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 preserving state regulatory authority. Key components of the bill include definitions related to the compact, the formation of a commission to oversee its implementation, and guidelines for state participation. Member states are required to license respiratory therapists and engage in a shared data system. The compact also addresses the needs of active military members and their spouses, allowing them to maintain their home state designation and waiving certain fees.

The bill further details the operational framework of the commission, which will oversee the compact's implementation, including its rulemaking process, oversight, and dispute resolution. The commission is granted extensive powers, such as establishing bylaws, maintaining financial records, and managing its budget. It is required to hold public hearings for proposed rules, ensuring transparency and public participation. Additionally, the bill outlines procedures for adverse actions against licensees and the conditions under which member states can withdraw from the compact. The compact will take effect once enacted by seven member states, and any amendments must be ratified by all member states, with an emergency clause making the act effective from July 1, 2025.