The bill establishes the Respiratory Care Interstate Compact, which facilitates the practice of respiratory therapy across member states by allowing licensed respiratory therapists to work in multiple states without needing separate licenses. This compact aims to enhance public access to respiratory care services, support military personnel and their families, and address workforce shortages while maintaining state regulatory authority to ensure public health and safety. Key features include the definition of "compact privilege," which permits therapists to practice in remote states under specific conditions, and provisions for active military members and their spouses, ensuring they are exempt from fees for compact privileges.

Additionally, the bill creates a commission responsible for overseeing the compact's implementation, including establishing bylaws, conducting legal proceedings, and managing financial records. The commission will consist of appointed commissioners from each member state, who will have voting rights on various matters. It is empowered to adopt rules, conduct public hearings, and maintain a coordinated database for tracking licensure and adverse actions against licensees. The compact will take effect once adopted by seven states and includes mechanisms for compliance and addressing defaults among member states, ultimately aiming to streamline respiratory therapy practices while upholding necessary regulatory standards.