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Minnesota Legislature

Office of the Revisor of Statutes

HF 3322

as introduced - 90th Legislature (2017 - 2018) Posted on 03/05/2018 02:59pm

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - as introduced

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A bill for an act
relating to health occupations; creating an Advanced Practice Registered Nurse
Compact; appropriating money; proposing coding for new law in Minnesota
Statutes, chapter 148.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [148.2855] ADVANCED PRACTICE REGISTERED NURSE LICENSURE
COMPACT.
new text end

new text begin The Advanced Practice Registered Nurse Licensure Compact is enacted into law and
entered into with all other jurisdictions legally joining in it, in the form substantially as
follows:
new text end

new text begin ARTICLE 1
new text end

new text begin DEFINITIONS
new text end

new text begin The Advanced Practice Registered Nurse Licensure Compact is enacted and entered
into with all other jurisdictions legally joining in it in the form substantially as follows:
new text end

new text begin (a) "Advanced practice registered nurse" or "APRN" means a registered nurse who has
gained additional specialized knowledge, skills, and experience through a program of study
recognized or defined by the Interstate Commission of APRN Compact Administrators
("commission"), and who is licensed to perform advanced nursing practice. An advanced
practice registered nurse is licensed in an APRN role that is congruent with an APRN
educational program, certification, and commission rules.
new text end

new text begin (b) "Adverse action" means any administrative, civil, equitable, or criminal action
permitted by a state's laws that is imposed by a licensing board or other authority against
an APRN, including actions against an individual's license or multistate licensure privilege
such as revocation, suspension, probation, monitoring of the licensee, limitation on the
licensee's practice, or any other encumbrance on licensure affecting an APRN's authorization
to practice, including the issuance of a cease and desist action.
new text end

new text begin (c) "Alternative program" means a nondisciplinary monitoring program approved by a
licensing board.
new text end

new text begin (d) "APRN licensure" means the regulatory mechanism used by a party state to grant
legal authority to practice as an APRN.
new text end

new text begin (e) "APRN uniform licensure requirements" means minimum uniform licensure,
education, and examination requirements as adopted by the commission.
new text end

new text begin (f) "Coordinated licensure information system" means an integrated process for collecting,
storing, and sharing information on APRN licensure and enforcement activities related to
APRN licensure laws that is administered by a nonprofit organization composed of and
controlled by licensing boards.
new text end

new text begin (g) "Current significant investigatory information" means:
new text end

new text begin (1) investigative information that a licensing board, after a preliminary inquiry that
includes notification and an opportunity for the APRN to respond, if required by state law,
has reason to believe is not groundless and, if proved true, would indicate more than a minor
infraction; or
new text end

new text begin (2) investigative information that indicates that the APRN represents an immediate threat
to public health and safety regardless of whether the APRN has been notified and had an
opportunity to respond.
new text end

new text begin (h) "Encumbrance" means a revocation or suspension of, or any limitation on, the full
and unrestricted practice of nursing imposed by a licensing board.
new text end

new text begin (i) "Home state" means the party state that is the APRN's primary state of residence.
new text end

new text begin (j) "Licensing board" means a party state's regulatory body responsible for regulating
the practice of advanced practice registered nursing.
new text end

new text begin (k) "Multistate license" means an APRN license to practice as an APRN issued by a
home state licensing board that authorizes the APRN to practice as an APRN in all party
states under a multistate licensure privilege, in the same role and population focus as the
APRN is licensed in the home state.
new text end

new text begin (l) "Multistate licensure privilege" means a legal authorization associated with an APRN
multistate license that permits an APRN to practice as an APRN in a remote state, in the
same role and population focus as the APRN is licensed in the home state.
new text end

new text begin (m) "Noncontrolled prescription drug" means a device or drug that is not a controlled
substance and is prohibited under state or federal law from being dispensed without a
prescription. The term includes a device or drug that bears or is required to bear the legend
"Caution: federal law prohibits dispensing without prescription" or "prescription only" or
other legend that complies with federal law.
new text end

new text begin (n) "Party state" means any state that has adopted this compact.
new text end

new text begin (o) "Population focus" means a specific patient population that is congruent with the
APRN educational program, certification, and commission rules.
new text end

new text begin (p) "Prescriptive authority" means the legal authority to prescribe medications and
devices as defined by party state laws.
new text end

new text begin (q) "Remote state" means a party state that is not the home state.
new text end

new text begin (r) "Single-state license" means an APRN license issued by a party state that authorizes
practice only within the issuing state and does not include a multistate licensure privilege
to practice in any other party state.
new text end

new text begin (s) "State" means a state, territory, or possession of the United States and the District of
Columbia.
new text end

new text begin (t) "State practice laws" means a party state's laws, rules, and regulations that govern
APRN practice, define the scope of advanced nursing practice, including prescriptive
authority, and create the methods and grounds for imposing discipline. State practice laws
do not include the requirements necessary to obtain and retain an APRN license, except for
qualifications or requirements of the home state.
new text end

new text begin ARTICLE 2
new text end

new text begin GENERAL PROVISIONS AND JURISDICTION
new text end

new text begin (a) A state must implement procedures for considering the criminal history records of
applicants for initial APRN licensure or APRN licensure by endorsement. Such procedures
shall include the submission of fingerprints or other biometric-based information by APRN
applicants for the purpose of obtaining an applicant's criminal history record information
from the Federal Bureau of Investigation and the agency responsible for retaining that state's
criminal records.
new text end

new text begin (b) By rule, the commission shall adopt the APRN Uniform Licensure Requirements
("ULRs"). The ULRs shall provide the minimum requirements for APRN multistate licensure
in party states, provided that the commission may adopt rules whereby an APRN, with an
unencumbered license on the effective date of this compact, may obtain, by endorsement
or otherwise, and retain a multistate license in a party state.
new text end

new text begin (c) In order to obtain or retain a multistate license, an APRN must meet, in addition to
the ULRs, the home state's qualifications for licensure or renewal of licensure, as well as
all other applicable home state laws.
new text end

new text begin (d) By rule, the commission shall identify the approved APRN roles and population foci
for licensure as an APRN. An APRN issued a multistate license shall be licensed in an
approved APRN role and at least one approved population focus.
new text end

new text begin (e) An APRN multistate license issued by a home state to a resident in that state will be
recognized by each party state as authorizing the APRN to practice as an APRN in each
party state, under a multistate licensure privilege, in the same role and population focus as
the APRN is licensed in the home state. If an applicant does not qualify for a multistate
license, a single-state license may be issued by a home state.
new text end

new text begin (f) Issuance of an APRN multistate license shall include prescriptive authority for
noncontrolled prescription drugs, unless the APRN was licensed by the home state prior to
the home state's adoption of this Compact and has not previously held prescriptive authority:
new text end

new text begin (1) an APRN granted prescriptive authority for noncontrolled prescription drugs in the
home state may exercise prescriptive authority for noncontrolled prescription drugs in any
remote state while exercising a multistate licensure privilege under an APRN multistate
license; the APRN shall not be required to meet any additional eligibility requirements
imposed by the remote state in exercising prescriptive authority for noncontrolled prescription
drugs;
new text end

new text begin (2) prescriptive authority in the home state for an APRN who was not granted prescriptive
authority at the time of initial licensure by the home state, prior to the adoption of this
compact, shall be determined under home state law; and
new text end

new text begin (3) prescriptive authority eligibility for an APRN holding a single-state license shall be
determined under the law of the licensing state.
new text end

new text begin (g) For each state in which an APRN seeks authority to prescribe controlled substances,
the APRN shall satisfy all requirements imposed by such state in granting and/or renewing
such authority.
new text end

new text begin (h) An APRN issued a multistate license is authorized to assume responsibility and
accountability for patient care independent of a supervisory or collaborative relationship
with a physician. This authority may be exercised in the home state and in any remote state
in which the APRN exercises a multistate licensure privilege. For an APRN issued a
single-state license in a party state, the requirement for a supervisory or collaborative
relationship with a physician shall be determined under applicable party state law.
new text end

new text begin (i) All party states shall be authorized, in accordance with state due process laws, to take
adverse action against an APRN's multistate licensure privilege such as revocation,
suspension, probation, or any other action that affects an APRN's authorization to practice
under a multistate licensure privilege, including cease and desist actions. If a party state
takes such action, it shall promptly notify the administrator of the coordinated licensure
information system. The administrator of the coordinated licensure information system shall
promptly notify the home state of any such actions by remote states.
new text end

new text begin (j) An APRN practicing in a party state must comply with the state practice laws of the
state in which the client is located at the time service is provided. APRN practice is not
limited to patient care, but shall include all advanced nursing practice as defined by the state
practice laws of the party state in which the client is located. APRN practice in a party state
under a multistate licensure privilege will subject the APRN to the jurisdiction of the licensing
board, the courts, and the laws of the party state in which the client is located at the time
service is provided.
new text end

new text begin (k) This compact does not affect additional requirements imposed by states for advanced
practice registered nursing. However, a multistate licensure privilege to practice registered
nursing granted by a party state shall be recognized by other party states as satisfying any
state law requirement for registered nurse licensure as a precondition for authorization to
practice as an APRN in that state.
new text end

new text begin (l) Individuals not residing in a party state shall continue to be able to apply for a party
state's single-state APRN license as provided under the laws of each party state. However,
the single-state license granted to these individuals will not be recognized as granting the
privilege to practice as an APRN in any other party state.
new text end

new text begin ARTICLE 3
new text end

new text begin APPLICATIONS FOR APRN LICENSURE IN A PARTY STATE
new text end

new text begin (a) Upon application for an APRN multistate license, the licensing board in the issuing
party state shall ascertain, through the coordinated licensure information system, whether
the applicant has ever held or is the holder of a licensed practical/vocational nursing license,
a registered nursing license, or an advanced practice registered nurse 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.
new text end

new text begin (b) An APRN may hold a multistate APRN license, issued by the home state, in only
one party state at a time.
new text end

new text begin (c) If an APRN changes primary state of residence by moving between two party states,
the APRN must apply for APRN licensure in the new home state, and the multistate license
issued by the prior home state shall be deactivated in accordance with applicable commission
rules:
new text end

new text begin (1) the APRN may apply for licensure in advance of a change in primary state of
residence; and
new text end

new text begin (2) a multistate APRN license shall not be issued by the new home state until the APRN
provides satisfactory evidence of a change in primary state of residence to the new home
state and satisfies all applicable requirements to obtain a multistate APRN license from the
new home state.
new text end

new text begin (d) If an APRN changes primary state of residence by moving from a party state to a
nonparty state, the APRN multistate license issued by the prior home state will convert to
a single-state license, valid only in the former home state.
new text end

new text begin ARTICLE 4
new text end

new text begin ADDITIONAL AUTHORITIES INVESTED IN PARTY STATE LICENSING BOARDS
new text end

new text begin (a) In addition to the other powers conferred by state law, a licensing board shall have
the authority to:
new text end

new text begin (1) take adverse action against an APRN's multistate licensure privilege to practice
within that party state;
new text end

new text begin (i) only the home state shall have power to take adverse action against an APRN's license
issued by the home state; and
new text end

new text begin (ii) for purposes of taking adverse action, the home state licensing board shall give the
same priority and effect to reported conduct that occurred outside of the home state as it
would if such conduct had occurred within the home state. In so doing, the home state shall
apply its own state laws to determine appropriate action;
new text end

new text begin (2) issue cease and desist orders or impose an encumbrance on an APRN's authority to
practice within that party state;
new text end

new text begin (3) complete any pending investigations of an APRN who changes primary state of
residence during the course of such investigations. The licensing board shall also have the
authority to take appropriate action(s) and shall promptly report the conclusions of such
investigations to the administrator of the coordinated licensure information system. The
administrator of the coordinated licensure information system shall promptly notify the new
home state of any such actions;
new text end

new text begin (4) issue subpoenas for both hearings and investigations that require the attendance and
testimony of witnesses, as well as the production of evidence. Subpoenas issued by a party
state licensing board for the attendance and testimony of witnesses and/or the production
of evidence from another party state shall be enforced in the latter state by any court of
competent jurisdiction, according to that court's practice and procedure in considering
subpoenas issued in its own proceedings. The issuing licensing board shall pay any witness
fees, travel expenses, mileage, and other fees required by the service statutes of the state in
which the witnesses and/or evidence are located;
new text end

new text begin (5) obtain and submit for an APRN licensure applicant, fingerprints, 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;
new text end

new text begin (6) if otherwise permitted by state law, recover from the affected APRN the costs of
investigations and disposition of cases resulting from any adverse action taken against that
APRN; and
new text end

new text begin (7) take adverse action based on the factual findings of another party state, provided that
the licensing board follows its own procedures for taking such adverse action.
new text end

new text begin (b) If adverse action is taken by a home state against an APRN's multistate licensure,
the privilege to practice in all other party states under a multistate licensure privilege shall
be deactivated until all encumbrances have been removed from the APRN's multistate
license. All home state disciplinary orders that impose adverse action against an APRN's
multistate license shall include a statement that the APRN's multistate licensure privilege
is deactivated in all party states during the pendency of the order.
new text end

new text begin (c) Nothing in this compact shall override a party state's decision that participation in
an alternative program may be used in lieu of adverse action. The home state licensing board
shall deactivate the multistate licensure privilege under the multistate license of any APRN
for the duration of the APRN's participation in an alternative program.
new text end

new text begin ARTICLE 5
new text end

new text begin COORDINATED LICENSURE INFORMATION SYSTEM AND EXCHANGE OF
INFORMATION
new text end

new text begin (a) All party states shall participate in a coordinated licensure information system of all
APRNs, licensed registered nurses, and licensed practical/vocational nurses. This system
will include information on the licensure and disciplinary history of each APRN, as submitted
by party states, to assist in the coordinated administration of APRN licensure and enforcement
efforts.
new text end

new text begin (b) The commission, in consultation with the administrator of the coordinated licensure
information system, shall formulate necessary and proper procedures for the identification,
collection, and exchange of information under this compact.
new text end

new text begin (c) All licensing boards shall promptly report to the coordinated licensure information
system any adverse action, any current significant investigative information, denials of
applications, including the reasons for such denials, and APRN participation in alternative
programs known to the licensing board regardless of whether such participation is deemed
nonpublic and/or confidential under state law.
new text end

new text begin (d) Current significant investigative information and participation in nonpublic or
confidential alternative programs shall be transmitted through the coordinated licensure
information system only to party state licensing boards.
new text end

new text begin (e) Notwithstanding any other provision of law, all party state licensing boards
contributing information to the coordinated licensure information system may designate
information that may not be shared with nonparty states or disclosed to other entities or
individuals without the express permission of the contributing state.
new text end

new text begin (f) Any personally identifiable information obtained from the coordinated licensure
information system by a party state licensing board shall not be shared with nonparty states
or disclosed to other entities or individuals except to the extent permitted by the laws of the
party state contributing the information.
new text end

new text begin (g) Any information contributed to the coordinated licensure information system that is
subsequently required to be expunged by the laws of the party state contributing the
information shall be removed from the coordinated licensure information system.
new text end

new text begin (h) The compact administrator of each party state shall furnish a uniform data set to the
compact administrator of each other party state, which shall include, at a minimum:
new text end

new text begin (1) identifying information;
new text end

new text begin (2) licensure data;
new text end

new text begin (3) information related to alternative program participation information; and
new text end

new text begin (4) other information that may facilitate the administration of this compact, as determined
by commission rules.
new text end

new text begin (i) The compact administrator of a party state shall provide all investigative documents
and information requested by another party state.
new text end

new text begin ARTICLE 6
new text end

new text begin ESTABLISHMENT OF THE INTERSTATE COMMISSION OF APRN COMPACT
ADMINISTRATORS
new text end

new text begin (a) The party states hereby create and establish a joint public agency known as the
Interstate Commission of APRN Compact Administrators:
new text end

new text begin (1) the commission is an instrumentality of the party states;
new text end

new text begin (2) venue is proper, and judicial proceedings by or against the commission shall be
brought solely and exclusively in a court of competent jurisdiction where the principal office
of the commission is located. The commission may waive venue and jurisdictional defenses
to the extent it adopts or consents to participate in alternative dispute resolution proceedings;
and
new text end

new text begin (3) nothing in this compact shall be construed to be a waiver of sovereign immunity.
new text end

new text begin (b) Membership, voting, and meetings:
new text end

new text begin (1) each party state shall have and be limited to one administrator. The head of the state
licensing board or designee shall be the administrator of this compact for each party state.
Any administrator may be removed or suspended from office as provided by the law of the
state from which the administrator is appointed. Any vacancy occurring in the commission
shall be filled in accordance with the laws of the party state in which the vacancy exists;
new text end

new text begin (2) each administrator shall be entitled to one vote with regard to the promulgation of
rules and creation of bylaws and shall otherwise have an opportunity to participate in the
business and affairs of the commission. An administrator shall vote in person or by such
other means as provided in the bylaws. The bylaws may provide for an administrator's
participation in meetings by telephone or other means of communication;
new text end

new text begin (3) the commission shall meet at least once during each calendar year. Additional
meetings shall be held as set forth in the bylaws or rules of the commission;
new text end

new text begin (4) all meetings shall be open to the public, and public notice of meetings shall be given
in the same manner as required under the rulemaking provisions in article 7;
new text end

new text begin (5) the commission may convene in a closed, nonpublic meeting if the commission must
discuss:
new text end

new text begin (i) noncompliance of a party state with its obligations under this compact;
new text end

new text begin (ii) the employment, compensation, discipline, or other personnel matters, practices, or
procedures related to specific employees or other matters related to the commission's internal
personnel practices and procedures;
new text end

new text begin (iii) current, threatened, or reasonably anticipated litigation;
new text end

new text begin (iv) negotiation of contracts for the purchase or sale of goods, services, or real estate;
new text end

new text begin (v) accusing any person of a crime or formally censuring any person;
new text end

new text begin (vi) disclosure of trade secrets or commercial or financial information that is privileged
or confidential;
new text end

new text begin (vii) disclosure of information of a personal nature where disclosure would constitute a
clearly unwarranted invasion of personal privacy;
new text end

new text begin (viii) disclosure of investigatory records compiled for law enforcement purposes;
new text end

new text begin (ix) disclosure of information related to any reports prepared by or on behalf of the
commission for the purpose of investigation of compliance with this compact; or
new text end

new text begin (x) matters specifically exempted from disclosure by federal or state statute;
new text end

new text begin (6) if a meeting, or portion of a meeting, is closed pursuant to this provision, the
commission's legal counsel or designee shall certify that the meeting may be closed and
shall reference each relevant exempting provision. The commission shall keep minutes that
fully and clearly describe all matters discussed in a meeting and shall provide a full and
accurate summary of actions taken, and the reasons therefore, including a description of the
views expressed. All documents considered in connection with an action shall be identified
in such minutes. 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 competent
jurisdiction.
new text end

new text begin (c) The commission shall, by a majority vote of the administrators, prescribe bylaws or
rules to govern its conduct as may be necessary or appropriate to carry out the purposes and
exercise the powers of this compact, including, but not limited to:
new text end

new text begin (1) establishing the fiscal year of the commission;
new text end

new text begin (2) providing reasonable standards and procedures:
new text end

new text begin (i) for the establishment and meetings of other committees; and
new text end

new text begin (ii) governing any general or specific delegation of any authority for function of the
commission;
new text end

new text begin (3) providing reasonable procedures for calling and conducting meetings of the
commission, ensuring reasonable advance notice of all meetings and providing an opportunity
for attendance of such meetings by interested parties, with enumerated exceptions designed
to protect the public's interest, the privacy of individuals, and proprietary information,
including trade secrets. The commission may meet in closed session only after a majority
of the administrators vote to close a meeting in whole or in part. As soon as practicable, the
commission must make public a copy of the vote to close the meeting revealing the vote of
each administrator, with no proxy votes allowed;
new text end

new text begin (4) establishing the titles, duties and authority and reasonable procedures for the election
of the officers of the commission;
new text end

new text begin (5) providing reasonable standards and procedures for the establishment of the personnel
policies and programs of the commission. Notwithstanding any civil service or other similar
laws of any party state, the bylaws shall exclusively govern the personnel policies and
programs of the commission; and
new text end

new text begin (6) providing a mechanism for winding up the operations of the commission and the
equitable disposition of any surplus funds that may exist after the termination of this compact
after the payment and/or reserving of all of its debts and obligations.
new text end

new text begin (d) The commission shall publish its bylaws and rules, and any amendments thereto, in
a convenient form on the Web site of the commission.
new text end

new text begin (e) The commission shall maintain its financial records in accordance with the bylaws.
new text end

new text begin (f) The commission shall meet and take such actions as are consistent with the provisions
of this compact and the bylaws.
new text end

new text begin (g) The commission shall have the following powers:
new text end

new text begin (1) to promulgate uniform rules to facilitate and coordinate implementation and
administration of this compact. The rules shall have the force and effect of law and shall
be binding in all party states;
new text end

new text begin (2) to bring and prosecute legal proceedings or actions in the name of the commission,
provided that the standing of any licensing board to sue or be sued under applicable law
shall not be affected;
new text end

new text begin (3) to purchase and maintain insurance and bonds;
new text end

new text begin (4) to borrow, accept, or contract for services of personnel, including, but not limited
to, employees of a party state or nonprofit organizations;
new text end

new text begin (5) to cooperate with other organizations that administer state compacts related to the
regulation of nursing, including, but not limited to, sharing administrative or staff expenses,
office space, or other resources;
new text end

new text begin (6) to hire employees, elect or appoint officers, fix compensation, define duties, grant
such individuals appropriate authority to carry out the purposes of this compact, and to
establish the commission's personnel policies and programs relating to conflicts of interest,
qualifications of personnel, and other related personnel matters;
new text end

new text begin (7) to accept any and all appropriate donations, grants and gifts of money, equipment,
supplies, materials and services, and to receive, utilize, and dispose of the same; provided
that at all times the commission shall strive to avoid any appearance of impropriety and/or
conflict of interest;
new text end

new text begin (8) to lease, purchase, accept appropriate gifts or donations of, or otherwise to own,
hold, improve or use, any property, whether real, personal or mixed; provided that at all
times the commission shall strive to avoid any appearance of impropriety;
new text end

new text begin (9) to sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose
of any property, whether real, personal, or mixed;
new text end

new text begin (10) to establish a budget and make expenditures;
new text end

new text begin (11) to borrow money;
new text end

new text begin (12) to appoint committees, including advisory committees comprised of administrators,
state nursing regulators, state legislators or their representatives, and consumer
representatives, and other such interested persons;
new text end

new text begin (13) to provide and receive information from, and to cooperate with, law enforcement
agencies;
new text end

new text begin (14) to adopt and use an official seal; and
new text end

new text begin (15) to perform such other functions as may be necessary or appropriate to achieve the
purposes of this compact consistent with the state regulation of APRN licensure and practice.
new text end

new text begin (h) Financing of the commission:
new text end

new text begin (1) the commission shall pay, or provide for the payment of, the reasonable expenses of
its establishment, organization and ongoing activities;
new text end

new text begin (2) the commission may levy on and collect an annual assessment from each party state
to cover the cost of the operations and activities of the Interstate Commission and its staff
which must be in a total amount sufficient to cover its annual budget as approved each year.
The aggregate annual assessment amount shall be allocated based upon a formula to be
determined by the commission, which shall promulgate a rule that is binding upon all party
states;
new text end

new text begin (3) the commission shall not incur obligations of any kind prior to securing the funds
adequate to meet the same; nor shall the commission pledge the credit of any of the party
states, except by, and with the authority of such party state;
new text end

new text begin (4) the commission shall keep accurate accounts of all receipts and disbursements. The
receipts and disbursements of the commission shall be subject to the audit and accounting
procedures established under its bylaws. However, all receipts and disbursements of funds
handled by the commission shall by audited yearly by a certified or licensed public
accountant, and the report of the audit shall be included in and become part of the annual
report of the commission.
new text end

new text begin (i) Qualified immunity, defense, and indemnification:
new text end

new text begin (1) the administrators, officers, executive director, employees, and representatives of
the commission shall be immune from suit and liability, either personally or in their official
capacity, for any claim for damage to or loss of property or personal injury or other civil
liability caused by or arising out of any actual or alleged act, error, or omission that occurred,
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
that nothing in this paragraph shall be construed to protect any such person from suit and/or
liability for any damage, loss, injury, or liability caused by the intentional, willful, or wanton
misconduct of that person;
new text end

new text begin (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 alleged act, 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 that nothing herein shall be construed to
prohibit that person from retaining his or her own counsel; and provided further that the
actual or alleged act, error, or omission did not result from that person's intentional, willful,
or wanton misconduct; and
new text end

new text begin (3) the commission shall indemnify and hold harmless any administrator, officer,
executive director, employee, or representative of the commission for the amount of any
settlement or judgment obtained against that person arising out of any actual or alleged act,
error, or omission that occurred within the scope of commission employment, duties, or
responsibilities, or that such person had a reasonable basis for believing occurred within
the scope of commission employment, duties, or responsibilities, provided that the actual
or alleged act, error, or omission did not result from the intentional, willful, or wanton
misconduct of that person.
new text end

new text begin ARTICLE 7
new text end

new text begin RULEMAKING
new text end

new text begin (a) The commission shall exercise its rulemaking powers pursuant to the criteria set
forth in this article and the rules adopted thereunder. Rules and amendments shall become
binding as of the date specified in each rule or amendment and shall have the same force
and effect as provisions of this compact.
new text end

new text begin (b) Rules or amendments to the rules shall be adopted at a regular or special meeting of
the commission.
new text end

new text begin (c) Prior to promulgation and adoption of a final rule or rules by the commission, and
at least 60 days in advance of the meeting at which the rule will be considered and voted
upon, the commission shall file a notice of proposed rulemaking:
new text end

new text begin (1) on the Web site of the commission; and
new text end

new text begin (2) on the Web site of each licensing board or the publication in which each state would
otherwise publish proposed rules.
new text end

new text begin (d) The notice of proposed rulemaking shall include:
new text end

new text begin (1) the proposed time, date, and location of the meeting in which the rule will be
considered and voted upon;
new text end

new text begin (2) the text of the proposed rule or amendment, and the reason for the proposed rule;
new text end

new text begin (3) a request for comments on the proposed rule from any interested person; and
new text end

new text begin (4) the manner in which interested persons may submit notice to the commission of their
intention to attend the public hearing and any written comments.
new text end

new text begin (e) Prior to adoption of a proposed rule, the commission shall allow persons to submit
written data, facts, opinions, and arguments, which shall be made available to the public.
new text end

new text begin (f) The commission shall grant an opportunity for a public hearing before it adopts a
rule or amendment.
new text end

new text begin (g) The commission shall publish the place, time, and date of the scheduled public
hearing:
new text end

new text begin (1) hearings shall be conducted in a manner providing each person who wishes to
comment a fair and reasonable opportunity to comment orally or in writing. All hearings
will be recorded, and a copy will be made available upon request; and
new text end

new text begin (2) nothing in this section shall be construed as requiring a separate hearing on each
rule. Rules may be grouped for the convenience of the commission at hearings required by
this section.
new text end

new text begin (h) If no one appears at the public hearing, the commission may proceed with
promulgation of the proposed rule.
new text end

new text begin (i) Following the scheduled hearing date, or by the close of business on the scheduled
hearing date if the hearing was not held, the commission shall consider all written and oral
comments received.
new text end

new text begin (j) The commission shall, by majority vote of all administrators, take final action on the
proposed rule and shall determine the effective date of the rule, if any, based on the
rulemaking record and the full text of the rule.
new text end

new text begin (k) Upon determination that an emergency exists, the commission may consider and
adopt an emergency rule without prior notice, opportunity for comment, or hearing, provided
that the usual rulemaking procedures provided in this compact and in this section shall be
retroactively applied to the rule as soon as reasonably possible, in no event later than 90
days after the effective date of the rule. For the purposes of this provision, an emergency
rule is one that must be adopted immediately in order to:
new text end

new text begin (1) meet an imminent threat to public health, safety, or welfare;
new text end

new text begin (2) prevent a loss of commission or party state funds; or
new text end

new text begin (3) meet a deadline for the promulgation of an administrative rule that is established by
federal law or rule.
new text end

new text begin (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. Public notice of any revisions shall be posted on the Web site of the
commission. The revision shall be subject to challenge by any person for a period of 30
days after posting. The revision may be challenged only on grounds that the revision results
in a material change to a rule. A challenge shall be made in writing, and delivered to the
commission prior to the end of the notice period. If no challenge is made, the revision will
take effect without further action. If the revision is challenged, the revision may not take
effect without the approval of the commission.
new text end

new text begin ARTICLE 8
new text end

new text begin OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT
new text end

new text begin (a) Oversight:
new text end

new text begin (1) each party state shall enforce this compact and take all actions necessary and
appropriate to effectuate this compact's purposes and intent;
new text end

new text begin (2) The commission shall be entitled to receive service of process in any proceeding that
may affect the powers, responsibilities, or actions of the commission, and shall have standing
to intervene in such a proceeding for all purposes. Failure to provide service of process to
the commission shall render a judgment or order void as to the commission, this compact
or promulgated rules.
new text end

new text begin (b) Default, technical assistance, and termination:
new text end

new text begin (1) if the commission determines that a party state has defaulted in the performance of
its obligations or responsibilities under this compact or the promulgated rules, the commission
shall:
new text end

new text begin (i) provide written notice to the defaulting state and other party states of the nature of
the default, the proposed means of curing the default and/or any other action to be taken by
the commission; and
new text end

new text begin (ii) provide remedial training and specific technical assistance regarding the default;
new text end

new text begin (2) if a state in default fails to cure the default, the defaulting state's membership in this
compact may be terminated upon an affirmative vote of a majority of the administrators,
and all rights, privileges, and benefits conferred by this compact may be terminated on the
effective date of termination. A cure of the default does not relieve the offending state of
obligations or liabilities incurred during the period of default;
new text end

new text begin (3) termination of membership in this compact shall be imposed only after all other
means of securing compliance have been exhausted. Notice of intent to suspend or terminate
shall be given by the commission to the governor of the defaulting state and to the executive
officer of the defaulting state's licensing board, the defaulting state's licensing board, and
each of the party states;
new text end

new text begin (4) a state whose membership in this compact has been terminated is responsible for all
assessments, obligations and liabilities incurred through the effective date of termination,
including obligations that extend beyond the effective date of termination;
new text end

new text begin (5) the commission shall not bear any costs related to a state that is found to be in default
or whose membership in this compact has been terminated, unless agreed upon in writing
between the commission and the defaulting state; and
new text end

new text begin (6) the defaulting state may appeal the action of the commission by petitioning the U.S.
District Court for the District of Columbia or the federal district in which the commission
has its principal offices. The prevailing party shall be awarded all costs of such litigation,
including reasonable attorney fees.
new text end

new text begin (c) Dispute resolution:
new text end

new text begin (1) upon request by a party state, the commission shall attempt to resolve disputes related
to the compact that arise among party states and between party and nonparty states;
new text end

new text begin (2) the commission shall promulgate a rule providing for both mediation and binding
dispute resolution for disputes, as appropriate; and
new text end

new text begin (3) in the event the commission cannot resolve disputes among party states arising under
this compact:
new text end

new text begin (i) the party states may submit the issues in dispute to an arbitration panel, which will
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; and
new text end

new text begin (ii) the decision of a majority of the arbitrators shall be final and binding.
new text end

new text begin (d) Enforcement:
new text end

new text begin (1) the commission, in the reasonable exercise of its discretion, shall enforce the
provisions and rules of this compact;
new text end

new text begin (2) by majority vote, the commission may initiate legal action in the United States District
Court for the District of Columbia or the federal district in which the commission has its
principal offices against a party state that is in default to enforce compliance with the
provisions of this compact and its promulgated rules and bylaws. The relief sought may
include both injunctive relief and damages. In the event judicial enforcement is necessary,
the prevailing party shall be awarded all costs of such litigation, including reasonable attorney
fees; and
new text end

new text begin (3) the remedies herein shall not be the exclusive remedies of the commission. The
commission may pursue any other remedies available under federal or state law.
new text end

new text begin ARTICLE 9
new text end

new text begin EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT
new text end

new text begin (a) This compact shall come into limited effect at such time as this compact has been
enacted into law in ten party states for the sole purpose of establishing and convening the
commission to adopt rules relating to its operation and the APRN ULRs.
new text end

new text begin (b) On the date of the commission's adoption of the APRN ULRs, all remaining provisions
of this compact, and rules adopted by the commission, shall come into full force and effect
in all party states.
new text end

new text begin (c) Any state that joins this compact subsequent to the commission's initial adoption of
the APRN uniform licensure requirements shall be subject to all rules that have been
previously adopted by the commission.
new text end

new text begin (d) Any party state may withdraw from this compact by enacting a statute repealing the
same. A party state's withdrawal shall not take effect until six months after enactment of
the repealing statute.
new text end

new text begin (e) A party state's withdrawal or termination shall not affect the continuing requirement
of the withdrawing or terminated state's licensing board to report adverse actions and
significant investigations occurring prior to the effective date of such withdrawal or
termination.
new text end

new text begin (f) Nothing contained in this compact shall be construed to invalidate or prevent any
APRN licensure agreement or other cooperative arrangement between a party state and a
nonparty state that does not conflict with the provisions of this compact.
new text end

new text begin (g) This compact may be amended by the party states. No amendment to this compact
shall become effective and binding upon any party state until it is enacted into the laws of
all party states.
new text end

new text begin (h) Representatives of nonparty states to this compact shall be invited to participate in
the activities of the commission, on a nonvoting basis, prior to the adoption of this compact
by all states.
new text end

new text begin ARTICLE 10
new text end

new text begin CONSTRUCTION AND SEVERABILITY
new text end

new text begin This compact shall be liberally construed so as to effectuate the purposes thereof. The
provisions of this compact shall be severable, and if any phrase, clause, sentence, or provision
of this compact is declared to be contrary to the constitution of any party state or of the
United States, or if the applicability thereof to any government, agency, person, or
circumstance is held invalid, the validity of the remainder of this compact and the
applicability thereof to any government, agency, person, or circumstance shall not be affected
thereby. If this compact shall be held to be contrary to the constitution of any party state,
this compact shall remain in full force and effect as to the remaining party states and in full
force and effect as to the party state affected as to all severable matters.
new text end

Sec. 2.

new text begin [148.2856] APPLICATION OF THE ADVANCED PRACTICE REGISTERED
NURSE LICENSURE COMPACT TO EXISTING LAWS.
new text end

new text begin (a) An advanced practice registered nurse practicing advanced practice registered nursing
in Minnesota under the authority of section 148.2855 has the same obligations, privileges,
and rights as if the advanced practice registered nurse was licensed in Minnesota.
Notwithstanding any contrary provisions in section 148.2855, the Board of Nursing shall
comply with and follow all laws and rules with respect to advanced practice registered
nurses practicing advanced practice registered nursing in Minnesota under the authority of
section 148.2855, and all such individuals shall be governed and regulated as if they were
licensed by the board.
new text end

new text begin (b) Section 148.2855 does not relieve employers of advanced practice registered nurses
from complying with statutorily imposed obligations.
new text end

new text begin (c) Section 148.2855 does not supersede existing state labor laws.
new text end

new text begin (d) For purposes of the Minnesota Government Data Practices Act, chapter 13, an
individual not licensed as an advanced practice registered nurse under sections 148.171 to
148.285 who practices advanced practice registered nursing in Minnesota under the authority
of section 148.2855 is considered to be a licensee of the board.
new text end

new text begin (e) Uniform rules developed by the compact administrators are not subject to the
provisions of sections 14.05 to 14.389, except for sections 14.07, 14.08, 14.101, 14.131,
14.18, 14.22, 14.23, 14.27, 14.28, 14.365, 14.366, 14.37, and 14.38.
new text end

new text begin (f) Proceedings brought against an individual's multistate privilege shall be adjudicated
following the procedures listed in sections 14.50 to 14.62 and are subject to judicial review
as provided for in sections 14.63 to 14.69.
new text end

new text begin (g) For purposes of sections 62M.09, subdivision 2; 121A.22, subdivision 4; 144.051;
144.052; 145A.02, subdivision 18; 148.975; 151.37; 152.12; 154.04; 595.02, subdivision
1, paragraph (g); 604.20, subdivision 5; and 631.40, subdivision 2, and chapters 319B and
364, holders of a multistate privilege who are licensed as advanced practice registered nurses
in the home state are considered to be licensees in Minnesota. If any of the sections listed
in this paragraph are limited to advanced practice registered nurses or the practice of advanced
practice registered nursing, then only holders of a multistate privilege who are licensed as
advanced practice registered nurses in the home state are considered licensees.
new text end

new text begin (h) The reporting requirements of sections 144.4175, 148.263, 626.52, and 626.557
apply to individuals not licensed as advanced practice registered nurses under sections
148.171 to 148.285 who practice advanced practice registered nursing in Minnesota under
the authority of section 148.2861.
new text end

new text begin (i) The board may take action against an individual's multistate privilege based on the
grounds listed in section 148.261, subdivision 1, and any other section authorizing or
requiring the board to take corrective or disciplinary action.
new text end

new text begin (j) The board may take all forms of disciplinary action provided for in section 148.262,
subdivision 1, and corrective action provided for in section 214.103, subdivision 6, against
an individual's multistate privilege.
new text end

new text begin (k) The immunity provisions of section 148.264, subdivision 1, apply to individuals who
practice advanced practice registered nursing in Minnesota under the authority of section
148.2855.
new text end

new text begin (l) The cooperation requirements of section 148.265 apply to individuals who practice
advanced practice registered nursing in Minnesota under the authority of section 148.2855.
new text end

new text begin (m) The provisions of section 148.283 shall not apply to individuals who practice
advanced practice registered nursing in Minnesota under the authority of section 148.2855.
new text end

new text begin (n) Complaints against individuals who practice advanced practice registered nursing
in Minnesota under the authority of section 148.2855 shall be handled as provided in sections
214.10 and 214.103.
new text end

new text begin (o) All provisions of section 148.2855 authorizing or requiring the board to provide data
to party states are authorized by section 214.10, subdivision 8, paragraph (d).
new text end

new text begin (p) Except as provided in section 13.41, subdivision 6, the board shall not report to a
remote state any active investigative data regarding a complaint investigation against an
advanced practice registered nurse licensed under sections 148.171 to 148.285, unless the
board obtains reasonable assurances from the remote state that the data will be maintained
with the same protections as provided in Minnesota law.
new text end

new text begin (q) The provisions of sections 214.17 to 214.25 apply to individuals who practice
advanced practice registered nursing in Minnesota under the authority of section 148.2855
when the practice involves direct physical contact between the nurse and a patient.
new text end

new text begin (r) A nurse practicing advanced practice registered nursing in Minnesota under the
authority of section 148.2855 must comply with any criminal background check required
under Minnesota law.
new text end

Sec. 3.

new text begin [148.2857] MISCELLANEOUS PROVISIONS.
new text end

new text begin (a) For the purposes of section 148.2855, "head of the Nurse Licensing Board" means
the executive director of the board.
new text end

new text begin (b) The Board of Nursing has the authority to recover from a nurse practicing advanced
practice registered nursing in Minnesota under the authority of section 148.2855 the costs
of investigation and disposition of cases resulting from any adverse action taken against the
advanced practice registered nurse.
new text end

new text begin (c) The board may implement a system of identifying individuals who practice advanced
practice registered nursing in Minnesota under the authority of section 148.2855.
new text end

Sec. 4. new text beginAPPROPRIATION.
new text end

new text begin $....... in fiscal year 2019 is appropriated from the state government special revenue fund
to the Board of Nursing for the purposes of this act. The state government special revenue
fund base appropriation is increased by $....... in fiscal years 2020 and 2021.
new text end

Sec. 5. new text beginEFFECTIVE DATE.
new text end

new text begin Sections 1 to 4 are effective upon implementation of the coordinated licensure information
system defined in section 1, article 6, but no sooner than July 1, 2019.
new text end