,,ia  #aac? ,,congress  #b;d ,session   
,h4 ,j4 ,,res4 #aaj  ,,9 ,,! ,,h\se ,,( 
,,repres5tatives  ,febru>y #aa1 #bjad   
,mr4 ,lank=d introduc$ ! foll[+ jo9t    
resolution2 :i* 0 ref]r$ to ! ,committee
 on ! ,judici>y  ,,jo9t ,,resolution    
,grant+ ! cons5t ( ,congress to ! ,heal?
 ,c>e ,compact4  #a4 ,congressional     
,cons5t ,except z provid$ 9 section #b1 
,congress h]eby cons5ts to ! ,heal? ,c>e
 ,compact4 ,! ,compact reads z foll[s3  
#a4 ,def9itions ,z us$ 9 ?is ,compact1  
unless ! context cle>ly indicates       
o!rwise3  7#a7 ,commission means !      
,int]/ate ,advisory ,heal? ,c>e         
,commission4  7#b7 ,effective ,date     
means ! date ^u :i* ?is ,compact %all   
become effective = purposes ( ! op]ation
 ( ,/ate & ,f$]al law 9 a ,memb] ,/ate1 
:i* %all be ! lat] (--  7,a7 ! date ^u  
:i* ?is ,compact %all be adopt$ "u !    
laws ( ! ,memb] ,/ate2 or  7,b7 ! date  
^u :i* ?is ,compact receives ! cons5t ( 
,congress pursuant to ,article ,i1      
,section #aj1 ( ! ,unit$ ,/ates         

,con/itution1 aft] at lea/ two ,memb]   
,/ates adopt ?is ,compact4  7#c7 ,heal? 
,c>e means c>e1 s]vices1 supplies1 or   
plans relat$ to ! heal? ( an individual 
& includes b is n limit$ to--  7,a7     
prev5tive1 diagno/ic1 !rapeutic1        
rehabilitative1 ma9t5ance1 or palliative
 c>e & c\nsel+1 s]vice1 assessm5t1 or   
proc$ure ) respect to ! physical or     
m5tal condition or functional /atus ( an
 individual or t affects ! /ructure or  
function ( ! body2  7,b7 sale or disp5s+
 ( a drug1 device1 equipm5t1 or o!r item
 9 accordance ) a prescription2 &  7,c7 
an individual or gr\p plan t provides1  
or pays ! co/ (1 c>e1 s]vices1 or       
supplies relat$ to ! heal? ( an         
individual1  except any c>e1 s]vices1   
supplies1 or plans provid$ by ! ,unit$  
,/ates ,dep>tm5t ( ,def5se & ,unit$     
,/ates ,dep>tm5t ( ,vet]ans ,affairs1 or
 provid$ to ,native ,am]icans4  7#d7    
,memb] ,/ate means a ,/ate t is         
signatory to ?is ,compact & has adopt$ x
 "u ! laws ( t ,/ate4  7#e7 ,memb] ,/ate

 ,base ,fund+ ,level means a numb] equal
 to ! total ,f$]al sp5d+ on ,heal? ,c>e 
9 ! ,memb] ,/ate dur+ ,f$]al fiscal ye> 
#bjaj4 ,on or be=e ! ,effective ,date1  
ea* ,memb] ,/ate %all det]m9e ! ,memb]  
,/ate ,base ,fund+ ,level = its ,/ate1 &
 t numb] %all be b9d+ ^u t ,memb] ,/ate4
  7#f7 ,memb] ,/ate ,curr5t ,ye> ,fund+ 
,level means ! ,memb] ,/ate ,base ,fund+
 ,level multipli$ by ! ,memb] ,/ate     
,curr5t ,ye> ,population ,adju/m5t      
,factor multipli$ by ! ,curr5t ,ye>     
,inflation ,adju/m5t ,factor4  7#g7     
,memb] ,/ate ,curr5t ,ye> ,population   
,adju/m5t ,factor means ! av]age        
population ( ! ,memb] ,/ate 9 ! curr5t  
ye> less ! av]age population ( ! ,memb] 
,/ate 9 ,f$]al fiscal ye> #bjaj1 divid$ 
by ! av]age population ( ! ,memb] ,/ate 
9 ,f$]al fiscal ye> #bjaj1 plus #a4     
,av]age population 9 a ,memb] ,/ate %all
 be det]m9$ by ! ,unit$ ,/ates ,c5sus   
,bureau4  7#h7 ,curr5t ,ye> ,inflation  
,adju/m5t ,factor means ! ,total ,gross 
,dome/ic ,product ,deflator 9 ! curr5t  

ye> divid$ by ! ,total ,gross ,dome/ic  
,product ,deflator 9 ,f$]al fiscal ye>  
#bjaj4 ,total ,gross ,dome/ic ,product  
,deflator %all be det]m9$ by ! ,bureau (
 ,economic ,analysis ( ! ,unit$ ,/ates  
,dep>tm5t ( ,comm]ce4  #b4 ,pl$ge ,!    
,memb] ,/ates %all take jo9t & sep>ate  
action to secure ! cons5t ( ! ,unit$    
,/ates ,congress to ?is ,compact 9 ord] 
to return ! au?ority to regulate ,heal? 
,c>e to ! ,memb] ,/ates consi/5t ) !    
goals & pr9ciples articulat$ 9 ?is      
,compact1 ! ,memb] ,/ates %all improve  
,heal? ,c>e policy )9 _! respective     
jurisdictions & accord+ to ! judgm5t &  
discretion ( ea* ,memb] ,/ate4  #c4     
,legislative ,p[] ,! legislatures ( !   
,memb] ,/ates h ! prim>y responsibility 
to regulate ,heal? ,c>e 9 _! respective 
,/ates4  #d4 ,/ate control ,ea* ,memb]  
,/ate1 )9 its ,/ate1 may susp5d by      
legislation ! op]ation ( all ,f$]al     
laws1 rules1 regulations1 & ord]s reg>d+
 ,heal? ,c>e t are inconsi/5t ) ! laws &
 regulations adopt$ by ! ,memb] ,/ate   

pursuant to ?is ,compact4 ,f$]al & ,/ate
 laws1 rules1 regulations1 & ord]s      
reg>d+ ,heal? ,c>e w rema9 9 effect     
unless a ,memb] ,/ate expressly susp5ds 
!m pursuant to its au?ority "u ?is      
,compact4 ,= any ,f$]al law1 rule1      
regulation1 or ord] t rema9s 9 effect 9 
a ,memb] ,/ate aft] ! ,effective ,date1 
t ,memb] ,/ate %all be responsible = !  
associat$ fund+ obligations 9 its ,/ate4
  #e4 ,fund+  7a7 ,ea* ,f$]al fiscal    
ye>1 ea* ,memb] ,/ate %all h ! "r to    
,f$]al monies up to an am\nt equal to   
its ,memb] ,/ate ,curr5t ,ye> ,fund+    
,level = t ,f$]al fiscal ye>1 fund$ by  
,congress z m&atory sp5d+ & n subject to
 annual appropriation1 to support !     
ex]cise ( ,memb] ,/ate au?ority "u ?is  
,compact4 ,?is fund+ %all n be          
conditional on any action ( or          
regulation1 policy1 law1 or rule be+    
adopt$ by ! ,memb] ,/ate4  7b7 ,by ! />t
 ( ea* ,f$]al fiscal ye>1 ,congress %all
 e/abli% an initial ,memb] ,/ate ,curr5t
 ,ye> ,fund+ ,level = ea* ,memb] ,/ate1 

bas$ ^u reasonable e/imates4 ,! f9al    
,memb] ,/ate ,curr5t ,ye> ,fund+ ,level 
%all be calculat$1 & fund+ %all be      
reconcil$ by ! ,unit$ ,/ates ,congress  
bas$ ^u in=mation provid$ by ea* ,memb] 
,/ate & audit$ by ! ,unit$ ,/ates       
,gov]nm5t ,acc\ntability ,(fice4  #f4   
,int]/ate ,advisory ,heal? ,c>e         
,commission  7a7 ,! ,int]/ate ,advisory 
,heal? ,c>e ,commission is e/abli%$4 ,! 
,commission consi/s ( memb]s appo9t$ by 
ea* ,memb] ,/ate ?r\gh a process to be  
det]m9$ by ea* ,memb] ,/ate4 ,a ,memb]  
,/ate may n appo9t m ?an two memb]s to !
 ,commission & may )draw memb]%ip f !   
,commission at any "t4 ,ea* ,commission 
memb] is entitl$ to "o vote4 ,!         
,commission %all n act unless a majority
 ( ! memb]s are pres5t1 & no action %all
 be b9d+ unless approv$ by a majority ( 
! ,commission's total memb]%ip4  7b7 ,! 
,commission may elect f among its       
memb]%ip a ,*airp]son4 ,! ,commission   
may adopt & publi% bylaws & policies t  
are n inconsi/5t ) ?is ,compact4 ,!     

,commission %all meet at lea/ once a    
ye>1 & may meet m frequ5tly4  7c7 ,!    
,commission may /udy issues ( ,heal?    
,c>e regulation t are ( p>ticul> conc]n 
to ! ,memb] ,/ates4 ,! ,commission may  
make non-b9d+ recomm5dations to ! ,memb]
 ,/ates4 ,! legislatures ( ! ,memb]     
,/ates may consid] ^! recomm5dations 9  
det]m9+ ! appropriate ,heal? ,c>e       
policies 9 _! respective ,/ates4  7d7 ,!
 ,commission %all collect in=mation &   
data to assi/ ! ,memb] ,/ates 9 _!      
regulation ( ,heal? ,c>e1 includ+       
assess+ ! p]=mance ( v>i\s ,/ate ,heal? 
,c>e programs & compil+ in=mation on !  
prices ( ,heal? ,c>e4 ,! ,commission    
%all make ?is in=mation & data available
 to ! legislatures ( ! ,memb] ,/ates4   
,not)/&+ any o!r provision 9 ?is        
,compact1 no ,memb] ,/ate %all disclose 
to ! ,commission ! heal? in=mation ( any
 individual1 nor %all ! ,commission     
disclose ! heal? in=mation ( any        
individual4  7e7 ,! ,commission %all be 
fund$ by ! ,memb] ,/ates z agre$ to by !

 ,memb] ,/ates4 ,! ,commission %all h ! 
responsibilities & duties z may be      
conf]r$ ^u x by subsequ5t action ( !    
respective legislatures ( ! ,memb]      
,/ates 9 accordance ) ! t]ms ( ?is      
,compact4  7f7 ,! ,commission %all n    
take any action )9 a ,memb] ,/ate t     
contrav5es any ,/ate law ( t ,memb]     
,/ate4  #g4 ,congressional ,cons5t ,?is 
,compact %all be effective on its       
adoption by at lea/ two ,memb] ,/ates & 
cons5t ( ! ,unit$ ,/ates ,congress4 ,?is
 ,compact %all be effective unless !    
,unit$ ,/ates ,congress1 9 cons5t+ to   
?is ,compact1 alt]s ! fundam5tal        
purposes ( ?is ,compact1 :i* are--  7#a7
 to secure ! "r ( ! ,memb] ,/ates to    
regulate ,heal? ,c>e 9 _! respective    
,/ates pursuant to ?is ,compact & to    
susp5d ! op]ation ( any conflict+ ,f$]al
 laws1 rules1 regulations1 & ord]s )9 _!
 ,/ates2 &  7#b7 to secure ,f$]al fund+ 
= ,memb] ,/ates t *oose to invoke _!    
au?ority "u ?is ,compact1 z prescrib$ by
 ,section #e above4  #h4 ,am5dm5ts ,!   

,memb] ,/ates1 by unanim\s agreem5t1 may
 am5d ?is ,compact f "t to "t )\t !     
prior cons5t or approval ( ,congress &  
any am5dm5t %all be effective unless1 )9
 "o ye>1 ! ,congress disapproves t      
am5dm5t4 ,any ,/ate may jo9 ?is ,compact
 aft] ! date on :i* ,congress cons5ts to
 ! ,compact by adoption into law "u its 
,/ate ,con/itution4  #i4 ,)drawal2      
,dissolution ,any ,memb] ,/ate may )draw
 f ?is ,compact by adopt+ a law to t    
effect1 b no su* )drawal %all take      
effect until six mon?s aft] ! ,gov]nor (
 ! )draw+ ,memb] ,/ate has giv5 notice (
 ! )drawal to ! o!r ,memb] ,/ates4 ,a   
)draw+ ,/ate %all be liable = any       
obligations t x may h incurr$ prior to !
 date on :i* its )drawal becomes        
effective4 ,?is ,compact %all be        
dissolv$ ^u ! )drawal ( all b "o ( !    
,memb] ,/ates4  4  #b4 ,ag5cies = :i*   
cons5t is n grant$  7a7 ,9 g5]al        
,not)/&+ ! cons5t to ! ,heal? ,c>e      
,compact grant$ "u section #a1 ! p[]s   
grant$ to ,memb] ,/ates "u sections #c1 

#d1 & #e ( ! ,heal? ,c>e ,compact %all n
 apply ) reg>d to ! ag5cies li/$ "u     
subsection 7b71 & ! ,memb] ,/ate ,base  
,fund+ ,level & ,memb] ,/ate ,curr5t    
,ye> ,fund+ ,level %all n include funds 
sp5t by su* ag5cies4  7b7 ,exclud$      
ag5cies ,! ag5cies to :i* subsection 7a7
 applies are z foll[s3  7#a7 ,!         
,national ,in/itutes = ,heal?4  7#b7 ,! 
,c5t]s = ,disease ,control & ,prev5tion4
  7#c7 ,! ,food & ,drug ,adm9i/ration4