National Center for Interstate Compacts

A letter dated January 9, 2014 and signed by 16 US Senators commended efforts to develop an Interstate Medical Licensing Compact.  The bi-partisan group of Senators, which was led by Senator John Thune (R-S.D.) and Senator Mike Enzi (R-Wyo.), applauded the Federation of State Medical Boards and the Interstate Medical Licensure Compact Taskforce for beginning work on a medical licensing compact.  CSG, through the National Center for Interstate Compacts, is providing technical assistance to the Taskforce. 

When it comes to solving problems, states increasingly are turning to a mechanism that dates back to America’s colonial past—the interstate compact. Compacts are one of the few tools specifically granted to states by the U.S. Constitution. They provide states a sophisticated administrative mechanism, allowing interstate collaboration to resolve complex policy challenges.

Compacts, which are governed by the tenets of contract law, provide states an enforceable, sustainable and durable tool capable of ensuring permanent change...

Crady deGolian, Director of CSG's National Center for Interstate Compacts, outlines the top 5 compacts to watch in 2014, including those dealing with the siting of electricity transmission lines,  interstate reciprocity regarding online education, and several compacts related to licensing, including EMS licensing, medical licensing, and physical therapy and telepsychology licensing compacts. 

The cost of health care in the United States has grown an average of 2.4 percent faster than the gross domestic product since 1970; it now represents 18 percent of the total GDP, according to the Kaiser Family Foundation. One challenge contributing significantly to these costs is access to health care in hard-to-serve locations. Problems accessing care is especially common in rural areas. According to the American Academy of Family Physicians, 21 percent of the U.S. population lives in rural areas, but only 11 percent of medical specialists practice in those areas. This results in a significant segment of the population that is frequently underserved. One possible solution is a series of medical licensing compacts intended to reduce existing barriers to the process of gaining licensure in multiple states.

The siting of interstate transmission lines has long-been a problem that has vexed both states and the federal government.  With the expected growth in electricity demand, coupled with the need to bring renewable energy to market and the necessity to enhance and secure the nation’s energy infrastructure, the need for added transmission capacity has never been more apparent.  However federal needs and state interests frequently do not align, leading to an underdeveloped and over-stressed electricity transmission system.

Efforts to draft an EMS Licensing Compact will continue this week in Alexandria, VA.  The drafting team, which was convened jointly by CSG’s National Center for Interstate Compacts and the National Association of State EMS Officials has been working over the last several months to develop a compact that would provide legal recognition for EMTs that cross state lines in the course of their daily work.  The project is funded by a grant from the Department of Homeland Security.

The cost of health care in the United States has grown an average of 2.4 percent faster than the gross domestic product since 1970 and now represents 18 percent of the total GDP, according to the Kaiser Family Foundation. One challenge contributing significantly to these costs is access to health care in hard-to-serve locations.  A possible solution to the challenge of providing medical services in hard-to-serve locations is a series of medical licensing compacts intended to reduce existing barriers to the process of gaining licensure in multiple states. 

At last week’s annual business meeting the membership of the Federation of State Boards of Physical Therapy (FSBPT) endorsed the exploration of an interstate compact.  A compact, if developed, would be designed to reduce barriers for physical therapists seeking licenses in multiple states.  The action taken by the FSBPT’s membership builds on the work of the National Association of EMS Officials and The Federation of State Medical Boards. 

The country needs a comprehensive national authorization and regulatory model for long-distance education that will serve all interested states, accommodate all sectors of higher education and support quality, Paul Shiffman, executive director of The Presidents’ Forum, said Friday.

The State Authorization Reciprocity Agreement (SARA) will be highlighted at The Council of State Governments’ 2013 National Meeting in Kansas City.  The session is scheduled from 2- 4 p.m. on Friday, September 20.

Pages