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 practice of respiratory therapy across state lines, thereby improving public access to these services while preserving state regulatory authority. Key features of the bill include definitions related to the compact, requirements for state participation, and the formation of a commission to oversee its implementation. It also provides specific provisions for active military members and their spouses, allowing them to maintain their home state designation and exempting them from certain fees associated with the compact.

Furthermore, the bill outlines the governance structure and operational procedures for the commission, which is responsible for overseeing respiratory therapy licensing. The commission is required to meet at least annually and has the authority to establish bylaws, manage finances, and initiate legal proceedings. It also emphasizes public participation in the rulemaking process, mandating public hearings and advance notice for proposed rules. The bill includes protocols for oversight, dispute resolution, and enforcement among member states, allowing the commission to take legal action against states that fail to meet their obligations. The compact will take effect once enacted by seven member states, with an emergency clause making it effective from July 1, 2025.