PsychologyInterjurisdictionalCompact(PSYPACT) www.psypact.org PSYPACT LEGISLATIVE RESOURCE KIT FEBRUARY 2016 Advancingtheinterjurisdictionalpracticeofpsychology. 1 TABLE OF CONTENTS Contents WhatisaCompact?______________________________________________________________________________________ 3 BackgroundandSummary______________________________________________________________________________ 5 ModelLegislation_______________________________________________________________________________________11 FrequentlyAskedQuestions___________________________________________________________________________41 ImpactStatements______________________________________________________________________________________55 FiscalNote_______________________________________________________________________________________________57 LegislativeTalkingPoints______________________________________________________________________________60 Statistics_________________________________________________________________________________________________61 Rosters___________________________________________________________________________________________________62 KeyContacts_____________________________________________________________________________________________68 References_______________________________________________________________________________________________69 2 WHAT IS A COMPACT? WhatisaCompact? Aninterstatecompactisacontractbetweentwoormorestates.Itcarriestheforceofstatutorylawand allowsstatestoperformacertainaction,observeacertainstandardorcooperateinacriticalpolicyarea. Generallyspeaking,interstatecompacts: Establishaformal,legalrelationshipamongstatestoaddresscommonproblemsorpromotea commonagenda; Createindependent,multistategovernmentalauthorities(suchascommissions)thatcanaddress issuesmoreeffectivelythanastateagencyactingindependently,orwhennostatehastheauthority toactunilaterally;and Establishuniformguidelines,standardsorproceduresforagenciesinthecompact’smemberstates. Examplesofwell‐knowninterstatecompactsincludetheNewYork‐NewJerseyPortAuthorityCompact,the EmergencyManagementAssistanceCompact,theWashingtonMetroAreaTransitAuthorityCompact,the MultistateTaxCompactandtheSouthernDairyCompact. HOW MANY INTERSTATE COMPACTS ARE THERE? Therearemorethan200activeinterstatecompacts.Twenty‐twoofthemarenationalinscope,including severalwith35ormorememberstatesandanindependentcommissiontoadministertheagreement.More than30compactsareregional,witheightormorememberstates.Forinformationaboutexistingcompacts, visitwww.csg.org(keyword:interstatecompacts). WHEN ARE INTERSTATE COMPACTS CREATED? Historically,interstatecompactshavebeenusedforthreereasons:1)toestablishstateboundaries;2)to establishadvisorycommissionstostudyinterstatepolicyissuesandreportbacktotherespectivestateson theirfindings;and3)tocreateadministrativeagenciestoregulateandmanageavarietyofinterstatepolicy concerns.Between1783and1920,statesapproved36compacts,mostlytosettleboundarydisputes.More recently,especiallysincetheendofWorldWarII,stateshavecreatedcompactsregardingareasrangingfrom conservationandresourcemanagementtocivildefense,education,emergencymanagement,energy,law enforcement,probationandparole,transportationandtaxes. HOW ARE INTERSTATE COMPACTS CREATED? TheU.S.Constitution(Art.1,Sec.10,Clause3)grantsstatestherighttoenterintomultistateagreementsfor theircommonbenefit.Congressmustapproveanycompactthatwouldincreasethestates’politicalpowerin amannerthatwouldencroachuponthefederalgovernment’spower.Whenenteringcompacts,statesmust adheretostateconstitutionalrequirements,particularlyregardingseparationofpowers,delegationofpower, anddebtlimitations.In1951,theSupremeCourtaffirmedinWestVirginiav.Simsthatstateshavethe authoritytoenterintocompactsandtodelegateauthoritytoaninterstateagency. ARE ALL REGULATORY INTERSTATE COMPACTS ALIKE? No,dependingontheneedsoftheprofession,interstatecompactsaddressingregulatorymatterscanbe structuredquitedifferently.Currently,thereareseveralprofessionsutilizinginterstatecompactstoaddress 3 WHAT IS A COMPACT? regulatorymattersandeachprofessionhastakenadifferentapproachwhenwritingitscompactlanguage. Twoexamplesinvolvetheprofessionsofmedicineandnursing.Medicinechosetoconstructitscompactto addressexpeditedlicensure;whilenursing’scompactcreatesamultistatelicense.Psychologyalreadyhada mechanismtoaddressexpeditedlicensure,theCertificateofProfessionalQualificationinPsychology(CPQ) butneededawaytoregulatethepracticeoftelepsychologyaswellasprovideconsistencyamongthestates aroundtemporaryin‐person,face‐to‐facepractice. WHAT ARE THE BENEFITS OF INTERSTATE COMPACTS? Interstatecompactsarepowerful,durable,flexibletoolstopromoteandensurecooperationamongthestates, whileavoidingfederalinterventionandpreemptionofstatepowers.Compactsofferthefollowingbenefits: Theysettleinterstatedisputes.Theyprovidestate‐developedsolutionstocomplexpublicpolicyproblems, unlikefederallyimposedmandates.Theyrespondtonationalprioritiesinconsultationorinpartnershipwith thefederalgovernment.Theyretainstatesovereigntyinmatterstraditionallyreservedforthestates.They createeconomiesofscaletoreduceadministrativecosts.Inotherwords,theinterstatecompactisa constitutionallyauthorizedmeansofimplementingandprotectingfederalismandthestates’roleinthe federalsystem. HOW CAN I GET MORE INFORMATION? Formoreinformationoninterstatecompacts,includingnewsonrecentstateandfederallegislation,a searchabledatabaseofcompacts,linkstorelevantstatestatutes,legalandhistoricalinformationandmore, visittheNationalCenterforInterstateCompactsatwww.csg.org(keyword:interstatecompacts). 4 BACKGROUND AND SUMMARY BackgroundandSummary BACKGROUND Theadvancementofaviabletelehealthoptionforclient/patientsofpsychologicalservicesiscriticalforthe healthcareneedsoftheUnitedStates.The1999SurgeonGeneral’sReportonMentalHealthincludedthe followingsoberingassessment: “Evenmorethanotherareasofhealthandmedicine,thementalhealthfieldisplaguedby disparitiesintheavailabilityofandaccesstoitsservices”.(U.S.DepartmentofHealthandHuman Services,1999). Improvementinaccesstocarehasresultedfromreimbursementofmentalhealthservicesthroughboth governmentfundedprogramslikeMedicareandMedicaid(CenterforMedicareandMedicaidServices, 2011)andprivatemedicalinsurancepolicies(Brown,2006;Eder‐VanHook,Burgiss&Waters,2006). Currently,thereare39stateMedicaidprogramsthatprovidesomesortofreimbursementfortelehealth serviceswithmentalhealthhavingthegreatestchangewithinthereimbursementpolicies(CTel.org,2014). Evenwiththisincreaseinreimbursement,theunmetmentalhealthneedsofchildren,families,the seriouslymentallyill,veteransandolderAmericansarewelldocumented(Baker&Bufka,2011;Collins, Westra,Dozois&Burns2004). Individualsinruralpartsofthecountrycouldespeciallybenefitfromincreasedavailabilityoftelehealth servicesprovidedbyqualifiedlicensedpsychologistswhoarenotphysicallylocatedintheirlocalareaor evennearbycommunity(Dollinger,&Chwalisz,2011;Elliot,Wendel,Brossart,Cano,Gonzalez&Burdine, 2011).Mentalhealthservicesforadultsandchildrenhavebeenshowntobeeffectiveforavarietyof conditionsleadingtoanincreasedqualityoflife,moresuccessfulrecoveryfromsubstanceabuse,more positivemarital,family,andschoolfunctioningandbetterpostdeploymentadjustmentforveterans (Gustafson,Shaw,Isham,Baker,Boyl&Levi,2011;Spira,McLay,Popovic,Russoniello&Wood,2010; Tunick,Mednick&Conroy,2011).Withstudiesshowingthatoneinevery88childrenlivingintheUnited Stateshassomeformofautismspectrumdisorders,telehealthhasproventobeaviablemechanismfor thesechildrenandtheirfamiliestogainsupportandprofessionalservicesfromadistance(Vismara,Young, &Moniux,2013).Additionally,usingtelehealthproceduresforpsychologicaltreatmenthasbeen repeatedlydemonstratedtobeeffective(Barak,Hen,Boniel‐Nissim&Shapira,2008;Epstein,2011)and providesseveraladvantagesovertraditionaltreatmentmethodssuchasaccessibility,versatilityand affordability(Wencesalo,2012). Finally,psychologicalandothermentalhealthservicesareparticularlyconducivefortheuseof telecommunicationmodalitiessincetheyaremostfrequentlyconductedthroughverbalcommunications withouttheneedofexpensiveandelaboratemedicalequipmentorphysicalintervention(Brenes,Ingraham &Danhaur2011;Newman,2004;Smith,Fagan,Wilson,Chen,Corona&Nguyen,2011,Gilman&Stensland, 2013).Althoughevidencecontinuestoaccumulateabouttheeffectivenessandapplicabilityoftelehealth services,theuseoftechnologicallyenhancedmethodologiesbylicensedpsychologistshasbeenrestricted inlargepartbecauseofthebarriersimposedbythestatebasedsystemofpsychologyregulationthrough psychologylicensingboards(Baker&Bufka,2011;HarrisandYounggren,2011). 5 BACKGROUND AND SUMMARY LikemosthealthcareprofessionsintheU.S,licensureinpsychologyisbasedonstatelicensinglawsand systemsforidentifyingandcredentialingcompetentpsychologistsandregulatingtheirprofessional conductoncelicensed.Becauselicensurerequirementsforpsychologistsvarysignificantlyacrossthe variousstatesandterritories,andchangewithinastateovertime,obtainingalicensetopracticein multiplestatesorinsubsequentstatesyearsaftergraduatetraininghasended,canbeacomplicated, tediousandsometimesevenanimpossibleprocessforapsychologist. TheAssociationofStateandProvincialPsychologyBoards(ASPPB)realizedearlyontheneedfora mechanismforexpeditedlicensure.ASPPBistheconsortiumorallianceofthestatutorilycreatedstate psychologylicensingboardsofall50states,theDistrictofColumbia,PuertoRico,theVirginIslands,and Guam,aswellasall10Canadianprovinces.ThemissionofASPPBistoserveandsupportitsmemberboards infulfillingtheirgoalofadvancingpublicprotectionby: 1. offeringexemplaryexaminationandcredentialingprograms; 2. providingstateoftheartprogramsandservicestoallourstakeholders; 3. servingasthesourceforthemostcurrentandaccurateinformationabouttheregulationof psychologists;and 4. contributingtothecriticalconsumerprotectionperspectiveintheongoingdevelopmentofthe profession.(ASPPB,2013) Tothatend,theCertificateofProfessionalQualificationinPsychology(CPQ)wascreatedin1998.The purposeoftheCPQistodocumentthattheindividualholdingthecertificatehasmetspecificrequirements inlicensure,education,examinationandtrainingandhasneverhaddisciplinaryactionstakenagainsthis orherlicense.PsychologylicensingboardsthataccepttheCPQhaveagreedtoaccepttheCPQholder's educationalpreparation,supervisedexperienceandexaminationperformanceforlicensure.TheCPQdoes notconstitutealicensetopractice.Currently,55ofthe64ASPPBmemberjurisdictionsutilizetheCPQto expeditethelicensureprocess.Also,ASPPBcreatedthePsychologyLicensureUniversalSystem(PLUS)in 2012tocreateamechanismtostreamlinetheinitiallicensureprocess.PLUSisanonlinesystemdesigned toallowindividualstoapplyforlicensure,certification,orregistrationinanystate,province,orterritoryin theUnitedStatesorCanadacurrentlyparticipatinginthePLUSprogram. Althoughbothofthesemechanismsassistwithobtainingalicense,atthistime,onemustbelicensedin eachstateinordertoofferpsychologicalservicesinthatstate.Thisrequirementmakesthepossibilityof offeringpsychologicalservicesviatelepsychologyacrossstatelinesimpractical.However,delivering psychologicalservicesusingtelecommunicationforinterventions,assessment,andeducationhasbeen demonstratedtobeeffectiveascanbeseenbytheresearchmentionedabove.Servicesdeliveredby telepsychologycouldgreatlyincreasetheabilityofpsychologiststodelivertimelyandeffective interventionstobothexistingclientsandpopulationspreviouslyunderservedduetotheirrurallocation, lackofavailablepsychologists,localstigmatoseekingcare,needforspecialtycare,andmanyotherfactors. Inaddition,providingtemporaryserviceshasbeenconfusingandfrustratingforpsychologistsduetothe differencesintemporarypracticetimeallowancesacrossthestates(e.g.somestatesallow15days,other statesallow30days).Inadditiontomechanismstoaddresslicensure,ASPPBcreatedthe InterjurisdictionalPracticeCertificate(IPC)toaddressinconsistenciesregardingtemporaryin‐person, face‐to‐facepractice.AlthoughtheIPChasestablishedacceptableeducationandtrainingnecessaryfora 6 BACKGROUND AND SUMMARY psychologisttoengageintemporaryin‐person,face‐to‐facepracticeinastatewheretheydonotholda license,stateparticipationhasbeenlimitedduetorequirementstochangestatutesandregulations. Also,inanincreasinglymobilesociety,bothclientsandpsychologistsoftenneedtomaintaincontinuityof caredespitebeingtemporarilyorpermanentlyoutsidethestateboundarieswherethepsychologistholds primarylicensure.Requiringpsychologiststoobtainlicensureineverystatewhereaclientand psychologistmaymakecontact,representsasignificantbarriertothefeasibilityoftelepsychologyand temporaryin‐person,face‐to‐facepracticeandincreasesthecomplicationsandredundanciesofthe licensureprocessforqualifiedpsychologists.Also,withmorefederallegislationbeingintroducedaround nationallicensure,astate‐basedviableoptionisneeded. Specificimpactsontelepsychologyinclude: StateLicensureEligibilityInconsistencies‐Differentstatesusedifferentcriteriaforlicensure eligibilityparticularlyintheareasofacademiceducationandsupervisedworkexperience.For example,whilemoststatesrequireadoctoraldegreeinpsychologyforlicensureasapsychologist, thereissignificantvariationintherequirementsofaccreditationstatusfordoctoralprogramsthat areacceptableacrossstates.Somestatesrequireindividualstohavegraduatedfromprograms accreditedbytheAmericanPsychologicalAssociation(APA),othersacceptdoctoraldegreesfroma programthatisonlyhousedinaregionallyaccreditededucationalinstitution.Similarlythereare differencesintheamountandnatureofrequiredsupervisedworkexperienceacrossstates.While virtuallyallstatesrequireayearofpre‐doctoralsupervisedexperiencetypicallycalledaninternship, thenumberofclockhoursthatmakeupthatyearofexperiencevariesfrom1,500toover2,000. Theseinconsistenciesincriteriarestrictlicensurebyendorsementbetweenthestates,inthatstates oftendonotaccepteachother’slicenseeswhenpsychologistsseeklicensureinastatewithdiffering requirementsfromwheretheyfirstbecamelicensed. Thesedifferenceshavealsomadeitalmostimpossibleforstatestoenterintoagreementsallowing theauthorizationfortelepsychologyand/ortemporaryin‐person,face‐to‐facepracticefor psychologistslicensedinotherstates.Thishasmadeitnecessaryforpsychologiststoobtain licensesineverystatethattheyareprovidingservicesinto. DifferencesinStateLicensureEvaluationProcedures‐Eachstatepsychologylicensingboard, aspartofitsdutytoprotectthepublic,hastraditionallyfounditnecessarytoreviewandaccept candidatesforlicensurebasedonlyonitsownevaluationofcredentials.Theseevaluationsmay resultindifferentoutcomesofsimilarapplicationsbasedondifferentlegislativeorregulatory requirementsordifferentunderstandingsofacceptablecriteria.Forexample,apsychologistfrom anaccreditedprogrammayhavespecificcourseworkthatisdeemedacceptableinonestatebut notinanotherbasedondifferencesintheassessmentofcoursecontentbythedifferentstate psychologylicensingboards.Thisdetailedevaluationprocessaswellasthetimeneededtogather licensureapplicationmaterialshassloweddownthelicensureprocess.Sincepsychologylicensing boardsmustevaluatebasedontheirownrequirementsandtheirapplicantshavethepotentialto providetelepsychologyand/ortemporaryin‐person,face‐to‐faceservicesinotherstates,a mechanismisneededtocompensateforthedifferencesinlicensurerequirements. 7 BACKGROUND AND SUMMARY DifferencesinStateLicensureApplicationProcesses‐Eachpsychologylicensingboardhasits ownuniquelicensureapplicationandprocedures.Eachtimeapsychologistappliesforlicensureto astatetheymustcompleteadifferentapplication.Thistakesnotonlytimefromthepsychologist butalsotimeandeffortfromeachpsychologylicensingboardstaff.Eachpsychologylicensing boardstaffmembermustfollowuptomakesureallcredentialsarereceivedinsteadofrelyingon informationhousedwithanotherstateoracentralrepository.Additionally,priorsupervisorsmay nolongerbeavailabletoattesttoandverifyrequiredsupervisedworkexperience,thusincreasing thecomplexityandtimeneededbypsychologistsandpsychologylicensingboardstafftocomplete anapplicationformultiplelicenses.Thisinefficientlicensureapplicationmethodcanresultinthe unnecessarydrainofscarceresourcesandduplicativeeffortsinthelicensureprocess. IssuesinDiscipliningPsychologists‐Oneofthemainfunctionsofstatepsychologylicensing boardsistheprotectionofthepublicfromunethical,unscrupulousandharmfulactsby psychologists.Asaresult,statepsychologylicensingboardsareauthorizedbystatelawsto investigateandprosecuteanycomplaintsarisingagainstalicenseeintheirstate.Inaddition,state psychologylicensingboardsmustalsohavetheauthoritytoaddressanycomplaintsagainst psychologistslicensedbyotherstateswhoareprovidingservicestothepublicintoastateinwhich thepsychologistisnotlicensedtopractice.Unfortunately,disciplinaryproceduresandrulesvary fromstatetostate.Thecurrentsolutionistorequirepsychologiststobelicensedinallstates wheretheyandtheclientarelocatednomatterthedeliverymethod.Thisisuntenabletoboth psychologistsandthepublic.Giventhecosttoobtainandmaintainapsychologylicenseineach statewheretheyarepracticing,itislesslikelythatpsychologistswouldpracticetelepsychology.As aresult,accesstocareandservicestounderservedpopulationscouldbesubstantiallyreduced. DifferencesinStateDisciplinaryProcesses‐Toprotectthepublicfromharm,statepsychology licensingboardsareempoweredtoutilizedisciplinaryprocessesandprocedurestoinvestigate publiccomplaintsagainstpsychologists.Sincelicensinglawsarestatespecific,thelawsenabling thosepowersvaryfromstatetostate.Agoodexampleofthisishowstatepsychologylicensing boardsaddressunlicensedpractice.Sincestatepsychologylicensingboardscanonlysanctiona licenseofsomeonepracticingintheirstatewithoutalicense,theyhavelimitedauthoritytoimpose adisciplinarysanction.Somestatepsychologylicensingboardscanissueaninjunctionoracease anddesist,whileothershavenoremediesatall.Duetothesedifferences,amechanismisneededto givethestatepsychologylicensingboardspowertodiscipline,wherenonecurrentlyexists,in ordertoensurepublicprotection. DifferencesinStateStatutesandRegulations‐Asseenwithbothlicensurerequirementsand disciplinaryprocedures,statepsychologylicensingboards’statutesandregulationspertainingtothe practiceofpsychologyalsovaryfromstatetostate.Agoodexampleisthe“dutytowarn” standardsamongthestates.StateslikeCaliforniahaveamandatory“dutytowarn/protect” requirement,inPennsylvaniathereisamandatorydutytousereasonablecaretoprotectbywarning whileotherstateslikeTexashavemorepermissiverequirements.Insomestates,likeNorthDakota andNevada,thereisnodutytowarnorprotectrequirement.Thesedifferencesmakeitverydifficult forpsychologisttoknowwhatstandardtoapplywhenpracticingtelepsychologyandmakethe practiceoftelepsychologyacrossjurisdictionboundariescomplicatedtonegotiate. 8 BACKGROUND AND SUMMARY ThenewPsychologyInterjurisdictionalCompact(PSYPACT)addressestheseissuesaswellascompact administrationandenforcement,datasharing,andfinances.PSYPACTestablishesanindependentoperating authority,thePsychologyInterjurisdictionalCompactCommission,toadministerandenforcethecompact andtoaddressfutureissuessurroundingtelepsychologyandtemporaryin‐person,face‐to‐facepracticeas needed. Thedevelopmentofinterstatesolutionsfortheprovisionoftelepsychologyisofupmostimportancenot onlytotheindividualpsychologistbutalsototheclients/patientsofpsychologicalservices.Withthe purposeoflicensurebeingtoservethebestinterestsofthepublic,addressingtheobstaclesto interjurisdictionaltelepsychologypracticeisoftheutmostimportancetoensurethelegalandethical practiceoftelepsychology.Therewouldbenoneedforresolvinginterjurisdictionalbarriersto telepsychologyifresearchwasnotshowingtheeffectivenessoftelepsychologywithvaryingpopulations. Creatingconsistenciesamongtemporaryin‐person,face‐to‐facepracticerequirementsandpracticetime allowancesareneededtorelievetheconfusionaroundallvariationsamongthestates.PSYPACTnotonly addressestelepsychology,itaddressestheinconsistenciesregardingtemporaryin‐person,face‐to‐face practicebyfurtherdevelopingtheIPC. PSYPACTisdesignedtoreduceexistinglicensurebarrierstopsychologistsusingadvanced telecommunicationtechnologiestodeliverpsychologicalservicesacrossstatelinesandtocreate consistencyaroundtherequirementsregardtemporaryin‐person,face‐to‐facepracticewhilemaintaining statesovereigntyoverlicensurematters. SOLUTIONS FOR THE FUTURE ASPPBhasdraftedanewinterstatecompact,PSYPACT,whichaddressestheissuessurroundingtheethical andlegalpracticeoftelepsychology.TheASPPBvisionistobe“theforemostauthorityintheregulationand credentialingofpsychologists.”(ASPPB,2013).Since2011,ASPPBhasworkedwithavarietyofnational psychologyorganizationsaswellasmembersofASPPBtocreatePSYPACT.PSYPACTaddressesmanyofthe issuesidentifiedaroundtelepsychologyandtemporarypracticetimeallowances,especiallyaroundthearea ofdisciplineandregulatoryauthority.PSYPACTalsocreatesastructureforenforcement. APPLICABILITY PSYPACTappliesto: Interstate(practicebetweenstates)telepsychologicalservices;and Temporaryin‐person,face‐to‐facepsychologicalservices PSYPACTdoesnotapplyto: Intrastate(practicewithinastate)telepsychologicalservices; Permanentin‐person,face‐to‐facepsychologicalservices;or Servicesprovidedbyapsychologistlicensedinboththestatewherephysicallylocatedandthestate wheretheclientislocated. 9 BACKGROUND AND SUMMARY ELIGIBILITY Licensure–apsychologistmustpossessalicensetopracticepsychologyfromastatepsychology licensingboards; DisciplinarySanctions–apsychologistcannothavehadanydisciplinarysanctions;and Certification–apsychologistmustholdanE.Passporttoprovideinterstatetelepsychologicalservices undertheauthorityofPSYPACTorholdaninterjurisdictionalPracticeCertificate(IPC)toprovide temporaryin‐person,face‐to‐facepsychologicalservicesundertheauthorityofPSYPACT. NATIONAL COORDINATION PsychologyInterjurisdictionalCompactCommission–thegoverningbodyforPSYPACTiscomposed ofonerepresentativefromeachCompactstate.TheCommissionwillprovideoversightofPSYPACT aswellascreateandenforcerulesgoverningtheoperationofPSYPACT.EachCompactStatewillbe allowedonevote.TheCommissionwillservetoprovideamechanismtosolveinterstatematters. Rulemaking–theCommissionwillwriteandenforcePSYPACToperationsthroughrules.While PSYPACTservesasthestructureoftheagreementbetweenCompactStates,theRulesarethe enforcementmechanismofthecontract.TheRulesallowfortheabilitytoaddresschangingissues withoutrewritingPSYPACT. EFFECTIVE DATE Seven(7)ormorestates–PSYPACTwillbecomeactiveonceseven(7)ormorestateshaveenacted thelanguage. Questionsmaybedirectedto: JanetP.Orwig,MBA ExecutiveDirectorofPSYPACT& ASPPBAssociateExecutiveOfficerMemberServices [email protected] LisaRusso PSYPACTCoordinator& ASPPBMemberServicesSpecialProjectsCoordinator [email protected] AssociationofStateandProvincialPsychologyBoards 215MarketRoad Tyrone,GA30290 www.psypact.org 678‐216‐1175 10 MODEL LEGISLATION ModelLegislation ARTICLE I PURPOSE Whereas,stateslicensepsychologists,inordertoprotectthepublicthroughverificationofeducation,training andexperienceandensureaccountabilityforprofessionalpractice;and Whereas,thisCompactisintendedtoregulatethedaytodaypracticeoftelepsychology(i.e.theprovisionof psychologicalservicesusingtelecommunicationtechnologies)bypsychologistsacrossstateboundariesinthe performanceoftheirpsychologicalpracticeasassignedbyanappropriateauthority;and Whereas,thisCompactisintendedtoregulatethetemporaryin‐person,face‐to‐facepracticeofpsychologyby psychologistsacrossstateboundariesfor30dayswithinacalendaryearintheperformanceoftheir psychologicalpracticeasassignedbyanappropriateauthority; Whereas,thisCompactisintendedtoauthorizeStatePsychologyRegulatoryAuthoritiestoaffordlegal recognition,inamannerconsistentwiththetermsoftheCompact,topsychologistslicensedinanotherstate; Whereas,thisCompactrecognizesthatstateshaveavestedinterestinprotectingthepublic’shealthand safetythroughtheirlicensingandregulationofpsychologistsandthatsuchstateregulationwillbestprotect publichealthandsafety; Whereas,thisCompactdoesnotapplywhenapsychologistislicensedinboththeHomeandReceivingStates; and Whereas,thisCompactdoesnotapplytopermanentin‐person,face‐to‐facepractice,itdoesallowfor authorizationoftemporarypsychologicalpractice. Consistentwiththeseprinciples,thisCompactisdesignedtoachievethefollowingpurposesandobjectives: 1. Increasepublicaccesstoprofessionalpsychologicalservicesbyallowingfortelepsychological practiceacrossstatelinesaswellastemporaryin‐person,face‐to‐faceservicesintoastatewhichthe psychologistisnotlicensedtopracticepsychology; 2. Enhancethestates’abilitytoprotectthepublic’shealthandsafety,especiallyclient/patientsafety; 3. EncouragethecooperationofCompactStatesintheareasofpsychologylicensureandregulation; 4. FacilitatetheexchangeofinformationbetweenCompactStatesregardingpsychologistlicensure, adverseactionsanddisciplinaryhistory; 5. PromotecompliancewiththelawsgoverningpsychologicalpracticeineachCompactState;and 6. InvestallCompactStateswiththeauthoritytoholdlicensedpsychologistsaccountablethroughthe mutualrecognitionofCompactStatelicenses. 11 MODEL LEGISLATION ARTICLE II DEFINITIONS A. “AdverseAction”means:AnyactiontakenbyaStatePsychologyRegulatoryAuthoritywhichfindsa violationofastatuteorregulationthatisidentifiedbytheStatePsychologyRegulatoryAuthorityas disciplineandisamatterofpublicrecord. B. “AssociationofStateandProvincialPsychologyBoards(ASPPB)”means:therecognizedmembership organizationcomposedofStateandProvincialPsychologyRegulatoryAuthoritiesresponsibleforthe licensureandregistrationofpsychologiststhroughouttheUnitedStatesandCanada. C. “AuthoritytoPracticeInterjurisdictionalTelepsychology”means:alicensedpsychologist’sauthority topracticetelepsychology,withinthelimitsauthorizedunderthisCompact,inanotherCompact State. D. “Bylaws”means:thoseBylawsestablishedbythePsychologyInterjurisdictionalCompact CommissionpursuanttoSectionXforitsgovernance,orfordirectingandcontrollingitsactionsand conduct. E. “Client/Patient”means:therecipientofpsychologicalservices,whetherpsychologicalservicesare deliveredinthecontextofhealthcare,corporate,supervision,and/orconsultingservices. F. “Commissioner”means:thevotingrepresentativeappointedbyeachStatePsychologyRegulatory AuthoritypursuanttoSectionX. G. “CompactState”means:astate,theDistrictofColumbia,orUnitedStatesterritorythathasenacted thisCompactlegislationandwhichhasnotwithdrawnpursuanttoArticleXIII,SectionCorbeen terminatedpursuanttoArticleXII,SectionB. H. “CoordinatedLicensureInformationSystem”alsoreferredtoas“CoordinatedDatabase”means:an integratedprocessforcollecting,storing,andsharinginformationonpsychologists’licensureand enforcementactivitiesrelatedtopsychologylicensurelaws,whichisadministeredbytherecognized membershiporganizationcomposedofStateandProvincialPsychologyRegulatoryAuthorities. I. “Confidentiality”means:theprinciplethatdataorinformationisnotmadeavailableordisclosedto unauthorizedpersonsand/orprocesses. J. “Day”means:anypartofadayinwhichpsychologicalworkisperformed. 12 MODEL LEGISLATION K. “DistantState”means:theCompactStatewhereapsychologistisphysicallypresent(notthroughthe useoftelecommunicationstechnologies),toprovidetemporaryin‐person,face‐to‐facepsychological services. L. “E.Passport”means:acertificateissuedbytheAssociationofStateandProvincialPsychologyBoards (ASPPB)thatpromotesthestandardizationinthecriteriaofinterjurisdictionaltelepsychology practiceandfacilitatestheprocessforlicensedpsychologiststoprovidetelepsychologicalservices acrossstatelines. M. “ExecutiveBoard”means:agroupofdirectorselectedorappointedtoactonbehalfof,andwithinthe powersgrantedtothemby,theCommission. N. “HomeState”means:aCompactStatewhereapsychologistislicensedtopracticepsychology.Ifthe psychologistislicensedinmorethanoneCompactStateandispracticingundertheAuthorizationto PracticeInterjurisdictionalTelepsychology,theHomeStateistheCompactStatewherethe psychologistisphysicallypresentwhenthetelepsychologicalservicesaredelivered.Ifthe psychologistislicensedinmorethanoneCompactStateandispracticingundertheTemporary AuthorizationtoPractice,theHomeStateisanyCompactStatewherethepsychologistislicensed. O. “IdentityHistorySummary”means:asummaryofinformationretainedbytheFBI,orotherdesignee withsimilarauthority,inconnectionwitharrestsand,insomeinstances,federalemployment, naturalization,ormilitaryservice. P. “In‐Person,Face‐to‐Face”means:interactionsinwhichthepsychologistandtheclient/patientarein thesamephysicalspaceandwhichdoesnotincludeinteractionsthatmayoccurthroughtheuseof telecommunicationtechnologies. Q. “InterjurisdictionalPracticeCertificate(IPC)”means:acertificateissuedbytheAssociationofState andProvincialPsychologyBoards(ASPPB)thatgrantstemporaryauthoritytopracticebasedon notificationtotheStatePsychologyRegulatoryAuthorityofintentiontopracticetemporarily,and verificationofone’squalificationsforsuchpractice. R. “License”means:authorizationbyaStatePsychologyRegulatoryAuthoritytoengageinthe independentpracticeofpsychology,whichwouldbeunlawfulwithouttheauthorization. S. “Non‐CompactState”means:anyStatewhichisnotatthetimeaCompactState. T. “Psychologist”means:anindividuallicensedfortheindependentpracticeofpsychology. 13 MODEL LEGISLATION U. “PsychologyInterjurisdictionalCompactCommission”alsoreferredtoas“Commission”means:the nationaladministrationofwhichallCompactStatesaremembers. V. “ReceivingState”means:aCompactStatewheretheclient/patientisphysicallylocatedwhenthe telepsychologicalservicesaredelivered. W. “Rule”means:awrittenstatementbythePsychologyInterjurisdictionalCompactCommission promulgatedpursuanttoSectionXIoftheCompactthatisofgeneralapplicability,implements, interprets,orprescribesapolicyorprovisionoftheCompact,oranorganizational,procedural,or practicerequirementoftheCommissionandhastheforceandeffectofstatutorylawinaCompact State,andincludestheamendment,repealorsuspensionofanexistingrule. X. “SignificantInvestigatoryInformation”means: 1. investigativeinformationthataStatePsychologyRegulatoryAuthority,afterapreliminary inquirythatincludesnotificationandanopportunitytorespondifrequiredbystatelaw,has reasontobelieve,ifproventrue,wouldindicatemorethanaviolationofstatestatuteor ethicscodethatwouldbeconsideredmoresubstantialthanminorinfraction;or 2. investigativeinformationthatindicatesthatthepsychologistrepresentsanimmediatethreat topublichealthandsafetyregardlessofwhetherthepsychologisthasbeennotifiedand/or hadanopportunitytorespond. Y. “State”means:astate,commonwealth,territory,orpossessionoftheUnitedStates,theDistrictof Columbia. Z. “StatePsychologyRegulatoryAuthority”means:theBoard,officeorotheragencywiththelegislative mandatetolicenseandregulatethepracticeofpsychology. AA. “Telepsychology”means:theprovisionofpsychologicalservicesusingtelecommunication technologies. BB. “TemporaryAuthorizationtoPractice”means:alicensedpsychologist’sauthoritytoconduct temporaryin‐person,face‐to‐facepractice,withinthelimitsauthorizedunderthisCompact,in anotherCompactState. CC. “TemporaryIn‐Person,Face‐to‐FacePractice”means:whereapsychologistisphysicallypresent(not throughtheuseoftelecommunicationstechnologies),intheDistantStatetoprovideforthepractice ofpsychologyfor30dayswithinacalendaryearandbasedonnotificationtotheDistantState. 14 MODEL LEGISLATION ARTICLE III HOME STATE LICENSURE A. TheHomeStateshallbeaCompactStatewhereapsychologistislicensedtopracticepsychology. B. ApsychologistmayholdoneormoreCompactStatelicensesatatime.Ifthepsychologistislicensedin morethanoneCompactState,theHomeStateistheCompactStatewherethepsychologistisphysically presentwhentheservicesaredeliveredasauthorizedbytheAuthoritytoPracticeInterjurisdictional TelepsychologyunderthetermsofthisCompact. C. AnyCompactStatemayrequireapsychologistnotpreviouslylicensedinaCompactStatetoobtainand retainalicensetobeauthorizedtopracticeintheCompactStateundercircumstancesnotauthorizedby theAuthoritytoPracticeInterjurisdictionalTelepsychologyunderthetermsofthisCompact. D. AnyCompactStatemayrequireapsychologisttoobtainandretainalicensetobeauthorizedtopractice inaCompactStateundercircumstancesnotauthorizedbyTemporaryAuthorizationtoPracticeunder thetermsofthisCompact. E. AHomeState’slicenseauthorizesapsychologisttopracticeinaReceivingStateundertheAuthorityto PracticeInterjurisdictionalTelepsychologyonlyiftheCompactState: 1. CurrentlyrequiresthepsychologisttoholdanactiveE.Passport; 2. Hasamechanisminplaceforreceivingandinvestigatingcomplaintsaboutlicensedindividuals; 3. NotifiestheCommission,incompliancewiththetermsherein,ofanyadverseactionorsignificant investigatoryinformationregardingalicensedindividual; 4. RequiresanIdentityHistorySummaryofallapplicantsatinitiallicensure,includingtheuseofthe resultsoffingerprintsorotherbiometricdatacheckscompliantwiththerequirementsoftheFederal BureauofInvestigationFBI,orotherdesigneewithsimilarauthority,nolaterthantenyearsafter activationoftheCompact;and 5. F. ComplieswiththeBylawsandRulesoftheCommission. AHomeState’slicensegrantsTemporaryAuthorizationtoPracticetoapsychologistinaDistantState onlyiftheCompactState: 1. CurrentlyrequiresthepsychologisttoholdanactiveIPC; 2. Hasamechanisminplaceforreceivingandinvestigatingcomplaintsaboutlicensedindividuals; 15 MODEL LEGISLATION 3. NotifiestheCommission,incompliancewiththetermsherein,ofanyadverseactionorsignificant investigatoryinformationregardingalicensedindividual; 4. RequiresanIdentityHistorySummaryofallapplicantsatinitiallicensure,includingtheuseofthe resultsoffingerprintsorotherbiometricdatacheckscompliantwiththerequirementsoftheFederal BureauofInvestigationFBI,orotherdesigneewithsimilarauthority,nolaterthantenyearsafter activationoftheCompact;and 5. ComplieswiththeBylawsandRulesoftheCommission. 16 MODEL LEGISLATION ARTICLE IV COMPACT PRIVILEGE TO PRACTICE TELEPSYCHOLOGY A. CompactStatesshallrecognizetherightofapsychologist,licensedinaCompactStateinconformance withArticleIII,topracticetelepsychologyinotherCompactStates(ReceivingStates)inwhichthe psychologistisnotlicensed,undertheAuthoritytoPracticeInterjurisdictionalTelepsychologyas providedintheCompact. B. ToexercisetheAuthoritytoPracticeInterjurisdictionalTelepsychologyunderthetermsandprovisionsof thisCompact,apsychologistlicensedtopracticeinaCompactStatemust: 1. Holdagraduatedegreeinpsychologyfromaninstituteofhighereducationthatwas,atthetimethe degreewasawarded: a. RegionallyaccreditedbyanaccreditingbodyrecognizedbytheU.S.DepartmentofEducationto grantgraduatedegrees,ORauthorizedbyProvincialStatuteorRoyalChartertograntdoctoral degrees;OR b. Aforeigncollegeoruniversitydeemedtobeequivalentto1(a)abovebyaforeigncredential evaluationservicethatisamemberoftheNationalAssociationofCredentialEvaluationServices (NACES)orbyarecognizedforeigncredentialevaluationservice;AND 2. Holdagraduatedegreeinpsychologythatmeetsthefollowingcriteria: a. Theprogram,whereveritmaybeadministrativelyhoused,mustbeclearlyidentifiedandlabeled asapsychologyprogram.Suchaprogrammustspecifyinpertinentinstitutionalcataloguesand brochuresitsintenttoeducateandtrainprofessionalpsychologists; b. Thepsychologyprogrammuststandasarecognizable,coherent,organizationalentitywithinthe institution; c. Theremustbeaclearauthorityandprimaryresponsibilityforthecoreandspecialtyareas whetherornottheprogramcutsacrossadministrativelines; d. Theprogrammustconsistofanintegrated,organizedsequenceofstudy; e. Theremustbeanidentifiablepsychologyfacultysufficientinsizeandbreadthtocarryoutits responsibilities; f. Thedesignateddirectoroftheprogrammustbeapsychologistandamemberofthecorefaculty; 17 MODEL LEGISLATION g. Theprogrammusthaveanidentifiablebodyofstudentswhoarematriculatedinthatprogram foradegree; h. Theprogrammustincludesupervisedpracticum,internship,orfieldtrainingappropriatetothe practiceofpsychology; i. Thecurriculumshallencompassaminimumofthreeacademicyearsoffull‐timegraduatestudy fordoctoraldegreeandaminimumofoneacademicyearoffull‐timegraduatestudyformaster’s degree; j. 3. TheprogramincludesanacceptableresidencyasdefinedbytheRulesoftheCommission. Possessacurrent,fullandunrestrictedlicensetopracticepsychologyinaHomeStatewhichisa CompactState; 4. HavenohistoryofadverseactionthatviolatetheRulesoftheCommission; 5. HavenocriminalrecordhistoryreportedonanIdentityHistorySummarythatviolatestheRulesof theCommission; 6. Possessacurrent,activeE.Passport; 7. Provideattestationsinregardtoareasofintendedpractice,conformitywithstandardsofpractice, competenceintelepsychologytechnology;criminalbackground;andknowledgeandadherenceto legalrequirementsinthehomeandreceivingstates,andprovideareleaseofinformationtoallowfor primarysourceverificationinamannerspecifiedbytheCommission;and 8. C. MeetothercriteriaasdefinedbytheRulesoftheCommission. TheHomeStatemaintainsauthorityoverthelicenseofanypsychologistpracticingintoaReceivingState undertheAuthoritytoPracticeInterjurisdictionalTelepsychology. D. ApsychologistpracticingintoaReceivingStateundertheAuthoritytoPracticeInterjurisdictional TelepsychologywillbesubjecttotheReceivingState’sscopeofpractice.AReceivingStatemay,in accordancewiththatstate’sdueprocesslaw,limitorrevokeapsychologist’sAuthoritytoPractice InterjurisdictionalTelepsychologyintheReceivingStateandmaytakeanyothernecessaryactionsunder theReceivingState’sapplicablelawtoprotectthehealthandsafetyoftheReceivingState’scitizens.Ifa ReceivingStatetakesaction,thestateshallpromptlynotifytheHomeStateandtheCommission. 18 MODEL LEGISLATION E. Ifapsychologist’slicenseinanyHomeState,anotherCompactState,oranyAuthoritytoPractice InterjurisdictionalTelepsychologyinanyReceivingState,isrestricted,suspendedorotherwiselimited, theE.Passportshallberevokedandthereforethepsychologistshallnotbeeligibletopractice telepsychologyinaCompactStateundertheAuthoritytoPracticeInterjurisdictionalTelepsychology. 19 MODEL LEGISLATION ARTICLE V COMPACT TEMPORARY AUTHORIZATION TO PRACTICE A. CompactStatesshallalsorecognizetherightofapsychologist,licensedinaCompactStatein conformancewithArticleIII,topracticetemporarilyinotherCompactStates(DistantStates)inwhichthe psychologistisnotlicensed,asprovidedintheCompact. B. ToexercisetheTemporaryAuthorizationtoPracticeunderthetermsandprovisionsofthisCompact,a psychologistlicensedtopracticeinaCompactStatemust: 1. Holdagraduatedegreeinpsychologyfromaninstituteofhighereducationthatwas,atthetimethe degreewasawarded: a. RegionallyaccreditedbyanaccreditingbodyrecognizedbytheU.S.DepartmentofEducationto grantgraduatedegrees,ORauthorizedbyProvincialStatuteorRoyalChartertograntdoctoral degrees;OR b. Aforeigncollegeoruniversitydeemedtobeequivalentto1(a)abovebyaforeigncredential evaluationservicethatisamemberoftheNationalAssociationofCredentialEvaluationServices (NACES)orbyarecognizedforeigncredentialevaluationservice;AND 2. Holdagraduatedegreeinpsychologythatmeetsthefollowingcriteria: a. Theprogram,whereveritmaybeadministrativelyhoused,mustbeclearlyidentifiedandlabeled asapsychologyprogram.Suchaprogrammustspecifyinpertinentinstitutionalcataloguesand brochuresitsintenttoeducateandtrainprofessionalpsychologists; b. Thepsychologyprogrammuststandasarecognizable,coherent,organizationalentitywithinthe institution; c. Theremustbeaclearauthorityandprimaryresponsibilityforthecoreandspecialtyareas whetherornottheprogramcutsacrossadministrativelines; d. Theprogrammustconsistofanintegrated,organizedsequenceofstudy; e. Theremustbeanidentifiablepsychologyfacultysufficientinsizeandbreadthtocarryoutits responsibilities; f. Thedesignateddirectoroftheprogrammustbeapsychologistandamemberofthecorefaculty; g. Theprogrammusthaveanidentifiablebodyofstudentswhoarematriculatedinthatprogram foradegree; 20 MODEL LEGISLATION h. Theprogrammustincludesupervisedpracticum,internship,orfieldtrainingappropriatetothe practiceofpsychology; i. Thecurriculumshallencompassaminimumofthreeacademicyearsoffull‐timegraduatestudy fordoctoraldegreesandaminimumofoneacademicyearoffull‐timegraduatestudyfor master’sdegree; j. 3. TheprogramincludesanacceptableresidencyasdefinedbytheRulesoftheCommission. Possessacurrent,fullandunrestrictedlicensetopracticepsychologyinaHomeStatewhichisa CompactState; 4. NohistoryofadverseactionthatviolatetheRulesoftheCommission; 5. NocriminalrecordhistorythatviolatestheRulesoftheCommission; 6. Possessacurrent,activeIPC; 7. Provideattestationsinregardtoareasofintendedpracticeandworkexperienceandprovidea releaseofinformationtoallowforprimarysourceverificationinamannerspecifiedbythe Commission;and 8. C. MeetothercriteriaasdefinedbytheRulesoftheCommission. ApsychologistpracticingintoaDistantStateundertheTemporaryAuthorizationtoPracticeshall practicewithinthescopeofpracticeauthorizedbytheDistantState. D. ApsychologistpracticingintoaDistantStateundertheTemporaryAuthorizationtoPracticewillbe subjecttotheDistantState’sauthorityandlaw.ADistantStatemay,inaccordancewiththatstate’sdue processlaw,limitorrevokeapsychologist’sTemporaryAuthorizationtoPracticeintheDistantStateand maytakeanyothernecessaryactionsundertheDistantState’sapplicablelawtoprotectthehealthand safetyoftheDistantState’scitizens.IfaDistantStatetakesaction,thestateshallpromptlynotifythe HomeStateandtheCommission. E. Ifapsychologist’slicenseinanyHomeState,anotherCompactState,oranyTemporaryAuthorizationto PracticeinanyDistantState,isrestricted,suspendedorotherwiselimited,theIPCshallberevokedand thereforethepsychologistshallnotbeeligibletopracticeinaCompactStateundertheTemporary AuthorizationtoPractice. 21 MODEL LEGISLATION ARTICLE VI CONDITIONS OF TELEPSYCHOLOGY PRACTICE IN A RECEIVING STATE A. ApsychologistmaypracticeinaReceivingStateundertheAuthoritytoPracticeInterjurisdictional Telepsychologyonlyintheperformanceofthescopeofpracticeforpsychologyasassignedbyan appropriateStatePsychologyRegulatoryAuthority,asdefinedintheRulesoftheCommission,andunder thefollowingcircumstances: 1. Thepsychologistinitiatesaclient/patientcontactinaHomeStateviatelecommunications technologieswithaclient/patientinaReceivingState; 2. OtherconditionsregardingtelepsychologyasdeterminedbyRulespromulgatedbytheCommission. 22 MODEL LEGISLATION ARTICLE VII ADVERSE ACTIONS A. AHomeStateshallhavethepowertoimposeadverseactionagainstapsychologist’slicenseissuedbythe HomeState.ADistantStateshallhavethepowertotakeadverseactiononapsychologist’sTemporary AuthorizationtoPracticewithinthatDistantState. B. AReceivingStatemaytakeadverseactiononapsychologist’sAuthoritytoPracticeInterjurisdictional TelepsychologywithinthatReceivingState.AHomeStatemaytakeadverseactionagainstapsychologist basedonanadverseactiontakenbyaDistantStateregardingtemporaryin‐person,face‐to‐facepractice. C. IfaHomeStatetakesadverseactionagainstapsychologist’slicense,thatpsychologist’sAuthorityto PracticeInterjurisdictionalTelepsychologyisterminatedandtheE.Passportisrevoked.Furthermore,that psychologist’sTemporaryAuthorizationtoPracticeisterminatedandtheIPCisrevoked. 1. AllHomeStatedisciplinaryorderswhichimposeadverseactionshallbereportedtotheCommission inaccordancewiththeRulespromulgatedbytheCommission.ACompactStateshallreportadverse actionsinaccordancewiththeRulesoftheCommission. 2. Intheeventdisciplineisreportedonapsychologist,thepsychologistwillnotbeeligiblefor telepsychologyortemporaryin‐person,face‐to‐facepracticeinaccordancewiththeRulesofthe Commission. 3. OtheractionsmaybeimposedasdeterminedbytheRulespromulgatedbytheCommission. D. AHomeState’sPsychologyRegulatoryAuthorityshallinvestigateandtakeappropriateactionwith respecttoreportedinappropriateconductengagedinbyalicenseewhichoccurredinaReceivingStateas itwouldifsuchconducthadoccurredbyalicenseewithintheHomeState.Insuchcases,theHomeState’s lawshallcontrolindetermininganyadverseactionagainstapsychologist’slicense. E. ADistantState’sPsychologyRegulatoryAuthorityshallinvestigateandtakeappropriateactionwith respecttoreportedinappropriateconductengagedinbyapsychologistpracticingunderTemporary AuthorizationPracticewhichoccurredinthatDistantStateasitwouldifsuchconducthadoccurredbya licenseewithintheHomeState.Insuchcases,DistantState’slawshallcontrolindetermininganyadverse actionagainstapsychologist’sTemporaryAuthorizationtoPractice. F. NothinginthisCompactshalloverrideaCompactState’sdecisionthatapsychologist’sparticipationinan alternativeprogrammaybeusedinlieuofadverseactionandthatsuchparticipationshallremainnon‐ publicifrequiredbytheCompactState’slaw.CompactStatesmustrequirepsychologistswhoenterany alternativeprogramstonotprovidetelepsychologyservicesundertheAuthoritytoPractice 23 MODEL LEGISLATION InterjurisdictionalTelepsychologyorprovidetemporarypsychologicalservicesundertheTemporary AuthorizationtoPracticeinanyotherCompactStateduringthetermofthealternativeprogram. G. NootherjudicialoradministrativeremediesshallbeavailabletoapsychologistintheeventaCompact StateimposesanadverseactionpursuanttosubsectionC,above. 24 MODEL LEGISLATION ARTICLE VIII ADDITIONAL AUTHORITIES INVESTED IN A COMPACT STATE’S PSYCHOLOGY REGULATORY AUTHORITY A. Inadditiontoanyotherpowersgrantedunderstatelaw,aCompactState’sPsychologyRegulatory AuthorityshallhavetheauthorityunderthisCompactto: 1. Issuesubpoenas,forbothhearingsandinvestigations,whichrequiretheattendanceandtestimonyof witnessesandtheproductionofevidence.SubpoenasissuedbyaCompactState’sPsychology RegulatoryAuthorityfortheattendanceandtestimonyofwitnesses,and/ortheproductionof evidencefromanotherCompactStateshallbeenforcedinthelatterstatebyanycourtofcompetent jurisdiction,accordingtothatcourt’spracticeandprocedureinconsideringsubpoenasissuedinits ownproceedings.TheissuingStatePsychologyRegulatoryAuthorityshallpayanywitnessfees, travelexpenses,mileageandotherfeesrequiredbytheservicestatutesofthestatewherethe witnessesand/orevidencearelocated;and 2. Issueceaseanddesistand/orinjunctiverelieforderstorevokeapsychologist’sAuthoritytoPractice InterjurisdictionalTelepsychologyand/orTemporaryAuthorizationtoPractice. 3. Duringthecourseofanyinvestigation,apsychologistmaynotchangehis/herHomeStatelicensure. AHomeStatePsychologyRegulatoryAuthorityisauthorizedtocompleteanypendinginvestigations ofapsychologistandtotakeanyactionsappropriateunderitslaw.TheHomeStatePsychology RegulatoryAuthorityshallpromptlyreporttheconclusionsofsuchinvestigationstotheCommission. Onceaninvestigationhasbeencompleted,andpendingtheoutcomeofsaidinvestigation,the psychologistmaychangehis/herHomeStatelicensure.TheCommissionshallpromptlynotifythe newHomeStateofanysuchdecisionsasprovidedintheRulesoftheCommission.Allinformation providedtotheCommissionordistributedbyCompactStatespursuanttothepsychologistshallbe confidential,filedundersealandusedforinvestigatoryordisciplinarymatters.TheCommissionmay createadditionalrulesformandatedordiscretionarysharingofinformationbyCompactStates. 25 MODEL LEGISLATION ARTICLE IX COORDINATED LICENSURE INFORMATION SYSTEM A. TheCommissionshallprovideforthedevelopmentandmaintenanceofaCoordinatedLicensure InformationSystem(CoordinatedDatabase)andreportingsystemcontaininglicensureanddisciplinary actioninformationonallpsychologistsindividualstowhomthisCompactisapplicableinallCompact StatesasdefinedbytheRulesoftheCommission. B. Notwithstandinganyotherprovisionofstatelawtothecontrary,aCompactStateshallsubmitauniform datasettotheCoordinatedDatabaseonalllicenseesasrequiredbytheRulesoftheCommission, including: 1. Identifyinginformation; 2. Licensuredata; 3. Significantinvestigatoryinformation; 4. Adverseactionsagainstapsychologist’slicense; 5. Anindicatorthatapsychologist’sAuthoritytoPracticeInterjurisdictionalTelepsychologyand/or TemporaryAuthorizationtoPracticeisrevoked; 6. Non‐confidentialinformationrelatedtoalternativeprogramparticipationinformation; 7. Anydenialofapplicationforlicensure,andthereasonsforsuchdenial;and 8. OtherinformationwhichmayfacilitatetheadministrationofthisCompact,asdeterminedbythe RulesoftheCommission. C. TheCoordinatedDatabaseadministratorshallpromptlynotifyallCompactStatesofanyadverseaction takenagainst,orsignificantinvestigativeinformationon,anylicenseeinaCompactState. D. CompactStatesreportinginformationtotheCoordinatedDatabasemaydesignateinformationthatmay notbesharedwiththepublicwithouttheexpresspermissionoftheCompactStatereportingthe information. E. AnyinformationsubmittedtotheCoordinatedDatabasethatissubsequentlyrequiredtobeexpungedby thelawoftheCompactStatereportingtheinformationshallberemovedfromtheCoordinatedDatabase. 26 MODEL LEGISLATION ARTICLE X ESTABLISHMENT OF THE PSYCHOLOGY INTERJURISDICTIONAL COMPACT COMMISSION A. TheCompactStatesherebycreateandestablishajointpublicagencyknownasthePsychology InterjurisdictionalCompactCommission. 1. TheCommissionisabodypoliticandaninstrumentalityoftheCompactStates. 2. VenueisproperandjudicialproceedingsbyoragainsttheCommissionshallbebroughtsolelyand exclusivelyinacourtofcompetentjurisdictionwheretheprincipalofficeoftheCommissionis located.TheCommissionmaywaivevenueandjurisdictionaldefensestotheextentitadoptsor consentstoparticipateinalternativedisputeresolutionproceedings. 3. NothinginthisCompactshallbeconstruedtobeawaiverofsovereignimmunity. B. Membership,Voting,andMeetings 1. TheCommissionshallconsistofonevotingrepresentativeappointedbyeachCompactStatewho shallserveasthatstate’sCommissioner.TheStatePsychologyRegulatoryAuthorityshallappointits delegate.ThisdelegateshallbeempoweredtoactonbehalfoftheCompactState.Thisdelegateshall belimitedto: a. ExecutiveDirector,ExecutiveSecretaryorsimilarexecutive; b. CurrentmemberoftheStatePsychologyRegulatoryAuthorityofaCompactState;OR c. DesigneeempoweredwiththeappropriatedelegateauthoritytoactonbehalfoftheCompact State. 2. AnyCommissionermayberemovedorsuspendedfromofficeasprovidedbythelawofthestatefrom whichtheCommissionerisappointed.AnyvacancyoccurringintheCommissionshallbefilledin accordancewiththelawsoftheCompactStateinwhichthevacancyexists. 3. EachCommissionershallbeentitledtoone(1)votewithregardtothepromulgationofRulesand creationofBylawsandshallotherwisehaveanopportunitytoparticipateinthebusinessandaffairs oftheCommission.ACommissionershallvoteinpersonorbysuchothermeansasprovidedinthe Bylaws.TheBylawsmayprovideforCommissioners’participationinmeetingsbytelephoneorother meansofcommunication. 4. TheCommissionshallmeetatleastonceduringeachcalendaryear.Additionalmeetingsshallbeheld assetforthintheBylaws. 27 MODEL LEGISLATION 5. Allmeetingsshallbeopentothepublic,andpublicnoticeofmeetingsshallbegiveninthesame mannerasrequiredundertherulemakingprovisionsinArticleXI. 6. TheCommissionmayconveneinaclosed,non‐publicmeetingiftheCommissionmustdiscuss: a. Non‐complianceofaCompactStatewithitsobligationsundertheCompact; b. Theemployment,compensation,disciplineorotherpersonnelmatters,practicesorprocedures relatedtospecificemployeesorothermattersrelatedtotheCommission’sinternalpersonnel practicesandprocedures; c. Current,threatened,orreasonablyanticipatedlitigationagainsttheCommission; d. Negotiationofcontractsforthepurchaseorsaleofgoods,servicesorrealestate; e. Accusationagainstanypersonofacrimeorformallycensuringanyperson; f. Disclosureoftradesecretsorcommercialorfinancialinformationwhichisprivilegedor confidential; g. Disclosureofinformationofapersonalnaturewheredisclosurewouldconstituteaclearly unwarrantedinvasionofpersonalprivacy; h. Disclosureofinvestigatoryrecordscompiledforlawenforcementpurposes; i. Disclosureofinformationrelatedtoanyinvestigatoryreportspreparedbyoronbehalfoforfor useoftheCommissionorothercommitteechargedwithresponsibilityforinvestigationor determinationofcomplianceissuespursuanttotheCompact;or j. 7. Mattersspecificallyexemptedfromdisclosurebyfederalandstatestatute. Ifameeting,orportionofameeting,isclosedpursuanttothisprovision,theCommission’slegal counselordesigneeshallcertifythatthemeetingmaybeclosedandshallreferenceeachrelevant exemptingprovision.TheCommissionshallkeepminuteswhichfullyandclearlydescribeallmatters discussedinameetingandshallprovideafullandaccuratesummaryofactionstaken,ofanyperson participatinginthemeeting,andthereasonstherefore,includingadescriptionoftheviews expressed.Alldocumentsconsideredinconnectionwithanactionshallbeidentifiedinsuchminutes. Allminutesanddocumentsofaclosedmeetingshallremainunderseal,subjecttoreleaseonlybya majorityvoteoftheCommissionororderofacourtofcompetentjurisdiction. 28 MODEL LEGISLATION C. TheCommissionshall,byamajorityvoteoftheCommissioners,prescribeBylawsand/orRulestogovern itsconductasmaybenecessaryorappropriatetocarryoutthepurposesandexercisethepowersofthe Compact,includingbutnotlimitedto: 1. EstablishingthefiscalyearoftheCommission; 2. Providingreasonablestandardsandprocedures: 3. a. fortheestablishmentandmeetingsofothercommittees;and b. governinganygeneralorspecificdelegationofanyauthorityorfunctionoftheCommission; ProvidingreasonableproceduresforcallingandconductingmeetingsoftheCommission,ensuring reasonableadvancenoticeofallmeetingsandprovidinganopportunityforattendanceofsuch meetingsbyinterestedparties,withenumeratedexceptionsdesignedtoprotectthepublic’sinterest, theprivacyofindividualsofsuchproceedings,andproprietaryinformation,includingtradesecrets. TheCommissionmaymeetinclosedsessiononlyafteramajorityoftheCommissionersvotetoclose ameetingtothepublicinwholeorinpart.Assoonaspracticable,theCommissionmustmakepublic acopyofthevotetoclosethemeetingrevealingthevoteofeachCommissionerwithnoproxyvotes allowed; 4. Establishingthetitles,dutiesandauthorityandreasonableproceduresfortheelectionoftheofficers oftheCommission; 5. Providingreasonablestandardsandproceduresfortheestablishmentofthepersonnelpoliciesand programsoftheCommission.NotwithstandinganycivilserviceorothersimilarlawofanyCompact State,theBylawsshallexclusivelygovernthepersonnelpoliciesandprogramsoftheCommission; 6. PromulgatingaCodeofEthicstoaddresspermissibleandprohibitedactivitiesofCommission membersandemployees; 7. ProvidingamechanismforconcludingtheoperationsoftheCommissionandtheequitable dispositionofanysurplusfundsthatmayexistaftertheterminationoftheCompactafterthe paymentand/orreservingofallofitsdebtsandobligations; 8. TheCommissionshallpublishitsBylawsinaconvenientformandfileacopythereofandacopyof anyamendmentthereto,withtheappropriateagencyorofficerineachoftheCompactStates; 9. TheCommissionshallmaintainitsfinancialrecordsinaccordancewiththeBylaws;and 29 MODEL LEGISLATION 10. TheCommissionshallmeetandtakesuchactionsasareconsistentwiththeprovisionsofthis CompactandtheBylaws. D. TheCommissionshallhavethefollowingpowers: 1. Theauthoritytopromulgateuniformrulestofacilitateandcoordinateimplementationand administrationofthisCompact.Theruleshallhavetheforceandeffectoflawandshallbebindingin allCompactStates; 2. TobringandprosecutelegalproceedingsoractionsinthenameoftheCommission,providedthatthe standingofanyStatePsychologyRegulatoryAuthorityorotherregulatorybodyresponsiblefor psychologylicensuretosueorbesuedunderapplicablelawshallnotbeaffected; 3. Topurchaseandmaintaininsuranceandbonds; 4. Toborrow,acceptorcontractforservicesofpersonnel,including,butnotlimitedto,employeesofa CompactState; 5. Tohireemployees,electorappointofficers,fixcompensation,defineduties,grantsuchindividuals appropriateauthoritytocarryoutthepurposesoftheCompact,andtoestablishtheCommission’s personnelpoliciesandprogramsrelatingtoconflictsofinterest,qualificationsofpersonnel,and otherrelatedpersonnelmatters; 6. Toacceptanyandallappropriatedonationsandgrantsofmoney,equipment,supplies,materialsand services,andtoreceive,utilizeanddisposeofthesame;providedthatatalltimestheCommission shallstrivetoavoidanyappearanceofimproprietyand/orconflictofinterest; 7. Tolease,purchase,acceptappropriategiftsordonationsof,orotherwisetoown,hold,improveor use,anyproperty,real,personalormixed;providedthatatalltimestheCommissionshallstriveto avoidanyappearanceofimpropriety; 8. Tosell,convey,mortgage,pledge,lease,exchange,abandonorotherwisedisposeofanypropertyreal, personalormixed; 9. Toestablishabudgetandmakeexpenditures; 10. Toborrowmoney; 30 MODEL LEGISLATION 11. Toappointcommittees,includingadvisorycommitteescomprisedofMembers,Stateregulators,State legislatorsortheirrepresentatives,andconsumerrepresentatives,andsuchotherinterestedpersons asmaybedesignatedinthisCompactandtheBylaws; 12. Toprovideandreceiveinformationfrom,andtocooperatewith,lawenforcementagencies; 13. Toadoptanduseanofficialseal;and 14. Toperformsuchotherfunctionsasmaybenecessaryorappropriatetoachievethepurposesofthis Compactconsistentwiththestateregulationofpsychologylicensure,temporaryin‐person,face‐to‐ facepracticeandtelepsychologypractice. E. TheExecutiveBoard TheelectedofficersshallserveastheExecutiveBoard,whichshallhavethepowertoactonbehalfofthe CommissionaccordingtothetermsofthisCompact. 1. TheExecutiveBoardshallbecomprisedofsixmembers: a. FivevotingmemberswhoareelectedfromthecurrentmembershipoftheCommissionbythe Commission; b. Oneex‐officio,nonvotingmemberfromtherecognizedmembershiporganizationcomposedof StateandProvincialPsychologyRegulatoryAuthorities. 2. Theex‐officiomembermusthaveservedasstafformemberonaStatePsychologyRegulatory Authorityandwillbeselectedbyitsrespectiveorganization. 3. TheCommissionmayremoveanymemberoftheExecutiveBoardasprovidedinBylaws. 4. TheExecutiveBoardshallmeetatleastannually. TheExecutiveBoardshallhavethefollowingdutiesandresponsibilities: 5. a. RecommendtotheentireCommissionchangestotheRulesorBylaws,changestothisCompact legislation,feespaidbyCompactStatessuchasannualdues,andanyotherapplicablefees; b. EnsureCompactadministrationservicesareappropriatelyprovided,contractualorotherwise; c. Prepareandrecommendthebudget; d. MaintainfinancialrecordsonbehalfoftheCommission; e. MonitorCompactcomplianceofmemberstatesandprovidecompliancereportstothe Commission; f. Establishadditionalcommitteesasnecessary;and g. OtherdutiesasprovidedinRulesorBylaws. 31 MODEL LEGISLATION F. FinancingoftheCommission 1. TheCommissionshallpay,orprovideforthepaymentofthereasonableexpensesofits establishment,organizationandongoingactivities. 2. TheCommissionmayacceptanyandallappropriaterevenuesources,donationsandgrantsofmoney, equipment,supplies,materialsandservices. 3. TheCommissionmaylevyonandcollectanannualassessmentfromeachCompactStateorimpose feesonotherpartiestocoverthecostoftheoperationsandactivitiesoftheCommissionanditsstaff whichmustbeinatotalamountsufficienttocoveritsannualbudgetasapprovedeachyearforwhich revenueisnotprovidedbyothersources.Theaggregateannualassessmentamountshallbe allocatedbaseduponaformulatobedeterminedbytheCommissionwhichshallpromulgatearule bindinguponallCompactStates. 4. TheCommissionshallnotincurobligationsofanykindpriortosecuringthefundsadequatetomeet thesame;norshalltheCommissionpledgethecreditofanyoftheCompactStates,exceptbyandwith theauthorityoftheCompactState. 5. TheCommissionshallkeepaccurateaccountsofallreceiptsanddisbursements.Thereceiptsand disbursementsoftheCommissionshallbesubjecttotheauditandaccountingprocedures establishedunderitsBylaws.However,allreceiptsanddisbursementsoffundshandledbythe Commissionshallbeauditedyearlybyacertifiedorlicensedpublicaccountantandthereportofthe auditshallbeincludedinandbecomepartoftheannualreportoftheCommission. G. QualifiedImmunity,Defense,andIndemnification 1. Themembers,officers,ExecutiveDirector,employeesandrepresentativesoftheCommissionshallbe immunefromsuitandliability,eitherpersonallyorintheirofficialcapacity,foranyclaimfordamage toorlossofpropertyorpersonalinjuryorothercivilliabilitycausedbyorarisingoutofanyactualor allegedact,errororomissionthatoccurred,orthatthepersonagainstwhomtheclaimismadehada reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,dutiesor responsibilities;providedthatnothinginthisparagraphshallbeconstruedtoprotectanysuch personfromsuitand/orliabilityforanydamage,loss,injuryorliabilitycausedbytheintentionalor willfulorwantonmisconductofthatperson. 2. TheCommissionshalldefendanymember,officer,ExecutiveDirector,employeeorrepresentativeof theCommissioninanycivilactionseekingtoimposeliabilityarisingoutofanyactualorallegedact, errororomissionthatoccurredwithinthescopeofCommissionemployment,dutiesor 32 MODEL LEGISLATION responsibilities,orthatthepersonagainstwhomtheclaimismadehadareasonablebasisfor believingoccurredwithinthescopeofCommissionemployment,dutiesorresponsibilities;provided thatnothinghereinshallbeconstruedtoprohibitthatpersonfromretaininghisorherowncounsel; andprovidedfurther,thattheactualorallegedact,errororomissiondidnotresultfromthat person’sintentionalorwillfulorwantonmisconduct. 3. TheCommissionshallindemnifyandholdharmlessanymember,officer,ExecutiveDirector, employeeorrepresentativeoftheCommissionfortheamountofanysettlementorjudgment obtainedagainstthatpersonarisingoutofanyactualorallegedact,errororomissionthatoccurred withinthescopeofCommissionemployment,dutiesorresponsibilities,orthatsuchpersonhada reasonablebasisforbelievingoccurredwithinthescopeofCommissionemployment,dutiesor responsibilities,providedthattheactualorallegedact,errororomissiondidnotresultfromthe intentionalorwillfulorwantonmisconductofthatperson. 33 MODEL LEGISLATION ARTICLE XI RULEMAKING A. TheCommissionshallexerciseitsrulemakingpowerspursuanttothecriteriasetforthinthisArticleand theRulesadoptedthereunder.Rulesandamendmentsshallbecomebindingasofthedatespecifiedin eachruleoramendment. B. IfamajorityofthelegislaturesoftheCompactStatesrejectsarule,byenactmentofastatuteor resolutioninthesamemannerusedtoadopttheCompact,thensuchruleshallhavenofurtherforceand effectinanyCompactState. C. RulesoramendmentstotherulesshallbeadoptedataregularorspecialmeetingoftheCommission. D. PriortopromulgationandadoptionofafinalruleorRulesbytheCommission,andatleastsixty(60)days inadvanceofthemeetingatwhichtherulewillbeconsideredandvotedupon,theCommissionshallfilea NoticeofProposedRulemaking: 1. OnthewebsiteoftheCommission;and 2. OnthewebsiteofeachCompactStates’PsychologyRegulatoryAuthorityorthepublicationinwhich eachstatewouldotherwisepublishproposedrules. E. TheNoticeofProposedRulemakingshallinclude: 1. Theproposedtime,date,andlocationofthemeetinginwhichtherulewillbeconsideredandvoted upon; 2. Thetextoftheproposedruleoramendmentandthereasonfortheproposedrule; 3. Arequestforcommentsontheproposedrulefromanyinterestedperson;and 4. ThemannerinwhichinterestedpersonsmaysubmitnoticetotheCommissionoftheirintentionto attendthepublichearingandanywrittencomments. F. Priortoadoptionofaproposedrule,theCommissionshallallowpersonstosubmitwrittendata,facts, opinionsandarguments,whichshallbemadeavailabletothepublic. G. TheCommissionshallgrantanopportunityforapublichearingbeforeitadoptsaruleoramendmentifa hearingisrequestedby: 1. Atleasttwenty‐five(25)personswhosubmitcommentsindependentlyofeachother; 34 MODEL LEGISLATION 2. Agovernmentalsubdivisionoragency;or 3. Adulyappointedpersoninanassociationthathashavingatleasttwenty‐five(25)members. H. Ifahearingisheldontheproposedruleoramendment,theCommissionshallpublishtheplace,time,and dateofthescheduledpublichearing. 1. AllpersonswishingtobeheardatthehearingshallnotifytheExecutiveDirectoroftheCommission orotherdesignatedmemberinwritingoftheirdesiretoappearandtestifyatthehearingnotless thanfive(5)businessdaysbeforethescheduleddateofthehearing. 2. Hearingsshallbeconductedinamannerprovidingeachpersonwhowishestocommentafairand reasonableopportunitytocommentorallyorinwriting. 3. Notranscriptofthehearingisrequired,unlessawrittenrequestforatranscriptismade,inwhich casethepersonrequestingthetranscriptshallbearthecostofproducingthetranscript.Arecording maybemadeinlieuofatranscriptunderthesametermsandconditionsasatranscript.This subsectionshallnotprecludetheCommissionfrommakingatranscriptorrecordingofthehearingif itsochooses. 4. Nothinginthissectionshallbeconstruedasrequiringaseparatehearingoneachrule.Rulesmaybe groupedfortheconvenienceoftheCommissionathearingsrequiredbythissection. I. Followingthescheduledhearingdate,orbythecloseofbusinessonthescheduledhearingdateifthe hearingwasnotheld,theCommissionshallconsiderallwrittenandoralcommentsreceived. J. TheCommissionshall,bymajorityvoteofallmembers,takefinalactionontheproposedruleandshall determinetheeffectivedateoftherule,ifany,basedontherulemakingrecordandthefulltextoftherule. K. Ifnowrittennoticeofintenttoattendthepublichearingbyinterestedpartiesisreceived,the Commissionmayproceedwithpromulgationoftheproposedrulewithoutapublichearing. L. Upondeterminationthatanemergencyexists,theCommissionmayconsiderandadoptanemergency rulewithoutpriornotice,opportunityforcomment,orhearing,providedthattheusualrulemaking proceduresprovidedintheCompactandinthissectionshallberetroactivelyappliedtotheruleassoon asreasonablypossible,innoeventlaterthanninety(90)daysaftertheeffectivedateoftherule.Forthe purposesofthisprovision,anemergencyruleisonethatmustbeadoptedimmediatelyinorderto: 1. Meetanimminentthreattopublichealth,safety,orwelfare; 35 MODEL LEGISLATION 2. PreventalossofCommissionorCompactStatefunds; 3. Meetadeadlineforthepromulgationofanadministrativerulethatisestablishedbyfederallawor rule;or 4. Protectpublichealthandsafety M. TheCommissionoranauthorizedcommitteeoftheCommissionmaydirectrevisionstoapreviously adoptedruleoramendmentforpurposesofcorrectingtypographicalerrors,errorsinformat,errorsin consistency,orgrammaticalerrors.Publicnoticeofanyrevisionsshallbepostedonthewebsiteofthe Commission.Therevisionshallbesubjecttochallengebyanypersonforaperiodofthirty(30)daysafter posting.Therevisionmaybechallengedonlyongroundsthattherevisionresultsinamaterialchangeto arule.Achallengeshallbemadeinwriting,anddeliveredtotheChairoftheCommissionpriortotheend ofthenoticeperiod.Ifnochallengeismade,therevisionwilltakeeffectwithoutfurtheraction.Ifthe revisionischallenged,therevisionmaynottakeeffectwithouttheapprovaloftheCommission. 36 MODEL LEGISLATION ARTICLE XIII OVERSIGHT, DISPUTE RESOLUTION AND ENFORCEMENT A. Oversight 1. TheExecutive,LegislativeandJudicialbranchesofstategovernmentineachCompactStateshall enforcethisCompactandtakeallactionsnecessaryandappropriatetoeffectuatetheCompact’s purposesandintent.TheprovisionsofthisCompactandtherulespromulgatedhereundershallhave standingasstatutorylaw. 2. AllcourtsshalltakejudicialnoticeoftheCompactandtherulesinanyjudicialoradministrative proceedinginaCompactStatepertainingtothesubjectmatterofthisCompactwhichmayaffectthe powers,responsibilitiesoractionsoftheCommission. 3. TheCommissionshallbeentitledtoreceiveserviceofprocessinanysuchproceeding,andshallhave standingtointerveneinsuchaproceedingforallpurposes.Failuretoprovideserviceofprocessto theCommissionshallrenderajudgmentorordervoidastotheCommission,thisCompactor promulgatedrules. B. Default,TechnicalAssistance,andTermination 1. IftheCommissiondeterminesthataCompactStatehasdefaultedintheperformanceofits obligationsorresponsibilitiesunderthisCompactorthepromulgatedrules,theCommissionshall: a. ProvidewrittennoticetothedefaultingstateandotherCompactStatesofthenatureofthe default,theproposedmeansofremedyingthedefaultand/oranyotheractiontobetakenbythe Commission;and b. 2. Provideremedialtrainingandspecifictechnicalassistanceregardingthedefault. Ifastateindefaultfailstoremedythedefault,thedefaultingstatemaybeterminatedfromthe CompactuponanaffirmativevoteofamajorityoftheCompactStates,andallrights,privilegesand benefitsconferredbythisCompactshallbeterminatedontheeffectivedateoftermination.Aremedy ofthedefaultdoesnotrelievetheoffendingstateofobligationsorliabilitiesincurredduringthe periodofdefault. 3. TerminationofmembershipintheCompactshallbeimposedonlyafterallothermeansofsecuring compliancehavebeenexhausted.Noticeofintenttosuspendorterminateshallbesubmittedbythe 37 MODEL LEGISLATION CommissiontotheGovernor,themajorityandminorityleadersofthedefaultingstate'slegislature, andeachoftheCompactStates. 4. ACompactStatewhichhasbeenterminatedisresponsibleforallassessments,obligationsand liabilitiesincurredthroughtheeffectivedateoftermination,includingobligationswhichextend beyondtheeffectivedateoftermination. 5. TheCommissionshallnotbearanycostsincurredbythestatewhichisfoundtobeindefaultor whichhasbeenterminatedfromtheCompact,unlessagreeduponinwritingbetweenthe Commissionandthedefaultingstate. 6. ThedefaultingstatemayappealtheactionoftheCommissionbypetitioningtheU.S.DistrictCourtfor thestateofGeorgiaorthefederaldistrictwheretheCompacthasitsprincipaloffices.Theprevailing membershallbeawardedallcostsofsuchlitigation,includingreasonableattorney’sfees. C. DisputeResolution 1. UponrequestbyaCompactState,theCommissionshallattempttoresolvedisputesrelatedtothe CompactwhichariseamongCompactStatesandbetweenCompactandNon‐CompactStates. 2. TheCommissionshallpromulgatearuleprovidingforbothmediationandbindingdisputeresolution fordisputesthatarisebeforethecommission. D. Enforcement 1. TheCommission,inthereasonableexerciseofitsdiscretion,shallenforcetheprovisionsandRulesof thisCompact. 2. Bymajorityvote,theCommissionmayinitiatelegalactionintheUnitedStatesDistrictCourtforthe StateofGeorgiaorthefederaldistrictwheretheCompacthasitsprincipalofficesagainstaCompact StateindefaulttoenforcecompliancewiththeprovisionsoftheCompactanditspromulgatedRules andBylaws.Thereliefsoughtmayincludebothinjunctivereliefanddamages.Intheeventjudicial enforcementisnecessary,theprevailingmembershallbeawardedallcostsofsuchlitigation, includingreasonableattorney’sfees. 3. TheremedieshereinshallnotbetheexclusiveremediesoftheCommission.TheCommissionmay pursueanyotherremediesavailableunderfederalorstatelaw. 38 MODEL LEGISLATION ARTICLE XIII DATE OF IMPLEMENTATION OF THE PSYCHOLOGY INTERJURISDICTIONAL COMPACT COMMISSION AND ASSOCIATED RULES, WITHDRAWAL, AND AMENDMENTS A. TheCompactshallcomeintoeffectonthedateonwhichtheCompactisenactedintolawintheseventh CompactState.Theprovisionswhichbecomeeffectiveatthattimeshallbelimitedtothepowersgranted totheCommissionrelatingtoassemblyandthepromulgationofrules.Thereafter,theCommissionshall meetandexerciserulemakingpowersnecessarytotheimplementationandadministrationofthe Compact. B. AnystatewhichjoinstheCompactsubsequenttotheCommission’sinitialadoptionoftherulesshallbe subjecttotherulesastheyexistonthedateonwhichtheCompactbecomeslawinthatstate.Anyrule whichhasbeenpreviouslyadoptedbytheCommissionshallhavethefullforceandeffectoflawonthe daytheCompactbecomeslawinthatstate. C. AnyCompactStatemaywithdrawfromthisCompactbyenactingastatuterepealingthesame. 1. ACompactState’swithdrawalshallnottakeeffectuntilsix(6)monthsafterenactmentofthe repealingstatute. 2. WithdrawalshallnotaffectthecontinuingrequirementofthewithdrawingState’sPsychology RegulatoryAuthoritytocomplywiththeinvestigativeandadverseactionreportingrequirementsof thisactpriortotheeffectivedateofwithdrawal. D. NothingcontainedinthisCompactshallbeconstruedtoinvalidateorpreventanypsychologylicensure agreementorothercooperativearrangementbetweenaCompactStateandaNon‐CompactStatewhich doesnotconflictwiththeprovisionsofthisCompact. E. ThisCompactmaybeamendedbytheCompactStates.NoamendmenttothisCompactshallbecome effectiveandbindinguponanyCompactStateuntilitisenactedintothelawofallCompactStates. 39 MODEL LEGISLATION ARTICLE XIV CONSTRUCTION AND SEVERABILITY ThisCompactshallbeliberallyconstruedsoastoeffectuatethepurposesthereof.IfthisCompactshallbe heldcontrarytotheconstitutionofanystatememberthereto,theCompactshallremaininfullforceandeffect astotheremainingCompactStates. 40 FREQUENTLY ASKED QUESTIONS FrequentlyAskedQuestions COMPACTS Q1.Whatisaninterstatecompact? A1.Interstatecompactsarepowerful,durable,andadaptivetoolsforensuringcooperativeactionamongthe states.Interstatecompactsprovideastate‐developedstructureforcollaborativeanddynamicaction,while buildingconsensusamongthestates.Thenatureofaninterstatecompactmakesittheidealtooltomeetthe demandforcooperativestateaction:developingandenforcingstringentstandards,whileprovidingan adaptivestructurethat,underamoderncompactframework,canevolvetomeetnewandincreaseddemands overtime. Generalpurposesforcreatinganinterstatecompactinclude: Establishaformal,legalrelationshipamongstatestoaddresscommonproblemsorpromotea commonagenda. Createindependent,multistategovernmentalauthorities(e.g.,commissions)thatcanaddressissues moreeffectivelythanastateagencyactingindependently,orwhennostatehastheauthoritytoact unilaterally. Establishuniformguidelines,standards,orproceduresforagenciesinthecompact’smemberstates. Createeconomiesofscaletoreduceadministrativeandothercosts. Respondtonationalprioritiesinconsultationorinpartnershipwiththefederalgovernment. Retainstatesovereigntyinmatterstraditionallyreservedforthestates. Settleinterstatedisputes. Q2.MustCongressapproveaninterstatecompact? A2.ArticleI,Section10oftheU.S.Constitutionprovidesinpartthat“nostateshall,withouttheconsentof Congress,enterintoanyagreementorcompactwithanotherstate.”Historically,thisclausegenerallymeant allcompactsmustreceivecongressionalconsent.However,thepurposeofthisprovisionwasnottoinhibitthe states’abilitytoactinconcertwitheachother.Infact,bythetimetheConstitutionwasdrafted,thestates werealreadyaccustomedtoresolvingdisputesandaddressingproblemsthroughinterstatecompactsand agreements.Thepurposeofthecompactclausewassimplytoprotectthepre‐eminenceofthenewnational governmentbypreventingthestatesfrominfringinguponfederalauthorityoralteringthefederalbalanceof powerbycompact. Accordingly,theSupremeCourtindicatedmorethan100yearsagoinVirginiav.Tennessee,148U.S.503 (1893)thatnotallcompactsrequireCongressionalapproval.Today,itiswellestablishedthatonlythose compactsthataffectapowerdelegatedtothefederalgovernmentoralterthepoliticalbalancewithinthe federalsystem,requiretheconsentofCongress. Q3.Willmystate’sconstitutionpermitthecreationand/orjoiningofsuchacompact? A3.Compactlanguageisusuallydraftedwithstateconstitutionalrequirementscommontomoststate constitutionssuchasseparationofpowers,delegationofpower,anddebtlimitationsinmind.Thevalidityof thestateauthoritytoenterintocompactsandpotentiallydelegateauthoritytoaninterstateagencyhasbeen 41 FREQUENTLY ASKED QUESTIONS specificallyrecognizedandunanimouslyupheldbytheU.S.SupremeCourtinWestVirginiavs.Sims,341U.S. 22(1951). Q4.Howprevalentareinterstatecompacts? A4.Morethan200interstatecompactsexisttoday.Typically,astatebelongstomorethan20interstate compacts. Q5.Whattypesofinterstatecompactsexist? A5.Althoughtherearemanytypesofinterstatecompacts,theygenerallyaredividedintothreetypesof compacts: RegulatoryCompacts:Thebroadestandlargestcategoryofinterstatecompactsmaybereferredto as“regulatory”or“administrative”compacts.Suchcompactsareadevelopmentofthetwentieth centuryandembracewide‐rangingtopicsincludingregionalplanninganddevelopment,crime control,agriculture,floodcontrol,waterresourcemanagement,education,mentalhealth,juvenile delinquency,childsupport,andsoforth.Examplesofsuchcompactsinclude: o DriverLicenseCompact:Exchangeinformationconcerninglicensesuspensionsandtraffic violationsofnon‐residentsandforwardthemtothestatewheretheyarelicensedknownasthe homestate. o InterstateCompactonAdultOffenderSupervision:Regulatethemovementofadultoffenders acrossstatelines. o MidwestRadioactiveWasteDisposalCompact:Regulateradioactivewastedisposal. o WashingtonMetropolitanAreaTransitRegulationCompact:Regulatepassengertransportationby privatecarrier. o 1921PortAuthorityofNewYork‐NewJerseyCompact:Providesjointagencyregulationof transportation,terminalandcommerce/tradefacilitiesintheNewYorkmetropolitanarea. Regulatorycompactscreateongoingadministrativeagencieswhoserulesandregulationsmaybe bindingonthestatestotheextentauthorizedbythecompact. BorderCompacts:Thesetypesofcompactsareagreementsbetweentwoormorestatesthatalter theboundariesofastate.OnceadoptedbythestatesandapprovedbyCongress,suchcompacts permanentlyaltertheboundariesofthestateandcanonlybeundonebyasubsequentcompact approvedbyCongressortherepealofthecompactwithCongress’sapproval.Examplesincludethe Virginia‐TennesseeBoundaryAgreementof1803,Arizona‐CaliforniaBoundaryCompactof1963,the Missouri‐NebraskaCompactof1990,andtheVirginia‐WestVirginiaBoundaryCompactof1998. AdvisoryCompacts:Thesetypesofcompactsareagreementsbetweentwoormorestatesthat createstudycommissions.Thepurposeofthecommissionistoexamineaproblemandreportback totherespectivestatesontheirfindings.Suchcompactsdonotresultinanychangeinthestate’s boundariesnordotheycreateongoingadministrativeagencieswithregulatoryauthority.Theydo notrequirecongressionalconsentbecausetheydonotalterthepoliticalbalanceofpowerbetween thestatesandfederalgovernmentorintrudeonacongressionalpower.Anexampleofsucha 42 FREQUENTLY ASKED QUESTIONS compactistheDelmarvaPeninsulaAdvisoryCouncilCompact(tostudyregionaleconomic developmentissues),29Del.C.§11101(2003);Va.CodeAnn.§2.2‐5800(2003). Q6.Areallregulatoryinterstatecompactsinthefieldofhealthcarealike? A6.No,dependingontheneedsoftheprofession,interstatecompactsaddressingregulatorymatterswithin thehealthcarefieldcanbestructuredquitedifferently.Currently,thereareseveralprofessionsutilizing interstatecompactstoaddressregulatorymattersandeachprofessionhastakenadifferentapproachwhen writingitscompactlanguage.Twoexamplesinvolvetheprofessionsofmedicineandnursing.Medicinechose toconstructitscompacttoaddressexpeditedlicensure;whilenursing’scompactcreatesamultistatelicense. Psychologyalreadyhadamechanismtoaddressexpeditedlicensure,theCertificateofProfessional QualificationinPsychology(CPQ),butneededawaytoregulatethepracticeoftelepsychologyacrossstate linesaswellasprovidesomeconsistencyamongthestatesaroundtemporaryin‐person,face‐to‐facepractice. Thus,theinterstatecompactmodelisafeasiblesolutiontoregulatethistypeofpracticeacrossstatelines withintheprofessionofpsychology. Q7.Whataretheadvantagesofaninterstatecompact? A7.Interstatecompactsprovideaneffectivesolutioninaddressingmulti‐stateissues.Compactsenablethe states,intheirsovereigncapacity,toactjointlyandcollectively,generallyoutsidetheconfinesofthefederal legislativeorregulatoryprocesswhilerespectingtheviewofCongressontheappropriatenessofjoint action.Interstatecompactscanpreemptfederalinvolvementintomattersthataretraditionallywithinthe purviewofthestatesandyetwhichhaveregionalornationalimplications. Compactsaffordstatestheopportunitytodevelopdynamic,self‐regulatorysystemsoverwhichthe participatingstatescanmaintaincontrolthroughacoordinatedlegislativeandadministrativeprocess. Compactsenablethestatestodevelopadaptivestructuresthatcanevolvetomeetnewandincreased challengesthatnaturallyariseovertime. Interstatecompactscanprovidestateswithapredictable,stableandenforceableinstrumentofpolicy control.Thecontractualnatureofcompactsensurestheirenforceabilityontheparticipatingstates.Thefact thatcompactscannotbeunilaterallyamendedensuresthatparticipatingstateswillhaveapredictableand stablepolicyplatformforresolvingissues.Byenteringintoaninterstatecompact,eachparticipatingstate acquiresthelegalrighttorequiretheotherstatestoperformunderthetermsandconditionsofthecompact. Q8.Whatarethedisadvantagesofaninterstatecompact? A8.Interstatecompactsmayoftenrequireagreatdealoftimetobothdevelopandimplement.Whilerecent interstatecompacteffortshavemetwithsuccessinamatterofafewyears,someinterstatecompactshave requireddecadestoreachcriticalmass.Thepurposeofaninterstatecompactistoprovideforthecollective allocationofgoverningauthoritybetweenparticipatingstates.Therequirementofsubstantive“sameness” preventsparticipatingstatesfrompassingdissimilarenactmentsnotwithstanding,perhaps,pressingstate differenceswithrespecttoparticularmatterswithinthecompact. Totheextentthatacompactisusedasagoverningtool,theyrequire,evenintheboundarycompactcontext, thatparticipatingstatescedesomeportionoftheirsovereignty.Thematterofstatesovereigntycanbe particularlyproblematicwheninterstatecompactscreateongoingadministrativebodiesthatpossess 43 FREQUENTLY ASKED QUESTIONS substantialgoverningpower.Suchcompactsaretrulyacreationofthetwentiethcenturyasanout‐growthof creatingthemodernadministrativestate. However,asthebalanceofpowercontinuestorealigninourfederalistsystem,statesmayonlybeableto preservetheirsovereignauthorityoverinterstateproblemstotheextentthattheysharetheirsovereignty andworktogethercooperativelythroughinterstatecompacts. Q9.Howisaninterstatecompactcreated? A9.Compactsareessentiallycontractsbetweenstates.Tobeenforceable,theymustsatisfythecustomary requirementsforvalidcontracts,includingthenotionsofofferandacceptance.Anofferismadewhenone state,usuallybystatute,adoptsthetermsofacompactrequiringapprovalbyoneormoreotherstatesto becomeeffective.Otherstatesaccepttheofferbyadoptingidenticalcompactlanguage.Oncetherequired numberofstateshasadoptedthepact,thecontractbetweenthemisvalidandbecomeseffectiveas provided.Theonlyotherpotentialrequirementiscongressionalconsent. Q10.Whatdoesarecentinterstatecompactlooklike? A10.Thecompactshouldcontaintheminimumbasicsuponwhichitneedstooperate,bothintermsofthe agreementbetweenstatesandtheoperationofitsgoverningbody.Thecompactdoesnotneedtoaddress everyconceivableeventuality,norshouldit.Itspurposeistoprovidetheframeworkuponwhichtobuild.The rulesaretheactuatorsofthecompact,containingthedetailsofstateinteraction,howinformationwillbe shared,whatstandardsandpracticeswillbefollowed,formsused,timelinesestablished,etc.Byusingthe compactasthebroadframework,therulescanbeadaptedandadjustedasneededthroughoutthelifethe compactwithouttheneedtogobackeachtimeforlegislativeapprovalfromthememberstates,subjecttothe legislativelydelegatedauthority. HISTORY Q1.HowwasPSYPACTdeveloped? A1.Thedevelopmentofanyinterstatecompactshouldbeastate‐drivenandstate‐championedsolutionfor issuesthatcrossstateboundaries.ASPPB,theallianceofpsychologylicensingboardsintheUnitedStates andCanada,wasapproachedbyitsmemberstodevelopamechanismtoassistintheregulationof telepsychology.Indoingso,ASPPBinpartnershipwiththepsychologylicensingboardsandother stakeholderorganizations,developedPSYPACTviathefollowingsteps: ASPPBTelepsychologyTaskForce:ASPPBcreatedaTaskForcetoreviewvariousoptionsforthe regulationoftelepsychology.TheASPPBTelepsychologyTaskForcemetseveraltimesandoriginally focusedonthepossibilityofcreatingacertificatetoassistintheregulationoftelepsychology.This optionwaspresentedtothemembership,andthemembershipquestionedwhattypeofagreement couldbecreatedbetweenjurisdictionstoaddressthisissue.AnAdvisoryGroupwasformedto reviewoptionsforagreements,includinginterstatecompacts. AdvisoryGroup:Composedofmorethan14regionalandnationalpsychologyorganizationsaswell asstateofficials,theAdvisoryGroupexaminedthechallengesencounteredbyclientsreceiving telepsychologicalservices.Thegroupthenreviewedthefeasibilityofdraftingacompactasawayof regulatingtelepsychologicalservicesaswellasmeetingtherequestofthememberboardstocreate 44 FREQUENTLY ASKED QUESTIONS anagreementbetweenthestates.TheAdvisoryGroupmetoncein2014.Theirworkculminatedina setofbroadrecommendationsastowhatthefinalcompactproductshouldentail. DraftingTeam:TheASPPBTelepsychologyTaskForcereconvenedandservedasthedraftingteam forthenewcompact.TheDraftingTeamwastaskedwithimplementing,viaadraftcompact,the thoughts,ideasandsuggestionsoftheAdvisoryGroupaswellasincorporatingtheoriginalworkof theTaskForce.Theeight(8)memberDraftingTeam,composedofcompactandissueareaexperts, craftedtherecommendations,aswellasprovidedtheirthoughtsandexpertise,intothedraft compact.ThedocumentwasthenopenforcommentinSeptember2014forboththestakeholders aswellaspublic.Afterthepublicfeedbackperiod,theDraftingTeammademodificationsasneeded basedonthefeedback.WhenpresentedtotheASPPBmembership,thefeedbackwastoincludenot onlytelepsychologyinthecompactbuttoalsoincludeamechanismfortemporaryin‐person,face‐ to‐facepractice.TheDraftingTeamaddedthatcomponenttothedraftcompactlanguageandthe ASPPBBoardofDirectorsvotedtoapprovethefinalPsychologyInterjurisdictionalCompact (PSYPACT)inFebruary2015. PSYPACTAdvisoryWorkgroup:AworkgroupcomprisedofASPPBBoardofDirectorsandstaff, membersandstafffromstatepsychologylicensingboardsandrepresentativesfromtheAmerican PsychologicalAssociation(APA)andtheCouncilofExecutivesofState,Provincial(andTerritorial) PsychologicalAssociations(CESPPA),convenedinJuly2015todeviseanimplementationplanfor PSYPACTandcreateresourcematerialsaboutPSYPACT. GENERAL Q1.WhatisPSYPACT? A1.PSYPACTisaninterstatecompactdesignedtoallowlicensedpsychologiststopracticeoftelepsychology andconducttemporaryin‐person,face‐to‐facepracticeofpsychologyacrossstateboundarieslegallyand ethicallywithoutnecessitatingthatanindividualbecomelicensedineverystatetopractice. Q2.WhendoesPSYPACTbecomeoperational? A2.PSYPACTbecomesoperationalonceseven(7)statesenactPSYPACTandenterintothecompact.Check withusoftenforstatusupdatesontheprogressofPSYPACT! Q3.WhyaresevenstatesrequiredtojoinPSYPACTbeforeitcanbecomeoperational? A3.PSYPACTbecomesoperationalaftersevenstateshaveenactedPSYPACT.Aworkgroupofstakeholders fromvariouspsychologyorganizationsdeterminedsevenstateswouldbethecriticalmassneededtomake PSYPACTausefulandviableinstrumenttopracticeundertheauthorityofPSYPACTacrossstatelines. Coincidentally,othercompactsliketheInterstateMedicalLicensureCompacthaveusedsevenstatesasa benchmarkfortheircompacttobecomeoperational. Q4.WhathappenswhenPSYPACTbecomesoperational? A4.PSYPACTbecomesoperationalwhensevenstatesenactthePSYPACTModelLegislation.Whenthisoccurs, thePSYPACTCommissionisthencreated.TheCommissionisthegoverningbodyofPSYPACTandis 45 FREQUENTLY ASKED QUESTIONS responsibleforitsoversightandthecreationofitsRulesandBylaws.Individuallicensedpsychologistscan thenapplyforoneormoreofthecertificatesrequiredtoparticipateinPSYPACT:theE.Passporttopractice telepsychologyandtheInterjurisdictionalPracticeCertificate(IPC)forthetemporaryin‐person,face‐to‐face practiceofpsychology. Q5.WhatistheroleofthePSYPACTCommission? A5.TheCommissionisthegoverningbodyofthePSYPACTandiscomprisedofonerepresentativefromeach PSYPACTstate.TheCommissionisresponsibleforimplementingtheRulesandBylawsofPSYPACT. Q6.WhatistherelationshipbetweenthePSYPACTCommissionandASPPB? A6.ThePSYPACTCommissionoperatesasthefree‐standinggoverningbodyofPSYPACT.ASPPBwillhaveone ex‐officio,nonvotingmemberserveontheExecutiveBoardoftheCommission. Q7.HowcanIlearnmoreaboutPSYPACT? [email protected]!YoucanalsosignupforourPSYPACTlistservtoreceiveupdatesaboutthe progressofPSYPACTandstayinformedaboutlegislativechangesorfollowusonTwitter@PSYPACT. TELEPSYCHOLOGY Q1.Whatistelepsychology? A1.Telepsychologyisdefinedas“provisionofpsychologicalservicesusingtelecommunicationtechnologies.” Foradditionalinformationabouttelepsychology,pleaserefertotheGuidelinesforthePracticeof TelepsychologydevelopedbytheJointTaskForcefortheDevelopmentofTelepsychologyGuidelinesfor PsychologistscomprisedofmembersfromtheAmericanPsychologicalAssociation(APA),theAssociationof StateandProvincialPsychologyBoards(ASPPB)andtheTrust. AccordingtoArticleII,telepsychologyisdefinedas“provisionofpsychologicalservicesusingtelecommunication technologies.” Q2.Howhastelepsychologyproventobeeffectivemodalityoftreatment? A2.Researchhasshownthatpsychologicalandothermentalhealthservicesareparticularlyconduciveforthe useoftelecommunicationmodalitiessincetheyaremostfrequentlyconductedthroughverbal communicationswithouttheneedofexpensiveandelaboratemedicalequipmentorphysicalintervention (Brenes,Ingraham&Danhaur2011;Newman,2004;Smith,Fagan,Wilson,Chen,Corona&Nguyen,2011, Gilman&Stensland,2013).Additionally,usingtelehealthproceduresforpsychologicaltreatmenthasbeen repeatedlydemonstratedtobeeffective(Barak,Hen,Boniel‐Nissim&Shapira,2008;Epstein,2011)and providesseveraladvantagesovertraditionaltreatmentmethodssuchasaccessibility,versatilityand affordability(Wencesalo,2012). Giventheurgencyandgravityoftentimesassociatedwithsituationsinvolvingmentalhealthtreatment, psychologistshavealreadybeendeliveringservicesviatelehealthwithinstateswheretheyarelicensedto provideaccesstocareinemergencysituationsandtounderservedpopulationsaswellasprovidecontinuity ofcareaspatientstravelandrelocateandensureoverallpatientsafety.Additionally,theprovisionofservices 46 FREQUENTLY ASKED QUESTIONS throughtelehealthaffordstheopportunitytoreachpopulationsthataregeographicallyisolated,thatavoid neededmentalhealthcareduetostigmaofmentalillnessorthatlackspecialtycare.Individualsinruralparts ofthecountrycouldespeciallybenefitfromincreasedavailabilityoftelehealthservicesprovidedbyqualified licensedpsychologistswhoarenotphysicallylocatedintheirlocalareaorevennearbycommunity(Dollinger &Chwalisz,2011;McCord,Elliot,Wendel,Brossart,Cano,Gonzalez&Burdine,2011).Althoughevidence continuestoaccumulateabouttheeffectivenessandapplicabilityoftelehealthservices,theuseof technologicallyenhancedmethodologiesbylicensedpsychologistshasbeenrestrictedinlargepartbecauseof thebarriersimposedbythestatebasedsystemofpsychologyregulationthroughpsychologylicensingboards (Baker&Bufka,2011;HarrisandYounggren,2011). SeeAppendixAforalistofreferences. TEMPORARY IN‐PERSON, FACE‐TO‐FACE PRACTICE Q1.WhyisPSYPACTapplicabletoonlytemporaryin‐person,face‐to‐facepracticeandnotapplicable topermanentpractice? A1.TheCertificateofProfessionalQualificationsinPsychology(CPQ),developedbyASPPB,expeditesthe licensureprocessforqualifiedpsychologistsandisutilizedby45states.PSYPACTaffordstheopportunityto providein‐person,face‐to‐faceservicesonatemporarybasiswithoutnecessitatinglicensureineverystate. Ifapsychologistwishestoestablishapermanentpractice,heorshemustobtainalicensewithinthatstate andmustpracticeunderthelicensingauthorityofthatstateandcanusecertificationsliketheCPQtoapply forlicensure. ArticleI–“WhereasthisCompactdoesnotapplytopermanentin‐person,face‐to‐facepractice,itdoesallowfor authorizationoftemporarypsychologicalpractice.” Q2.Whyistemporaryin‐person,face‐to‐facepracticelimitedto30dayswithinacalendaryear? A2.Thelimitof30dayswithinacalendaryearfortemporaryin‐person,face‐to‐facepracticewasestablished sothatindividualswhointendtopracticeforasignificantnumberofdaysmustbecomelicensedandmust practiceunderthelicensingauthorityofthatstate.The30‐daylimitisperPSYPACTstateinwhichtemporary in‐person,face‐to‐facepracticewasconductedwithinacalendaryear. ArticleI–“WhereasthisCompactisintendedtoregulatethetemporaryin‐person,face‐to‐facepracticeof psychologybypsychologistsacrossstateboundariesfor30dayswithinacalendaryearintheperformanceof theirpsychologicalpracticeasassignedbyanappropriateauthority.” REQUIREMENTS OF PSYPACT Q1.WhyisadoctoraldegreeinpsychologynotspecifiedinPSYPACT? A1.TheprevailingstandardintheUnitedStatesfortheprofessionofpsychologyisforanindividualto possessadoctoraldegreeinpsychology.TheE.Passportwillrequireadoctoraldegreeinpsychology. However,PSYPACTiswritteninawaytobedefinitiveinnaturebutalsoallowforflexibilityandgrowthinthe futureastheprofessionofpsychologycontinuestoevolveandchange.StandardswithinthePSYPACT languagearewrittensoasnottobetoohightolimitthenumberofeligibleparticipantsandnotallowfor 47 FREQUENTLY ASKED QUESTIONS growthwithintheprofessionbutalsonottobetoolowtoallowfortoomanyunqualifiedparticipantsand providealesserdegreeofpublicprotection.Criteria,suchaseducationalrequirements,withinPSYPACTare designedtobestringentyetflexibleenoughtosatisfychangesintheprofession.OncePSYPACTisenacted,it cannotbealteredagainunlessadditionallegislativechangesaremade. ArticlesIVandV,SectionB–“Holdagraduatedegreeinpsychologyfromaninstituteofhighereducationthat was,atthetimeofthedegreewasawarded:A.Regionallyaccreditedbyanaccreditingbodyrecognizedbythe U.S.DepartmentofEducationtograntgraduatedegrees,ORauthorizedbyProvincialstatuteorRoyalCharterto grantdoctoraldegrees;ORB.Aforeigncollegeoruniversitydeemedtobeequivalentto1(A)abovebyaforeign credentialevaluationservicethatisamemberoftheNationalAssociationofCredentialEvaluationServices (NACES)orbyarecognizedforeigncredentialevaluationservice.” Q2.WhyisresidencynotspeciallydefinedinPSYPACT? A2.TheE.Passportwilldefineresidencyasthephysicalpresence,inperson,attheeducationalinstitution grantingthedoctoraldegreeinamannerthatfacilitatesthefullparticipationandintegrationoftheindividual intheeducationalandtrainingexperienceandincludesfaculty‐studentinteraction.However,PSYPACTis writteninawaytobedefinitiveinnaturebutalsoallowforflexibilityandgrowthinthefutureasthe professionofpsychologycontinuestoevolveandchange.StandardswithinthePSYPACTlanguagearewritten soasnottobetoohightolimitthenumberofeligibleparticipantsandnotallowforgrowthwithinthe professionbutalsonottobetoolowtoallowfortoomanyunqualifiedparticipantsandprovidealesser degreeofpublicprotection.Criteria,suchasresidencyrequirements,withinPSYPACTaredesignedtobe stringentyetflexibleenoughtosatisfychangesintheprofession.OncePSYPACTisenacted,itcannotbe alteredagainunlessadditionallegislativechangesaremade. ArticlesIVandV,SectionB2(j)‐Thegraduatedegreeinpsychologymustbeaprogramthat“includesan acceptableresidencyasdefinedbytheRulesoftheCommission.” Q3.WhymustapsychologisthavenoadverseactionsthatviolatetheRulesoftheCommissionorhave nocriminalrecordhistoryinordertobeeligibletoparticipateinPSYPACT? A3.Alicensedpsychologist’sparticipationinPSYPACTrequiresthatheorshemeetadefinedsetofcriteriaas statedinPSYPACT.ByobtaininganE.Passporttopracticetelepsychologyand/oranIPCtoconducttemporary in‐person,face‐to‐facepractice,apsychologisthasmetthiscriteria,thusallowingheorshetopracticeinto PSYPACTstateswheretheymaynotholdalicensetopracticepsychology. Throughastate’sparticipationinPSYPACTandapsychologylicensingboard’sacknowledgementofthe E.PassportandtheIPC,boardsdonotconductthefullassessmentandreviewasrequiredwhenreviewingan individual’sapplicationforlicensure.Rather,theyrelyonPSYPACTandthesecertificationstovetan individual’squalificationsandensurethattheymeetthisdefinedsetofstandards,suchasnothavingany disciplinaryissues,asthoseindividualsparticipatinginPSYPACTwillnotbereviewedbyaboardonacaseby casebasis. ArticlesIVandV,SectionsB4and5,aparticipantmust“HavenohistoryofadverseactionthatviolatetheRules oftheCommission”and“HavenocriminalrecordhistoryreportedonanIdentityHistorySummarythatviolates theRulesoftheCommission.” 48 FREQUENTLY ASKED QUESTIONS Q4.Cananindividualwithamaster’sdegreeinpsychologypracticeundertheauthorityofPSYPACT? A4.Atthistime,theE.PassportandtheIPC,whicharethecertificatesrequiredtopracticetelepsychology and/orconducttemporaryin‐person,face‐to‐facepracticeundertheauthorityofPSYPACT,requirethatan individualpossessadoctoraldegreeinpsychology.Currently,thoseindividualswhoareeligiblefor independentpracticeatthemaster’slevelareineligibletoapplyfortheE.Passportand/ortheIPCand thereforecannotpracticeundertheauthorityofPSYPACT.Individualswhoobtainalicensetopractice psychologythroughtheirmaster’sdegreeareineligibletoapplyforE.Passportand/orIPC.However,inthese situations,itdoesnotmeanthattheseindividualsareincompetenttoprovidepsychologicalservicesinstates wheretheyarelicensed. DISCIPLINE Q1.Whathappenswhenanindividual’sE.Passportand/orIPCarerevoked? A1.AnindividualcannolongerpracticeundertheauthorityofPSYPACTifhisorherE.Passportand/orIPC arerevoked.Itisimportanttonotethatanindividualisstilleligibletoapplyforlicensuredirectlyinanystate, regardlessofthatstate’sparticipationinPSYPACT.Byapplyingforlicensure,theboardwillmakethefinal, ultimatedeterminationtodecideifalicensetopracticepsychologyshouldbegranted. ArticlesIVandV,SectionE–“Ifapsychologist’slicenseinanyHomeState,anotherCompactState,orany AuthoritytoPracticeInterjurisdictionalTelepsychologyinanyReceivingState,isrestricted,suspendedor otherwiselimited,theE.Passportshallberevokedandthereforethepsychologistshallnotbeeligibletopractice telepsychologyinaCompactStateundertheAuthoritytoPracticeInterjurisdictionalTelepsychology”and“Ifa psychologist’slicenseinanyHomeState,anotherCompactState,oranyTemporaryAuthorizationtoPracticein anyDistantState,isrestricted,suspendedorotherwiselimited,theIPCshallberevokedandthereforethe psychologistshallnotbeeligibletopracticeinaCompactStateundertheTemporaryAuthorizationtoPractice.” Q2.Whathappensifapsychologist’slicenseisrevoked? A2.TherevocationofalicenseforapsychologistpracticingundertheauthorityofPSYPACTmeanshisorher E.Passportand/orIPCwillberevokedaswellastheirauthoritytopracticeunderPSYPACT.Itisimportantto notethatPSYPACTcannotrevokeanindividual’slicense.Rather,theHomeStatecanrevokeanindividual’s licenseandPSYPACTcanrevoketheirAuthoritytoPracticeInterjurisdictionalTelepsychologyand/orthe TemporaryAuthorizationtoPractice. ArticlesIVandV,SectionsDandE–“ApsychologistpracticingintoaReceivingStateundertheAuthorityto PracticeInterjurisdictionalTelepsychologywillbesubjecttotheHomeState’sauthorityandlaws.AReceiving Statemay,inaccordancewiththatstate’sdueprocesslaw,limitorrevokeapsychologist’sAuthoritytoPractice InterjurisdictionalTelepsychologyintheReceivingStateandmaytakeanyothernecessaryactionsunderthe ReceivingState’sapplicablelawtoprotectthehealthandsafetyoftheReceivingState’scitizens.IfaReceiving Statetakesaction,thestateshallpromptlynotifytheHomeStateandtheCommission.Ifapsychologist’slicense inanyHomeState,anotherCompactState,oranyAuthoritytoPracticeInterjurisdictionalTelepsychologyinany ReceivingState,isrestricted,suspendedorotherwiselimited,theE.Passportshallberevokedandthereforethe psychologistshallnotbeeligibletopracticetelepsychologyinaCompactStateundertheAuthoritytoPractice InterjurisdictionalTelepsychologyApsychologistpracticingintoaDistantStateundertheTemporary 49 FREQUENTLY ASKED QUESTIONS AuthorizationtoPracticewillbesubjecttotheDistantState’sauthorityandlaw.ADistantStatemay,in accordancewiththatstate’sdueprocesslaw,limitorrevokeapsychologist’sTemporaryAuthorizationto PracticeintheDistantStateandmaytakeanyothernecessaryactionsundertheDistantState’sapplicablelaw toprotectthehealthandsafetyoftheDistantState’scitizens.IfaDistantStatetakesaction,thestateshall promptlynotifytheHomeStateandtheCommission.Ifapsychologist’slicenseinanyHomeState,another CompactState,oranyTemporaryAuthorizationtoPracticeinanyDistantState,isrestricted,suspendedor otherwiselimited,theIPCshallberevokedandthereforethepsychologistshallnotbeeligibletopracticeina CompactStateundertheTemporaryAuthorizationtoPractice.” Q3.Whathappensifapsychologistentersintoanalternativeprogramwhilepracticingunderthe authorityofPSYPACT? A3.Apsychologist’sauthoritytopracticeandE.Passportand/orIPCarenotrevokedwhileapsychologistisin analternativeprogram.However,apsychologistcannotprovideservicesasdefinedunderPSYPACTduring thetimeofthealternativeprogram.ItistheresponsibilityofthePSYPACTstatetonotifytheCommissionthat apsychologisthasenteredintosuchaprogramandthattheirpracticeistemporarilysurrendered. ArticleVIISectionF–“NothinginthisCompactshalloverrideaCompactState’sdecisionthatapsychologist’s participationinanalternativeprogrammaybeusedinlieuofadverseactionandthatsuchparticipationshall remainnon‐publicifrequiredbytheCompactState’slaw.CompactStatesmustrequirepsychologistswhoenter anyalternativeprogramstonotprovidetelepsychologyservicesundertheAuthoritytoPractice InterjurisdictionalTelepsychologyorprovidetemporarypsychologicalservicesundertheTemporary AuthorizationtoPracticeinanyotherCompactStateduringthetermofthealternativeprogram.” Q4.Whyisn’taseparatelicenserequiredineveryPSYPACTstatetopracticetelepsychologyorto conducttemporaryin‐person,face‐to‐facepractice? A4.PSYPACTwascreatedtoprovideanaccessibleandmanageableregulatorystructureforthepracticeof telepsychologyandtemporaryin‐person,face‐to‐facepractice.Advantagestoconsumersareincreasedaccess tocare,anavenueforcomplaintsandagreaterdegreeofpublicprotection.Psychologistsalsohaveameansto provideservicesintootherstateswheretheymaynotcurrentlyholdalicense.PSYPACTrequiresthata psychologistbelicensedintheirHomeStatebutallowsapsychologisttopracticetelepsychologyina ReceivingStateorconducttemporaryin‐person,face‐to‐facepracticeinaDistantState.ThisallowstheHome StatetocontinuetoregulateandalsoallowstheReceivingStatesandDistantStatestoknowwhoispracticing intheirstateandinwhatcapacitywithoutrequiringpsychologiststoobtainandmaintainalicenseinevery PSYPACTstate. IMPACT ON STATES Q1.HowdoesPSYPACTpromotecompliancewithlawsgoverningpsychologicalpracticeineach PSYPACTstate? A1.Licensingrequirementsvarystatetostate.Asameanstopromotecompliancewithlawsaswellas developconsistencyinpracticestandardsamongststates,PSYPACTservesasmechanisminwhichstates agreetoacceptpsychologiststhathavemetadefinedlevelofstandardswhoarepracticingintheirstatevia telepsychologyortemporaryin‐person,face‐to‐facepractice. 50 FREQUENTLY ASKED QUESTIONS ArticleI–“PromotecompliancewiththelawsgoverningpsychologicalpracticeineachCompactState.” Q2.SeveraltypesofstatesaredefinedwithinPSYPACT.Whatdotheymeanandhowarethey different? A2.ApsychologistmustbelicensedtopracticepsychologyintheirHomeStateinordertopractice telepsychologyorconducttemporaryin‐person,face‐to‐facepracticeasdefinedinPSYPACT. IfthepsychologistislicensedinmorethanoneCompactStateandispracticingunderthe AuthorizationtoPracticeInterjurisdictionalTelepsychology,theHomeStateistheCompactState wherethepsychologistisphysicallypresentwhenthetelepsychologicalservicesaredelivered.Ifthe psychologistislicensedinmorethanoneCompactStateandispracticingundertheTemporary AuthorizationtoPractice,theHomeStateisanyCompactStatewherethepsychologistislicensed. ShouldalicensedpsychologistwanttopracticetelepsychologyfromtheirHomeState,services wouldbeprovidedintoaReceivingState. Shouldalicensedpsychologistwanttoconducttemporaryin‐person,face‐to‐facepractice,services wouldberenderedwithinaDistantState. Itisimportanttonotethatshouldanyadverseactionsbetaken,allstateswillbenotified. ArticleII CompactState:“Astate,theDistrictofColumbia,orUnitedStatesterritorythathasenactedthis CompactlegislationandwhichhasnotwithdrawnpursuanttoArticleXIII,SectionCorbeen terminatedpursuanttoArticleXII,SectionB.” DistantState:“TheCompactStatewhereapsychologistisphysicallypresent(notthroughusing telecommunicationstechnologies),toprovidetemporaryin‐person,face‐to‐facepsychologicalservices.” HomeState:“ACompactStatewhereapsychologistislicensedtopracticepsychology.Ifthe psychologistislicensedinmorethanoneCompactStateandispracticingundertheAuthorizationto PracticeInterjurisdictionalTelepsychology,theHomeStateistheCompactStatewherethepsychologist isphysicallypresentwhenthetelepsychologicalservicesaredelivered.Ifthepsychologistislicensedin morethanoneCompactStateandispracticingundertheTemporaryAuthorizationtoPractice,the HomeStateisanyCompactStatewherethepsychologistislicensed.” Non‐CompactState:“AnyStatewhichisnotatthetimeaCompactState.” ReceivingState:“ACompactStatewheretheclient/patientisphysicallylocatedwhenthe telepsychologicalservicesaredelivered.” Q3.Othercompactsindicatepracticeoriginateswherethepatientislocated.AccordingtoPSYPACT, practiceoriginateswherethepsychologistislocated.WhyisPSYPACTstructuredlikethis? A3.PSYPACTindicatesHomeStateiswherethepsychologistislicensed.Regulatoryauthorityrestswiththe statewherethepsychologistislicensed.Disciplinaryactionsagainstalicensemayonlybetakenbythestate wherethepsychologistislicensed.Therefore,itisimportanttoallowtheHomeStatetohaveauthorityover psychologistslicensedintheirstateandsetthestandardsandproceduresfordiscipline. ArticleII–“HomeStatemeans:aCompactStatewhereapsychologistislicensedtopracticepsychology.Ifthe psychologistislicensedinmorethanoneCompactStateandispracticingundertheAuthorizationtoPractice InterjurisdictionalTelepsychology,theHomeStateistheCompactStatewherethepsychologistisphysically 51 FREQUENTLY ASKED QUESTIONS presentwhenthetelepsychologicalservicesaredelivered.Ifthepsychologistislicensedinmorethanone CompactStateandispracticingundertheTemporaryAuthorizationtoPractice,theHomeStateisanyCompact Statewherethepsychologistislicensed. Q4.HowdorulesofPSYPACTapplytostatelaws? A4.TherulesofPSYPACTareonlyapplicabletostatesthatenactPSYPACT.TherulesofPSYPACTwouldonly supersedeanystatelawpertainingtotheinterjurisdictionalpracticeoftelepsychologyandtemporaryin‐ person,face‐to‐facepractice. ArticleII–“RulemeansawrittenstatementbytheInterjurisdictionalPsychologyCompactCommission promulgatedpursuanttoSectionXIoftheCompactthatisofgeneralapplicability,implements,interprets,or prescribesapolicyorprovisionoftheCompact,oranorganizational,procedural,orpracticerequirementofthe CommissionandhastheforceandeffectofstatutorylawinaCompactState,andincludestheAmendment, repealorsuspensionofanexistingRule.” Q5.CanastatewithdrawfromPSYPACT? A5.AstatecanwithdrawfromPSYPACTbyrepealingthePSYPACTModelLegislation.Thewithdrawalshall nottakeeffectuntilsix(6)monthsafterenactmentoftherepealingStatue. WithdrawalwillnotaffectthecontinuingrequirementofthewithdrawingState’sPsychologyRegulatory Authoritytocomplywiththeinvestigativeandadverseactionreportingrequirementsofthisactpriortothe effectivedateofwithdrawal. ArticleXIII,SectionC–“AnyCompactStatemaywithdrawfromthisCompactbyenactingaStatuterepealingthe same.” Q6.DoesPSYPACTimpactstate’srights? A6.PSYPACTdoesnotimpactastate’srightorabilitytoissuealicense.Itisapplicabletothe interjurisdictionalpracticeoftelepsychologyandtemporaryin‐person,face‐to‐facepracticeandonlytakes precedenceoverstatelawsregardingthistypeofinterjurisdictionalpractice.Forexample,anylicensed psychologistmustobtainanE.PassporttopracticetelepsychologyundertheauthorityofPSYPACTandmust havethree(3)hoursofcontinuingeducationtrainingintechnologyasrequiredbytheE.Passport.Shoulda PSYPACTstatenotrequirecontinuingeducation,thisrequirementofPSYPACTwouldsupersedethestate’s authority. IMPACT ON PSYCHOLOGISTS Q1.Asapsychologist,howdoIutilizePSYPACT? A1.OncePSYPACTbecomesoperational,psychologistscanapplyfortheE.Passportand/orIPC,whichare requiredtopracticetelepsychologyand/ortemporaryin‐person,face‐to‐facepracticeinPSYPACTstates throughthefollowingsteps: Topracticetelepsychology: 52 FREQUENTLY ASKED QUESTIONS ApplyforandobtaintheAssociationofStateandProvincialPsychologyBoards(ASPPB)E.Passportto practicetelepsychologyinPSYPACTstatesandpayassociatedcertificationfees. NotifyASPPBandthePSYPACTCommissionoftelepsychologicalpracticeintoeachPSYPACTstate. CompletecontinuingeducationrequirementsforE.Passport. AnnuallyrenewtheE.Passport. Toconducttemporaryin‐person,face‐to‐facepractice: ApplyforandobtaintheAssociationofStateandProvincialPsychologyBoards(ASPPB) InterjurisdictionalPracticeCertificate(IPC)toconducttemporaryin‐person,face‐to‐facepractice telepsychologyinPSYPACTstatesandpayassociatedcertificationfees. NotifyASPPBandthePSYPACTCommissionoftemporaryin‐person,face‐to‐facepracticeintoeach PSYPACTstate. AnnuallyrenewtheIPC. Q2.IamapsychologistlicensedinboththeHomeStateandReceiving/DistantStates.Whydoes PSYPACTnotapplytome? A2.ByalreadybeinglicensedintheHomeStateandReceiving/DistantStates,anindividualhasalready establishedfullrightstopracticeinthesestates,andtherefore,PSYPACTisnotapplicabletotheseindividuals. PSYPACTonlyappliestotheinterjurisdictionalpracticeoftelepsychologyand/ortemporaryin‐person,face‐ to‐facepractice. ArticleI–“WhereasthiscompactdoesnotapplywhenapsychologistislicensedinboththeHomeandReceiving state.” Q3.WhathappenswhenlawsconflictwithinPSYPACTstates(e.g.dutytowarnlaws,child/elderabuse laws,recordingkeepingrules,etc.)? A3.Currently,thereisnoeasyanswertothisquestion.Ifapsychologistisinonestateandapatientisin another,itcanbeconfusingwhichlawstofollowandwhichlawstakeprecedence.Agoodexampleisthe“duty towarn”standardsamongthestates.StateslikeCaliforniahaveamandatory“dutytowarn/protect” requirement,inPennsylvaniathereisamandatorydutytousereasonablecaretoprotectbywarningwhile otherstateslikeTexashavemorepermissiverequirements.Insomestates,likeNorthDakotaandNevada, thereisnodutytowarnorprotectrequirement.Thesedifferencesmakeitverydifficultforpsychologistto knowwhatstandardtoapplywhenpracticingtelepsychology.UnderPSYPACT,thisissimplifiedasthis processisdefinedinthelegislation.CompactStatesagreetothefollowing: IfapsychologistispracticingintoaReceivingStateundertheAuthoritytoPracticeInterjurisdictional Telepsychology,heorsheissubjecttotheHomeState’sauthorityandlaws. IfapsychologistispracticingintoaDistantStateundertheTemporaryAuthorizationtoPractice,he orshewillbesubjecttotheDistantState’sauthorityandlaw. However,psychologistsmustbeawareofeachstate’slawswheretheyareconductingpractice.Statutesand regulationspertainingtothepracticeofpsychologyvaryfromstatetostate. 53 FREQUENTLY ASKED QUESTIONS IMPACT ON CONSUMERS Q1.HowdoesPSYPACTensurethepublicisbetterprotectedfromharm? A1.PSYPACTisamechanismthatcanensurepublicprotectionandimproveaccesstocarewhileeasingthe barriersforcompetentandqualifiedpsychologiststhroughthefollowing: AllpsychologistsmustholdanactivelicenseintheirHomeStateandanactiveE.Passportand/or InterjurisdictionalPracticeCertificate,whichhasacceptableeducationandtrainingrequirements. AlthoughpsychologistsarenotrequiredtohavealicenseintheReceivingand/orDistantState,they mustmeetestablishedcriteria,havehadnodisciplinarysanctions,andprovideregularupdateson theirintendedpracticeactivities. Stateswillhaveaccesstoareal‐time,searchabledatabasethatprovidesinformationaboutwhereand inwhatcapacityE.PassportandIPCholdersareintendingtopracticewithintheirstate. PSYPACTprovidesastructureforthereceivingstatetorevokethepsychologist’sabilitytopractice withintheirstate. Currently,statesmaynothavetheauthoritytoimposedisciplineontheirlicenseesforpractice outsidestateboundaries.PSYPACTallowstheHomeStatetoimposedisciplineregardingthepractice inotherstates. ThroughPSYPACT,statescanbeassuredthattheirconsumerswillbereceivingcarefromqualified psychologistsandhaveimprovedaccesstocare.Stateswillnowhaveameanstoidentifytelepsychologyand temporarypracticeprovidersintheirstateaswellashaveaproceduretoaddressdisciplinarysanctions. Q2.WhyisPSYPACTimportanttoconsumers? A2.ThroughPSYPACT,consumerswillhavegreateraccesstocare.PSYPACTwillallowlicensedpsychologists toprovidecontinuityofcareasclients/patientsrelocate.Psychologistswillalsobeabletoreachpopulations thatarecurrentlyunderserved,geographicallyisolatedorlackspecialtycare. Additionally,stateswillhaveanexternalmechanismthataccountsforallpsychologistswhomayentertheir statetopracticetelepsychologyorconducttemporaryin‐person,face‐to‐facepractice,thusindicating psychologistshavemetdefinedstandardsandcompetenciestopracticeinotherstates.PSYPACTwillalso helpstatesensurethepublicwillbebetterprotectedfromharm. 54 IMPACT STATEMENTS ImpactStatements Hopeful Futures - Center for the Family Keren Chansky Suberri, Ph.D., ABPP Board Certified Couple and Family Psychologist RE:PSYCHOLOGYINTERJURISDICTIONALCOMPACT April28,2015 MynameisKerenChanskySuberri.IamanABPPBoardCertifiedCoupleandFamilyPsychologist.I havebeenworkinginthefieldsofpediatricpsychology,schoolpsychologyandfamilypsychologyforthe past35years,includingeightyearsatoneoftheleadingchildren'shospitalsintheUnitedStates. Over25%ofchildrenintheUShaveachronichealthcondition.Iprovidepsychologicalserviceson behalfofthesechildren.Becauseoftheparticularissuesathand,muchofmydirectserviceiswiththe parentsofthesechildren.Overthemanyyearsofmypractice,Ihaveobservedthat,sadly,thosefamilies whohavethegreatestneedformyservicesareoftenthosewhohavethemostdifficultymaking childcarearrangementsormissingworkinordertocometomyofficeforappointments. Childrenwithspecialhealthcareneeds(SHCN)requirespecializedchildcare.Atypicalteenage babysitterwouldnotbeableto,forexample,careforachildwithdiabetes,orforachildwhohas frequentseizures,orforachildwithautism.Lackofappropriatechildcareisoneoftheobstacles parentsofchildrenwithSHCNencounterwhenseekingmentalhealthservices. Iftheirchildishealthyenoughtoattendschool,therapyappointmentsduringtheschooldayisan optionforsomeparents.However,thisusuallymeansthatparentsneedtotakeoffseveralhoursfrom work.Takingtimeofffromworkisahardshipformanyfamilies.Therealityisthatparentsofchildren withSHCNarealreadytakingoffmanydaysfromworkinordertobringtheirchildrentoneeded medicalappointments. Inflexibleworkschedules,demandingjobs,unyieldingemployers,pressingfinancialneedsdue,inpart, torisingmedicalbills,andjobsthatrequireovernighttravelareadditionalobstaclesparentsfacewhen pursuingpsychologicalservicesfortheirfamily. Asiswellknown,familieswholiveinremoteareasarenotoriouslyunderserved.Appropriateservices fortheirchildrenwithspecialhealthcareneedsaresimplynotavailable. 55 IMPACT STATEMENTS Telepsychologyisapotentialsolutionforallthesefamilies.Tothisend,Iamopeningatelepsychology practiceforfamiliesofchildrenwithSHCN.Usingvideo‐conferencingtechnology,IamofferingHIPAA compliantonlinecounselingandconsultationforparentsofchildrenwithchronicillness, developmentaldisabilitiesorotherspecialhealthcareneeds. Forthemostpart,acrossjurisdictions,theexistingregulationsregardingtelepsychologyrequirethat psychologistsholdalicenseinthesamestatewheretheirpatientsreside.Duringthisinitialphaseofmy currentundertakingintelepsychology,Ihavepursuedpsychologylicensinginnearlyadozenstates.It hasbeenanarduous,time‐consumingandexpensiveprocess.Whathasbeenmoststrikingtomeisthe markedlackofuniformityacrossstatesintermsoftheadministrativeaspectsofthelicensingapplication process,whiletheeducationandtrainingrequirementsforlicensingacrossstatesareremarkablyquite similar.ArticleIVofPSYPACTwouldstreamlinethisentireprocess,withoutsacrificingtheimportant standardsthatstatesupholdforthetraining,educationandmoralconductoftheirlicensees. Telecommunicationisconstantlybecomingmoresophisticated,efficient,andsecureanditsuse increasinglywidespread.Therealityisweliveinaglobalizedworld.Forthe"Millennials,"the generationwhohasgrownupwithtechnologyandsocialmedia,awired,connectedworldisallthey haveknown.Forthisgeneration,telecommunicationisasnaturaltothemasNo2pencilsweretoour BabyBoomergeneration.Thereareover80millionofthese"Millennials"intheUS;manyofwhomare alreadyparents.Inordertoremainrelevanttothepeopleweaspiretoserve,itbehoovesthefieldof psychologytokeepupwiththetimes.ThecreationofPSYPACTcouldnotbemorefitting. ArticleIVofPSYPACTwouldfacilitatetheprovisionofneededpsychologicalservicestofamilieswhoare currentlyunderserved,whileatthesametimeprotectingtheirhealthandsafety,andthehealthand safetyofthepublicatlarge.Isupportandurgeitsratificationacrossstatesandjurisdictions. Thankyouforyourconsiderationofthisimportantinitiative. Sincerely, KerenChanskySuberri,Ph.D.,ABPP BoardCertifiedCoupleandFamilyPsychologist 56 FISCAL NOTE FiscalNote INTRODUCTION ThePsychologyInterjurisdictionalCompact(PSYPACT)willrequirefundstoexpandedoutreachactivities,to assistCompactStatesinregulation,andtoprovidesupportstaff,contracts,travel,andotherexpensesrelated toitsoperations. OPERATIONAL COSTS WhilethefinalactivitiesandorganizationalstructureofPSYPACTarestillbeingdetermined,anyestimatesof operationalcostsareverypreliminary.Table1givesanoutlineofthesuggestedcostcategoriesandthe estimatedamountsneeded.Thetotalongoingcostisestimatedatapproximately$430,000annually.This doesnotreflectstart‐upcosts,whichareprojectedtobehigher.Therewillbemoretripstostatestomarket thecompact,testifyatstatelegislativehearings,andtodevelopmanyoftheelements(i.e.,bylaws,operational definitions,rules,regulations,financialprocesses)thatneedtobecreatedandimplementedinthefirstyears ofoperation.Giventhescaleofthesestart‐uprequirements,externalfundingwillmostlikelybeneededto fundsomeoralloftheseactivities. TABLE 1: PSYPACT OPERATIONAL COSTS ESTIMATES Personnel ExecutiveDirector Salary Benefits ProfessionalStaff Salary Benefits AdministrativeSupportStaff Salary Benefits ContractedHelp LegalAssistance Accounting Travel Meetings Costpertrip OfficeSpace Offices Costperoffice Miscellaneous EquipmentRental Depreciation BankFees Supplies TOTAL $85,000 $17,000 $102,000 $50,000 $10,000 $60,000 $35,000 $7,000 $42,000 $12,880 $7,500 $20,380 3 $13,867 $41,600 3 $1,920 $5,760 $10,000 $111,613 $32,550 $4,097 $158,260 $430,000 57 FISCAL NOTE PERSONNEL Anexecutivedirector,professionalstaffperson,andadministrativestaffpersonareproposed.Whilethe executivedirectorwillbethefaceoftheorganization,thestaffpersonandadministrativestafferwillneedto trackthemanydetailsofimplementingthecompact. CONTRACTED HELP Ratherthanhiringstaff,somedutiescanbecontracted.Inworkingwithstatelawsandwithinterstate compacts,therewillbeon‐goingneedforlegaladvice.Giventheamountofpass‐throughfunds,having extensiveaccountingandauditingexpertisewillbenecessary. TRAVEL OncePSYPACTbecomesoperational,meetingsoftheExecutiveCommitteeaswellastheentireCommission willneedtobescheduled. OFFICE SPACE AND MISCELLANEOUS Thestaffwillneedofficespace,communications(phone,technologyandconferences),andsupplies.The bankfeesreflecta5%ofincomechargeforcreditcardprocessing. INCOME Inreviewinginterstatecompacts,thosecompactsoftenchargeasinglefeetoastateforparticipation.Given thatthereisnoadditionalworkrequiredbasedonthenumberoflicenseesinagivenstate,asetfeeof$3,000 perCompactStateisproposed. RECOMMENDED FEE STRUCTURE TheexactfeestructurewillbelefttothedeterminationoftheCommissionwhichwillincludestatesthat decidetoenterintotheCompact.Staffexaminedalternativefeestructuresandthecompactdraftincludesthe followingrecommendations. ApsychologistwillneedadditionalcertificationstoutilizePSYPACTwithinCompactStates.Thepsychologist willberesponsibletopay: 1. 2. AnapplicationfeefortheE.Passportaswellasanannualrenewalfee. AnapplicationfeefortheInterjurisdictionalPracticeCertificate(IPC)andanannualrenewalfee. Thefollowingsectionsfurtherexplainthereasoningbehindthesetwochargesandprovideexamplesof financialimpact. FUNDING HOME STATE REGULATORY ACTIVITIES WhilePSYPACTwillneedtocovertheon‐goingcostsofitsinternaloperations,theincomemodelalsotakes intoaccounttheshiftinactivitiesthatwilloccurineachoftheindividualstateregulatoryofficesforstates participatinginthecompact.PSYPACTshiftstheoversightofdisciplinetopsychologist’shomestatefor telepsychologicalpractice.Forsomestates,thiswillmeananincreaseinexpenses.Whileacknowledgingthat 58 FISCAL NOTE stateregulatoryofficeshavewidelydifferingfinancingmodels,theproposedPSYPACTfinancingmodelseeks toallowtheCommissiontheflexibilitytoofferassistancetoCompactStatesasneeded. PSYPACT’S OPERATIONAL COSTS PSYPACTwillrequireasmallstafftopromote,implement,andmanageitsoperations.Manyofthedutiesare outlinedintheCompact,buttherewillalsobetheneedtocontractforshort‐termservices(suchaslegal assistance).ItisrecommendedthataportionoftheE.PassportandIPCfeesbetargetedtosupportPSYPACT’s operationalcosts.AsthenumberofstatesjoiningtheCompactincreases,manyofthefixedcostswillincrease. TakingintoaccounttheactualcostofservicesandnumberofapplicationsfortheE.PassportandIPC,thefee chargedtotheCompactStatescouldbeloweredovertime. ThefinancialproposalisneededtomeetthefollowinggoalsforPSYPACT’soperations: MaintainaninfrastructuretoeffectivelyoperateandexpandtheadministrationoftheCompact. KeepthefeelowenoughtoencouragestatesandpsychologiststoparticipateinPSYPACT. OVERALL COST TO A PSYCHOLOGIST Thecostsforobtainingandmaintaininglicensesinallstatesinwhichapsychologistwishestopracticecanbe costlyandtimeconsuming.Inaddition,meetingexistinglicensurerequirementsforeachstatecanbedifficult sincerequirementschangeovertime.Areviewofstatelicensurefeesshowsthattheaveragefeeforobtaining alicenseinastateisaround$250.Theaveragerenewalfeeforthosestatesrenewingannualisaround$270 andthoserenewingevery2yearsisaround$300.Thefinancialproposalneededtomeetthefollowinggoals forpsychologists: Reducetheoverallcoststopsychologiststoprovideneededservicestotheconsumer. KeepthecosttopsychologistlowenoughtoencourageparticipationinPSYPACT. ByparticipatinginPSYPACT,apsychologistwillincurafractionofwhatitiscurrentlyexpectedtopayin licensureandrenewalfeesforlicensesinmultiplestates.Thislowerfeeandthesimplifiedcompliance processwillattractadditionalpsychologiststocomply. Note:ThisanalysisdoesnotincludetheinitialcostsneededtogetPSYPACTenacted.Thecostsinthefiscal noteinvolveoperationalcostsonce7stateshaveenactedthePSYPACTlegislation. 59 LEGISLATIVE TALKING POINTS LegislativeTalkingPoints PRIMARY DRIVERS BEHIND PSYPACT Arequestfromthestatepsychologylicensingboardstoprovideanagreementtypemechanismto assistwithregulationoftelepsychologicalservices. Theneedtoensuretheethicalandlegalprovisionoftelepsychologicalservicesandreduceregulatory barrierswhilestillprotectingthepublic;and Theneedtoestablishconsistenciesintheregulatoryrequirementsaroundtheprovisionof temporaryin‐person,face‐to‐facepsychologicalservices. DEVELOPMENT PROCESS ATaskForcewascreatedtoresearchandsuggestpossiblesolutionstoregulateinterstate telepsychology. TheTaskForcedraftedpossiblesolutionstoaddressthisissue.Themostpromisingbeinga certificate. TheASPPBmembershipprovidedfeedbackandrequestedthattheTaskForceresearchthefeasibility ofcreatinganagreementamongthestates. TheTaskForceconvenedanadvisorygroupmadeupofmembersfromallareasoftheprofessionof psychology. Acompactwasdecidedonasthemostfeasiblemeanstoaddresstheneedsoftheprofession. TheTaskForcethenbecamethedraftingteamtocreatethecompactaswellasincorporateallwork previouslydonebytheTaskForce. ThedraftcompactwasreleasedforpubliccommentinSeptemberof2014. Modificationsweredonebasedonfeedbackreceivedduringthepubliccommentperiod. ThePsychologyInterjurisdictionalCompact(PSYPACT)wasapprovedbytheASPPBBoardof DirectorsinFebruary2015. COMPACT HIGHLIGHTS PSYPACTprovidesamechanismtoallowforthelegal,ethicalandregulatedpracticeoftelepsychologyand temporaryin‐person,face‐to‐facepractice: Bygivingqualifiedpsychologiststheauthorizationtopracticetelepsychologyinparticipatingstates; and Bygivingqualifiedpsychologiststheauthorizationtopracticetemporaryin‐person,face‐to‐face psychologyinparticipatingstatesupto30calendardaysinayear. PSYPACT ADDRESSES: ObligationsoftheHomeState; ObligationsoftheDistantandReceivingStates; Howadverseactionsareresolved;and Compactfundingandgovernance ForadditionalinformationpleasecontacteitherJanetOrwigatjorwig@asppb.orgorat678‐216‐1188orLisa [email protected]‐216‐1191. 60 STATISTICS Statistics State #ofLicensed Psychologists* Population Counts** Psychologists per100,000 State Population Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DistrictofColumbia*** Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri 1,069 195 1,898 575 19,345 2,772 1,924 499 1,293 4,702 2,303 1,025 412 4,904 1,739 582 1,697 1,354 690 607 2,821 5,517 2,585 3,899 419 1,883 4,849,377 736,732 6,731,484 2,966,369 38,802,500 5,355,866 3,596,677 935,614 658,893 19,893,297 10,097,343 1,419,561 1,634,464 12,880,580 6,596,855 3,107,126 2,904,021 4,413,457 4,649,676 1,330,089 5,976,407 6,745,408 9,909,877 5,457,173 2,994,079 6,063,589 22 26 28 19 50 52 53 53 196 24 23 72 25 38 26 19 58 31 15 46 47 82 26 71 14 31 Montana Nebraska Nevada NewHampshire NewJersey NewMexico NewYork NorthCarolina NorthDakota Ohio Oklahoma Oregon Pennsylvania PuertoRico RhodeIsland SouthCarolina SouthDakota Tennessee Texas Utah Vermont Virginia Washington WestVirginia Wisconsin Wyoming TOTAL #ofLicensed Psychologists* Population Counts** 252 491 457 660 3,300 729 12,708 3,877 236 3,654 567 904 6,044 3,647 785 732 202 2,574 7,502 916 656 3,861 4,236 1,256 3,024 234 130,213 1,023,579 1,881,503 2,839,099 1,326,813 8,938,175 2,085,572 19,746,227 9,943,964 739,482 11,594,163 3,878,051 3,970,239 12,787,209 3,548,397 1,055,173 4,832,482 853,175 6,549,352 26,956,958 2,942,902 626,562 8,326,289 7,061,530, 1,850,326 5,757,564 584,153 322,405,453 Psychologists per100,000 Population 25 26 16 50 37 35 64 39 32 32 15 23 47 103 74 15 24 39 28 31 105 46 60 68 53 40 40 *Note:Thisnumberrepresentsnumberofpsychologistslicensedtopracticeineachstateorterritory.Psychologistsmayholdlicensesinmultiplestates. **Source:U.S.CensusBureau,PopulationDivision,July2014 ***Source:ASPPBWorkforceAnalysisSurveywascollectedfrom2013‐2014.DatafromtheDistrictofColumbiawascollectedin2015 61 ROSTERS Rosters ASPPBTelepsychologyTaskForce2013 Angelina Barnes, JD Margo Adams Larsen, PhD ASPPBTelepsychologyTaskForceMember MinnesotaBoardofPsychology [email protected] ASPPBTelepsychologyTaskForceMember NorthDakotaBoardofPsychologist Examiners [email protected] Fred Millán, PhD, ABPP, NCC Miller, Thomas, PhD ASPPBPresident&TelepsychologyTaskForceChair ASPPBTelepsychologyTaskForceMember KentuckyStateBoardofPsychology [email protected] [email protected] Janet Orwig, MBA Rallo, Joseph S., PhD, CPsych ASPPBAssociateExecutiveOfficerforMember Services&TelepsychologyTaskForceStaff [email protected] ASPPBTelepsychologyTaskForceMember PsychologicalAssociationofManitoba [email protected] Alex Siegel, JD, PhD Philip Smith, PhD, CPsych ASPPBDirectorofProfessionalAffairs& TelepsychologyTaskForceStaff [email protected] ASPPBTelepsychologyTaskForceMember PrinceEdwardIslandPsychologists RegulationBoard [email protected] 62 ROSTERS ASPPBTelepsychologyTaskForce2014and PSYPACTDraftingTeam Angelina Barnes, JD Kenneth Drude, PhD ASPPBTelepsychologyTaskForceMember MinnesotaBoardofPsychology [email protected] ASPPBTelepsychologyTaskForceMember OhioStateBoardofPsychology [email protected] Tomas Granados, PsyD Margo Adams Larsen, PhD ASPPBTelepsychologyTaskForceMember NewMexicoBoardofPsychologistExaminers [email protected] Fred Millán, PhD, ABPP, NCC ASPPBTelepsychologyTaskForceMember NorthDakotaBoardofPsychologist Examiners [email protected] Janet Orwig, MBA ASPPBPresident&TelepsychologyTaskForceChair ASPPBAssociateExecutiveOfficerof MemberServices&TelepsychologyTask [email protected] ForceStaff [email protected] Alex Siegel, JD, PhD Philip Smith, PhD, CPsych ASPPBDirectorofProfessionalAffairs& TelepsychologyTaskForceStaff [email protected] ASPPBTelepsychologyTaskForceMember PrinceEdwardIslandPsychologists RegulationBoard [email protected] 63 ROSTERS TelepsychologyAdvisoryWorkgroup2014 Dale Atkinson, JD Deborah Baker, JD FederationofAssociationsofRegulatoryBoards (FARB) [email protected] APAPractice–Legal&RegulatoryAffairs [email protected] Angelina Barnes, JD ASPPBTelepsychologyTaskForceMember MinnesotaBoardofPsychology [email protected] Linda Campbell, PhD APA/ASPPB/APAITJointTelepsychologyTaskForce APARepresentative [email protected] Karen Cohen, PhD Sarah Bowen APACouncilofExecutivesofState,Provincial (&Territorial)PsychologicalAssociations (CESPPA) [email protected] Sara Cherico NationalGovernorsAssociation(NGA) [email protected] Crady deGolian CanadianPsychologicalAssociation(CPA) [email protected] CouncilofStateGovernments(CSG) NolongerwithCSG–Newcontact:Colmon [email protected] Stephen DeMers, EdD Kenneth Drude, PhD ASPPBChiefExecutiveOfficer [email protected] ASPPBTelepsychologyTaskForceMember OhioStateBoardofPsychology [email protected] Tomas Granados, PsyD ASPPBTelepsychologyTaskForceMember NewMexicoBoardofPsychologistExaminers [email protected] Margo Adams Larsen, PhD ASPPBTelepsychologyTaskForceMember NorthDakotaBoardofPsychologistExaminers [email protected] Eric Harris, EdD, JD APAInsuranceTrust [email protected] Dan Manz MeetingFacilitator [email protected] Jana Martin, PhD Rick Masters, JD APAInsuranceTrust [email protected] NationalCenterforInterstateCompacts (NCIC) 64 ROSTERS [email protected] Fred Millán, PhD, ABPP, NCC Rick Morris, PhD, CPsych ASPPBPresident&TelepsychologyTaskForceChair AssociationofCanadianPsychology RegulatoryOrganizations(ACPRO) [email protected] [email protected] Katherine Nordal, PhD Janet Orwig, MBA APAPracticeDirectorate [email protected] ASPPBAssociateExecutiveOfficerfor MemberServices [email protected] Alex Siegel, JD, PhD Lisa Russo ASPPBMemberServicesSpecialProjects Coordinator [email protected] Philip Smith, PhD, CPsych ASPPBTelepsychologyTaskForceMember PrinceEdwardIslandPsychologistsRegulation Board [email protected] ASPPBDirectorofProfessionalAffairs [email protected] Carolyn Turvey, PhD AmericanTelemedicineAssociation(ATA) carolyn‐[email protected] 65 ROSTERS ASPPBPSYPACTAdvisoryWorkgroup2015 MorganAlldredge DeborahBaker,JD StateofNevadaBoardofPsychologicalExaminers [email protected] APAPractice–Legal&RegulatoryAffairs [email protected] SarahBowen KennethDrude,PhD APACouncilofExecutivesofState,Provincial(& Territorial)PsychologicalAssociations(CESPPA) [email protected] OhioStateBoardofPsychology [email protected] FredMillán,PhD,ABPP,NCC ASPPBPastPresident [email protected] ASPPBAssociateExecutiveOfficerof MemberServices&ExecutiveDirectorof PSYPACT [email protected] CindyOlvey,PhD LisaRusso ArizonaBoardofPsychologistExaminers [email protected] ASPPBMemberServicesSpecialProject Coordinator&PSYPACTCoordinator [email protected] JanetOrwig,MBA MarthaStorie AlexSiegel,JD,PhD ASPPBDirectorofProfessionalAffairs [email protected] ASPPBPresident [email protected] 66 ROSTERS PrincipalStaff Janet Orwig, MBA Lisa Russo ASPPBAssociateExecutiveOfficerofMember Services&ExecutiveDirectorofPSYPACT [email protected] ASPPBMemberServicesSpecialProject Coordinator&PSYPACTCoordinator [email protected] Alex Siegel, JD, PhD ASPPBDirectorofProfessionalAffairs [email protected] 67 KEY CONTACTS KeyContacts FOR MORE INFORMATION CONTACT: JanetOrwig,MBA ExecutiveDirectorofPSYPACT& ASPPBAssociateExecutiveOfficerMemberServices [email protected] LisaRusso PSYPACTCoordinator& ASPPBMemberServicesSpecialProjectsCoordinator [email protected] AssociationofStateandProvincialPsychologyBoards 215MarketRoad Tyrone,GA30290 Ph.(678)216–1175 Fax(678)216‐1176 www.psypact.org 68 APPENDIX A ‐ REFERENCES References ASPPB.(2013).Retrievedfromhttp://www.asppb.net/?page=Mission. Baker,D.&Bufka,L.(2011)Preparingforthetelehealthworld:Navigatinglegal,regulatory,reimbursement andethicalissuesinanelectronicage.ProfessionalPsychology:ResearchandPractice.42,405‐ 411. Barak,A.,Hen,L.,Boniel‐Nissim,M.andShapira,N.(2008).Acomprehensivereviewandameta‐analysisof theeffectivenessofinternet‐basedpsychotherapeuticinterventions.JournalofTechnologyin HumanServices,26,109‐160. Brenes,G.A.,Ingraham,C.W.&Danhaur,S.C.(2011).Benefitsandchallengesofconductingpsychotherapy bytelephone.ProfessionalPsychology:ResearchandPractice.42,543‐549 Brown,N.A.,(2006)StateMedicaidandprivatepayerreimbursementfortelemedicine:Anoverview. JournalofTelemedicineandTelecare,12,32‐39. CenterforMedicareandMedicaidServices(2011).Telehealthservicesfactsheet.Retrievedfrom http//:www.telemedicine.com/pdfs/Telehealthsrvsfctsht.pdf. Collins,K.A.,Westra,H.A.,Dozois,D.J.,&Burns,D.D.(2004).Gapsinaccessingtreatmentforanxietyand depression:Challengesforthedeliveryofcare.ClinicalPsychologyReview.24,583‐616. Dollinger,S.C.andChwalisz,K.(2011).Reachingruralcaregiverswithamulticomponenttelehealth intervention:Thetelehealthlineforcaregivers.ProfessionalPsychology:ResearchandPractice. 42,535‐542. Eder‐VanHook,J.,Burgiss,S.G.,&Waters,R.J.(2006).Medicaidpoliciesontelehealthservices:A comparativeanalysis.Washington,DC:CenterforTelehealthandeHealthLaw. Epstein,R.(2011).Distancetherapycomesofage.ScientificAmericanMind,May/June,60‐ 63. Gilman,M.andStensland,J.(2013).TelehealthandMedicare:Paymentpolicy,currentuse,andprospects forgrowth.Medicare&MedicaidResearchReview.Volume3,Number4,E1‐E14. Gustafson,D.H.;Shaw,B.R.,Isham,A.,Baker,T.,Boyle,M.G.,&Levy,M.(2011).Explicatingandevidence‐ based,theoreticallyinformed,mobiletechnology‐basedsystemtoimproveoutcomesforpeoplein recoveryforalcoholdependence.SubstanceUseandMisuse.46,96‐111. Harris,E.&Younggren,J.N.(2011).Riskmanagementinthedigitalworld.ProfessionalPsychology: ResearchandPractice,42,412‐418. McCord,C.E.,Elliott,T.R.,Wendel,M.L.,Brossart,D.F.,Cano,M.A.,Gonzalez,G.E.&Burdine,J.N.(2011). CommunitycapacityandteleconferencecounselinginruralTexas.ProfessionalPsychology: ResearchandPractice.42,521‐527. Newman,M.G.(Ed.)(2004)Technologyinpsychotherapy(SpecialIssue).JournalofClinicalPsychology 69 APPENDIX A ‐ REFERENCES RobertJ.WatersCenterforTelehealthande‐HealthLaw(CTeL).MedicaidReimbursement. http://ctel.org/expertise/reimbursement/medicaid‐reimbursement.AccessedMarch30,2015. Smith,R.E.,Fagan,C.,Wilson,N.L.,Chen,J.,Corona,M.,Nguyen,H.,etal(2011)Internetbasedapproaches tocollaborativetherapeuticassessment:Newopportunitiesforprofessionalpsychologists. ProfessionalPsychology:ResearchandPractice.42,494‐504. Spira,J.,Johnson,S.,McLay,R.,Popovic,S.,Russoniello,C.,&Wood,D.(2010).Expertpanel:Future directionsoftechnologicaladvancesinprevention,assessment,andtreatmentformilitary deploymentmentalhealth.Cyberpsychology,BehaviorandSocialNetworking.13,109‐117. Tunick,R.A.,Mednick,L.&Conroy,C.(2011).Asnapshotofchildpsychologists’socialmediaactivity: Professionalandethicalpracticeimplicationsandrecommendations.ProfessionalPsychology: ResearchandPractice.42,440‐447. U.S.DepartmentofHealthandHumanServices.(1999)MentalHealth:AReportoftheSurgeonGeneral. Rockville,MD:U.S.DepartmentofHealthandHumanServices,SubstanceAbuseandMentalHealth ServicesAdministration,CenterforMentalHealthServices,NationalInstitutesofHealth,National InstituteofMentalHealth. Vismara,L.,McCormick,C.,Young,G.,Nadhan,A.,&Monlux,K.(2013).Preliminaryfindingsofatelehealth approachtoparenttraininginautism.AutismDevelopmentDisorder.PublishedonlineDOI 10.1007/s10803‐013‐1841‐8. Wenceslao,P.(2012).Abouttheeffectivenessoftelehealthproceduresinpsychologicaltreatments. InternationalJournalofClinicalandHealthPsychology.12.3p475‐487. 70
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