The proposed bill amends Chapter 43, Title 54 of the Idaho Code by introducing a new section, 54-4308A, which establishes the Respiratory Care Interstate Compact. This compact is designed to facilitate the interstate practice of respiratory therapy, thereby improving public access to these services while maintaining state regulatory authority. Key features of the compact include definitions of relevant terms, the formation of a commission to oversee its implementation, and guidelines for state participation, which encompass licensing requirements, data sharing protocols, and procedures for addressing adverse actions against licensees. The compact also provides specific provisions for active military members and their spouses, allowing them to retain their home state designation and waiving certain fees.

Additionally, the bill outlines the governance structure and operational procedures for the commission, which is responsible for overseeing the compact. It mandates annual meetings and grants the commission extensive powers, including the establishment of bylaws and the management of financial records. The bill emphasizes transparency and public participation in the commission's rulemaking process, requiring public hearings and advance notice for proposed rules. It also details oversight mechanisms for member states, including processes for addressing defaults and disputes, and clarifies that member states can enact their own laws regarding respiratory therapy as long as they do not conflict with the compact. The bill is set to take effect on July 1, 2025, following an emergency declaration.