COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS SAIPAN, TINIAN, ROTA and NORTHERN ISLANDS ... ~...

Transcription

1 COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS SAIPAN, TINIAN, ROTA and NORTHERN ISLANDS ~.... COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23,2011 ******************************************************************************

2 COMMONWEALTH REGISTER PROPOSED REGULATIONS VOLUME 33 NUMBER 03 MARCH 23, 2011 TABLE OF CONTENTS Public Notice of Proposed Rules and Regulations of Rota Casino Gaming Commission..... Notice of Proposed Amendments to the Physician Assistants Regulations Health Care Professions Licensing Board LEGAL OPINIONS AG Opinion Constitutionality of Section 602 of Public Law Office of the Attorney G~neral DIRECTIVES Directive No. 142 Executive Order 94-3, Development Advisory Council Office of the Governor Directive No. 143 Executive Order 94-3, Development Appeals Board Office of the Governor Directive No. 144 Executive Order 94-3, Board of Parole Office of the Governor Directive No. 145 Executive Order 94-3, Section 206(b) Office of the Governor.... Directive No. 146 Executive Order 9403, Section 303(a) Office of the Governor

3 Directive No. 147 Executive Order 94-3, Sections 204 and 308(d) Office of the Governor.... Directive No. 148 Issuance of Directive on Executive Order 94-3, Sections , Implementation of General Provisions Office of the Governor... Directive No. 149 Issuance of Directive on Executive Order 94-3, Section 202, Establishment of a Planning Office in The Office of the Governor Office of the Governor.... Directive No. 150 Grant of Administrative Leave Office of the Governor Directive No. 151 Unauthorized Disclosure of Litigation Documents Office of the Governor.... Directive No. 152 Establishment of the Office of Drugs and Substance Abuse in the Office of the Governor under Executive Order 94-3, Section 215 Office of the Governor Directive No. 153 Implementation of Emergency Regulations Office of the Governor... ~ Directive No. 154 Amendment to Direction Procedures for Official Travel Office of the Governor Directive No. 155 Establishment of Office of Youth Affairs in the Office of the Governor, Executive Order 94-3, Section 203 Office of the Governor Directive No. 156 Authority of the Director of the Division of Public Lands Office of the Governor... ; Directive No. 157 Acting and Temporary Resident Department Heads Office of the Governor

4 Directive No. 158 Revised Directive Administrative Leave Policy Office of the Governor Directive No. 159 All Current and Future Project Proposals Within CNMI Office of the Governor Directive No. 160 Managers/Policy Makers Ownership Interest Exemption Office of the Governor

5 ROTA CASINO GAMING COMMISSION COMMONWEALTH OF THE NORTHERN MARIANA IsLANDS Posr OmcEBox 1547,-RoTA, MP PHONE: PUBLIC NOTICE OF PROPOSED RULES AND REGULATIONS OF ROTA CASINO GAMING COMMISSION -WHICH ARE AMENDMENTS TO THEROTA CASINO GAMING' COMMISSION RULES AND REGULATIONS Regulations Yo. 30 No. 12 pages to INTENDED ACTION TO ADOPT PROPOSED REGULATIONS: The Rota Gaming Conunission, HEREBY INTENDS TO ADOPT the Proposed Regulations; which are attached herewith and fully incorporated herein, pursuant to the. procedures of the Administrative Procedure Act, 1 CMC 9104(a). The proposed amendment would become effective 10 days after compliance with 1 CMC 9102 and 9104 (a) or (b). (1 CMC 9105(b». AUmORITY: Pursuant to the Rota Casino Act of2007, The Rota Casino Gaming Commission was estabfshed granting full authority to establish its rules and regulations necessary for the establishment and operation of the Conunission.. EFFECTIVE DATE: Pursuant to the APA, 1 CMC 9105(b), these adopted regulations are effective 10 days after compliance with the APA, 1 CMC 9102 and-9104(a) or (b), which, in this instance, is 10 days after this publication in the Commonwealth Register. TERMS AND SUBSTANCE: The Rules and Regulations provide for the fee schedule for a casino license to operate. The amount depends on the years of casino license the applicant elects to purchase. The proposed amendment provides further incentives to a casino applicant who elects to purchase a casino license ror an initial five (5) year license. THE SUBJECT AND ISSUES INVOLVED: The specific subject and issues involve is the Rota Casino Rules and Regulation to include (c) (5) which will be to give an applicant option to purchase a five (5) year terms for a casino license at a lower price. This amendment is to. provide incentives for casino applicants with long-term or permanent. investments. (See attachment, Resolution No ). DIRECTIONS FOR FILING AND PUBLICATION: These Proposed Regulations shall be published in the Commonwealth Register in the section on proposed and newly adopted regulations (1 CMC 91 02(a)(1» and posted in convenient places in the civic center and in local government offices in each senatorial district, both in English and in the principal vernacular. (1 CMC 9104{a)(1». LAURA MARIA I. MANGLONA, Chairperson" ELPHREM S. TAIMANAO, Vice Chairmari ABELINA T. MENDIOLA, Secretary" VICENTE M. ATAUG, Commisioner ALFREDo O. ANTOLIN, JR., EXecutive Director COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

6 TO PROVIDE COMMENTS: Please submit any comments or suggestions with the subject line "Incentive for Long-term. Casino Applicant" to the Executive Director, Mr. Alfredo Antolin, the Rota Casino Gaming Commission at the above address, phone number or fax number within thirty (30) days from the publication of this notice. Upon this adoption of the regulations, the Rota Casino Gaming Commission, if requested to do so by an interested person, either prior to adoption or within 30 days thereafter, will issue concise statement of the principal reasons for and against its adoption, incorporating ther~ its reasons for overruling the considerations urged against its adoption. I DECLARE under penalty of perjury that the above foregoing is true and correct and that this Declaration was executed on February 08, 2011 on Rota, Commonwealth of the Northern Mariana Islands. Certified and Ordered by: TORRES, Esq., Counsel Rota Casino Gamin Commission Date Received by: Filed and Recorded by: Governor's Special Assistarl Administration Date Date Pursuant to 1 CMC 2153(e) (AG approval of regulations to be promulgated as to form) and 1 CMC 9104(a)(30(obtain AG approval) the certified. final regulations, modified as indicated above from the cited proposed regulations, have been reviewed and approved as to form and legal sufficiency by the CNMI Attorney General, and shall be published (1 CMC 2153(f) (publication of rules and regulations». Date LAURA MARIA I. MANGI.ONA, Chairperson * ELPHREM S. TAIMANAO, Vice Chairman AEELlNA T. MENDIOLA, Secretary * VICENTE M. ATAUG, Commisioner Al.FREDO O. ANTOLIN, JR., Executive Director COMMONWEALTH REG~SIER VOLUME 33 NUMBER 03 MARCH 23, 2011 PA.GE

7 ROTA CASINO GAMING COMMISSION COMMONWEALlH OF THE NORTIIERN MARIANA ISLANDS POST OFFICE Box 1547, ROTA, MP %951 PHONE: * RESOLUTION NO On this 8 th day of February, 2011, before a duly organized and announced regular meeting held on Tatachog, Rota Commonwealth of the Northern Mariana Islands, the Commissioners for the Rota Gaming Casino Commission approved this resolution as follows: WHEREAS, the Rota Casino Gaming Commission (hereinafter "RCGC") is authorized to established its own Rules and Regulations pursuant to Rota Casino Act of WHEREAS, consistent with its authority to establish its own Rules and Regulations, the Commissioners declare the following amendment to the Rota Casino Gaming Commission, Rules and Regulation, to include the following: (c) (5) A Casino Applicant who applies for a Casino license and has paid all necessary fees including investigation fees on or before 01 March 2013 and has elected to pay the $400, initial 5 year term for casino License shall have the option as follows: a.applicant may exercise its option for its second 5 year term for Casino license for $450,000.00; b. Applicant may exercise its option for its third 5 year term for Casino license for $450,000.00; c. Applicant may exercise its option for its fourth 5 year term for casino license for $500, An applicant who elects to exercise any of the additional 5 year term must send a notice and full payment to the Rota Casino Gaming Commission at least three (3) months prior to the expiration of its Casino license. In light of the economic condition on the island of Rota, this provision is design to entice Casino investors to the island of Rota. COMMOt-.lWEAL 7H REGiSTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

8 WHEREAS, the Rota Casino Gaming Commission hereby request and direct that this Notice be published in the Commonwealth Register. NOW THEREFORE, we the undersigned, as Commissioners of the Rota Casino Gaming Commission, pursuant to the Rota Casino Act of 2007, hereby set forth and unanimously approve Resolution Number as described above in the Island of Rota, Commonwealth of the Northern Mariana Islands on the date first written above. COMMISSIONERS UMARIA I. M~NLONA Chairperson of the Commission ABELINA T. MENDIONA Secretary of the Commission ~-;: ~~~ EP EMS. TAIMANAO Vice Chairman of the Commission ~ ~dt1c VICENTE M. ATALIG Commissioner TRANSCRIBE BY: r COMMONWEALTH REGISTER VOLUME 33 21P age NiJMBERu3 MARCH 23, 2011 PAGE

9 KUMISION HUEGUN salappr LUTA Post Office Box 1547, Luta, MP Telefan: EMAtL; NUTISIAN PUPBLIKU PUT MAPROPONIN AREKLAMENTU YAN REGULASION SIHA GI KUMISION HUEGUN SALAPPI" LUTA NI AMENOASION PARA I AREKLAMENTU VAN REGULASION SIHA GI KUMISION HUEGUN SALApPI' LUTA Regulasion siha Baluma 30 Numiru 12 Pihina asta i I AKSION NI MA'INTENSIONA PARA U-MA-IAOApTA1--"ANMAPROPONINA REGULASION SIHA: I Kumision Huegun Salappi' Luta ha INTENSIONA GUINI NA PARA U AoApTA i Manmaproponi na Regulasiotl siha, ni manechittun guini yan mana'kabalis halum, sigun gi manera siha gi Aktun i Administrative Procedures, 1 CMC 9104(a). I manmaproponi na amendasion para u ifektibu gi halum dies(10) dihas dispues di makumpli i (1CMC 9102 yan i 9104(a) pat (b). (1 CMC 9105(b». ATURIOAT: Sigun gi Aktun Huegun Salappi' Luta gi 2007 I Kumisinan Huegun Salappi' Luta ma'istapblesi mana'i todu aturidat para u istapblesi i areklamento-na yan regulasion siha ni nisisariu para i ma'istapblesin yan operas ion gi Kumision. IFEKTIBU NA FECHA: Sigun gi APA, 1 CMC 9105(b), esti siha i manma'adapta na regulasion siha manifektibu dies(10) dihas dispues di makumpli i APA, 1 CMC 9102 yan 9104(a) pat (b), ni taiguini na klasi, i dies(10) dihas dispues di pupblikasion esti gi halum i Rihistran Commonwealth. I SU5TANSIAN I PALABRA SIHA: I Areklamentu yan Regulasion siha ha pribiniyi para i schedule i apas para i lisensian huegu ni para u maneha. I kantida dipendi gi anus i lisensian huegu i aplikanti ha adyik ni para u fahan. I maproponi ni ma'amenda ha pribiniyi mas rigalu para i aplikantin huegu ni ha adyik para u fahan i lisensian huegu ni para i primet singku(5)anus na lisensia. I ASUNTU SIHA NI MANTINETEKKA: I ispisifikao na suhetu yan manera siha ni mantinekka gi Areklamentu yan Regulasion siha gi Huegun Luta ni para u saonao 2-B.5(c) (5) ni para u nina'i i aplikanti inadyik ni para u fahan i singku(5) anus na tema para i lisensian huegu gi takpapa' oa presiu. Esti na amendasion para u pribiniyi rigc\lu para i aplikantin huegu siha gi anakku' na tema pat petmanienti na investments. (Atan i chechettun, Resulasion Numiru ) COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

10 DIREKSION PARA U MAPO"LU YAN PUPBLIKASION: Este i Manmaproponi na Regulasion siha debi na u mapupblika gi halum i Rihistran Commonwealth gi seksiona ni maproponi van nuebu na ma'adapta na regulasion siha)1 CMC 9104(a) (1» van u mapega gi kumbinienti na lugat siha gi halum i civic center van gi halum i ufisinan gubetnamientu siha gi kada distritun senadot, parehu English van lingguahin natibu. (1 CMC 9104(a)(1» PARA U MAPRIBINIYI OPINON SIHA: Na' hanagui pat osino intrega i opinon-mu pat gi rayan suhetu "Rigalu para i Anakku' na tema para i Aplikantin Huegu" para i Direktot Eksakatibu as, Sinot Alfredo Antolin, gi Kumision Huegun Salappi' Luta gi sanhilu' na address, numirun tilifon pat numirun fax gi halum i trenta(30) dihas ginin i pupblikasion esti na nutisia. Gi adaptasion esti na regulasion siha, i Kumision Huegun Salappi' Luta, yanggin mamaisin para u machq'gui gi hayi gai intires na petsona, parehu ha' antis para i adaptasion pat gi halum gi trenta(30) dihas dispues, para u laknus tinigi' gi prinsipat na rason siha para van kinentran i adaptasion, dinanafifia'i guihi gi rason-fia ni para u ginebietna i kunsiderasion siha ni ha insisti kinentran i adaptasion-na. Hu Diklara gi papa' i penalty of perjury na i sigienti gi sanhilu' na magahit van dinanchi van esti na Diklarasion mafitma gi Fibreru 08, 2011 giya Luta, Commonwealth gi Sangkattan na Islas Marianas Siha. Sinettiku van Inetdin as: VICTORINO DLG. TORRES, ESQ., Abugao Kumision Huegun Salappi' luta Fecha Rinisibi as: ~E~S=TH~E=R~S~.F~L~E~M=IN~G~ Ispisiat na Ayudanti Para I Atministrasion Gubetnu Fecha Pine'lu van Rinikot as: -:::-::-:-: ESTHER M. SAN NICOLAS Rihistran Commonwealth Fecha COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

11 Sigun i 1 CMC 2153(e) (i Abugadu Henerat ha apreba i regulasion siha ni para u macho'gui komu fotma) yan 1 CMC 9104(a)(30) (minantieni ni inapreban i Abugadu Henerat) i maproponin regulasion siha ni maiiechittun guini man maribisa yan man ma'apreba komu fotman yan sufisienti ligat ginin i CNMI Abugadu Henerat yan debi na u mapupblika, 1 CMC 2153(f) (pupblikasion areklamento yan regulasion siha). edward T. BUCKINGHAM, ESQ. Abugadu Henerat, Sangkattan na Islas Marianas Fecha LAURA MARIA I. MANGLONA, Kabisiyu * ELPHREM S. TAIMANAO, Sigundu Kabisiyu ABELINA T. MENDIOLA, Sikritaria * VICENTE M. ATALIG, Kumisina ALFEDO O. ANTOLIN, JR., Direktot Eksakattbu COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

12 Rota Casino Gaming Commission Commonwealth Teel faluw kka falnwasch Efang Marianas Post Office Box 1547, Rota, MP Tilifoon: 1, ARONGOL TOULAP REEL POMWOL ALLEGH KKAAL MELLOL ROTA CASINO GAMING COMMISSION IKKA AA SSIWEL NGA.LI ALLEGHUL ROTA CASINO GAMING COMMISSION Alleghul kka Yo. 30 Numerool seigh me eew (12) peighil kka ngali MANGEMANGIL IGHA EBWE FILLOOY ALLEGH KKAAL: Rota Gaming Commission, e tipeli ebwe fillooy pomwol allegh kka e ighila me schescheel ebwe aschulong aweewe yeel, bwele mwoghutul Administrative Procedure Act, 1 CMC Talil kka 9102 me 9104 (e) me (b). (l CMC Talil 9105(b». BW ANGIL:. Sangi Rota Casino Act , Rota Casino Gaming Commission nge raa fasul nga11eey bwangil ebwe ffeer a11eghul kka e welepakk ngali akkate kkaal (establishment) me mw6ghutughutul Commission. SCHEScu:EEL ATOL: Sangi APA, 1 CMC TaIil9105(b), aliegh kka raa fi1166y ebwe kkama seigh (l0) niaiil ngare re tabweey ngali AP A, 1 CMC Talil9102 me 9104(a) me ngare (b), bwele reel mi11eel, ebwe seigh malil igha schagh e akkateel commonwealth Register. A WEEWEL ME OUTOL: Eyooram allegh kkaal bwe11e atol abw6s (fee schedule) sangi lisensial casino igha ebwe mw6ghut faal, Llapal nge e dependi reel nighillisensia iye sch66y ting6r (applicant) e tipeli. Pomwol lliwel yeel nge e s6bw6s6bw yaal ebwe amwascheliir sch66y ting6r ikka re tipeli rebwe bweibwogh lisensial casino ye ebwe yoor limoow (5) niaghil. KKAP ASAL ME MEETA KKA EYOOR: Schescheel kkapasal me aweewe kka teete nge AlIeghUl Rota Casino, ebwal toolong Talil2-8.5(e) (5) iye e nga11eer sch66y ting6r rebwe mangi fischi ngare rebwe bwughi COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

13 lisensial casino ye re fischalitiw llapal1l611imoow nulgh. Lliwel yeel nge ebwe ayoora incentive ngaliir sch66y ting6rollisensia ngali long term me permanent investment. (Amweri attachment), Alleghuil No ). AFALAFAL REEL AMMWELIL ME AKKATEEL: Pomwol Allegh kkaal ebwe akkteel Commonwealth Register 1161 Truil kaa rekke pomwoli me fi1l66y allegh kka e ffe (1 CMC Talil9102(e)(I)) me appasch mell01 civic kkaal me Hoi bwulasiyool gobenno kkaal me bwalliol senatorial district, e weewe schagh 1161 kkapasal Amerikk6nu, Remeraalis me Refaluwasch. (1 CMC 9104(a)(1)) LAURA MARIA I.MANGLONA, ASSAMWOOL*ELPHREM S. TAIMANAO, ARUUSCHEYDL SAMWOOL ABELINA T. MENDIOLA, SAMWOOL*VICENTE M. ATALIG, COMMISSIONER ALFREDO OL ANTALIN, JR, SAMWOOL REEL ISISILONG AGBIYEGB: Dutu ghal soong, 6w isisilong ischil mangemang fengal me kkapasal ye e yaal faal "Incentive for Long Casino Applicant" ng'li Saumwar Alfredo Antolin, Rota Casino Gaming Commission sangi address ye weilang, numerool tilifoon me numrool fax 1161 eliigh nialil ngare schagh raa ateew arong yeel. Bwelle igha raa fillooy ahegh yeel, Rota Casino Gaming Commission, ngare eyoor schooy ting6r, e wewee schagh ngare mmwal schagh igha fih66y me 1I61 eliigh nialil, ebwe isisiwow eghtis aweewel me aingiingil igha re fih66y, aschulong aweewe kka e fil mmwal rebwe filiooy. Alughulugh me ting6r sangi: I AKKAP ALO faal penalty of perjury bwe kkapas kka weilang nge e wei me ffat igha alughulugh yeel e ffeerl6 wool Maaischigh 08, 2011 mew661 Luuta, Commonwealth Teel faluw kka faluwasch Efang Marianas. VICTORINO DLG, TORRES, esq., Council Rota Casinos Gaming Commission Rru Mwir sangi: COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23,2011 PAGE

14 ESTHER S. FLEMING S6w AIillisil S6w Lemelem Ral Ammwel sangi: ESTHER M. SAN NICOLAS Commonwealth Register Ral Sangi a1l6gh ye 1 CMC Talil2153(a) (Alughulugh mereel AG reel a1l6gh kkaal ebwe akkat6 ighila) me 1 CMC TaIil9104(a)(30) (bweibwogh alughulugh mereel AG) a1l6gh kka aa alughulugh, ekke bwaan bwe aa ssiwel pomwol all6gh kka weilang, raa takkal amweri fischi me a1l6ghel6 mereel CNMI S6w Bwungul AIlegh Lapalap, me ebwe akkat6616 (1 CMC Talil2153(f) (akkat6el allegh kkaal)). EDWARD T. BUCKINGHAM ESQ. S6w Bwungul AIlegh Lapalap Ral LAURA MARIA L MANGLONA, ASSAMWOOL* ELPHREM s. TAIMANAO, ARUUSCHAYIL SAMWOOL ABELINA T. MENDIOLA, SAMWOOL* VICENTE M. ATALIG, COMMISSIONER. ALFREDO O. ANTALIN, JR., SAMWOOL COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

15 Commonwealth of the Northern Mariana Islands HEALTH CARE PROFESSIONS UCENSING BOARD P.O. Box , #1242 Pohnpei Court Capitol Hill, Soipan. MP Tel No: (670) Fax: (670) NOTICE OF PROPOSED AMENDMENTS TO THE HEALTH CARE PROFESSIONS LICENSING BOARD REGULATIONS FOR PHYSICIAN ASSISTANTS INTENDED ACTION TO ADOPT THESE PROPOSED REGULATIONS: The Health Care Professions Licensing Board (HCPLB) intends to adopt as permanent regulations the attached Proposed Regulations, pursuant to the procedures of the Administrative Procedure Act, 1 CMC 9104{a). The regulations would become effective 10 days after compliance with 1 CMC 9102 and 9104 (a) or (b) (1 CMC 9105 (b) ). These Physician Assistants Regulations shall supersede the prior Medicine/Surgery Regulations published at Volume 21 (7/23/99) and adopted at Vol. 21 (12/15/99) of the Commonwealth Register. AUTHORITY: The Health Care Professions Licensing Board has statutory power to promulgate and effect regulations pursuant to P.L , Section 3, 2206 (b), as amended. THE TERMS AND SUBSTANCE: Regulation History: PL (effective when approved by Governor Benigno R. Fitial, November 7, 2907), the "Health Care Professions Act of 2007," 3 CMC The Act created a Health Care Professions Licensing Board, as an independent regulatory agency, without placing it in a Department. The Board is authorized to license health care professionals in the Commonwealth, establish standards for educational programs, administer exams, and to discipline licensees for violations of the act. See PL CMC 2206{b), which empowers the Board to adopt rules and regulations consistent with the Act and necessary to carry out the Act's provisions, including define and describe the regulated professions and their practice. The physician assistant is one of the health care profession, out of 31 health care professions, under the power, jurisdiction and authority of the HCPLB of PL THE SUBJECTS AND ISSUES INVOLVED: These rules and regulations shall supersede the prior regulations for physician assistants, Part 1200, , NMIAC Title 140, published at Vol. 21 (7/23/99) and adopted at Vol. 21 (12/15/11) of the Commonwealth Register. DIRECTIONS FOR FILING AND PUBLICATION: The Board is soliciting comments regarding these proposed amendments which must be received by the Board within thirty (30) days of first publication of. thi~ notice in the Commonwealth Register. Interested persons may request copies of the proposed amendments by contacting us at or by at bpl@pticom.com or come by our office located at Bldg. 1242, Pohnpei Ct., Capitol Hill, Saipan. Written comments on these amendments should be drop off at our office or sent to the BPL, P.O. Box , Saipan, MP COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

16 Submitted By:, Dat~ Received By: CJ~':} Esther S. Fleming Special Assistant for dministration!date' Filed and Recorded By: er Commonwealth Register Date Pursuant to 1 CMC 2153(e) (AG approval of regulations to be promulgated as to form) and 1 CMC 9104 (a) (3) (obtain AG approval) the proposed regulations attached hereto have been reviewed and approved as to form and legal sufficiency by the CNMI Attorney General and shall be published, 1 CMC 2153(f) (publication of rules and regulations). ttza tl;; EDWARD T. BUCK NGHAM Attorney General )-'21~1l Date COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

17 Commonwealth gi Sangkattan na Islas Marianas Siha KUETPUN PROFESIONAT MANUSENSIAN INAOAHIN HINEMLU' P.O. Box , #1242 Ponhpei Court Capitol Hill, Saipan, MP Tel. No.: (670) Fax No. : (670) bpl@pticom.com NUTISIAN I MANMAPROPONI NA AMENDASION SIHA PARA I KUETPUN PROFESIONAT MANUSENSIA IN~OAHIN HINEMLU' REGULASION PARA I AYUDANTIN MEOIKU SIHA I AKSION NI MA'INTENSIONA NA PARA U MA'AOAPTA ESTI SIHA I MANMAPROPONI NA REGULASION SIHA: I Kuetpun Manlisensian Profesiomit Inadahin Hinemlu l Siha (HCPLB) ha intensiona na para u adapta komu petmanenti na regulasion siha ni manechettun i Manmaproponi na Regulasion siha, sigun gi manera siha gi Aktun Administrative Procedure, 1 CMC 9104 (a). I regulasion siha para u ifektibu gi dies(10}dihas na tiempu dispues di makumplin i 1 CMC 9102 van 9104 (a) pat (b) (1 CMC 9105 (b». Esti i Ayudantin Mediku na Regulasion siha debi na u tinilaika ni i finene'na na Regulasion i Medicine/Surgery siha ni mapupblika gi Baluma 21 (7/23/99) Van ma'adapta gi Baluma 21 (12/15/99) gi Rehistran Commonwealth. ATURIOAT: I Kuetpun Manlisensian Profesionat Inadahin Hinemlu' gai fuetsa ni para u macho'gui van u huyung i regulasion siha sigun gi Lai Pupbliku IS-lOS, Seksiona 3, 2206 (b), komu ma'amenda. I SUSTANSIAN I PALABRA SIHA: Historian Regulasion: Lai Pupbliku (umifektibu gi anai inaprueba ni Gubietnu as Benigno R. Fitial, gi Nubembri 7, 2007), i II Aktun Profesionat In~dahin Hinemlu' gi 2007," 3 CMC 2201~ 36. I Aktu ni macho'gui ni Kuetpun Manlisensian Profesionat siha, komu guiguiya hal na ahensian regulatory, sin u mapega gi Dipattamentu. I Kuetpu ha aturisa na para u lisensia i profesionat inadahin hinemlu' siha gi halum i Commonwealth, ma'estapblisa standards para prugraman edukasion siha, administer exams, van para u disiplina i manmalisesensia siha ni para i yumuyulang i aktu. Atan i Lai Pupbliku CMC 2206 (b), ni numana'i fuetsa siha i Kuetpu ni para u ma'adapta i areklamentu van regulasion siha ni kumunsisti van i prubension i Aktu siha van nisisariu na para u chuli' huyung i prinaktikan i Aktu. I Ayudantin Mediku unu gi ayudantin hinemlu' na profesion, gi hiyung i 31 na profesion ayudantin hinemlu' siha, gi papa' fuetsa, jurisdiction van aturidat i HCPLB gi Lai Pupbliku SUHETU NI MASUMARIA YAN ASUNTU NI TINEKKA: Esti na areklamentu van regulasion siha dedi na u tinilaika ni i finene'na na regulasion siha para i ayudantin mediku siha, Patti 1200, , NMIAC Titulu 140, mapupblika gi Baluma 21 (7/23/99) van ma'adapta gi Baluma 21 (12/15/11) gi Rehistran Commonwealth. COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23,2011 PAGE

18 DJmUlON PARA U MAPO'W fan MAPU"U~ Kumpu mamamf.djjn jmfotmimon j""n Sf fitj j manmaprdponj n!il amendiij jon jha,d d~bj na u mari lbj glnjn j ~u BI halum j tfentil (JO) d;ha ~ titmpu sf primm: na pupb,jki jon ~ fu. nuti ia _ hajum j ~hj tr8n Commonw~akb. Hay; pj jntlr "1 ~lja j& ma~o,",pia fha nl manmaproponj "a amemla Joo fhil Vii j'3~'" ham _ 004= 4SOO pat j ~maj' si bpl@pticom.com patf6ttu ~ ufj lnan mam. n' pjbj Bl""1-1242, 'ohnp~j Ct,/ OJpH: 1 HIJJ, SaJpan, r",i'j MJUffl put ~ tj na affl.6db joo jhil V' u m.ebuli',ubtu SI ufl jnan mami pat na'hana" para j I'L, '.0. ~ SOWS, SaJpan, M'969SO, Fecha Rinisibi as: _-.-;:_~~~ ~ ing Espisiat Na Ayudanti Par ffecha Pine'lu Van Rinikot as: --..;~...;...;...~~ E istran Commonwealth Fecha Sigun i 1 CMe 2153 (e), (Inaprueban Abugadu Henerat i regulasion siha ni para u macho'gui komu fotma) van i 1 CMC 9104 (a) (3) (inahentan inaprueban Abugadu Henerat) i manmaproponi na regulasion siha ni mai'iechettun guini ni manmaribisa van manma'aprueba komu fotma van sufisiente ligat ginin i Abugadun Henerat CNMI Van debi na u mapupblika, 1 CMC 2153 (f) (pupblikasion areklamentu van regulasion siha). EDWARDT. BUCKIN HAM Abugadu Henerat 2'-2J- l 7 Fecha COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

19 Commonwealth Teel faluw kka faluwasch Efang Marianas HEAL m CARE PROFESSIONS LICENSING BOARD P.O. Box , #1242 Pohnpei Court Capitol Hill, Seipel, MP Tilifoon No: (670) Fax: (670) bpl@pticom.com ARONG REEL POMWOL LLIWEL KKAAL NGALI ALLEGHirL HEALTH CARE PROFESSIONS LICENSING BOARD REEL ALILLISIL DOKKTO (physician ASSISTANTS) MA.NGEMANGIL IGHA EBWE FILLOOY POMWOL ALLEGH KKAAL Health Care Professions Licensing Board (HCPLB) schescheel e tipeli ebwe OO66y pomwol allegh kka e appasch, bwe11e reel mw6ghutul Administrative Procedure Act, 1 CMC Talil 9104 (a). AlIegh kkaal ebwe kkamall61161 siegh (10) raalil ngare schagh re tabweeyngaii alleghull CMC TaIil kka 9102 me 9104 (a) me (b) (1) CMC (b». AlleghUl Physician Assistants ebwe siweli mmwal alleghul safey/ AlleghUl Surgery ye e akkate ll61 Volume 21 (7/23/991 me till661ll61 vol. 21 (12/15/991 me1l61 Commonwealth Register. BW ANGIL: Health Care Professions Licensing Board nge eyoor bwangil ebwe akkate allegh kkaa1 me ghitipwotchuw aliegh kkaa1 bwelle reel AlleghUl Toulap ye , Talil 3, TaIil2206 (b), iye aa ssiwel. OUTOL ME KKAP ASAL: Kkapasal Allegh: PL (Schescheel igha e alleghel6 mereel Governor Benigno R Fitial, Aromwoy 7, 2007), "Health Care Professions Act , " 3 CMC Tam , Allegh yeel.nge eyoora Health Care Professions Licensing Board. iye ebwe independent ammwelil agency yeel, mmwal rebwe atolongow 1161 Depattamento. Board (Mwiisch) nge re ngalleey bwangil ebwe ayoora lisensial health care professionals me1161 Commonwealth, ayoora ammwelil ngaii educational programs, ayoora asossot, me mwuttaar schooy lisensia kka rese tabweey alleghul Act yeel. Amweri PL CMC Talil2206 (b), iye e ngalleey bwangil Mwiisch ebwe tillooy allegh kka e ghol til ngali Act me mw6ghutaagheli aweewel Act, ebwal toolong aweewel alleghul professions me akkabwungul. Physician assistant nge eew ammwelil Health Care professions, sangi eliigh me eew (31) health care professions, faal bwangil, yaal angaang HCFLB. TaIil2212ll01 PL KKAP ASAL ME OUTOL KKA EYOOR: Allegh kkaal ebwe siweli mmwal alleghul alillisil dokkto, Peigh 1200, $ ebwughuw faigh, limeigh , NMIAC Title 140, akkate 1161 vol. 21 (7/23/99) me fillooy 1101 vol. 21 (12/15/11) me1l6l Commonwealth Register. AFALAFAL ME AMMWELIL AKKATE: Mwiisch nge ekke titting6r mangemang reel pomwollliwel yeel iye rebwe bwughi 1161 eliigh (30) rfuilil akkateel COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH PAGE

20 arong yeel mell01 Commonwealth Register. Schookka re tipeli nge emmwel rebwe ffailong reel me ngare reel me ngare mweteti bwulasiyo Bldg. 1242, Pohnpei Ct., capitol hill, Seipee. Ischil mangemang reellliwel kkaal ebwe atotoolong 1101 bwulasiyo me afanga ngaii HPL, P.O. Box , Seipel, MP Isaliyallong:..J...f~V---1~~~h-:..:..:.::.. Janet Ass Mwir sangi:_--=j~-t-~'-- Esther. FIe. g Sow Alillisil ow Lemelem Ammwel sangi: ~ Es~icolas Commonwealth Register Sangi all6gh ye 1 CMC Talil2153 (e) (alughulugh mereel AG reel allegh kka ebwe akkate ighila) me 1 CMC TalilOl04 (a) (3) (bwughl alughulugh mereel AG) pomwol allegh kka e appasch nge raa takkal amweri fischi all6ghelo mereel CNMI Sow Bwungul All6gh Lapalap me ebwe akkat6610, 1 CMC Tali 2153 (t) (akkateel allegh kkaal). dvtl~ EDWARDT.BUCGHAM Sow Bwungul All6gh Lapalap 'l-x}-') RaJ. COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

21 Part Physician Assistant. These rules and regulations shall supersede the prior regulations for physician assistants, Part 1200, , NMIAC Title 140, published at Vol. 21 (7/23/99) and adopted at Vol. 21 (12115/11) of the Commonwealth Register Definitions. (a) "ARC-PA" means the Accreditation Review Commission for the Education of Physician Assistants, or its successor. (b) "Contact" for the supervision of a physician assistant means communication in person, or by electronic means, including radio, telephone, fax, computer, or other telecommunication device. (c) "Continuing Medical Education (CME)" shall mean educational activities, which serve to maintain, develop, or increase the knowledge, skills, and professional performance, and relationships that a physician uses to provide services for patients, the public, or the profession. The content of CME is that body of knowledge and skills generally recognized and accepted by the medical profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public. (d) "Controlled Substance" means a substance, typically a drug or its chemical precursor, described or authorized for classification in the U.S. Controlled Substance Act, 21 USC 812, et seq., and periodically classified under one of Schedules IT, III, IV, or V by the U.S. Drug Enforcement Administration (DEA), as presently codified in 21 CFR (e) "Doctor" including "Dr.", "D.O.", "MD" means a physician but does not otherwise mean a person granted the highest degree of a university, typically a Doctor of Philosophy, or "Ph.D.", which is not intended to address the practice of medicine. (t) "Impairment" means the inability of an applicant and/or licensee to practice medicine with reasonable skill and safety by reason of: (1) Mental illness; (2) Physical illness or condition, including, but not limited to, those illnesses or conditions that would adversely affect cognitive, motor or perceptive skills; or (3) Habitual or excessive use or abuse of drugs defined by law as controlled substances, or alcohol or of other substances that impair ability. (g) "Medex" means a physician assistant who has gained medical experience during military service and further training in a physician's assistant program. (h) "NCCPA" means the National Commission on Certification of Physician Assistants, an independent organization that was established to assure the competency of Physician Assistants~ and whieh administers the P ANCE, to grad uates of accredited P A programs. (i) "P A-C or P A-certified" is the title given to physician assistants who have taken and passed the PANCE and who maintain certification. G) "P ANCE" means the Physician Assistant National Certifying Examination administered by the NCCPA. 1 COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

22 (k) "Patient Encounter" is a record of an interaction between a patient and a healthcare provider. (I) "Person" means a person real or legal, including a human being, and an artificial person, including government entity, non-governmental organization, association, corporation, limited liability company, limited liability partnership, partnership or sole proprietorship. (m) "Physician Assistant" or "Physician's Assistant" or "Physician Associate" or "PA" means a health care professional trained in intensive physician assistant/associate education programs and who has been certified by the NCCPA to practice medicine with physician supervision. (n) "Practice of Medicine" means: (1) Holding out one's self to the public within the CNMI as being able to diagnose, treat, prescribe for, palliate, or prevent any human disease, ailment, injury, deformity, or physical or mental condition, whether by the use of drugs, surgery, manipulation, electricity, or any physical, mechanical, or other means whatsoever; (2) Suggesting, recommending, prescribing, or administering any form of treatment, operation, or healing for the intended palliation, relief, or cure or any physical or mental disease, ailment, injury, condition, or defect of any person with the intention of receiving, either directly or indirectly, any fee, gift, or compensation whatsoever; (3) Using the title "Doctor," "Doctor of Medicine," "Doctor of Osteopathy," "Physician," "Surgeon," "Dr.," "M.D.," "D.O.," "PA," "Physician Assistant," "Physician Associate," or any word or abbreviation to indicate or induce others to believe that one is engaged in the practice of medicine as defined hereon; (4) Performing any kind ofsurgical operation upon a human being. (0) "State" includes a United States of America state, territory, tribal land, commonwealth, the District of Columbia, and any other U.S. jurisdiction other than the U.S. Government itself. (p) "Supervising Physician" means the licensed physician who supervises a physician assistant. (q) "Supervision" of a physician assistant means overseeing the activities of, and accepting responsibility for, the medical services rendered by a physician assistant Requirements for Licensure. (a) An applicant for licensure as a physician assistant must be at least twenty-one (21) years of age, is a U.S. citizen or a foreign national lawfully entitled to remain and work in the Commonwealth, and meets the following requirements: (1) Applicant has at least a Bachelors Degree as a Physician Assistant or Physician Associate from a program accredited by the Accreditation Review COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

23 Commission for the Education of Physician Assistants (ARC-PA), or prior to 2001, either by the Committee on Allied Health Education and Accreditation of the American Medical Association or the Commission on Accreditation of Allied Health Education Programs; and (2) Applicant passed the Physician Assistant National Certifying Examination (p ANCE) administered by NCCPA, or other future national examinations; and (3) Applicant provides evidence of current NCCP A certification; and/or (4) Applicant possesses an active unrestricted license to practice as a physician assistant in another U.S. state or territory. (5) The applicant shall be of good moral character and shall not have been convicted in any U.S. state or foreign jurisdiction of a crime of moral turpitude or a crime related to his/her practice as a physician assistant. (b) In addition to the foregoing requirements, the Board may add the following requirements, in its discretion, and for good cause: (1) Require additional proof that the person is competent to practice professionally; (2) Require further examination; (3) Require additional proof that the person is of an acceptable moral. character; and/or (4) Require that the person not be impaired by reason of substance abuse or debilitating physical or mental/emotional condition. (c) A physician assistant license will be issued by the Board when the applicant meets the requirements set forth above. However, a physician assistant may not practice until a Practice Agreement has been filed and approved by the Board. (d) Medex Exemption. Individuals who were grand fathered in as a Medex under P.L (as amended) must comply with these regulations with the exception of taking and passing the NCCPA exam and shall be required to have 75% onsite supervision Licensure by Endorsement (a) The Board may grant a license to a person to practice as a physician assistant without examination if: (1) The person holds a valid unrestricted and active license to practice as a physician assistant in another U.S. state or territory or; and (2) The person substantially complies with requirements for licensure in Section 4002 above. COMMOtiWEAL TH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

24 (b) The Board may deny a license by endorsement to a person to practice as a physician assistant if the person has been the subject of an adverse action in which his/her license was suspended, revoked, placed on probation, condition or renewal denied Scope of Practice. (a) The physician assistant may only provide those medical services which: (1) He/she is competent to perform as determined by the supervising physician; (2) Are consistent with his/her education, training and experience; and (3) Are delegated in writing by the supervising physician responsible for the patients cared for by the physician assistant. (b) A supervising physician shall delegate to a physician assistant only those tasks or procedures consistent with the supervising physician's specialty or usual and customary practice Practice Agreement. Licensee shall submit a Practice Agreement between himself/herself and the supervlsmg physician(s), in a format provided by the Board, describing the manner and extent to which the physician assistant will practice and be supervised. The Board may approve, modify or reject the Practice Agreement as originally submitted. No licensed physician assistant may practice without a valid Practice Agreement on file with the Board. Practicing without an approved practice agreement shall be grounds for disciplinary action. (a) The practice agreement, at a minimum, shall: (1) Provide for: (i) Physician consultation; (ii) Collaboration; (iii) Adequate means for direct communications between the parties; and (iv) Referral and emergency coverage; (2) Describe the physician assistant's scope of practice; (3) List the settings that the physician assistant will be utilized, for example, a clinic, hospital, ambulatory center, patient home, emergency vehicle and other institutional setting; (4) If applicable, a supervising physician shall list any specific restrictions to the physician assistant's prescriptive privilege; (5) Provide for the supervising physician's review and signature of records, as follows: (A) A minimum of 5% of all patient encounters by the physician assistant that did not require a controlled substance will be reviewed and signed within thirty (30) calendar days; (B) A minimum of 10% of all patient encounters by the physician assistant where a controlled substance Schedule ill-v was ordered, COMMONWEALTH REGISTER VOLUME 33 ~UMBER03 MARCH 23, 2011 PAGE

25 prescribed, dispensed and/or administered must be reviewed and signed within thirty (30) calendar days; (C) For physician assistants who have been authorized by the Board to order, prescribe, dispense and/or administer Schedule n controlled substances, a minimum of 15% of all patient encounters by the physician assistant that involved a Schedule n controlled substance must be reviewed and signed within seven (7) days; and (D) The Board may require that up to 100% of all patient encounters by a physician assistant be reviewed and signed by a supervising physician. (6) Describe the method by which a supervising physician will comply with the chart review requirements. The Board, may, at any time, request proof of compliance with this chart review requirement. Non-compliance may result in termination by the Board of a practice agreement; (7) Identify the supervising physician's designated alternate supervising physician in his or her absence; (8) Contain a statement substantially as follows: "The physician will direct and exercise supervision over the Physician Assistant in accordance with the CNMI HCPLB's regulations and recognizes that he or she retains full professional and legal responsibility for the performance of the Physician Assistant and the care and treatment of the patient." (b) If a practice agreement allows for the ordering, prescribing, dispensing and/or administering of controlled substances, a copy of that practice agreement will be filed by the Board with all CNMI outpatient pharmacies and any applicable inpatient pharmacies. (c) The supervising physician and the physician assistant shall notify the Board in writing within seven (7) days of the termination of the practice agreement. (d) Any change to the approved practice agreement must be reviewed and approved by the Board prior to any change taking effect. (e) At a minimum, a practice agreement shall be renewed every 2 years or at the time of license renewal. whichever is sooner Supervising Physician. The supervising physician must comply with the following requirements in order to supervise a physician assistant: (a) The supervising physician shall possess a current unrestricted license to practice medicine in the CNMI that is in good standing with the Board and a valid individual DEA registration. (b) The supervising physician's primary place of practice is within the CNMI. At least 50% of hislher practice must be clinical. A supervising physician shall delegate to a physician assistant only those tasks or procedures consistent with the supervising physician's specialty or usual and customary practice; COMMONWEALTH REGISTER VOLUME 33 ~UMBER03 MARCH 23, 2011 PAGE

26 (c) The supervising physician will direct and exercise supervision over the physician assistant in accordance with these regulations and recognizes that he or she retains full professional and legal responsibility for the performance of the physician assistant and the care and treatment of the patient; (d) The supervising physician may permit the physician assistant to be utilized in any setting authorized by him or her including, but not limited to, clinics, hospitals, ambulatory centers, patient homes, and other institutional settings; (e) The supervising physician may permit the physician assistant to order, prescribe, administer and/or dispense medications and medical devices to the extent described in the written practice agreement and to the extent allowed under these regulations and approved by the Board; (f) The supervising physician shall provide adequate means for direct communication at all times between the physician assistant and him or her; that direct communication may occur through the use of technology which may include, but is not limited to, two-way radio, telephone, fax machine, internet, or other telecommunication device; (g) The supervising physician will personally review and sign the records of patients seen by the physician assistant as described in Section 4005, "Practice Agreement"; (h) The supervising physician shall designate an alternate supervising physician in his or her absence. That alternate physician must satisfy all requirements of a primary supervising physician; and (i) A supervising physician shall petition the Board if s/he wishes to supervise more than two full-time physician assistants or the equivalent of two full-time physician assistants Special Provision: Prescription Privilege. (a) The supervising physician may allow the physician assistant to order, prescribe, dispense, and/or administer medications and medical devices to the extent described in the written practice agreement and subject to the following requirements: (1) A physician assistant can only order, prescribe, dispense and/or administer controlled substances if he/she holds a current DEA certificate that allows for those privileges. A copy of that certificate must be submitted to the Board before a practice agreement will be approved; (2) A physician assistant can only order, prescribe, dispense and/or administer medications, including controlled substances, if authorized to do so by the supervi'sing physician; (2) In general, a supervlsmg physician may only authorize the ordering, prescribing, dispensing and/or administration of Schedule ill-v controlled substances and legend medications. A supervising physician must request, with the consent of the physician assistant, authorization from the Board to allow the physician assistant to order, prescribe, dispense and/or administer Schedule II controlled substances. Unless granted by the Board in an approved practice 6 COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

27 agreement, a physician assistant shall not order, prescribe, dispense, and/or administer Schedule IT controlled substances; (4) A prescription fora controlled substance written by a physician assistant must have his/her DEA number clearly written on the prescription form; (5) A physician assistant may prescribe no more than a 30-day supply of Schedule ill-v medications. A physician assistant can only prescribe prescription refills if the prescription is co-signed by a supervising physician whose DEA number is clearly written on the prescription form; (6) When applicable, a physician assistant may prescribe no more than a 7-day supply of Schedule II medications. A physician assistant can only prescribe prescription refills if the prescription is co-signed by a supervising physician whose DEA number is clearly written on tlie prescription form; (7) A prescription for a controlled substance written by a physician assistant must be documented in that patient's chart and must include the name of the drug, dose, and route of administration, frequency, duration and quantity prescribed; (8) Patient encounters by a physician assistant where a controlled substance or legend medication was ordered, prescribed, dispensed and/or administered must be reviewed and signed by a supervising physician as described in "Practice Agreement"; (9) A practice agreement allowing a physician assistant to order, prescribe, dispense and/or administer any controlled substance will be filed with all local outpatient pharmacies and with any applicable inpatient pharmacies; and (10) The physician assistant shall comply with: (A) All appropriate federal and CNMI laws and regulations; and Application. (B) The Regulations Governing the Importation, Storage, Sales, and Distribution of Drug and Pharmaceutical Products. (a) An application for a license to practice as a physician assistant shall be made under oath on a form to be provided by the Board and shall be signed and sworn to under penalty of perjury by the applicant accompanied with the following information and documentations as are necessary to establish that the applicant possesses the qualifications as required in these regulations: (1) The applicant's full name and all aliases or other names ever used, current address, date and place of birth and social security number; (2) Applicant's 2x2 photograph taken within six (6) months with their signature on the bottom front; (3) Applicant must pay the appropriate fees, including the application fee, which shall not be refunded; COMMONWEALTH REGISTER VOLUME 33 NUMBER 03 MARCH 23, 2011 PAGE

28 (4) Applicant is to provide originals of all documents and credentials, or notarized or certified copies acceptable to the Board of such documents and credentials, including but not limited to: (A) Diploma showing a degree of Physician Assistant or Physician Associate; (B) Documents showing satisfactory proof that applicant has taken and passed the PANCE; (C) Current NCCPA certification; and/or (D) Documents showing proof that applicant is licensed to practice as a physician assistantin another jurisdiction; and (E) Document showing proof of a current and valid DEA registration certificate, if required. (5) Applicant to provide a list of all jurisdictions, U.S. or foreign, in which the applicant is licensed or has applied for a license to practice as a physician assistant; (6) Applicant to provide a detailed educational history, including places, institutions, dates and program descriptions of all his or her education beginning with secondary schooling and including all college, pre-professional, professional, and professional postgraduate training; (7) Applicant to provide a list of all jurisdictions, U.S. or foreign, in which the applicant has been denied licensure or voluntarily surrendered a license to practice as a physician assistant; (8) Applicant to provide a list of all jurisdictions, U.S. or foreign, of all sanctions, judgments, awards, settlements or convictions against the applicant that would constitute grounds for disciplinary action under the Act or these regulations; and (9) Applicant to provide, a report within sixty (60) days from the signature date of the application, from the National Practitioner Data Bank (NPDB). (b) The burden of proof shall be upon the applicant to provide and verify to the Board's satisfaction the required information. The applicant shall be responsible for the cost of obtaining such information from recognized information services and data services Continuing Education. (a) All physician assistants licensed to practice in the CNMI are required to complete fifty (50) CE hours during the 24 months prior to the expiration of their license as a prerequisite to the renewal of their biennial license. (b) (c) One hour of credit will be allowed for each clock hour of CE participation. Approved continuing education activities includes but is not limited to the following: COMMONWEALTH REGISTER VOLUME 33 8 NUMBER 03 MARCH 23, 2011 PAGE