1. The participating states hereby create and establish a joint government agency and national administrative body known as the physician assistant licensure compact commission. The commission is an instrumentality of the compact states acting jointly and not an instrumentality of any one state. The commission comes into existence on or after the effective date of the compact as set forth in section 43-17.5-11.

2. Membership, voting, and meetings. a. Each participating state must have and be limited to one delegate selected by that participating state's licensing board or, if the state has more than one licensing board, selected collectively by the participating state's licensing boards. b. The delegate must be either: (1) A current physician assistant, physician, public member of a licensing board, or physician assistant council or committee; or (2) An administrator of a licensing board. c. Any delegate may be removed or suspended from office as provided by the laws of the state from which the delegate is appointed. d. The participating state licensing board shall fill any vacancy occurring in the commission within sixty days. e. Each delegate is entitled to one vote on all matters voted on by the commission and shall otherwise have an opportunity to participate in the business and affairs of the commission. A delegate may vote in person or by such other means as provided in the bylaws. The bylaws may provide for delegates' participation in meetings by telecommunications, video conference, or other means of communication. f. The commission shall meet at least once during each calendar year. Additional meetings must be held as set forth in this compact and the bylaws. g. The commission shall establish by rule a term of office for delegates.

3. The commission shall have the following powers and duties: a. Establish a code of ethics for the commission; b. Establish the fiscal year of the commission; c. Establish fees; d. Establish bylaws; e. Maintain its financial records in accordance with the bylaws; f. Meet and take such actions as are consistent with the provisions of this compact and the bylaws; g. Promulgate rules, which have the force and effect of law and are binding in all participating states, to facilitate and coordinate implementation and administration of this compact; h. Bring and prosecute legal proceedings or actions in the name of the commission, provided the standing of any state licensing board to sue or be sued under applicable law is not affected; i. Purchase and maintain insurance and bonds; j. Borrow, accept, or contract for services of personnel, including employees of a participating state; k. Hire employees and engage contractors, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of this compact, and establish the commission's personnel policies and programs relating to conflicts of interest, qualifications of personnel, and other related personnel matters; l. Accept any appropriate donations and grants of money, equipment, supplies, materials and services, and receive, utilize and dispose of the same; provided at all times the commission avoids any appearance of impropriety or conflict of interest; m. Lease, purchase, accept appropriate gifts or donations of, or otherwise own, hold, improve or use, any property, real, personal or mixed; provided the commission avoids any appearance of impropriety;

1. n. Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any property real, personal, or mixed;
2. o. Establish a budget and make expenditures;
3. p. Borrow money;
4. q. Appoint committees, including standing committees composed of members, state regulators, state legislators or their representatives, consumer representatives, and such other interested persons as may be designated in this compact and the bylaws;
5. r. Provide and receive information from, and cooperate with, law enforcement agencies;
6. s. Elect a chair, vice chair, secretary, treasurer, and such other officers of the commission as provided in the commission's bylaws;
7. t. Reserve for itself, in addition to those reserved exclusively to the commission under the compact, powers that the executive committee may not exercise;
8. u. Approve or disapprove a state's participation in the compact based on its determination as to whether the state's compact legislation departs in a material manner from the model compact language;
9. v. Prepare and provide to the participating states an annual report; and
10. w. Perform such other functions as may be necessary or appropriate to achieve the purposes of this compact consistent with the state regulation of physician assistant licensure and practice.4. Meetings of the commission.- a. All meetings of the commission that are not closed pursuant to this subsection must be open to the public. Notice of public meetings must be posted on the commission's website at least thirty days prior to the public meeting.
11. b. Notwithstanding subdivision a, the commission may convene a public meeting by providing at least twenty-four hours prior notice on the commission's website, and any other means as provided in the commission's rules, for any of the reasons it may dispense with notice of proposed rulemaking under section 43-17.5-09.
12. c. The commission may convene in a closed, nonpublic meeting or nonpublic part of a public meeting to receive legal advice or to discuss:
13. (1) Noncompliance of a participating state with its obligations under this compact;
14. (2) The employment, compensation, discipline or other matters, practices or procedures related to specific employees or other matters related to the commission's internal personnel practices and procedures;
15. (3) Current, threatened, or reasonably anticipated litigation;
16. (4) Negotiation of contracts for the purchase, lease, or sale of goods, services, or real estate;
17. (5) Accusing any person of a crime or formally censuring any person;
18. (6) Disclosure of trade secrets or commercial or financial information that is privileged or confidential;
19. (7) Disclosure of information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy;
20. (8) Disclosure of investigative records compiled for law enforcement purposes;
21. (9) Disclosure of information related to any investigative reports prepared by or on behalf of or for use of the commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to this compact;
22. (10) Legal advice; or
23. (11) Matters specifically exempted from disclosure by federal or participating states' statutes.

24. d. If a meeting, or portion of a meeting, is closed pursuant to this section, the chair of the meeting or the chair's designee shall certify the meeting or portion of the meeting may be closed and shall reference each relevant exempting provision.

25. e. The commission shall keep minutes that fully and clearly describe all matters discussed in a meeting and provide a full and accurate summary of actions taken, 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 by a majority vote of the commission or order of a court of competent jurisdiction.5. Financing of the commission.- a. The commission shall pay, or provide for the payment of, the reasonable expenses of its establishment, organization, and ongoing activities.

26. b. The commission may accept any appropriate revenue sources, donations, and grants of money, equipment, supplies, materials, and services.
27. c. The commission may levy on and collect an annual assessment from each participating state and may impose compact privilege fees on licensees of participating states to whom a compact privilege is granted to cover the cost of the operations and activities of the commission and its staff, which must be in a total amount sufficient to cover its annual budget as approved by the commission each year for which revenue is not provided by other sources. The aggregate annual assessment amount levied on participating states must be allocated based upon a formula to be determined by commission rule.
28. (1) A compact privilege expires when the licensee's qualifying license in the participating state from which the licensee applied for the compact privilege expires.
29. (2) If the licensee terminates the qualifying license through which the licensee applied for the compact privilege before its scheduled expiration, and the licensee has a qualifying license in another participating state, the licensee shall inform the commission that it is changing to that participating state the participating state through which it applies for a compact privilege and pay to the commission any compact privilege fee required by commission rule.
30. d. The commission may not incur obligations of any kind prior to securing the funds adequate to meet the same; nor may the commission pledge the credit of any of the participating states, except by and with the authority of the participating state.
31. e. The commission shall keep accurate accounts of all receipts and disbursements. The receipts and disbursements of the commission are subject to the financial review and accounting procedures established under its bylaws. All receipts and disbursements of funds handled by the commission are 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 commission.6. The executive committee.- a. The executive committee may act on behalf of the commission according to the terms of this compact and commission rules.
32. b. The executive committee must be composed of nine members:
33. (1) Seven voting members who are elected by the commission from the current membership of the commission;
34. (2) One ex officio, nonvoting member from a recognized national physician assistant professional association; and
35. (3) One ex officio, nonvoting member from a recognized national physician assistant certification organization.
36. c. The ex officio members will be selected by their respective organizations.
37. d. The commission may remove any member of the executive committee as provided in its bylaws.
38. e. The executive committee shall:
39. (1) Meet at least annually;
40. (2) Recommend to the commission changes to the commission's rules or bylaws, changes to this compact legislation, fees to be paid by compact

participating states including annual dues and any commission compact fee charged to licensees for the compact privilege;- (3) Ensure compact administration services are appropriately provided, contractual or otherwise; - (4) Prepare and recommend the budget; - (5) Maintain financial records on behalf of the commission; - (6) Monitor compact compliance of participating states and provide compliance reports to the commission; - (7) Establish additional committees as necessary; - (8) Exercise the powers and duties of the commission during the interim between commission meetings, except for issuing proposed rulemaking or adopting commission rules or bylaws, or exercising any other powers and duties exclusively reserved to the commission by the commission's rules; and - (9) Perform other duties as provided in the commission's rules or bylaws.- f. All meetings of the executive committee at which it votes or plans to vote on matters in exercising the powers and duties of the commission must be open to the public and public notice of such meetings must be given as public meetings of the commission are given. - g. The executive committee may convene in a closed, nonpublic meeting for the same reasons the commission may convene in a nonpublic meeting under subsection 4, and shall announce the closed meeting and keep minutes of the closed meeting as the commission is required to do under subsection 4.7. Qualified immunity, defense, and indemnification.- a. The members, officers, executive director, employees, and representatives of the commission are 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 commission employment, duties or responsibilities; provided that nothing in this paragraph is 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 commission does not in any way compromise or limit the immunity granted under this section. - b. The commission shall defend any member, officer, executive director, employee, and 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 as determined by the commission 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 is 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. - c. The commission shall indemnify and hold harmless any member, officer, executive director, employee, and 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 the actual or alleged act, error, or omission did not result from the intentional or willful or wanton misconduct of that person. - d. Venue is proper and judicial proceedings by or against the commission must 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 in any proceedings as authorized by commission rules.

e. This compact may not 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. f. This compact may not be construed to designate the venue or jurisdiction to bring actions for alleged acts of malpractice, professional misconduct, negligence, or other such civil action pertaining to the practice of a physician assistant. All such matters must be determined exclusively by state law other than this compact. g. This compact may not be interpreted to waive or otherwise abrogate a participating 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. h. This compact may not be construed to be a waiver of sovereign immunity by the participating states or by the commission.