HB 4032 — Health occupations: physicians; interstate medical licensure compact; remove sunset. Amends sec. 16189 of 1978 PA 368 (MCL 333.16189).

HB-4032, As Passed House, March 6, 2025 HOUSE BILL NO.

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 INTERSTATE MEDICAL LICENSURE COMPACT SECTION 1.

(c) "Conviction" means a finding by a court that an individual EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 is guilty of a criminal offense through adjudication, or entry of a plea of guilt or no contest to the charge by the offender.

(1) Is a graduate of a medical school accredited by the EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 Liaison Committee on Medical Education, the Commission on Osteopathic College Accreditation, or a medical school listed in the International Medical Education Directory or its equivalent;

(8) Has never had a controlled substance license or permit suspended or revoked by a state or the United States Drug EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 Enforcement Administration;

(b) A physician who does not meet the requirements of Section 2(k) may obtain a license to practice 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 EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 medicine in that state.

(b) 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 physician is eligible for expedited licensure and issue a letter of qualification, EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 verifying or denying the physician's eligibility, to the Interstate Commission.

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 (e) An expedited license shall be valid for a period consistent with the licensure period in the member state and in the same manner as required for other physicians holding a full and unrestricted license within the member state.

(2) Has not been convicted, received adjudication, deferred adjudication, community supervision, or deferred disposition for EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 any offense by a court of appropriate jurisdiction;

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 (c) Member boards shall report disciplinary or investigatory information determined as necessary and proper by rule of the Interstate Commission.

(e) Any member state may investigate actual or alleged violations of the statutes authorizing the practice of medicine in any other member state in which a physician holds a license to EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 practice medicine.

(d) If a license granted to a physician by a member board is EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 revoked, surrendered or relinquished in lieu of discipline, or suspended, then any license(s) issued to the physician by any other member board(s) shall be suspended, automatically and immediately without further action necessary by the other member board(s), for ninety (90) days upon entry of the order by the disciplining board, to permit the member board(s) to investigate the basis for the action under the Medical Practice Act of that state.

A Commissioner shall be EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 a(n):

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 (1) Relate solely to the internal personnel practices and procedures of the Interstate Commission;

When acting on behalf of the Interstate Commission, the executive committee shall oversee the EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 administration of the Compact including enforcement and compliance with the provisions of the Compact, its bylaws and rules, and other such duties as necessary.

(j) Employ an executive director who shall have such powers to EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 employ, select or appoint employees, agents, or consultants, and to determine their qualifications, define their duties, and fix their compensation;

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 SECTION 13.

(b) The Interstate Commission shall elect or appoint annually from among its Commissioners a chairperson, a vice-chairperson, and a treasurer, each of whom shall have such authority and duties as EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 may be specified in the bylaws.

(2) The Interstate Commission shall defend the executive EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 director, its employees, and subject to the approval of the attorney general or other appropriate legal counsel of the member state represented by an Interstate Commission representative, shall defend such Interstate Commission representative in any civil action seeking to impose liability arising out of an actual or alleged act, error or omission that occurred within the scope of Interstate Commission employment, duties or responsibilities, or that the defendant had a reasonable basis for believing occurred within the scope of 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.

Notwithstanding the foregoing, in the event the Interstate Commission exercises its rulemaking authority in a EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 manner that is beyond the scope of the purposes of the Compact, or the powers granted hereunder, then such an action by the Interstate Commission shall be invalid and have no force or effect.

(b) All courts shall take judicial notice of the Compact and EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 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 the Interstate Commission.

DEFAULT PROCEDURES EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 (a) The grounds for default include, but are not limited to, failure of a member state to perform such obligations or responsibilities imposed upon it by the Compact, or the rules and bylaws of the Interstate Commission promulgated under the Compact.

(e) The Interstate Commission shall establish rules and EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 procedures to address licenses and physicians that are materially impacted by the termination of a member state, or the withdrawal of a member state.

(b) The Compact shall become effective and binding upon EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 legislative enactment of the Compact into law by no less than seven (7) states.

EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 (e) The withdrawing state is responsible for all dues, obligations and liabilities incurred through the effective date of withdrawal, including obligations, the performance of which extend beyond the effective date of withdrawal.

(c) Nothing in the Compact shall be construed to prohibit the applicability of other interstate compacts to which the states are EMR H00666'25_HB4032_INTR_1H00666'25_HB4032_APH_1 zx0mpk842tg0 members.

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