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<chapter num="22" heading="Multistate Licensure Compact Regulations" title_num="10" subtitle_num="27">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Board” means the regulatory body responsible for issuing nurse licenses.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Information System” means the coordinated licensure information system.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Primary state of residence” means the state of an individual's declared, fixed, permanent, and principal home for legal purposes: domicile.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Public” means any individual or entity other than designated staff or representatives of party state boards or the National Council of State Boards of Nursing, Inc.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Issuance of a License by a Compact Party State.">
    <paragraph num="A.">
      <text>As of July 1, 2005, 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 NCLEX examination or any predecessor examination used for licensure.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Home Party State License.</text>
      <paragraph num="(1)">
        <text>A nurse applying for a license in a home party state shall produce evidence of the nurse’s primary state of residence.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The evidence required in §B(1) of this regulation shall include a declaration signed by the licensee.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Further evidence that may be requested may include but is not limited to a:</text>
        <paragraph num="(a)">
          <text>Driver's license with a home address;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Voter registration card displaying a home address;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Federal income tax return declaring the primary state of residence;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Military Form No. 2058, State of Legal Residence Certificate; or</text>
        </paragraph>
        <paragraph num="(e)">
          <text>W2 form from the United States government or any bureau, division, or agency thereof indicating the declared state of residence.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>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 shall be issued by the party state.</text>
    </paragraph>
    <paragraph num="D.">
      <text>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.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Single State License.</text>
      <paragraph num="(1)">
        <text>When a party state issues a license authorizing practice only in that state and not authorizing practice in other party states, the license shall be clearly marked with words indicating that it is valid only in the state of issuance.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A license that is only valid for the party state is called a single state license.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>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 multistate licensure privilege during the processing of the nurse’s licensure application in the new home state for a period not to exceed 90 days.</text>
    </paragraph>
    <paragraph num="G.">
      <text>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 90-day period in §F of this regulation shall be stayed until resolution of the pending investigation.</text>
    </paragraph>
    <paragraph num="H.">
      <text>The former home state license is not valid upon the issuance of a new home state license.</text>
    </paragraph>
    <paragraph num="I.">
      <text>If a decision is made by the new home state denying licensure, the new home state shall notify the former home state within 10 business days, and the former home state may take action in accordance with that state's laws and regulations.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Limitations on Multistate Licensure Privilege — Discipline.">
    <paragraph num="A.">
      <text>Home state boards shall include, in all disciplinary orders or agreements that limit practice or require monitoring, the requirement that the licensee subject to the order or agreement shall limit the licensee's practice to the home state during the pendency of the disciplinary order or agreement.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The requirement referred to in §A of this regulation may, in the alternative, allow the nurse to practice in other party states with prior written authorization from both the home state and other party state boards.</text>
    </paragraph>
    <paragraph num="C.">
      <text>An individual who had a license which was surrendered, revoked, or 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 or states where there was an adverse action.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Once eligible for licensure in the prior state or states, a multistate license may be issued.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Information System.">
    <paragraph num="A.">
      <text>Levels of Access.</text>
      <paragraph num="(1)">
        <text>Public access to nurse licensure information shall be limited to:</text>
        <paragraph num="(a)">
          <text>The licensee's name;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Jurisdictions of licensure;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Licensure expiration date;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Licensure classification and status;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Public emergency, summary, and final disciplinary actions, as defined by contributing state authority; and</text>
        </paragraph>
        <paragraph num="(f)">
          <text>The status of multistate licensure privileges.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>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.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Party state boards shall have access to all Information System data contributed by the party states and other information as allowed by contributing non-party state authority.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Right to Review.</text>
      <paragraph num="(1)">
        <text>The licensee may request, in writing, to the home state board to review data relating to the licensee in the Information System.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>If a licensee asserts that any data relating to the licensee is inaccurate, the burden of proof is on the licensee to provide evidence substantiating that claim.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Within 10 business days, the Board shall correct information that it finds to be inaccurate in the Information System.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Changes in Disciplinary Data.</text>
      <paragraph num="(1)">
        <text>Within 10 business days, the Board shall report to the Information System:</text>
        <paragraph num="(a)">
          <text>Disciplinary action, agreement, or order requiring participation in alternative programs or which limit practice or require monitoring unless the agreement or order relating to participation in alternative programs is required to remain nonpublic by the contributing state authority;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Dismissal of the complaint; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Changes in status of disciplinary action, or licensure encumbrance.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>The Board shall delete current significant investigative information from the Information System within 10 business days after:</text>
        <paragraph num="(a)">
          <text>A disciplinary action;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>An agreement or order requiring participation in alternative programs;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>An agreement or agreements which limit practice or require monitoring; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Dismissal of a complaint.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>The Information System administrator shall make changes to licensure information in the Information System within 10 business days upon notification by a board.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§8-205(a)(1) and 8-7A-01—8-7A-05, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.04 adopted as an emergency provision effective January 1, 2000 (27:2 Md. R. 140); adopted permanently effective April 17, 2000 (27:7 Md. R. 705)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B amended effective August 28, 2017 (44:17 Md. R. 835)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective August 28, 2017 (44:17 Md. R. 835)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B, C amended effective January 18, 2016 (43:1 Md. R. 13)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective August 28, 2017 (44:17 Md. R. 835)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended effective August 28, 2017 (44:17 Md. R. 835)</annotation>
  </annotations>
</chapter>