HB 5058 — AN ACT ADOPTING THE NURSE LICENSURE COMPACT.
Last action — SIGNED BY GOVERNOR
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 08, 2024. Enacted.
Signed by Governor Ned Lamont (Democratic) on May 30, 2024.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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37 sponsors
37 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (18 R · 10 D) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
What changed in the latest version
812 added · 1215 removed812 line(s) added, 1215 removed.
House ofBill Representatives File No.
6015058 GeneralPublic AssemblyAct February Session, 2024Reprint of File No.
122)24-83 HouseAN BillACT No.ADOPTING THE NURSE LICENSURE COMPACT.
5058 As Amended by House Amendment Schedule "A" Approved by the Legislative Commissioner April 22, 2024 AN ACT ADOPTING THE NURSE LICENSURE COMPACT.
(1) The health and safety of the public are affected by the degree of compliance with and the effectiveness of enforcement activities related HB5058to /state Filenurse No.licensure laws;
601 HB5058 File No.
601 to state nurse licensure laws;
(3) The expanded mobility of nurses and the use of advanced communicationHouse technologiesBill asNo. part of our nation's health care delivery system require greater coordination and cooperation among states in the areas of nurse licensure and regulation;
5058 communication technologies as part of our nation's health care delivery system require greater coordination and cooperation among states in the areas of nurse licensure and regulation;
HB5058(6) /Decrease Fileredundancies No.in the consideration and issuance of nurse licenses;
601and HB5058Public FileAct No.
60124-83 (6)2 Decreaseof redundancies29 inHouse theBill considerationNo. and issuance of nurse licenses;
and5058 (7) Provide opportunities for interstate practice by nurses who meet uniform licensure requirements.
(A) Investigative information that a licensing board, after a preliminary inquiry that includes notification and an opportunity for the nurse to respond, if required by state law, has reason to believe is HB5058not /groundless Fileand, if proved true, would indicate more than a minor Public Act No.
60124-83 HB50583 Fileof 29 House Bill No.
6015058 not groundless and, if proved true, would indicate more than a minor infraction;
(14)"Single-statelicense"meansanurselicenseissuedbyapartystate that authorizes practice only within the issuing state and does not include a multistate licensure privilege to practice in any other party state.Public Act No.
HB505824-83 /4 Fileof 29 House Bill No.
6015058 HB5058state. File No.
601 (15) "State" means a state, territory or possession of the United States and the District of Columbia.
(1) The applicant meets the home state's qualifications for licensure orPublic renewalAct ofNo. licensure, including all other applicable state laws;
(2)24-83 The5 applicantof (A)29 graduatedHouse orBill is eligible to graduate from a licensing board-approved RN or LPN/VN prelicensure education program, (B) graduated from a foreign RN or LPN/VN prelicensure HB5058 / File No.
6015058 HB5058or Filerenewal No.of licensure, including all other applicable state laws;
601(2) The applicant (A) graduated or is eligible to graduate from a licensing board-approved RN or LPN/VN prelicensure education program, (B) graduated from a foreign RN or LPN/VN prelicensure education program that is (i) approved by the authorized accrediting body in the applicable country, and (ii) verified by an independent credentials review agency to be comparable to a licensing board- approved prelicensure education program, (C) if a graduate of a foreign prelicensure education program, has not taught in English or, if English is not the individual's native language, successfully passed an English proficiency examination that includes the components of reading, speaking, writing and listening, (D) successfully passed a National Council Licensure Examination for Registered Nurses or a National CouncilLicensureExaminationforPracticalNursesadministeredbythe National Council of the State Boards of Nursing, or a nationally recognized predecessor to said examinations, as applicable, (E) is eligible for or holds an active, unencumbered license, (F) submitted, in connection with an application for initial licensure or licensure by endorsement, fingerprints or other biometric data for the purpose of obtaining criminal history record information from the Federal Bureau of Investigation and the agency responsible for retaining such state's criminal records, (G) has not been convicted or found guilty, or has entered into an agreed disposition, of a felony offense under applicable state or federal criminal law, (H) has not been convicted or found guilty, or has entered into an agreed disposition, of a misdemeanor offense related to the practice of nursing as determined on a case-by-case basis, (I) is not enrolled in an alternative program, (J) is subject to self- disclosure requirements regarding current participation in an alternative program, and (K) has a valid Social Security number.
(d)Anypartystatemay,inaccordancewithexistingstatedueprocess law, take adverse action against a nurse's multistate licensure privilege, including,Public butAct notNo. limited to, revocation, suspension, probation or any other action that affects a nurse's authorization to practice under a multistate licensure privilege, including, but not limited to, a cease and desist action.
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5058 including, but not limited to, revocation, suspension, probation or any other action that affects a nurse's authorization to practice under a multistate licensure privilege, including, but not limited to, a cease and desist action.
HB5058(e) /A Filenurse No.practicing in a party state shall comply with the state practice laws of the state in which the client is located at the time service is provided.
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601 (e) A nurse practicing in a party state shall comply with the state practice laws of the state in which the client is located at the time service is provided.
(2)Public AAct nurseNo. who fails to satisfy the multistate licensure requirements of subsection (c) of this article of the compact due to a disqualifying event occurring after the compact's effective date shall be ineligible to retain or renew a multistate license, and the nurse's multistate license shall be revoked or deactivated in accordance with applicable rules adopted by the Interstate Commission of Nurse Licensure Compact Administrators established pursuant to Article VII of the compact.
ARTICLE24-83 IV7 APPLICATIONSof FOR29 LICENSUREHouse INBill A PARTY STATE HB5058 / File No.
6015058 HB5058(2) FileA No.nurse who fails to satisfy the multistate licensure requirements of subsection (c) of this article of the compact due to a disqualifying event occurring after the compact's effective date shall be ineligible to retain or renew a multistate license, and the nurse's multistate license shall be revoked or deactivated in accordance with applicable rules adopted by the Interstate Commission of Nurse Licensure Compact Administrators established pursuant to Article VII of the compact.
601ARTICLE IV APPLICATIONS FOR LICENSURE IN A PARTY STATE (a) Upon application for a multistate license, the licensing board in the issuing party state shall ascertain, through the coordinated licensure informationsystem,whethertheapplicanthaseverheld,oristheholder of, a license issued by any other state, whether there are any encumbrances on any license or multistate licensure privilege held by the applicant, whether any adverse action has been taken against any license or multistate licensure privilege held by the applicant and whether the applicant is currently participating in an alternative program.
(2)AmultistatelicensePublic shallnotbeissuedbythenewhomestateuntilAct theNo. nurse provides satisfactory evidence of a change in primary state of residencetothenewhomestateandsatisfiesallapplicablerequirements to obtain a multistate license from the new home state.
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5058 (2)Amultistatelicense shallnotbeissuedbythenewhomestateuntil the nurse provides satisfactory evidence of a change in primary state of residencetothenewhomestateandsatisfiesallapplicablerequirements to obtain a multistate license from the new home state.
ARTICLE V ADDITIONAL AUTHORITIES INVESTED IN PARTY STATE LICENSING BOARDS HB5058(a) /In Fileaddition No.to the other powers conferred by state law, a licensing board shall have the authority to:
601 HB5058 File No.
601 (a) In addition to the other powers conferred by state law, a licensing board shall have the authority to:
Show all 332 changed lines (292 more)
The licensing board may take any appropriate action and shallPublic promptlyAct reportNo. the conclusions of any such investigation to the administrator of the coordinated licensure information system.
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5058 shall promptly report the conclusions of any such investigation to the administrator of the coordinated licensure information system.
HB5058(5) /Obtain Fileand No.submit, for each nurse licensure applicant, fingerprint or other biometric-based information to the Federal Bureau of Investigation for criminal background checks, receive the results of the Federal Bureau of Investigation record search on criminal background checks and use the results in making licensure decisions;
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601 (5) Obtain and submit, for each nurse licensure applicant, fingerprint or other biometric-based information to the Federal Bureau of Investigation for criminal background checks, receive the results of the Federal Bureau of Investigation record search on criminal background checks and use the results in making licensure decisions;
(b) If adverse action is taken by the home state against a nurse's multistate license, the nurse's multistate licensure privilege to practice in all other party states shall be deactivated until all encumbrances have beenPublic removedAct fromNo. the multistate license.
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5058 been removed from the multistate license.
Such system shall include information on the licensure and disciplinary history of each nurse, as submitted by party states, to assist in the HB5058coordination /of Filenurse No.licensure and enforcement efforts.
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601 coordination of nurse licensure and enforcement efforts.
(c) All licensing boards shall promptly report to the coordinated licensure information system any adverse action, significant investigative information, denials of applications, including, but not limited to, the reasons for such denials, and nurse participation in alternative programs known to the licensing board regardless of whether such participation is deemed nonpublic or confidential under statePublic law.Act No.
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5058 state law.
(g) Any information contributed to the coordinated licensure information system that is subsequently required to be expunged by the HB5058laws /of Filethe No.party state contributing such information shall also be expunged from the coordinated licensure information system.
601 HB5058 File No.
601 laws of the party state contributing such information shall also be expunged from the coordinated licensure information system.
and (4) Other information that may facilitate the administration of the compact,Public asAct determinedNo. by rules of the Interstate Commission of Nurse Licensure Compact Administrators established pursuant to Article VII of the compact.
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5058 compact, as determined by rules of the Interstate Commission of Nurse Licensure Compact Administrators established pursuant to Article VII of the compact.
The commission may waive venue and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute HB5058resolution /proceedings; File No.
601 HB5058 File No.
601 resolution proceedings;
Any administrator may be removed or suspended from office as provided by the law of the state fromwhich theadministrator isappointed.Any vacancy occurring inthecommissionshallbefilledinaccordancePublic withthelawsofthepartyAct stateNo. in which the vacancy exists.
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5058 inthecommissionshallbefilledinaccordance withthelawsoftheparty state in which the vacancy exists.
(B) The employment, compensation, discipline or other personnel HB5058matters, /practices Fileor No.procedures related to specific employees or other matters related to the commission's internal personnel practices and procedures;
601 HB5058 File No.
601 matters, practices or procedures related to specific employees or other matters related to the commission's internal personnel practices and procedures;
(F)Public DisclosureAct ofNo. trade secrets or commercial or financial information that is privileged or confidential;
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5058 (F) Disclosure of trade secrets or commercial or financial information that is privileged or confidential;
All minutes and documents of a closed meeting shall remain under seal, subject to release by a majority vote of the commission or order of a court of HB5058competent /jurisdiction. File No.
601 HB5058 File No.
601 competent jurisdiction.
(2)Public ProvidingAct reasonableNo. standards and procedures:
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5058 (2) Providing reasonable standards and procedures:
(3) Providing reasonable procedures for calling and conducting meetings of the commission, ensuring reasonable advance notice of all meetingsandproviding anopportunity for attendance ofofsuch such meetings by interested parties, with enumerated exceptions designed to protect thepublic'sinterest,privacyofindividualsandproprietaryinformation, including, but not limited to, trade secrets.
and (6) Providing a mechanism for winding up the operations of the commissionandtheequitablecommissionandtheequitabledispositionofany dispositionofany surplusfundsthat may HB5058exist /after Filethe No.termination of the compact after the payment or reserving of all of its debts and obligations.
601 HB5058 File No.
601 exist after the termination of the compact after the payment or reserving of all of its debts and obligations.
(e)Public TheAct commissionNo. shall maintain its financial records in accordance with such bylaws.
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5058 (e) The commission shall maintain its financial records in accordance with such bylaws.
HB5058(7) /To Fileaccept any and all appropriate donations, grants and gifts of money, equipment, supplies, materials and services, and receive, utilize and dispose of such donations, grants and gifts of money, equipment, supplies, materials and services, provided the commission shall avoid Public Act No.
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6015058 (7) To accept any and all appropriate donations, grants and gifts of money, equipment, supplies, materials and services, and receive, utilize and dispose of such donations, grants and gifts of money, equipment, supplies, materials and services, provided the commission shall avoid at all times any appearance of impropriety or conflict of interest;
HB5058(2) /The Filecommission may levy on and collect an annual assessment from each party state to cover the cost of its operations, activities and Public Act No.
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6015058 (2) The commission may levy on and collect an annual assessment from each party state to cover the cost of its operations, activities and staff in its annual budget as approved each year.
(2) The commission shall defend any administrator, officer, executive director, employee or representative of the commission in any civil action seeking to impose liability arising out of any actual or allegedact, errorPublic orAct omission that occurred within the scope of commission HB5058 / File No.
60124-83 HB505819 Fileof 29 House Bill No.
6015058 error or omission that occurred within the scope of commission employment, duties or responsibilities, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of commission employment, duties or responsibilities, provided (A) nothing in this subdivision shall be construed to prohibit such person from retaining such person's own counsel, and (B) the actual or alleged act, error or omission did not result from such person's intentional, wilful or wanton misconduct.
(c)Public PriorAct to promulgation and adoption of a final rule by the commission, and at least sixty days in advance of the meeting at which such rule will be considered and voted upon, the commission shall file HB5058 / File No.
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6015058 (c) Prior to promulgation and adoption of a final rule by the commission, and at least sixty days in advance of the meeting at which such rule will be considered and voted upon, the commission shall file a notice of proposed rulemaking:
(1) Hearings shall be conducted in a manner providing each person whoPublic wishesAct toNo. comment a fair and reasonable opportunity to comment orally or in writing.
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5058 who wishes to comment a fair and reasonable opportunity to comment orally or in writing.
Rules may be grouped for the convenience of the HB5058commission /at Filea No.hearing required by this subsection.
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601 commission at a hearing required by this subsection.
(l)Public TheAct commissionNo. may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors in format, errors in consistency or grammatical errors.
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5058 (l) The commission may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors in format, errors in consistency or grammatical errors.
A challenge shall be made in writing and delivered to the commission HB5058prior /to Filetheendofthenotice No.period.Ifno challenge ismade,therevision shall take effect without further action.
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601 prior to theendofthenotice period.Ifno challenge ismade,therevision shall take effect without further action.
(1) If the commission determines that a party state has defaulted in the performance of its obligations or responsibilities under the compact orPublic theAct promulgatedNo. rules, the commission shall:
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5058 or the promulgated rules, the commission shall:
(2) If a state in default fails to cure the default, the defaulting state's membership in the compact may be terminated upon an affirmative HB5058vote /of Filea No.majority of the administrators, and all rights, privileges and benefits conferred by the compact may be terminated on the effective date of termination.
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601 vote of a majority of the administrators, and all rights, privileges and benefits conferred by the compact may be terminated on the effective date of termination.
(6) The defaulting state may appeal the action of the commission by petitioningPublic theAct UnitedNo. States District Court for the District of Columbia or the federal district in which the commission has its principal offices.
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5058 petitioning the United States District Court for the District of Columbia or the federal district in which the commission has its principal offices.
HB5058(3) /In Filethe No.event the commission cannot resolve disputes among party states arising under the compact:
601(A)The HB5058party Filestatesmay No.submit theissues in dispute to anarbitration panel that shall be comprised of individuals appointed by the compact administrator in each of the affected party states and an individual mutually agreed upon by the compact administrators of all the party states involved in the dispute;
601 (3) In the event the commission cannot resolve disputes among party states arising under the compact:
(A)The party statesmay submit theissuesin dispute to anarbitration panel that shall be comprised of individuals appointed by the compact administrator in each of the affected party states and an individual mutually agreed upon by the compact administrators of all the party states involved in the dispute;
The relief sought may includePublic bothAct injunctiveNo. relief and damages.
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5058 include both injunctive relief and damages.
All party states to the compact that also were parties to the previous Nurse Licensure HB5058Compact /(Prior FileCompact) No.that is superseded by the compact shall be deemed to have withdrawn from the Prior Compact not later than six months after the effective date of the compact adopted pursuant to this section.
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601 Compact (Prior Compact) that is superseded by the compact shall be deemed to have withdrawn from the Prior Compact not later than six months after the effective date of the compact adopted pursuant to this section.
(e)Public NothingAct containedNo. in the compact shall be construed to invalidate or prevent any nurse licensure agreement or other cooperative arrangement between a party state and a non-party state that is made in accordance with the other provisions of the compact.
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5058 (e) Nothing contained in the compact shall be construed to invalidate or prevent any nurse licensure agreement or other cooperative arrangement between a party state and a non-party state that is made in accordance with the other provisions of the compact.
ARTICLE XI CONSTRUCTION AND SEVERABILITY HB5058The /compact Fileshall No.be liberally construed to effectuate the purposes thereof.
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601 The compact shall be liberally construed to effectuate the purposes thereof.
(NEW) (Effective from passage) On and after October 1, 2025, until January 1, 2028, the Commissioner of Public Health shall require each person applying to the Department of Public Health for a multistatePublic license,Act asNo. defined in section 1 of this act, to submit to a state and national fingerprint-based criminal history records check pursuant to section 29-17a of the general statutes.
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5058 multistate license, as defined in section 1 of this act, to submit to a state and national fingerprint-based criminal history records check pursuant to section 29-17a of the general statutes.
(a) On or before the last day of January, April, July and October in each year, the Commissioner of Public Health shall certify the amount of revenue received as a result of any fee increase in the amount of five dollars (1) that took effect October 1, 2015, pursuant to sections 19a-88, 19a-515, 20-65k, 20-74bb, 20-74h, 20-74s, 20-149, 20-162o, 20-162bb, 20- HB5058191a, /20-195c, File20-195o, No.20-195cc, 20-201, 20-206b, 20-206n, 20-206r, 20- 206bb, 20-206ll, 20-222a, 20-275, 20-395d, 20-398 and 20-412, (2) that took effect October 1, 2021, pursuant to section 20-185k, and (3) that took effect July 1, 2021, pursuant to section 20-12j, and transfer such amount to the professional assistance program account established in section 19a-12c.
601 HB5058 File No.
601 191a, 20-195c, 20-195o, 20-195cc, 20-201, 20-206b, 20-206n, 20-206r, 20- 206bb, 20-206ll, 20-222a, 20-275, 20-395d, 20-398 and 20-412, (2) that took effect October 1, 2021, pursuant to section 20-185k, and (3) that took effect July 1, 2021, pursuant to section 20-12j, and transfer such amount to the professional assistance program account established in section 19a-12c.
Transfers made pursuant to this subsection shallPublic occurAct atNo. the same times and frequency as the transfers made pursuant to subsection (a) of this section.
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5058 shall occur at the same times and frequency as the transfers made pursuant to subsection (a) of this section.
HB5058(c) /Not Filelater No.than January 1, 2027, the working group shall report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to public health regarding its findings.
601Approved HB5058May File30, 2024 Public Act No.
60124-83 (c)29 Not later than January 1, 2027, the working group shall report, in accordance with the provisions of section29 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to public health regarding its findings.
This act shall take effect as follows and shall amend the following sections:
Section 1 from passage New section Sec.
2 from passage New section Sec.
3 from passage New section Sec.
4 from passage 19a-12d Sec.
5 from passage New section HB5058 / File No.
601 28 HB5058 File No.
601 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.
In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.
Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.
OFA Fiscal Note State Impact:
Agency Affected Fund-Effect FY 25 $ FY 26 $ Emergency Services and Public GF - Potential None Minimal Protection, Dept.
Cost Resources of the General Fund GF - Potential None Minimal Revenue Gain Public Health, Dept.
Professional None $124,000 Assistance Program Account - Potential Revenue Gain Resources of the General Fund GF - Potential None $124.000 Revenue Loss Note:
GF=General Fund Municipal Impact:
Municipalities Effect FY 25 $ FY 26 $ Various Police Departments Potential None Minimal Revenue Gain Explanation The bill, which requires persons applying for a multistate nursing license to submit to fingerprint-based state criminal history records checks, results in:
(1) a potential cost to the Department of Emergency Services and Public Protection (DESPP), (2) a potential revenue gain to the General Fund, and (3) a potential revenue gain to the Applicant Fingerprint Card Submission Account and various municipal police DESPP conducts state criminal history records checks for a fee of $75.
The revenue that is collected from this fee is deposited into the General Fund.
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601 29 HB5058 File No.
601 departments in FY 26 through Q2 of FY 28.
The potential cost to DESPP will depend on the extent to which the volume of new applicants for state criminal history checks increases department workload.
It is unknown how many employers already require applicants to submit to such checks as a condition of employment.
It also directs that an additional $2 from certain health care provider and other license renewal fees be deposited into the professional assistance program account that supports the Health Assistance InterVention Education Network (HAVEN), resulting in a revenue gain to HAVEN offset in equal amount by a General Fund (GF) revenue loss from diverted licensure fees of approximately $124,000.
Other provisions of the bill are not anticipated to result in a fiscal impact to the state or municipalities.
House "A" added four sections to the end of the bill.
Two of these sections are anticipated to have a fiscal impact, described above.
The Out Years The fiscal impact identified above will continue in the future subject to the number of state criminal history records checks performed by DESSP and various municipal police departments, and the amount of revenue diverted from the GF to HAVEN.
2DESPP conducts fingerprinting for a fee of $15 fee per person paid to the Applicant Fingerprint Card Submission Account.
Municipal police departments may also conduct the required fingerprinting for state criminal history records checks and typically charge a fee of $10 to $15.
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601 OLR Bill Analysis HB 5058 (as amended by House "A")* AN ACT ADOPTING THE NURSE LICENSURE COMPACT.
SUMMARY This bill enters Connecticut into the Nurse Licensure Compact from October 1, 2025, until January 1, 2028.
The compact creates a process for registered nurses (RNs) or licensed practical/vocational nurses (LPNs/VNs) to get a multistate license, allowing them to practice in any compact party state (including by telehealth).
The Interstate Commission of Nurse Licensure Compact Administrators administers the compact, and Connecticut joins the commission under the bill.
Among various other provisions, the compact:
1.
sets eligibility criteria for nurses to practice under the compact;
2.
addresses several matters related to disciplinary actions for nurses practicing under it;
3.
allows the commission to levy an annual assessment on party states to cover its operations costs;
4.
only allows compact amendments to take effect if all party states adopt them into law;
and 5.
has a process for states to withdraw from it.
Below is a broad overview of the compact.
Additionally, under the bill, the Department of Public Health (DPH) commissioner must require anyone applying to the department for a multistate nursing license from October 1, 2025, until January 1, 2028, to HB5058 / File No.
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601 submit to a state and national fingerprint-based criminal history records check by the Department of Emergency Services and Public Protection (§ 2).
This corresponds to a compact requirement (see below).
The bill also:
1.
specifies that its compact provisions do not prohibit a home state licensing board, if asked by someone with a multistate license, from converting that license into a single-state license valid only in the home state (§ 3);
2.
requires DPH, from October 1, 2025, until January 1, 2028, to transfer $2 from each RN or LPN license renewal fee to the professional assistance program for health professions (currently, the Health Assistance InterVention Education Network (HAVEN) in addition to the transfers already required (see BACKGROUND) (§ 4);
and 3.
requires the Office of Policy and Management (OPM) secretary or his designee, in consultation with the DPH commissioner and a HAVEN representative, to convene a working group to evaluate the compact’s implementation (§ 5).
*House Amendment “A” adds the provisions on (1) DPH requiring background checks, (2) converting multi-state licenses to single-state licenses, (3) fee transfers to HAVEN, and (4) the working group.
EFFECTIVE DATE:
Upon passage § 1 — NURSE LICENSURE COMPACT Compact Overview The Nurse Licensure Compact creates a process for nurses to get a multistate license in their home state that authorizes them to practice as an RN or LPN/VN in all party states under a multistate licensure privilege.
A licensee providing services in another party state under this privilege must follow the practice laws of the state where the client is located.
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601 32 HB5058 File No.
601 A “party state” is any state that adopted the compact.
A “home state” isthepartystatethat isthenurse’sprimary state ofresidence.
A “remote state” is a party state other than the home state.
A “state” is a U.S.
state, territory, or possession or the District of Columbia.
General Provisions and Jurisdiction (Art.
III) Under the compact, party states must recognize multistate licenses issued by a home state to its residents.
Licensure Eligibility.
Under the compact, each party state must require that an applicant meet the following requirements to get or keep a multistate license in the home state:
1.
meet the home state’s qualifications for initial licensure or renewal, including other applicable state laws;
2.
graduate or be eligible to graduate from a prelicensure education program approved by the state licensing board (or meet other specified criteria for foreign program graduates, including passing an English proficiency examination under certain circumstances);
3.
pass the National Council of the State Boards of Nursing’s National Council Licensure Examination (NCLEX) for RNs or Practical Nurses (or a nationally recognized predecessor examination);
4.
be eligible for or hold an active, unencumbered license;
5.
submit fingerprints or other biometric data when applying for initial licensure or licensure by endorsement in order to get criminal history information as specified below;
6.
not be convicted, found guilty, or entered an agreed disposition for a (a) state or federal felony offense or (b) nursing practice- related misdemeanor offense (as determined on a case-by-case basis);
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601 7.
not be enrolled in an alternative program (i.e., a board-approved nondisciplinary monitoring program), and be subject to self- disclosure requirements about current participation in it;
and 8.
have a valid Social Security number.
States must implement procedures for considering the criminal history records of applicants for initial multistate licenses or licensure by endorsement, including the applicants’ submission of fingerprints or other biometric-based information to get these records from the FBI and the state agency that keeps criminal records.
Single State Licenses.
The compact specifies that it does not prevent nurses from seeking single-state licenses outside of their home state, but those licenses do not grant the privilege to practice in other party states.
It also does not interfere with a party state’s requirements for issuing a single-state license.
Applications for Licensure in a Party State (Art.
IV) Under thecompact, whenanurse applies for amultistate license, that state’s licensing board must determine (through the coordinated licensure information system, see below) whether the applicant is:
1.
or ever has been licensed in another state;
2.
subject to any encumbrances or was subject to an adverse action on a license or multistate licensure privilege (e.g., suspension, revocation, or cease and desist order);
and 3.
participating in an alternative program.
The compact allows a licensee to hold a multistate license, issued by his or her home state, in only one party state at a time.
It sets a process for nurses who move from one party state to another to get a multistate license in the new home state, such as providing satisfactory evidence of the move and meeting applicable licensure requirements.
For nurses who change their primary state of residence from a party HB5058 / File No.
601 34 HB5058 File No.
601 state to a non-party state, the multistate license converts into a single- state license valid only in the former home state.
Adverse Actions and Additional Authorities for Party State Licensing Boards (Art.
III & V) The compact addresses several matters related to states’ authority to investigate and discipline nurses practicing under its procedures.
It requires nurses to comply with the state practice laws of the state where the client is located (for all aspects of nursing, not just patient care), including laws on the scope of nursing practice and methods and grounds for imposing discipline.
The following are examples of the regulatory structure under the compact:
1.
only the home state may take adverse action against a nurse’s license issued by that state, but any party state may take adverse action against a nurse’s multistate licensure privilege and may issue subpoenas;
2.
for taking adverse action, a licensee’s home state must give the same priority to conduct reported from other party states as it would to conduct within the home state;
3.
if allowed by that state’s law, a party state may recover from a nurse the investigation and disposition costs for cases due to adverse actions;
4.
if a home state takes adverse action against a nurse’s multistate license, the multistate licensure privilege to practice is deactivated in all other party states until all encumbrances are lifted from the license;
and 5.
if a party state takes adverse action, it must promptly notify the coordinated licensure information system administrator (see below), who must promptly notify the home state of any adverse actions by a remote state.
HB5058 / File No.
601 35 HB5058 File No.
601 The compact specifiesthat it doesnotoverrideaparty state’sdecision to allow a nurse to participate in an alternative program instead of imposing an adverse action.
In that case, the home state’s board must deactivatethemultistatelicensureprivilegeunderthelicenseduringthe nurse’s participation in the program.
Coordinated Licensure Information System and Exchange of Information (Art.
VI) The compact requires party states to participate in a coordinated licensure information system of all licensed RNs and LPNs/VNs, with information on their licensure and disciplinary history.
Under the compact, nurse licensing boards must promptly report to the system on (1) adverse actions;
(2) significant investigative information (e.g., information that a nurse represents an immediate threat to public health and safety);
(3) application denials and the reasons why;
and (4) nurse participation in alternative programs known to the board, regardless of whether that participation is nonpublic or confidential under state law.
Any significant investigative information or participation in the alternative programs must be sent through the system only to party state licensing boards.
The compact addresses other matters related to this system, such as establishing the following:
1.
party state boards that contribute information to the system may designate information that must not be shared with non-party states or disclosed to anyone else without the state’s express permission and 2.
a party state’s compact administrator must provide all investigative documents and information requested by another party state.
Interstate Commission of Nurse Licensure Compact Administrators (Art.
VII & VIII) The compact is administered by the Interstate Commission of Nurse HB5058 / File No.
601 36 HB5058 File No.
601 Licensure Compact Administrators, which consists of one voting administrator from each party state (the head of the state licensure board or designee).
The compact sets forth several powers, duties, and procedures for the commission.
For example, the commission:
1.
promulgates rules (generally subject to public hearing and comment) that are binding on party states, to facilitate the compact’s implementation and administration;
2.
can levy an annual assessment on party states to cover the costs of its operations, based on a formula that the commission determines;
and 3.
must have its receipts and disbursements audited yearly and the audit report included in its annual report.
The compact addresses several other matters regarding the commission and its operations, like setting conditions under which its administrators, officers, and employees are immune from civil liability.
Compact Oversight, Enforcement, Member Withdrawal, Dissolution, and Related Matters (Art.
IX-XI) Among several related provisions, the compact:
1.
requires each party state to enforce the compact and take all necessary and appropriate steps to carry out its purposes;
2.
requires the commission to take certain steps if a party state defaults and, after all other means of securing compliance have been exhausted, allows for a defaulting state to be terminated from the compact upon a majority vote of the commission’s administrators (which the defaulting state may appeal);
3.
requires the commission, if a party state asks, to try to resolve a compact-related dispute among party states or between party and non-party states;
4.
allows the commission to bring legal action against a defaulting HB5058 / File No.
601 37 HB5058 File No.
601 state upon a majority vote of the administrators (the case can be brought in the U.S.
District Court for the District of Columbia or the federal district where the commission has its principal offices);
5.
allows a party state to withdraw from the compact by passing a law to do so, but withdrawal does not take effect until six months after the law’s enactment;
6.
allows the party states to amend the compact, but an amendment only takes effect once all party states enact it into law;
and 7.
makes its provisions severable and requires that they be liberally construed to carry out its purposes, and if any compact provision is held to violate a party state’s constitution or the U.S.
constitution, the rest of the compact’s validity is unaffected.
§ 4 — FEE TRANSFER TO HAVEN ACCOUNT By law, the DPH commissioner must quarterly transfer the revenue from certain health professional license renewal fee increases (including for RNs and LPNs) to the professional assistance program account.
(These fee increases, in the amount of $5 per renewal, primarily took effect in October 2015.) The bill requires thecommissioner,starting October 1,2025, anduntil January1,2028,totransfer anadditional$2fromeachRNorLPNlicense renewal fee to this account.
As with the existing transfers, she must do this by the end of each January, April, July, and October.
§ 5 — WORKING GROUP The bill requires the OPM secretary or his designee, in consultation with the DPH commissioner and a HAVEN representative, to convene a working group to evaluate the state’s implementation of the Nurse Licensure Compact.
The group must assess whether the state’s continued participation in the compact is in the best interest of the health, safety, and welfare of HB5058 / File No.
601 38 HB5058 File No.
601 the state’s citizens.
It must at least (1) review any long-term effects of the state’s participation in the compact, (2) review educational outreach and trainingmaterialsdevelopedtosupportitsimplementation,and(3)help inform an evaluation on whether the state should remain in the compact.
The working group must report on its findings to the Public Health Committee by January 1, 2027.
BACKGROUND Health Professional Assistance Program By law, this program is an alternative, voluntary, and confidential rehabilitation program that provides various services to health professionals with a chemical dependency, emotional or behavioral disorder, or physical or mental illness.
Before a person can enter the program, a medical review committee must (1) determine if he or she is an appropriate candidate for rehabilitation and participation and (2) set terms and conditions of participation.
The program must include mandatory, periodic evaluations of each participant’s ability to practice with skill and safety and without posing a threat to the health and safety of any person or patient (CGS § 19a-12a).
COMMITTEE ACTION Public Health Committee Joint Favorable Yea 36 Nay 1 (03/11/2024) HB5058 / File No.
601 39
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View plain text versions (5)
- Chaptered Public Act No. 24-83 Current pdf
- File No. 601 View text pdf
- File No. 122 View text pdf
- PH Joint Favorable View text pdf
- Governor's Bill View text pdf
Action History
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SIGNED BY GOVERNOR
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TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNOR
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TRANSMITTED TO SECRETARY OF THE STATE
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PUBLIC ACT 24-83
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IN CONCURRENCE
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SEN. PASSED, HO. AMEND. SCH. A
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SEN. ADOPTED HO. AMEND. SCH. A
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FILE NO. 601
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SENATE CALENDAR NUMBER 340
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FAV. RPT., TAB. FOR CAL., SEN.
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HOUSE PASSED, HOUSE AMEND. SCH. A
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HOUSE ADOPTED HOUSE AMEND. SCH. A
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FILE NO. 122
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HOUSE CALENDAR NUMBER 108
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FAV. RPT., TABLED FOR HOUSE CALENDAR
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RPTD. OUT OF LCO
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REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 03/25/24
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FILED WITH LCO
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Joint Favorable
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PUBLIC HEARING 0306
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REF. TO JOINT COMM. ON Public Health
Sponsors
- Tammy Nuccio · Primary
- Patricia Billie Miller · Primary
- Cindy Harrison · Primary
- Martin Foncello · Primary
- Donna Veach · Primary
- Tom Delnicki · Primary
- Robin E. Comey · Primary
- Rob Sampson · Primary
- Tracy Marra · Primary
- John A. Kissel · Primary
- Matt Blumenthal · Primary
- Paul Cicarella · Primary
- Eric C. Berthel · Primary
- Jeff Gordon · Primary
- Mary Welander · Primary
- Heather S. Somers · Primary
- Jaime S. Foster · Primary
- Tami Zawistowski · Primary
- Nicole Klarides-Ditria · Primary
- Holly H. Cheeseman · Primary
- Laura Dancho · Primary
- Rachel Chaleski · Primary
- Christine Conley · Primary
- Lucy Dathan · Primary
- Patrick E. Callahan · Primary
- Rachel Khanna · Primary
- Anthony L. Nolan · Primary
- Lisa Seminara · Primary
- K. Mccarty · Primary
- Kate Farrar · Primary
- Irene M. Haines · Primary
- Hilda E. Santiago · Primary
- Anabel D. Figueroa · Primary
- Karen Reddington-Hughes · Primary
- Ryan Fazio · Primary
- Mark W. Anderson · Primary
- Geraldo C. Reyes · Primary
Sponsorship breakdown
Export CSV (upgrade) →37 sponsors · 0 co-sponsors · 150 not signed on
Sponsors (37)
- Tammy Nuccio Republican
- Patricia Billie Miller Democratic
- Cindy Harrison
- Martin Foncello Republican
- Donna Veach Republican
- Tom Delnicki Republican
- Robin E. Comey Democratic
- Rob Sampson Republican
- Tracy Marra Republican
- John A. Kissel Republican
- Matt Blumenthal Democratic
- Paul Cicarella Republican
- Eric C. Berthel Republican
- Jeff Gordon Republican
- Mary Welander Democratic
- Heather S. Somers Republican
- Jaime S. Foster Democratic
- Tami Zawistowski Republican
- Nicole Klarides-Ditria Republican
- Holly H. Cheeseman
- Laura Dancho
- Rachel Chaleski
- Christine Conley
- Lucy Dathan Democratic
- Patrick E. Callahan Republican
- Rachel Khanna
- Anthony L. Nolan Democratic
- Lisa Seminara
- Mccarty, K.
- Kate Farrar Democratic
- Irene M. Haines Republican
- Hilda E. Santiago Democratic
- Anabel D. Figueroa
- Karen Reddington-Hughes Republican
- Ryan Fazio Republican
- Mark W. Anderson Republican
- Geraldo C. Reyes Democratic
Co-sponsors (0)
None.
Not signed on (150)
150 members have not signed on to this bill.
Show all 150 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 23 | 0 | 0 | 0 |
| Unaffiliated | 3 | 0 | 0 | 0 |
| Republican | 10 | 0 | 0 | 0 |
| Total | 36 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (36)
| Member | Party | Vote |
|---|---|---|
| Kevin C. Kelly | — | Yea |
| Lisa Seminara | — | Yea |
| Marilyn Moore | — | Yea |
| Bob Duff | Democratic | Yea |
| Catherine A. Osten | Democratic | Yea |
| Ceci Maher | Democratic | Yea |
| Christine Cohen | Democratic | Yea |
| Derek Slap | Democratic | Yea |
| Douglas McCrory | Democratic | Yea |
| Gary A. Winfield | Democratic | Yea |
| Herron Gaston | Democratic | Yea |
| James J. Maroney | Democratic | Yea |
| Jan Hochadel | Democratic | Yea |
| Joan V. Hartley | Democratic | Yea |
| John W. Fonfara | Democratic | Yea |
| Jorge Cabrera | Democratic | Yea |
| Julie Kushner | Democratic | Yea |
| MD Rahman | Democratic | Yea |
| Mae Flexer | Democratic | Yea |
| Martha Marx | Democratic | Yea |
| Martin M. Looney | Democratic | Yea |
| Matthew L. Lesser | Democratic | Yea |
| Norman Needleman | Democratic | Yea |
| Patricia Billie Miller | Democratic | Yea |
| Rick Lopes | Democratic | Yea |
| Saud Anwar | Democratic | Yea |
| Eric C. Berthel | Republican | Yea |
| Heather S. Somers | Republican | Yea |
| Henri Martin | Republican | Yea |
| Jeff Gordon | Republican | Yea |
| John A. Kissel | Republican | Yea |
| Paul Cicarella | Republican | Yea |
| Rob Sampson | Republican | Yea |
| Ryan Fazio | Republican | Yea |
| Stephen G. Harding | Republican | Yea |
| Tony Hwang | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 75 | 0 | 0 | 6 |
| Republican | 42 | 0 | 0 | 2 |
| Unaffiliated | 26 | 0 | 0 | 0 |
| Total | 143 | 0 | 0 | 8 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (151)
| Member | Party | Vote |
|---|---|---|
| Arnone | — | Yea |
| Khanna | — | Yea |
| Michel | — | Yea |
| Conley | — | Yea |
| Chaleski | — | Yea |
| Currey | — | Yea |
| Cheeseman | — | Yea |
| D'agostino | — | Yea |
| Cooley | — | Yea |
| Dancho | — | Yea |
| Palm | — | Yea |
| Denning | — | Yea |
| Porter | — | Yea |
| Ferraro | — | Yea |
| Cook | — | Yea |
| Ryan | — | Yea |
| Harrison | — | Yea |
| Figueroa | — | Yea |
| Hayes | — | Yea |
| Labriola | — | Yea |
| Tercyak | — | Yea |
| Sanchez, R. | — | Yea |
| Mccarthy Vahey | — | Yea |
| Mccarty, K. | — | Yea |
| Morrin Bello | — | Yea |
| Sanchez, J. | — | Yea |
| Aimee Berger-Girvalo | Democratic | Yea |
| Alphonse Paolillo | Democratic | Yea |
| Andre F. Baker | Democratic | Yea |
| Anne M. Hughes | Democratic | Yea |
| Anthony L. Nolan | Democratic | Yea |
| Antonio Felipe | Democratic | Yea |
| Aundre Bumgardner | Democratic | Yea |
| Bob Godfrey | Democratic | Yea |
| Bobby G. Gibson | Democratic | Not Voting |
| Brandon Chafee | Democratic | Not Voting |
| Christopher Poulos | Democratic | Yea |
| Christopher Rosario | Democratic | Yea |
| Corey P. Paris | Democratic | Yea |
| Derell Wilson | Democratic | Yea |
| Dominique Johnson | Democratic | Yea |
| Eleni Kavros DeGraw | Democratic | Yea |
| Emmanuel Sanchez | Democratic | Yea |
| Farley Santos | Democratic | Yea |
| Frank Smith | Democratic | Yea |
| Fred Gee | Democratic | Yea |
| Gary A. Turco | Democratic | Yea |
| Geoff Luxenberg | Democratic | Yea |
| Geraldo C. Reyes | Democratic | Yea |
| Gregory Haddad | Democratic | Yea |
| Hector Arzeno | Democratic | Yea |
| Henry J. Genga | Democratic | Yea |
| Hilda E. Santiago | Democratic | Yea |
| Hubert D. Delany | Democratic | Yea |
| Jaime S. Foster | Democratic | Yea |
| Jane M. Garibay | Democratic | Yea |
| Jason Doucette | Democratic | Yea |
| Jason Rojas | Democratic | Yea |
| Jennifer Leeper | Democratic | Yea |
| Jill Barry | Democratic | Yea |
| Jillian Gilchrest | Democratic | Yea |
| John-Michael Parker | Democratic | Yea |
| Jonathan Fazzino | Democratic | Yea |
| Jonathan Steinberg | Democratic | Yea |
| Joseph P. Gresko | Democratic | Yea |
| Josh Elliott | Democratic | Yea |
| Joshua M. Hall | Democratic | Yea |
| Juan R. Candelaria | Democratic | Not Voting |
| Julio A. Concepcion | Democratic | Yea |
| Kadeem Roberts | Democratic | Yea |
| Kai J. Belton | Democratic | Yea |
| Kara Rochelle | Democratic | Yea |
| Kate Farrar | Democratic | Yea |
| Kerry S. Wood | Democratic | Not Voting |
| Kevin Brown | Democratic | Yea |
| Larry B. Butler | Democratic | Yea |
| Liz Linehan | Democratic | Yea |
| Lucy Dathan | Democratic | Yea |
| Marcus Brown | Democratic | Yea |
| Maria P. Horn | Democratic | Yea |
| Mary Fortier | Democratic | Yea |
| Mary M. Mushinsky | Democratic | Yea |
| Mary Welander | Democratic | Yea |
| Maryam Khan | Democratic | Yea |
| Matt Blumenthal | Democratic | Yea |
| Matthew Ritter | Democratic | Yea |
| Melissa Osborne | Democratic | Yea |
| Michael D. Quinn | Democratic | Yea |
| Michael DiGiovancarlo | Democratic | Not Voting |
| Mike Demicco | Democratic | Yea |
| Minnie Gonzalez | Democratic | Yea |
| Moira Rader | Democratic | Yea |
| Patricia A. Dillon | Democratic | Yea |
| Patrick S. Boyd | Democratic | Yea |
| Raghib Allie-Brennan | Democratic | Yea |
| Robin E. Comey | Democratic | Yea |
| Roland J. Lemar | Democratic | Yea |
| Ronald A. Napoli | Democratic | Yea |
| Sarah Keitt | Democratic | Yea |
| Stephen R. Meskers | Democratic | Yea |
| Steven J. Stafstrom | Democratic | Not Voting |
| Susan M. Johnson | Democratic | Yea |
| Tammy R. Exum | Democratic | Yea |
| Toni E. Walker | Democratic | Yea |
| Travis Simms | Democratic | Yea |
| Trenee McGee | Democratic | Yea |
| William Heffernan | Democratic | Yea |
| Anne Dauphinais | Republican | Yea |
| Ben McGorty | Republican | Yea |
| Bill Buckbee | Republican | Yea |
| Brian Lanoue | Republican | Yea |
| Cara Christine Pavalock-D'Amato | Republican | Yea |
| Carol Hall | Republican | Yea |
| Chris Aniskovich | Republican | Yea |
| Christie M. Carpino | Republican | Yea |
| Craig C. Fishbein | Republican | Yea |
| Dave W. Yaccarino | Republican | Yea |
| David Rutigliano | Republican | Yea |
| Devin R. Carney | Republican | Yea |
| Donna Veach | Republican | Yea |
| Doug Dubitsky | Republican | Yea |
| Gale L. Mastrofrancesco | Republican | Yea |
| Greg S. Howard | Republican | Yea |
| Irene M. Haines | Republican | Yea |
| Jason Perillo | Republican | Yea |
| Jay M. Case | Republican | Yea |
| Joe Hoxha | Republican | Yea |
| Joe Polletta | Republican | Yea |
| John E. Piscopo | Republican | Yea |
| Joseph H. Zullo | Republican | Yea |
| Karen Reddington-Hughes | Republican | Yea |
| Kathy Kennedy | Republican | Yea |
| Kurt Vail | Republican | Yea |
| Lezlye Zupkus | Republican | Yea |
| Mark DeCaprio | Republican | Yea |
| Mark W. Anderson | Republican | Yea |
| Martin Foncello | Republican | Yea |
| Mitch Bolinsky | Republican | Yea |
| Nicole Klarides-Ditria | Republican | Yea |
| Patrick E. Callahan | Republican | Yea |
| Seth Bronko | Republican | Yea |
| Steve Weir | Republican | Yea |
| Tami Zawistowski | Republican | Yea |
| Tammy Nuccio | Republican | Yea |
| Tim Ackert | Republican | Yea |
| Tom Delnicki | Republican | Yea |
| Tom O'Dea | Republican | Not Voting |
| Tony J. Scott | Republican | Not Voting |
| Tracy Marra | Republican | Yea |
| Vincent J. Candelora | Republican | Yea |
| William Pizzuto | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors HB 5058?
- HB 5058 is sponsored by Tammy Nuccio (Republican), Patricia Billie Miller (Democratic), Cindy Harrison, Martin Foncello (Republican), Donna Veach (Republican), Tom Delnicki (Republican), Robin E. Comey (Democratic), Rob Sampson (Republican), Tracy Marra (Republican), John A. Kissel (Republican), Matt Blumenthal (Democratic), Paul Cicarella (Republican), Eric C. Berthel (Republican), Jeff Gordon (Republican), Mary Welander (Democratic), Heather S. Somers (Republican), Jaime S. Foster (Democratic), Tami Zawistowski (Republican), Nicole Klarides-Ditria (Republican), Holly H. Cheeseman, Laura Dancho, Rachel Chaleski, Christine Conley, Lucy Dathan (Democratic), Patrick E. Callahan (Republican), Rachel Khanna, Anthony L. Nolan (Democratic), Lisa Seminara, Mccarty, K., Kate Farrar (Democratic), Irene M. Haines (Republican), Hilda E. Santiago (Democratic), Anabel D. Figueroa, Karen Reddington-Hughes (Republican), Ryan Fazio (Republican), Mark W. Anderson (Republican), and Geraldo C. Reyes (Democratic).
- What is the current status of HB 5058?
- This bill has been enacted into law. Introduced February 08, 2024. Enacted.
- Where can I track HB 5058?
- Track HB 5058 free on One Click Politics — get push/email alerts when it moves.
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