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 additional licenses. This compact aims to improve 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. It sets minimum licensure requirements and creates a commission responsible for overseeing the compact's implementation, including rulemaking, compliance enforcement, and dispute management among member states.

Additionally, the bill mandates the creation of a coordinated database for tracking licensure and adverse actions against licensees, ensuring transparency through public meetings and advance notice. The commission will have the authority to adopt rules with the force of law in member states, conduct public hearings, and manage its operations, including financial oversight. The compact will take effect once adopted by seven states and allows for amendments as long as they are enacted into law by all member states.