hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 states legally joining therein in the form substantially as follows:

INTERSTATE PODIATRIC MEDICAL LICENSURE COMPACT ARTICLE I PURPOSE (1) In order to strengthen access to health care, and in recognition of the advances in the delivery in health care, the member states of the Interstate Podiatric Medical Licensure Compact have allied in common purpose to develop a comprehensive process that complements the existing licensing and regulatory authority of state podiatric medical boards and provides a streamlined process that allows podiatric physicians to become licensed in multiple states, enhancing the portability of a podiatric medical license and ensuring the safety of patients.

(2) The compact creates another pathway for licensure and does not otherwise change a state's existing Podiatric Medical Practice Act.

StatePage podiatric3 medicalof boards35 thatCODING: participate in the compact retain the jurisdiction to impose an adverse action against a license to practice podiatric medicine in that state issued to a podiatric physician through House File 2498, p.

2Words thestricken proceduresare indeletions; the compact.

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 State podiatric medical boards that participate in the compact retain the jurisdiction to impose an adverse action against a license to practice podiatric medicine in that state issued to a podiatric physician through the procedures in the compact.

81 ARTICLE II DEFINITIONS 84 As used in this compact, the term:

(1) "Bylaws" means those bylaws established by the commission pursuant to Article XI.

(2) "Commission" means the Interstate Podiatric Medical Licensure Compact Commission created pursuant to Article XI.

(3) "Commissioner" means the voting representative appointed by each member board pursuant to Article XI.

(4) "Conviction" means a finding by a court that an individual is guilty of a criminal offense through adjudication, or entry of a plea of guilt or no contest to the charge by the offender.

Evidence of an entry of conviction of a criminal offense by the court shall be considered final for purposes of disciplinary action by a member board.

(5) "Criminal background check" means that the member board is authorized to obtain a Federal Bureau of Investigation biometric based on a federal criminal records check information report from the authorized state agency for the exclusive Page 4 of 35 CODING:

Words stricken are deletions;

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 purpose of determining eligibility for certification of qualification that would allow for an expedited license.

(6) "Expedited license" means a full unrestricted podiatric medical license granted by a member state to an eligible podiatric physician through the process set forth in the compact.

(7) "Federal criminal records check information" means any information obtained by a member board from the Federal Bureau of Investigation relating to a federal criminal records check performed by a member board under Public Law 92-544.

(8) "License" means authorization by a member state for a podiatric physician to engage in the practice of podiatric medicine, which would be unlawful without authorization.

(9) "Member board" means a state agency in a member state that acts in the sovereign interest of the state by protecting the public through licensure, regulation, and education of podiatric physicians as directed by the state government.

(10) "Member state" means a state which has enacted the compact.

(11) "Offense" means a felony, gross misdemeanor, or a misdemeanor related to the practice of podiatry.

(12) "Podiatric Medical Practice Act" means applicable laws and regulations governing the practice of podiatric medicine within a member state.

(13) "Podiatric physician" means any person who:

Page 5 of 35 CODING:

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words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (a) Is a graduate of a podiatric medical school accredited by the Council of Podiatric Medical Education.

(b) Passed Parts I, II, and III of the National Board of Podiatric Medical Examiners' (NBPME), the American Podiatric Medical Licensing Examination (APMLE), or NBPME or APMLE recognized replacement examinations.

(c) Successfully completed a podiatric residency program approved by the Council on Podiatric Medical Education.

(d) Holds specialty certification from a specialty board recognized by the Council on Podiatric Medical Education.

(e) Possesses a full and unrestricted license to engage in the practice of podiatric medicine issued by a member board.

(f) Has never been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction.

(g) Has never held a license authorizing the practice of podiatric medicine subjected to discipline by a licensing agency in any state, federal, or foreign jurisdiction, excluding any action related to the nonpayment of fees related to a license.

(h) Has never had a controlled substance license or permit suspended or revoked by a state or the United States Drug Enforcement Administration or voluntarily surrendered such license after notification of investigation.

(i) Is not under active investigation by a licensing Page 6 of 35 CODING:

Words stricken are deletions;

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 agency or law enforcement authority in any state, federal, or foreign jurisdiction.

(14) "Practice of Podiatric Medicine" means that clinical prevention, diagnosis, or treatment of human disease, injury, or condition requiring a podiatric physician to obtain and maintain a license in compliance with the Podiatric Medical Practice Act of a member state.

(15) "Rule" means a written statement by the commission adopted pursuant to Article XII of the compact which is of general applicability;

implements, interprets, or prescribes a policy or provision of the compact, or an organizational, procedural, or practice requirement of the commission;

and has the force and effect of statutory law in a member state.

The term includes the amendment, repeal, or suspension of an existing rule.

(16) "State" means any state, commonwealth, district, or territory of the United States.

(17) "State of principal license" means a member state where a podiatric physician holds a license to practice podiatric medicine and which has been designated by such a podiatric physician for purposes of registration and participation in the compact.

ARTICLE III ELIGIBILITY Page 7 of 35 CODING:

Words stricken are deletions;

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (1) A podiatric physician must meet the eligibility requirements as provided in subsection (13) of Article II to receive an expedited licensure under the terms and provisions of the compact.

(2) A podiatric physician who does not meet the requirements in subsection (13) of Article II may obtain a license to practice podiatric medicine in a member state if the individual complies with all laws and requirements, other than the compact, relating to the issuance of a license to practice podiatric medicine in that state.

ARTICLE IV DESIGNATION OF STATE OF PRINCIPAL LICENSE (1) A podiatric physician shall designate a member state as the state of principal license for purposes of registration for expedited licensure through the compact if the podiatric physician possesses a full and unrestricted license to practice podiatric medicine in that state and the state is:

(a) The state of principal residence for the podiatric physician;

(b) The state where at least 25 percent of the practice of podiatric medicine occurs;

(c) The location of the podiatric physician's employer;

or Page 8 of 35 CODING:

Words stricken are deletions;

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (d) If a state does not qualify under paragraph (a), paragraph (b), or paragraph (c), the state designated as the podiatric physician's state of residence for the purpose of federal income tax.

(2) A podiatric physician may redesignate a member state as state of principal license at any time, as long as the state meets one of the requirements of subsection (1).

(3) The commission is authorized to develop rules to facilitate redesignation of another member state as the state of principal license.

ARTICLE V ISSUANCE OF EXPEDITED LICENSURE (1) A podiatric physician seeking licensure through the compact shall file an application for an expedited license with the member board of the state selected by the podiatric physician as the state of principal license.

(2) Upon receipt of an application for an expedited license, the member board within the state selected as the state of principal license shall evaluate whether the podiatric physician is eligible for expedited licensure and issue a letter of qualification, verifying or denying the podiatric physician's eligibility and in the manner established by rule of the commission.

Page 9 of 35 CODING:

Words stricken are deletions;

words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (a) Qualification includes verification of podiatric medical education, podiatric graduate medical education, results of any podiatric medical licensing examination, and other qualifications as determined by the commission by rule, and may not be subject to additional primary source verification where a primary source has already been verified by the state of principal license.

(b) The member board within the state selected as the state of principal license shall, in the course of verifying eligibility, perform a criminal background check of an applicant, including the use of 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 C.F.R.

s.

731.202.

1.

Communication between a member board and the commission and communication between member boards regarding the verification of eligibility in Article III through the compact may not include any information received from the Federal Bureau of Investigation relating to a federal criminal records check performed by a member board under Public Law 92-544, including federal criminal records check information.

Definitions,Federal InBureau thisof compact:Investigation information obtained by a member board may not be shared with the commission.

a.(c) Appeal of the determination of eligibility shall be Page 10 of 35 CODING:

'^Bylaws"Words meansstricken thoseare bylawsdeletions; established by the interstate commission pursuant to subsection 11, b.

'^Commissioner''meanswords theunderlined votingare representativeadditions. appointed by each member board pursuant to subsection 11, c.

"^Conviction"hb1213-00 meansF aL findingO byR aI courtD thatA anH individualO isU guiltyS ofE aO criminalF offenseR throughE adjudication,P orR entryE ofS aE pleaN ofT guiltA orT noI contestV E S HB 1213 2026 made to the chargemember bystate where the offender.application was filed and shall be subject to the law of that state.

Evidence(3) ofUpon anverification entryin ofparagraph conviction(2)(b), of a criminalpodiatric offensephysician's byshall complete the courtregistration shallprocess beestablished consideredby finalthe forcommission purposesto ofreceive disciplinarya actionlicense byin a member board,state d.selected pursuant to subsection (1), including the payment of any applicable fees.

"^Criminal(4) backgroundAfter check"receiving meansverification that the member board is authorized to obtain a federal bureau of investigationseligibility biometricunder basedsubsection federal(2) criminaland records check information report from the authorizedpayment state agency for the exclusive purpose of determiningany eligibilityfees forunder certificationsubsection of(3), qualificationa thatmember wouldboard allowshall forissue an expedited license,license e.to the podiatric physician.

"'ExpeditedThis license"license meansshall aauthorize fullthe unrestricted podiatric medicalphysician licenseto grantedpractice bypodiatric amedicine memberin the issuing state toconsistent anwith eligiblethe podiatricPodiatric physicianMedical throughPractice theAct processand setall forthappliable inlaws and regulations of the compact,issuing f.member board and member state.

"'Federal(5) criminalAn recordsexpedited checklicense information"shall meansbe anyvalid informationfor obtaineda byperiod aconsistent memberwith boardthe fromlicensure period in the federalmember bureaustate ofand investigationin relatingthe tosame amanner federalas criminalrequired recordsfor checkother performedpodiatric byphysicians holding a memberfull boardand underunrestricted Pub,license L.within the member state.

No.(6) An expedited license obtained through the compact shall be terminated if a podiatric physician fails to maintain a license in the state of principal licensure for a nondisciplinary reason, without redesignation of a new state of principal licensure.

92-544,(7) g.The commission is authorized to develop rules regarding the application process, including payment of any Page 11 of 35 CODING:

""InterstateWords commission"stricken meansare thedeletions; interstate commission created pursuant to subsection 11, h.

""License"words meansunderlined authorizationare byadditions. a member state for a podiatric physician to engage in the practice of podiatric medicine, which would be unlawful without authorization, i.

"^Memberhb1213-00 board"F meansL aO stateR agencyI inD aA memberH stateO thatU actsS inE theO sovereignF interestR ofE theP stateR byE protectingS theE publicN throughT licensure,A regulation,T I V E S HB 1213 2026 applicable fees, and educationthe reporting of podiatricthe physiciansissuance asof directedan expedited license by thea statemember government,board j.to the commission.

""MemberARTICLE state"VI meansFEES aFOR EXPEDITED LICENSURE (1) A member state whichissuing hasan enactedexpedited thislicense authorizing the practice of podiatric medicine in that state may impose a fee for a license issued or renewed through the compact.

k.(2) The commission is authorized to develop rules regarding fees for expedited licenses.

"^Offense"ARTICLE meansVII aRENEWAL felonyAND orCONTINUED grossPARTICIPATION misdemeanor(1) whichA ispodiatric thephysician resultseeking ofto intentional,renew willful,an recklessexpedited misconductlicense Housegranted Filein 2498,a p.member state shall complete a renewal process with the commission if the podiatric physician:

3(a) andMaintains whicha occurredfull lessand thanunrestricted tenlicense yearsin ago, or a misdemeanorstate related to the practice of podiatry.principal license;

i,(b) '^PodiatricHas medicalnot practicebeen act"convicted, meansreceived lawsadjudication, anddeferred regulationsadjudication, governingcommunity thesupervision, practiceor ofdeferred podiatricdisposition medicinefor withinany aoffense mby e m bs t a tcourt eof .appropriate jurisdiction;

m.Page 12 of 35 CODING:

'^PodiatricWords physician"stricken meansare adeletions; person who meets all of the following requirements:

(1)words Isunderlined aare graduateadditions. of a podiatric medical school accredited by the council of podiatric medical education.

(hb1213-00 2F )PassedL partsO R I ,D II,A andH IIIO ofU theS nationalE boardO ofF podiatricR medicalE examiners'P orR AmericanE podiatricS medicalE licensingN examination,T orA theirT recognizedI replacementV eE xS aHB m1213 i2026 n(c) Has not had a tlicense iauthorizing othe npractice sof •podiatric (3)medicine Successfullysubject completeto discipline by a podiatriclicensing residencyagency programin approvedany bystate, thefederal, councilor onforeign podiatricjurisdiction, medicalor education.voluntarily surrendered such license in lieu of discipline, excluding any action related to nonpayment of fees related to a license;

(4)and Holds(d) aHas specialtynot certificationhad from a specialtycontrolled boardsubstance recognizedlicense byor thepermit councilsuspended onor podiatricrevoked medicalby education,a (5)state Possessesor athe fullUnited andStates unrestrictedDrug licenseEnforcement toAdministration engageor involuntarily thesurrendered practicesuch oflicense podiatricor medicinepermit issuedafter bynotification aof memberinvestigation. board.

(6)(2) HasPodiatric neverphysicians beenshall convicted,comply receivedwith adjudication,all deferredcontinuing adjudication,professional communitydevelopment supervision, or deferredcontinuing dispositionmedical foreducation anyrequirements offensefor byrenewal of a courtlicense ofissued appropriateby jurisdiction.a member state.

(7)(3) HasThe nevercommission heldshall acollect licenseany authorizingrenewal thefees practicecharged offor podiatricthe medicinerenewal subjectedof to discipline by a licensinglicense agencyand indistribute anythe state,fees federal, or foreign jurisdiction, excluding any action related to the nonpaymentapplicable ofmember feesboard. related t o a l i c e n s e .

(8)(4) HasUpon neverreceipt hadof aany controlledrenewal substancefees licensecollected orin permitsubsection suspended(3), ora revokedmember byboard ashall staterenew or the Unitedpodiatric Statesphysician's druglicense. enforcement administration or voluntarily surrendered such license after notification of investigation.

(9)(5) IsPodiatric notphysician underinformation activecollected investigation by athe licensingcommission agencyduring orthe lawrenewal enforcementprocess authoritywill inbe anydistributed state,to federal,all ormember foreignboards. jurisdiction.

n.(6) The commission is authorized to develop rules to address renewal of licenses obtained through the compact.

"^PracticeARTICLE ofVIII podiatricPage medicine"13 means that clinical prevention, diagnosis, or treatment of human35 disease,CODING: injury, or condition requiring a podiatric physician to obtain and maintain a license in compliance with the podiatric medical House File 2498, p.

4Words practicestricken actare ofdeletions; a member state.

o,words ^Rule^underlined meansare aadditions. written statement by the interstate commission promulgated pursuant to subsection 12 of the compact that is of general applicability, implements, interprets, or prescribes a policy or provision of the compact, or 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.

p.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 COORDINATED INFORMATION SYSTEM (1) The commission shall establish a coordinated information system of all podiatric physicians who are licensed or who have applied for licensure under Article V.

"^"State"(2) meansNotwithstanding any state,other commonwealth,provision district,of orlaw, territorymember ofboards shall report to the Unitedcommission States.any public action or public complaints against a licensed podiatric physician who has applied or received an expedited license through the compact.

g,(3) '*'StateMember ofboards principalshall license''report meansdisciplinary aor memberinvestigatory stateinformation wheredetermined aas podiatricnecessary physician holds a license to practice podiatric medicine and whichproper has been designated by suchrule a podiatric physician for purposes of registration and participation in the compact.commission.

3.(4) Member boards may report any nonpublic complaint or any disciplinary or investigatory information not required by subsection (3) to the commission.

Eligibility.(5) Member boards shall share complaint or disciplinary or investigatory information about a podiatric physician upon request of another member board.

a,(6) AAll podiatricinformation physicianprovided mustto meet the eligibilitycommission requirementsor asdistributed definedby inmember subsectionboards 2,shall paragraphbe ,confidential, tofiled receiveunder anseal, expeditedand licensureused underonly thefor termsinvestigatory andor provisionsdisciplinary ofmatters. the compact.

b,(7) AThe podiatriccommission physicianis whoauthorized does not meet the requirements of subsection 2, paragraph ^m", may obtain a license to practicedevelop podiatricrules medicinefor inmandated aor memberdiscretionary statesharing if the individual complies with all laws and requirements, other than the compact, relating to the issuance of ainformation licenseby tomember practiceboards. podiatric medicine in that s t a t e .

4.Page 14 of 35 CODING:

DesignationWords ofstricken stateare ofdeletions; principal license, a, A podiatric physician shall designate a member state as the state of principal license for purposes of registration for expedited licensure through the compact if the podiatric physician possesses a full and unrestricted license to practice podiatric medicine in that state, and the state is any of the following:

(1)words Theunderlined stateare ofadditions. principal residence for the podiatric physician.

(2)hb1213-00 TheF stateL whereO atR leastI twenty-fiveD percentA ofH theO podiatricU physician'sS practiceE O F R E P R E S E N T A T I V E S HB 1213 2026 ARTICLE IX JOINT INVESTIGATIONS (1) Licensure and disciplinary records of podiatric medicinephysicians occurs.are deemed investigative.

(3)(2) TheIn locationaddition ofto the authority granted to a member board by its respective Podiatric Medical Practice Act, a member board may participate with other member boards in joint investigations of podiatric physician'sphysicians employer.licensed by the member boards.

House(3) FileA 2498,subpoena p.issued by a member state as part of a joint investigation shall be enforceable in other member states.

5 (4) IfMember noboards statemay qualifiesshare underany subparagraphinvestigative, (1),litigation, (2), or (3),compliance thematerials statein designatedfurtherance as state of residenceany forjoint purposeor ofindividual finvestigation einitiated dunder ethe icompact. n c o t a x .

b.(5) Any member state may investigate actual or alleged violation of the statutes authorizing the practice of podiatric medicine in any other member state in which a podiatric physician holds a license to practice podiatric medicine.

AARTICLE podiatricX physicianDISCIPLINARY mayACTIONS redesignate(1) aAny memberdisciplinary stateaction astaken stateby ofany principalmember licenseboard atagainst anya time,podiatric sophysician longlicensed asthrough the statecompact meetsshall thebe requirementsdeemed ofunprofessional paragraphconduct ,which c.may be subject to Page 15 of 35 CODING:

TheWords interstatestricken commissionare isdeletions; authorized to develop rules to facilitate redesignation of another member state as the state of principal license.

5.words underlined are additions.

Applicationhb1213-00 andF issuanceL O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 discipline by other member boards, in addition to any violation of expeditedthe licensure,Podiatric a.Medical Practice Act of that state.

A(2) If a license granted to a podiatric physician seekingby licensurea throughmember theboard compactin shallthe filestate anof applicationprincipal forlicense anis expeditedrevoked, licensesurrendered, withor therelinquished memberin boardlieu of thediscipline, stateor selectedsuspended, bythen all licenses issued to the podiatric physician asby themember stateboards ofshall principalautomatically license.be placed, without further action necessary by any member board, on the same status.

b.If the member board of the state of principal license subsequently reinstates the podiatric physician's license, a license issued to the podiatric 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 Podiatric Medical Practice Act of that state.

Upon(3) receiptIf ofdisciplinary anaction applicationis fortaken anagainst expediteda license,podiatric thephysician by a member board withinnot thein state selected a s the state of principal licenselicense, shallany evaluateother whethermember theboard podiatricmay physiciandeem isthe eligibleaction forconclusive expeditedas licensureto andmatter issue a letter of qualification,law verifying or denying the podiatric physician's eligibility to, and infact thedecided, mannerand: established through rule by, the interstate commission.

(1)(a) StaticImpose qualifications,the whichsame includeor verificationlesser ofsanctions podiatricagainst medicalthe education, podiatric graduatephysician medicalso education,long resultsas ofsuch anysanctions podiatricare medicalconsistent licensingwith examination, and other qualifications as determined by the interstatePodiatric commissionMedical throughPractice rule,Act shall not be subject to additional primary source verification where already primary source verified by the state of principalthat license.state;

(or 2(b) )ThePursue memberseparate boarddisciplinary withinaction theagainst state selected as the statepodiatric ofphysician principalunder licenseits shall,respective inPodiatric theMedical coursePractice ofAct verifying eligibility, perform a criminal background check of anthat applicant,state, includingregardless the use of results of fingerprint or other biometric data checks compliant with the requirementsaction oftaken the federal bureau of investigation with the exception of federal employees who have a suitability determination in accordanceother withmember 5states. C.F.R.

§731.202.Page 16 of 35 CODING:

(Words astricken )Communicationare betweendeletions; a member board and the interstate commission and communication between member boards regarding the verification of eligibility in subsection 3 through the House File 2498r p.

6words compactunderlined shallare notadditions. include any information received from the federal bureau of investigation relating to a federal criminal records check performed by a member board under Pub, L.

No.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (4) If a license granted to a podiatric physician by a member board is revoked, surrendered or relinquished in lieu of discipline, or suspended, then any license issued to a podiatric physician by any other member board shall be suspended, automatically and immediately without further action necessary by the other member boards, for 90 days upon entry of the order by the disciplining board, to permit the member boards to investigate the basis for the action under the Podiatric Medical Practice Act of that state.

92-544,(5) includingA federalmember criminalboard recordsmay checkterminate information.the automatic provision under subsection (2) or subsection (4) of a license it issued, in a manner consistent with the Podiatric Medical Practice Act of that state.

(b)ARTICLE FederalXI bureauINTERSTATE ofPODIATRIC investigationMEDICAL informationLICENSURE obtainedCOMPACT byCOMMISSION a(1) The member boardstates shallhereby notcreate be shared with the interstateInterstate cPodiatric oMedical mLicensure mCompact iCommission. s s i o n .

(3)(2) AppealThe purpose of the determinationcommission ofis eligibility shall be made to the memberadministration stateof where the applicationInterstate wasPodiatric filedMedical andLicensure shallCompact, bewhich subjectis toa thediscretionary lawstate offunction. that state.

c.(3) The 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 compact, Page 17 of 35 CODING:

UponWords receiptstricken byare adeletions; member board of verification as provided in paragraph of a podiatric physician's eligibility for an expedited license, the podiatric physician shall complete the registration process established by the interstate commission to receive a license in a member state selected pursuant to paragraph , including the payment of any applicable fees.

d.words underlined are additions.

Afterhb1213-00 receivingF verificationL ofO eligibilityR underI paragraphD A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 and anysuch feesadditional underpowers paragraphas may be conferred upon it by a membersubsequent boardconcurrent shallaction issueof anthe expeditedrespective licenselegislatures toof the podiatricmember physician.states in accordance with the terms of the compact.

This(4) licenseThe commission shall authorizeconsist theof podiatricone physicianvoting torepresentative practiceappointed podiatricby medicineeach inmember the issuing state consistentwho withshall theserve podiatricas medicala practicecommissioner. act and all applicable laws and regulations of the issuing member board and member state.

e.A commissioner shall be:

An(a) expeditedA licensepodiatric shallphysician beappointed validto for a period consistent with the licensure period in the member stateboard; and in the same manner as required for other podiatric physicians holding a full and unrestricted license within the member s t a t e .

f.(b) An executive director, executive secretary, or similar executive of a member board;

Anor expedited(c) licenseA obtainedmember throughof the compactpublic shallappointed be terminated if a podiatric physician fails to maintain a licensemember inboard. the state of principal licensure for a nondisciplinary reason, without redesignation of a new state of principal licensure.

g.(5) The commission shall meet at least once each calendar year.

The interstate commission is authorized to develop rules regarding the application process, including payment of any applicable fees, and the reporting of the issuance of an expedited license by a member board to the interstate c o m m i s s i o n , House File 2498, p.

7 6.

Fees for expedited licensure.

a.

A member state issuing an expedited license authorizing the practice of podiatric medicine in that state may impose a fee for a license issued or renewed through the compact.

b.

The interstate commission is authorized to develop rules regarding fees for expedited licenses.

7.

Renewal and continued participation, a, A podiatric physician seeking to renew an expedited license granted in a member state shall complete a renewal process with the interstate commission if the podiatric physician meets all of the following requirements:

( 1 )Maintains a full and unrestricted license in a state of principal license.

(2) Has not been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for any offense by a court of appropriate jurisdiction.

(3) Has not had a license authorizing the practice of podiatric medicine subject to discipline by a licensing agency in any state, federal, or foreign jurisdiction, or voluntarily surrendered such license in lieu of discipline, excluding any action related to nonpayment of fees related to a license.

(4) Has not had a controlled substance license or permit suspended or revoked by a state or the United States drug enforcement administration or voluntarily surrendered such license or permit after notification of investigation.

b» Podiatric physicians shall comply with all continuing professional development or continuing medical education requirements for renewal of a license issued by a member state.

c.

The interstate commission shall collect any renewal fees charged for the renewal of a license and distribute the fees to the applicable member board.

d.

Upon receipt of any renewal fees collected pursuant to paragraph a member board shall renew the podiatric physician's license.

e.

Podiatric physician information collected by the interstate commission during the renewal process shall be d i s t r i bt o a l l membb o a r d s .

f.

The interstate commission is authorized to develop rules to address renewal of licenses obtained through the compact.

House File 2498, p.

8 8.

Coordinated information system, a .

T h ei n t e r sc o m m i s s h a l l e s t a bd a t a b a s e of all podiatric physicians licensed, or who have applied for licensure, pursuant to subsection 5* b.

Notwithstanding any other provision of law to the contrary, member boards shall report to the interstate commission any public action or public complaints against a licensed podiatric physician who has applied or received an expedited license through the compact.

c.

Member boards shall report disciplinary or investigatory information determined necessary and proper by rule of the i n t e r s c o m m i s s i o n .

d.

Member boards may report any nonpublic complaint, disciplinary, or investigatory information not required by paragraph "'V to the interstate commission.

e.

Member boards shall share complaint or disciplinary information about a podiatric physician upon request of another m e m b b o a r d .

f.

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.

g.

The interstate commission is authorized to develop rules for mandated or discretionary sharing of information by member b o a r d s .

9.

Joint investigations.

a.

Licensure and disciplinary records of podiatric physicians are deemed investigative.

b.

In addition to the authority granted to a member board by its respective podiatric medical practice act or other applicable state law, a member board may participate with other member boards in joint investigations of podiatric physicians licensed by the member boards.

c.

A subpoena issued by a member state as part of a joint investigation shall be enforceable in other member states.

d.

Member boards may share any investigative, litigation, or compliance materials in furtherance of any joint or individual investigation initiated under the compact.

e.

Any member state may investigate an actual or alleged violation of the statutes authorizing the practice of podiatric House File 2498f p.

9 medicine in any other member state in which a podiatric physician holds a license to practice podiatric medicine.

10.

Disciplinary actions, a.

Any conduct for which any disciplinary action is taken by any member board against a podiatric physician licensed through the compact shall be deemed unprofessional conduct which may be subject to discipline by other member boards, in addition to any violation of the podiatric medical practice act or regulations in that state.

b.

If a license granted to a podiatric physician by a member board in the state of principal license is revoked, surrendered or relinquished in lieu of discipline, or suspended, then all licenses issued to the podiatric physician by member boards shall automatically be placed, without further action necessary by any member board, on the same status.

If the member board in the state of principal license subsequently reinstates the podiatric physician's license, a license issued to the podiatric 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 podiatric medical practice act of that state.

c.

If disciplinary action is taken against a podiatric physician by a member board not in a state of principal license, any other member board may deem the action conclusive as to matters of law and fact decided and do any of the following;

(1) Impose the same or lesser sanction against the podiatric physician so long as such sanctions are consistent with the podiatric medical practice act of that state.

(2) Pursue separate disciplinary action against the podiatric physician under its respective podiatric medical practice act, regardless of the action taken in other member s t a t e s .

d.

If a license granted to a podiatric physician by a member board is revoked, surrendered or relinquished in lieu of discipline, or suspended, then any license issued to a podiatric physician by any other member board shall be suspended, automatically and immediately without further action necessary by the other member board for ninety days upon House File 2498, p.

10 entry of the order by the disciplining board, to permit the member board to investigate the basis for the action under the podiatric medical practice act of that state.

e, A member board may terminate the automatic suspension under paragraph or V of a license it issued, in a manner consistent with the podiatric medical practice act of that s t a t e .

11.

Interstate podiatric medical licensure compact c o m m i s s i o n , a.

The member states hereby create the interstate podiatric medical licensure compact commission.

b.

The purpose of the interstate commission is the administration of the interstate podiatric 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 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.

The interstate commission shall consist of one voting representative appointed by each member state who shall serve as a commissioner.

A commissioner shall be any of the following;

(1) A podiatric physician appointed to a member board.

(2) An executive director, executive secretary, or similar executive of a member board.

(3) A member of the public appointed to a member board.

e.

The interstate commission shall meet at least once each calendar year.

f.(6) The bylaws may provide for meetings of the commission to be conducted, in whole or in part, by teleconference, video conference, or other electronic means by which all participants can hear each other simultaneously and participate effectively.

TheAttendance bylawsby maysuch provide for meetings of the interstate commission to be conducted, in whole or in part, via teleconference, video conference, or other electronic means byshall whichconstitute allpresence participantsin canperson hearat eachthe othermeeting. simultaneously and participate effectively.

Attendance(7) byEach suchcommissioner electronicparticipating meansat Housea Filemeeting 2498,of p.the commission is entitled to one vote.

11A majority of commissioners shall constitute presencea inquorum personfor at the meeting,transaction g.of business, Page 18 of 35 CODING:

EachWords commissionerstricken participatingare atdeletions; a meeting of the interstate commission is entitled to one vote, A majority of commissioners shall constitute a quorum for the transaction of business, unless a larger quorum is required by the bylaws o ft h e i n t e r c o m m i s s A c o m m i s ss h a lnot delegate a vote to another commissioner.

Inwords theunderlined absenceare ofadditions. its commissioner, a member state may delegate voting authority for a specified meeting to another person from that state who shall meet the requirements of paragraph h.

Thehb1213-00 interstateF commissionL shallO provideR publicI noticeD ofA allH meetingsO andU allS meetingsE shallO beF openR toE theP public.R E S E N T A T I V E S HB 1213 2026 unless a larger quorum is required by commission bylaws.

TheA interstatecommissioner commission may closenot adelegate meeting, in full or in portion, where it determines by a two-thirds vote of the commissioners present that any open meeting would be likely to doanother anycommissioner. of the following:

(1)In Relatethe solelyabsence toof theits internalcommissioner, personnela practicemember andstate proceduresmay ofdelegate thevoting interstateauthority commission,for (2)a Discussspecified mattersmeeting specificallyto exemptedanother person from disclosurethat bystate federalwho statute.shall meet the requirements of subsection (4).

((8) 3The )Discusscommission ashall tradeprovide secret,public commercial,notice orof financialall informationmeetings thatand isall privilegedmeetings orshall confidential.be open to the public.

(4)The Involvecommission accusingmay close a personmeeting, ofin afull crime, or formallyin censuringportion, where it determines by a person.two-thirds vote of the commissioners present that any open meeting would be likely to:

(5)(a) DiscussRelate informationsolely ofto athe personalinternal naturepersonnel wherepractices disclosureand wouldprocedures constitute a clearly unwarranted invasion of personalthe privacy.commission;

(6)(b) Discuss investigativematters recordsspecifically compiledexempted forfrom lawdisclosure enforcementby purposes.federal statute;

(7)(c) SpecificallyDiscuss relatetrade tosecrets, thecommercial, participationor infinancial ainformation civilthat actionis privileged or otherconfidential; legal proceeding, i.

The(d) interstateInvolve commissionaccusing shalla keepperson minutesof which shall fully describe all matters discussed in a meetingcrime, andor shallformally providecensuring a fullperson; and accurate summary of actions taken, including record of any roll call votes.

j.(e) Discuss information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy;

The(f) interstateDiscuss commissioninvestigative shallrecords makecompiled itsfor informationlaw andenforcement officialpurposes; records, to the extent not otherwise designated in the compact or by its rules, available to the public for inspection.

Houseor File(g) 2498,Specifically p.relate to the participation in a civil action or other legal proceeding.

12Page k19 .of 35 CODING:

TWords hstricken iare ndeletions; t e r s c o m m i s s h a l l e s t a n e x e c u t i v e committee, which shall include officers, members, and others as determined by the bylaws.

Thewords executiveunderlined committeeare shalladditions. 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.

Whenhb1213-00 actingF onL behalfO ofR theI interstateD commission,A theH executiveO committeeU shallS overseeE theO administrationF ofR theE compact,P includingR enforcementE andS complianceE withN theT provisionsA ofT theI compact,V itsE bylawsS HB 1213 2026 (9) The commission shall keep minutes that fully describe all matters discussed in a meeting and rules,shall provide a full and otheraccurate suchsummary dutiesof asactions necessary.taken, including record of any roll call votes.

i(10) .The commission shall make its information and official records, to the extent not otherwise designated in the compact or by its rules, available to the public for inspection.

T(11) hThe ecommission ishall nestablish tan eexecutive rcommittee, cwhich oshall minclude mofficers, imembers, sand sothers ias odetermined nby s h a l other t a b l i s h committees for governance and administration of the compact.bylaws.

2The .Pexecutive ocommittee wshall ehave rthe spower ato nact don dbehalf uof tthe icommission, ewith sthe oexception fof rulemaking, during periods when the interstatecommission cTis hnot esion.in session.

interstateWhen commissionacting on behalf of the commission, the executive committee shall haveoversee allthe administration of the followingcompact, powersincluding aenforcement nand dcompliance uwith tthe iprovisions eof sthe :compact, its bylaws and rules, and other such duties as necessary.

a.(12) The commission shall establish other committees for governance and administration of the compact.

OverseeARTICLE andXII maintainPOWERS theAND administrationDUTIES ofOF theTHE compact.INTERSTATE COMMISSION The commission shall:

b.(1) Oversee and maintain the administration of the Page 20 of 35 CODING:

PromulgateWords rulesstricken whichare shalldeletions; be binding to the extent and in the manner provided for in the compact.

c.words underlined are additions.

Issue,hb1213-00 uponF theL requestO ofR aI memberD stateA orH memberO board,U advisoryS opinionsE concerningO theF meetingR orE interpretationP ofR theE compact,S itsE bylaws,N rules,T andA actions.T I V E S HB 1213 2026 compact;

d.(2) Adopt rules which shall be binding to the extent and in the manner provided for in the compact;

Enforce(3) complianceIssue, withupon compact provisions, the rulesrequest promulgatedof bya themember interstatestate commission,or andmember theboard, bylaws,advisory usingopinions allconcerning necessarythe andmeeting properor means,interpretation includingof butthe notcompact, limitedits tobylaws, therules, useand ofactions; judicial process.

e.(4) Enforce compliance with compact provisions, the rules adopted by the commission, and the bylaws, using all necessary and proper means, including, but not limited to, the use of judicial process;

(5) Establish and appoint committeescommittees, includingincluding, but not limited toto, an executive committee as required by subsectionArticle 11,XI, which shall have the power to act on behalf of the interstate commission in carrying out its powers and duties.duties;

f.(6) Pay, or provide for the payment of the expenses related to the establishment, organization, and ongoing activities of the commission;

Pay,(7) orEstablish provide for the payment of the expenses related to the establishment, organization, and ongoingmaintain activitiesone ofor tmore hoffices; e i n t e r c o m m i s s i o n .

g.(8) Borrow, accept, hire, or contract for services of personnel;

Establish(9) Purchase and maintain oneinsurance orand morebonds; offices.

h.(10) Employ an executive director who shall have the power to employ, select, or appoint employees, agents, or consultants and determine their qualifications, define their duties, and fix their compensation;

Borrow,Page accept,21 hire, or contract for services of personnel.35 CODING:

iWords .stricken are deletions;

Pwords uunderlined rare cadditions. h a s maintain i n s u r a n cb o n d s .

j.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (11) Establish personnel policies and programs relating to conflicts of interest, rates of compensation, and qualification of personnel;

Employ(12) anAccept executivedonations directorand whogrants shallof havemoney, theequipment, powersupplies, tomaterials, employ,and selectservices orto appointreceive, employees,use, agents, consultants, and todispose determineof theirit qualifications,in definea theirmanner duties,consistent andwith fixthe Houseconflict Fileof 2498rinterest P*policies 13established theirby compensation.the commission;

k.(13) Lease, purchase, accept contributions or donations of, or otherwise to own, hold, improve or use, any property, real, personal, or mixed;

Establish(14) personnelSell, policiesconvey, andmortgage, programspledge, relatinglease, toexchange, conflictsabandon, ofor interest,otherwise ratesdispose of compensation,any andproperty, qualificationreal, ofpersonal, personnel.or mixed;

1,(15) AcceptEstablish donationsa andbudget grants of money, equipment, supplies, materials, and servicesmake toexpenditures; receive, utilize, and dispose of it in a manner consistent with the conflict of interest policies established by the interstate commission.

m.(16) Adopt a seal and bylaws governing the management and operation of the commission;

Lease,(17) purchase,Report acceptannually contributionsto orthe donationslegislatures of,and orgovernors otherwiseof tothe own,member hold,states improve,concerning orthe use,activities anyof property,the real,commission personal,during orthe mixed.preceding year.

n.Such reports shall also include reports of financial audits, and financial statements, and any recommendations that may have been adopted by the commission;

Sell,(18) convey,Coordinate mortgage,education, pledge,training, lease,and exchange,public abandon,awareness orregarding otherwisethe disposecompact, ofits anyimplementation, property,and real,its personal,operation; or mixed, o.

Establish(19) aMaintain budgetrecords andin makeaccordance expenditures,with p.the bylaws;

Adopt(20) aSeek seal and bylawsobtain governingtrademarks, thecopyrights, management and operationpatents; of the interstate commission.

q.Page 22 of 35 CODING:

ReportWords annuallystricken toare thedeletions; legislatures and governors of the member states concerning the activities of the interstate commission during the preceding year.

Suchwords reportsunderlined shallare alsoadditions. include reports of financial audits, and financial statements, and any recommendations that may have been adopted by the i n t e r s t a t e c o m m i s s i o n .

r.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 and (21) Perform such functions as may be necessary or appropriate to achieve the purpose of the compact.

CoordinateARTICLE education,VIII training,FINANCIAL POWERS (1) The commission may levy on and publiccollect awarenessan regardingannual assessment from each member state to cover the compact,cost itsof implementation,the operations and activities of the commission and its operation.staff.

s.

Maintain records in accordance with the bylaws.

t.

Seek and obtain trademarks, copyrights, and patents.

Perform such functions as may be necessary or appropriate to achieve the purpose of the compact.

13.

Finance powers, 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 aggregate annual assessment amount shall be allocated upon a formula to be determined by the interstate commission, which shall promulgateadopt a rule binding upon all member states.

b.(2) The commission may not incur obligations of any kind before securing the funds adequate to meet the same.

(3) The interstate commission shallmay not incurpledge obligationsthe credit of Houseany Fileof 2498,the p>member 14states, anyexcept kindby, priorand towith securing the fundsauthority adequateof, to meet the same.member state.

c.(4) The commission shall maintain financial records in accordance with the bylaws, including profit and loss statements and balance sheet reports, which shall be included in the annual report of the commission.

ThePage interstate23 commission shall not pledge the credit or any of the35 memberCODING: states, except by, and with the authority of, t h m e m b s t a t e .

dWords .stricken are deletions;

Twords hunderlined eare iadditions. n t e r s t a t e c s h a l l maintain f i n a n c i a l records in accordance with the bylaws, including profit and loss statements and balance sheet reports which shall be included in the annual report of the interstate commission.

14.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 ARTICLE XVI ORGANIZATION AND OPERATION OF THE INTERSTATE COMMISSION (1) The commission shall, by a majority of commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the compact within 12 months of the first commission meeting.

Organization(2) The commission shall elect or appoint annually from among its commissioners, a chairperson, a vice-chairperson, and operationa treasurer, each of thewhom interstateshall commission»have a.such authority and duties as may be specified in the bylaws.

The interstatechairperson, commissionor shall,in bythe achairperson's majorityabsence of commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriatedisability, to carry out the purposesvice ofchairperson, theshall compactpreside withinat twelveall monthsmeetings of the firstcommission. interstate commission meeting.

b.(3) Officers selected in subsection (2) shall serve without remuneration for the commission.

(4) The interstateofficers and employees of the commission shall electbe orimmune appointfrom annuallysuit fromand amongliability, itseither commissionerspersonally aor chairperson,in atheir viceofficial chairperson,capacity, andfor a treasurer,claim eachfor damage to or loss of whomproperty shallor havepersonal 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 authorityperson andhad dutiesa asreasonable maybasis befor specifiedbelieving inoccurred, within the bylaws.scope of the commission employment, duties, or responsibilities;

Theprovided chairperson,that orsuch inperson themay chairperson'snot absencebe orprotected disability,from thesuit viceor chairpersonliability shallfor presidedamage, atloss, allinjury, meetingsor ofliability thecaused interstateby cthe ointentional mor mwillful iPage s24 sof i35 oCODING: n • c.

OfficersWords selectedstricken pursuantare todeletions; paragraph shall serve w i t h oremuneration f r o the i n t e r sc o m m i s s i o n .

d.words underlined are additions.

Thehb1213-00 officersF andL employeesO ofR theI interstateD commissionA shallH beO immuneU fromS suitE andO liability,F eitherR personallyE orP inR theirE officialS capacity,E forN aT claimA forT damageI toV orE lossS ofHB property1213 or2026 personaland injurywanton ormisconduct otherof civil liability caused or arising out of, or relating to, an actual or alleged act, error, or omission that occurred, or that such personperson. had a reasonable basis for believing occurred, within the scope of the interstate commission employment, duties, or responsibilities;

provided(5) thatThe suchliability personof shallthe notexecutive bedirector protectedand fromemployees suitof the commission or liabilityrepresentatives forof damage,the loss,commission, injury,acting within the scope of such person's employment or liabilityduties causedfor byacts, errors, or omissions occurring within such person's state, may not exceed the intentionallimits orof willfulliability andset wantonforth misconductunder the constitution and laws of suchthat person.state for state officials, employees, and agents.

e.The commission is considered to be an instrumentality of the states for the purpose of such action.

TheThis liabilitysubsection ofdoes thenot executiveprotect directorsuch andperson employeesfrom ofsuit theor interstateliability commissionfor ordamages, representativeslosses, ofinjury, theor interstateliability commission,caused actingby within the scopeintentional of such person's employment or dutieswillful forand acts,wanton errors,misconduct orof omissions occurring within such Houseperson. File 2498, p.

15(6) person'sThe state,commission mayshall notdefend exceedthe executive director and its employees, and subject to the limitsapproval of the attorney general or other appropriate legal counsel of the member state represented by the commission representative, shall defend such commission representative in any civil action seeking to impose liability setarising fout oof ran underactual or alleged act, error, or omission that occurred within the cscope oof ncommission semployment, tduties, ior tandtlresponsibilities, aor wthat sthe otdefendant hhad a treasonable sbasis tfor abelieving tsoccurred twithin athe tscope eof officials,the employees,commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and agents.wanton misconduct on the part of such person.

ThePage interstate25 commission is considered to be an instrumentality of the35 statesCODING: for the purpose of such action.

NothingWords instricken thisare paragraphdeletions; shall be construed to protect such person from suit or liability for damage, loss, injury, or liability caused by the intentional or willful and wanton misconduct of such person.

fwords .underlined are additions.

Thehb1213-00 interstateF commissionL shallO defendR theI executiveD director,A itsH employees,O andU subjectS toE theO approvalF ofR theE attorneyP generalR orE otherS appropriateE legalN counselT ofA T I V E S HB 1213 2026 (7) To the memberextent statenot representedcovered by the interstatestate commissioninvolved, representative,member shallstate, defendor suchthe interstatecommission, the representatives or employees of the commission representativeshall be held harmless in anythe civilamount actionof seekinga tosettlement imposeor liabilityjudgement, 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 interstatethe commission employment, duties, or responsibilities, or that thesuch defendantpersons had a reasonable basis for believing occurred within the scope of the interstate commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such person.

g.ARTICLE XV RULEMAKING FUNCTIONS OF THE INTERSTATE COMMISSION (1) The commission shall adopt rules in order to effectively and efficiently achieve the purpose of the compact.

ToIn the extentevent not covered by the state involved, member state, or the interstate commission, the representatives or employees of the interstate commission shallexercises beits heldrulemaking harmlessauthority in the amount of a settlementmanner or judgment, including attorney fees and costs, obtained against such persons arising out of an actual or alleged act, error, or omission that occurredis withinbeyond the scope of the interstatepurposes commissionof employment,the duties,compact, or responsibilities,the orpowers thatgranted hereunder, such personsaction hadby a reasonable basis for believing occurred within the scope of interstate commission employment,shall duties,be orinvalid responsibilities,and providedhave thatno theforce actual or allegedeffect. act, error, or omission did not result from intentional or willful and wanton misconduct on the part of such person.

15.(2) Rules deemed appropriate for the operations of the commission shall be made pursuant to the rulemaking process that substantially conforms to the Model State Administrative Page 26 of 35 CODING:

RulemakingWords functionsstricken ofare thedeletions; interstate commission.

a.words underlined are additions.

Thehb1213-00 interstateF commissionL shallO promulgateR rulesI inD orderA toH effectivelyO andU efficientlyS achieveE theO purposeF R E P R E S E N T A T I V E S HB 1213 2026 Procedure Act of the2010, compact.and subsequent amendments thereto.

Notwithstanding(3) No later than 30 days after a rule is adopted, a person may file a petition for judicial review of the foregoing,rule in the eventUnited States District Court for the HouseDistrict Fileof 2498,Columbia p.or the federal district where the commission has its principal offices, provided that the filing of such a petition does not stay or otherwise prevent the rule from becoming effective, unless the court finds that the petitioner has a substantial likelihood of success.

16The interstatecourt commissionshall exercisesgive itsdeference rulemakingto authority in a manner that is beyond the scopeactions of the purposescommission ofconsistent thewith compact,applicable orlaw theand powersmay grantednot hereunder,find then such an action by the interstaterule commissionto shall be invalidunlawful andif havethe norule forcerepresents ora ereasonable fexercise fof ethe cauthority tgranted .to the commission.

b.ARTICLE XVI OVERSIGHT OF INTERSTATE COMPACT (1) The executive, legislative, and judicial branches of state government in each member state shall enforce the compact and shall take all actions necessary and appropriate to effectuate the compact's purposes and intent.

RulesThe deemedprovisions appropriateof for the operationscompact ofand the interstaterules commissionadopted hereunder shall behave madestanding pursuantas tostatutory thelaw rulemakingbut processmay thatnot substantiallyoverride conformsexisting tostate theauthority modelto stateregulate administrativethe procedurepractice Act of 2010,podiatric andmedicine. subsequent amendments t h e r e t o .

c.(2) All courts shall take judicial notice of the compact and the rules in any judicial or administrative proceeding in a Page 27 of 35 CODING:

NotWords laterstricken thanare thirtydeletions; days after a rule is promulgated, any 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 office, provided that the filing of such a petition shall not stay or otherwise prevent the rule from becoming effective unless the court finds that the petitioner has a substantial likelihood of success.

Thewords courtunderlined shallare giveadditions. 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.

16.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 member state pertaining to the subject matter of the compact which may affect the powers, responsibilities, or actions of the commission.

Oversight(3) The commission shall be entitled to receive all services of interstateprocess compact,in a.any such proceeding, and shall have standing to intervene in the proceeding for all purposes.

TheFailure executive,to legislative,provide andservice judicial branches of stateprocess governmentto in each member state shall enforce the compactcommission and shall takerender alla actionsjudgement necessaryor andorder appropriatevoid as to effectuatethe commission, the compact'scompact, purposesor andadopted intent.rules.

TheARTICLE provisionsXVII ofENFORCEMENT theOF compactINTERSTATE andCOMPACT the(1) rulesThe promulgatedcommission, hereunderin shallthe havereasonable standingexercise asof statutoryits lawdiscretion, but shall notenforce overridethe existingprovisions stateand authorityrules toof regulate the practicecompact. of podiatric medicine.

b.(2) The commission may, by majority vote of the commissioners present and voting, initiate legal action in the United States Court for the District of Columbia or, at the discretion of the commission, in federal district where the commission has its principal offices, to enforce compliance with the provisions of the compact, and its adopted rules and commission bylaws, against a member state in default.

All courts shall take judicial notice of the compact and the rules in any judicial or administrative proceeding in a member state pertaining to the subject matter of the compact which may affect the powers, responsibilities, or actions of t h e i n t e r s t a t e c o m m i s s i o n .

c.

The interstate commission shall be entitled to receive all service of process in any such proceeding, and shall have standing to intervene in the proceeding for all purposes.

Failure to provide service of process to the interstate House File 2498, p.

17 commission shall render judgment or order void as to the interstate commission, the compact, or promulgated rules.

17.

Enforcement of interstate compact.

a.

The interstate commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the compact.

b.

The interstate commission may, by majority vote of the commissioners present and voting, initiate legal action i nthe United S t a t e s d i s t r i c tt h e D i s t r i c t o f Columbia, or, at the discretion of the interstate commission, in federal district court where the interstate commission has its principal office, to enforce compliance with the provisions of the compact, and its promulgated rules and bylaws, against a member state in default.

In the event judicial enforcement is necessary, the prevailing party shallPage be28 awarded all costs of such35 litigationCODING: including reasonable attorney f e e s .

c.Words stricken are deletions;

Thewords remediesunderlined hereinare shalladditions. not be the exclusive remedies of the interstate commission.

Thehb1213-00 interstateF commissionL mayO availR itselfI ofD anyA otherH remediesO availableU underS stateE lawO orF regulationR E P R E S E N T A T I V E S HB 1213 2026 shall be awarded all costs of asuch profession.litigation, including reasonable attorney fees.

18.(3) The remedies herein may not be the exclusive remedies of the commission.

DefaultThe procedures.commission may avail itself of any other remedies available under state law or regulation of a profession.

a.ARTICLE XVIII DEFAULT PROCEDURES (1) The grounds for default include, but are not limited to, failure of a member board to perform such obligations or responsibilities imposed upon it by the compact or the rules and bylaws of the commission adopted under the compact.

The(2) groundsIf forthe defaultcommission includedetermines butthat area notmember limitedstate tohas failuredefaulted ofin athe memberperformance boardof toits perform such obligations or responsibilities imposedunder upon it by the compact, or the rulesbylaws, andor bylawsadopted ofrules, the interstate commission promulgatedshall: under the compact, b.

If(a) theProvide interstatewritten commissionnotice determinesto thatthe adefaulting member state hasand defaultedother inmember thestates, performance of itsthe obligationsnature orof responsibilities under the compact,default, or the bylawsmeans orof promulgatedcuring rules, the interstatedefault, commissionand shallany doaction alltaken ofby the following:commission.

(1)The Providecommission writtenshall noticespecify to the defaultingconditions stateby andwhich other member states, of the naturedefaulting ofstate themust default,cure theits meansdefault; of curing the default, and any action taken by the interstate commission.

Theand interstate(b) commissionProvide shallremedial specifytraining theand conditionsspecific bytechnical whichassistance theregarding defaultingthe state must cure its default.

(2)Page Provide29 remedialof training35 andCODING: specific technical House File 2498, p.

18Words assistancestricken regardingare thedeletions; default.

c.words underlined are additions.

hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (3) If the defaulting state fails to cure the default, the defaulting state shall be terminated from the compact upon an affirmative vote of the majority of the commissioners present and voting, and all rights, privileges, and benefits conferred by the compact shall terminate on the effective date of termination.

d.(4) Termination of membership in the compact shall be imposed only after all other means of securing compliance have been exhausted.

TerminationNotice of membershipintent into theterminate compact shall be imposedgiven onlyby afterthe allcommission otherto meansthe Governor, the Majority and Minority Leaders of securingthe compliancedefaulting havestate's beenlegislature, exhausted.and each of the member states.

Notice(5) ofThe intentcommission to terminate shall beestablish givenrules byand theprocedures interstate commission to theaddress governor,licenses the majority and minoritypodiatric leadersphysicians ofthat theare defaultingmaterially state'simpacted legislature,by andthe etermination of a comember fstate tor hthe mwithdrawal eof m bs t a tmember estate. s .

e.(6) The member state that has been terminated is responsible for all dues, obligations, and liabilities incurred through the effective date of termination, including obligations, the performance of which extend beyond the effective date of termination.

(7) The interstate commission shallmay establishnot rulesbear andany procedurescosts relating to addressany licensesstate and podiatric physicians that arehas materiallybeen impactedfound byto thebe terminationin ofdefault a member state, or thewhich whas ibeen tPage h30 dof r35 aCODING: w amember as t a t e .

f.Words stricken are deletions;

Thewords memberunderlined stateare whichadditions. has been terminated is responsible for all dues, obligations, and liabilities incurred through the effective date of termination including obligations, the performance of which extends beyond the effective date of t e r m i n a t i o n .

g.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 terminated from the compact, unless otherwise mutually agreed upon in writing between the commission and the defaulting state.

(8) The interstatedefaulting commissionstate shallmay notappeal bearthe anyaction costsof relatingthe tocommission anyby statepetitioning thatthe hasUnited beenStates foundDistrict toCourt befor inthe defaultDistrict orof whichColumbia hasor been terminated from the compact,federal unlessdistrict otherwisewhere mutually agreed upon in writing between the interstate commission andhas theits defaultingprincipal state.offices.

h.The prevailing party shall be awarded all costs of litigation, including reasonable attorney fees.

TheARTICLE defaultingXIX stateDISPUTE mayRESOLUTION appeal(1) theThe actioncommission ofshall theattempt, interstateupon commissionthe byrequest petitioningof thea Unitedmember Statesstate, districtto courtresolve fordisputes thewhich Districtare ofsubject Columbiato or the federalcompact districtand courtwhich wherearise theamong interstatemember commissionstates hasor itsmember principalboards. office.

(2) The prevailingcommission party shall beadopt awardedrules allproviding costsfor ofboth litigationmediation includingand reasonablebinding attorneydispute fees.resolution, as appropriate.

19.ARTICLE XX MEMBERSHIP, EFFECTIVE DATE, AND AMENDMENT (1) Any state is eligible to become a member of the compact.

Dispute(2) resolution,The a.compact shall become effective and binding upon legislative enactment of the compact into law by at least 4 Page 31 of 35 CODING:

TheWords interstatestricken commission shall attempt, upon the request of a member state, to resolve disputes which are subjectdeletions; to the compact and which arise among member states or member boards.

Housewords Pileunderlined 2498fare p.additions.

19hb1213-00 b»F TheL interstateO commissionR shallI promulgateD rulesA providingH forO bothU mediationS andE bindingO disputeF resolutionR asE appropriate.P R E S E N T A T I V E S HB 1213 2026 states.

20.Thereafter, it shall become effective and binding on a state upon enactment of the compact into law by that state.

Member(3) The governors of nonmember states, effectiveor date,their anddesignees, amendment,are a.welcome to participate in the activities of the commission on a nonvoting basis before adoption of the compact by all states.

Any(4) stateThe iscommission eligiblemay propose amendments to becomethe acompact memberfor ofenactment by the compact.member states.

b»An Theamendment compactmay shallnot become effective and binding upon legislativethe enactmentcommission ofand theother compactmember states unless and until it is enacted into law by nounanimous lessconsent thanof fourthe member states.

Thereafter,ARTICLE itXXI shallWITHDRAWAL become(1) effectiveOnce andeffective, bindingthe oncompact ashall statecontinue uponin enactmentforce ofand theremain compactbinding intoupon laweach byand thatevery smember tstate; a t e .

c.however, a member state may withdraw from the compact by specifically repealing the statute which enacted the compact into law.

The(2) governorsWithdrawal offrom nonmemberthe states,compact orshall theirbe designees,by shallthe beenactment welcomeof toa participatestatute inrepealing the activitiessame, ofbut may not take effect until 1 year after the interstateeffective commissiondate onof asuch nonvotingstatute basisand prioruntil towritten adoptionnotice of the compactwithdrawal has been given by allthe states.withdrawing state to the governor of each other member state.

d.(3) The withdrawing state shall immediately notify the Page 32 of 35 CODING:

TheWords interstatestricken commissionare maydeletions; propose amendments to the compact for enactment by the member states.

Nowords amendmentunderlined shallare becomeadditions. effective and binding upon the interstate commission and other member states unless and until it is enacted into law by u n a n i m o u s c o the membero s t a t e s .

1hb1213-00 .ffitF hL dO rR aI wD aA lH .O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 chairperson of the commission in writing upon the introduction of legislation repealing the compact in the withdrawing state.

a.(4) The commission shall notify the other member states of the withdrawing state's intent to withdraw within 60 days of its receipt of notice provided under subsection (3).

Once(5) effective,The thewithdrawing compactstate shallis continueresponsible infor forceall dues, obligations, and remainliabilities bindingincurred uponthroughout eachthe andeffective everydate memberof state;withdrawal, including obligations, the performance of which extend beyond the effective date of withdrawal.

provided(6) thatReinstatement following withdrawal of a member state mayshall withdrawoccur fromupon the compactwithdrawing bydate specificallyreenacting repealing the statutecompact whichor enactedupon thesuch compactlater intodate law.as determined by the commission.

b.(7) The commission is authorized to develop rules to address the impact of the withdrawal of a member state on licenses granted in other member states to podiatric physicians who designated the withdrawing member state as the state of principal license.

WithdrawalARTICLE fromXXII theDISSOLUTION (1) The compact shall be bydissolved theeffective enactmentupon of a statute repealing the same, but shall not take effect until one year after the effective date of suchthe statutewithdrawal andor untildefault written notice of the withdrawalmember hasstate beenwhich givenreduces by the withdrawingmembership stateof to the governorcompact ofto eachone member state.

a.(2) Upon the dissolution of the compact, the compact Page 33 of 35 CODING:

TheWords withdrawingstricken stateare shalldeletions; immediately notify the chairperson of the interstate commission in writing upon the introduction of legislation repealing the compact in the withdrawing state.

d.words underlined are additions.

Thehb1213-00 interstateF commissionL O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 becomes null and void and shall notifyhave theno otherfurther memberforce statesor ofeffect, the withdrawingbusiness state'sand intentaffairs toof withdrawthe withincommission sixtyshall daysbe ofconcluded, itsand receiptsurplus offunds noticeshall providedbe pursuantdistributed toin paragraphaccordance .with the bylaws.

e.ARTICLE XXIII SEVERABILITY AND CONSTRUCTION (1) The provisions of the compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the compact shall be enforceable.

(2) The withdrawingprovisions stateof isthe responsiblecompact forshall allbe dues,liberally obligations,construed andto liabilitieseffectuate incurredits throughoutpurposes. the effective House File 2498, p.

20(3) dateThe ofcompact withdrawal,does includingnot obligations,prohibit the performanceapplicability of whichother extendinterstate beyondcompacts to which the effectivemember datestates ofare withdrawal.members.

ReinstatementARTICLE followingXXVI withdrawalBINDING ofEFFECT aOF memberCOMPACT stateAND shallOTHER occurLAWS upon(1) theNothing withdrawingherein dateprevents reenacting the compactenforcement orof uponany suchother laterlaw dateof asa determinedmember bystate thethat interstateis cnot oinconsistent mwith mthe icompact. s s i o n .

g.(2) All laws in a member state in conflict with the compact are superseded to the extent of the conflict.

ThePage interstate34 commission is authorized to develop rules to address the impact of the35 withdrawalCODING: of a member state on licenses granted in other member states to podiatric physicians who designated the withdrawing member state as the state of principal license.

2Words .Dissolution,stricken a.are deletions;

Thewords compactunderlined shallare beadditions. dissolved effective upon the date of the withdrawal or default of the member state which reduces the membership of the compact to one member state.

b.hb1213-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1213 2026 (3) All lawful actions of the commission, including all rules and bylaws adopted by the commission, are binding upon all member states.

Upon(4) theAll dissolutionagreements ofbetween the compact,commission the compact becomes null and void and shall be of no further force or effect, and the bmember ustates sare ibinding n e s a f f a i r t h e i n t e rc o m m i s s h a l l b e concluded, and surplus funds shall be distributed in accordance with thetheir bylaws.terms.

23.(5) In the event of any provision of the compact that 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.

SeverabilitySection and2. construction, a.

TheThis provisionsact of the compact shall betake severable,effect andJuly if1, any2026. phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the compact shall b ee n f o r c e a b l e .

b.Page 35 of 35 CODING:

TheWords provisionsstricken ofare thedeletions; compact shall be liberally construed to effectuate its purposes.

c.words underlined are additions.

Nothinghb1213-00 in the compact shall be construed to prohibit the applicability of other interstate compacts to which the member s t a ta r em e m b e r s .

24.

Binding effect of compact and other laws, a.

Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the compact.

b.

All laws in a member state in conflict with the compact are superseded to the extent of the conflict.

c.

All lawful actions of the interstate commission, including all rules and bylaws promulgated by the commission, are binding upon all member states.

House File 2498, p.

21 d.

All agreements between the interstate commission and the member states are binding in accordance with their terms.

e.

In the event of any provision of the compact that 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 t h a t membes t a t e .

P A G R A S S L ] AMY SIN^fAIR Speaker 0 7 the House P r e s i d et h e S e n a t e I hereby certify that this bill originated in the House and is known as House File 2498, Ninety-first General Assembly.

lfy/vin/yA<r\ MEC ^NN ELSON C h i e f i C l e r k ^ ^ t h e House Approved , 2026 KIM ^^NOLDS G o v e r n o r