The ANA board researched the Cross-border practice that was raised at the 2012 Membership Assembly. The Board chartered a task force comprised of a broad spectrum of involved parties including state regulators, insurers, and consumers. The task force is to seek uniform licensure requirements, particularly as they pertain to criminal background checks and impaired practice; identify a regulatory model that could address new, emerging practices; and develop a standardized decision tree for determining scope of practice.