Ongoing Projects

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.

State policymakers can learn more about a compact to streamline the process for authorizing online degree programs across state lines during The Council of State Governments’ 2013 National Conference in Kansas City from 2 to 4 p.m. Sept. 20. Drafters of the State Authorization Reciprocity Agreement, or SARA as the agreement is called, hope it will increase access to degree attainment and reduce costs for students, states and institutions.

The EMS Licensure Compact Drafting Team will meet for the second time next week in Baltimore, MD.  During the meeting the drafters are expected to discuss the general provisions of the compact, conditions for licensure, how reciprocal licensing will occur in member states, and what happens in the event of an adverse action.  The drafters will also consider issues such as governance, finance, dispute resolution, and commission and committee structure.

Attendees at the Federation of Associations of Regulatory Boards (FARB) Leadership Conference spent several hours Saturday morning discussing interstate licensing compacts.  During the discussion, attendees heard from the following presenters:

The need to more efficiently site transmission lines has consistently been identified in western states as one of the most pressing policy challenges facing the region.  One possible solution state legislators are just beginning to consider is a transmission line siting compact.  The compact, which was developed by a drafting team of subject matter experts, with input and guidance from CSG’s National Center for Interstate Compacts will be featured during the Energy and Public Lands Committee session at this year’s CSG-WEST Annual Conference in Las Vegas. 

In a recent article published in MedEd Update the American Medical Association (AMA) expressed support for a medical licensing compact.  In the article the AMA notes a “longstanding policy in support of increased efficiency and standardization in state licensing regulations.”

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