Ongoing Projects

Several medical professions have been working with CSG’s National Center on Interstate Compacts to explore the use of compacts to promote license portability to ensure access to high quality health care. These efforts have the potential to help facilitate telemedicine and widen access to a variety of medical services. Licensing compacts also provide a mechanism to ensure state regulatory agencies maintain their licensing and disciplinary authority. This session featured a discussion about the proposed compacts and their potential to enhance access to medical care across the states.

Legislators at the CSG National and CSG West Annual Conference in Anchorage, Alaska, learned about the State Authorization Reciprocity Agreement during a discussion highlighting the compact’s history and potential impact for states.

“Distance education is not the only answer to the challenges facing higher education in this country, but it needs to be part of the solution and until we achieve reciprocity across state lines, we will never be able to fully take advantage of it,” said Marshall Hill, executive director of the National Council for State Authorization Reciprocity Agreements.

The State Authorization Reciprocity Agreement is intended to broaden the availability of—and access to—accredited online degree programs by reducing state regulatory barriers while ensuring strong consumer safeguards. The agreement is finalized and states are starting to participate. This session provided an update on progress of the agreement, as well as a discussion about what your state needs to do to become a member.

The State Authorization Reciprocity Agreement (SARA) will be highlighted at CSG’s Eastern Regional Conference in Baltimore and again at CSG’s Annual meeting in Anchorage.  The session in Baltimore will begin at 1:15 PM on Tuesday, August 5 and the session in Anchorage will take place at 9:00 AM on Sunday, August 10th.  Both presentations are intended to inform policymakers about the new agreement and the potential benefits it can offer both states and institutions. 

Policymakers attending The Council of State Governments’ National and CSG West 2014 Annual Conference in Anchorage, Alaska, will have an opportunity hear about a new distance learning compact being developed by CSG’s National Center for Interstate Compacts....

A piece in Monday’s NY Times highlighted the Medical Licensing Compact.  CSG, through its National Center for Interstate Compacts, is consulting with the Federation of State Medical Boards and a drafting team of subject matter experts to develop the compact.  The goal of the compact is to better utilize telehealth and improve access to health care by more easily allowing doctors to practice in multiple states.  The compact would allow doctors who meet certain criteria to more easily obtain a license to practice in member states, while preserving the authority of each state to regulate the practice of medicine within its borders.  Compact language is expected to be ready for state legislative consideration as soon as the 2015 legislative session.

Policymakers attending The Council of State Governments’ National and CSG West 2014 Annual Conference in Anchorage, Alaska, will have an opportunity hear about a new distance learning compact being developed by CSG’s National Center for Interstate Compacts....

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. One possible solution may be an increased emphasis on license portability through a series of medical licensing compacts.

The Recognition of EMS Personnel Licensure Interstate Compact, developed jointly by CSG’s Compact Center and the National Association of State EMS Officials, will be highlighted at a meeting next week in Chicago.  In attendance will be state EMS Directors and staff from state AG offices.  The meeting, which is scheduled for Tuesday June 10, will serve as the first opportunity for public comment about the new compact.  During the meeting attendees will learn about interstate compacts broadly, the EMS licensing compact, and hear about next steps. 

Since its founding, CSG’s Compact Center has worked to promote the use of interstate compacts as an ideal tool to meet the demand for cooperative state action.  During that time there have been approximately 180 adoptions of CSG supported compacts, including 10 separate adoptions of different projects during the 2014 legislative session. Two of those compacts have expanded to all 50 states, while the Educational Opportunity for Military Compact has now grown to 48 states.  Below is a summary of various CSG compact projects.

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