impose an = = 19 a l adverse action against a license to practice medicine in that i a e r 20 state issued to a physician through the procedures in the a t m m 21 compact.
"INTERSTATE MEDICAL LICENSURE COMPACT ARTICLE 1 - Purpose In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the member states of the Interstate Medical Licensure Compact have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state medical boards, provides a streamlined process that allows physicians to become licensed in multiple states, enhances the portability of a medical license and h ensures the safety of patients.
d r e 22 ARTICLE 2 - Definitions c e s k 23 In the Interstate Medical Licensure Compact:
The compact creates another u » r pathway for licensure and does not otherwise change a state's t h g e l i existing medical practice act.
e a n b 24 A.
The compact also adopts the h r i s prevailing standard for licensure and affirms that the practice h , e h of medicine occurs where the patient is located at the time of t u g e b l e e , gh the physician-patient encounter and, therefore, requires the n d d i = = o h physician to be under the jurisdiction of the state medical l ] b ,d i a º r board where the patient is located.
"bylaws" means those bylaws established by the u [ interstate commission;
State medical boards that e r = t e w d m a n o participate in the compact retain the jurisdiction to impose an d m :
.228864.1 - 2 - B.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 2 - e a n e d r e l u [ A d adverse action against a license to practice medicine in that state issued to a physician through the procedures in the compact.
ARTICLE 2 - Definitions In the Interstate Medical Licensure Compact:
A.
"bylaws" means those bylaws established by the interstate commission;
B.
"expedited license" means a full and unrestricted medical license granted by a member state to an eligible physician through the process set forth in the Interstate Medical Licensure Compact;
"expedited license" means a full and h unrestricted medical license granted by a member state to an g o t hr eligible physician through the process set forth in the g e i k Interstate Medical Licensure Compact;
E.
h r i s E.
"interstate commission" means the interstate medical licensure compact commission;
"interstate commission" means the interstate h , t, medical licensure compact commission;
F.
e u g e b l e e h F.
"license" means authorization by a member state for a physician to engage in the practice of medicine, which e t 17 would be unlawful without authorization;
"license" means authorization by a member state n d d i = = o h for a physician to engage in the practice of medicine, which l ] b ,d i a º e would be unlawful without authorization;
w l n d 18 G.
r i = r t e w d m a n o G.
"medical practice act" means laws and rules = = 19 a l governing the practice of allopathic and osteopathic medicine i a e r 20 within a member state;
"medical practice act" means laws and rules d m :
a t m m 21 H.
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 3 - e a n e d r e l u [ A d governing the practice of allopathic and osteopathic medicine within a member state;
"member board" means a state agency in a member d r e 22 state that acts in the sovereign interests of the state by c e s k 23 protecting the public through licensure, regulation and e a n b 24 education of physicians as directed by the state government;
H.
u [ I.
"member board" means a state agency in a member state that acts in the sovereign interests of the state by protecting the public through licensure, regulation and education of physicians as directed by the state government;
"member state" means a state that has enacted .228864.1 - 3 - the Interstate Medical Licensure Compact;
I.
"member state" means a state that has enacted the Interstate Medical Licensure Compact;
(2) passed each component of the United States medical licensing examination or the comprehensive osteopathic medical licensing examination of the United States within three attempts, or any of its predecessor examinations accepted by a state medical board as an equivalent examination for licensure purposes;
(2) passed each component of the United States h medical licensing examination or the comprehensive osteopathic g o t hr medical licensing examination of the United States within three g e i k attempts, or any of its predecessor examinations accepted by a h r i s state medical board as an equivalent examination for licensure h , t, purposes;
(3) successfully completed graduate medical education approved by the accreditation council for graduate e t 17 medical education or the American osteopathic association;
e u g e b l e e h (3) successfully completed graduate medical n d d i = = o h education approved by the accreditation council for graduate l ] b ,d i a º e medical education or the American osteopathic association;
w l n d 18 (4) holds specialty certification or a time- = = 19 a l unlimited specialty certificate recognized by the American i a e r 20 board of medical specialties or the American osteopathic a t m m 21 association bureau of osteopathic specialists;
r i = r t e w d m a n o (4) holds specialty certification or a time- d m :
d r e 22 (5) possesses a full and unrestricted license c e s k 23 to engage in the practice of medicine issued by a member board;
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 4 - e a n e d r e l u [ A d unlimited specialty certificate recognized by the American board of medical specialties or the American osteopathic association bureau of osteopathic specialists;
e a n b 24 (6) has never been convicted or received u [ adjudication, deferred adjudication, community supervision or .228864.1 - 4 - deferred disposition for any offense by a court of appropriate jurisdiction;
(5) possesses a full and unrestricted license to engage in the practice of medicine issued by a member board;
(6) has never been convicted or received adjudication, deferred adjudication, community supervision or deferred disposition for any offense by a court of appropriate jurisdiction;
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and (9) is not under active investigation by a licensing agency or law enforcement authority in any state, federal or foreign jurisdiction;
and h (9) is not under active investigation by a u » r licensing agency or law enforcement authority in any state, t h g e l i federal or foreign jurisdiction;
L.
h r i s L.
"practice of medicine" means that clinical prevention, diagnosis or treatment of human disease, injury or condition requiring a physician to obtain and maintain a license in compliance with the medical practice act of a member e t 17 state;
"practice of medicine" means that clinical h , e h prevention, diagnosis or treatment of human disease, injury or t u g e b l e e , gh condition requiring a physician to obtain and maintain a n d d i = = o h license in compliance with the medical practice act of a member l ] b ,d i a º r state;
w l n d 18 M.
e r = t e w d m a n o M.
"rule" means a written statement by the = = 19 a l interstate commission promulgated pursuant to Article 12 of the i a e r 20 Interstate Medical Licensure Compact that is of general a t m m 21 applicability, implements, interprets or prescribes a policy or d r e 22 provision of the compact, or is an organizational, procedural c e s k 23 or practice requirement of the interstate commission, and has e a n b 24 the force and effect of statutory law in a member state and u [ includes the amendment, repeal or suspension of an existing .228864.1 - 5 - rule;
"rule" means a written statement by the d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 5 - e a n e d r e l u [ A d interstate commission promulgated pursuant to Article 12 of the Interstate Medical Licensure Compact that is of general applicability, implements, interprets or prescribes a policy or provision of the compact, or is an organizational, procedural or practice requirement of the interstate commission, and has the force and effect of statutory law in a member state and includes the amendment, repeal or suspension of an existing rule;
ARTICLE 3 - Eligibility A.
ARTICLE 3 - Eligibility h A.
A physician must meet the eligibility requirements as defined in Subsection K of Article 2 of the Interstate Medical Licensure Compact to receive an expedited license under the terms and provisions of that compact.
A physician must meet the eligibility u » r requirements as defined in Subsection K of Article 2 of the t h g e l i Interstate Medical Licensure Compact to receive an expedited h r i s license under the terms and provisions of that compact.
B.
h , e h B.
A physician who does not meet the requirements of Subsection K of Article 2 of the Interstate Medical Licensure Compact may obtain a license to practice medicine in e t 17 a member state if the person complies with all laws and w l n d 18 requirements other than that compact relating to the issuance = = 19 a l of a license to practice medicine in that state.
A physician who does not meet the requirements t u g e b l e e , gh of Subsection K of Article 2 of the Interstate Medical n d d i = = o h Licensure Compact may obtain a license to practice medicine in l ] b ,d i a º r a member state if the person complies with all laws and e r = t e w d m a n o requirements other than that compact relating to the issuance d m :
i a e r 20 ARTICLE 4 - Designation of State of Principal License a t m m 21 A.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 6 - e a n e d r e l u [ A d of a license to practice medicine in that state.
A physician shall designate a member state as d r e 22 the state of principal license for purposes of registration for c e s k 23 expedited licensure through the Interstate Medical Licensure e a n b 24 Compact if the physician possesses a full and unrestricted u [ license to practice medicine in that state, and the state is:
ARTICLE 4 - Designation of State of Principal License A.
.228864.1 - 6 - (1) the state of principal residence for the physician;
A physician shall designate a member state as the state of principal license for purposes of registration for expedited licensure through the Interstate Medical Licensure Compact if the physician possesses a full and unrestricted license to practice medicine in that state, and the state is:
(1) the state of principal residence for the physician;
h B.
A physician may redesignate a member state as a g o t hr state of principal license at any time if the state meets the g e i k requirements of Subsection A of this article.
h r i s C.
The interstate commission is authorized to h , t, develop rules to facilitate redesignation of another member e u g e b l e e h state as the state of principal license.
n d d i = = o h ARTICLE 5 - Application and Issuance of Expedited Licensure l ] b ,d i a º e A.
A physician seeking licensure through the r i = r t e w d m a n o Interstate Medical Licensure Compact shall file an application d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 7 - e a n e d r e l u [ A d for an expedited license with the member board of the state selected by the physician as the state of principal license.
A physician may redesignate a member state as a state of principal license at any time if the state meets the requirements of Subsection A of this article.
Upon receipt of an application for an expedited license, the member board within the state of principal license shall evaluate whether the physician is eligible for expedited licensure and issue a letter of qualification, verifying or denying the physician's eligibility, to the interstate commission.
C.
The interstate commission is authorized to develop rules to facilitate redesignation of another member state as the state of principal license.
ARTICLE 5 - Application and Issuance of Expedited Licensure e t 17 A.
A physician seeking licensure through the w l n d 18 Interstate Medical Licensure Compact shall file an application = = 19 a l for an expedited license with the member board of the state i a e r 20 selected by the physician as the state of principal license.
a t m m 21 B.
Upon receipt of an application for an expedited d r e 22 license, the member board within the state of principal license c e s k 23 shall evaluate whether the physician is eligible for expedited e a n b 24 licensure and issue a letter of qualification, verifying or u [ denying the physician's eligibility, to the interstate .228864.1 - 7 - commission.
(2) The member board of the state of principal license shall, in the course of verifying eligibility, perform a criminal background check of an applicant, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the federal bureau of investigation, with the exception of federal employees who have suitability determination in accordance with 5 Code of Federal Register Section 731.202.
(2) The member board of the state of principal h license shall, in the course of verifying eligibility, perform u » r a criminal background check of an applicant, including the use t h g e l i of the results of fingerprint or other biometric data checks h r i s compliant with the requirements of the federal bureau of h , e h investigation, with the exception of federal employees who have t u g e b l e e , gh suitability determination in accordance with 5 Code of Federal n d d i = = o h Register Section 731.202.
e t 17 (3) Appeal on the determination of eligibility w l n d 18 shall be made to the member state where the application was = = 19 a l filed and shall be subject to the law of that state.
l ] b ,d i a º r (3) Appeal on the determination of eligibility e r = t e w d m a n o shall be made to the member state where the application was d m :
i a e r 20 C.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 8 - e a n e d r e l u [ A d filed and shall be subject to the law of that state.
Upon verification pursuant to Subsection B of a t m m 21 this article, physicians eligible for an expedited license d r e 22 shall complete the registration process established by the c e s k 23 interstate commission to receive a license in a member state e a n b 24 selected pursuant to Subsection A of this article, including u [ the payment of applicable fees.
C.
.228864.1 - 8 - D.
Upon verification pursuant to Subsection B of this article, physicians eligible for an expedited license shall complete the registration process established by the interstate commission to receive a license in a member state selected pursuant to Subsection A of this article, including the payment of applicable fees.
D.
An expedited license shall be valid for a period consistent with the licensure period in the member state and in the same manner as required for other physicians holding a full and unrestricted license within the member state.
An expedited license shall be valid for a period h consistent with the licensure period in the member state and in u » r the same manner as required for other physicians holding a full t h g e l i and unrestricted license within the member state.
F.
h r i s F.
An expedited license obtained through the Interstate Medical Licensure Compact shall be terminated if a physician fails to maintain the license in the state of principal licensure for a non-disciplinary reason, without e t 17 redesignation of a new state of principal licensure.
An expedited license obtained through the h , e h Interstate Medical Licensure Compact shall be terminated if a t u g e b l e e , gh physician fails to maintain the license in the state of n d d i = = o h principal licensure for a non-disciplinary reason, without l ] b ,d i a º r redesignation of a new state of principal licensure.
w l n d 18 G.
e r = t e w d m a n o G.
The interstate commission is authorized to = = 19 a l develop rules regarding the application process, including i a e r 20 payment of any applicable fees, and the issuance of an a t m m 21 expedited license.
The interstate commission is authorized to d m :
d r e 22 ARTICLE 6 - Fees for Expedited Licensure c e s k 23 A.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 9 - e a n e d r e l u [ A d develop rules regarding the application process, including payment of any applicable fees, and the issuance of an expedited license.
A member state issuing an expedited license e a n b 24 authorizing the practice of medicine in that state may impose a u [ fee for a license issued or renewed through the Interstate .228864.1 - 9 - Medical Licensure Compact.
ARTICLE 6 - Fees for Expedited Licensure A.
A member state issuing an expedited license authorizing the practice of medicine in that state may impose a fee for a license issued or renewed through the Interstate Medical Licensure Compact.
(2) has not been convicted, received adjudication, deferred adjudication, community supervision or deferred disposition for an offense by a court of appropriate jurisdiction;
h (2) has not been convicted, received u » r adjudication, deferred adjudication, community supervision or t h g e l i deferred disposition for an offense by a court of appropriate h r i s jurisdiction;
(3) has not had a license authorizing the practice of medicine subject to discipline by a licensing agency in any state, federal or foreign jurisdiction, excluding e t 17 any action related to nonpayment of fees related to a license;
h , e h (3) has not had a license authorizing the t u g e b l e e , gh practice of medicine subject to discipline by a licensing n d d i = = o h agency in any state, federal or foreign jurisdiction, excluding l ] b ,d i a º r any action related to nonpayment of fees related to a license;
w l n d 18 and = = 19 a l (4) has not had a controlled substance license i a e r 20 or permit suspended or revoked by a state or the United States a t m m 21 drug enforcement administration.
e r = t e w d m a n o and d m :
d r e 22 B.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 10 - e a n e d r e l u [ A d (4) has not had a controlled substance license or permit suspended or revoked by a state or the United States drug enforcement administration.
Physicians shall comply with all continuing c e s k 23 professional development or continuing medical education e a n b 24 requirements for renewal of a license issued by a member state.
B.
u [ C.
Physicians shall comply with all continuing professional development or continuing medical education requirements for renewal of a license issued by a member state.
The interstate commission shall collect the .228864.1 - 10 - renewal fees charged for the renewal of a license and distribute the fees to the applicable member board.
C.
The interstate commission shall collect the renewal fees charged for the renewal of a license and distribute the fees to the applicable member board.
The interstate commission is authorized to develop rules to address renewal of licenses obtained through the Interstate Medical Licensure Compact.
The interstate commission is authorized to h develop rules to address renewal of licenses obtained through g o t hr the Interstate Medical Licensure Compact.
ARTICLE 8 - Coordinated Information System A.
g e i k ARTICLE 8 - Coordinated Information System h r i s A.
The interstate commission shall establish a database of all physicians licensed, or who have applied for licensure, pursuant to Article 5 of the Interstate Medical Licensure Compact.
The interstate commission shall establish a h , t, database of all physicians licensed, or who have applied for e u g e b l e e h licensure, pursuant to Article 5 of the Interstate Medical n d d i = = o h Licensure Compact.
e t 17 B.
l ] b ,d i a º e B.
Notwithstanding any other provision of law, w l n d 18 member boards shall report to the interstate commission any = = 19 a l public action or complaint against a licensed physician who has i a e r 20 applied or received an expedited license through the Interstate a t m m 21 Medical Licensure Compact.
Notwithstanding any other provision of law, r i = r t e w d m a n o member boards shall report to the interstate commission any d m :
d r e 22 C.
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 11 - e a n e d r e l u [ A d public action or complaint against a licensed physician who has applied or received an expedited license through the Interstate Medical Licensure Compact.
Member boards shall report disciplinary or c e s k 23 investigatory information determined as necessary and proper by e a n b 24 rule of the interstate commission.
C.
u [ D.
Member boards shall report disciplinary or investigatory information determined as necessary and proper by rule of the interstate commission.
Member boards may report any nonpublic .228864.1 - 11 - complaint, disciplinary or investigatory information not required by Subsection C of this article to the interstate commission.
D.
Member boards may report any nonpublic complaint, disciplinary or investigatory information not required by Subsection C of this article to the interstate commission.
All information provided to the interstate commission or distributed by member boards shall be confidential, filed under seal and used only for investigatory or disciplinary matters.
All information provided to the interstate commission or distributed by member boards shall be confidential, filed under seal and used only for investigatory h or disciplinary matters.
G.
u » r G.
The interstate commission is authorized to develop rules for mandated or discretionary sharing of information by member boards.
The interstate commission is authorized to t h g e l i develop rules for mandated or discretionary sharing of h r i s information by member boards.
ARTICLE 9 - Joint Investigations A.
h , e h ARTICLE 9 - Joint Investigations t u g e b l e e , gh A.
Licensure and disciplinary records of physicians are deemed investigative.
Licensure and disciplinary records of physicians n d d i = = o h are deemed investigative.
e t 17 B.
l ] b ,d i a º r B.
In addition to the authority granted to a member w l n d 18 board by its respective medical practice act or other = = 19 a l applicable state law, a member board may participate with other i a e r 20 member boards in joint investigations of physicians licensed by a t m m 21 the member boards.
In addition to the authority granted to a member e r = t e w d m a n o board by its respective medical practice act or other d m :
d r e 22 C.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 12 - e a n e d r e l u [ A d applicable state law, a member board may participate with other member boards in joint investigations of physicians licensed by the member boards.
A subpoena issued by a member state shall be c e s k 23 enforceable in other member states.
C.
e a n b 24 D.
A subpoena issued by a member state shall be enforceable in other member states SHPACº , but only to the extent that both states agree to and are participating in a joint investigation pursuant to the Interstate Medical Licensure Compact»SHPAC .
Member boards may share investigative, u [ litigation or compliance materials in furtherance of any joint .228864.1 - 12 - or individual investigation initiated under the Interstate Medical Licensure Compact.
D.
Member boards may share investigative, litigation or compliance materials in furtherance of any joint or individual investigation initiated under the Interstate Medical Licensure Compact.
ARTICLE 10 - Disciplinary Actions A.
h ARTICLE 10 - Disciplinary Actions u » r A.
A disciplinary action taken by a member board against a physician licensed through the Interstate Medical Licensure Compact shall be deemed unprofessional conduct that may be subject to discipline by other member boards, in addition to a violation of the medical practice act or rules in that state.
A disciplinary action taken by a member board t h g e l i against a physician licensed through the Interstate Medical h r i s Licensure Compact shall be deemed unprofessional conduct that h , e h may be subject to discipline by other member boards, in t u g e b l e e , gh addition to a violation of the medical practice act or rules in n d d i = = o h that state.
B.
l ] b ,d i a º r B.
If a license granted to a physician by the member board in the state of principal license is revoked, surrendered or relinquished in lieu of discipline or suspended, e t 17 then all licenses issued to the physician by member boards w l n d 18 shall automatically be placed, without further action necessary = = 19 a l by any member board, on the same status.
If a license granted to a physician by the e r = t e w d m a n o member board in the state of principal license is revoked, d m :
If the member board i a e r 20 in the state of principal license subsequently reinstates the a t m m 21 physician's license, a license issued to the physician by any d r e 22 other member board shall remain encumbered until that c e s k 23 respective member board takes action to reinstate the license e a n b 24 in a manner consistent with the medical practice act of that u [ state.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 13 - e a n e d r e l u [ A d surrendered or relinquished in lieu of discipline or suspended, then all licenses issued to the physician by member boards shall automatically be placed, without further action necessary by any member board, on the same status.
.228864.1 - 13 - C.
If the member board in the state of principal license subsequently reinstates the physician's license, a license issued to the physician by any other member board shall remain encumbered until that respective member board takes action to reinstate the license in a manner consistent with the medical practice act of that state.
C.
(1) impose the same or lesser sanctions against the physician so long as such sanctions are consistent with the medical practice act of that state;
(1) impose the same or lesser sanctions against the physician so long as such sanctions are consistent h with the medical practice act of that state;
or (2) pursue separate disciplinary action against the physician under that state's respective medical practice act, regardless of the action taken in other member states.
or u » r (2) pursue separate disciplinary action t h g e l i against the physician under that state's respective medical h r i s practice act, regardless of the action taken in other member h , e h states.
t u g e b l e e , gh D.
If a license granted to a physician by a member n d d i = = o h board is revoked, surrendered or relinquished in lieu of l ] b ,d i a º r discipline or suspended, then any licenses issued to the e r = t e w d m a n o physician by other member boards shall be suspended, d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 14 - e a n e d r e l u [ A d automatically and immediately without further action necessary by the other member boards, for ninety days upon entry of the order by the disciplining board, to permit the member boards to investigate the basis for the action under the medical practice act of that state.
A member board may terminate the automatic suspension of the license the member board issued prior to the completion of the ninety-day suspension period in a manner consistent with the medical practice act of that state.
SHPACº E.
A license, certification or authorization that is automatically suspended or revoked pursuant to this article shall be immediately reinstated if the suspension or revocation is solely on the basis that a health care practitioner performed, recommended or provided reproductive health services or gender-affirming care as authorized in Article 1 of the Interstate Medical Licensure Compact.»SHPAC ARTICLE 11 - Interstate Medical Licensure Compact Commission h A.
The "interstate medical licensure compact u » r commission" is created by the member states in accordance with t h g e l i the provisions of this article.
h r i s B.
The purpose of the interstate commission is the h , e h administration of the Interstate Medical Licensure Compact, t u g e b l e e , gh which is a discretionary state function.
n d d i = = o h C.
The interstate commission shall be a body l ] b ,d i a º r corporate and joint agency of the member states and shall have e r = t e w d m a n o all the responsibilities, powers and duties set forth in the d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 15 - e a n e d r e l u [ A d Interstate Medical Licensure Compact and such additional powers as may be conferred upon it by a subsequent concurrent action of the respective legislatures of the member states in accordance with the terms of the compact.
If a license granted to a physician by a member board is revoked, surrendered or relinquished in lieu of discipline or suspended, then any licenses issued to the physician by other member boards shall be suspended, automatically and immediately without further action necessary e t 17 by the other member boards, for ninety days upon entry of the w l n d 18 order by the disciplining board, to permit the member boards to = = 19 a l investigate the basis for the action under the medical practice i a e r 20 act of that state.
A member board may terminate the automatic a t m m 21 suspension of the license the member board issued prior to the d r e 22 completion of the ninety-day suspension period in a manner c e s k 23 consistent with the medical practice act of that state.
e a n b 24 ARTICLE 11 - Interstate Medical Licensure Compact Commission u [ A.
The "interstate medical licensure compact .228864.1 - 14 - commission" is created by the member states in accordance with the provisions of this article.
B.
The purpose of the interstate commission is the administration of the Interstate Medical Licensure Compact, which is a discretionary state function.
C.
The interstate commission shall be a body corporate and joint agency of the member states and shall have all the responsibilities, powers and duties set forth in the Interstate Medical Licensure Compact and such additional powers as may be conferred upon it by a subsequent concurrent action of the respective legislatures of the member states in accordance with the terms of the compact.
D.
In states where allopathic and osteopathic physicians are regulated by separate member boards e t 17 or if the licensing and disciplinary authority is split between w l n d 18 separate member boards or if the licensing and disciplinary = = 19 a l authority is split between multiple member boards within a i a e r 20 member state, the member state shall appoint one representative a t m m 21 from each member board.
In states where allopathic and osteopathic physicians are regulated by separate member boards or if the licensing and disciplinary authority is split between separate member boards or if the licensing and disciplinary authority is split between multiple member boards within a member state, the member state shall appoint one representative from each member board.
d r e 22 (1) an allopathic or osteopathic physician c e s k 23 appointed to a member board;
(1) an allopathic or osteopathic physician appointed to a member board;
e a n b 24 (2) an executive director, executive secretary u [ or similar executive of a member board;
(2) an executive director, executive secretary h or similar executive of a member board;
or .228864.1 - 15 - (3) a member of the public appointed to a member board.
or g o t hr (3) a member of the public appointed to a g e i k member board.
E.
h r i s E.
The interstate commission shall meet at least once each calendar year.
The interstate commission shall meet at least h , t, once each calendar year.
A portion of this meeting shall be a business meeting to address such matters as may properly come before the commission, including the election of officers.
A portion of this meeting shall be a e u g e b l e e h business meeting to address such matters as may properly come n d d i = = o h before the commission, including the election of officers.
The chair may call additional meetings and shall call for a meeting upon the request of a majority of the member states.
The l ] b ,d i a º e chair may call additional meetings and shall call for a meeting r i = r t e w d m a n o upon the request of a majority of the member states.
F.
d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 16 - e a n e d r e l u [ A d F.
A commissioner shall not delegate a e t 17 vote to another commissioner.
A commissioner shall not delegate a vote to another commissioner.
In the absence of a member w l n d 18 state's commissioner, the member state may delegate voting = = 19 a l authority for a specified meeting to another person from that i a e r 20 state who shall meet the requirements of Subsection D of this a t m m 21 article.
In the absence of a member state's commissioner, the member state may delegate voting authority for a specified meeting to another person from that state who shall meet the requirements of Subsection D of this article.
d r e 22 H.
H.
The interstate commission shall provide public c e s k 23 notice of all meetings, and all meetings shall be open to the e a n b 24 public.
The interstate commission shall provide public notice of all meetings, and all meetings shall be open to the public.
The interstate commission may close a meeting, in full u [ or in portion, where the interstate commission determines by a .228864.1 - 16 - two-thirds' vote of the commissioners present that an open meeting would be likely to:
The interstate commission may close a meeting, in full h or in portion, where the interstate commission determines by a g o t hr two-thirds' vote of the commissioners present that an open g e i k meeting would be likely to:
(1) relate solely to the internal personnel practice and procedures of the interstate commission;
h r i s (1) relate solely to the internal personnel h , t, practice and procedures of the interstate commission;
(2) discuss matters specifically exempted from disclosure by federal statute;
e u g e b l e e h (2) discuss matters specifically exempted from n d d i = = o h disclosure by federal statute;
(3) discuss trade secrets or commercial or financial information that is privileged or confidential;
l ] b ,d i a º e (3) discuss trade secrets or commercial or r i = r t e w d m a n o financial information that is privileged or confidential;
(4) involve accusing a person of a crime or formally censuring a person;
d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 17 - e a n e d r e l u [ A d (4) involve accusing a person of a crime or formally censuring a person;
or (7) specifically relate to the participation e t 17 in a civil action or other legal proceeding.
or (7) specifically relate to the participation in a civil action or other legal proceeding.
w l n d 18 I.
I.
The interstate commission shall keep minutes = = 19 a l that shall fully describe all matters discussed in a meeting i a e r 20 and shall provide a full and accurate summary of actions taken, a t m m 21 including record of any roll call votes.
The interstate commission shall keep minutes that shall fully describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, including record of any roll call votes.
d r e 22 J.
J.
The interstate commission shall make its c e s k 23 information and official records, to the extent not otherwise e a n b 24 designated in the Interstate Medical Licensure Compact or by u [ its rules, available to the public for inspection.
The interstate commission shall make its information and official records, to the extent not otherwise designated in the Interstate Medical Licensure Compact or by h its rules, available to the public for inspection.
.228864.1 - 17 - K.
g o t hr K.
The interstate commission shall establish an executive committee that shall include officers, members and others as determined by the bylaws.
The interstate commission shall establish an g e i k executive committee that shall include officers, members and h r i s others as determined by the bylaws.
The executive committee shall have the power to act on behalf of the interstate commission, with the exception of rulemaking, during periods when the interstate commission is not in session.
The executive committee h , t, shall have the power to act on behalf of the interstate e u g e b l e e h commission, with the exception of rulemaking, during periods n d d i = = o h when the interstate commission is not in session.
When acting on behalf of the interstate commission, the executive committee shall oversee the administration of the Interstate Medical Licensure Compact, including enforcement and compliance with the provisions of the compact, its bylaws and rules and other such duties as necessary.
When acting l ] b ,d i a º e on behalf of the interstate commission, the executive committee r i = r t e w d m a n o shall oversee the administration of the Interstate Medical d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 18 - e a n e d r e l u [ A d Licensure Compact, including enforcement and compliance with the provisions of the compact, its bylaws and rules and other such duties as necessary.
ARTICLE 12 - Powers and Duties of the Interstate Commission The interstate commission shall have the duty and power e t 17 to:
ARTICLE 12 - Powers and Duties of the Interstate Commission The interstate commission shall have the duty and power to:
w l n d 18 A.
A.
oversee and maintain the administration of the = = 19 a l Interstate Medical Licensure Compact;
oversee and maintain the administration of the Interstate Medical Licensure Compact;
i a e r 20 B.
B.
promulgate rules that shall be binding to the a t m m 21 extent and in the manner provided for in the Interstate Medical d r e 22 Licensure Compact;
promulgate rules that shall be binding to the extent and in the manner provided for in the Interstate Medical Licensure Compact;
c e s k 23 C.
C.
issue, upon the request of a member state or e a n b 24 member board, advisory opinions concerning the meaning or u [ interpretation of the Interstate Medical Licensure Compact, its .228864.1 - 18 - bylaws, rules and actions;
issue, upon the request of a member state or member board, advisory opinions concerning the meaning or h interpretation of the Interstate Medical Licensure Compact, its u » r bylaws, rules and actions;
D.
t h g e l i D.
enforce compliance with Interstate Medical Licensure Compact provisions, the rules promulgated by the interstate commission and the bylaws, using all necessary and proper means, including the use of judicial process;
enforce compliance with Interstate Medical h r i s Licensure Compact provisions, the rules promulgated by the h , e h interstate commission and the bylaws, using all necessary and t u g e b l e e , gh proper means, including the use of judicial process;
E.
n d d i = = o h E.
establish and appoint committees, including an executive committee as required by Article 11 of the Interstate Medical Licensure Compact, which shall have the power to act on behalf of the interstate commission in carrying out the interstate commission's powers and duties;
establish and appoint committees, including an l ] b ,d i a º r executive committee as required by Article 11 of the Interstate e r = t e w d m a n o Medical Licensure Compact, which shall have the power to act on d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 19 - e a n e d r e l u [ A d behalf of the interstate commission in carrying out the interstate commission's powers and duties;
e t 17 I.
I.
w l n d 18 J.
J.
employ an executive director who shall have such = = 19 a l powers to employ, select or appoint employees, agents or i a e r 20 consultants and to determine their qualifications, define their a t m m 21 duties and fix their compensation;
employ an executive director who shall have such powers to employ, select or appoint employees, agents or consultants and to determine their qualifications, define their duties and fix their compensation;
d r e 22 K.
K.
establish personnel policies and programs c e s k 23 relating to conflicts of interest, rates of compensation and e a n b 24 qualifications of personnel;
establish personnel policies and programs relating to conflicts of interest, rates of compensation and qualifications of personnel;
u [ L.
h L.
accept donations and grants of money, equipment, .228864.1 - 19 - supplies, materials and services and to receive, utilize and dispose of donations and grants of money, equipment, supplies, materials and services in a manner consistent with the conflict of interest policies established by the interstate commission;
accept donations and grants of money, equipment, g o t hr supplies, materials and services and to receive, utilize and g e i k dispose of donations and grants of money, equipment, supplies, h r i s materials and services in a manner consistent with the conflict h , t, of interest policies established by the interstate commission;
M.
e u g e b l e e h M.
lease, purchase, accept contributions or donations of or otherwise to own, hold, improve or use any property, real, personal or mixed;
lease, purchase, accept contributions or n d d i = = o h donations of or otherwise to own, hold, improve or use any l ] b ,d i a º e property, real, personal or mixed;
N.
r i = r t e w d m a n o N.
sell, convey, mortgage, pledge, lease, exchange, abandon or otherwise dispose of any property, real, personal or mixed;
sell, convey, mortgage, pledge, lease, exchange, d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 20 - e a n e d r e l u [ A d abandon or otherwise dispose of any property, real, personal or mixed;
Such reports e t 17 shall also include reports of financial audits and any w l n d 18 recommendations that may have been adopted by the interstate = = 19 a l commission;
Such reports shall also include reports of financial audits and any recommendations that may have been adopted by the interstate commission;
i a e r 20 R.
R.
coordinate education, training and public a t m m 21 awareness regarding the Interstate Medical Licensure Compact, d r e 22 its implementation and its operation;
coordinate education, training and public awareness regarding the Interstate Medical Licensure Compact, its implementation and its operation;
c e s k 23 S.
S.
e a n b 24 T.
T.
seek and obtain trademarks, copyrights and u [ patents;
seek and obtain trademarks, copyrights and h patents;
and .228864.1 - 20 - U.
and g o t hr U.
perform such functions as may be necessary or appropriate to achieve the purpose of the Interstate Medical Licensure Compact.
perform such functions as may be necessary or g e i k appropriate to achieve the purpose of the Interstate Medical h r i s Licensure Compact.
ARTICLE 13 - Finance Powers A.
h , t, ARTICLE 13 - Finance Powers e u g e b l e e h A.
The interstate commission may levy on and collect an annual assessment from each member state to cover the cost of the operations and activities of the interstate commission and its staff.
The interstate commission may levy on and n d d i = = o h collect an annual assessment from each member state to cover l ] b ,d i a º e the cost of the operations and activities of the interstate r i = r t e w d m a n o commission and its staff.
The total assessment must be sufficient to cover the annual budget approved each year for which revenue is not provided by other sources.
The total assessment must be d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 21 - e a n e d r e l u [ A d sufficient to cover the annual budget approved each year for which revenue is not provided by other sources.
e t 17 C.
C.
The interstate commission shall not pledge the w l n d 18 credit of any of the member states, except by, and with the = = 19 a l authority of, the member state.
The interstate commission shall not pledge the credit of any of the member states, except by, and with the authority of, the member state.
i a e r 20 D.
D.
The interstate commission shall be subject to a a t m m 21 yearly financial audit conducted by a certified or licensed d r e 22 accountant, and the report of the audit shall be included in c e s k 23 the annual report of the interstate commission.
The interstate commission shall be subject to a yearly financial audit conducted by a certified or licensed accountant, and the report of the audit shall be included in the annual report of the interstate commission.
e a n b 24 ARTICLE 14 - Organization and Operation of the Interstate u [ Commission .228864.1 - 21 - A.
ARTICLE 14 - Organization and Operation of the Interstate h Commission u » r A.
The interstate commission shall, by a majority of commissioners present and voting, adopt bylaws to govern the interstate commission's conduct as may be necessary or appropriate to carry out the purposes of the Interstate Medical Licensure Compact within twelve months of the first interstate commission meeting.
The interstate commission shall, by a majority t h g e l i of commissioners present and voting, adopt bylaws to govern the h r i s interstate commission's conduct as may be necessary or h , e h appropriate to carry out the purposes of the Interstate Medical t u g e b l e e , gh Licensure Compact within twelve months of the first interstate n d d i = = o h commission meeting.
B.
l ] b ,d i a º r B.
The interstate commission shall elect or appoint annually from among its commissioners a chair, a vice chair and a treasurer, each of whom shall have such authority and duties as may be specified in the bylaws.
The interstate commission shall elect or appoint e r = t e w d m a n o annually from among its commissioners a chair, a vice chair and d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 22 - e a n e d r e l u [ A d a treasurer, each of whom shall have such authority and duties as may be specified in the bylaws.
D.
SHPACº D.
The officers and employees of the interstate e t 17 commission shall be immune from suit and liability, either w l n d 18 personally or in their official capacity, for a claim for = = 19 a l damage to or loss of property or personal injury or other civil i a e r 20 liability caused or arising out of, or relating to, an actual a t m m 21 or alleged act, error or omission that occurred, or that such d r e 22 person had a reasonable basis for believing occurred, within c e s k 23 the scope of interstate commission employment, duties or e a n b 24 responsibilities;
The officers and employees of the interstate commission shall be immune from suit and liability, either personally or in their official capacity, for a claim for damage to or loss of property or personal injury or other civil liability caused or arising out of, or relating to, an actual or alleged act, error or omission that occurred, or that such person had a reasonable basis for believing occurred, within the scope of interstate commission employment, duties or responsibilities;
provided that such person shall not be u [ protected from suit or liability for damage, loss, injury or .228864.1 - 22 - liability caused by the intentional or willful and wanton misconduct of such person.
provided that such person shall not be h protected from suit or liability for damage, loss, injury or u » r liability caused by the intentional or willful and wanton t h g e l i misconduct of such person.»SHPAC h r i s SHPACºE.»SHPAC SHPACºD.»SHPAC The liability of the h , e h t u g executive director and employees of the interstate commission e b l e e , gh or representatives of the interstate commission, acting within n d d i = = o h the scope of such person's employment or duties for acts, l ] b ,d i a º r e r = errors or omissions occurring within such person's state, may t e w d m a n o not exceed the limits of liability set forth under the d m :
E.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 23 - e a n e d r e l u [ A d constitution and laws of that state for state officials, employees and agents.
The liability of the executive director and employees of the interstate commission or representatives of the interstate commission, acting within the scope of such person's employment or duties for acts, errors or omissions occurring within such person's state, may not exceed the limits of liability set forth under the constitution and laws of that state for state officials, employees and agents.
F.
SHPACº F.»SHPAC SHPACºE.»SHPAC The interstate commission shall defend the executive director and its employees, and, subject to the approval of the attorney general or other appropriate legal counsel of the member state represented by an interstate commission representative, shall defend such interstate commission representative in any civil action seeking to impose liability arising out of an actual or alleged act, error or omission that occurred within the scope of interstate commission employment, duties or h responsibilities, or that the defendant had a reasonable basis u » r for believing occurred within the scope of interstate t h g e l i commission employment, duties or responsibilities;
The interstate commission shall defend the e t 17 executive director and its employees, and, subject to the w l n d 18 approval of the attorney general or other appropriate legal = = 19 a l counsel of the member state represented by an interstate i a e r 20 commission representative, shall defend such interstate a t m m 21 commission representative in any civil action seeking to impose d r e 22 liability arising out of an actual or alleged act, error or c e s k 23 omission that occurred within the scope of interstate e a n b 24 commission employment, duties or responsibilities, or that the u [ defendant had a reasonable basis for believing occurred within .228864.1 - 23 - the scope of interstate commission employment, duties or responsibilities;
provided h r i s that the actual or alleged act, error or omission did not h , e h result from intentional or willful and wanton misconduct on the t u g e b l e e , gh part of such person.
n d d i = = o h SHPACº G.»SHPAC SHPACºF.»SHPAC To the extent not l ] b ,d i a º r covered by the state involved, member state or the interstate e r = t e w d m a n o commission, the representatives or employees of the interstate d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 24 - e a n e d r e l u [ A d commission shall be held harmless in the amount of a settlement or judgment, including attorney fees and costs, obtained against such persons arising out of an actual or alleged act, error or omission that occurred within the scope of the interstate commission employment, duties or responsibilities, or that such persons had a reasonable basis for believing occurred within the scope of interstate commission employment, duties or responsibilities;
G.
ARTICLE 15 - Rulemaking Functions of the Interstate Commission A.
To the extent not covered by the state involved, member state or the interstate commission, the representatives or employees of the interstate commission shall be held harmless in the amount of a settlement or judgment, including attorney fees and costs, obtained against such persons arising out of an actual or alleged act, error or omission that occurred within the scope of the interstate commission employment, duties or responsibilities, or that such persons had a reasonable basis for believing occurred within the scope of interstate commission employment, duties or responsibilities;
The interstate commission shall promulgate reasonable rules to effectively and efficiently achieve the purpose of the Interstate Medical Licensure Compact;
provided that the actual or alleged act, error or omission did not result from intentional or willful e t 17 and wanton misconduct on the part of such person.
provided that in the event the interstate commission exercises rulemaking authority in a manner that is beyond the scope of h the purposes of that compact or the powers granted by that u » r compact, then such an action by the interstate commission shall t h g e l i be invalid and have no force or effect.
w l n d 18 ARTICLE 15 - Rulemaking Functions of the Interstate Commission = = 19 a l A.
h r i s B.
The interstate commission shall promulgate i a e r 20 reasonable rules to effectively and efficiently achieve the a t m m 21 purpose of the Interstate Medical Licensure Compact;
Rules deemed appropriate for the operations of h , e h the interstate commission shall be made pursuant to a t u g e b l e e , gh rulemaking process that substantially conforms to the model n d d i = = o h state administrative procedure act of 2010 and subsequent l ] b ,d i a º r amendments to that act.
provided d r e 22 that in the event the interstate commission exercises c e s k 23 rulemaking authority in a manner that is beyond the scope of e a n b 24 the purposes of that compact or the powers granted by that u [ compact, then such an action by the interstate commission shall .228864.1 - 24 - be invalid and have no force or effect.
e r = t e w d m a n o C.
B.
No later than thirty days after a rule is d m :
Rules deemed appropriate for the operations of the interstate commission shall be made pursuant to a rulemaking process that substantially conforms to the model state administrative procedure act of 2010 and subsequent amendments to that act.
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 25 - e a n e d r e l u [ A d promulgated, a person may file a petition for judicial review of the rule in the United States district court for the District of Columbia or the federal district where the interstate commission has its principal offices;
C.
No later than thirty days after a rule is promulgated, a person may file a petition for judicial review of the rule in the United States district court for the District of Columbia or the federal district where the interstate commission has its principal offices;
The court shall give deference to the actions of the interstate commission consistent with applicable law and shall not find e t 17 the rule to be unlawful if the rule represents a reasonable w l n d 18 exercise of the authority granted to the interstate commission.
The court shall give deference to the actions of the interstate commission consistent with applicable law and shall not find the rule to be unlawful if the rule represents a reasonable exercise of the authority granted to the interstate commission.
= = 19 a l ARTICLE 16 - Oversight of Interstate Medical Licensure Compact i a e r 20 A.
ARTICLE 16 - Oversight of Interstate Medical Licensure Compact A.
The executive, legislative and judicial branches a t m m 21 of state government in each member state shall enforce the d r e 22 Interstate Medical Licensure Compact and shall take all actions c e s k 23 necessary and appropriate to effectuate the compact's purposes e a n b 24 and intent.
The executive, legislative and judicial branches of state government in each member state shall enforce the Interstate Medical Licensure Compact and shall take all actions necessary and appropriate to effectuate the compact's purposes h and intent.
The provisions of that compact and the rules u [ promulgated pursuant to that compact shall have standing as .228864.1 - 25 - statutory law but shall not override existing state authority to regulate the practice of medicine.
The provisions of that compact and the rules u » r promulgated pursuant to that compact shall have standing as t h g e l i statutory law but shall not override existing state authority h r i s to regulate the practice of medicine.
B.
h , e h B.
All courts shall take judicial notice of the Interstate Medical Licensure Compact and rules promulgated pursuant to that compact in any judicial or administrative proceeding in a member state pertaining to the subject matter of that compact that may affect the powers, responsibilities or actions of the interstate commission.
All courts shall take judicial notice of the t u g e b l e e , gh Interstate Medical Licensure Compact and rules promulgated n d d i = = o h pursuant to that compact in any judicial or administrative l ] b ,d i a º r proceeding in a member state pertaining to the subject matter e r = t e w d m a n o of that compact that may affect the powers, responsibilities or d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 26 - e a n e d r e l u [ A d actions of the interstate commission.
ARTICLE 17 - Enforcement of Interstate Medical Licensure e t 17 Compact w l n d 18 A.
ARTICLE 17 - Enforcement of Interstate Medical Licensure Compact A.
The interstate commission, in the reasonable = = 19 a l exercise of its discretion, shall enforce the provisions and i a e r 20 rules of the Interstate Medical Licensure Compact.
The interstate commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the Interstate Medical Licensure Compact.
a t m m 21 B.
B.
The interstate commission may, by majority vote d r e 22 of the commissioners, initiate legal action in the United c e s k 23 States district court for the District of Columbia, or, at the e a n b 24 discretion of the interstate commission, in the federal u [ district where the interstate commission has its principal .228864.1 - 26 - offices, to enforce compliance with the provisions of the Interstate Medical Licensure Compact, and its promulgated rules and bylaws, against a member state in default.
The interstate commission may, by majority vote of the commissioners, initiate legal action in the United States district court for the District of Columbia, or, at the h discretion of the interstate commission, in the federal u » r district where the interstate commission has its principal t h g e l i offices, to enforce compliance with the provisions of the h r i s Interstate Medical Licensure Compact, and its promulgated rules h , e h and bylaws, against a member state in default.
The relief sought may include both injunctive relief and damages.
The relief t u g e b l e e , gh 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 attorney fees.
In the n d d i = = o h event judicial enforcement is necessary, the prevailing party l ] b ,d i a º r shall be awarded all costs of such litigation, including e r = t e w d m a n o reasonable attorney fees.
C.
d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 27 - e a n e d r e l u [ A d C.
The grounds for default include failure of a member state to perform such obligations or responsibilities imposed upon the member state by the Interstate Medical Licensure Compact or the rules and bylaws of the interstate e t 17 commission promulgated pursuant to that compact.
The grounds for default include failure of a member state to perform such obligations or responsibilities imposed upon the member state by the Interstate Medical Licensure Compact or the rules and bylaws of the interstate commission promulgated pursuant to that compact.
w l n d 18 B.
B.
If the interstate commission determines that a = = 19 a l member state has defaulted in the performance of the member i a e r 20 state's obligations or responsibilities under the Interstate a t m m 21 Medical Licensure Compact, or the bylaws or promulgated rules, d r e 22 the interstate commission shall:
If the interstate commission determines that a member state has defaulted in the performance of the member state's obligations or responsibilities under the Interstate Medical Licensure Compact, or the bylaws or promulgated rules, the interstate commission shall:
c e s k 23 (1) provide written notice to the defaulting e a n b 24 state and other member states of the nature of the default, the u [ means of curing the default and any action taken by the .228864.1 - 27 - interstate commission.
(1) provide written notice to the defaulting h state and other member states of the nature of the default, the g o t hr means of curing the default and any action taken by the g e i k interstate commission.
The interstate commission shall specify the conditions by which the defaulting state must cure its default;
The interstate commission shall specify h r i s the conditions by which the defaulting state must cure its h , t, default;
and (2) provide remedial training and specific technical assistance regarding the default.
and e u g e b l e e h (2) provide remedial training and specific n d d i = = o h technical assistance regarding the default.
C.
l ] b ,d i a º e C.
If the defaulting state fails to cure the default, the defaulting state shall be terminated from the Interstate Medical Licensure Compact upon an affirmative vote of a majority of the commissioners, and all rights, privileges and benefits conferred by the compact shall terminate on the effective date of termination.
If the defaulting state fails to cure the r i = r t e w d m a n o default, the defaulting state shall be terminated from the d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 28 - e a n e d r e l u [ A d Interstate Medical Licensure Compact upon an affirmative vote of a majority of the commissioners, and all rights, privileges and benefits conferred by the compact shall terminate on the effective date of termination.
Notice of e t 17 intent to terminate shall be given by the interstate commission w l n d 18 to the governor, the majority and minority leaders of the = = 19 a l defaulting state's legislature and each of the member states.
Notice of intent to terminate shall be given by the interstate commission to the governor, the majority and minority leaders of the defaulting state's legislature and each of the member states.
i a e r 20 E.
E.
The interstate commission shall establish rules a t m m 21 and procedures to address licenses and physicians that are d r e 22 materially impacted by the termination of a member state or the c e s k 23 withdrawal of a member state.
The interstate commission shall establish rules and procedures to address licenses and physicians that are materially impacted by the termination of a member state or the withdrawal of a member state.
e a n b 24 F.
h F.
The member state that has been terminated is u [ responsible for all dues, obligations and liabilities incurred .228864.1 - 28 - through the effective date of termination, including obligations, the performance of which extend beyond the effective date of termination.
The member state that has been terminated is u » r responsible for all dues, obligations and liabilities incurred t h g e l i through the effective date of termination, including h r i s obligations, the performance of which extend beyond the h , e h effective date of termination.
G.
t u g e b l e e , gh G.
The interstate commission shall not bear any costs relating to any state that has been found to be in default or that has been terminated from the Interstate Medical Licensure Compact unless otherwise mutually agreed upon in writing between the interstate commission and the defaulting state.
The interstate commission shall not bear any n d d i = = o h costs relating to any state that has been found to be in l ] b ,d i a º r default or that has been terminated from the Interstate Medical e r = t e w d m a n o Licensure Compact unless otherwise mutually agreed upon in d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 29 - e a n e d r e l u [ A d writing between the interstate commission and the defaulting state.
ARTICLE 19 - Dispute Resolution e t 17 A.
ARTICLE 19 - Dispute Resolution A.
The interstate commission shall attempt, upon w l n d 18 the request of a member state, to resolve disputes that are = = 19 a l subject to the Interstate Medical Licensure Compact and that i a e r 20 may arise among member states or member boards.
The interstate commission shall attempt, upon the request of a member state, to resolve disputes that are subject to the Interstate Medical Licensure Compact and that may arise among member states or member boards.
a t m m 21 B.
The interstate commission shall promulgate rules d r e 22 providing for both mediation and binding dispute resolution as c e s k 23 appropriate.
e a n b 24 ARTICLE 20 - Member States, Effective Date and Amendment u [ A.
Any state is eligible to become a member of the .228864.1 - 29 - Interstate Medical Licensure Compact.
The Interstate Medical Licensure Compact shall become effective and binding upon legislative enactment of the compact into law by no less than seven states.
The interstate commission shall promulgate rules providing for both mediation and binding dispute resolution as appropriate.
Thereafter, it shall become effective and binding on a state upon enactment of the compact into law by that state.
h ARTICLE 20 - Member States, Effective Date and Amendment g o t hr A.
C.
Any state is eligible to become a member of the g e i k Interstate Medical Licensure Compact.
The governors of nonmember states, or the governors' designees, shall be invited to participate in the activities of the interstate commission on a nonvoting basis prior to adoption of the Interstate Medical Licensure Compact by all states.
h r i s B.
The Interstate Medical Licensure Compact shall h , t, become effective and binding upon legislative enactment of the e u g e b l e e h compact into law by no less than seven states.
Thereafter, it n d d i = = o h shall become effective and binding on a state upon enactment of l ] b ,d i a º e the compact into law by that state.
r i = r t e w d m a n o C.
The governors of nonmember states, or the d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 30 - e a n e d r e l u [ A d governors' designees, shall be invited to participate in the activities of the interstate commission on a nonvoting basis prior to adoption of the Interstate Medical Licensure Compact by all states.
No amendment shall become effective and binding upon the interstate commission and the member states unless and until the amendment is enacted into law by unanimous e t 17 consent of the member states.
No amendment shall become effective and binding upon the interstate commission and the member states unless and until the amendment is enacted into law by unanimous consent of the member states.
w l n d 18 ARTICLE 21 - Withdrawal = = 19 a l A.
ARTICLE 21 - Withdrawal A.
Once effective, the Interstate Medical Licensure i a e r 20 Compact shall continue in force and remain binding upon each a t m m 21 member state;
Once effective, the Interstate Medical Licensure Compact shall continue in force and remain binding upon each member state;
provided that a member state may withdraw from d r e 22 the compact by specifically repealing the statute that enacted c e s k 23 the compact into law.
provided that a member state may withdraw from the compact by specifically repealing the statute that enacted the compact into law.
e a n b 24 B.
h B.
Withdrawal from the Interstate Medical Licensure u [ Compact shall be by the enactment of a statute repealing the .228864.1 - 30 - compact, but shall not take effect until one year after the effective date of that law and until written notice of the withdrawal has been given by the withdrawing state to the governor of each other member state.
Withdrawal from the Interstate Medical Licensure u » r Compact shall be by the enactment of a statute repealing the t h g e l i compact, but shall not take effect until one year after the h r i s effective date of that law and until written notice of the h , e h withdrawal has been given by the withdrawing state to the t u g e b l e e , gh governor of each other member state.
C.
n d d i = = o h C.
The withdrawing state shall immediately notify the chair of the interstate commission in writing upon the introduction of legislation to repeal the Interstate Medical Licensure Compact in the withdrawing state.
The withdrawing state shall immediately notify l ] b ,d i a º r the chair of the interstate commission in writing upon the e r = t e w d m a n o introduction of legislation to repeal the Interstate Medical d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 31 - e a n e d r e l u [ A d Licensure Compact in the withdrawing state.
The withdrawing state is responsible for all dues, obligations and liabilities incurred through the effective date of withdrawal, including obligations, the performance of which extend beyond the effective date of e t 17 withdrawal.
The withdrawing state is responsible for all dues, obligations and liabilities incurred through the effective date of withdrawal, including obligations, the performance of which extend beyond the effective date of withdrawal.
w l n d 18 F.
F.
Reinstatement following withdrawal of a member = = 19 a l state shall occur upon the withdrawing state reenacting the i a e r 20 Interstate Medical Licensure Compact or upon such later date as a t m m 21 determined by the interstate commission.
Reinstatement following withdrawal of a member state shall occur upon the withdrawing state reenacting the Interstate Medical Licensure Compact or upon such later date as determined by the interstate commission.
d r e 22 G.
G.
The interstate commission is authorized to c e s k 23 develop rules to address the impact of the withdrawal of a e a n b 24 member state on licenses granted in other member states to u [ physicians who designated the withdrawing member state as the .228864.1 - 31 - state of principal license.
The interstate commission is authorized to develop rules to address the impact of the withdrawal of a h member state on licenses granted in other member states to u » r physicians who designated the withdrawing member state as the t h g e l i state of principal license.
ARTICLE 22 - Dissolution A.
h r i s ARTICLE 22 - Dissolution h , e h A.
The Interstate Medical Licensure Compact shall dissolve effective upon the date of the withdrawal or default of the member state that reduces the membership of the compact to one member state.
The Interstate Medical Licensure Compact shall t u g e b l e e , gh dissolve effective upon the date of the withdrawal or default n d d i = = o h of the member state that reduces the membership of the compact l ] b ,d i a º r to one member state.
B.
e r = t e w d m a n o B.
Upon the dissolution of the Interstate Medical Licensure Compact, the compact becomes void and shall be of no further force, and the business and affairs of the interstate commission shall be concluded and surplus funds shall be distributed in accordance with the bylaws.
Upon the dissolution of the Interstate Medical d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 32 - e a n e d r e l u [ A d Licensure Compact, the compact becomes void and shall be of no further force, and the business and affairs of the interstate commission shall be concluded and surplus funds shall be distributed in accordance with the bylaws.
e t 17 B.
The provisions of the Interstate Medical w l n d 18 Licensure Compact shall be liberally construed to effectuate = = 19 a l the purposes of that compact.
i a e r 20 C.
Nothing in the Interstate Medical Licensure a t m m 21 Compact shall be construed to prohibit the applicability of d r e 22 other interstate compacts to which the member states are c e s k 23 members.
e a n b 24 ARTICLE 24 - Binding Effect of the Interstate Medical Licensure u [ Compact and Other Laws .228864.1 - 32 - A.
Nothing in the Interstate Medical Licensure Compact prevents the enforcement of any other law of a member state that is not inconsistent with that compact.
All laws in a member state in conflict with the Interstate Medical Licensure Compact are superseded to the extent of the conflict.
The provisions of the Interstate Medical Licensure Compact shall be liberally construed to effectuate the purposes of that compact.
All lawful actions of the interstate commission, including all rules and bylaws promulgated by the interstate commission, are binding upon the member states.
Nothing in the Interstate Medical Licensure Compact shall be construed to prohibit the applicability of other interstate compacts to which the member states are members.
h ARTICLE 24 - Binding Effect of the Interstate Medical Licensure u » r Compact and Other Laws t h g e l i A.
Nothing in the Interstate Medical Licensure h r i s Compact prevents the enforcement of any other law of a member h , e h state that is not inconsistent with that compact.
t u g e b l e e , gh B.
All laws in a member state in conflict with the n d d i = = o h Interstate Medical Licensure Compact are superseded to the l ] b ,d i a º r extent of the conflict.
e r = t e w d m a n o C.
All lawful actions of the interstate commission, d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 33 - e a n e d r e l u [ A d including all rules and bylaws promulgated by the interstate commission, are binding upon the member states.
In the event any provision of the Interstate Medical Licensure Compact exceeds the constitutional limits imposed on the legislature of any member state, such provision shall be ineffective to the extent of the conflict with the e t 17 constitutional provision in question in that member state.".
In the event any provision of the Interstate Medical Licensure Compact exceeds the constitutional limits imposed on the legislature of any member state, such provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state.".
w l n d 18 SECTION 3.
SECTION 3.
[NEW MATERIAL] APPOINTMENT OF COMMISSIONERS.-- = = 19 a l A.
[NEW MATERIAL ] APPOINTMENT OF COMMISSIONERS.-- A.
The governor shall appoint two members of the i a e r 20 New Mexico medical board who are licensed physicians to serve a t m m 21 as commissioners.
The governor shall appoint two members of the New Mexico medical board who are licensed physicians to serve as commissioners.
One member shall be a medical doctor and one d r e 22 member shall be an osteopathic physician.
One member shall be a medical doctor and one member shall be an osteopathic physician.
A member shall serve c e s k 23 until the member's successor has been appointed and qualified.
A member shall serve until the member's successor has been appointed and qualified.
e a n b 24 Each member serves at the pleasure of the governor or until the u [ member is no longer a member of the New Mexico medical board.
h Each member serves at the pleasure of the governor or until the g o t hr member is no longer a member of the New Mexico medical board.
.228864.1 - 33 - If a position is vacated, the position shall be filled by appointment by the governor of a medical board member who meets the qualification of the vacating member.
g e i k If a position is vacated, the position shall be filled by h r i s appointment by the governor of a medical board member who meets h , t, the qualification of the vacating member.
B.
e u g e b l e e h B.
The governor may appoint an alternative commissioner who meets the qualifications of Subsection D of Article 11 of the Interstate Medical Licensure Compact to serve in the absence of a regular commissioner and who has voting authority only for a specified meeting of the interstate commission.
The governor may appoint an alternative n d d i = = o h commissioner who meets the qualifications of Subsection D of l ] b ,d i a º e Article 11 of the Interstate Medical Licensure Compact to serve r i = r t e w d m a n o in the absence of a regular commissioner and who has voting d m :
b e d s º o t n = .228864.1AIC February 25, 2025 (8:46am) s k m e - 34 - e a n e d r e l u [ A d authority only for a specified meeting of the interstate commission.
[NEW MATERIAL] RULES OF INTERSTATE COMMISSION.--The interstate commission shall file copies of its current bylaws and rules with the state records administrator in accordance with the State Rules Act.
[NEW MATERIAL ] RULES OF INTERSTATE COMMISSION.--The interstate commission shall file copies of its current bylaws and rules with the state records administrator in accordance with the State Rules Act.
- 34 - 16 e t 17 w l n d 18 = = 19 a l i a e r 20 a t m m 21 d r e 22 c e s k 23 e a n b 24 u [ .228864.1
- 35 - » g o » r h t i k l i g t h s , e h t l i w l b l e e , g n d l h = = b , a l º d i a r e r = , a t e d m a n o d m :
b r e t º o t n = .228864.1AIC February 25, 2025 (8:46am) s k em e e a n e d r e l u [ A d
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Action History

  1. action postponed indefinitely

  2. DO PASS, as amended, committee report adopted

  3. Sent to Senate Health and Public Affairs Committee & Senate Judiciary Committee

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2 sponsors · 0 co-sponsors · 110 not signed on

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Not signed on (110)

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Frequently asked questions

Who sponsors SB 46?
SB 46 is sponsored by Natalie Figueroa (Democrat) and Linda M. Trujillo (Democrat).
What is the current status of SB 46?
This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
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