Adopt the dietitian licensure compact

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AN ACT ADOPTING THE DIETITIAN LICENSURE COMPACT; PROVIDING DEFINITIONS; PROVIDING FOR
A COMPACT PRIVILEGE FOR NUTRITIONISTS; REQUIRING CRIMINAL BACKGROUND CHECKS FOR
LICENSURE; PROVIDING RULEMAKING AUTHORITY; AND PROVIDING A CONTINGENT EFFECTIVE
DATE.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MONTANA:
Section 1. Enactment -- provisions. The dietitian licensure compact is enacted into law and entered
into with all other jurisdictions joining the compact in the form substantially as follows:
SECTION 1
PURPOSE
The purpose of this compact is to facilitate the interstate practice of dietetics with the goal of improving
public access to dietetics services. This compact preserves the regulatory authority of states to protect public
health and safety through the current system of state licensure, while also providing for licensure portability
through a compact privilege granted to qualifying professionals.
This compact is designed to achieve the following objectives:
(1) increase public access to dietetics services;
(2) provide opportunities for interstate practice by licensed dietitians who meet uniform
requirements;
(3) eliminate the necessity for licenses in multiple states;
(4) reduce administrative burden on member states and licensees;
(5) enhance the states' ability to protect the public's health and safety;
(6) encourage the cooperation of member states in regulating the multistate practice of licensed
dietitians;
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(7) support relocating active military members and their spouses;
(8) enhance the exchange of licensure, investigative, and disciplinary information among member
states; and
(9) vest all member states with the authority to hold a licensed dietitian accountable for meeting all
state practice laws in the state in which the patient is located at the time care is rendered.
SECTION 2
DEFINITIONS
As used in this compact, and except as otherwise provided, the following definitions apply:
(1) "ACEND" means the accreditation council for education in nutrition and dietetics or its
successor organization.
(2) "Active military member" means any individual with full-time duty status in the active armed
forces of the United States, including members of the national guard and reserve.
(3) "Adverse action" means any administrative, civil, equitable, or criminal action permitted by a
state's laws that is imposed by a licensing authority or other authority against a licensee, including actions
against an individual's license or compact privilege, such as revocation, suspension, probation, monitoring of
the licensee, limitation on the licensee's practice, or any other encumbrance on licensure affecting a licensee's
authorization to practice, including issuance of a cease and desist action.
(4) "Alternative program" means a nondisciplinary monitoring or practice remediation process
approved by a licensing authority.
(5) "CDR" means the commission on dietetic registration or its successor organization.
(6) "Charter member state" means any member state that enacted this compact by law before the
effective date specified in section 12.
(7) "Continuing education" means a requirement, as a condition of license renewal, to provide
evidence of participation in and completion of educational and professional activities relevant to practice or area
of work.
(8) "Compact commission" means the government agency whose membership consists of all
states that have enacted this compact, which is known as the dietitian licensure compact commission as
described in section 8 and which shall operate as an instrumentality of the member states.
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(9) "Compact privilege" means a legal authorization, which is equivalent to a license, permitting the
practice of dietetics in a remote state.
(10) "Current significant investigative information" means:
(a) investigative information that a licensing authority, after a preliminary inquiry that includes
notification and an opportunity for the subject licensee 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
(b) investigative information that indicates that the subject licensee represents an immediate threat
to public health and safety regardless of whether the subject licensee has been notified and had an opportunity
to respond.
(11) "Data system" means a repository of information about licensees, including but not limited to
continuing education, examination, licensure, investigative, compact privilege, and adverse action information.
(12) "Encumbered license" means a license in which an adverse action restricts a licensee's ability
to practice dietetics.
(13) "Encumbrance" means a revocation or suspension of or any limitation on a licensee's full and
unrestricted practice of dietetics by a licensing authority.
(14) "Executive committee" means a group of delegates elected or appointed to act on behalf of and
within the powers granted to them by this compact and the compact commission.
(15) "Home state" means the member state that is the licensee's primary state of residence or that
has been designated pursuant to section 6.
(16) "Investigative information" means information, records, and documents received or generated
by a licensing authority pursuant to an investigation.
(17) "Jurisprudence requirement" means an assessment of an individual's knowledge of the state
laws and regulations governing the practice of dietetics in such state.
(18) "License" means an authorization from a member state to either:
(a) engage in the practice of dietetics, including medical nutrition therapy; or
(b) use the title "dietitian", "licensed dietitian", "licensed dietitian nutritionist", "certified dietitian", or
other title describing a substantially similar practitioner as the compact commission may further define by rule.
(19) "Licensee" or "licensed dietitian" means an individual who currently holds a license and who
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meets all of the requirements outlined in section 4.
(20) "Licensing authority" means the board or agency of a state, or equivalent, that is responsible
for the licensing and regulation of the practice of dietetics.
(21) "Member state" means a state that has enacted the compact.
(22) "Practice of dietetics" means the synthesis and application of dietetics as defined by state law
and regulations primarily for the provision of nutrition care services, including medical nutrition therapy, in
person or via telehealth, to prevent, manage, or treat diseases or medical conditions and promote wellness.
(23) "Registered dietitian" means a person who:
(a) has completed applicable education, experience, examination, and recertification requirements
approved by CDR;
(b) is credentialed by CDR as a registered dietitian or a registered dietitian nutritionist; and
(c) is legally authorized to use the title registered dietitian or registered dietitian nutritionist and the
corresponding abbreviations "RD" or "RDN".
(24) "Remote state" means a member state other than the home state where a licensee is
exercising or seeking to exercise a compact privilege.
(25) "Rule" means a regulation promulgated by the compact commission that has the force of law.
(26) "Single state license" means a license issued by a member state within the issuing state and
does not include a compact privilege in any other member state.
(27) "State" means any state, commonwealth, district, or territory of the United States of America.
(28) "Unencumbered license" means a license that authorizes a licensee to engage in the full and
unrestricted practice of dietetics.
SECTION 3
STATE PARTICIPATION IN
THE COMPACT
(1) To participate in the compact, a state:
(a) shall currently license and regulate the practice of dietetics; and
(b) must currently have a mechanism in place for receiving and investigating complaints about
licensees.
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(2) A member state shall:
(a) participate fully in the compact commission's data system, including using the unique identifier
as defined in rules;
(b) notify the compact commission, in compliance with the terms of the compact and rules, of any
adverse action or the availability of current significant investigative information regarding a licensee;
(c) implement or utilize procedures for considering the criminal history record information of
applicants for an initial compact privilege. These procedures must include the submission of fingerprints or
other biometric-based information by 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.
(i) A member state shall fully implement a criminal history record information requirement, within a
time frame established by rule, that includes receiving the results of the federal bureau of investigation record
search and shall use those results in determining compact privilege eligibility.
(ii) Communication between a member state and the compact commission or among member
states regarding the verification of eligibility for a compact privilege may not include any information received
from the federal bureau of investigation relating to a federal criminal history record information check performed
by a member state.
(d) comply with and enforce the rules of the compact commission;
(e) require an applicant for a compact privilege to obtain or retain a license in the licensee's home
state and meet the home state's qualifications for licensure or renewal of licensure, as well as all other
applicable state laws; and
(f) recognize a compact privilege granted to a licensee who meets all of the requirements outlined
in section 4 in accordance with the terms of the compact and rules.
(3) Member states may set and collect a fee for granting a compact privilege.
(4) Individuals not residing in a member state may continue to be able to apply for a member
state's single state license as provided under the laws of each member state. However, the single state license
granted to these individuals may not be recognized as granting a compact privilege to engage in the practice of
dietetics in any other member state.
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(5) Nothing in this compact may affect the requirements established by a member state for the
issuance of a single state license
(6) At no point may the compact commission have the power to define the requirements for the
issuance of a single state license to practice dietetics. The member states shall retain sole jurisdiction over the
provision of these requirements.
SECTION 4
COMPACT PRIVILEGE
(1) To exercise the compact privilege under the terms and provisions of the compact, the licensee:
(a) shall satisfy one of the following:
(i) hold a valid current registration that gives the applicant the right to use the term registered
dietitian; or
(ii) complete all of the following:
(A) an education program that is either:
(I) a master's degree or doctoral degree that is programmatically accredited by (i) ACEND or (ii) a
dietetics accrediting agency recognized by the United States department of education, which the compact
commission may by rule determine, and from a college or university accredited at the time of graduation by the
appropriate regional accrediting agency recognized by the council on higher education accreditation and the
United States department of education; or
(II) an academic degree from a college or university in a foreign country equivalent to the degree
described in subsection (1)(a) that is programmatically accredited by (i) ACEND or (ii) a dietetics accrediting
agency recognized by the United States department of education, which the compact commission may by rule
determine;
(B) a planned, documented, supervised practice experience in dietetics that is programmatically
accredited by (i) ACEND or (ii) a dietetics accrediting agency recognized by the United States department of
education, which the compact commission may by rule determine and which involves at least 1,000 hours of
practice experience under the supervision of a registered dietitian or a licensed dietitian; and
(C) successful completion of either (i) the registration examination for dietitians administered by
CDR or (ii) a national credentialing examination for dietitians approved by the compact commission by rule,
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such completion being no more than 5 years prior to the date of the licensee's application for initial licensure
and accompanied by a period of continuous licensure thereafter, all of which may be further governed by the
rules of the compact commission;
(b) must hold an unencumbered license in the home state;
(c) shall notify the compact commission that the licensee is seeking a compact privilege within a
remote state(s);
(d) shall pay any applicable fees, including any state fee, for the compact privilege;
(e) shall meet any jurisprudence requirements established by the remote state(s) in which the
licensee is seeking a compact privilege; and
(f) shall report to the compact commission any adverse action, encumbrance, or restriction on a
license taken by any nonmember state within 30 days from the date the action is taken.
(2) The compact privilege is valid until the expiration date of the home state license. To maintain a
compact privilege, renewal of the compact privilege must be congruent with the renewal of the home state
license as the compact commission may define by rule. The licensee must comply with the requirements of
section 4(1) to maintain the compact privilege in the remote state(s).
(3) A licensee exercising a compact privilege shall adhere to the laws and regulations of the
remote state. Licensees must be responsible for educating themselves on and complying with any and all state
laws relating to the practice of dietetics in such remote state.
(4) Notwithstanding anything to the contrary provided in this compact or state law, a licensee
exercising a compact privilege may not be required to complete continuing education requirements required by
a remote state. A licensee exercising a compact privilege is only required to meet any continuing education
requirements as required by the home state.
SECTION 5
OBTAINING A NEW HOME STATE LICENSE
BASED ON A COMPACT PRIVILEGE
(1) A licensee may hold a home state license, which allows for a compact privilege in other
member states, in only one member state at a time.
(2) If a licensee changes the home state by moving between two member states:
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(a) the licensee shall file an application for obtaining a new home state license based on a
compact privilege, pay all applicable fees, and notify the current and new home state in accordance with the
rules of the compact commission;
(b) upon receipt of an application for obtaining a new home state license by virtue of a compact
privilege, the new home state shall verify that the licensee meets the criteria in section 4 via the data system
and require that the licensee complete the following:
(i) a federal bureau of investigation fingerprint-based criminal history record information check;
(ii) any other criminal history record information required by the new home state; and
(iii) any jurisprudence requirements of the new home state;
(c) the former home state shall convert the former home state license into a compact privilege
once the new home state has activated the new home state license in accordance with applicable rules
adopted by the compact commission;
(d) notwithstanding any other provision of this compact, if the licensee cannot meet the criteria in
section 4, the new home state may apply its requirements for issuing a new single state license; and
(e) the licensee shall pay all applicable fees to the new home state in order to be issued a new
home state license.
(3) If a licensee changes their state of residence by moving from a member state to a nonmember
state, or from a nonmember state to a member state, the state criteria must apply for issuance of a single state
license in the new state.
(4) Nothing in this compact may interfere with a licensee's ability to hold a single state license in
multiple states; however, for the purposes of this compact, a licensee may have only one home state license.
(5) Nothing in this compact may affect the requirements established by a member state for the
issuance of a single state license.
SECTION 6
ACTIVE MILITARY MEMBERS
OR THEIR SPOUSES
An active military member or their spouse shall designate a home state where the individual has a
current license in good standing. The individual may retain the home state designation during the period the
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service member is on active duty.
SECTION 7
ADVERSE ACTIONS
(1) In addition to the other powers conferred by state law, a remote state may have the authority, in
accordance with existing state due process law, to:
(a) take adverse action against a licensee's compact privilege within that member state; and
(b) 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 licensing authority in a
member state for the attendance and testimony of witnesses or the production of evidence from another
member state must be enforced in the latter state by any court of competent jurisdiction, according to the
practice and procedure applicable to subpoenas issued in proceedings pending before that court. The issuing
authority shall pay any witness fees, travel expenses, mileage, and other fees required by the service statutes
of the state in which the witnesses or evidence are located.
(2) Only the home state may have the power to take adverse action against a licensee's home
state license.
(3) For purposes of taking adverse action, the home state shall give the same priority and effect to
reported conduct received from a member state as it would if the conduct had occurred within the home state.
In so doing, the home state shall apply its own state laws to determine appropriate action.
(4) The home state shall complete any pending investigations of a licensee who changes home
states during the course of the investigations. The home state may also have authority to take appropriate
action(s) and shall promptly report the conclusions of the investigations to the administrator of the data system.
The administrator of the data system shall promptly notify the new home state of any adverse actions.
(5) A member state, if otherwise permitted by state law, may recover from the affected licensee the
costs of investigations and dispositions of cases resulting from any adverse action taken against that licensee.
(6) A member state may take adverse action based on the factual findings of another remote state,
provided that the member state follows its own procedures for taking the adverse action.
(7) Joint investigations:
(a) In addition to the authority granted to a member state by its respective state law, any member
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state may participate with other member states in joint investigations of licensees.
(b) Member states shall share any investigative, litigation, or compliance materials in furtherance
of any joint investigation initiated under the compact.
(8) If adverse action is taken by the home state against a licensee's home state license resulting in
an encumbrance on the home state license, the licensee's compact privilege(s) in all other member states must
be revoked until all encumbrances have been removed from the home state license. All home state disciplinary
orders that impose adverse action against a licensee must include a statement that the licensee's compact
privileges are revoked in all member states during the pendency of the order.
(9) Once an encumbered license in the home state is restored to an unencumbered license as
certified by the home state's licensing authority, the licensee must meet the requirements of section 4(1) and
follow the administrative requirements to reapply to obtain a compact privilege in any remote state.
(10) If a member state takes adverse action, it shall promptly notify the administrator of the data
system. The administrator of the data system shall promptly notify the other member states of any adverse
actions.
(11) Nothing in this compact may override a member state's decision that participation in an
alternative program may be used in lieu of adverse action.
SECTION 8
ESTABLISHMENT OF THE DIETITIAN
LICENSURE COMPACT COMMISSION
(1) The compact member states hereby create and establish a joint government agency whose
membership consists of all member states that have enacted the compact known as the dietitian licensure
compact commission. The compact commission is an instrumentality of the compact states acting jointly and
not an instrumentality of any one state. The compact commission shall come into existence on or after the
effective date of the compact as set forth in section 12.
(2) Membership, voting, and meetings:
(a) Each member state must have and be limited to one delegate selected by that member state's
licensing authority.
(b) The delegate must be the primary administrator of the licensing authority or their designee.
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(c) The compact commission shall by rule or bylaw establish a term of office for delegates and
may by rule or bylaw establish term limits.
(d) The compact commission may recommend removal or suspension of any delegate from office.
(e) A member state's licensing authority shall fill any vacancy of its delegate occurring on the
compact commission within 60 days of the vacancy.
(f) Each delegate must be entitled to one vote on all matters before the compact commission
requiring a vote by the delegates.
(g) Delegates shall meet and vote by such means as set forth in the bylaws. The bylaws may
provide for delegates to meet and vote in-person or by telecommunication, video conference, or other means of
communication.
(h) The compact commission shall meet at least once during each calendar year. Additional
meetings may be held as set forth in the bylaws. The compact commission may meet in person or by
telecommunication, video conference, or other means of communication.
(3) The compact commission must have the following powers:
(a) establish the fiscal year of the compact commission;
(b) establish code of conduct and conflict of interest policies;
(c) establish and amend rules and bylaws;
(d) maintain its financial records in accordance with the bylaws;
(e) meet and take such actions as are consistent with the provisions of this compact, the compact
commission's rules, and the bylaws;
(f) initiate and conclude legal proceedings or actions in the name of the compact commission,
provided that the standing of any licensing authority to sue or be sued under applicable law may not be
affected;
(g) maintain and certify records and information provided to a member state as the authenticated
business records of the compact commission and designate an agent to do so on the compact commission's
behalf;
(h) purchase and maintain insurance and bonds;
(i) borrow, accept, or contract for services of personnel, including but not limited to employees of a
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member state;
(j) conduct an annual financial review;
(k) hire employees, elect or appoint officers, fix compensation, define duties, grant such individuals
appropriate authority to carry out the purposes of the compact, and establish the compact commission's
personnel policies and programs relating to conflicts of interest, qualifications of personnel, and other related
personnel matters;
(l) assess and collect fees;
(m) accept any and all appropriate donations, grants of money, other sources of revenue,
equipment, supplies, materials, services, and gifts, and receive, utilize, and dispose of the same, provided that
at all times the compact commission shall avoid any actual or appearance of impropriety or conflict of interest;
(n) lease, purchase, retain, own, hold, improve, or use any property, real, personal, or mixed, or
any undivided interest therein;
(o) sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any
property, real, personal, or mixed;
(p) establish a budget and make expenditures;
(q) borrow money;
(r) appoint committees, including standing committees, composed of members, state regulators,
state legislators or their representatives, and consumer representatives, and such other interested persons as
may be designated in this compact or the bylaws;
(s) provide and receive information from and cooperate with law enforcement agencies;
(t) establish and elect an executive committee, including a chair and a vice chair;
(u) determine whether a state's adopted language is materially different from the model compact
language such that the state would not qualify for participation in the compact; and
(v) perform such other functions as may be necessary or appropriate to achieve the purposes of
this compact.
(4) The executive committee:
(a) The executive committee must have the power to act on behalf of the compact commission
according to the terms of this compact. The powers, duties, and responsibilities of the executive committee
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must include:
(i) oversee the day-to-day activities of the administration of the compact including enforcement
and compliance with the provisions of the compact, its rules and bylaws, and other such duties as deemed
necessary;
(ii) recommend to the compact commission changes to the rules or bylaws, changes to this
compact legislation, fees charged to compact member states, fees charged to licensees, and other fees;
(iii) ensure compact administration services are appropriately provided, including by contract;
(iv) prepare and recommend the budget;
(v) maintain financial records on behalf of the compact commission;
(vi) monitor compact compliance of member states and provide compliance reports to the compact
commission;
(vii) establish additional committees as necessary;
(viii) exercise the powers and duties of the compact commission during the interim between
compact commission meetings, except for adopting or amending rules, adopting or amending bylaws, and
exercising any other powers and duties expressly reserved to the compact commission by rule or bylaw; and
(ix) other duties as provided in the rules or bylaws of the compact commission.
(b) The executive committee must be composed of nine members:
(i) the chair and vice chair of the compact commission must be voting members of the executive
committee;
(ii) five voting members from the current membership of the compact commission, elected by the
compact commission;
(iii) one ex-officio, nonvoting member from a recognized professional association representing
dietitians; and
(iv) one ex-officio, nonvoting member from a recognized national credentialing organization for
dietitians.
(c) The compact commission may remove any member of the executive committee as provided in
the compact commission's bylaws.
(d) The executive committee shall meet at least annually.
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(i) Executive committee meetings must be open to the public, except that the executive committee
may meet in a closed, nonpublic meeting as provided in subsection (6)(b).
(ii) The executive committee shall give 30 days' notice of its meetings, posted on the website of
the compact commission and as determined to provide notice to persons with an interest in the business of the
compact commission.
(iii) The executive committee may hold a special meeting in accordance with subsection (6)(a)(ii).
(5) The compact commission shall adopt and provide to the member states an annual report.
(6) Meetings of the compact commission:
(a) All meetings must be open to the public, except that the compact commission may meet in a
closed, nonpublic meeting as provided in subsection (6)(b).
(i) Public notice for all meetings of the full compact commission must be given in the same
manner as required under the rulemaking provisions in section 10, except that the compact commission may
hold a special meeting as provided in subsection (6)(a)(ii).
(ii) The compact commission may hold a special meeting when it must meet to conduct
emergency business by giving 24 hours' notice to all member states on the compact commission's website and
other means as provided in the compact commission's rules. The compact commission's legal counsel shall
certify that the compact commission's need to meet qualifies as an emergency.
(b) The compact commission or the executive committee or other committees of the compact
commission may convene in a closed, nonpublic meeting for the compact commission or executive committee
or other committees of the compact commission to receive legal advice or to discuss:
(i) noncompliance of a member state with its obligations under the compact;
(ii) the employment, compensation, discipline, or other matters, practices, or procedures related to
specific employees;
(iii) current or threatened discipline of a licensee by the compact commission or by a member
state's licensing authority;
(iv) current, threatened, or reasonably anticipated litigation;
(v) negotiation of contracts for the purchase, lease, or sale of goods, services, or real estate;
(vi) accusing any person of a crime or formally censuring any person;
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(vii) trade secrets or commercial or financial information that is privileged or confidential;
(viii) information of a personal nature where disclosure would constitute a clearly unwarranted
invasion of personal privacy;
(ix) investigative records compiled for law enforcement purposes;
(x) information related to any investigative reports prepared by or on behalf of or for use of the
compact commission or other committee charged with responsibility of investigation or determination of
compliance issues pursuant to the compact;
(xi) matters specifically exempted from disclosure by federal or member state law; or
(xii) other matters as specified in the rules of the compact commission.
(c) If a meeting or portion of a meeting is closed, the presiding officer shall state that the meeting
will be closed and reference each relevant exempting provision, and such reference must be recorded in the
minutes.
(d) The compact 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 must be identified in such minutes. All minutes and documents of a closed meeting must remain under
seal, subject to release only by a majority vote of the compact commission or order of a court of competent
jurisdiction.
(7) Financing of the compact commission:
(a) The compact commission shall pay or provide for the payment of the reasonable expenses of
its establishment, organization, and ongoing activities.
(b) The compact commission may accept any and all appropriate revenue sources as provided in
subsection (3)(m).
(c) The compact commission may levy on and collect an annual assessment from each member
state and impose fees on licensees of member states to whom it grants a compact privilege to cover the cost of
the operations and activities of the compact commission and its staff, which must, in a total amount, be
sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources.
The aggregate annual assessment amount for member states must be allocated based upon a formula that the
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compact commission shall promulgate by rule.
(d) The compact commission may not incur obligations of any kind prior to securing the funds
adequate to meet the same, nor may the compact commission pledge the credit of any of the member states,
except by and with the authority of the member state.
(e) The compact commission shall keep accurate accounts of all receipts and disbursements. The
receipts and disbursements of the compact commission must be subject to the financial review and accounting
procedures established under its bylaws. However, all receipts and disbursements of funds handled by the
compact commission must be subject to an annual financial review by a certified or licensed public accountant,
and the report of the financial review must be included in and become part of the annual report of the compact
commission.
(f) Qualified immunity, defense, and indemnification:
(i) The members, officers, executive director, employees and representatives of the compact
commission must be immune from suit and liability, both personally and 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 compact commission employment, duties, or
responsibilities; provided that nothing in this paragraph may be construed to protect any such person from suit
or liability for any damage, loss, injury, or liability caused by the intentional or willful or wanton misconduct of
that person. The procurement of insurance of any type by the compact commission may not in any way
compromise or limit the immunity granted hereunder.
(ii) The compact commission shall defend any member, officer, executive director, employee, and
representative of the compact 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 compact commission employment, duties, or
responsibilities, or as determined by the compact commission that the person against whom the claim is made
had a reasonable basis for believing occurred within the scope of compact commission employment, duties, or
responsibilities; provided that nothing herein may be construed to prohibit that person from retaining their own
counsel at their own expense; and provided further that the actual or alleged act, error, or omission did not
result from that person's intentional or willful or wanton misconduct.
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(iii) The compact commission shall indemnify and hold harmless any member, officer, executive
director, employee, and representative of the compact 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 compact commission employment, duties, or responsibilities, or that such person had a
reasonable basis for believing occurred within the scope of compact commission employment, duties, or
responsibilities, provided that the actual or alleged act, error, or omission did not result from the intentional or
willful or wanton misconduct of that person.
(iv) Nothing herein may be construed as a limitation on the liability of any licensee for professional
malpractice or misconduct, which must be governed solely by any other applicable state laws.
(v) Nothing in this compact may be interpreted to waive or otherwise abrogate a member state's
state action immunity or state action affirmative defense with respect to antitrust claims under the Sherman Act,
Clayton Act, or any other state or federal antitrust or anticompetitive law or regulation.
(iv) Nothing in this compact may be construed to be a waiver of sovereign immunity by the member
states or by the compact commission.
SECTION 9
DATA SYSTEM
(1) The compact commission shall provide for the development, maintenance, operation, and
utilization of a coordinated data system.
(2) The compact commission shall assign each applicant for a compact privilege a unique
identifier, as determined by the rules.
(3) Notwithstanding any other provision of state law to the contrary, a member state shall submit a
uniform data set to the data system on all individuals to whom this compact is applicable as required by the
rules of the compact commission, including:
(a) identifying information;
(b) licensure data;
(c) adverse actions against a license or compact privilege and information related thereto;
(d) nonconfidential information related to alternative program participation, the beginning and
ending dates of such participation, and other information related to such participation not made confidential
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under member state law;
(e) any denial of application for licensure, and the reason(s) for such denial;
(f) the presence of current significant investigative information; and
(g) other information that may facilitate the administration of this compact or the protection of the
public, as determined by the rules of the compact commission.
(4) The records and information provided to a member state pursuant to this compact or through
the data system, when certified by the compact commission or an agent thereof, must constitute the
authenticated business records of the compact commission, and must be entitled to any associated hearsay
exception in any relevant judicial, quasi-judicial, or administrative proceedings in a member state.
(5) Current significant investigative information pertaining to a licensee in any member state must
only be available to other member states.
(6) It is the responsibility of the member states to report any adverse action against a licensee and
to monitor the data system to determine whether any adverse action has been taken against a licensee.
Adverse action information pertaining to a licensee in any member state must be available to any other member
state.
(7) Member states contributing information to the data system may designate information that may
not be shared with the public without the express permission of the contributing state.
(8) Any information submitted to the data system that is subsequently expunged pursuant to
federal law or the laws of the member state contributing the information must be removed from the data system.
SECTION 10
RULEMAKING
(1) The compact commission shall promulgate reasonable rules in order to effectively and
efficiently implement and administer the purposes and provisions of the compact. A rule must be invalid and
have no force or effect only if a court of competent jurisdiction holds that the rule is invalid because the compact
commission exercised its rulemaking authority in a manner that is beyond the scope and purposes of the
compact or the powers granted hereunder or based upon another applicable standard of review.
(2) The rules of the compact commission must have the force of law in each member state,
provided however that where the rules conflict with the laws or regulations of a member state that relate to the
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procedures, actions, and processes a licensed dietitian is permitted to undertake in that state and the
circumstances under which they may do so, as held by a court of competent jurisdiction, the rules of the
compact commission must be ineffective in that state to the extent of the conflict.
(3) The compact commission shall exercise its rulemaking powers pursuant to the criteria set forth
in this section and the rules adopted thereunder. Rules must become binding on the day following adoption or
as of the date specified in the rule or amendment, whichever is later.
(4) If a majority of the legislatures of the member states rejects a rule or portion of a rule by
enactment of a statute or resolution in the same manner used to adopt the compact within 4 years of the date of
adoption of the rule, then such rule must have no further force and effect in any member state.
(5) Rules must be adopted at a regular or special meeting of the compact commission.
(6) Prior to adoption of a proposed rule, the compact commission shall hold a public hearing and
allow persons to provide oral and written comments, data, facts, opinions, and arguments.
(7) Prior to adoption of a proposed rule by the compact commission and at least 30 days in
advance of the meeting at which the compact commission will hold a public hearing on the proposed rule, the
compact commission shall provide a notice of proposed rulemaking:
(a) on the website of the compact commission or other publicly accessible platform;
(b) to persons who have requested notice of the compact commission's notices of proposed
rulemaking; and
(c) in such other way(s) as the compact commission may by rule specify.
(8) The notice of proposed rulemaking must include:
(a) the time, date, and location of the public hearing at which the compact commission will hear
public comments on the proposed rule and, if different, the time, date, and location of the meeting where the
compact commission will consider and vote on the proposed rule;
(b) if the hearing is held via telecommunication, video conference, or other means of
communication, the compact commission shall include the mechanism for access to the hearing in the notice of
proposed rulemaking;
(c) the text of the proposed rule and the reason therefore;
(d) a request for comments on the proposed rule from any interested person; and
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(e) the manner in which interested persons may submit written comments.
(9) All hearings must be recorded. A copy of the recording and all written comments and
documents received by the compact commission in response to the proposed rule must be available to the
public.
(10) Nothing in this section may be construed as requiring a separate hearing on each rule. Rules
may be grouped for the convenience of the compact commission at hearings required by this section.
(11) The compact commission shall, by majority vote of all members, take final action on the
proposed rule based on the rulemaking record and the full text of the rule.
(a) The compact commission may adopt changes to the proposed rule provided the changes do
not enlarge the original purpose of the proposed rule.
(b) The compact commission shall provide an explanation of the reasons for substantive changes
made to the proposed rule as well as reasons for substantive changes not made that were recommended by
commenters.
(c) The compact commission shall determine a reasonable effective date for the rule. Except for an
emergency as provided in section 10(12), the effective date of the rule must be no sooner than 30 days after
issuing the notice that it adopted or amended the rule.
(12) Upon determination that an emergency exists, the compact commission may consider and
adopt an emergency rule with 24 hours' notice, with opportunity to comment, provided that the usual rulemaking
procedures provided in the compact and in this section must 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:
(a) meet an imminent threat to public health, safety, or welfare;
(b) prevent a loss of compact commission or member state funds;
(c) meet a deadline for the promulgation of a rule that is established by federal law or rule; or
(d) protect public health and safety.
(13) The compact commission or an authorized committee of the compact commission may direct
revision to a previously adopted rule for purposes of correcting typographical errors, errors in format, errors in
consistency, or grammatical errors. Public notice of any revision must be posted on the website of the compact
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commission. The revision must 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
must be made in writing and delivered to the compact 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 compact commission.
(14) No member state's rulemaking requirements may apply under this compact.
SECTION 11
OVERSIGHT, DISPUTE RESOLUTION,
AND ENFORCEMENT
(1) Oversight:
(a) The executive and judicial branches of state government in each member state shall enforce
this compact and take all actions necessary and appropriate to implement this compact.
(b) Except as otherwise provided in this compact, venue is proper and judicial proceedings by or
against the compact commission must be brought solely and exclusively in a court of competent jurisdiction
where the principal office of the compact commission is located. The compact commission may waive venue
and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute resolution
proceedings. Nothing herein may affect or limit the selection or propriety of venue in any action against a
licensee for professional malpractice, misconduct, or any such similar matter.
(c) The compact commission must be entitled to receive service of process in any proceeding
regarding the enforcement or interpretation of the compact and must have standing to intervene in such a
proceeding for all purposes. Failure to provide the compact commission service of process must render a
judgment or order void as to the compact commission, this compact, or promulgated rules.
(2) Default, technical assistance, and termination:
(a) If the compact commission determines that a member state has defaulted in the performance
of its obligations or responsibilities under this compact or the promulgated rules, the compact commission shall
provide written notice to the defaulting state. The notice of default must describe the default, the proposed
means of curing the default, and any other action that the compact commission may take and must offer
training and specific technical assistance regarding the default.
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(b) The compact commission shall provide a copy of the notice of default to the other member
states.
(3) If a state in default fails to cure the default, the defaulting state may be terminated from the
compact upon an affirmative vote of a majority of the delegates of the member states, and all rights, privileges,
and benefits conferred on that state 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.
(4) Termination of membership in the compact may be imposed only after all other means of
securing compliance have been exhausted. Notice of intent to suspend or terminate must be given by the
compact commission to the governor, the majority and minority leaders of the defaulting state's legislature, the
defaulting state's licensing authority, and each of the member states' licensing authority.
(5) A state that 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.
(6) Upon the termination of a state's membership from this compact, that state shall immediately
provide notice to all licensees within that state of such termination. The terminated state shall continue to
recognize all compact privileges granted pursuant to this compact for a minimum of 6 months after the date of
said notice of termination.
(7) The compact commission may not bear any costs related to a state that is found to be in
default or that has been terminated from the compact unless agreed upon in writing between the compact
commission and the defaulting state.
(8) The defaulting state may appeal the action of the compact commission by petitioning the U.S.
district court for the District of Columbia or the federal district where the compact commission has its principal
offices. The prevailing party must be awarded all costs of such litigation, including reasonable attorney fees.
(9) Dispute resolution:
(a) Upon request by a member state, the compact commission shall attempt to resolve disputes
related to the compact that arise among member states and between member and nonmember states.
(b) The compact commission shall promulgate a rule providing for both mediation and binding
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dispute resolution for disputes as appropriate.
(10) Enforcement:
(a) By supermajority vote, the compact commission may initiate legal action against a member
state in default in the United States district court for the District of Columbia or the federal district where the
compact commission has its principal offices to enforce compliance with the provisions of the compact and its
promulgated rules. The relief sought may include both injunctive relief and damages. In the event judicial
enforcement is necessary, the prevailing party must be awarded all costs of such litigation, including
reasonable attorney fees. The remedies herein may not be the exclusive remedies of the compact commission.
The compact commission may pursue any other remedies available under federal or the defaulting member
state's law.
(b) A member state may initiate legal action against the compact commission in the U.S. District
court for the District of Columbia or the federal district where the compact commission has its principal offices to
enforce compliance with the provisions of the compact and its promulgated rules. The relief sought may include
both injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing party must be
awarded all costs of such litigation, including reasonable attorney fees.
(c) No party other than a member state may enforce this compact against the compact
commission.
SECTION 12
EFFECTIVE DATE, WITHDRAWAL,
AND AMENDMENT
(1) The compact must come into effect on the date on which the compact statute is enacted into
law in the seventh member state.
(a) On or after the effective date of the compact, the compact commission shall convene and
review the enactment of each of the first seven member states ("charter member states") to determine if the
statute enacted by each such charter member state is materially different than the model compact statute.
(i) A charter member state whose enactment is found to be materially different from the model
compact statute must be entitled to the default process set forth in section 11.
(ii) If any member state is later found to be in default, or is terminated, or withdraws from the
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compact, the compact commission shall remain in existence and the compact must remain in effect even if the
number of member states should be less than seven.
(b) Member states enacting the compact subsequent to the seven initial charter member states
must be subject to the process set forth in section 8(3)(u) to determine if their enactments are materially
different from the model compact statute and whether they qualify for participation in the compact.
(c) All actions taken for the benefit of the compact commission or in furtherance of the purposes of
the administration of the compact prior to the effective date of the compact or the compact commission coming
into existence must be considered to be actions of the compact commission unless specifically repudiated by
the compact commission.
(d) Any state that joins the compact subsequent to the compact commission's initial adoption of the
rules and bylaws must be subject to the rules and bylaws as they exist on the date on which the compact
becomes law in that state. Any rule that has been previously adopted by the compact commission must have
the full force and effect of law on the day the compact becomes law in that state.
(2) Any member state may withdraw from this compact by enacting a statute repealing the same.
(a) A member state's withdrawal may not take effect until 180 days after enactment of the
repealing statute.
(b) Withdrawal may not affect the continuing requirement of the withdrawing state's licensing
authority to comply with the investigative and adverse action reporting requirements of this compact prior to the
effective date of withdrawal.
(c) Upon the enactment of a statute withdrawing from this compact, a state shall immediately
provide notice of such withdrawal to all licensees within that state. Notwithstanding any subsequent statutory
enactment to the contrary, such withdrawing state shall continue to recognize all compact privileges granted
pursuant to this compact for a minimum of 180 days after the date of such notice of withdrawal.
(3) Nothing contained in this compact may be construed to invalidate or prevent any licensure
agreement or other cooperative arrangement between a member state and a nonmember state that does not
conflict with the provisions of this compact.
(4) This compact may be amended by the member states. No amendment to this compact may
become effective and binding upon any member state until it is enacted into the laws of all member states.
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SECTION 13
CONSTRUCTION AND SEVERABILITY
(1) This compact and the compact commission's rulemaking authority must be liberally construed
so as to effectuate the purposes and the implementation and administration of the compact. Provisions of the
compact expressly authorizing or requiring the promulgation of rules may not be construed to limit the compact
commission's rulemaking authority solely for those purposes.
(2) The provisions of this compact must be severable and if any phrase, clause, sentence, or
provision of this compact is held by a court of competent jurisdiction to be contrary to the constitution of any
member state, a state seeking participation in the compact, or of the United States, or the applicability thereof
to any government, agency, person, or circumstance is held to be unconstitutional by a court of competent
jurisdiction, the validity of the remainder of this compact and the applicability thereof to any other government,
agency, person, or circumstance may not be affected thereby.
(3) Notwithstanding section 13(2), the compact commission may deny a state's participation in the
compact or, in accordance with the requirements of section 11(2), terminate a member state's participation in
the compact, if it determines that a constitutional requirement of a member state is a material departure from
the compact. Otherwise, if this compact must be held to be contrary to the constitution of any member state, the
compact must remain in full force and effect as to the remaining member states and in full force and effect as to
the member state affected as to all severable matters.
SECTION 14
CONSISTENT EFFECT AND CONFLICT
WITH OTHER STATE LAWS
(1) Nothing herein may prevent or inhibit the enforcement of any other law of a member state that
is not inconsistent with the compact.
(2) Any laws, statutes, regulations, or other legal requirements in a member state in conflict with
the compact are superseded to the extent of the conflict.
(3) All permissible agreements between the compact commission and the member states are
binding in accordance with their terms.
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Section 2. Criminal background check. (1) Each applicant for licensure shall submit a full set of the
applicant's fingerprints to the board for the purpose of obtaining a state and federal criminal history background
check.
(2) Each license applicant is responsible to pay all fees charged in relation to obtaining the state
and federal criminal history background check.
(3) The board may require a licensee renewing a license to submit a full set of the licensee's
fingerprints to the board for the purpose of obtaining a state and federal criminal history background check.
(4) The Montana department of justice may share the fingerprint data obtained under subsection
(1) or (3) with the federal bureau of investigation.
Section 3. Codification instruction. (1) [Section 1] is intended to be codified as a new part of Title
37, chapter 25, and the provisions of Title 37, chapter 25, apply to [section 1].
(2) [Section 2] is intended to be codified as an integral part of Title 37, chapter 25, part 3, and the
provisions of Title 37, chapter 25, part 3, apply to [section 2].
Section 4. Contingent effective date. [This act] is effective on the date that the compact has been
legislatively enacted into law by the seventh member state. The department of labor and industry shall notify
the code commissioner within 15 days of the occurrence of the contingency.
- END -
I hereby certify that the within bill,
SB 279, originated in the Senate.
___________________________________________
Secretary of the Senate
___________________________________________
President of the Senate
Signed this _______________________________day
of____________________________________, 2025.
___________________________________________
Speaker of the House
Signed this _______________________________day
of____________________________________, 2025.
SENATE BILL NO. 279
INTRODUCED BY W. MCKAMEY, M. DUNWELL, J. KASSMIER, D. LOGE, M. YAKAWICH, S. FITZPATRICK,
G. HERTZ, K. BOGNER
AN ACT ADOPTING THE DIETITIAN LICENSURE COMPACT; PROVIDING DEFINITIONS; PROVIDING FOR
A COMPACT PRIVILEGE FOR NUTRITIONISTS; REQUIRING CRIMINAL BACKGROUND CHECKS FOR
LICENSURE; PROVIDING RULEMAKING AUTHORITY; AND PROVIDING A CONTINGENT EFFECTIVE
DATE.