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Alaska State Legislature· HB 173CHAPTER 41 SLA 26

LIC.: OCCUP/PHYS THERAPY;SPEECH;AUDIOLOGY, the official text

Shown verbatim: the complete text as captured from the official page posted by the Alaska State Legislature, fetched 2026-09-21. Where this bill amends existing law, language marked for deletion in the official page appears here in brackets. This is the enrolled version. The official bill page.
00Enrolled HB 173
01Relating to occupational therapist licensure; relating to occupational therapy assistant 
02 licensure; relating to an occupational therapist licensure compact; relating to an executive 
03 administrator for the State Physical Therapy and Occupational Therapy Board; relating to 
04 physical therapist licensure; relating to physical therapist assistant licensure; relating to 
05 audiologist licensure; relating to speech-language pathologist licensure; and relating to 
06 national criminal history record checks. 
07 _______________ 
08 * Section 1. AS 08.11 is amended by adding a new section to read: 
09 Sec. 08.11.310. Compact privilege applications. A licensee applying for a 
10 compact privilege under AS 08.11.300 shall submit, along with the application, the 
11 applicant's fingerprints and the fees required by the Department of Public Safety under 
12 AS 12.62.160 for criminal justice information and a national criminal history record 
13 check. The board shall forward the fingerprints and fees to the Department of Public

01Safety to obtain a report of criminal justice information under AS 12.62 and a national 
02 criminal history record check under AS 12.62.400. Criminal justice information and 
03 criminal history record information obtained under this section may be used by the 
04 department only for the purpose of determining an applicant's qualifications and 
05 fitness for the compact privilege. 
06 * Sec. 2. AS 08.84.010(b) is amended to read: 
07 (b) The board shall control all matters pertaining to the licensing of physical 
08 therapists, physical therapist assistants, occupational therapists, and occupational 
09 therapy assistants and the practice of physical therapy and the practice of occupational 
10 therapy. The board shall 
11 (1) pass upon the qualifications of applicants; 
12 (2) provide for the examination of applicants; 
13 (3) issue temporary permits and licenses to persons qualified under this 
14 chapter; 
15 (4) suspend, revoke, or refuse to issue or renew a license under 
16 AS 08.84.120; 
17 (5) keep a current register listing the name, business address, date, and 
18 number of the license of each person who is licensed to practice under this chapter; 
19 (6) adopt regulations under AS 44.62 (Administrative Procedure Act) 
20 necessary to carry out the purposes of this chapter, including regulations establishing 
21 qualifications for licensure and renewal of licensure under this chapter; 
22 (7) implement the Interstate Physical Therapy Licensure Compact 
23 enacted by [UNDER] AS 08.84.188 and the Occupational Therapy Licensure 
24 Compact enacted by AS 08.84.189. 
25 * Sec. 3. AS 08.84 is amended by adding a new section to article 1 to read: 
26 Sec. 08.84.025. Executive administrator. The board shall employ an 
27 executive administrator who shall perform duties as prescribed by the board. The 
28 executive administrator is the principal executive officer of the board and is in the 
29 partially exempt service under AS 39.25.120. 
30 * Sec. 4. AS 08.84.030(a) is amended to read: 
31 (a) To be eligible for licensure by the board as a physical therapist or physical

01 therapist assistant, an applicant, unless a graduate of a foreign school of physical 
02 therapy located outside the United States, shall 
03 (1) have graduated from a professional physical therapy education 
04 program that includes supervised field work and is accredited by a national 
05 accreditation agency approved by the board; 
06 (2) pass, to the satisfaction of the board, an examination prepared by a 
07 national testing service approved by the board to determine the applicant's fitness for 
08 practice as a physical therapist or physical therapist assistant, or be entitled to 
09 licensure without examination as provided in AS 08.84.060; 
10 (3) meet qualifications for licensure established in regulations adopted 
11 by the board under AS 08.84.010(b); and 
12 (4) have been fingerprinted and have provided the fees required by the 
13 Department of Public Safety under AS 12.62.160 for criminal justice information and 
14 a national criminal history record check; the fingerprints and fees shall be forwarded 
15 to the Department of Public Safety to obtain a report of criminal justice information 
16 under AS 12.62 and a national criminal history record check under AS 12.62.400; 
17 criminal justice information and criminal history record information obtained 
18 under this paragraph may be used by the board only for the purpose of 
19 determining an applicant's qualifications and fitness for the license or a compact 
20 privilege under AS 08.84.188. 
21 * Sec. 5. AS 08.84.040 is amended by adding a new subsection to read: 
22 (b) A licensee applying for a compact privilege under AS 08.84.189 shall 
23 submit, along with the application, the applicant's fingerprints and the fees required by 
24 the Department of Public Safety under AS 12.62.160 for criminal justice information 
25 and a national criminal history record check. The board shall forward the fingerprints 
26 and fees to the Department of Public Safety to obtain a report of criminal justice 
27 information under AS 12.62 and a national criminal history record check under 
28 AS 12.62.400. Criminal justice information and criminal history record information 
29 obtained under this subsection may be used by the board only for the purpose of 
30 determining an applicant's qualifications and fitness for the compact privilege. 
31 * Sec. 6. AS 08.84 is amended by adding a new section to read:

01Sec. 08.84.095. Scope of practice for occupational therapists and 
02 occupational therapy assistants. (a) An occupational therapist may provide 
03 occupational therapy to a person whose ability or opportunity to participate in 
04 activities of daily living, play, leisure, or an occupation is or may be limited or 
05 restricted because the person has or is at risk of having an injury, disorder, 
06 impairment, or disability that limits or restricts the person's ability to engage in an 
07 occupation or other goal-oriented task or activity. The therapist may evaluate, analyze, 
08 and diagnose the cause of the limitation or restriction and intervene with occupational 
09 therapy to decrease or eliminate the cause, help the person recover from or adjust to 
10 the limitation or restriction, and restore the person's ability to engage in an occupation 
11 or other goal-oriented task or activity. 
12 (b) An occupational therapist may initiate and provide occupational therapy, 
13 including therapy under (c) of this section, without a referral from another provider of 
14 health care services. 
15 (c) The services an occupational therapist may provide to a person include 
16 (1) treating a person's pain; 
17 (2) habilitating, rehabilitating, and working with a person to adjust 
18 physical, neuromusculoskeletal, cognitive, psychosocial, sensory-perceptive, visual, or 
19 other aspects of performance in a variety of contexts to improve or maintain the 
20 person's ability to engage in an occupation or other goal-oriented task or activity, 
21 regardless of the person's ability-related needs; 
22 (3) evaluating and treating a person to promote, enhance, or restore the 
23 person's ability to safely perform activities of daily living and instrumental activities 
24 of daily living and safely engage in sleep, rest, education, work, play, leisure, health 
25 management, and social participation; 
26 (4) administering, evaluating, and interpreting tests and measurements 
27 of a person's bodily functions and structures; 
28 (5) establishing, remediating, preventing, or compensating for a barrier 
29 to a person's performance skills; in this paragraph, a barrier to a person's performance 
30 skills may include the person's bodily structures and functions, habits, routines, roles, 
31 environmental and personal factors, and physical, neuromusculoskeletal, cognitive,

01 psychosocial, sensory perception, communication, interaction, and pain management 
02 skills; 
03 (6) managing a person's ability to eat, feed themselves, or swallow to 
04 improve or maintain eating and feeding performance; 
05 (7) designing, fabricating, applying, or ?tting assistive technology or 
06 an adaptive or orthotic device; 
07 (8) training a person to 
08 (A) use assistive technology or an adaptive, orthotic, or 
09 prosthetic device; and 
10 (B) manage the person's seating and positioning; 
11 (9) adapting environments and assessing, recommending, and training 
12 a person on the techniques the person may use to enhance the person's functional and 
13 community mobility; 
14 (10) preventing pain and dysfunction, restoring function, or reversing 
15 or arresting the progression of a pathology; 
16 (11) applying an adjunctive intervention or therapeutic procedure to 
17 prepare for or use with occupation-based activities; in this paragraph, "adjunctive 
18 intervention or therapeutic procedure" includes a thermal, mechanical, electrophysical, 
19 or instrument-assisted treatment modality, wound care, and manual therapy; and 
20 (12) promoting a person's good physical and mental health and 
21 wellness, regardless of the person's ability-related needs. 
22 (d) An occupational therapist may allow an occupational therapy assistant to 
23 assist with or administer occupational therapy that the occupational therapy assistant is 
24 professionally competent to assist with or administer, including assessing a patient in 
25 an evaluation delegated to the occupational therapy assistant and preparing reports on 
26 the assessment for the occupational therapist. The occupational therapist shall 
27 supervise the occupational therapy assistant when acting under this subsection. 
28 (e) In this section, "health" means a person's physical or mental health. 
29 * Sec. 7. AS 08.84.150(b) is amended to read: 
30 (b) A person may not provide services that the person describes as 
31 occupational therapy without being licensed under this chapter unless the person is

01 (1) a student in an accredited occupational therapy program or in a 
02 supervised field work program; 
03 (2) a graduate of a foreign school of occupational therapy fulfilling the 
04 internship requirement of AS 08.84.032, and then only unless under the continuous 
05 direction and immediate supervision of an occupational therapist; 
06 (3) an occupational therapist or occupational therapy assistant 
07 employed by the United States government while in the discharge of official duties; 
08 (4) granted a limited permit under AS 08.84.075; 
09 (5) licensed under this title and uses occupational therapy skills in the 
10 practice of the profession for which the license is issued; [OR] 
11 (6) employed as a teacher or teacher's aide by an educational 
12 institution and is required to use occupational therapy skills during the course of 
13 employment, if 
14 (A) the occupational therapy skills are used under a program 
15 implemented by the employer and developed by a licensed occupational 
16 therapist; 
17 (B) the employer maintains direct supervision of the person's 
18 use of occupational therapy skills; and 
19 (C) the person does not represent to 
20 (i) be an occupational therapist or occupational therapy 
21 assistant; and 
22 (ii) practice occupational therapy; or 
23 (7) granted a compact privilege under AS 08.84.189. 
24 * Sec. 8. AS 08.84 is amended by adding a new section to read: 
25 Article 4A. Occupational Therapy Licensure Compact. 
26 Sec. 08.84.189. Compact enacted. The Occupational Therapy Licensure 
27 Compact as contained in this section is enacted into law and entered into on behalf of 
28 the state with all other states and jurisdictions legally joining it in a form substantially 
29 as follows: 
30 SECTION 1. PURPOSE 
31 The purpose of this Compact is to facilitate interstate practice of Occupational

01Therapy with the goal of improving public access to Occupational Therapy services. 
02 The Practice of Occupational Therapy occurs in the State where the patient/client is 
03 located at the time of the patient/client encounter. The Compact preserves the 
04 regulatory authority of States to protect public health and safety through the current 
05 system of State licensure. 
06 This Compact is designed to achieve the following objectives: 
07 (A) Increase public access to Occupational Therapy services by providing for 
08 the mutual recognition of other Member State licenses; 
09 (B) Enhance the States' ability to protect the public's health and safety; 
10 (C) Encourage the cooperation of Member States in regulating multi-State 
11 Occupational Therapy Practice; 
12 (D) Support spouses of relocating military members; 
13 (E) Enhance the exchange of licensure, investigative, and disciplinary 
14 information between Member States; 
15 (F) Allow a Remote State to hold a provider of services with a Compact 
16 Privilege in that State accountable to that State's practice standards; and 
17 (G) Facilitate the use of Telehealth technology in order to increase access to 
18 Occupational Therapy services. 
19 SECTION 2. DEFINITIONS 
20 As used in this Compact, and except as otherwise provided, the following 
21 definitions shall apply: 
22 (A) "Active Duty Military" means full-time duty status in the active 
23 uniformed service of the United States, including members of the National Guard and 
24 Reserve on active duty orders pursuant to 10 U.S.C. Chapter 1209 and 10 U.S.C. 
25 Chapter 1211. 
26 (B) "Adverse Action" means any administrative, civil, equitable, or criminal 
27 action permitted by a State's laws which is imposed by a Licensing Board or other 
28 authority against an Occupational Therapist or Occupational Therapy Assistant, 
29 including actions against an individual's license or Compact Privilege such as censure, 
30 revocation, suspension, probation, monitoring of the Licensee, or restriction on the 
31 Licensee's practice.

01(C) "Alternative Program" means a non-disciplinary monitoring process 
02 approved by an Occupational Therapy Licensing Board. 
03 (D) "Compact Privilege" means the authorization, which is equivalent to a 
04 license, granted by a Remote State to allow a Licensee from another Member State to 
05 practice as an Occupational Therapist or practice as an Occupational Therapy 
06 Assistant in the Remote State under its laws and rules. The Practice of Occupational 
07 Therapy occurs in the Member State where the patient/client is located at the time of 
08 the patient/client encounter. 
09 (E) "Continuing Competence/Education" means a requirement, as a condition 
10 of license renewal, to provide evidence of participation in, and/or completion of, 
11 educational and professional activities relevant to practice or area of work. 
12 (F) "Current Significant Investigative Information" means Investigative 
13 Information that a Licensing Board, after an inquiry or investigation that includes 
14 notification and an opportunity for the Occupational Therapist or Occupational 
15 Therapy Assistant to respond, if required by State law, has reason to believe is not 
16 groundless and, if proved true, would indicate more than a minor infraction. 
17 (G) "Data System" means a repository of information about Licensees, 
18 including but not limited to license status, Investigative Information, Compact 
19 Privileges, and Adverse Actions. 
20 (H) "Encumbered License" means a license in which an Adverse Action 
21 restricts the Practice of Occupational Therapy by the Licensee or said Adverse Action 
22 has been reported to the National Practitioner Data Bank (NPDB). 
23 (I) "Executive Committee" means a group of directors elected or appointed to 
24 act on behalf of, and within the powers granted to them by, the Commission. 
25 (J) "Home State" means the Member State that is the Licensee's Primary State 
26 of Residence. 
27 (K) "Impaired Practitioner" means individuals whose professional practice is 
28 adversely affected by substance abuse, addiction, or other health-related conditions. 
29 (L) "Investigative Information" means information, records, and/or documents 
30 received or generated by an Occupational Therapy Licensing Board pursuant to an 
31 investigation.

01 (M) "Jurisprudence Requirement" means the assessment of an individual's 
02 knowledge of the laws and rules governing the Practice of Occupational Therapy in a 
03 State. 
04 (N) "Licensee" means an individual who currently holds an authorization from 
05 the State to practice as an Occupational Therapist or as an Occupational Therapy 
06 Assistant. 
07 (O) "Member State" means a State that has enacted the Compact. 
08 (P) "Occupational Therapist" means an individual who is licensed by a State 
09 to practice Occupational Therapy. 
10 (Q) "Occupational Therapy Assistant" means an individual who is licensed by 
11 a State to assist in the Practice of Occupational Therapy. 
12 (R) "Occupational Therapy," "Occupational Therapy Practice," and the 
13 "Practice of Occupational Therapy" mean the care and services provided by an 
14 Occupational Therapist or an Occupational Therapy Assistant as set forth in the 
15 Member State's statutes and regulations. 
16 (S) "Occupational Therapy Compact Commission" or "Commission" means 
17 the national administrative body whose membership consists of all States that have 
18 enacted the Compact. 
19 (T) "Occupational Therapy Licensing Board" or "Licensing Board" means the 
20 agency of a State that is authorized to license and regulate Occupational Therapists 
21 and Occupational Therapy Assistants. 
22 (U) "Primary State of Residence" means the state (also known as the Home 
23 State) in which an Occupational Therapist or Occupational Therapy Assistant who is 
24 not Active Duty Military declares a primary residence for legal purposes as verified 
25 by: driver's license, federal income tax return, lease, deed, mortgage or voter 
26 registration or other verifying documentation as further defined by Commission Rules. 
27 (V) "Remote State" means a Member State other than the Home State, where a 
28 Licensee is exercising or seeking to exercise the Compact Privilege. 
29 (W) "Rule" means a regulation promulgated by the Commission that has the 
30 force of law. 
31 (X) "Single-State License" means an Occupational Therapist or Occupational

01 Therapy Assistant license issued by a Member State that authorizes practice only 
02 within the issuing State and does not include a Compact Privilege in any other 
03 Member State. 
04 (Y) "State" means any state, commonwealth, district, or territory of the United 
05 States of America that regulates the Practice of Occupational Therapy. 
06 (Z) "Telehealth" means the application of telecommunication technology to 
07 deliver Occupational Therapy services for assessment, intervention and/or 
08 consultation. 
09 SECTION 3. STATE PARTICIPATION IN THE COMPACT 
10 (A) To participate in the Compact, a Member State shall: 
11 (1) License Occupational Therapists and Occupational Therapy 
12 Assistants; 
13 (2) Participate fully in the Commission's Data System, including but 
14 not limited to using the Commission's unique identifier as defined in Rules of the 
15 Commission; 
16 (3) Have a mechanism in place for receiving and investigating 
17 complaints about Licensees; 
18 (4) Notify the Commission, in compliance with the terms of the 
19 Compact and Rules, of any Adverse Action or the availability of Investigative 
20 Information regarding a Licensee; 
21 (5) Implement or utilize procedures for considering the criminal 
22 history records of applicants for an initial Compact Privilege. These procedures shall 
23 include the submission of fingerprints or other biometric-based information by 
24 applicants for the purpose of obtaining an applicant's criminal history record 
25 information from the Federal Bureau of Investigation and the agency responsible for 
26 retaining that State's criminal records; 
27 (a) A Member State shall, within a time frame established by 
28 the Commission, require a criminal background check for a Licensee 
29 seeking/applying for a Compact Privilege whose Primary State of Residence is 
30 that Member State, by receiving the results of the Federal Bureau of 
31 Investigation criminal record search, and shall use the results in making

01 licensure decisions. 
02 (b) Communication between a Member State, the Commission 
03 and among Member States regarding the verification of eligibility for licensure 
04 through the Compact shall not include any information received from the 
05 Federal Bureau of Investigation relating to a federal criminal records check 
06 performed by a Member State under Public Law 92-544. 
07 (6) Comply with the Rules of the Commission; 
08 (7) Utilize only a recognized national examination as a requirement for 
09 licensure pursuant to the Rules of the Commission; and 
10 (8) Have Continuing Competence/Education requirements as a 
11 condition for license renewal. 
12 (B) A Member State shall grant the Compact Privilege to a Licensee holding a 
13 valid unencumbered license in another Member State in accordance with the terms of 
14 the Compact and Rules. 
15 (C) Member States may charge a fee for granting a Compact Privilege. 
16 (D) A Member State shall provide for the State's delegate to attend all 
17 Occupational Therapy Compact Commission meetings. 
18 (E) Individuals not residing in a Member State shall continue to be able to 
19 apply for a Member State's Single-State License as provided under the laws of each 
20 Member State. However, the Single-State License granted to these individuals shall 
21 not be recognized as granting the Compact Privilege in any other Member State. 
22 (F) Nothing in this Compact shall affect the requirements established by a 
23 Member State for the issuance of a Single-State License. 
24 SECTION 4. COMPACT PRIVILEGE 
25 (A) To exercise the Compact Privilege under the terms and provisions of the 
26 Compact, the Licensee shall: 
27 (1) Hold a license in the Home State; 
28 (2) Have a valid United States Social Security Number or National 
29 Practitioner Identification number; 
30 (3) Have no encumbrance on any State license; 
31 (4) Be eligible for a Compact Privilege in any Member State in

01 accordance with Section 4(D), (F), (G), and (H); 
02 (5) Have paid all fines and completed all requirements resulting from 
03 any Adverse Action against any license or Compact Privilege, and two years have 
04 elapsed from the date of such completion; 
05 (6) Notify the Commission that the Licensee is seeking the Compact 
06 Privilege within a Remote State(s); 
07 (7) Pay any applicable fees, including any State fee, for the Compact 
08 Privilege; 
09 (8) Complete a criminal background check in accordance with Section 
10 3(A)(5); 
11 (a) The Licensee shall be responsible for the payment of any 
12 fee associated with the completion of a criminal background check. 
13 (9) Meet any Jurisprudence Requirements established by the Remote 
14 State(s) in which the Licensee is seeking a Compact Privilege; and 
15 (10) Report to the Commission Adverse Action taken by any non- 
16 Member State within 30 days from the date the Adverse Action is taken. 
17 (B) The Compact Privilege is valid until the expiration date of the Home State 
18 license. The Licensee must comply with the requirements of Section 4(A) to maintain 
19 the Compact Privilege in the Remote State. 
20 (C) A Licensee providing Occupational Therapy in a Remote State under the 
21 Compact Privilege shall function within the laws and regulations of the Remote State. 
22 (D) Occupational Therapy Assistants practicing in a Remote State shall be 
23 supervised by an Occupational Therapist licensed or holding a Compact Privilege in 
24 that Remote State. 
25 (E) A Licensee providing Occupational Therapy in a Remote State is subject 
26 to that State's regulatory authority. A Remote State may, in accordance with due 
27 process and that State's laws, remove a Licensee's Compact Privilege in the Remote 
28 State for a specific period of time, impose fines, and/or take any other necessary 
29 actions to protect the health and safety of its citizens. The Licensee may be ineligible 
30 for a Compact Privilege in any State until the specific time for removal has passed and 
31 all fines are paid.

01 (F) If a Home State license is encumbered, the Licensee shall lose the 
02 Compact Privilege in any Remote State until the following occur: 
03 (1) The Home State license is no longer encumbered; and 
04 (2) Two years have elapsed from the date on which the Home State 
05 license is no longer encumbered in accordance with Section 4(F)(1). 
06 (G) Once an Encumbered License in the Home State is restored to good 
07 standing, the Licensee must meet the requirements of Section 4(A) to obtain a 
08 Compact Privilege in any Remote State. 
09 (H) If a Licensee's Compact Privilege in any Remote State is removed, the 
10 individual may lose the Compact Privilege in any other Remote State until the 
11 following occur: 
12 (1) The specific period of time for which the Compact Privilege was 
13 removed has ended; 
14 (2) All fines have been paid and all conditions have been met; 
15 (3) Two years have elapsed from the date of completing requirements 
16 for Section 4(H)(1) and (2); and 
17 (4) The Compact Privileges are reinstated by the Commission, and the 
18 compact Data System is updated to reflect reinstatement. 
19 (I) If a Licensee's Compact Privilege in any Remote State is removed due to 
20 an erroneous charge, privileges shall be restored through the compact Data System. 
21 (J) Once the requirements of Section 4(H) have been met, the Licensee must 
22 meet the requirements in Section 4(A) to obtain a Compact Privilege in a Remote 
23 State. 
24 SECTION 5. OBTAINING A NEW HOME STATE LICENSE BY VIRTUE OF 
25 COMPACT PRIVILEGE 
26 (A) An Occupational Therapist or Occupational Therapy Assistant may hold a 
27 Home State license, which allows for Compact Privileges in Member States, in only 
28 one Member State at a time. 
29 (B) If an Occupational Therapist or Occupational Therapy Assistant changes 
30 Primary State of Residence by moving between two Member States: 
31 (1) The Occupational Therapist or Occupational Therapy Assistant

01shall file an application for obtaining a new Home State license by virtue of a 
02 Compact Privilege, pay all applicable fees, and notify the current and new Home State 
03 in accordance with applicable Rules adopted by the Commission. 
04 (2) Upon receipt of an application for obtaining a new Home State 
05 license by virtue of compact privilege, the new Home State shall verify that the 
06 Occupational Therapist or Occupational Therapy Assistant meets the pertinent criteria 
07 outlined in Section 4 via the Data System, without need for primary source 
08 verification except for: 
09 (a) an FBI fingerprint based criminal background check if not 
10 previously performed or updated pursuant to applicable Rules adopted by the 
11 Commission in accordance with Public Law 92-544; 
12 (b) other criminal background check as required by the new 
13 Home State; and 
14 (c) submission of any requisite Jurisprudence Requirements of 
15 the new Home State. 
16 (3) The former Home State shall convert the former Home State 
17 license into a Compact Privilege once the new Home State has activated the new 
18 Home State license in accordance with applicable Rules adopted by the Commission. 
19 (4) Notwithstanding any other provision of this Compact, if the 
20 Occupational Therapist or Occupational Therapy Assistant cannot meet the criteria in 
21 Section 4, the new Home State shall apply its requirements for issuing a new Single- 
22 State License. 
23 (5) The Occupational Therapist or the Occupational Therapy Assistant 
24 shall pay all applicable fees to the new Home State in order to be issued a new Home 
25 State license. 
26 (C) If an Occupational Therapist or Occupational Therapy Assistant changes 
27 Primary State of Residence by moving from a Member State to a non-Member State, 
28 or from a non-Member State to a Member State, the State criteria shall apply for 
29 issuance of a Single-State License in the new State. 
30 (D) Nothing in this compact shall interfere with a Licensee's ability to hold a 
31 Single-State License in multiple States; however, for the purposes of this compact, a

01 Licensee shall have only one Home State license. 
02 (E) Nothing in this Compact shall affect the requirements established by a 
03 Member State for the issuance of a Single-State License. 
04 SECTION 6. ACTIVE DUTY MILITARY PERSONNEL OR THEIR SPOUSES 
05 (A) Active Duty Military personnel, or their spouses, shall designate a Home 
06 State where the individual has a current license in good standing. The individual may 
07 retain the Home State designation during the period the service member is on active 
08 duty. Subsequent to designating a Home State, the individual shall only change their 
09 Home State through application for licensure in the new State or through the process 
10 described in Section 5. 
11 SECTION 7. ADVERSE ACTIONS 
12 (A) A Home State shall have exclusive power to impose Adverse Action 
13 against an Occupational Therapist's or Occupational Therapy Assistant's license issued 
14 by the Home State. 
15 (B) In addition to the other powers conferred by State law, a Remote State 
16 shall have the authority, in accordance with existing State due process law, to: 
17 (1) Take Adverse Action against an Occupational Therapist's or 
18 Occupational Therapy Assistant's Compact Privilege within that Member State. 
19 (2) Issue subpoenas for both hearings and investigations that require 
20 the attendance and testimony of witnesses as well as the production of evidence. 
21 Subpoenas issued by a Licensing Board in a Member State for the attendance and 
22 testimony of witnesses or the production of evidence from another Member State shall 
23 be enforced in the latter State by any court of competent jurisdiction, according to the 
24 practice and procedure of that court applicable to subpoenas issued in proceedings 
25 pending before it. The issuing authority shall pay any witness fees, travel expenses, 
26 mileage and other fees required by the service statutes of the State in which the 
27 witnesses or evidence are located. 
28 (C) For purposes of taking Adverse Action, the Home State shall give the 
29 same priority and effect to reported conduct received from a Member State as it would 
30 if the conduct had occurred within the Home State. In so doing, the Home State shall 
31 apply its own State laws to determine appropriate action.

01(D) The Home State shall complete any pending investigations of an 
02 Occupational Therapist or Occupational Therapy Assistant who changes Primary State 
03 of Residence during the course of the investigations. The Home State, where the 
04 investigations were initiated, shall also have the authority to take appropriate action(s) 
05 and shall promptly report the conclusions of the investigations to the OT Compact 
06 Commission Data System. The Occupational Therapy Compact Commission Data 
07 System administrator shall promptly notify the new Home State of any Adverse 
08 Actions. 
09 (E) A Member State, if otherwise permitted by State law, may recover from 
10 the affected Occupational Therapist or Occupational Therapy Assistant the costs of 
11 investigations and disposition of cases resulting from any Adverse Action taken 
12 against that Occupational Therapist or Occupational Therapy Assistant. 
13 (F) A Member State may take Adverse Action based on the factual findings of 
14 the Remote State, provided that the Member State follows its own procedures for 
15 taking the Adverse Action. 
16 (G) Joint Investigations 
17 (1) In addition to the authority granted to a Member State by its 
18 respective State Occupational Therapy laws and regulations or other applicable State 
19 law, any Member State may participate with other Member States in joint 
20 investigations of Licensees. 
21 (2) Member States shall share any investigative, litigation, or 
22 compliance materials in furtherance of any joint or individual investigation initiated 
23 under the Compact. 
24 (H) If an Adverse Action is taken by the Home State against an Occupational 
25 Therapist's or Occupational Therapy Assistant's license, the Occupational Therapist's 
26 or Occupational Therapy Assistant's Compact Privilege in all other Member States 
27 shall be deactivated until all encumbrances have been removed from the State license. 
28 All Home State disciplinary orders that impose Adverse Action against an 
29 Occupational Therapist's or Occupational Therapy Assistant's license shall include a 
30 Statement that the Occupational Therapist's or Occupational Therapy Assistant's 
31 Compact Privilege is deactivated in all Member States during the pendency of the

01 order. 
02 (I) If a Member State takes Adverse Action, it shall promptly notify the 
03 administrator of the Data System. The administrator of the Data System shall promptly 
04 notify the Home State of any Adverse Actions by Remote States. 
05 (J) Nothing in this Compact shall override a Member State's decision that 
06 participation in an Alternative Program may be used in lieu of Adverse Action. 
07 SECTION 8. ESTABLISHMENT OF THE OCCUPATIONAL THERAPY 
08 COMPACT COMMISSION 
09 (A) The Compact Member States hereby create and establish a joint public 
10 agency known as the Occupational Therapy Compact Commission: 
11 (1) The Commission is an instrumentality of the Compact States. 
12 (2) Venue is proper and judicial proceedings by or against the 
13 Commission shall be brought solely and exclusively in a court of competent 
14 jurisdiction where the principal office of the Commission is located. The Commission 
15 may waive venue and jurisdictional defenses to the extent it adopts or consents to 
16 participate in alternative dispute resolution proceedings. 
17 (3) Nothing in this Compact shall be construed to be a waiver of 
18 sovereign immunity. 
19 (B) Membership, Voting, and Meetings 
20 (1) Each Member State shall have and be limited to one (1) delegate 
21 selected by that Member State's Licensing Board. 
22 (2) The delegate shall be either: 
23 (a) A current member of the Licensing Board, who is an 
24 Occupational Therapist, Occupational Therapy Assistant, or public member; or 
25 (b) An administrator of the Licensing Board. 
26 (3) Any delegate may be removed or suspended from office as 
27 provided by the law of the State from which the delegate is appointed. 
28 (4) The Member State board shall fill any vacancy occurring in the 
29 Commission within 90 days. 
30 (5) Each delegate shall be entitled to one (1) vote with regard to the 
31 promulgation of Rules and creation of bylaws and shall otherwise have an opportunity

01 to participate in the business and affairs of the Commission. A delegate shall vote in 
02 person or by such other means as provided in the bylaws. The bylaws may provide for 
03 delegates' participation in meetings by telephone or other means of communication. 
04 (6) The Commission shall meet at least once during each calendar 
05 year. Additional meetings shall be held as set forth in the bylaws. 
06 (7) The Commission shall establish by Rule a term of office for 
07 delegates. 
08 (C) The Commission shall have the following powers and duties: 
09 (1) Establish a Code of Ethics for the Commission; 
10 (2) Establish the fiscal year of the Commission; 
11 (3) Establish bylaws; 
12 (4) Maintain its financial records in accordance with the bylaws; 
13 (5) Meet and take such actions as are consistent with the provisions of 
14 this Compact and the bylaws; 
15 (6) Promulgate uniform Rules to facilitate and coordinate 
16 implementation and administration of this Compact. The Rules shall have the force 
17 and effect of law and shall be binding in all Member States; 
18 (7) Bring and prosecute legal proceedings or actions in the name of the 
19 Commission, provided that the standing of any State Occupational Therapy Licensing 
20 Board to sue or be sued under applicable law shall not be affected; 
21 (8) Purchase and maintain insurance and bonds; 
22 (9) Borrow, accept, or contract for services of personnel, including, but 
23 not limited to, employees of a Member State; 
24 (10) Hire employees, elect or appoint officers, fix compensation, 
25 define duties, grant such individuals appropriate authority to carry out the purposes of 
26 the Compact, and establish the Commission's personnel policies and programs relating 
27 to conflicts of interest, qualifications of personnel, and other related personnel matters; 
28 (11) Accept any and all appropriate donations and grants of money, 
29 equipment, supplies, materials and services, and receive, utilize and dispose of the 
30 same; provided that at all times the Commission shall avoid any appearance of 
31 impropriety and/or conflict of interest;

01 (12) Lease, purchase, accept appropriate gifts or donations of, or 
02 otherwise own, hold, improve or use, any property, real, personal or mixed; provided 
03 that at all times the Commission shall avoid any appearance of impropriety; 
04 (13) Sell, convey, mortgage, pledge, lease, exchange, abandon, or 
05 otherwise dispose of any property real, personal, or mixed; 
06 (14) Establish a budget and make expenditures; 
07 (15) Borrow money; 
08 (16) Appoint committees, including standing committees composed of 
09 members, State regulators, State legislators or their representatives, and consumer 
10 representatives, and such other interested persons as may be designated in this 
11 Compact and the bylaws; 
12 (17) Provide and receive information from, and cooperate with, law 
13 enforcement agencies; 
14 (18) Establish and elect an Executive Committee; and 
15 (19) Perform such other functions as may be necessary or appropriate 
16 to achieve the purposes of this Compact consistent with the State regulation of 
17 Occupational Therapy licensure and practice. 
18 (D) The Executive Committee 
19 The Executive Committee shall have the power to act on behalf of the 
20 Commission according to the terms of this Compact. 
21 (1) The Executive Committee shall be composed of nine members: 
22 (a) Seven voting members who are elected by the Commission 
23 from the current membership of the Commission; 
24 (b) One ex-officio, nonvoting member from a recognized 
25 national Occupational Therapy professional association; and 
26 (c) One ex-officio, nonvoting member from a recognized 
27 national Occupational Therapy certification organization. 
28 (2) The ex-officio members will be selected by their respective 
29 organizations. 
30 (3) The Commission may remove any member of the Executive 
31 Committee as provided in bylaws.

01 (4) The Executive Committee shall meet at least annually. 
02 (5) The Executive Committee shall have the following Duties and 
03 responsibilities: 
04 (a) Recommend to the entire Commission changes to the Rules 
05 or bylaws, changes to this Compact legislation, fees paid by Compact Member 
06 States such as annual dues, and any Commission Compact fee charged to 
07 Licensees for the Compact Privilege; 
08 (b) Ensure Compact administration services are appropriately 
09 provided, contractual or otherwise; 
10 (c) Prepare and recommend the budget; 
11 (d) Maintain financial records on behalf of the Commission; 
12 (e) Monitor Compact compliance of Member States and 
13 provide compliance reports to the Commission; 
14 (f) Establish additional committees as necessary; and 
15 (g) Perform other duties as provided in Rules or bylaws. 
16 (E) Meetings of the Commission 
17 (1) All meetings shall be open to the public, and public notice of 
18 meetings shall be given in the same manner as required under the Rulemaking 
19 provisions in Section 10. 
20 (2) The Commission or the Executive Committee or other committees 
21 of the Commission may convene in a closed, non-public meeting if the Commission or 
22 Executive Committee or other committees of the Commission must discuss: 
23 (a) Non-compliance of a Member State with its obligations 
24 under the Compact; 
25 (b) The employment, compensation, discipline or other matters, 
26 practices or procedures related to specific employees or other matters related to 
27 the Commission's internal personnel practices and procedures; 
28 (c) Current, threatened, or reasonably anticipated litigation; 
29 (d) Negotiation of contracts for the purchase, lease, or sale of 
30 goods, services, or real estate; 
31 (e) Accusing any person of a crime or formally censuring any

01 person; 
02 (f) Disclosure of trade secrets or commercial or financial 
03 information that is privileged or confidential; 
04 (g) Disclosure of information of a personal nature where 
05 disclosure would constitute a clearly unwarranted invasion of personal privacy; 
06 (h) Disclosure of investigative records compiled for law 
07 enforcement purposes; 
08 (i) Disclosure of information related to any investigative 
09 reports prepared by or on behalf of or for use of the Commission or other 
10 committee charged with responsibility of investigation or determination of 
11 compliance issues pursuant to the Compact; or 
12 (j) Matters specifically exempted from disclosure by federal or 
13 Member State statute. 
14 (3) If a meeting, or portion of a meeting, is closed pursuant to this 
15 provision, the Commission's legal counsel or designee shall certify that the meeting 
16 may be closed and shall reference each relevant exempting provision. 
17 (4) The Commission shall keep minutes that fully and clearly describe 
18 all matters discussed in a meeting and shall provide a full and accurate summary of 
19 actions taken, and the reasons therefore, including a description of the views 
20 expressed. All documents considered in connection with an action shall be identified 
21 in such minutes. All minutes and documents of a closed meeting shall remain under 
22 seal, subject to release by a majority vote of the Commission or order of a court of 
23 competent jurisdiction. 
24 (F) Financing of the Commission 
25 (1) The Commission shall pay, or provide for the payment of, the 
26 reasonable expenses of its establishment, organization, and ongoing activities. 
27 (2) The Commission may accept any and all appropriate revenue 
28 sources, donations, and grants of money, equipment, supplies, materials, and services. 
29 (3) The Commission may levy on and collect an annual assessment 
30 from each Member State or impose fees on other parties to cover the cost of the 
31 operations and activities of the Commission and its staff, which must be in a total

01amount sufficient to cover its annual budget as approved by the Commission each year 
02 for which revenue is not provided by other sources. The aggregate annual assessment 
03 amount shall be allocated based upon a formula to be determined by the Commission, 
04 which shall promulgate a Rule binding upon all Member States. 
05 (4) The Commission shall not incur obligations of any kind prior to 
06 securing the funds adequate to meet the same; nor shall the Commission pledge the 
07 credit of any of the Member States, except by and with the authority of the Member 
08 State. 
09 (5) The Commission shall keep accurate accounts of all receipts and 
10 disbursements. The receipts and disbursements of the Commission shall be subject to 
11 the audit and accounting procedures established under its bylaws. However, all 
12 receipts and disbursements of funds handled by the Commission shall be audited 
13 yearly by a certified or licensed public accountant, and the report of the audit shall be 
14 included in and become part of the annual report of the Commission. 
15 (G) Qualified Immunity, Defense, and Indemnification 
16 (1) The members, officers, executive director, employees and 
17 representatives of the Commission shall be immune from suit and liability, either 
18 personally or in their official capacity, for any claim for damage to or loss of property 
19 or personal injury or other civil liability caused by or arising out of any actual or 
20 alleged act, error or omission that occurred, or that the person against whom the claim 
21 is made had a reasonable basis for believing occurred within the scope of Commission 
22 employment, duties or responsibilities; provided that nothing in this paragraph shall be 
23 construed to protect any such person from suit and/or liability for any damage, loss, 
24 injury, or liability caused by the intentional or willful or wanton misconduct of that 
25 person. 
26 (2) The Commission shall defend any member, officer, executive 
27 director, employee, or representative of the Commission in any civil action seeking to 
28 impose liability arising out of any actual or alleged act, error, or omission that 
29 occurred within the scope of Commission employment, duties, or responsibilities, or 
30 that the person against whom the claim is made had a reasonable basis for believing 
31 occurred within the scope of Commission employment, duties, or responsibilities;

01provided that nothing herein shall be construed to prohibit that person from retaining 
02 his or her own counsel; and provided further, that the actual or alleged act, error, or 
03 omission did not result from that person's intentional or willful or wanton misconduct. 
04 (3) The Commission shall indemnify and hold harmless any member, 
05 officer, executive director, employee, or representative of the Commission for the 
06 amount of any settlement or judgment obtained against that person arising out of any 
07 actual or alleged act, error or omission that occurred within the scope of Commission 
08 employment, duties, or responsibilities, or that such person had a reasonable basis for 
09 believing occurred within the scope of Commission employment, duties, or 
10 responsibilities, provided that the actual or alleged act, error, or omission did not result 
11 from the intentional or willful or wanton misconduct of that person. 
12 SECTION 9. DATA SYSTEM 
13 (A) The Commission shall provide for the development, maintenance, and 
14 utilization of a coordinated database and reporting system containing licensure, 
15 Adverse Action, and Investigative Information on all licensed individuals in Member 
16 States. 
17 (B) A Member State shall submit a uniform data set to the Data System on all 
18 individuals to whom this Compact is applicable (utilizing a unique identifier) as 
19 required by the Rules of the Commission, including: 
20 (1) Identifying information; 
21 (2) Licensure data; 
22 (3) Adverse Actions against a license or Compact Privilege; 
23 (4) Non-confidential information related to Alternative Program 
24 participation; 
25 (5) Any denial of application for licensure, and the reason(s) for such 
26 denial; 
27 (6) Other information that may facilitate the administration of this 
28 Compact, as determined by the Rules of the Commission; and 
29 (7) Current Significant Investigative Information. 
30 (C) Current Significant Investigative Information and other Investigative 
31 Information pertaining to a Licensee in any Member State will only be available to

01 other Member States. 
02 (D) The Commission shall promptly notify all Member States of any Adverse 
03 Action taken against a Licensee or an individual applying for a license. Adverse 
04 Action information pertaining to a Licensee in any Member State will be available to 
05 any other Member State. 
06 (E) Member States contributing information to the Data System may designate 
07 information that may not be shared with the public without the express permission of 
08 the contributing State. 
09 (F) Any information submitted to the Data System that is subsequently 
10 required to be expunged by the laws of the Member State contributing the information 
11 shall be removed from the Data System. 
12 SECTION 10. RULEMAKING 
13 (A) The Commission shall exercise its Rulemaking powers pursuant to the 
14 criteria set forth in this Section and the Rules adopted thereunder. Rules and 
15 amendments shall become binding as of the date specified in each Rule or amendment. 
16 (B) The Commission shall promulgate reasonable rules in order to effectively 
17 and efficiently achieve the purposes of the Compact. Notwithstanding the foregoing, 
18 in the event the Commission exercises its rulemaking authority in a manner that is 
19 beyond the scope of the purposes of the Compact, or the powers granted hereunder, 
20 then such an action by the Commission shall be invalid and have no force and effect. 
21 (C) If a majority of the legislatures of the Member States rejects a Rule, by 
22 enactment of a statute or resolution in the same manner used to adopt the Compact 
23 within 4 years of the date of adoption of the Rule, then such Rule shall have no further 
24 force and effect in any Member State. 
25 (D) Rules or amendments to the Rules shall be adopted at a regular or special 
26 meeting of the Commission. 
27 (E) Prior to promulgation and adoption of a final Rule or Rules by the 
28 Commission, and at least thirty (30) days in advance of the meeting at which the Rule 
29 will be considered and voted upon, the Commission shall file a Notice of Proposed 
30 Rulemaking: 
31 (1) On the website of the Commission or other publicly accessible

01 platform; and 
02 (2) On the website of each Member State Occupational Therapy 
03 Licensing Board or other publicly accessible platform or the publication in which each 
04 State would otherwise publish proposed Rules. 
05 (F) The Notice of Proposed Rulemaking shall include: 
06 (1) The proposed time, date, and location of the meeting in which the 
07 Rule will be considered and voted upon; 
08 (2) The text of the proposed Rule or amendment and the reason for the 
09 proposed Rule; 
10 (3) A request for comments on the proposed Rule from any interested 
11 person; and 
12 (4) The manner in which interested persons may submit notice to the 
13 Commission of their intention to attend the public hearing and any written comments. 
14 (G) Prior to adoption of a proposed Rule, the Commission shall allow persons 
15 to submit written data, facts, opinions, and arguments, which shall be made available 
16 to the public. 
17 (H) The Commission shall grant an opportunity for a public hearing before it 
18 adopts a Rule or amendment if a hearing is requested by: 
19 (1) At least twenty five (25) persons; 
20 (2) A State or federal governmental subdivision or agency; or 
21 (3) An association or organization having at least twenty five (25) 
22 members. 
23 (I) If a hearing is held on the proposed Rule or amendment, the Commission 
24 shall publish the place, time, and date of the scheduled public hearing. If the hearing is 
25 held via electronic means, the Commission shall publish the mechanism for access to 
26 the electronic hearing. 
27 (1) All persons wishing to be heard at the hearing shall notify the 
28 executive director of the Commission or other designated member in writing of their 
29 desire to appear and testify at the hearing not less than five (5) business days before 
30 the scheduled date of the hearing. 
31 (2) Hearings shall be conducted in a manner providing each person

01 who wishes to comment a fair and reasonable opportunity to comment orally or in 
02 writing. 
03 (3) All hearings will be recorded. A copy of the recording will be made 
04 available on request. 
05 (4) Nothing in this section shall be construed as requiring a separate 
06 hearing on each Rule. Rules may be grouped for the convenience of the Commission 
07 at hearings required by this section. 
08 (J) Following the scheduled hearing date, or by the close of business on the 
09 scheduled hearing date if the hearing was not held, the Commission shall consider all 
10 written and oral comments received. 
11 (K) If no written notice of intent to attend the public hearing by interested 
12 parties is received, the Commission may proceed with promulgation of the proposed 
13 Rule without a public hearing. 
14 (L) The Commission shall, by majority vote of all members, take final action 
15 on the proposed Rule and shall determine the effective date of the Rule, if any, based 
16 on the Rulemaking record and the full text of the Rule. 
17 (M) Upon determination that an emergency exists, the Commission may 
18 consider and adopt an emergency Rule without prior notice, opportunity for comment, 
19 or hearing, provided that the usual Rulemaking procedures provided in the Compact 
20 and in this section shall be retroactively applied to the Rule as soon as reasonably 
21 possible, in no event later than ninety (90) days after the effective date of the Rule. For 
22 the purposes of this provision, an emergency Rule is one that must be adopted 
23 immediately in order to: 
24 (1) Meet an imminent threat to public health, safety, or welfare; 
25 (2) Prevent a loss of Commission or Member State funds; 
26 (3) Meet a deadline for the promulgation of an administrative Rule that 
27 is established by federal law or Rule; or 
28 (4) Protect public health and safety. 
29 (N) The Commission or an authorized committee of the Commission may 
30 direct revisions to a previously adopted Rule or amendment for purposes of correcting 
31 typographical errors, errors in format, errors in consistency, or grammatical errors.

01Public notice of any revisions shall be posted on the website of the Commission. The 
02 revision shall be subject to challenge by any person for a period of thirty (30) days 
03 after posting. The revision may be challenged only on grounds that the revision results 
04 in a material change to a Rule. A challenge shall be made in writing and delivered to 
05 the chair of the Commission prior to the end of the notice period. If no challenge is 
06 made, the revision will take effect without further action. If the revision is challenged, 
07 the revision may not take effect without the approval of the Commission. 
08 SECTION 11. OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT 
09 (A) Oversight 
10 (1) The executive, legislative, and judicial branches of State 
11 government in each Member State shall enforce this Compact and take all actions 
12 necessary and appropriate to effectuate the Compact's purposes and intent. The 
13 provisions of this Compact and the Rules promulgated hereunder shall have standing 
14 as statutory law. 
15 (2) All courts shall take judicial notice of the Compact and the Rules in 
16 any judicial or administrative proceeding in a Member State pertaining to the subject 
17 matter of this Compact which may affect the powers, responsibilities, or actions of the 
18 Commission. 
19 (3) The Commission shall be entitled to receive service of process in 
20 any such proceeding, and shall have standing to intervene in such a proceeding for all 
21 purposes. Failure to provide service of process to the Commission shall render a 
22 judgment or order void as to the Commission, this Compact, or promulgated Rules. 
23 (B) Default, Technical Assistance, and Termination 
24 (1) If the Commission determines that a Member State has defaulted in 
25 the performance of its obligations or responsibilities under this Compact or the 
26 promulgated Rules, the Commission shall: 
27 (a) Provide written notice to the defaulting State and other 
28 Member States of the nature of the default, the proposed means of curing the 
29 default and/or any other action to be taken by the Commission; and 
30 (b) Provide remedial training and specific technical assistance 
31 regarding the default.

01(2) If a State in default fails to cure the default, the defaulting State 
02 may be terminated from the Compact upon an affirmative vote of a majority of the 
03 Member States, and all rights, privileges and benefits conferred by this Compact may 
04 be terminated on the effective date of termination. A cure of the default does not 
05 relieve the offending State of obligations or liabilities incurred during the period of 
06 default. 
07 (3) Termination of membership in the Compact shall be imposed only 
08 after all other means of securing compliance have been exhausted. Notice of intent to 
09 suspend or terminate shall be given by the Commission to the governor, the majority 
10 and minority leaders of the defaulting State's legislature, and each of the Member 
11 States. 
12 (4) A State that has been terminated is responsible for all assessments, 
13 obligations, and liabilities incurred through the effective date of termination, including 
14 obligations that extend beyond the effective date of termination. 
15 (5) The Commission shall not bear any costs related to a State that is 
16 found to be in default or that has been terminated from the Compact, unless agreed 
17 upon in writing between the Commission and the defaulting State. 
18 (6) The defaulting State may appeal the action of the Commission by 
19 petitioning the U.S. District Court for the District of Columbia or the federal district 
20 where the Commission has its principal offices. The prevailing member shall be 
21 awarded all costs of such litigation, including reasonable attorney's fees. 
22 (C) Dispute Resolution 
23 (1) Upon request by a Member State, the Commission shall attempt to 
24 resolve disputes related to the Compact that arise among Member States and between 
25 member and non-Member States. 
26 (2) The Commission shall promulgate a Rule providing for both 
27 mediation and binding dispute resolution for disputes as appropriate. 
28 (D) Enforcement 
29 (1) The Commission, in the reasonable exercise of its discretion, shall 
30 enforce the provisions and Rules of this Compact. 
31 (2) By majority vote, the Commission may initiate legal action in the

01United States District Court for the District of Columbia or the federal district where 
02 the Commission has its principal offices against a Member State in default to enforce 
03 compliance with the provisions of the Compact and its promulgated Rules and bylaws. 
04 The relief sought may include both injunctive relief and damages. In the event judicial 
05 enforcement is necessary, the prevailing member shall be awarded all costs of such 
06 litigation, including reasonable attorney's fees. 
07 (3) The remedies herein shall not be the exclusive remedies of the 
08 Commission. The Commission may pursue any other remedies available under federal 
09 or State law. 
10 SECTION 12. DATE OF IMPLEMENTATION OF THE INTERSTATE 
11 COMMISSION FOR OCCUPATIONAL THERAPY PRACTICE AND ASSOCIATED 
12 RULES, WITHDRAWAL, AND AMENDMENT 
13 (A) The Compact shall come into effect on the date on which the Compact 
14 statute is enacted into law in the tenth Member State. The provisions, which become 
15 effective at that time, shall be limited to the powers granted to the Commission 
16 relating to assembly and the promulgation of Rules. Thereafter, the Commission shall 
17 meet and exercise Rulemaking powers necessary to the implementation and 
18 administration of the Compact. 
19 (B) Any State that joins the Compact subsequent to the Commission's initial 
20 adoption of the Rules shall be subject to the Rules as they exist on the date on which 
21 the Compact becomes law in that State. Any Rule that has been previously adopted by 
22 the Commission shall have the full force and effect of law on the day the Compact 
23 becomes law in that State. 
24 (C) Any Member State may withdraw from this Compact by enacting a statute 
25 repealing the same. 
26 (1) A Member State's withdrawal shall not take effect until six (6) 
27 months after enactment of the repealing statute. 
28 (2) Withdrawal shall not affect the continuing requirement of the 
29 withdrawing State's Occupational Therapy Licensing Board to comply with the 
30 investigative and Adverse Action reporting requirements of this act prior to the 
31 effective date of withdrawal.

01(D) Nothing contained in this Compact shall be construed to invalidate or 
02 prevent any Occupational Therapy licensure agreement or other cooperative 
03 arrangement between a Member State and a non-Member State that does not conflict 
04 with the provisions of this Compact. 
05 (E) This Compact may be amended by the Member States. No amendment to 
06 this Compact shall become effective and binding upon any Member State until it is 
07 enacted into the laws of all Member States. 
08 SECTION 13. CONSTRUCTION AND SEVERABILITY 
09 This Compact shall be liberally construed so as to effectuate the purposes 
10 thereof. The provisions of this Compact shall be severable and if any phrase, clause, 
11 sentence or provision of this Compact is declared to be contrary to the constitution of 
12 any Member State or of the United States or the applicability thereof to any 
13 government, agency, person, or circumstance is held invalid, the validity of the 
14 remainder of this Compact and the applicability thereof to any government, agency, 
15 person, or circumstance shall not be affected thereby. If this Compact shall be held 
16 contrary to the constitution of any Member State, the Compact shall remain in full 
17 force and effect as to the remaining Member States and in full force and effect as to 
18 the Member State affected as to all severable matters. 
19 SECTION 14. BINDING EFFECT OF COMPACT AND OTHER LAWS 
20 (A) A Licensee providing Occupational Therapy in a Remote State under the 
21 Compact Privilege shall function within the laws and regulations of the Remote State. 
22 (B) Nothing herein prevents the enforcement of any other law of a Member 
23 State that is not inconsistent with the Compact. 
24 (C) Any laws in a Member State in conflict with the Compact are superseded 
25 to the extent of the conflict. 
26 (D) Any lawful actions of the Commission, including all Rules and bylaws 
27 promulgated by the Commission, are binding upon the Member States. 
28 (E) All agreements between the Commission and the Member States are 
29 binding in accordance with their terms. 
30 (F) In the event any provision of the Compact exceeds the constitutional limits 
31 imposed on the legislature of any Member State, the provision shall be ineffective to

01the extent of the conflict with the constitutional provision in question in that Member 
02 State. 
03 * Sec. 9. AS 08.84.190(3) is amended to read: 
04 (3) "occupational therapy" means [, FOR COMPENSATION,] the use 
05 of purposeful activity, evaluation, treatment, and consultation with persons [HUMAN 
06 BEINGS] whose ability to cope with the tasks of daily living are threatened with [,] or 
07 impaired by developmental deficits, learning disabilities, aging, poverty, cultural 
08 differences, physical injury or illness, or psychological and social disabilities to 
09 maximize independence, prevent disability, and maintain health; ["OCCUPATIONAL 
10 THERAPY" INCLUDES 
11 (A) DEVELOPING DAILY LIVING, PLAY, LEISURE, 
12 SOCIAL, AND DEVELOPMENTAL SKILLS; 
13 (B) FACILITATING PERCEPTUAL-MOTOR AND 
14 SENSORY INTERGRATIVE FUNCTIONING; 
15 (C) ENHANCING FUNCTIONAL PERFORMANCE, 
16 PREVOCATIONAL SKILLS, AND WORK CAPABILITIES USING 
17 SPECIFICALLY DESIGNED EXERCISES, THERAPEUTIC ACTIVITIES 
18 AND MEASURES, MANUAL INTERVENTION, AND APPLIANCES; 
19 (D) DESIGN, FABRICATION, AND APPLICATION OF 
20 SPLINTS OR SELECTIVE ADAPTIVE EQUIPMENT; 
21 (E) ADMINISTERING AND INTERPRETING 
22 STANDARDIZED AND NONSTANDARDIZED ASSESSMENTS, 
23 INCLUDING SENSORY, MANUAL MUSCLE, AND RANGE OF MOTION 
24 ASSESSMENTS, NECESSARY FOR PLANNING EFFECTIVE 
25 TREATMENT; AND 
26 (F) ADAPTING ENVIRONMENTS FOR THE DISABLED;] 
27 * Sec. 10. AS 08.84.190(4) is amended to read: 
28 (4) "occupational therapy assistant" means a person who, [ASSISTS 
29 IN THE PRACTICE OF OCCUPATIONAL THERAPY] under the supervision of a 
30 licensed [AN] occupational therapist, administers or assists with administering 
31 occupational therapy;

01 * Sec. 11. AS 08.84.190 is amended by adding a new paragraph to read: 
02 (8) "test and measurement" includes imaging, electrodiagnostic and 
03 electrophysiological methods or techniques, and other methods or techniques 
04 generally accepted by the physical therapist or occupational therapist professions in 
05 the state for use in obtaining information about a patient in order to administer 
06 therapy. 
07 * Sec. 12. AS 12.62.400(a)(4) is amended to read: 
08 (4) licensure to practice audiology or speech-language pathology under 
09 AS 08.11, including a compact privilege to practice as an audiologist or speech- 
10 language pathologist under AS 08.11.300; 
11 * Sec. 13. AS 12.62.400(a)(10) is amended to read: 
12 (10) licensure as a physical therapist, physical therapist assistant, 
13 occupational therapist, or occupational therapy assistant under AS 08.84, including a 
14 compact privilege to practice as a physical therapist or physical therapist 
15 assistant under AS 08.84.188 or an occupational therapist or occupational 
16 therapy assistant under AS 08.84.189; 
17 * Sec. 14. AS 39.25.120(c)(7) is amended to read: 
18 (7) the principal executive officer of the following boards, councils, or 
19 commissions: 
20 (A) Alaska Public Broadcasting Commission; 
21 (B) Professional Teaching Practices Commission; 
22 (C) Parole Board; 
23 (D) Board of Nursing; 
24 (E) Real Estate Commission; 
25 (F) Alaska Royalty Oil and Gas Development Advisory Board; 
26 (G) Alaska State Council on the Arts; 
27 (H) Alaska Police Standards Council; 
28 (I) Alaska Commission on Aging; 
29 (J) Alaska Mental Health Board; 
30 (K) State Medical Board; 
31 (L) Governor's Council on Disabilities and Special Education;

01 (M) Advisory Board on Alcoholism and Drug Abuse; 
02 (N) Statewide Suicide Prevention Council; 
03 (O) State Board of Registration for Architects, Engineers, and 
04 Land Surveyors; 
05 (P) Alaska Health Care Commission; 
06 (Q) Board of Pharmacy; 
07 (R) State Physical Therapy and Occupational Therapy 
08 Board;
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