The proposed bill amends the Idaho Code by introducing a new section, 54-4308A, which establishes the Respiratory Care Interstate Compact. This compact is designed to enhance the practice of respiratory therapy across state lines while maintaining state regulatory authority. Key features of the compact include definitions of relevant terms, requirements for state participation, and the formation of a commission to oversee its implementation. The bill also addresses provisions for active military members and their spouses, allowing them to retain their home state designation and waiving certain fees associated with the compact privilege.

Furthermore, the bill outlines the operational framework for the commission, including its powers, meeting requirements, and financial management. It mandates transparency in the commission's rulemaking process, requiring public hearings and the publication of proposed rules. The commission is also tasked with maintaining a data system for tracking licensure and adverse actions, ensuring cooperation among member states, and providing mechanisms for dispute resolution. The bill emphasizes the importance of public access to meetings and records while allowing for closed sessions under specific circumstances. It declares an emergency, making the compact effective from July 1, 2025.