The bill establishes the Respiratory Care Interstate Compact, which facilitates the practice of respiratory therapy across state lines. This compact allows licensed respiratory therapists in one member state to practice in other member states, enhancing public access to respiratory therapy services while preserving state regulatory authority for public health and safety. Key objectives include increasing service access, promoting public health protection, fostering inter-state cooperation, and addressing workforce shortages, particularly for active military members and their spouses. The compact includes definitions, the establishment of a governing commission, and requirements for member states to enact compatible legislation and maintain active licenses.

The governance structure of the commission is outlined, including voting procedures, meeting requirements, and operational authority. The commission is responsible for rulemaking, maintaining a data system for tracking licensure and adverse actions, and ensuring compliance with the compact's provisions. It has the authority to initiate legal action against member states in default and outlines procedures for withdrawal from the compact. The bill emphasizes that member states can enact laws related to respiratory therapy that do not conflict with the compact, and any amendments require unanimous consent from all member states. Overall, the bill aims to streamline the practice of respiratory therapy while ensuring regulatory consistency and public safety.