Interstate Compacts

Crady deGolian, Director of CSG’s National Center for Interstate Compacts (NCIC), and Rick Masters, who serves as Special Counsel to NCIC will present on the Interstate Medical Licensure Compact at the annual Administrators in Medicine conference later this week.  The compact is intended to create an expedited licensing  process for physicians wishing to practice in multiple states.  It aims to increase access to health care services, facilitate licensure portability and telemedicine.   Participation in the compact is voluntary, both for states and physicians.

This article reviews developments in interstate relations pertaining to uniform state laws, interstate compacts and administrative agreements, civil unions and same-sex marriage, and other pertinent interstate legal matters since 2011.

The State Authorization Reciprocity Agreement has now been approved in nine states, with eight of those states already approving institutional participation in the agreement.  Alaska, Colorado, Idaho, Indiana, Montana, Nebraska, Nevada, North Dakota, and Washington have already joined SARA.  The existing higher education regional compacts are actively assisting their member states in ensuring that states wishing to participate in the agreement meet the necessary requirements to join.

With one swipe of New York Gov. Andrew Cuomo’s pen, the Interstate Compact on Educational Opportunity for Military Children, known as MIC3, has now been adopted by all 50 states and the District of Columbia....

The final version of the Recongnition of EMS Personnel Licensure Interstate Compact (REPLICA) was released this week.  The compact was developed jointly between CSG's National Center for Interstate Compact, The National Association of State EMS Officials, and a drafting team of subject matter experts.  The compact was also reviewed and vetted extensively through a larger advisory committee and received finalcial support from the Department of Homeland Seecutiry.  Under the terms of the new agreement, member states would agree to...

NEMA is very proud to release the first-ever report tracing the history of EMAC and its impact on national mutual aid policy and operations. A state-driven solution, EMAC stands as a tested and proven success story and an example of what determined individuals can accomplish when working together to make a difference for the nation.

The Interstate Medical Licensure Compact, which has been developed by state medical boards, the Federation of State Medical Boards, experts from CSG's National Center for Interstate Compacts, and a number of interested stakeholder groups, is nearing completion.  The goal of the compact is to allow doctors to more efficiently obtain licenses in multiple states, while simultaneously protecting patient safety.  Such an agreement has the potential to to significantly increase access to care in rural and hard-to-serve areas, which in turn has the potential to reduce costs for patients, states and the federal government. The agreement also aims to allow providers to take advantage of improving technologies and offer more telehealth services.  Participation in the compact is voluntary for both states and doctors.

ANCHORAGE, ALASKA—For the past three years, states have been finding new ways to work together in the health care arena to help avoid the ever-dreaded 800-pound gorilla called federal pre-emption....

With one swipe of NY Gov. Andrew Cuomo’s pen the Interstate Compact on Educational Opportunity for Military Children has now been adopted by all 50 states and the District of Columbia.  The Compact, which was developed jointly by CSG’s Compact Center and the Department of Defense, eases education transition issues faced by the children of active duty service members transferring between school districts and states.

The Interstate Compact on Educational Opportunity for Military Children represents the fourth interstate...

Population growth, aging baby boomers and a dramatic rise in the number of insured Americans resulting from the Patient Protection and Affordable Care Act are stressing America’s health care system like never before. Demand for care is increasing dramatically, but access to a variety of health professionals has remained largely static.

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