Delaware law allows interstate athletic training once agreement requirements are met

Participating states grant eligible athletic trainers permission to practice under the interstate agreement. Licensed athletic trainers may seek permission in multiple participating states. They designate one license as their qualifying license; that state need not be where they live or mainly work. States must fully implement required criminal background checks before issuing or accepting interstate practice permissions. Trainers need an unrestricted qualifying license, a background check, and no restrictions on any athletic training license or interstate permission within the previous two years. Trainers need active Board of Certification certification or an accredited athletic training degree of at least bachelor’s level and the required exam, including allowed equivalents. Trainers must notify the commission, pay applicable fees, and meet any requirements for showing knowledge of the other state’s laws. They meet continuing education requirements only in their qualifying license state. The agreement takes effect when the seventh state enacts it. Interstate practice permission expires with the trainer’s qualifying license and must be renewed with that license.

Trainers must follow the patient’s state rules, and participating states share licensing and disciplinary records. Treatment rules cover trainers using interstate permission. Shared records cover trainers and license applicants, including identifying information, license denials, and disciplinary actions. A restricted qualifying license must be restored, and the trainer must have two years without restrictions on any license or interstate permission before qualifying again. When one state removes interstate permission, other states may also remove it. Regaining permission requires the removal period to end, payment of all fines, and two years without restrictions. Significant investigation information is available only to participating states. States may limit public access to other records, and legally erased records must be removed. The agreement does not authorize discipline for conduct that was legal in the participating state where it occurred. Disciplinary orders against the qualifying license deactivate interstate permission in all participating states while the orders remain in force.

A joint state commission administers the agreement, adopts binding rules, and may charge states and trainers to cover operating costs. The commission oversees participating states and trainers using interstate permission. It may collect annual payments from states and fees from trainers to fund its work. Each participating state has one voting representative. Commission rules do not override conflicting state treatment rules when a court confirms the conflict. Full-time active military members and their spouses pay no commission fee for interstate permission. States may still charge their own fees or choose to reduce or waive them. Regular rulemaking requires public notice and a hearing. Emergency rules allow a shorter process, followed by regular review within 90 days. A majority of participating state legislatures can reject a commission rule within four years of its adoption. The commission begins on or after the agreement takes effect. A state’s withdrawal takes effect 180 days after repeal. It must recognize existing interstate permissions for at least 180 days after withdrawal notice.