PURPOSE: This rule sets forth the provisions of the nurse licensure compact.

1. (1) Definition of Terms in the Compact. For the purpose of the compact—

   1. (A) “Board”—party state’s regulatory body responsible for issuing nurse licenses;
   2. (B) “Information system”—the coordinated licensure information system;
   3. (C) “Primary state of residence”—the state of a person’s declared fixed permanent and principal home for legal purposes; domicile;
   4. (D) “Public”—any individual or entity other than designated staff or representatives of party state boards or the National Council of State Boards of Nursing, Inc.; and
   5. (E) Other terms used in these rules are to be defined as in the Interstate Compact.

2. (2) Issuance of a License by a Compact Party State. For the purpose of this compact—

   1. (A) No applicant for initial licensure will be issued a compact license granting a multistate privilege to practice unless the applicant first obtains a passing score on the applicable National Council Licensure Examination (NCLEX) examination or its predecessor examination used for licensure;

   2. (B) A nurse applying for a license in a home party state shall produce evidence of the nurse’s primary state of residence. Such evidence shall include a declaration signed by the licensee. Further evidence that may be requested may include but is not limited to—

      1. 1. Driver’s license with a home address;
      2. 2. Voter registration card displaying a

home address;

1. 3. Federal income tax return declaring

the primary state of residence;

1. 4. Military Form no. 2058—state of

legal residence certificate; or

1. 5. W-2 from U.S. Government or any

bureau, division, or agency thereof indicating the declared state of residence;

1. (C) A nurse on a visa from another country applying for licensure in a party state may declare either the country of origin or the party state as the primary state of residence. If the foreign country is declared the primary state of residence, a single state license will be issued by the party state;
2. (D) A license issued by a party state is valid for practice in all other party states unless clearly designated as valid only in the state which issued the license;
3. (E) When a party state issues a license authorizing practice only in that state and not authorizing practice in other party states (i.e., a single state license), the license shall be clearly marked with words indicating that it is valid only in the state of issuance;
4. (F) A nurse changing primary state of residence, from one party state to another party state, may continue to practice under the former home state license and multi-state licensure privilege during the processing of the nurse’s licensure application in the new home state for a period not to exceed thirty (30) days;
5. (G) The licensure application in the new home state of a nurse under pending investigation by the former home state shall be held in abeyance and the thirty (30)-day period as stated in subsection (2)(F) shall be stayed until resolution of the pending investigation;
6. (H) The former home state license shall no longer be valid upon the issuance of a new home state license; and
7. (I) If a decision is made by the new home state denying licensure, the new home state shall notify the former home state within ten

1. (10) business days and the former home state may take action in accordance with that state’s laws and rules.

2. (3) Limitations on Multi-State Licensure Privilege—Discipline.

   1. (A) Home state boards shall include in all licensure disciplinary orders and/or agreements that limit practice and/or require mon- 20 CSR 2200-4

itoring the requirement that the licensee subject to said order and/or agreement will agree to limit the licensee’s practice to the home state during the pendency of the disciplinary order and/or agreement. This requirement may, in the alternative, allow the nurse to practice in other party states with prior written authorization from both the home state and such other party state boards.

1. (B) An individual who had a license which was surrendered, revoked, suspended, or an application denied for cause in a prior state of primary residence, may be issued a single state license in a new primary state of residence until such time as the individual would be eligible for an unrestricted license by the prior state(s) of adverse action. Once eligible for licensure in the prior state(s), a multistate license may be issued.

1. (4) Information System.

   1. (A) Levels of Access.

      1. 1. The public shall have access to nurse

licensure information limited to—

1. A. The nurse’s name;
2. B. Jurisdiction(s) of licensure;
3. C. License expiration date(s);
4. D. Licensure classification(s) and sta-

tus(es);

1. E. Public emergency and final disci-

plinary actions, as defined by contributing state authority; and

1. F. The status of multi-state licensure

privileges.

1. (B) Non-party state boards shall have access to all information system data except current significant investigative information and other information as limited by contributing party state authority.
2. (C) Party state boards shall have access to all information system data contributed by the party states and other information as limited by contributing non-party state authority.
3. (D) The licensee may request in writing to the home state board to review the data relating to the licensee in the information system. In the event a licensee asserts that any data relating to him or her is inaccurate, the burden of proof shall be upon the licensee to provide evidence that substantiates such claim. The board shall verify and within ten (10) business days correct inaccurate data to the information system.

4. (E) The board shall report to the information system within ten (10) business days—

   1. 1. Disciplinary action, agreement, or

order requiring participation in alternative programs or which limit practice or require monitoring (except agreements and orders relating to participation in alternative programs required to remain nonpublic by contributing state authority); FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

1. 2. Dismissal of complaint;
2. 3. Changes in status of disciplinary

action or licensure encumbrance;

1. 4. Current significant investigative infor-

mation shall be deleted from the information system within ten (10) business days upon report of disciplinary action, agreement, or order requiring participation in alternative programs or agreements which limit practice or require monitoring or dismissal of a complaint; and

1. 5. Changes to licensure information in

the information system shall be completed within ten (10) business days upon notification by a board.

AUTHORITY: section 335.300, RSMo Supp. 2009.* Original rule filed Oct. 8, 2009, effective April 30, 2010. *Original authority: 335.300, RSMo 2009.