State Regulation
State Regulation
Currently, 49 states and the District of Columbia regulate the practice of athletic training. Individuals must be legally recognized by the appropriate state regulatory agency prior to practicing athletic training. The BOC exam is recognized by all Athletic Trainer state regulatory agencies to meet their exam requirement. Compliance with state regulatory requirements is mandatory and the only avenue to legal athletic training practice.
Go to Interactive State Regulation Map
Athletic Trainer Interstate Compact
The Council of State Governments (CSG), through a cooperative agreement with the Department of Defense (DoD), is partnering with the BOC to support the need for mobility of licensed Athletic Trainers (ATs) through the development of a new interstate compact. An interstate compact will allow ATs to practice across state lines both physically and remotely (e.g. digital health) improving continuity of care.
Development of an Athletic Trainer interstate compact has been launched through the CSG’s National Center for Interstate Compacts.
Occupational licensure compacts represent the gold standard of policy options for states to improve licensure portability. This AT interstate compact will enhance reciprocity among compact member states to reduce the barriers to employment and delivery of care.
Through licensure compacts, states establish uniform standards to lower barriers to multi-state practice while preserving a state’s practice act and initial licensure process. Licensure compacts enhance public protection through a data system that allows compact member states to efficiently communicate licensure data, including disciplinary actions against licensees.
Licensure compacts are developed through an extensive stakeholder informed and consensus-based process from the existing policies across states and respond to the unique characteristics and needs of a profession. States join interstate compacts by agreeing to uniform provisions through the legislative process.
CSG has been a part of helping to drive change in state occupational licensure policy in recent years. Based on this experience, CSG believes interstate compacts provide the most effective means for achieving borderless practice for licensed practitioners and military spouses relieving the burdens of maintaining multiple state licenses.
Project Announcement
A kick-off meeting to announce the AT interstate compact project was held on June 5, 2024. Anne Minton, CEO represented the BOC, providing an overview of the positive impact the compact would have for ATs and the profession overall.
Hundreds of ATs and other stakeholders tuned in, hearing from DoD officials, CSG staff and BOC leadership. Speakers mapped out the function of an AT interstate compact, the background and aspirations for the project, as well as the compact development process and timeline.
“The BOC was interested in applying for technical assistance with the development of an interstate compact to advance the athletic training profession itself, as well as enhance opportunities for AT professionals, ultimately maximizing patient care and protection of the public,” said Minton. “Creating transportability of BOC certifications domestically and worldwide through this AT compact expands access.”
ATs have the knowledge and skills to be effective in many health care settings, including remotely. Digital health opens doors for ATs and provides patients with increased access to qualified health care professionals. An interstate compact is the most efficient way for ATs to use digital health in multiple states.
An interstate compact is also a more efficient and effective way for AT regulators to exchange licensure and disciplinary data, which again would improve protection of the public.
Next Steps
The compact is currently under development. Once an initial draft is developed, it will be shared on the CSG site with the opportunity to provide feedback for stakeholder review. The BOC will provide updates to ATs, as well.
Official AT Compact Website
A recording of the kick-off meeting, as well as additional information and Frequently Asked Questions can be found on the CSG website.
BOC’s Brad Sherman Regulatory Conference
We would like to recognize a BOC friend who recently passed away, Brad Sherman. Brad was instrumental in developing this conference in the beginning. To honor Brad and continue his legacy, we are renaming the CARE Conference to the BOC’s Brad Sherman Regulatory Conference.
Brad was a lifelong servant to the athletic training profession. As a member of the BOC Board of Directors from 1986-1997 he served as the president of the organization from 1995-1997, as well as serving on the BOC’s Athletic Trainer Regulatory Conference Advisory Panel from 2004–2009.
“Brad will be missed by many,” said Anne Minton, CEO of the BOC. “He was a longtime friend and mentor to the BOC staff and was a driving factor in our first BOC state regulatory conference.”
In addition to being active with the BOC, Brad served as one of the charter members and founders of the Wisconsin Athletic Trainers’ Association (WATA) serving on numerous state committees and as a state representative to District 4 of the National Athletic Trainers’ Association (NATA). He received the WATA Distinguished Service Award in 1987 and he was a member of the NATA since 1993. Brad served from 1982 to 1988 on the NATA Research and Injury Committee and as the general chairperson for the NATA District 4 Annual Symposium in 1989 and 1996. Brad was inducted into the WATA Hall of Fame in 1997 and served as a member of the Wisconsin Athletic Trainers Affiliated Credentialing Board from 2001-2005.
Click below to learn more information about Brad’s legacy.
Learn More
Details regarding the next Brad Sherman Regulatory Conference will be forthcoming.
Regulatory Conference Archives
In this tab you will find the Regulatory conference archives that date back to the 2019 conference. Click the links provided to view the PowerPoint presentation for that speaker.
Disciplinary Action Exchange
The Disciplinary Action Exchange (DAE)
was developed to help the BOC, states and consumers locate disciplinary actions in an efficient manner. The BOC encourages all states to participate in the DAE. The DAE contains final BOC disciplinary actions that have been deemed public, as well as disciplinary actions taken by state regulatory agencies.
If you would like more information in regards to a disciplinary action taken by a state, please contact the State Regulatory Agency.
If you would like more information in regards to a disciplinary action taken by the BOC, please send an email to Professional Practice Manager.
Launch DAE
Log In to DAE
State Regulatory Network
The purpose of the BOC State Regulatory Network is to:
- Provide a platform for AT regulators to share best practices
- Assist board staff and regulators develop working relationships
- Obtain guidance and direction from AT regulators in the development of model language
- Facilitate the sharing of disciplinary actions taken by state AT boards and the BOC
Log In to State Regulatory Network
Governmental Affairs
Overview
Regulatory Affairs includes overseeing all regulatory and legislative activity within the state or federal government relating to athletic training – with the overall goal of protecting the public. This may incorporate:
- Reviewing rules and regulations and providing feedback
- Monitoring legislative bills
- Providing support to state regulatory boards/agencies
- Collaborating with state regulatory boards/agencies, state associations, and strategic partners
2024
The following program and conference materials were included in the 2024 conference, which was held July 9-10 in Omaha, Nebraska.
CARE Conference 2024 Program |
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Is Regulation Innovative? Recent Relevant Activities in the Regulatory Community Dale Atkinson |
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Developing an Interstate Compact for Athletic Trainers Carl Sims, Keith Buckhout |
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Informed Workforce Policy and Planning: Calling data champions! Hannah Maxey |
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Handling Social Media Attacks Regarding Misinformation on Social Media Missy Anthony |
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Regulatory Implications from the Evolution of AT Education Eric Lippincott |
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State Reports: Current Trends and Updates from your State Missy Anthony, Tom Ryan, Jim Winkler, Kristen Streeter |
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BOC Update René Revis Shingles |
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BOC Exam Report Ian Hembry |
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BOC Disciplinary Action Exchange Jason Graham |
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Investigating Reports of Sexual Misconduct MarLa Duncan, Carly Rasiewicz |
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2022
The following program and PowerPoint presentations were included in the 2022 conference, which was July 15-16 in Omaha, Nebraska.
CARE Conference 2022 Program |
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Disciplinary Best Practice – Part I & II Dale Atkinson, Mark Brengelman, Hollie Kozak, Bruce Bronoske |
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Regulators Role in Well-being: Part of the Problem or Part of the Solution Tim Kolb |
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Top Regulatory Cases Dale Atkinson |
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BOC Update: BOC Orthopedic Specialty Certification Update Michael Hudson |
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BOC Update: The International Arrangement for the Athletic Training and Therapy Profession Rusty McKune |
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BOC Update René Revis Shingles |
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BOC Update: Model Language Jim Winkler |
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BOC Lightning Rounds: BOC Discipline Process Stacy Arrington |
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BOC Lightning Rounds: BOC Certification Exam Nathan Burns |
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Remaining Relevant: The Future Role of Licensure Boards Veronica Meadows |
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Moving the Needle: Promoting Equity and Inclusion within Michigan’s Regulatory Community Marion Brown |
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License Mobility: Ohio Experience Missy Anthony |
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License Mobility: An Interstate Compact for Athletic Trainers Dan Logsdon, Shaun Conway, Missy Anthony |
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Telehealth: State Telehealth Policy Landscape Sydne Enlund |
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Telehealth: Athletic Training Opportunities in Connected Care and Telehealth David Gallegos |
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The New Normal for Regulatory Operations |
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2021
The following are resources for the BOC CARE Conference Educational Series Webinars published in spring 2021.
Professional Certification Coalition Update Webinar: BOC CARE Educational Series |
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Pivoting in an Emergency: The Pandemic’s Impact on Regulation and the Athletic Trainer Role |
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Occupational Licensing Portability Webinar: BOC CARE Educational Series |
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State Telehealth Policy Landscape Post-Pandemic Webinar: BOC CARE Educational Series |
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2019
The following program and PowerPoint presentations were included in the 2019 conference, which was July 12-13 in Omaha, Nebraska.
CARE Conference 2019 Program |
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Insights – BOC: Rusty McKune |
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Insights – CAATE: Eric Sauers |
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Insights – NATAGAC: Anna Sedorye |
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Insights – FARB: Dale Atkinson |
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Promoting Competition in Regulated Occupations – FTC Perspectives: Karen Goldman |
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Portability Implementation – NABP: Electronic License Portability – The NABP E-LTP Program Today and Tomorrow: Bill Cover |
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Portability Implementation – BOC: Athletic Trainer Model Language: What You Need to Know: Scott Lawrance |
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Lightning Talks: BOC Discipline: Stacy Arrington |
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Lightning Talks: BOC Exam: Kelli Wilkins |
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Lightning Talks: Sports Medicine Licensure Clarity Act: Amy Callender |
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Lightning Talks: Telehealth: Tim Sensor |
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Operational War Stories – Transition to Online Licensure: Karen Whiteford |
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Operational War Stories – Board/Staff Conduct: Robin Jenkins |
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Surviving a Regulatory Review – Arizona: Karen Whiteford |
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Surviving a Regulatory Review – Indiana: Scott Lawrence |
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Stakeholder Engagement – Colorado: Nathan Batchelder |
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Stakeholder Engagement – Ohio: Missy Anthony |
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Top Disciplinary Cases You Need to Know About: Amigo Wade |
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Regulatory Support
The BOC has the same mission as state regulatory boards/agencies, to protect the public.
We are here to support your efforts to regulate Athletic Trainers as effectively and efficiently as possible. BOC support includes, but is not limited to:
- Review of proposed rules and regulations and provides feedback for states looking to update or revise regulations
- Assistance with certification verifications
- Advocacy efforts
- Administrative
- Platform to communicate with other regulators
- Biannual newsletter to keep you current on BOC news
Contact the BOC for more information
Log In to State Regulatory Network
Legislation
Click here to view all current legislation
AT Advocacy Partners
American Medical Society for Sports MedicineThe American Medical Society for Sports Medicine (AMSSM) is a multi-disciplinary organization of sports medicine physicians whose members are dedicated to education, research, advocacy and the care of athletes of all ages. Founded in 1991, the AMSSM is now comprised of more than 2,100 sports medicine physicians whose goal is to provide a link between the rapidly expanding core of knowledge related to sports medicine and its application to patients in a clinical setting. |
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Council on Licensure, Enforcement and Regulation (CLEAR)The American Medical Society for Council on Licensure, Enforcement Regulation (CLEAR) promotes regulatory excellence through conferences, educational programs, webinars, seminars and symposia. The organization provides networking opportunities, publications and research services for those involved with, or affected by, professional and occupational regulation. As a neutral forum to encourage and provide for the sharing of best practices, CLEAR serves and supports the international regulatory community and its vital contribution to public protection. CLEAR has defined its own educator role as proactively identifying critical issues; providing a dynamic, interactive forum for exploration of these issues and collecting and disseminating relevant information on them. |
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Federation of Associations of Regulatory Boards (FARB)The American Medical Society for The Federation of Associations of Regulatory Boards (FARB) is a not-for-profit corporation formed in 1974 to promote public protection and provide a forum for information exchange for associations of regulatory boards and their affiliate stakeholders with interests in professional regulation. It is a membership association which, based upon its public protection mission, is recognized as exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. FARB’s mission is to advance excellence in regulation of the professions in the interest of public protection. |
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Healthforce Center at University of California, San Francisco (UCSF)Healthforce Center at University of California, San Francisco (UCSF), formerly Center for the Health Professions, was founded in 1992. For over 2 decades, their research and publications have helped healthcare leaders and policymakers better understand the health workforce and develop successful strategies and policies. Their leadership training programs have touched thousands of people across the entire healthcare ecosystem who continue to make significant and meaningful change in healthcare. |
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Korey Stringer InstituteThe Korey Stringer Institute works to provide information, resources, assistance and advocacy for the prevention of sudden death in sport, especially as it relates to exertional heat stroke in the physically active community. |
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National Conference of State Legislatures (NCSL)National Conference of State Legislatures (NCSL) is committed to the success of all legislators and staff. Their mission is to improve the quality and effectiveness of state legislatures. NCSL is also committed to promoting policy innovation and communication among state legislatures. Their goal is to ensure state legislatures a strong, cohesive voice in the federal system. |
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STOP Sports InjuriesThe development of the STOP (Sports Trauma and Overuse Prevention) Sports Injuries campaign was initiated by the American Orthopaedic Society for Sports Medicine (AOSSM) and now includes numerous partnering organizations. STOP’s public outreach program addresses overuse, trauma and professional expertise. |
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Youth Sports Safety AllianceThe BOC is a member of the Youth Sports Safety Alliance (YSSA), which aims to raise awareness, advance legislation and improve medical care for young athletes across the country. The YSSA was established by the National Athletic Trainers’ Association and includes more than 70 member organizations. |