The bill establishes the Occupational Therapy Licensure Compact, designed to enhance interstate practice for occupational therapists and occupational therapy assistants, thereby improving public access to these services. It allows for the mutual recognition of licenses among member states while maintaining each state's regulatory authority to ensure public health and safety. Key goals include fostering cooperation among states, supporting military spouses, and promoting telehealth technology in occupational therapy. Member states must adhere to specific requirements, such as licensing protocols and complaint investigation procedures, and the compact provides a framework for licensees to practice in remote states under certain conditions.

Additionally, the bill creates the Occupational Therapy Compact Commission to facilitate collaboration among member states regarding licensure and regulation. The commission is empowered to recover investigation costs, take adverse actions based on findings from other states, and conduct joint investigations. It also establishes a structured rulemaking process, including public hearings and emergency rule adoption in response to public health threats. The bill outlines enforcement mechanisms, allowing the commission to intervene in legal matters and manage member state compliance, including the potential termination of states that default on their obligations. Overall, the legislation aims to ensure effective governance and compliance within the interstate compact framework for occupational therapy practice.