Title 10 — Health and Safety

The Interstate Commission shall have the duty and power to: (a) Oversee and maintain the administration of the Compact; (b) Promulgate rules which shall be binding to the extent and in the manner provided for in the Compact; (c) Issue, upon the request of a member state or member…

(a) The Interstate Commission may levy on and collect an annual assessment from each member state to cover the cost of the operations and activities of the Interstate Commission and its staff. (1) The total assessment must be sufficient to cover the annual budget approved each ye…

(a) The Interstate Commission shall, by a majority of Commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the Compact within twelve (12) months of the first Interstate Commission meeting. (b) [No tex…

(a) [No text] (1) The Interstate Commission shall promulgate reasonable rules in order to effectively and efficiently achieve the purposes of the Compact. (2) Notwithstanding the foregoing, in the event the Interstate Commission exercises its rulemaking authority in a manner that…

(a) [No text] (1) The executive, legislative, and judicial branches of state government in each member state shall enforce the Compact and shall take all actions necessary and appropriate to effectuate the Compact’s purposes and intent. (2) The provisions of the Compact and the r…

(a) The Interstate Commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the Compact. (b) The Interstate Commission may, by majority vote of the Commissioners, initiate legal action in the United States District Court for the District…

(a) The grounds for default include, but are not limited to, failure of a member state to perform such obligations or responsibilities imposed upon it by the Compact, or the rules and bylaws of the Interstate Commission promulgated under the Compact. (b) If the Interstate Commiss…

(a) The Interstate Commission shall attempt, upon the request of a member state, to resolve disputes which are subject to the Compact and which may arise among member states or member boards. (b) The Interstate Commission shall promulgate rules providing for both mediation and bi…

(a) Any state is eligible to become a member state of the Compact. (b) The Compact shall become effective and binding upon legislative enactment of the Compact into law by no less than seven (7) states. Thereafter, it shall become effective and binding on a state upon enactment o…

(a) Once effective, the Compact shall continue in force and remain binding upon each and every member state; provided that a member state may withdraw from the Compact by specifically repealing the statute which enacted the Compact into law. (b) Withdrawal from the Compact shall …

(a) The Compact shall dissolve effective upon the date of the withdrawal or default of the member state which reduces the membership in the Compact to one (1) member state. (b) Upon the dissolution of the Compact, the Compact becomes null and void and shall be of no further force…

(a) The provisions of the Compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the Compact shall be enforceable. (b) The provisions of the Compact shall be liberally construed to effectuate its purposes…

(a) Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the Compact. (b) All laws in a member state in conflict with the Compact are superseded to the extent of the conflict. (c) All lawful actions of the Interstate Commission,…

For purposes of this Article, the following words and phrases have been defined to mean: COL 2026-06-10 (a) “Podiatric Medicine” means the diagnosis, medical, surgical, mechanical, manipulative and electrical treatment of the human foot and ankle, including the tendons that inser…

(a) Any person who desires to practice podiatric medicine on Guam must apply to the Board for licensure and provide each of the following: (1) three (3) letters from doctors of podiatric medicine verifying that the applicant is competent; (2) verification sent directly from the c…

Colleges of podiatric medicine accredited by the Council on Podiatric Education of the American Podiatry Association shall be approved by the Board for providing resident professional instruction in podiatric medicine.

The hospitals approved by the Board for residencies shall be those that meet the minimum requirements set by the Council on Podiatric Medical Education of the American Podiatric Medical Association.

(a) Each licensee who is a doctor of podiatric medicine is required to complete fifty (50) hours of approved continuing education during each two (2) year renewal period. Each doctor of podiatric medicine renewing a license may be required to submit proof satisfactory to the Boar…

The following are approved by the Board as continuing education programs: (a) programs which are approved by the American Podiatric Medical Association and its affiliated organizations; (b) programs that qualify for Category I Credit of the American Medical Association and the Am…

(a) A license to practice podiatric medicine on Guam authorizes the holder to practice podiatric medicine as defined in these Rules. (b) No doctor of podiatric medicine shall do any amputation of the foot in total. Surgical debridement with plastic repairs or reconstruction of di…

For purposes of this Article, the following words and phrases have been defined to mean: (a) “Licensed physician” means a physician licensed by the Board of Medical Examiners to practice medicine on Guam. (b) “Physician assistant” means a Board-licensed person, qualified by acade…

(a) Licensed physician assistants shall be graduates of programs approved by the Accreditation Review Commission on Education for Physician Assistant (ARC-PA) or its successor. (b) Licensed physician assistants must have passed a proficiency examination developed by the National …

(a) A physician assistant may provide any medical services when such services are within his skills, form a usual component of the physician’s scope of practice under the supervision of a supervising physician. (b) Physician assistants with privileges or employed by a hospital or…

(a) “Collaborative Practice Agreement” or “CPA” means an agreement by and between a physician assistant and a Guam licensed physician (supervising physician) detailing the physician assistant’s authorized scope of practice or area of specialty, wherein the parties to such an agre…

(a) Each licensed physician assistant must present evidence of current certification through the National Commission on Certification of Physician Assistants, or its successor, every two (2) years for renewal of license. (b) Continuing education credits in early childhood develop…

(a) While working, the physician assistant shall wear or display appropriate identification, clearly indicating that he or she is a physician assistant. COL 2026-06-10 (b) The physician assistant’s license must be displayed in the office, and any satellite operation in which the …

(a) Tasks performed by the physician assistant must be under the supervision of a registered supervising physician. (b) All medical records must be reviewed and co-signed by the approved supervising physician within seven (7) days. (c) Upon being duly licensed by the Board, the l…

No person may practice as a physician assistant on Guam who is not licensed by the Board. This Article, however, shall not be construed to prohibit a student in a physician assistant program performing duties or functions assigned by his instructors, or who is working under the d…

(a) A physician assistant may be authorized by the Board of Medical Examiners to administer, prescribe, and dispense any licensed drug or class of drugs as a delegated authority of the physician assistant’s Collaborative Practice Agreement (CPA) with a Guam licensed physician. (b…

This Article may be cited as the Nurse Practice Act.

There is within the government of Guam and within the Department of Public Health and Social Services the Board of Nurse Examiners. SOURCE: Added by P.L. 16-123:21 (Dec. 28, 1982). Repealed and reenacted by P.L. 17-070:1 (Sept. 21, 1984). COL 2026-06-10

(a) The Board shall be composed of seven (7) members appointed by I Maga’håga/Maga’låhi. The term of office of members of the Board shall be three (3) years. No member shall serve more than two (2) consecutive terms. All members shall serve, in addition to their regular term, unt…

(a) The members of the Board shall include: five (5) registered nurses, one (1) practical nurse and one (1) public member. Of the five (5) registered nurses, representation shall be balanced so that there will always be one (1) member from a school of nursing, one (1) member from…

I Maga’håga/Maga’låhi may remove any member from the Board for cause including, but not limited to, neglect of any duty required by law, incompetence, unprofessional conduct or willful misconduct. A member subject to disciplinary proceedings shall disqualify himself from Board bu…

Each member of the Board shall be compensated in the same manner as are other members of boards and commissions of the government of Guam.

(a) Each member of the Board shall be a citizen or permanent resident of the United States and be a resident of Guam for at least two (2) years immediately preceding appointment. (b) Each nurse member of the Board shall be a current holder of a valid Guam license to practice as a…

(a) The Board shall meet annually in the month of January and shall elect a chairperson, a vice- chairperson and other officers as determined in its rules. The Board may hold such other meetings during the year as may be necessary or desirable to conduct its business. Four (4) me…

The Board shall establish and collect fees from every applicant for the services it performs. The fees shall be established through rules and regulations of the Board.

The Commission, with the advice and consent of the Board, may employ and assign to the Board such consultive and technical personnel as may be necessary or desirable for the proper functioning of the Board and the administration of this Article. The Commission may assign to the B…

(a) An applicant for a license as a registered nurse shall submit to the Board written, verified, evidence that the applicant is a graduate of an approved nursing education program that is authorized to prepare a person for licensure as a registered nurse. (b) No handicapped cand…

(a) By examination: (1) The applicant shall be required to pass a written examination in such subjects as the Board may determine. Each written examination may be supplemented by an oral or a practical examination. The standards used by the Board in requiring an oral or practical…

Any person who holds a license or temporary license as a registered nurse in Guam shall have the right to use the title “Registered Nurse” and the abbreviation “R.N.” Only such persons authorized a temporary work permit under Subsections (a) and (b) of § 12322 of this Chapter sha…

(a) Title, Scope of Practice, Delegation. (1) [No text] (A) Advanced Practice Registered Nurse (APRN) is the title given to an individual licensed to practice advanced practice registered nursing within one (1) of the following roles: (i) nurse practitioner (NP), (ii) certified r…

(a) An applicant for a license to practice as a licensed practical nurse shall submit to the Board a written, verified, evidence that the applicant: (1) Is a graduate of an approved practical nursing program; (2) Has successfully completed courses of study in an approved professi…

(a) By Examination: (1) The applicant shall be required to pass a written examination in such subjects as the Board may determine. Each written examination may be supplemented by an oral or a practical examination or both. The Board may use any part or all of the State Board Test…

Any person who holds a license or temporary license to practice as a licensed practical nurse in Guam shall have the right to use the title “Licensed Practical Nurse” and the abbreviation “L.P.N.” Unless authorized a temporary work permit under Subsections (a) and (b) of § 12322 …

Programs. (a) The Board shall establish by regulation minimum qualifications for nurse assistants and criteria for evaluating such qualifications. The Board may also establish and administer such procedures as may be necessary to certify that an applicant meets duly established m…

(a) The licenses issued under the provisions of this Article shall be renewed biennially. The Board shall mail an application for renewal of license to every current licensee. The mailing address shall be the COL 2026-06-10 address indicated in the application, or his or her prev…

A nurse who does not engage in nursing in Guam during the succeeding year shall not be required to pay the renewal fee as long as he or she remains inactive. Should he or she wish to resume nursing at some future time, he or she shall so notify the Board and become reinstated by …

(a) All fees received by the Board under this Article, except such amounts as are paid through the Board for examinations taken by applications and which must be transmitted to a testing service, shall be deposited in the General Fund. (b) All funds that have accumulated to the c…